TAX ID1|NPI1|NPI2|TAX ID2|NPI3|TAX ID3|NPI4|NPI5|SCHEDNO|CPTNO|CPT|MODIFIER|FULLAMT|PROFAMT|TECHAMT|ANESUNITS|BEGIN DATEDT
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5364|V5364 - DYSPHAGIA SCREENING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5363|V5363 - LANGUAGE SCREENING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5362|V5362 - SPEECH SCREENING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5336|V5336 - REPAIR COMMUNICATION DEVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5299|V5299 - HEARING SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5298|V5298 - HEARING AID NOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5290|V5290 - ALD TRANSMITTER MICROPHONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5289|V5289 - ALD FM/DM ADAPT/BOOT COUPLIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5288|V5288 - ALD FM/DM TRANSMITTER ALD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5287|"V5287 - ALD FM/DM RECEIVER| NOS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5286|V5286 - ALD BLU TOOTH FM/DM RECEIVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5285|V5285 - ALD FM/DM AUD INPUT RECEIVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5284|V5284 - ALD FM/DM EAR LEVEL RECEIVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5283|"V5283 - ALD NECK| LOOP IND RECEIVER"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5282|V5282 - ALD FM/DM SYSTEM BINAURAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5281|"V5281 - ALD FM/DM SYSTEM| MONAURAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5275|V5275 - EAR IMPRESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5274|V5274 - ALD UNSPECIFIED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5273|V5273 - ALD FOR COCHLEAR IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5272|V5272 - TDD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5271|"V5271 - ALD| TV CAPTION DECODER"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5270|"V5270 - ALD| TV AMPLIFIER| ANY TYPE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5269|"V5269 - ALERTING DEVICE| ANY TYPE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5268|V5268 - ALD TELEPHONE AMPLIFIER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5267|V5267 - HEARING AID SUP/ACCESS/DEV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5266|V5266 - BATTERY FOR HEARING DEVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5265|"V5265 - EAR MOLD/INSERT| DISP"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5264|V5264 - EAR MOLD/INSERT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5263|"V5263 - HEARING AID| DISP| BINAURAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5262|"V5262 - HEARING AID| DISP| MONAURAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5261|"V5261 - HEARING AID| DIGIT| BIN| BTE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5260|"V5260 - HEARING AID| DIGIT| BIN| ITE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5259|"V5259 - HEARING AID| DIGIT| BIN| ITC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5258|"V5258 - HEARING AID| DIGIT| BIN| CIC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5257|"V5257 - HEARING AID| DIGIT| MON| BTE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5256|"V5256 - HEARING AID| DIGIT| MON| ITE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5255|"V5255 - HEARING AID| DIGIT| MON| ITC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5254|"V5254 - HEARING ID| DIGIT| MON| CIC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5253|"V5253 - HEARING AID| PROG| BIN| BTE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5252|"V5252 - HEARING AID| PROG| BIN| ITE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5251|"V5251 - HEARING AID| PROG| BIN| ITC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5250|"V5250 - HEARING AID| PROG| BIN| CIC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5249|"V5249 - HEARING AID| BINAURAL| ITC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5248|"V5248 - HEARING AID| BINAURAL| CIC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5247|"V5247 - HEARING AID| PROG| MON| BTE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5246|"V5246 - HEARING AID| PROG| MON| ITE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5245|"V5245 - HEARING AID| PROG| MON| ITC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5244|"V5244 - HEARING AID| PROG| MON| CIC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5243|"V5243 - HEARING AID| MONAURAL| ITC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5242|"V5242 - HEARING AID| MONAURAL| CIC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5241|"V5241 - DISPENSING FEE| MONAURAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5240|V5240 - DISP FEE CONTRALATERAL BINAU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5230|V5230 - HEARING AID BINAURAL GLASSES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5220|V5220 - BEHIND EAR BICROS HEARING AI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5210|V5210 - IN EAR BICROS HEARING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5200|V5200 - DISP FEE CONTRALATERAL MONAU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5190|V5190 - HEARING AID MONAURAL GLASSES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5180|V5180 - BEHIND EAR CROS HEARING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5170|V5170 - WITHIN EAR CROS HEARING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5160|V5160 - DISPENSING FEE BINAURAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5150|V5150 - GLASSES BINAURAL HEARING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5140|V5140 - BEHIND EAR BINAUR HEARING AI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5130|V5130 - IN EAR BINAURAL HEARING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5120|V5120 - BODY-WORN BINAUR HEARING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5110|V5110 - HEARING AID DISPENSING FEE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5100|V5100 - BODY-WORN BILAT HEARING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5095|V5095 - IMPLANT MID EAR HEARING PROS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5090|V5090 - HEARING AID DISPENSING FEE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5080|V5080 - GLASSES BONE CONDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5070|V5070 - GLASSES AIR CONDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5060|V5060 - BEHIND EAR HEARING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5050|V5050 - HEARING AID MONAURAL IN EAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5040|V5040 - BODY-WORN HEARING AID BONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5030|V5030 - BODY-WORN HEARING AID AIR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5020|V5020 - CONFORMITY EVALUATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5014|V5014 - HEARING AID REPAIR/MODIFYING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5011|V5011 - HEARING AID FITTING/CHECKING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5010|V5010 - ASSESSMENT FOR HEARING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V5008|V5008 - HEARING SCREENING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2799|V2799 - MISC VISION ITEM OR SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2797|V2797 - VIS ITEM/SVC IN OTHER CODE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2790|V2790 - AMNIOTIC MEMBRANE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2788|V2788 - PRESBYOPIA-CORRECT FUNCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2787|V2787 - ASTIGMATISM-CORRECT FUNCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2786|V2786 - OCCUPATIONAL MULTIFOCAL LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2785|V2785 - CORNEAL TISSUE PROCESSING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2784|V2784 - LENS POLYCARB OR EQUAL||101.9925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2783|"V2783 - LENS| >= 1.66 P/>=1.80 G"||156.8475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2782|"V2782 - LENS| 1.54-1.65 P/1.60-1.79G"||139.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2781|V2781 - PROGRESSIVE LENS PER LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2780|V2780 - OVERSIZE LENS/ES||35.7075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2770|V2770 - OCCLUDER LENS/ES||44.19|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2762|"V2762 - POLARIZATION| ANY LENS"||128.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2761|V2761 - MIRROR COATING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2760|V2760 - SCRATCH RESISTANT COATING||34.2225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2756|V2756 - EYE GLASS CASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2755|V2755 - UV LENS/ES||39.3075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2750|V2750 - ANTI-REFLECTIVE COATING||54.3825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2745|"V2745 - TINT| ANY COLOR/SOLID/GRAD"||26.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2744|V2744 - TINT PHOTOCHROMATIC LENS/ES||46.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2730|V2730 - SPECIAL BASE CURVE||45.0675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2718|V2718 - FRESNELL PRISM PRESS-ON LENS||60.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2715|V2715 - PRISM LENS/ES||24.84|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2710|V2710 - GLASS/PLASTIC SLAB OFF PRISM||137.0025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2702|V2702 - DELUXE LENS FEATURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2700|V2700 - BALANCE LENS||93.6|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2632|V2632 - POST CHMBR INTRAOCULAR LENS||254.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2631|V2631 - IRIS SUPPORT INTRAOCLR LENS||254.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2630|V2630 - ANTER CHAMBER INTRAOCUL LENS||254.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2629|V2629 - PROSTHETIC EYE OTHER TYPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2628|V2628 - FABRICATION & FITTING||699.7275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2627|V2627 - SCLERAL COVER SHELL||3060.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2626|V2626 - REDUCTION OF EYE PROSTHESIS||534.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2625|V2625 - ENLARGEMNT OF EYE PROSTHESIS||842.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2624|V2624 - POLISHING ARTIFICAL EYE||130.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2623|V2623 - PLASTIC EYE PROSTH CUSTOM||1918.035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2615|V2615 - TELESCOP/OTHR COMPOUND LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2610|V2610 - SINGLE LENS SPECTACLE MOUNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2600|V2600 - HAND HELD LOW VISION AIDS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2599|V2599 - CONTACT LENS/ES OTHER TYPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2531|V2531 - CONTACT LENS GAS PERMEABLE||1169.9775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2530|V2530 - CONTACT LENS GAS IMPERMEABLE||476.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2523|V2523 - CNTCT LENS HYDROPHIL EXTEND||321.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2522|V2522 - CNTCT LENS HYDROPHIL BIFOCL||377.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2521|V2521 - CNTCT LENS HYDROPHILIC TORIC||387.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2520|V2520 - CONTACT LENS HYDROPHILIC||222.84|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2513|V2513 - CONTACT LENS EXTENDED WEAR||337.9275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2512|V2512 - CNTCT LENS GAS PERMBL BIFOCL||402.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2511|V2511 - CNTCT TORIC PRISM BALLAST||340.65|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2510|V2510 - CNTCT GAS PERMEABLE SPHERICL||237.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2503|V2503 - CNTCT LENS PMMA COLOR VISION||311.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2502|V2502 - CONTACT LENS PMMA BIFOCAL||325.9125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2501|V2501 - CNTCT LENS PMMA-TORIC/PRISM||264.555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2500|V2500 - CONTACT LENS PMMA SPHERICAL||173.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2499|V2499 - VARIABLE ASPHERICITY LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2430|V2430 - LENS VARIABLE ASPHERICITY BI||249.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2410|V2410 - LENS VARIAB ASPHERICITY SING||191.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2399|V2399 - LENS TRIFOCAL SPECIALITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2321|"V2321 - LENTICULAR LENS| TRIFOCAL"||335.07|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2320|V2320 - LENS TRIFOCAL ADD OVER 3.25D||111.9375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2319|V2319 - LENS TRIFOCAL SEG WIDTH > 28||106.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2318|V2318 - LENS ANISEIKONIC TRIFOCAL||313.4475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2315|V2315 - LENS LENTICULAR TRIFOCAL||339.9525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2314|V2314 - LENS SPHCYL TRIFOCAL OVER 12||306.2025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2313|V2313 - LENS SPHC TRIFO 7.25-12/4.25||279.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2312|V2312 - LENS SPHC TRIFO 7.25-12/2.25||204.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2311|V2311 - LENS SPHC TRIFO 7.25-12/.25-||232.335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2310|V2310 - LENS SPHC TRIFOCAL 4.25-7/>6||243.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2309|V2309 - LENS SPHC TRIFOCAL 4.25-7/4.||221.7825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2308|V2308 - LENS SPHC TRIFOCAL 4.25-7/2.||189.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2307|V2307 - LENS SPHCY TRIFOCAL 4.25-7/.||177.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2306|V2306 - LENS SPHCYL TRIFOCAL 4.00/>6||179.1675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2305|V2305 - LENS SPHCY TRIFOCAL 4.0/4.25||192.15|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2304|V2304 - LENS SPHCY TRIFOCAL 4.0/2.25||156.69|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2303|V2303 - LENS SPHCY TRIFOCAL 4.0/.12-||149.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2302|V2302 - LENS SPHERE TRIFOCAL 7.12-20||180.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2301|V2301 - LENS SPHERE TRIFOCAL 4.12-7.||164.9925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2300|V2300 - LENS SPHERE TRIFOCAL 4.00D||142.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2299|V2299 - LENS BIFOCAL SPECIALITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2221|"V2221 - LENTICULAR LENS| BIFOCAL"||206.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2220|V2220 - LENS BIFOCAL ADD OVER 3.25D||77.1525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2219|V2219 - LENS BIFOCAL SEG WIDTH OVER||95.1525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2218|V2218 - LENS ANISEIKONIC BIFOCAL||216.135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2215|V2215 - LENS LENTICULAR BIFOCAL||211.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2214|V2214 - LENS SPHCYL BIFOCAL OVER 12.||195.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2213|V2213 - LENS SPHCYL BIFO 7.25-12/4.2||182.115|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2212|V2212 - LENS SPHCYL BIFO 7.25-12/2.2||177.615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2211|V2211 - LENS SPHCY BIFO 7.25-12/.25-||163.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2210|V2210 - LENS SPHCY BIFOCAL 4.25-7/OV||191.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2209|V2209 - LENS SPHCY BIFOCAL 4.25-7/4.||148.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2208|V2208 - LENS SPHCY BIFOCAL 4.25-7/2.||135.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2207|V2207 - LENS SPHCY BIFOCAL 4.25-7D/.||133.605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2206|V2206 - LENS SPHCY BIFOCAL 4.00D/OVE||160.065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2205|V2205 - LENS SPHCY BIFOCAL 4.00D/4.2||131.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2204|V2204 - LENS SPHCY BIFOCAL 4.00D/2.1||119.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2203|V2203 - LENS SPHCYL BIFOCAL 4.00D/.1||110.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2202|V2202 - LENS SPHERE BIFOCAL 7.12-20.||140.49|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2201|V2201 - LENS SPHERE BIFOCAL 4.12-7.0||119.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2200|V2200 - LENS SPHER BIFOC PLANO 4.00D||109.5525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2199|V2199 - LENS SINGLE VISION NOT OTH C||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2121|"V2121 - LENTICULAR LENS| SINGLE"||161.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2118|V2118 - LENS ANISEIKONIC SINGLE||156.69|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2115|V2115 - LENS LENTICULAR BIFOCAL||158.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2114|V2114 - SPHEROCYLINDER OVER 12.00D||145.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2113|V2113 - SPHEROCYLINDR 7.25D/4.25-6D||164.3625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2112|V2112 - SPHEROCYLINDR 7.25D/2.25-4D||118.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2111|V2111 - SPHEROCYLINDR 7.25D/.25-2.25||120.555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2110|V2110 - SPHEROCYLINDER 4.25D/OVER 6D||136.7775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2109|V2109 - SPHEROCYLINDER 4.25D/4.25-6D||117.18|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2108|V2108 - SPHEROCYLINDER 4.25D/2.12-4D||101.9475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2107|V2107 - SPHEROCYLINDER 4.25D/12-2D||105.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2106|V2106 - SPHEROCYLINDER 4.00D/>6.00D||100.0125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2105|V2105 - SPHEROCYLINDER 4.00D/4.25-6D||98.5275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2104|V2104 - SPHEROCYLINDR 4.00D/2.12-4D||80.4825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2103|V2103 - SPHEROCYLINDR 4.00D/12-2.00D||72.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2102|V2102 - SINGL VISN SPHERE 7.12-20.00||125.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2101|V2101 - SINGLE VISN SPHERE 4.12-7.00||88.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2100|V2100 - LENS SPHER SINGLE PLANO 4.00||83.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2025|V2025 - EYEGLASSES DELUX FRAMES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|V2020|V2020 - VISION SVCS FRAMES PURCHASES||172.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T5999|"T5999 - SUPPLY| NOS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T5001|T5001 - POSITION SEAT SPEC ORTH NEED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4544|T4544 - ADLT DISP UND/PULL ON ABV XL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4543|T4543 - ADULT DISP BRIEF/DIAP ABV XL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4542|T4542 - SMALL DISPOSABLE UNDERPAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4541|T4541 - LARGE DISPOSABLE UNDERPAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4540|T4540 - REUSABLE UNDERPAD CHAIR SIZE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4539|T4539 - REUSE DIAPER/BRIEF ANY SIZE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4538|T4538 - DIAPER SERV REUSABLE DIAPER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4537|T4537 - REUSABLE UNDERPAD BED SIZE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4536|T4536 - REUSABLE PULL-ON ANY SIZE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4535|T4535 - DISPOSABLE LINER/SHIELD/PAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4534|T4534 - YOUTH SIZE PULL-ON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4533|T4533 - YOUTH SIZE BRIEF/DIAPER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4532|T4532 - PED SIZE PULL-ON LG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4531|T4531 - PED SIZE PULL-ON SM/MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4530|T4530 - PED SIZE BRIEF/DIAPER LG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4529|T4529 - PED SIZE BRIEF/DIAPER SM/MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4528|T4528 - ADULT SIZE PULL-ON XL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4527|T4527 - ADULT SIZE PULL-ON LG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4526|T4526 - ADULT SIZE PULL-ON MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4525|T4525 - ADULT SIZE PULL-ON SM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4524|T4524 - ADULT SIZE BRIEF/DIAPER XL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4523|T4523 - ADULT SIZE BRIEF/DIAPER LG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4522|T4522 - ADULT SIZE BRIEF/DIAPER MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T4521|T4521 - ADULT SIZE BRIEF/DIAPER SM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2101|T2101 - BREAST MILK PROC/STORE/DIST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2049|"T2049 - N-ET; STRETCHER VAN| MILEAGE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2048|"T2048 - BH LTC RES R&B| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2046|"T2046 - HOSPICE LONG TERM CARE| R&B"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2045|T2045 - HOSPICE GENERAL CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2044|T2044 - HOSPICE RESPITE CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2043|T2043 - HOSPICE CONTINUOUS HOME CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2042|T2042 - HOSPICE ROUTINE HOME CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2041|T2041 - SUPPORT BROKER WAIVER/15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2040|T2040 - FINANCIAL MGT WAIVER/15MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2039|T2039 - VEHICLE MOD WAIVER/SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2038|T2038 - COMM TRANS WAIVER/SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2037|T2037 - CAMP DAY WAIVER/SESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2036|T2036 - CAMP OVERNITE WAIVER/SESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2035|T2035 - UTILITY SERVICES WAIVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2034|T2034 - CRISIS INTERVEN WAIVER/DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2033|"T2033 - RES| NOS WAIVER PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2032|"T2032 - RES CARE| NOS WAIVER/MONTH"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2031|T2031 - ASSIST LIVING WAIVER/DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2030|T2030 - ASSIST LIVING WAIVER/MONTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2029|"T2029 - SPECIAL MED EQUIP| NOSWAIVER"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2028|"T2028 - SPECIAL SUPPLY| NOS WAIVER"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2027|T2027 - SPEC CHILDCARE WAIVER 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2026|T2026 - SPECIAL CHILDCARE WAIVER/D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2025|"T2025 - WAIVER SERVICE| NOS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2024|T2024 - SERV ASMNT/CARE PLAN WAIVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2023|T2023 - TARGETED CASE MGMT PER MONTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2022|"T2022 - CASE MANAGEMENT| PER MONTH"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2021|T2021 - DAY HABIL WAIVER PER 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2020|T2020 - DAY HABIL WAIVER PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2019|T2019 - HABIL SUP EMPL WAIVER 15MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2018|T2018 - HABIL SUP EMPL WAIVER/DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2017|T2017 - HABIL RES WAIVER 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2016|T2016 - HABIL RES WAIVER PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2015|T2015 - HABIL PREVOC WAIVER PER HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2014|"T2014 - HABIL PREVOC WAIVER| PER D"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2013|T2013 - HABIL ED WAIVER PER HOUR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2012|"T2012 - HABIL ED WAIVER| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2011|T2011 - PASRR LEVEL II||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2010|T2010 - PASRR LEVEL I||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2007|T2007 - NON-EMER TRANSPORT WAIT TIME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2005|T2005 - N-ET; STRETCHER VAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2004|T2004 - N-ET; COMMERC CARRIER PASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2003|T2003 - N-ET; ENCOUNTER/TRIP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2002|T2002 - N-ET; PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T2001|T2001 - N-ET; PATIENT ATTEND/ESCORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1999|T1999 - NOC RETAIL ITEMS ANDSUPPLIES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1505|"T1505 - ELEC MED COMP DEV| NOC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1503|"T1503 - MED ADMIN| NOT ORAL/INJECT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1502|T1502 - MEDICATION ADMIN VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1031|T1031 - LPN HOME CARE PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1030|T1030 - RN HOME CARE PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1029|T1029 - DWELLING LEAD INVESTIGATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1028|T1028 - HOME ENVIRONMENT ASSESSMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1027|T1027 - FAMILY TRAINING & COUNSELING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1026|"T1026 - PED COMPR CARE PKG| PER HOUR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1025|"T1025 - PED COMPR CARE PKG| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1024|T1024 - TEAM EVALUATION & MANAGEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1023|T1023 - PROGRAM INTAKE ASSESSMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1022|T1022 - CONTRACTED SERVICES PER DAY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1021|T1021 - HH AIDE OR CN AIDE PER VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1020|T1020 - PERSONAL CARE SER PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1019|T1019 - PERSONAL CARE SER PER 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1018|T1018 - SCHOOL-BASED IEP SER BUNDLED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1017|T1017 - TARGETED CASE MANAGEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1016|T1016 - CASE MANAGEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1015|T1015 - CLINIC SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1014|"T1014 - TELEHEALTH TRANSMIT| PER MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1013|T1013 - SIGN LANG/ORAL INTERPRETER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1012|T1012 - ALCOHOL/SUBSTANCE ABUSE SKIL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1010|T1010 - MEALS WHEN RECEIVE SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1009|T1009 - CHILD SITTING SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1007|T1007 - TREATMENT PLAN DEVELOPMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1006|T1006 - FAMILY/COUPLE COUNSELING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1005|T1005 - RESPITE CARE SERVICE 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1004|T1004 - NSG AIDE SERVICE UP TO 15MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1003|T1003 - LPN/LVN SERVICES UP TO 15MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1002|T1002 - RN SERVICES UP TO 15 MINUTES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1001|T1001 - NURSING ASSESSMENT/EVALUATN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|T1000|T1000 - PRIVATE DUTY/INDEPENDENT NSG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9999|S9999 - SALES TAX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9996|S9996 - MEALS FOR CLINICAL TRIAL PAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9994|S9994 - LODGING COSTS (E.G. HOTEL CH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9992|S9992 - TRANSPORTATION COSTS TO AND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9991|S9991 - SERVICES PROVIDED AS PART OF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9990|S9990 - SERVICES PROVIDED AS PART OF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9989|S9989 - SERVICES OUTSIDE US||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9988|S9988 - SERV PART OF PHASE I TRIAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9986|S9986 - NOT MEDICALLY NECESSARY SVC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9982|S9982 - MED RECORD COPY PER PAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9981|S9981 - MED RECORD COPY ADMIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9977|S9977 - MEALS PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9976|S9976 - LODGING PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9975|S9975 - TRANSPLANT RELATED PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9970|S9970 - HEALTH CLUB MEMBERSHIP YR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9961|S9961 - AIR AMBULAN NONEMERG ROTARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9960|S9960 - AIR AMBULANC NONEMERG FIXED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9901|S9901 - CHRISTIAN SCI NURSE VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9900|S9900 - CHRISTIAN SCI PRACT VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9810|S9810 - HT PHARM PER HOUR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9590|S9590 - HT IRRIGATION DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9562|S9562 - HT INJ PALIVIZUMAB DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9560|S9560 - HT INJ HORMONE DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9559|S9559 - HIT INJ INTERFERON DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9558|S9558 - HT INJ GROWTH HORM DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9542|S9542 - HT INJ NOC PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9538|S9538 - HIT BLOOD PRODUCTS DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9537|S9537 - HT HEM HORM INJ DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9529|S9529 - VENIPUNCTURE HOME/SNF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9504|S9504 - HIT ANTIBIOTIC Q4H DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9503|S9503 - HIT ANTIBIOTIC Q6H DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9502|S9502 - HIT ANTIBIOTIC Q8H DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9501|S9501 - HIT ANTIBIOTIC Q12H DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9500|S9500 - HIT ANTIBIOTIC Q24H DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9497|S9497 - HIT ANTIBIOTIC Q3H DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9494|S9494 - HIT ANTIBIOTIC TOTAL DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9490|S9490 - HIT CORTICOSTEROID/DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9485|S9485 - CRISIS INTERVENTION MENTAL H||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9484|S9484 - CRISIS INTERVENTION PER HOUR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9482|S9482 - FAMILY STABILIZATION 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9480|S9480 - INTENSIVE OUTPATIENT PSYCHIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9476|S9476 - VESTIBULAR REHAB PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9475|S9475 - AMBULATORY SETTING SUBSTANCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9474|S9474 - ENTEROSTOMAL THERAPY BY A RE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9473|S9473 - PULMONARY REHABILITATION PRO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9472|S9472 - CARDIAC REHABILITATION PROGR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9470|"S9470 - NUTRITIONAL COUNSELING| DIET"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9465|"S9465 - DIABETIC MANAGEMENT PROGRAM|"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9460|"S9460 - DIABETIC MANAGEMENT PROGRAM|"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9455|"S9455 - DIABETIC MANAGEMENT PROGRAM|"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9454|S9454 - STRESS MGMT CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9453|S9453 - SMOKING CESSATION CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9452|S9452 - NUTRITION CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9451|S9451 - EXERCISE CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9449|S9449 - WEIGHT MGMT CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9447|S9447 - INFANT SAFETY CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9446|S9446 - PT EDUCATION NOC GROUP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9445|S9445 - PT EDUCATION NOC INDIVID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9444|S9444 - PARENTING CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9443|S9443 - LACTATION CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9442|S9442 - BIRTHING CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9441|S9441 - ASTHMA EDUCATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9439|S9439 - VBAC CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9438|S9438 - CESAREAN BIRTH CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9437|S9437 - CHILDBIRTH REFRESHER CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9436|S9436 - LAMAZE CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9435|S9435 - MEDICAL FOODS FOR INBORN ERR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9434|S9434 - MOD SOLID FOOD SUPPL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9433|S9433 - MEDICAL FOOD ORAL 100% NUTR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9430|S9430 - PHARMACY COMP/DISP SERV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9401|S9401 - ANTICOAG CLINIC PER SESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9381|S9381 - HIT HIGH RISK/ESCORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9379|S9379 - HIT NOC PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9377|S9377 - HIT HYDRA OVER 3L DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9376|S9376 - HIT HYDRA 3 LITER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9375|S9375 - HIT HYDRA 2 LITER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9374|S9374 - HIT HYDRA 1 LITER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9373|S9373 - HIT HYDRA TOTAL DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9372|S9372 - HT INJ ANTICOAG DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9370|S9370 - HT INJ ANTIEMETIC DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9368|S9368 - HIT TPN OVER 3L DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9367|S9367 - HIT TPN 3 LITER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9366|S9366 - HIT TPN 2 LITER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9365|S9365 - HIT TPN 1 LITER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9364|S9364 - HIT TPN TOTAL DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9363|S9363 - HIT ANTI-SPASMOTIC DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9361|S9361 - HIT DIURETIC INFUS DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9359|S9359 - HIT ANTI-TNF PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9357|S9357 - HIT ENZYME REPLACE DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9355|S9355 - HIT CHELATION DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9353|S9353 - HIT CONT INSULIN DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9351|S9351 - HIT CONT ANTIEMETIC DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9349|S9349 - HIT TOCOLYSIS DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9348|S9348 - HIT SYMPATHOMIM DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9347|S9347 - HIT LONGTERM INFUSION DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9346|S9346 - HIT ALPHA-1-PROTEINAS DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9345|S9345 - HIT ANTI-HEMOPHIL DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9343|S9343 - HIT ENTERAL BOLUS NURS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9342|S9342 - HIT ENTERAL PUMP DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9341|S9341 - HIT ENTERAL GRAV DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9340|S9340 - HIT ENTERAL PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9339|S9339 - HIT PERITON DIALYSIS DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9338|S9338 - HIT IMMUNOTHERAPY DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9336|S9336 - HIT CONT ANTICOAG DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9335|S9335 - HT HEMODIALYSIS DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9331|S9331 - HIT INTERMIT CHEMO DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9330|S9330 - HIT CONT CHEM DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9329|S9329 - HIT CHEMO PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9328|S9328 - HIT PAIN IMP PUMP DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9327|S9327 - HIT INT PAIN PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9326|S9326 - HIT CONT PAIN PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9325|S9325 - HIT PAIN MGMT PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9214|S9214 - HM GEST DM PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9213|S9213 - HM PREECLAMP PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9212|S9212 - HM POSTPAR HYPER PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9211|S9211 - HOME MGMT GEST HYPERTENSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9209|S9209 - HOME MGMT PPROM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9208|S9208 - HOME MGMT PRETERM LABOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9152|"S9152 - SPEECH THERAPY| RE-EVAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9150|S9150 - EVALUATION BY OCULARIST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9145|S9145 - INSULIN PUMP INITIATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9141|"S9141 - DIABETIC MANAGEMENT PROGRAM|"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9140|"S9140 - DIABETIC MANAGEMENT PROGRAM|"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9131|S9131 - PT IN THE HOME PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9129|"S9129 - OCCUPATIONAL THERAPY| IN THE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9128|"S9128 - SPEECH THERAPY| IN THE HOME|"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9127|"S9127 - SOCIAL WORK VISIT| IN THE HO"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9126|"S9126 - HOSPICE CARE| IN THE HOME| P"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9125|"S9125 - RESPITE CARE| IN THE HOME| P"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9124|"S9124 - NURSING CARE| IN THE HOME; B"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9123|S9123 - NURSING CARE IN HOME RN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9122|S9122 - HOME HEALTH AIDE OR CERTIFIE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9117|S9117 - BACK SCHOOL VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9110|S9110 - TELEMONITORING/HOME PER MNTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9098|S9098 - HOME PHOTOTHERAPY VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9097|S9097 - HOME VISIT WOUND CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9090|S9090 - VERTEBRAL AXIAL DECOMPRESSIO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9088|S9088 - SERVICES PROVIDED IN URGENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9083|S9083 - URGENT CARE CENTER GLOBAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9061|S9061 - MEDICAL SUPPLIES AND EQUIPME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9056|S9056 - COMA STIMULATION PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9055|S9055 - PROCUREN OR OTHER GROWTH FAC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9034|S9034 - ESWL FOR GALLSTONES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9025|S9025 - OMNICARDIOGRAM/CARDIOINTEGRA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9024|S9024 - PARANASAL SINUS ULTRASOUND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9007|S9007 - ULTRAFILTRATION MONITOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S9001|S9001 - HOME UTERINE MONITOR WITH OR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8999|S8999 - RESUSCITATION BAG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8990|S8990 - PT OR MANIP FOR MAINT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8950|"S8950 - COMPLEX LYMPHEDEMA THERAPY|"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8948|S8948 - LOW-LEVEL LASER TRMT 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8940|S8940 - HIPPOTHERAPY PER SESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8930|S8930 - AURICULAR ELECTROSTIMULATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8490|S8490 - 100 INSULIN SYRINGES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8460|S8460 - CAMISOLE POST-MAST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8452|S8452 - SPLINT ELBOW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8451|S8451 - SPLINT WRIST OR ANKLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8450|S8450 - SPLINT DIGIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8431|S8431 - COMPRESSION BANDAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8430|S8430 - PADDING FOR COMPRSSN BDG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8429|S8429 - GRADIENT PRESSURE WRAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8428|S8428 - READY GRADIENT GAUNTLET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8427|S8427 - READY GRADIENT GLOVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8426|S8426 - CUSTOM GRAD GLOVE HEAVY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8425|S8425 - CUSTOM GRAD GLOVE MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8424|S8424 - READY GRADIENT SLEEVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8423|S8423 - CUSTOM GRAD SLEEVE HEAVY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8422|S8422 - CUSTOM GRAD SLEEVE MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8421|S8421 - READY GRADIENT SLEEV/GLOV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8420|S8420 - CUSTOM GRADIENT SLEEV/GLOV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8415|S8415 - SUPPLIES FOR HOME DELIVERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8301|S8301 - INFECT CONTROL SUPPLIES NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8270|S8270 - ENURESIS ALARM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8265|S8265 - HABERMAN FEEDER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8210|S8210 - MUCUS TRAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8189|S8189 - TRACH SUPPLY NOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8186|S8186 - SWIVEL ADAPTOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8185|S8185 - FLUTTER DEVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8131|S8131 - INTERFERENTIAL STIM 4 CHAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8130|S8130 - INTERFERENTIAL STIM 2 CHAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8121|S8121 - O2 CONTENTS LIQUID LB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8120|S8120 - O2 CONTENTS GAS CUBIC FT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8110|S8110 - PEAK EXPIRATORY FLOW RATE (P||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8101|S8101 - SPACER WITH MASK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8100|S8100 - SPACER WITHOUT MASK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8097|S8097 - ASTHMA KIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8096|S8096 - PORTABLE PEAK FLOW METER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8092|S8092 - ELECTRON BEAM COMPUTED TOMOG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8085|S8085 - FLUORINE-18 FLUORODEOXYGLUCO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8080|S8080 - SCINTIMAMMOGRAPHY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8055|S8055 - US GUIDANCE FETAL REDUCT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8042|S8042 - MRI LOW FIELD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8040|S8040 - TOPOGRAPHIC BRAIN MAPPING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8037|S8037 - MRCP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8035|S8035 - MAGNETIC SOURCE IMAGING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8032|S8032 - LOW DOSE CT SCAN FOR LUNG CANCER SCREENING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S8030|S8030 - TANTALUM RING APPLICATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5571|S5571 - INSULIN DISPOS PEN 3 ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5570|S5570 - INSULIN DISPOS PEN 1.5 ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5566|S5566 - INSULIN CARTRIDGE 300 U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5565|S5565 - INSULIN CARTRIDGE 150 U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5561|S5561 - INSULIN REUSE PEN 3 ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5560|S5560 - INSULIN REUSE PEN 1.5 ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5553|S5553 - INSULIN LONG ACTING 5 U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5552|S5552 - INSULIN INTERMED 5 U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5551|S5551 - INSULIN MOST RAPID 5 U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5550|S5550 - INSULIN RAPID 5 U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5523|S5523 - HIP MIDLINE CATH INSERT KIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5522|S5522 - HIT PICC INSERT NO SUPP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5521|S5521 - HIT MIDLINE CATH INSERT KIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5520|S5520 - HIT PICC INSERT KIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5518|S5518 - HIT CATH REPAIR KIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5517|S5517 - HIT DECLOTTING KIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5502|S5502 - HIT INTERIM CATH CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5501|S5501 - HIT COMPLEX CATH CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5498|S5498 - HIT SIMPLE CATH CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5497|S5497 - HIT CATH CARE NOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5199|S5199 - PERSONAL CARE ITEM NOS EACH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5190|S5190 - WELLNESS ASSESSMENT BY NONPH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5185|S5185 - MED REMINDER SERV PER MONTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5181|S5181 - HH RESPIRATORY THRPY NOS/DAY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5180|S5180 - HH RESPIRATORY THRPY IN EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5175|"S5175 - LAUNDRY SERV|EXT|PROF|/ORDER"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5170|S5170 - HOMEDELIVERED PREPARED MEAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5165|S5165 - HOME MODIFICATIONS PER SERV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5162|S5162 - EMER RSPNS SYSTEM PURCHASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5161|S5161 - EMER RSPNS SYS SERV PERMONTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5160|S5160 - EMER RESPONSE SYS INSTAL&TST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5151|S5151 - UNSKILLED RESPITECARE /DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5150|S5150 - UNSKILLED RESPITE CARE /15M||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5146|S5146 - THER FOSTERCARE CHILD /MONTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5145|S5145 - CHILD FOSTERCARE TH PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5141|S5141 - ADULT FOSTER CARE PER MONTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5140|S5140 - ADULT FOSTER CARE PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5136|S5136 - ADULT COMPANIONCARE PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5135|S5135 - ADULT COMPANIONCARE PER 15M||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5131|S5131 - HOMEMAKER SERVICE NOS /DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5130|S5130 - HOMAKER SERVICE NOS PER 15M||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5126|S5126 - ATTENDANT CARE SERVICE /DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5125|S5125 - ATTENDANT CARE SERVICE /15M||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5121|S5121 - CHORE SERVICES PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5120|S5120 - CHORE SERVICES PER 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5116|S5116 - NONFAMILY HC TRAIN/SESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5115|S5115 - NONFAMILY HOMECARE TRAIN/15M||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5111|S5111 - FAMILY HOMECARE TRAIN/SESSIO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5110|S5110 - FAMILY HOMECARE TRAINING 15M||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5109|S5109 - HOMECARE TRAIN PT SESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5108|S5108 - HOMECARE TRAIN PT 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5105|S5105 - CENTERBASED DAY CARE PERDIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5102|S5102 - ADULT DAY CARE PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5101|S5101 - ADULT DAY CARE PER HALF DAY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5100|S5100 - ADULT DAYCARE SERVICES 15MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5036|S5036 - HIT DEVICE REPAIR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5035|S5035 - HIT ROUTINE DEVICE MAINT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5014|S5014 - D5W/0.45NS W KCL AND MGS04||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5013|S5013 - 5%DEXTROSE/0.45%SALINE1000ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5012|S5012 - 5% DEXTROSE WITH POTASSIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5010|S5010 - 5% DEXTROSE AND 0.45% SALINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5001|"S5001 - PRESCRIPTION DRUG|BRAND NAME"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S5000|"S5000 - PRESCRIPTION DRUG| GENERIC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4995|S4995 - SMOKING CESSATION GUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4993|S4993 - CONTRACEPTIVE PILLS FOR BC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4991|S4991 - NICOTINE PATCH NONLEGEND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4990|S4990 - NICOTINE PATCH LEGEND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4989|S4989 - CONTRACEPT IUD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4981|S4981 - INSERT LEVONORGESTREL IUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4042|S4042 - OVULATION MGMT PER CYCLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4040|S4040 - MONIT STORE CRYO EMBRYO 30 D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4037|S4037 - CRYO EMBRYO TRANSF CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4035|S4035 - STIMULATED IUI CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4031|S4031 - SPERM PROCURE SUBS VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4030|S4030 - SPERM PROCURE INIT VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4028|S4028 - MICROSURG EPI SPERM ASP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4027|S4027 - STORE PREV FROZ EMBRYOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4026|S4026 - PROCURE DONOR SPERM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4025|S4025 - DONOR SERV IVF CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4023|S4023 - INCOMPL DONOR EGG CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4022|S4022 - ASST OOCYTE FERT CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4021|S4021 - IVF CANC P ASPIR CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4020|S4020 - IVF CANC A ASPIR CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4018|S4018 - F EMB TRNS CANC CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4017|S4017 - IVF CANC A STIM CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4016|S4016 - FROZEN IVF CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4015|S4015 - COMPLETE IVF NOS CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4014|S4014 - COMPL ZIFT CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4013|S4013 - COMPL GIFT CASE RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4011|S4011 - IVF PACKAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S4005|S4005 - INTERIM LABOR FACILITY GLOBA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3904|S3904 - MASTERS TWO STEP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3902|S3902 - BALLISTOCARDIOGRAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3900|S3900 - SURFACE EMG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3870|S3870 - CGH TEST DEVELOPMENTAL DELAY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3866|S3866 - SPEC GENE TEST HYP CARDIOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3865|S3865 - COMP GENET TEST HYP CARDIOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3861|S3861 - GENETIC TEST BRUGADA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3853|S3853 - GENE TEST MYO MUSCLR DYST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3852|S3852 - DNA ANALYSIS APOE ALZHEIMER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3850|S3850 - GENE TEST SICKLE CELL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3849|S3849 - GENE TEST NIEMANN-PICK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3846|S3846 - GENE TEST BETA-THALASSEMIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3845|S3845 - GENE TEST ALPHA-THALASSEMIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3844|S3844 - DNA ANALYSIS DEAFNESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3842|S3842 - GENE TEST HIPPEL-LINDAU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3841|S3841 - GENE TEST RETINOBLASTOMA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3840|S3840 - DNA ANALYSIS RET-ONCOGENE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3800|S3800 - GENETIC TESTING ALS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3722|S3722 - DOSE OPTIMIZATION AUC - 5FU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3708|S3708 - GASTROINTESTINAL FAT ABSORPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3655|S3655 - ANTISPERM ANTIBODIES TEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3652|"S3652 - SALIVA TEST| HORMONE LEVEL;"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3650|"S3650 - SALIVA TEST| HORMONE LEVEL;"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3645|S3645 - HIV-1 ANTIBODY TESTING OF OR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3630|S3630 - EOSINOPHIL BLOOD COUNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3620|S3620 - NEWBORN METABOLIC SCREENING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3601|S3601 - STAT LAB HOME/NF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3600|S3600 - STAT LAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3005|S3005 - EVAL SELF-ASSESS DEPRESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S3000|S3000 - BILAT DIL RETINAL EXAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2900|S2900 - ROBOTIC SURGICAL SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2411|S2411 - FETOSCOP LASER THER TTTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2409|S2409 - FETAL SURG NOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2405|S2405 - FETAL SURG SACROCOC TERATOMA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2404|S2404 - FETAL SURG MYELOMENINGO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2403|S2403 - FETAL SURG PULMON SEQUEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2402|S2402 - FETAL SURG CONG CYST MALF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2401|S2401 - FETAL SURG URIN TRAC OBSTR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2400|S2400 - FETAL SURG CONGEN HERNIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2351|"S2351 - DISKECTOMY| ANTERIOR| WITH D"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2350|"S2350 - DISKECTOMY| ANTERIOR| WITH D"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2348|S2348 - DECOMPRESS DISC RF LUMBAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2342|S2342 - NASAL ENDOSCOP PO DEBRID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2341|S2341 - CHEMODENERV ADDUCT VOCAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2340|S2340 - CHEMODENERVATION OF ABDUCTOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2325|S2325 - HIP CORE DECOMPRESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2300|"S2300 - ARTHROSCOPY| SHOULDER| SURGI"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2267|S2267 - INDUCED ABORTION 32 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2266|S2266 - INDUCED ABORTION 29-31 WKS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2265|S2265 - INDUCED ABORTION 25-28 WKS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2260|S2260 - INDUCED ABORTION 17-24 WEEKS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2235|S2235 - IMPLANT AUDITORY BRAIN IMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2230|S2230 - IMPLANT SEMI-IMP HEAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2225|S2225 - MYRINGOTOMY LASER-ASSIST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2209|S2209 - MINIMALLY INVASIVE DIRECT CO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2208|S2208 - MINIMALLY INVASIVE DIRECT CO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2207|S2207 - MINIMALLY INVASIVE DIRECT CO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2206|S2206 - MINIMALLY INVASIVE DIRECT CO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2205|S2205 - MINIMALLY INVASIVE DIRECT CO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2202|S2202 - ECHOSCLEROTHERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2152|S2152 - SOLID ORGAN TRANSPL PKG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2150|S2150 - BMT HARV/TRANSPL 28D PKG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2142|S2142 - CORD BLOOD-DERIVED STEM-CELL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2140|S2140 - CORD BLOOD HARVESTING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2120|S2120 - LOW DENSITY LIPOPROTEIN(LDL)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2118|S2118 - TOTAL HIP RESURFACING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2117|"S2117 - ARTHROEREISIS| SUBTALAR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2115|S2115 - PERIACETABULAR OSTEOTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2112|S2112 - KNEE ARTHROSCP HARV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2107|S2107 - ADOPTIVE IMMUNOTHERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2103|S2103 - ADRENAL TISSUE TRANSPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2102|S2102 - ISLET CELL TISSUE TRANSPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2095|S2095 - TRANSCATH EMBOLIZ MICROSPHER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2083|S2083 - ADJUSTMENT GASTRIC BAND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2080|S2080 - LAUP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2079|S2079 - LAP ESOPHAGOMYOTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2070|S2070 - CYSTO LASER TX URETERAL CALC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2068|S2068 - BREAST DIEP OR SIEA FLAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2067|S2067 - BREAST 'STACKED' DIEP/GAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2066|S2066 - BREAST GAP FLAP RECONST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2065|S2065 - SIMULT PANC KIDN TRANS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2061|S2061 - DONOR LOBECTOMY (LUNG)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2060|S2060 - LOBAR LUNG TRANSPLANTATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2055|S2055 - HARVESTING OF DONOR MULTIVIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2054|S2054 - TRANSPLANTATION OF MULTIVISC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S2053|S2053 - TRANSPLANTATION OF SMALL INT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1090|S1090 - MOMETASONE SINUS IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1040|S1040 - CRANIAL REMOLDING ORTHOSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1037|S1037 - ART PANCREAS EXT RECEIVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1036|S1036 - ART PANCREAS EXT TRANSMITTER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1035|S1035 - ART PANCREAS INV DISP SENSOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1034|S1034 - ART PANCREAS SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1031|S1031 - GLUC MONITOR RENTAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1030|S1030 - GLUC MONITOR PURCHASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1016|S1016 - NON-PVC INTRAVENOUS ADMINIST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1015|S1015 - IV TUBING EXTENSION SET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1002|S1002 - CUSTOM ITEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S1001|S1001 - DELUXE ITEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0812|S0812 - PHOTOTHERAP KERATECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0810|S0810 - PHOTOREFRACTIVE KERATECTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0800|S0800 - LASER IN SITU KERATOMILEUSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0630|S0630 - REMOVAL OF SUTURES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0622|S0622 - PHYS EXAM FOR COLLEGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0621|S0621 - ROUTINE OPHTHALMOLOGICAL EXA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0620|S0620 - ROUTINE OPHTHALMOLOGICAL EXA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0618|S0618 - AUDIOMETRY FOR HEARING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0613|S0613 - ANN BREAST EXAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0612|S0612 - ANNUAL GYNECOLOGICAL EXAMINA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0610|S0610 - ANNUAL GYNECOLOGICAL EXAMINA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0601|S0601 - SCREENING PROCTOSCOPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0596|S0596 - PHAKIC IOL REFRACTIVE ERROR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0595|S0595 - NEW LENSES IN PTS OLD FRAME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0592|S0592 - COMP CONT LENS EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0590|S0590 - MISC INTEGRAL LENS SERV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0581|S0581 - NONSTND LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0580|S0580 - POLYCARB LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0518|S0518 - SUNGLASS FRAMES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0516|S0516 - SAFETY FRAMES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0515|S0515 - SCLERAL LENS LIQUID BANDAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0514|S0514 - COLOR CONT LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0512|S0512 - DAILY CONT LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0510|S0510 - NON-PRSCRP LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0508|S0508 - TRIFOC PRSCRP LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0506|S0506 - BIFOC PRSCP LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0504|S0504 - SINGL PRSCRP LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0500|S0500 - DISPOS CONT LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0400|S0400 - GLOBAL ESWL KIDNEY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0395|S0395 - IMPRESSION CASTING FT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0390|S0390 - ROUT FOOT CARE PER VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0354|S0354 - CANCER TREATMENT PLAN CHANGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0353|S0353 - CANCER TREATMENT PLAN INITIAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0342|S0342 - LIFESTYLE MOD 4TH STAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0341|S0341 - LIFESTYLE MOD 2 OR 3 STAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0340|S0340 - LIFESTYLE MOD 1ST STAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0320|S0320 - RN TELEPHONE CALLS TO DMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0317|S0317 - DISEASE MGMT PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0316|S0316 - FOLLOW-UP/REASSESSMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0315|S0315 - DISEASE MANAGEMENT PROGRAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0310|S0310 - HOSPITALIST VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0302|S0302 - COMPLETED EPSDT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0281|"S0281 - MEDICAL HOME| MAINTENANCE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0280|"S0280 - MEDICAL HOME| INITIAL PLAN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0274|S0274 - NURSE PRACTR VISIT OUTS CAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0273|S0273 - MD HOME VISIT OUTSIDE CAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0272|S0272 - HOME EPISODIC CASE 30 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0271|S0271 - HOME HOSPICE CASE 30 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0270|S0270 - HOME STD CASE RATE 30 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0265|S0265 - GENETIC COUNSEL 15 MINS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0260|S0260 - H&P FOR SURGERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0257|S0257 - END OF LIFE COUNSELING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0255|S0255 - HOSPICE REFER VISIT NONMD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0250|S0250 - COMP GERIATR ASSMT TEAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0221|"S0221 - MEDICAL CONFERENCE| 60 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0220|S0220 - MEDICAL CONFERENCE BY PHYSIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0215|S0215 - NONEMERG TRANSP MILEAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0209|S0209 - WC VAN MILEAGE PER MI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0208|S0208 - PARAMED INTRCEPT NONVOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0207|S0207 - PARAMEDICINTERCEP NONHOSPALS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0201|S0201 - PARTIAL HOSPITALIZATION SERV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0199|S0199 - MED ABORTION INC ALL EX DRUG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0197|S0197 - PRENATAL VITAMINS 30 DAY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0194|S0194 - VITAMIN SUPPL 100 CAPS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0191|"S0191 - MISOPROSTOL| ORAL| 200 MCG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0190|"S0190 - MIFEPRISTONE| ORAL| 200 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0189|S0189 - TESTOSTERONE PELLET 75 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0187|S0187 - TAMOXIFEN 10 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0183|S0183 - PROCHLORPERAZINE 5 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0182|"S0182 - PROCARBAZINE| ORAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0179|S0179 - MEGESTROL 20 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0178|S0178 - LOMUSTINE 10 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0177|S0177 - LEVAMISOLE 50 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0176|S0176 - HYDROXYUREA 500 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0175|S0175 - FLUTAMIDE 125 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0174|S0174 - DOLASETRON 50 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0172|S0172 - CHLORAMBUCIL 2 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0171|S0171 - BUMETANIDE 0.5 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0170|S0170 - ANASTROZOLE 1 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0169|S0169 - CALCITROL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0166|S0166 - INJ OLANZAPINE 2.5MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0164|S0164 - INJECTION PANTROPRAZOLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0160|S0160 - DEXTROAMPHETAMINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0157|"S0157 - BECAPLERMIN GEL 1%| 0.5 GM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0156|"S0156 - EXEMESTANE| 25 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0155|S0155 - EPOPROSTENOL DILUTANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0148|S0148 - PEG INTERFERON ALFA-2B/10||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0145|S0145 - PEG INTERFERON ALFA-2A/180||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0142|S0142 - COLISTIMETHATE INH SOL MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0140|"S0140 - SAQUINAVIR| 200 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0139|"S0139 - MINOXIDIL| 10 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0138|"S0138 - FINASTERIDE| 5 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0137|"S0137 - DIDANOSINE| 25 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0136|"S0136 - CLOZAPINE| 25 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0132|S0132 - INJ GANIRELIX ACETAT 250 MCG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0128|S0128 - INJ FOLLITROPIN BETA 75 IU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0126|S0126 - INJ FOLLITROPIN ALFA 75 IU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0122|S0122 - INJ MENOTROPINS 75 IU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0119|S0119 - ONDANSETRON 4 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0117|S0117 - TRETINOIN TOPICAL 5 G||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0109|S0109 - METHADONE ORAL 5MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0108|S0108 - MERCAPTOPURINE 50 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0106|S0106 - BUPROPION HCL SR 60 TABLETS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0104|"S0104 - ZIDOVUDINE| ORAL| 100 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0093|S0093 - MORPHINE 500 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0092|S0092 - HYDROMORPHONE 250 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0091|S0091 - GRANISETRON 1MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0090|"S0090 - SILDENAFIL CITRATE| 25 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0088|S0088 - IMATINIB 100 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0081|"S0081 - INJECTION| PIPERACILLIN SODI"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0080|"S0080 - INJECTION| PENTAMIDINE ISETH"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0078|"S0078 - INJECTION| FOSPHENYTOIN SODI"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0077|"S0077 - INJECTION| CLINDAMYCIN PHOSP"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0074|"S0074 - INJECTION| CEFOTETAN DISODIU"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0073|"S0073 - INJECTION| AZTREONAM| 500 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0040|"S0040 - INJECTION| TICARCILLIN DISOD"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0039|"S0039 - INJECTION| SULFAMETHOXAZOLE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0034|"S0034 - INJECTION| OFLOXACIN| 400 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0032|"S0032 - INJECTION| NAFCILLIN SODIUM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0030|"S0030 - INJECTION| METRONIDAZOLE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0028|"S0028 - INJECTION| FAMOTIDINE| 20 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0023|"S0023 - INJECTION| CIMETIDINE HYDROC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0021|"S0021 - INJECTION| CEFOPERAZONE SOD"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0020|"S0020 - INJECTION| BUPIVICAINE HYDRO"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0017|"S0017 - INJECTION| AMINOCAPROIC ACID"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0014|"S0014 - TACRINE HYDROCHLORIDE| 10 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|S0012|"S0012 - BUTORPHANOL TARTRATE| NASAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|R0076|R0076 - TRANSPORT PORTABLE EKG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|R0075|R0075 - TRANSPORT PORT X-RAY MULTIPL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|R0070|R0070 - TRANSPORT PORTABLE X-RAY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9980|"Q9980 - GENVISC 850| INJECTION| 1 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9969|Q9969 - NON-HEU TC-99M ADD-ON/DOSE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9968|Q9968 - VISUALIZATION ADJUNCT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9967|"Q9967 - LOCM 300-399MG/ML IODINE|1ML"||0.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9966|"Q9966 - LOCM 200-299MG/ML IODINE|1ML"||0.396|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9965|"Q9965 - LOCM 100-199MG/ML IODINE|1ML"||1.9732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9964|"Q9964 - HOCM>= 400MG/ML IODINE| 1ML"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9963|"Q9963 - HOCM 350-399MG/ML IODINE|1ML"||0.4253|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9962|"Q9962 - HOCM 300-349MG/ML IODINE|1ML"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9961|"Q9961 - HOCM 250-299MG/ML IODINE|1ML"||0.459|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9960|"Q9960 - HOCM 200-249MG/ML IODINE|1ML"||0.432|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9959|"Q9959 - HOCM 150-199MG/ML IODINE|1ML"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9958|"Q9958 - HOCM <=149 MG/ML IODINE| 1ML"||0.1755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9957|"Q9957 - INJ PERFLUTREN LIP MICROS|ML"||117.8303|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9956|"Q9956 - INJ OCTAFLUOROPROPANE MIC|ML"||78.5542|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9955|"Q9955 - INJ PERFLEXANE LIP MICROS|ML"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9954|"Q9954 - ORAL MR CONTRAST| 100 ML"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9953|"Q9953 - INJ FE-BASED MR CONTRAST|1ML"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9951|"Q9951 - LOCM >= 400 MG/ML IODINE|1ML"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q9950|Q9950 - INJ SULF HEXA LIPID MICROSPH||74.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5101|"Q5101 - INJECTION| ZARXIO| 1 MCG"||2.1812|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5010|Q5010 - HOSPICE HOME CARE IN HOSPICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5009|"Q5009 - HOSPICE/HOME HLTH| PLACE NOS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5008|Q5008 - HOSPICE IN INPATIENT PSYCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5007|Q5007 - HOSPICE IN LTCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5006|Q5006 - HOSPICE IN HOSPICE FACILITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5005|"Q5005 - HOSPICE| INPATIENT HOSPITAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5004|Q5004 - HOSPICE IN SNF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5003|Q5003 - HOSPICE IN LT/NON-SKILLED NF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5002|Q5002 - HOSPICE/HOME HLTH IN ASST LV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q5001|Q5001 - HOSPICE OR HOME HLTH IN HOME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4165|"Q4165 - KERAMATRIX| PER SQUARE CM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4164|"Q4164 - HELICOLL| PER SQUARE CM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4163|"Q4163 - WOUNDEX| BIOSKIN| PER SQ CM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4162|"Q4162 - WNDEX FLW| BIOSKN FLW| 0.5 CC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4161|Q4161 - BIO-CONNEKT PER SQUARE CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4160|Q4160 - NUSHIELD 1 SQUARE CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4159|Q4159 - AFFINITY1 SQUARE CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4158|"Q4158 - KERECIS OMEGA3| PER SQ CM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4157|Q4157 - REVITALON 1 SQUARE CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4156|Q4156 - NEOX 100 OR CLARIX 100||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4155|Q4155 - NEOXFLO OR CLARIXFLO 1 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4154|Q4154 - BIOVANCE 1 SQUARE CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4153|"Q4153 - DERMAVEST| PLURIVEST SQ CM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4152|Q4152 - DERMAPURE 1 SQUARE CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4151|"Q4151 - AMNIOBAND| GUARDIAN 1 SQ CM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4150|Q4150 - ALLOWRAP DS OR DRY 1 SQ CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4149|"Q4149 - EXCELLAGEN| 0.1 CC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4148|Q4148 - NEOX NEOX RT OR CLARIX CORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4147|Q4147 - ARCHITECT ECM PX FX 1 SQ CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4146|"Q4146 - TENSIX| 1 CM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4145|"Q4145 - EPIFIX| INJ| 1 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4143|"Q4143 - REPRIZA| 1 CM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4142|Q4142 - XCM BIOLOGIC TISS MATRIX 1 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4141|"Q4141 - ALLOSKIN AC| 1 CM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4140|Q4140 - BIODFENCE 1 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4139|"Q4139 - AMNIO OR BIODMATRIX| INJ 1CC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4138|"Q4138 - BIODFENCE DRYFLEX| 1 CM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4137|Q4137 - AMNIOEXCEL BIODEXCEL 1SQ CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4136|Q4136 - EZDERM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4135|Q4135 - MEDISKIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4134|Q4134 - HMATRIX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4133|Q4133 - GRAFIX STRAVIX PRIME PL SQCM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4132|"Q4132 - GRAFIX CORE| GRAFIXPL CORE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4131|Q4131 - EPIFIX OR EPICORD||421.9402|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4130|Q4130 - STRATTICE TM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4129|Q4129 - UNITE BIOMATRIX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4128|Q4128 - FLEXHD/ALLOPATCHHD/MATRIXHD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4127|Q4127 - TALYMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4126|Q4126 - MEMODERM/DERMA/TRANZ/INTEGUP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4125|Q4125 - ARTHROFLEX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4124|Q4124 - OASIS TRI-LAYER WOUND MATRIX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4123|Q4123 - ALLOSKIN||50.058|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4122|Q4122 - DERMACELL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4121|Q4121 - THERASKIN||86.5665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4120|Q4120 - MATRISTEM BURN MATRIX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4119|Q4119 - MATRISTEM WOUND MATRIX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4118|Q4118 - MATRISTEM MICROMATRIX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4117|Q4117 - HYALOMATRIX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4116|Q4116 - ALLODERM||73.269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4115|Q4115 - ALLOSKIN||21.5235|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4114|Q4114 - INTEGRA FLOWABLE WOUND MATRI||3549.825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4113|Q4113 - GRAFTJACKET XPRESS||503.397|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4112|Q4112 - CYMETRA INJECTABLE||503.397|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4111|Q4111 - GAMMAGRAFT||15.5633|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4110|Q4110 - PRIMATRIX||84.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4108|Q4108 - INTEGRA MATRIX||80.1608|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4107|Q4107 - GRAFTJACKET||222.6937|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4106|Q4106 - DERMAGRAFT||73.9305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4105|Q4105 - INTEGRA DRT OR OMNIGRAFT||48.5663|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4104|Q4104 - INTEGRA BMWD||72.8145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4103|Q4103 - OASIS BURN MATRIX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4102|Q4102 - OASIS WOUND MATRIX||24.021|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4101|Q4101 - APLIGRAF||70.2157|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4100|"Q4100 - SKIN SUBSTITUTE| NOS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4082|Q4082 - DRUG/BIO NOC PART B DRUG CAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4081|"Q4081 - EPOETIN ALFA| 100 UNITS ESRD"||2.7743|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4074|Q4074 - ILOPROST NON-COMP UNIT DOSE||251.0685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4051|Q4051 - SPLINT SUPPLIES MISC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4050|Q4050 - CAST SUPPLIES UNLISTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4049|"Q4049 - FINGER SPLINT| STATIC"||4.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4048|Q4048 - CAST SUP SHT LEG SPLNT PED F||20.7675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4047|Q4047 - CAST SUP SHT LEG SPLNT PED P||12.87|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4046|Q4046 - CAST SUP SHT LEG SPLNT FBRGL||41.5125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4045|Q4045 - CAST SUP SHT LEG SPLNT PLSTR||25.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4044|Q4044 - CAST SUP LNG LEG SPLNT PED F||37.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4043|Q4043 - CAST SUP LNG LEG SPLNT PED P||22.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4042|Q4042 - CAST SUP LNG LEG SPLNT FBRGL||75.8925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4041|Q4041 - CAST SUP LNG LEG SPLNT PLSTR||44.46|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4040|Q4040 - CAST SUP SHRT LEG PED FBRGLS||45.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4039|Q4039 - CAST SUP SHRT LEG PED PLSTER||18.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4038|Q4038 - CAST SUP SHRT LEG FIBERGLASS||91.5975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4037|Q4037 - CAST SUP SHRT LEG PLASTER||36.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4036|Q4036 - CAST SUP LNGLEG CYLNDR PED F||74.565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4035|Q4035 - CAST SUP LNGLEG CYLNDR PED P||29.97|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4034|Q4034 - CAST SUP LNG LEG CYLINDER FB||149.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4033|Q4033 - CAST SUP LNG LEG CYLINDER PL||59.94|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4032|Q4032 - CAST SUP LNG LEG PED FBRGLS||84.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4031|Q4031 - CAST SUP LNG LEG PED PLASTER||32.1075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4030|Q4030 - CAST SUP LONG LEG FIBERGLASS||169.155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4029|Q4029 - CAST SUP LONG LEG PLASTER||64.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4028|Q4028 - CAST SUP HIP SPICA PED FBRGL||131.2425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4027|Q4027 - CAST SUP HIP SPICA PED PLSTR||42.03|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4026|Q4026 - CAST SUP HIP SPICA FIBERGLAS||262.35|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4025|Q4025 - CAST SUP HIP SPICA PLASTER||84.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4024|Q4024 - CAST SUP SHT ARM SPLNT PED F||13.545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4023|Q4023 - CAST SUP SHT ARM SPLNT PED P||7.5375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4022|Q4022 - CAST SUP SHT ARM SPLINT FBRG||27.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4021|Q4021 - CAST SUP SHT ARM SPLINT PLST||14.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4020|Q4020 - CAST SUP LNG ARM SPLNT PED F||16.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4019|Q4019 - CAST SUP LNG ARM SPLNT PED P||10.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4018|Q4018 - CAST SUP LNG ARM SPLINT FBRG||32.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4017|Q4017 - CAST SUP LNG ARM SPLINT PLST||20.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4016|Q4016 - CAST SUP GAUNTLET PED FBRGLS||29.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4015|Q4015 - CAST SUP GAUNTLET PED PLSTER||17.55|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4014|Q4014 - CAST SUP GAUNTLET FIBERGLASS||59.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4013|Q4013 - CAST SUP GAUNTLET PLASTER||35.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4012|Q4012 - CAST SUP SHT ARM PED FBRGLAS||21.6675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4011|Q4011 - CAST SUP SHT ARM PED PLASTER||9.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4010|Q4010 - CAST SUP SHT ARM ADULT FBRGL||43.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4009|Q4009 - CAST SUP SHT ARM ADULT PLSTR||19.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4008|Q4008 - CAST SUP LONG ARM PED FBRGLS||32.445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4007|Q4007 - CAST SUP LONG ARM PED PLSTER||14.4225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4006|Q4006 - CAST SUP LONG ARM ADULT FBRG||64.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4005|Q4005 - CAST SUP LONG ARM ADULT PLST||28.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4004|Q4004 - CAST SUP SHOULDER CAST FBRGL||270.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4003|Q4003 - CAST SUP SHOULDER CAST PLSTR||78.165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4002|Q4002 - CAST SUP BODY CAST FIBERGLAS||411.3|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q4001|Q4001 - CAST SUP BODY CAST PLASTER||108.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q3031|Q3031 - COLLAGEN SKIN TEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q3028|Q3028 - INJ BETA INTERFERON SQ 1 MCG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q3027|Q3027 - INJ BETA INTERFERON IM 1 MCG||94.0365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q3014|Q3014 - TELEHEALTH FACILITY FEE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q3001|Q3001 - BRACHYTHERAPY RADIOELEMENTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2052|"Q2052 - IVIG DEMO| SERVICES/SUPPLIES"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2050|Q2050 - DOXORUBICIN INJ 10MG||970.9155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2049|Q2049 - IMPORTED LIPODOX INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2043|Q2043 - SIPULEUCEL-T AUTO CD54+||81930.3165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2039|"Q2039 - INFLUENZA VIRUS VACCINE| NOS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2038|"Q2038 - FLUZONE VACC| 3 YRS & >| IM"||27.099|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2037|"Q2037 - FLUVIRIN VACC| 3 YRS & >| IM"||35.6172|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2036|"Q2036 - FLULAVAL VACC| 3 YRS & >| IM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2035|"Q2035 - AFLURIA VACC| 3 YRS & >| IM"||29.3051|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2034|Q2034 - AGRIFLU VACCINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2028|"Q2028 - INJ| SCULPTRA| 0.5 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2026|Q2026 - RADIESSE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2017|"Q2017 - TENIPOSIDE| 50 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2009|Q2009 - FOSPHENYTOIN INJ PE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q2004|Q2004 - BLADDER CALCULI IRRIG SOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q1005|Q1005 - NTIOL CATEGORY 5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q1004|Q1004 - NTIOL CATEGORY 4||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0515|Q0515 - SERMORELIN ACETATE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0514|Q0514 - DISP FEE INHAL DRUGS/90 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0513|Q0513 - DISP FEE INHAL DRUGS/30 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0512|Q0512 - PX SUP FEE ANTI-CAN SUB PRES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0511|"Q0511 - SUP FEE ANTIEM|ANTICA|IMMUNO"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0510|Q0510 - DISPENS FEE IMMUNOSUPRESSIVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0509|Q0509 - MIS SUP/AC IMP VAD NOPAY MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0508|Q0508 - MIS SUP/ACC IMP VAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0507|Q0507 - MISC SUP/ACC EXT VAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0506|Q0506 - LITH-ION BATT ELEC/PNEUM VAD||1845.6075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0504|"Q0504 - PWR ADPT PNEUM VAD| REP VEH"||1482.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0503|Q0503 - BATTERY PNEUM VAD REPLACEMNT||2809.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0502|"Q0502 - MOBILITY CART PNEUM VAD| REP"||1404.9|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0501|"Q0501 - SHWR COV ELEC/COMBO VAD| REP"||1103.5125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0500|"Q0500 - FILTERS ELEC/COMBO VAD| REP"||65.9925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0499|Q0499 - BELT/VEST ELEC/COMBO VAD REP||360.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0498|"Q0498 - HOLSTER ELEC/COMBO VAD| REP"||1109.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0497|"Q0497 - BAT CLPS ELEC/COMB VAD| REP"||1011.5325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0496|"Q0496 - BATTERY ELEC/COMBO VAD| REP"||3239.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0495|"Q0495 - CHARGER ELEC/COMBO VAD| REP"||9025.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0494|"Q0494 - EMR HD PMP ELEC/COMBO| REP"||463.6125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0493|"Q0493 - EMR PWR CBL COMBO VAD| REP"||547.83|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0492|"Q0492 - EMR PWR CBL ELEC VAD| REP"||192.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0491|Q0491 - EMR PWR SOURCE COMBO VAD REP||2388.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0490|"Q0490 - EMR PWR SOURCE ELEC VAD| REP"||1519.29|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0489|"Q0489 - PWR PCK BASE COMBO VAD| REP"||35123.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0488|"Q0488 - PWR PACK BASE ELEC VAD| REP"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0487|"Q0487 - LEADS ANY TYPE VAD| REP ONLY"||737.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0486|Q0486 - MON CABLE ELEC/PNEUM VAD REP||632.205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0485|"Q0485 - MONITOR CABLE ELEC VAD| REP"||759.6225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0484|Q0484 - MONITOR ELEC OR COMB VAD REP||7867.755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0483|"Q0483 - MONITOR ELEC VAD| REP"||40514.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0482|"Q0482 - MICROPRCSR CU COMBO VAD| REP"||9834.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0481|"Q0481 - MICROPRCSR CU ELEC VAD| REP"||31398.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0480|"Q0480 - DRIVER PNEUMATIC VAD| REP"||194613.39|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0479|"Q0479 - POWER MODULE COMBO VAD| REP"||26097.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0478|"Q0478 - POWER ADAPTER| COMBO VAD"||397.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0181|Q0181 - UNSPECIFIED ORAL ANTI-EMETIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0180|Q0180 - DOLASETRON MESYLATE ORAL||250.9245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0177|Q0177 - HYDROXYZINE PAMOATE 25MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0175|Q0175 - PERPHENAZINE 4MG ORAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0174|Q0174 - THIETHYLPERAZINE MALEATE10MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0173|Q0173 - TRIMETHOBENZAMIDE HCL 250MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0169|Q0169 - PROMETHAZINE HCL 12.5MG ORAL||0.0698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0167|Q0167 - DRONABINOL 2.5MG ORAL||3.6855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0166|Q0166 - GRANISETRON HCL 1 MG ORAL||2.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0164|Q0164 - PROCHLORPERAZINE MALEATE 5MG||0.1012|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0163|Q0163 - DIPHENHYDRAMINE HCL 50MG||0.576|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0162|Q0162 - ONDANSETRON ORAL||0.0653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0161|Q0161 - CHLORPROMAZINE HCL 5 MG ORAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0144|"Q0144 - AZITHROMYCIN DIHYDRATE| ORAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0139|"Q0139 - FERUMOXYTOL| ESRD USE"||1.8518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0138|"Q0138 - FERUMOXYTOL| NON-ESRD"||1.8518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0115|Q0115 - POST-COITAL MUCOUS EXAM||30.33|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0114|Q0114 - FERN TEST||21.9375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0113|Q0113 - PINWORM EXAMINATIONS||16.5825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0112|Q0112 - POTASSIUM HYDROXIDE PREPS||13.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0111|Q0111 - WET MOUNTS/ W PREPARATIONS||13.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0092|Q0092 - SET UP PORT XRAY EQUIPMENT||51.4245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0091|Q0091 - OBTAINING SCREEN PAP SMEAR||43.5836|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0085|Q0085 - CHEMO BY BOTH INFUSION AND O||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0084|Q0084 - CHEMOTHERAPY BY INFUSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0083|Q0083 - CHEMO BY OTHER THAN INFUSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0081|Q0081 - INFUSION THER OTHER THAN CHE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|Q0035|Q0035 - CARDIOKYMOGRAPHY||44.1209|19.493|24.6279|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9615|P9615 - URINE SPECIMEN COLLECT MULT||6.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9612|P9612 - CATHETERIZE FOR URINE SPEC||6.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9604|P9604 - ONE-WAY ALLOW PRORATED TRIP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9603|P9603 - ONE-WAY ALLOW PRORATED MILES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9072|P9072 - PLATE PATH RED/RAPID BAC TES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9071|P9071 - PATHOGEN REDUCED PLASMA SING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9070|P9070 - PATHOGEN REDUCED PLASMA POOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9060|P9060 - FR FRZ PLASMA DONOR RETESTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9059|"P9059 - PLASMA| FRZ BETWEEN 8-24HOUR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9058|"P9058 - RBC| L/R| CMV-NEG| IRRAD"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9057|"P9057 - RBC| FRZ/DEG/WSH| L/R| IRRAD"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9056|"P9056 - BLOOD| L/R| IRRADIATED"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9055|"P9055 - PLT| APH/PHER| L/R| CMV-NEG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9054|"P9054 - BLOOD| L/R| FROZ/DEGLY/WASH"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9053|"P9053 - PLT| PHER| L/R CMV-NEG| IRR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9052|"P9052 - PLATELETS| HLA-M| L/R| UNIT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9051|"P9051 - BLOOD| L/R| CMV-NEG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9050|"P9050 - GRANULOCYTES| PHERESIS UNIT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9048|"P9048 - PLASMAPROTEIN FRACT|5%|250ML"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9047|"P9047 - ALBUMIN (HUMAN)| 25%| 50ML"||120.2355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9046|"P9046 - ALBUMIN (HUMAN)| 25%| 20 ML"||50.5913|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9045|"P9045 - ALBUMIN (HUMAN)| 5%| 250 ML"||122.715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9044|P9044 - CRYOPRECIPITATEREDUCEDPLASMA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9043|"P9043 - PLASMA PROTEIN FRACT|5%|50ML"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9041|"P9041 - ALBUMIN (HUMAN)|5%| 50ML"||24.543|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9040|P9040 - RBC LEUKOREDUCED IRRADIATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9039|P9039 - RBC DEGLYCEROLIZED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9038|P9038 - RBC IRRADIATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9037|P9037 - PLATE PHERES LEUKOREDU IRRAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9036|P9036 - PLATELET PHERESIS IRRADIATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9035|P9035 - PLATELET PHERES LEUKOREDUCED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9034|"P9034 - PLATELETS| PHERESIS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9033|P9033 - PLATELETS LEUKOREDUCED IRRAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9032|"P9032 - PLATELETS| IRRADIATED"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9031|P9031 - PLATELETS LEUKOCYTES REDUCED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9023|"P9023 - FROZEN PLASMA| POOLED| SD"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9022|P9022 - WASHED RED BLOOD CELLS UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9021|P9021 - RED BLOOD CELLS UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9020|P9020 - PLAELET RICH PLASMA UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9019|"P9019 - PLATELETS| EACH UNIT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9017|P9017 - PLASMA 1 DONOR FRZ W/IN 8 HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9016|P9016 - RBC LEUKOCYTES REDUCED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9012|P9012 - CRYOPRECIPITATE EACH UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9011|P9011 - BLOOD SPLIT UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P9010|P9010 - WHOLE BLOOD FOR TRANSFUSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P7001|P7001 - CULTURE BACTERIAL URINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P3001|P3001 - SCREENING PAP SMEAR BY PHYS||70.0547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P3000|P3000 - SCREEN PAP BY TECH W MD SUPV||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P2038|P2038 - BLOOD MUCOPROTEIN||15.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P2033|P2033 - BLOOD THYMOL TURBIDITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P2031|P2031 - HAIR ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P2029|P2029 - CONGO RED BLOOD TEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|P2028|P2028 - CEPHALIN FLOCULATION TEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|M0301|M0301 - FABRIC WRAPPING OF ANEURYSM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|M0300|M0300 - IV CHELATIONTHERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|M0100|M0100 - INTRAGASTRIC HYPOTHERMIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|M0076|M0076 - PROLOTHERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|M0075|M0075 - CELLULAR THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8696|L8696 - EXT ANTENNA PHREN NERVE STIM||468.3825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8695|L8695 - EXTERNAL RECHARG SYS EXTERN||36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8693|"L8693 - AUD OSSEO DEV| ABUTMENT"||3276.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8691|L8691 - AOI SND PROC REPL EXCL ACTUA||5761.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8690|"L8690 - AUD OSSEO DEV| INT/EXT COMP"||10279.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8689|L8689 - EXTERNAL RECHARG SYS INTERN||3727.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8684|L8684 - RADIOF TRSMTR IMPLT SCRL NEU||1489.05|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8683|L8683 - RADIOFQ TRSMTR FOR IMPLT NEU||11339.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8682|L8682 - IMPLT NEUROSTIM RADIOFQ REC||12882.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8681|L8681 - PT PRGRM FOR IMPLT NEUROSTIM||2440.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8679|L8679 - IMP NEUROSTI PLS GN ANY TYPE||18030.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8670|"L8670 - VASCULAR GRAFT| SYNTHETIC"||1189.44|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8659|L8659 - INTERPHALANGEAL JOINT REPL||4169.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8658|L8658 - INTERPHALANGEAL JOINT SPACER||670.275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8642|L8642 - HALLUX IMPLANT||641.3625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8641|L8641 - METATARSAL JOINT IMPLANT||781.335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8631|L8631 - MCP JOINT REPL 2 PC OR MORE||4831.2225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8630|L8630 - METACARPOPHALANGEAL IMPLANT||719.8875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8629|L8629 - CID TRANSMIT COIL AND CABLE||386.91|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8628|L8628 - CID EXT CONTROLLER REPL||2673.135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8627|L8627 - CID EXT SPEECH PROCESS REPL||14874.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8624|"L8624 - LITH ION BATT CID| EAR LEVEL"||348.39|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8623|"L8623 - LITH ION BATT CID|NON-EARLVL"||139.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8622|L8622 - REPL ALKALINE BATTERY||0.6975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8621|L8621 - REPL ZINC AIR BATTERY||1.3275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8619|L8619 - COCH IMP EXT PROC/CONTR RPLC||17547.9075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8618|L8618 - COCH IMPLANT TRAN CABLE REPL||56.6325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8617|L8617 - COCH IMPLANT TRANS COIL REPL||198.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8616|L8616 - COCH IMPLANT MICROPHONE REPL||226.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8615|L8615 - COCH IMPLANT HEADSET REPLACE||974.565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8614|L8614 - COCHLEAR DEVICE||40907.7675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8613|L8613 - OSSICULAR IMPLANT||646.29|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8612|L8612 - AQUEOUS SHUNT PROSTHESIS||1443.5325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8610|L8610 - OCULAR IMPLANT||1368.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8609|L8609 - ARTIFICIAL CORNEA||14078.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8607|L8607 - INJ VOCAL CORD BULKING AGENT||92.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8606|L8606 - SYNTHETIC IMPLNT URINARY 1ML||491.895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8605|L8605 - INJ BULKING AGENT ANAL CANAL||1547.6625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8603|L8603 - COLLAGEN IMP URINARY 2.5 ML||937.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8600|L8600 - IMPLANT BREAST SILICONE/EQ||1334.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8515|L8515 - GEL CAP APP DEVICE FOR TRACH||136.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8514|L8514 - REPL TRACH PUNCTURE DILATOR||203.7825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8513|L8513 - TRACH PROS CLEANING DEVICE||11.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8512|L8512 - GEL CAP FOR TRACH VOICE PROS||4.7475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8511|L8511 - INDWELLING TRACH INSERT||157.1625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8510|L8510 - VOICE AMPLIFIER||546.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8509|L8509 - TRACH-ESOPH VOICE PROS MD IN||236.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8507|L8507 - TRACH-ESOPH VOICE PROS PT IN||90.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8501|L8501 - TRACHEOSTOMY SPEAKING VALVE||313.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8500|L8500 - ARTIFICIAL LARYNX||1410.1875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8485|L8485 - PROS SOCK SINGLE PLY UPPER L||23.76|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8480|L8480 - PROS SOCK SINGLE PLY AK||19.665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8470|L8470 - PROS SOCK SINGLE PLY BK||14.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8465|L8465 - SHRINKER UPPER LIMB||138.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8460|L8460 - SHRINKER ABOVE KNEE||155.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8440|L8440 - SHRINKER BELOW KNEE||112.0275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8435|L8435 - PROS SOCK MULTI PLY UPPER LM||52.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8430|L8430 - PROSTHETIC SOCK MULTI PLY AK||58.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8420|L8420 - PROSTHETIC SOCK MULTI PLY BK||53.55|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8417|L8417 - PROS SHEATH/SOCK W GEL CUSHN||162.4725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8415|L8415 - SHEATH UPPER LIMB||45.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8410|L8410 - SHEATH ABOVE KNEE||46.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8400|L8400 - SHEATH BELOW KNEE||40.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8330|L8330 - TRUSS ADD TO STD PAD SCROTAL||138.5325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8320|L8320 - TRUSS ADDITION TO STD PAD WA||139.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8310|L8310 - TRUSS DOUBLE W/ STANDARD PAD||319.9725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8300|L8300 - TRUSS SINGLE W/ STANDARD PAD||208.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8047|L8047 - NASAL SEPTAL PROSTHESIS|KN|1160.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8047|L8047 - NASAL SEPTAL PROSTHESIS|KM|2755.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8047|L8047 - NASAL SEPTAL PROSTHESIS||2900.0925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8046|L8046 - PARTIAL FACIAL PROSTHESIS|KN|2263.4775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8046|L8046 - PARTIAL FACIAL PROSTHESIS|KM|5375.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8046|L8046 - PARTIAL FACIAL PROSTHESIS||5658.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8045|L8045 - AURICULAR PROSTHESIS|KN|2197.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8045|L8045 - AURICULAR PROSTHESIS|KM|5218.065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8045|L8045 - AURICULAR PROSTHESIS||5492.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8044|L8044 - HEMI-FACIAL PROSTHESIS|KN|3508.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8044|L8044 - HEMI-FACIAL PROSTHESIS|KM|8332.605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8044|L8044 - HEMI-FACIAL PROSTHESIS||8771.1075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8043|L8043 - UPPER FACIAL PROSTHESIS|KN|3168.9|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8043|L8043 - UPPER FACIAL PROSTHESIS|KM|7526.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8043|L8043 - UPPER FACIAL PROSTHESIS||7922.3175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8042|L8042 - ORBITAL PROSTHESIS|KN|2829.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8042|L8042 - ORBITAL PROSTHESIS|KM|6719.805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8042|L8042 - ORBITAL PROSTHESIS||7073.4825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8041|L8041 - MIDFACIAL PROSTHESIS|KN|2518.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8041|L8041 - MIDFACIAL PROSTHESIS|KM|5980.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8041|L8041 - MIDFACIAL PROSTHESIS||6295.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8040|L8040 - NASAL PROSTHESIS|KN|2089.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8040|L8040 - NASAL PROSTHESIS|KM|4961.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8040|L8040 - NASAL PROSTHESIS||5223.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8035|L8035 - CUSTOM BREAST PROSTHESIS||7916.445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8032|L8032 - REUSABLE NIPPLE PROSTHESIS||84.645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8031|L8031 - BREAST PROSTHESIS W ADHESIVE||704.6325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8030|L8030 - BREAST PROSTHES W/O ADHESIVE||704.6325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8020|L8020 - MASTECTOMY FORM||487.125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8015|L8015 - EXT BREASTPROSTHESIS GARMENT||129.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8002|L8002 - BRST PRSTH BRA & BILAT FORM||356.5125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8001|L8001 - BREAST PROSTHESIS BRA & FORM||271.035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L8000|L8000 - MASTECTOMY BRA||93.9825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7405|L7405 - ADD UE PROST S/D ACRYLIC||1570.725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7404|L7404 - ADD UE PROST A/E ACRYLIC||1200.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7403|L7403 - ADD UE PROST B/E ACRYLIC||795.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7402|L7402 - ADD UE PROST S/D ULTLITE MAT||800.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7401|L7401 - ADD UE PROST A/E ULTLITE MAT||741.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7400|"L7400 - ADD UE PROST BE/WD| ULTLITE"||662.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7368|L7368 - LITHIUM ION BATTERY CHARGER||1090.5525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7367|L7367 - REPLACEMNT LITHIUM IONBATTER||841.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7366|L7366 - BATTERY CHRGR 12 VOLT UTAH/E||1146.9375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7364|L7364 - TWELVE VOLT BATTERY UTAH/EQU||851.445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7362|L7362 - BATTERY CHRGR SIX VOLT OTTO||535.3425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7360|L7360 - SIX VOLT BAT OTTO BOCK/EQ EA||509.85|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7259|L7259 - ELECTRONIC WRIST ROTATOR ANY||6828.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7191|L7191 - ELBOW CHILD MYOELECTRONIC CT||19750.275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7190|L7190 - ELBOW ADOLESCENT MYOELECTRON||16494.1875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7186|L7186 - ELECTRON ELBOW CHILD SWITCH||18900.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7185|L7185 - ELECTRON ELBOW ADOLESCENT SW||15703.65|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7181|L7181 - ELECTRONIC ELBO SIMULTANEOUS||86579.865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7180|L7180 - ELECTRONIC ELBOW SEQUENTIAL||69801.885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7170|L7170 - ELECTRONIC ELBOW HOSMER SWIT||15902.235|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7045|L7045 - PEDIATRIC ELECTRIC HOOK||3453.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7040|L7040 - PREHENSILE ACTUATOR||6023.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7009|L7009 - ADULT ELECTRIC HOOK||7502.13|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7008|L7008 - PEDIATRIC ELECTRIC HAND||11572.4475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L7007|L7007 - ADULT ELECTRIC HAND||7352.7525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6975|L6975 - INTERSCAP-THOR MYOELECTRONIC||35136.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6970|L6970 - INTERSCAPULAR-THOR SWITCH CT||32127.255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6965|L6965 - SHLDR DISARTIC MYOELECTRONIC||30831.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6960|L6960 - SHLDR DISARTIC SWITCH CONTRO||28908.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6955|L6955 - ABOVE ELBOW MYOELECTRONIC CT||25520.49|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6950|L6950 - ABOVE ELBOW SWITCH CONTROL||21309.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6945|L6945 - ELBOW DISART MYOELECTRONIC C||22907.07|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6940|L6940 - ELBOW DISARTICULATION SWITCH||18747.3825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6935|L6935 - BELOW ELBOW MYOELECTRONIC CT||19494.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6930|L6930 - BELOW ELBOW SWITCH CONTROL||14348.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6925|L6925 - WRIST DISART MYOELECTRONIC C||19196.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6920|L6920 - WRIST DISARTICUL SWITCH CTRL||14260.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6915|L6915 - HAND RESTORATION REPLACMNT G||1635.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6910|L6910 - HAND RESTORATION NO FINGERS||3244.0275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6905|L6905 - HAND RESTORATION MULTIPLE FI||3793.7475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6900|L6900 - HAND RESTORAT THUMB/1 FINGER||3815.4375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6895|L6895 - CUSTOM GLOVE FOR TERM DEVICE||1336.995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6890|L6890 - PREFAB GLOVE FOR TERM DEVICE||363.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6885|L6885 - REPLC SOCKT SHLDR DIS/INTERC||7527.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6884|L6884 - REPLC SOCKT ABOVE ELBOW DISA||5032.6425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6883|L6883 - REPLC SOCKT BELOW E/W DISA||3390.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6882|L6882 - MICROPROCESSOR CONTROL UPLMB||6701.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6881|L6881 - TERM DEV AUTO GRASP FEATURE||8833.9275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6880|L6880 - ELEC HAND IND ART DIGITS||51627.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6810|L6810 - TERM DEV PRECISION PINCH DEV||412.065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6805|L6805 - TERM DEV MODIFIER WRIST UNIT||726.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6722|"L6722 - HOOK/HAND| HVY DTY| VOL CLOS"||4381.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6721|"L6721 - HOOK/HAND| HVY DTY| VOL OPEN"||5082.21|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6715|"L6715 - TERM DEVICE| MULTI ART DIGIT"||6822.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6714|"L6714 - PED TERM DEV| HAND| VOL CLOS"||2859.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6713|"L6713 - PED TERM DEV| HAND| VOL OPEN"||3375.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6712|"L6712 - PED TERM DEV| HOOK| VOL CLOS"||2674.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6711|"L6711 - PED TERM DEV| HOOK| VOL OPEN"||1452.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6709|L6709 - TERM DEV MECH HAND VOL CLOSE||2588.76|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6708|L6708 - TERM DEV MECH HAND VOL OPEN||1796.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6707|L6707 - TERM DEV MECH HOOK VOL CLOSE||2748.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6706|L6706 - TERM DEV MECH HOOK VOL OPEN||745.56|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6704|"L6704 - TERM DEV| SPORT/REC/WORK ATT"||1251.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6703|"L6703 - TERM DEV| PASSIVE HAND MITT"||776.79|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6698|L6698 - BELOW/ABOVE ELBOW LOCK MECH||1228.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6697|L6697 - CUS ELBO SKT IN NOT CON/ATYP||2842.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6696|L6696 - CUS ELBO SKT IN FOR CON/ATYP||2842.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6695|L6695 - ELBOW SOCKET INS USE W/O LCK||1266.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6694|L6694 - ELBOW SOCKET INS USE W/LOCK||1519.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6693|L6693 - LOCKINGELBOW FOREARM CNTRBAL||6134.5125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6692|L6692 - SILICONE GEL INSERT OR EQUAL||1194.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6691|L6691 - REMOVABLE INSERT EACH||740.3175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6690|L6690 - FRAME TYP SOCK INTERSCAP-THO||1599.48|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6689|L6689 - FRAME TYP SOCKET SHOULDER DI||1467.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6688|L6688 - FRAME TYP SOCK ABOVE ELB/DIS||1225.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6687|L6687 - FRAME TYP SOCKET BEL ELBOW/W||1232.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6686|L6686 - SUCTION SOCKET||1681.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6684|L6684 - TEST SOCKET SHLDR DISART/THO||744.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6682|L6682 - TEST SOCK ELBW DISART/ABOVE||548.1225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6680|L6680 - TEST SOCK WRIST DISART/BEL E||495.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6677|L6677 - UE TRIPLE CONTROL HARNESS||641.0925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6676|L6676 - HARNESS FIGURE OF 8 DUAL CON||296.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6675|L6675 - HARNESS FIGURE OF 8 SING CON||256.6125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6672|L6672 - HARNESS CHEST/SHLDER SADDLE||431.7975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6670|L6670 - HOOK TO HAND CABLE ADAPTER||108.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6665|L6665 - TEFLON OR EQUAL CABLE LINING||98.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6660|L6660 - HEAVY DUTY CONTROL CABLE||196.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6655|L6655 - STANDARD CONTROL CABLE EXTRA||175.005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6650|L6650 - SHOULDER UNIVERSAL JOINT||890.4375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6648|L6648 - EXT PWRD SHLDER LOCK/UNLOCK||7028.8875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6647|L6647 - SHOULDER LOCK ACTUATOR||1121.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6646|L6646 - MULTIPO LOCKING SHOULDER JNT||6815.2275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6645|L6645 - SHOULDER FLEXION-ABDUCTION J||857.6325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6642|L6642 - EXCURSION AMPLIFIER LEVER TY||464.625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6641|L6641 - EXCURSION AMPLIFIER PULLEY T||342.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6640|L6640 - SHOULDER ABDUCTION JOINT PAI||713.1375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6638|L6638 - ELEC LOCK ON MANUAL PW ELBOW||5403.6225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6637|L6637 - NUDGE CONTROL ELBOW LOCK||802.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6635|L6635 - LIFT ASSIST FOR ELBOW||376.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6632|L6632 - LATEX SUSPENSION SLEEVE EACH||159.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6630|L6630 - STAINLESS STEEL ANY WRIST||460.5075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6629|L6629 - LAMINATION COLLAR W/ COUPLIN||312.615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6628|L6628 - QUICK DISCONN HOOK ADAPTER O||1023.615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6625|L6625 - ROTATION WRST W/ CABLE LOCK||1298.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6624|L6624 - FLEX/EXT/ROTATION WRIST UNIT||8137.7775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6623|L6623 - SPRING-ASS ROT WRST W/ LATCH||1827.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6621|L6621 - FLEX/EXT WRIST W/WO FRICTION||4942.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6620|L6620 - FLEXION/EXTENSION WRIST UNIT||655.155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6616|L6616 - DISCONNECT INSERT LOCKING WR||151.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6615|L6615 - DISCONNECT LOCKING WRIST UNI||409.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6611|"L6611 - ADDITIONAL SWITCH| EXT POWER"||889.605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6610|L6610 - FLEXIBLE METAL HINGE PAIR||380.0475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6605|L6605 - SINGLE PIVOT HINGE PAIR||395.7525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6600|L6600 - POLYCENTRIC HINGE PAIR||400.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6590|L6590 - SHDR FAIR LEAD CABLE DIRECT||5923.665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6588|L6588 - SHDR FAIR LEAD CABLE MOLDED||6236.4825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6586|L6586 - ELBOW FAIR LEAD CABLE DIR FO||4746.2625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6584|L6584 - ELBOW FAIR LEAD CABLE MOLDED||5071.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6582|L6582 - WRIST/ELBOW BOWDEN CBL DIR F||3233.9475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6580|L6580 - WRIST/ELBOW BOWDEN CABLE MOL||3570.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6570|L6570 - SCAP THORAC PROSTH TISS SHAP||9352.35|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6550|L6550 - SHLDR DISAR PROSTH TISS SHAP||8329.995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6500|L6500 - ABOVE ELBOW PROSTH TISS SHAP||6930.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6450|L6450 - ELB DISART PROSTH TISS SHAP||6623.9325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6400|L6400 - BELOW ELBOW PROSTH TISS SHAP||4958.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6388|L6388 - POSTOP APPLICAT RIGID DSG ON||939.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6386|L6386 - POSTOP EA CAST CHG & REALIGN||858.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6384|L6384 - POSTOP DSG CAST CHG SHLDER/T||5431.9725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6382|L6382 - POSTOP DSG CAST CHG ELB DIS/||3926.5425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6380|L6380 - POSTOP DSG CAST CHG WRST/ELB||2609.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6370|L6370 - THORACIC PASSIVE RESTOR CAP||4503.9825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6360|L6360 - THORACIC PASSIVE RESTOR COMP||7527.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6350|L6350 - THORACIC INTERN LOCK ELBOW||8369.55|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6320|L6320 - SHOULDER PASSIVE RESTOR CAP||3754.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6310|L6310 - SHOULDER PASSIVE RESTOR COMP||6873.7725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6300|L6300 - SHLDER DISART INT LOCK ELBOW||7960.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6250|L6250 - ELBOW INTER LOC ELBOW FORARM||6107.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6205|L6205 - ELBOW MOLDED W/ EXPAND INTER||7781.1525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6200|L6200 - ELBOW MOLD OUTSID LOCK HINGE||5829.2775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6130|L6130 - ELBOW STUMP ACTIVATED LOCK H||5531.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6120|L6120 - ELBOW MOLD DOUB SPLT SOC STE||5083.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6110|L6110 - ELBOW MOLD SOCK SUSPENSION T||4361.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6100|L6100 - ELB MOLD SOCK FLEX HINGE PAD||4112.4375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6055|L6055 - WRST MOLD SOCK W/EXP INTERFA||5657.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6050|L6050 - WRST MLD SCK FLX HNG TRI PAD||4059.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6026|L6026 - PART HAND MYO EXCLU TERM DEV||10681.515|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6020|L6020 - PART HAND NO FINGERS||2945.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6010|L6010 - PART HAND LITTLE/RING||3159.45|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L6000|L6000 - PART HAND THUMB REM||2839.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5990|L5990 - USER ADJUSTABLE HEEL HEIGHT||3920.175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5988|L5988 - VERTICAL SHOCK REDUCING PYLO||4316.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5987|L5987 - SHANK FT W VERT LOAD PYLON||15544.395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5986|L5986 - MULTI-AXIAL ROTATION UNIT||1354.0275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5985|L5985 - LWR EXT DYNAMIC PROSTH PYLON||610.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5984|L5984 - ENDOSKELETAL AXIAL ROTATION||1217.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5982|L5982 - EXOSKELETAL AXIAL ROTATION U||1235.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5981|L5981 - FLEX-WALK SYS LOW EXT PROSTH||6400.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5980|L5980 - FLEX FOOT SYSTEM||7922.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5979|L5979 - MULTI-AXIAL ANKLE/FT PROSTH||4875.57|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5978|L5978 - FT PROSTH MULTIAXIAL ANKL/FT||623.565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5976|L5976 - ENERGY STORING FOOT||1196.64|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5975|L5975 - COMBO ANKLE/FOOT PROSTHESIS||1001.79|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5974|L5974 - FOOT SINGLE AXIS ANKLE/FOOT||497.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5973|L5973 - ANK-FOOT SYS DORS-PLANT FLEX||37176.255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5972|L5972 - FLEXIBLE KEEL FOOT||810.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5971|"L5971 - SACH FOOT| REPLACEMENT"||433.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5970|L5970 - FOOT EXTERNAL KEEL SACH FOOT||433.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5968|L5968 - MULTIAXIAL ANKLE W DORSIFLEX||7852.275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5966|L5966 - HIP FLEXIBLE COVER SYSTEM||2549.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5964|L5964 - ABOVE KNEE FLEX COVER SYSTEM||2001.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5962|L5962 - BELOW KNEE FLEX COVER SYSTEM||1355.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5961|"L5961 - ENDO POLY HIP| PNEU/HYD/ROT"||9822.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5960|L5960 - ENDO HIP ULTRA-LIGHT MATERIA||2059.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5950|L5950 - ENDO AK ULTRA-LIGHT MATERIAL||1675.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5940|L5940 - ENDO BK ULTRA-LIGHT MATERIAL||1071.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5930|L5930 - HIGH ACTIVITY KNEE FRAME||7273.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5925|L5925 - ABOVE KNEE MANUAL LOCK||957.285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5920|L5920 - ENDO AK/HIP ALIGNABLE SYSTEM||1133.7525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5910|L5910 - ENDO BELOW KNEE ALIGNABLE SY||773.8875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5859|L5859 - KNEE-SHIN PRO FLEX/EXT CONT||31352.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5858|L5858 - STANCE PHASE ONLY||40159.3275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5857|L5857 - ELEC KNEE-SHIN SWING ONLY||18406.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5856|L5856 - ELEC KNEE-SHIN SWING/STANCE||51872.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5855|L5855 - MECH HIP EXTENSION ASSIST||734.49|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5850|L5850 - ENDO AK/HIP KNEE EXTENS ASSI||273.3525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5848|L5848 - KNEE-SHIN SYS HYDRAUL STANCE||2323.53|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5845|L5845 - KNEE-SHIN SYS STANCE FLEXION||3873.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5840|L5840 - MULTI-AXIAL KNEE/SHIN SYSTEM||7496.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5830|L5830 - ENDO KNEE-SHIN PNEUM/SWG PHA||4054.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5828|L5828 - ENDO KNEE-SHIN FLUID SWG/STA||6034.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5826|L5826 - MINIATURE KNEE JOINT||6747.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5824|L5824 - ENDO KNEE-SHIN FLUID SWING P||3276.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5822|L5822 - ENDO KNEE-SHIN PNEUM SWG FRC||3638.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5818|L5818 - ENDO KNEE-SHIN FRCT SWG & ST||2051.9775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5816|L5816 - ENDO KNEE-SHIN POLYC MCH STA||1828.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5814|L5814 - ENDO KNEE-SHIN HYDRAL SWG PH||8025.0075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5812|L5812 - ENDO KNEE-SHIN FRCT SWG & ST||1207.9125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5811|L5811 - ENDO KNEE-SHIN MNL LCK ULTRA||1558.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5810|L5810 - ENDOSKEL KNEE-SHIN MNL LOCK||1040.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5795|L5795 - EXOSKEL HIP ULTRA-LIGHT MATE||3058.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5790|L5790 - EXOSKELETAL AK ULTRA-LIGHT M||1536.39|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5785|L5785 - EXOSKELETAL BK ULTRALT MATER||1375.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5782|L5782 - HD LOW LIMB PROS VACUUM PUMP||9114.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5781|L5781 - LOWER LIMB PROS VACUUM PUMP||8645.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5780|L5780 - KNEE-SHIN PNEUM/HYDRA PNEUM||2446.4025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5728|L5728 - KNEE-SHIN FLUID SWG & STANCE||5084.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5726|L5726 - KNEE-SHIN EXT JNTS FLD SWG E||3717.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5724|L5724 - KNEE-SHIN EXO FLUID SWING PH||3225.2625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5722|L5722 - KNEE-SHIN PNEUM SWG FRCT EXO||2056.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5718|L5718 - KNEE-SHIN EXO FRCT SWG & STA||1946.5425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5716|L5716 - KNEE-SHIN EXO MECH STANCE PH||1557.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5714|L5714 - KNEE-SHIN EXO VARIABLE FRICT||961.2225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5712|L5712 - KNEE-SHIN EXO FRICT SWG & ST||935.7975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5711|L5711 - KNEE-SHIN EXO MNL LOCK ULTRA||1116.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5710|L5710 - KNE-SHIN EXO SNG AXI MNL LOC||799.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5707|L5707 - CUSTOM SHAPE CVR HIP DISART||2644.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5706|L5706 - CUSTOM SHAPE CVR KNEE DISART||2006.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5705|L5705 - CUSTOM SHAPE COVER AK||2046.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5704|L5704 - CUSTOM SHAPE COVER BK||1145.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5703|L5703 - SYMES ANKLE W/O (SACH) FOOT||4813.7625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5702|L5702 - REPLACE SOCKET HIP||9301.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5701|L5701 - REPLACE SOCKET ABOVE KNEE||7352.3475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5700|L5700 - REPLACE SOCKET BELOW KNEE||6122.2275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5699|L5699 - SHOULDER HARNESS||505.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5698|L5698 - AK/KNEE DISARTIC SILESIAN BA||280.5075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5697|L5697 - AK/KNEE DISARTIC PELVIC BAND||171.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5696|L5696 - AK/KNEE DISARTIC PELVIC JOIN||395.3475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5695|L5695 - AK SLEEVE SUSP NEOPRENE/EQUA||357.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5694|L5694 - AK PELVIC CONTROL BELT PAD/L||387.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5692|L5692 - AK PELVIC CONTROL BELT LIGHT||283.9275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5690|L5690 - BK WAIST BELT PADDED AND LIN||209.0925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5688|L5688 - BK WAIST BELT WEBBING||130.5225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5686|L5686 - BK BACK CHECK||109.17|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5685|L5685 - BELOW KNEE SUS/SEAL SLEEVE||276.7725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5684|L5684 - BK FORK STRAP||102.8475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5683|L5683 - INITIAL CUSTOM SOCKET INSERT||2842.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5682|L5682 - BK THIGH LACER GLUT/ISCHIA M||1336.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5681|L5681 - INTL CUSTM CONG/LATYP INSERT||2842.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5680|L5680 - BK THIGH LACER NON-MOLDED||708.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5679|L5679 - SOCKET INSERT W/O LOCK MECH||1266.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5678|L5678 - BK JOINT COVERS PAIR||84.8475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5677|L5677 - BK KNEE JOINTS POLYCENTRIC P||1053.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5676|L5676 - BK KNEE JOINTS SINGLE AXIS P||774.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5673|L5673 - SOCKET INSERT W LOCK MECH||1519.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5672|L5672 - BK REMOVABLE MEDIAL BRIM SUS||637.155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5671|L5671 - BK/AK LOCKING MECHANISM||1228.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5670|L5670 - BK MOLDED SUPRACONDYLAR SUSP||579.8025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5668|L5668 - BK MOLDED DISTAL CUSHION||241.245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5666|L5666 - BELOW KNEE CUFF SUSPENSION||149.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5665|L5665 - MULTI-DUROMETER BELOW KNEE||1094.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5661|L5661 - MULTI-DUROMETER SYMES||1300.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5658|L5658 - SOCKET INSERT ABOVE KNEE||776.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5656|L5656 - SOCKET INSERT KNEE ARTICULAT||805.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5655|L5655 - SOCKET INSERT BELOW KNEE||600.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5654|L5654 - SOCKET INSERT SYMES||708.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5653|L5653 - KNEE DISART EXPAND WALL SOCK||1243.5975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5652|L5652 - SUCTION SUSP AK/KNEE DISART||931.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5651|L5651 - AK FLEX INNER SOCKET EXT FRA||2566.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5650|L5650 - TOT CONTACT AK/KNEE DISART S||1043.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5649|L5649 - ISCH CONTAINMT/NARROW M-L SO||5097.6|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5648|L5648 - ABOVE KNEE CUSHION SOCKET||1406.79|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5647|L5647 - BELOW KNEE SUCTION SOCKET||1699.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5646|L5646 - BELOW KNEE CUSHION SOCKET||1170.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5645|L5645 - BK FLEX INNER SOCKET EXT FRA||1704.915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5644|L5644 - ABOVE KNEE WOOD SOCKET||1262.07|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5643|L5643 - HIP FLEX INNER SOCKET EXT FR||3325.7475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5642|L5642 - ABOVE KNEE LEATHER SOCKET||1323.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5640|L5640 - KNEE DISARTICULAT LEATHER SO||1366.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5639|L5639 - BELOW KNEE WOOD SOCKET||2395.71|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5638|L5638 - BELOW KNEE LEATHER SOCKET||1075.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5637|L5637 - BELOW KNEE TOTAL CONTACT||617.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5636|L5636 - SYMES TYPE MEDIAL OPENING SO||544.455|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5634|L5634 - SYMES TYPE POSTER OPENING SO||649.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5632|L5632 - SYMES TYPE PTB BRIM DESIGN S||523.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5631|L5631 - AK/KNEE DISARTIC ACRYLIC SOC||938.8575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5630|L5630 - SYME TYP EXPANDABL WALL SCKT||958.9725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5629|L5629 - BELOW KNEE ACRYLIC SOCKET||679.05|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5628|L5628 - TEST SOCKET HEMIPELVECTOMY||1089.3375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5626|L5626 - TEST SOCKET HIP DISARTICULAT||1018.7775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5624|L5624 - TEST SOCKET ABOVE KNEE||776.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5622|L5622 - TEST SOCKET KNEE DISARTICULA||774.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5620|L5620 - TEST SOCKET BELOW KNEE||594.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5618|L5618 - TEST SOCKET SYMES||639.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5617|L5617 - AK/BK SELF-ALIGNING UNIT EA||1208.9925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5616|L5616 - AK UNIV MULTIPLEX SYS FRICT||2908.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5614|L5614 - 4-BAR LINK ABOVE KNEE W/SWNG||3646.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5613|L5613 - AK 4 BAR LING W/HYDRAUL SWIG||5382.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5611|L5611 - AK 4 BAR LINK W/FRIC SWING||3442.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5610|L5610 - ABOVE KNEE HYDRACADENCE||4423.9275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5600|L5600 - HIP DISART SACH LAMINAT MOLD||9754.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5595|L5595 - HIP DISARTIC SACH THERMOPLS||9074.565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5590|L5590 - PREP AK ISCHIAL LAMINATED||5136.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5585|L5585 - PREP AK ISCHIAL OPEN END||6203.1825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5580|L5580 - PREP AK ISCHIAL THERMO MOLD||5040.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5570|L5570 - PREP AK ISCHIAL DIRECT FORM||4317.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5560|L5560 - PREP AK ISCHIAL PLAST MOLDED||4152.9825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5540|L5540 - PREP BK PTB LAMINATED SOCKET||3867.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5535|L5535 - PREP BK PTB OPEN END SOCKET||3623.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5530|L5530 - PREP BK PTB THERMOPLS MOLDED||3690.6975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5520|L5520 - PERP BK PTB THERMOPLS DIRECT||3072.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5510|L5510 - PREP BK PTB PLASTER MOLDED||3110.85|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5505|L5505 - INIT AK ISCHAL PLSTR DIRECT||3795.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5500|L5500 - INIT BK PTB PLASTER DIRECT||2744.3025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5460|L5460 - POSTOP APP NON-WGT BEAR DSG||1165.455|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5450|L5450 - POSTOP APP NON-WGT BEAR DSG||874.755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5430|L5430 - POSTOP DSG AK EA ADD CAST CH||1075.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5420|L5420 - POSTOP DSG & 1 CAST CHG AK/D||3566.0025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5410|L5410 - POSTOP DSG BK EA ADD CAST CH||892.7775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5400|L5400 - POSTOP DRESS & 1 CAST CHG BK||2909.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5341|L5341 - HEMIPELVECTOMY CANADIAN SACH||11301.03|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5331|L5331 - HIP DISART CANADIAN SACH FT||10855.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5321|L5321 - AK OPEN END SACH||8519.76|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5312|"L5312 - KNEE DISART| SACH FT| ENDO"||8413.4025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5301|L5301 - BK MOLD SOCKET SACH FT ENDO||5877.6075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5280|L5280 - HEMIPELVECT CANAD SING AXIS||10953|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5270|L5270 - TILT TABLE LOCKING HIP SING||11037.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5250|L5250 - HIP CANAD SING AXI CONS FRIC||11086.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5230|L5230 - FEM FOCAL DEFIC CONSTANT FRI||8128.62|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5220|L5220 - NO KNEE JOINT WITH ARTIC ALI||5893.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5210|L5210 - NO KNEE/ANKLE JOINTS W/ FT B||5185.035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5200|L5200 - KNE SING AXIS FRIC SHIN SACH||7815.8475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5160|L5160 - MOLD SOCKET BENT KNEE SHIN S||8161.56|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5150|L5150 - MOLD SCKT EXT KNEE SHIN SACH||7503.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5105|L5105 - PLAST SOCKET JTS/THGH LACER||7423.02|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5100|L5100 - MOLDED SOCKET SHIN SACH FOOT||5141.9925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5060|L5060 - SYMES MET FR LEATH SOCKET AR||5901.7725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5050|L5050 - ANK SYMES MOLD SCKT SACH FT||5130.6525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5020|L5020 - TIBIAL TUBERCLE HGT W/ TOE F||4638.1725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5010|L5010 - MOLD SOCKET ANK HGT W/ TOE F||2731.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L5000|L5000 - SHO INSERT W ARCH TOE FILLER||1130.805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4631|"L4631 - AFO| WALK BOOT TYPE| CUS FAB"||3218.355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4398|L4398 - FOOT DROP SPLINT PRE OTS||166.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4397|L4397 - STATIC OR DYNAMI AFO PRE OTS||361.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4396|L4396 - STATIC OR DYNAMI AFO PRE CST||361.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4394|L4394 - REPLACE FOOT DROP SPINT||37.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4392|L4392 - REPLACE AFO SOFT INTERFACE||50.7825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4387|L4387 - NON-PNEUM WALK BOOT PRE OTS||341.9325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4386|L4386 - NON-PNEUM WALK BOOT PRE CST||341.9325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4370|L4370 - PNEUM FULL LEG SPLNT PRE OTS||378.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4361|L4361 - PNEUMA/VAC WALK BOOT PRE OTS||590.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4360|L4360 - PNEUMAT WALKING BOOT PRE CST||590.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4350|L4350 - ANKLE CONTROL ORTHO PRE OTS||210.8925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4130|L4130 - REPLACE PRETIBIAL SHELL||1170.6075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4110|L4110 - REPL LEATH CUFF KAFO-AFO CAL||170.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4100|L4100 - REPL LEATH CUFF KAFO PROX TH||214.02|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4090|L4090 - REPL MET BAND KAFO-AFO CALF/||189.765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4080|L4080 - REPL MET BAND KAFO-AFO PROX||214.38|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4070|L4070 - REPLACE PROX & DIST UPRIGHT||608.1075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4060|L4060 - REPLACE HIGH ROLL CUFF||637.4025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4055|L4055 - REPLACE NON-MOLDED CALF LACE||536.175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4050|L4050 - REPLACE MOLDED CALF LACER||828.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4045|L4045 - REPLACE NON-MOLDED THIGH LAC||657.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4040|L4040 - REPLACE MOLDED THIGH LACER||818.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4030|L4030 - REPLACE SOCKET BRIM CUST FIT||1012.6125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4020|L4020 - REPLACE QUADLAT SOCKET BRIM||1839.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4010|L4010 - REPLACE TRILATERAL SOCKET BR||1472.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4002|"L4002 - REPLACE STRAP| ANY ORTHOSIS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L4000|L4000 - REPL GIRDLE MILWAUKEE ORTH||2616.435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3995|L3995 - SOCK FRACTURE OR EQUAL EACH||67.14|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3984|L3984 - UPPER EXT FX ORTHOSIS WRIST||800.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3982|L3982 - UPPER EXT FX ORTHOSIS RAD/UL||749.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3981|L3981 - UE FX ORTH SHOUL CAP FOREARM||1975.5675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3980|L3980 - UP EXT FX ORTHOS HUMERAL NOS||606.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3978|L3978 - SEWHFO AIRPLANE W/JNT(S) CF||3893.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3977|L3977 - SEWHFO CAP DESGN W/JNT(S) CF||3695.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3976|L3976 - SEWHFO AIRPLANE W/O JNTS CF||3297.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3975|L3975 - SEWHFO CAP DESIGN W/O JNT CF||3297.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3973|L3973 - SEWHO AIRPLANE W/JNT(S) CF||3893.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3971|L3971 - SEWHO CAP DESIGN W/JNT(S) CF||3695.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3967|L3967 - SEWHO AIRPLANE W/O JNTS CF||3893.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3962|L3962 - SEWHO ERBS PALSEY DESIGN ABD||1684.5075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3961|L3961 - SEWHO CAP DESIGN W/O JNTS CF||3297.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3960|L3960 - SEWHO AIRPLAN DESIG ABDU POS||1617.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3956|L3956 - ADD JOINT UPPER EXT ORTHOSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3935|L3935 - FO NONTORSION JOINT CF||433.665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3933|L3933 - FO W/O JOINTS CF||418.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3931|L3931 - WHFO NONTORSION JOINT PREFAB||399.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3930|L3930 - HFO NONTORSION JNTS PRE OTS||165.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3929|L3929 - HFO NONTORSION JNTS PRE CST||165.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3927|L3927 - FO PIP DIP NO JT SPR PRE OTS||68.6925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3925|L3925 - FO PIP DIP JNT/SPRNG PRE OTS||103.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3924|L3924 - HFO WITHOUT JOINTS PRE OTS||170.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3923|L3923 - HFO WITHOUT JOINTS PRE CST||170.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3921|L3921 - HFO W/JOINT(S) CF||630.3825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3919|L3919 - HO W/O JOINTS CF||531.6075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3918|L3918 - METACARP FX ORTHOSIS PRE OTS||207.3375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3917|L3917 - METACARP FX ORTHOSIS PRE CST||207.3375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3916|L3916 - WHO NONTORSION JNTS PRE OTS||1043.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3915|L3915 - WHO NONTORSION JNTS PRE CST||1043.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3913|L3913 - HFO W/O JOINTS CF||531.6075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3912|L3912 - HFO FLEXION GLOVE PRE OTS||188.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3908|L3908 - WHO COCK-UP NONMOLDE PRE OTS||117.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3906|L3906 - WHO W/O JOINTS CF||827.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3905|L3905 - WHO W/NONTORSION JNT(S) CF||1946.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3904|L3904 - WHFO ELECTRIC CUSTOM FITTED||6998.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3901|L3901 - HINGE EXT/FLEX WRIST FINGER||3437.8875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3900|L3900 - HINGE EXTENSION/FLEX WRIST/F||3066.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3809|L3809 - WHFO W/O JOINTS PRE OTS||490.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3808|"L3808 - WHFO| RIGID W/O JOINTS"||655.56|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3807|L3807 - WHFO W/O JOINTS PRE CST||490.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3806|L3806 - WHFO W/JOINT(S) CUSTOM FAB||891.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3766|L3766 - EWHFO W/JOINT(S) CF||2664.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3765|L3765 - EWHFO RIGID W/O JNTS CF||2516.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3764|L3764 - EWHO W/JOINT(S) CF||1554.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3763|L3763 - EWHO RIGID W/O JNTS CF||1558.2825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3762|L3762 - EO RIGID W/O JOINTS PRE OTS||211.05|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3760|L3760 - EO ADJ JT PREFAB CUSTOM FIT||981.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3740|L3740 - CUFFS ADJ LOCK W/ ACTIVE CON||2100.3075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3730|L3730 - FOREARM/ARM CUFFS EXT/FLEX A||1868.85|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3720|L3720 - FOREARM/ARM CUFFS FREE MOTIO||1419.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3710|L3710 - EO ELAS W/METAL JNTS PRE OTS||284.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3702|L3702 - EO W/O JOINTS CF||566.7525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3675|L3675 - SO VEST CANVAS/WEB PRE OTS||344.4525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3674|L3674 - SO AIRPLANE W/WO JOINT CF||2319.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3671|L3671 - SO CAP DESIGN W/O JNTS CF||1768.4775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3670|L3670 - SO ACRO/CLAV CAN WEB PRE OTS||281.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3660|L3660 - SO 8 AB RSTR CAN/WEB PRE OTS||201.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3650|L3650 - SO 8 ABD RESTRAINT PRE OTS||117.4725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3640|L3640 - SHOE DENNIS BROWNE SPLINT BO||93.195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3630|L3630 - TRANS SHOE SOLID STIRRUP NEW||216.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3620|L3620 - TRANS SHOE SOLID STIRRUP EXI||164.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3610|L3610 - TRANS SHOE CALIPER PLATE NEW||216.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3600|L3600 - TRANS SHOE CALIP PLATE EXIST||164.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3595|L3595 - ORTHO SHOE ADD MARCH BAR||90.495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3590|L3590 - O SHOE CONVERT TO SOF COUNTE||115.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3580|L3580 - O SHOE ADD INSTEP VELCRO CLO||139.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3570|L3570 - O SHOE ADD INSTEP EXTENSION||183.825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3560|L3560 - O SHOE ADD HORSESHOE TOE TAP||49.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3550|L3550 - O SHOE ADD STANDARD TOE TAP||19.2375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3540|L3540 - ORTHO SHOE ADD FULL SOLE||109.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3530|L3530 - ORTHO SHOE ADD HALF SOLE||68.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3520|L3520 - O SHOE ADD FELT W LEATH INSL||68.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3510|L3510 - ORTHOPEDIC SHOE ADD RUB INSL||63.135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3500|L3500 - ORTHO SHOE ADD LEATHER INSOL||63.135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3480|L3480 - SHOE HEEL PAD & DEPRESS FOR||134.3475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3470|L3470 - SHOE HEEL THOMAS EXTEND TO B||134.3475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3465|L3465 - SHOE HEEL THOMAS WITH WEDGE||126.1575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3460|L3460 - SHOE HEEL NEW RUBBER STANDAR||74.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3455|L3455 - SHOE HEEL NEW LEATHER STANDA||87.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3450|L3450 - SHOE HEEL SACH CUSHION TYPE||227.5875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3440|L3440 - HEEL LEATHER REINFORCED||164.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3430|L3430 - SHO HEEL COUNT PLAST REINFOR||345.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3420|L3420 - FULL SOLE/HEEL WEDGE BTWEEN||117.9|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3410|L3410 - SHOE METATARSAL BAR BETWEEN||200.2725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3400|L3400 - SHOE METATARSAL BAR WEDGE RO||87.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3390|L3390 - SHOE OUTFLARE WEDGE||106.9875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3380|L3380 - SHOE CLUBFOOT WEDGE||106.9875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3370|L3370 - SHOE SOLE WEDGE BETWEEN SOLE||106.9875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3360|L3360 - SHOE SOLE WEDGE OUTSIDE SOLE||76.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3350|L3350 - SHOE HEEL WEDGE||49.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3340|L3340 - SHOE WEDGE SACH||183.825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3334|L3334 - SHOE LIFTS ELEVATION HEEL /I||82.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3332|L3332 - SHOE LIFTS TAPERED TO ONE-HA||159.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3330|L3330 - LIFTS ELEVATION METAL EXTENS||1220.49|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3310|L3310 - SHOE LIFT ELEV HEEL/SOLE NEO||175.5675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3300|L3300 - SHO LIFT TAPER TO METATARSAL||112.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3225|L3225 - MAN'S SHOE OXFORD BRACE||135.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3224|L3224 - WOMAN'S SHOE OXFORD BRACE||117.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3170|L3170 - FOOT PLAS HEEL STABI PRE OTS||109.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3150|L3150 - ABDUCT ROTATION BAR W/O SHOE||175.5675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3140|L3140 - ABDUCTION ROTATION BAR SHOE||192.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3100|L3100 - HALLUS-VALGUS NT DYN PRE OTS||93.195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3090|L3090 - ARCH SUPP ATT TO SHOE LONG/M||87.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3080|L3080 - ARCH SUPP ATT TO SHOE METATA||68.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3070|L3070 - ARCH SUPRT ATT TO SHO LONGIT||68.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3060|L3060 - FOOT ARCH SUPP LONGITUD/META||159.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3050|L3050 - FOOT ARCH SUPP PREMOLD METAT||101.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3040|L3040 - FT ARCH SUPRT PREMOLD LONGIT||101.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3031|L3031 - FOOT LAMIN/PREPREG COMPOSITE||264.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3030|L3030 - FOOT ARCH SUPPORT REMOV PREM||164.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3020|L3020 - FOOT LONGITUD/METATARSAL SUP||427.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3010|L3010 - FOOT LONGITUDINAL ARCH SUPPO||375.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3003|L3003 - FOOT INSERT SILICONE GEL EAC||375.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3002|L3002 - FOOT INSERT PLASTAZOTE OR EQ||348.3225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3001|L3001 - FOOT INSERT REMOV MOLDED SPE||285.21|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L3000|L3000 - FT INSERT UCB BERKELEY SHELL||677.475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2850|L2850 - FEMORAL LGTH SOCK FX OR EQUA||124.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2840|L2840 - TIBIAL LENGTH SOCK FX OR EQU||109.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2830|L2830 - SOFT INTERFACE ABOVE KNEE SE||195.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2820|L2820 - SOFT INTERFACE BELOW KNEE SE||174.1725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2810|L2810 - KNEE CONTROL CONDYLAR PAD||156.645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2800|L2800 - KNEE CAP MEDIAL OR LATERAL P||213.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2795|L2795 - KNEE CONTROL FULL KNEECAP||170.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2785|L2785 - DROP LOCK RETAINER EACH||84.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2780|L2780 - NON-CORROSIVE FINISH||144.1575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2768|L2768 - ORTHO SIDEBAR DISCONNECT||281.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2760|L2760 - EXTENSION PER EXTENSION PER||121.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2755|L2755 - CARBON GRAPHITE LAMINATION||281.8575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2750|L2750 - PLATING CHROME/NICKEL PR BAR||167.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2680|L2680 - THORAC CONT LAT SUPPORT UPRI||313.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2670|L2670 - THORAC CONT PARASPINAL UPRIG||342.135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2660|L2660 - THORACIC CONTROL THORACIC BA||373.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2650|L2650 - PELV & THOR CONTROL GLUTEAL||240.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2640|L2640 - PELVIC CONTROL BAND & BELT B||674.01|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2630|L2630 - PELVIC CONTROL BAND & BELT U||496.6425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2628|L2628 - METAL FRAME RECIPRO HIP & CA||4046.625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2627|L2627 - PLASTIC MOLD RECIPRO HIP & C||3444.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2624|L2624 - HIP ADJ FLEX EXT ABDUCT CONT||836.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2622|L2622 - HIP JOINT ADJUSTABLE FLEXION||615.06|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2620|L2620 - PELVIC CONTROL HIP HEAVY DUT||536.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2610|L2610 - HIP CLEVIS/THRUST BEARING LO||487.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2600|L2600 - HIP CLEVIS/THRUST BEARING FR||411.9075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2580|L2580 - PELVIC CONTROL PELVIC SLING||1207.4175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2570|L2570 - HIP CLEVIS TYPE 2 POSIT JNT||1273.7475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2550|L2550 - THIGH/WGHT BEAR HIGH ROLL CU||576.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2540|L2540 - THIGH/WGHT BEAR LACER MOLDED||847.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2530|L2530 - THIGH/WGHT BEAR LACER NON-MO||471.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2526|L2526 - TH/WGHT BEAR NAR M-L BRIM CU||1708.605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2525|L2525 - TH/WGHT BEAR NAR M-L BRIM MO||3169.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2520|L2520 - TH/WGHT BEAR QUAD-LAT BRIM C||923.94|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2510|L2510 - TH/WGHT BEAR QUAD-LAT BRIM M||1694.07|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2500|L2500 - THI/GLUT/ISCHIA WGT BEARING||632.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2492|L2492 - KNEE LIFT LOOP DROP LOCK RIN||204.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2430|L2430 - KNEE JNT RATCHET LOCK EA JNT||309.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2425|L2425 - KNEE DISC/DIAL LOCK/ADJ FLEX||309.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2415|L2415 - KNEE JOINT CAM LOCK EACH JOI||261.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2405|L2405 - KNEE JOINT DROP LOCK EA JNT||188.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2397|L2397 - SUSPENSION SLEEVE LOWER EXT||235.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2395|L2395 - OFFSET KNEE JOINT HEAVY DUTY||335.205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2390|L2390 - OFFSET KNEE JOINT EACH||219.555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2387|L2387 - ADD LE POLY KNEE CUSTOM KAFO||364.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2385|L2385 - STRAIGHT KNEE JOINT HEAVY DU||268.65|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2380|L2380 - TORSION STRAIGHT KNEE JOINT||246.915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2375|L2375 - TORSION ANK & HALF SOLID STI||226.62|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2370|L2370 - PATTEN BOTTOM||514.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2360|L2360 - EXTENDED STEEL SHANK||103.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2350|L2350 - PROSTHETIC TYPE SOCKET MOLDE||1787.13|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2340|L2340 - PRE-TIBIAL SHELL MOLDED TO P||1093.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2335|L2335 - ANTERIOR SWING BAND||463.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2330|L2330 - LACER MOLDED TO PATIENT MODE||787.545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2320|L2320 - NON-MOLDED LACER||412.6725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2310|L2310 - ABDUCTION BAR-STRAIGHT||246.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2300|L2300 - ABDUCTION BAR JOINTED ADJUST||549.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2280|L2280 - MOLDED INNER BOOT||973.62|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2275|L2275 - PLASTIC MOD LOW EXT PAD/LINE||262.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2270|L2270 - VARUS/VALGUS STRAP PADDED/LI||107.7075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2265|L2265 - LONG TONGUE STIRRUP||236.205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2260|L2260 - REINFORCED SOLID STIRRUP||402.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2250|L2250 - FOOT PLATE MOLDED STIRRUP AT||712.665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2240|L2240 - ROUND CALIPER AND PLATE ATTA||167.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2232|"L2232 - ROCKER BOTTOM| CONTACT AFO"||208.35|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2230|L2230 - SPLIT FLAT CALIPER STIRR & P||153.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2220|L2220 - DORSI & PLANTAR FLEX ASS/RES||177.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2210|L2210 - DORSIFLEXION ASSIST EACH JOI||154.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2200|L2200 - LIMITED ANKLE MOTION EA JNT||95.355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2192|L2192 - PELVIC BAND & BELT THIGH FLA||715.1175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2190|L2190 - WAIST BELT||208.035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2188|L2188 - QUADRILATERAL BRIM||800.8875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2186|L2186 - ADJ MOTION KNEE JNT LERMAN T||367.0875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2184|L2184 - LIMITED MOTION KNEE JOINT||331.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2182|L2182 - DROP LOCK KNEE||183.825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2180|L2180 - PLAS SHOE INSERT W ANK JOINT||234.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2136|L2136 - KAFO FEMORAL FX CAST RIGID||2371.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2134|L2134 - KAFO FEM FX CAST SEMI-RIGID||1939.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2132|L2132 - KAFO FEMORAL FX CAST SOFT||1617.9075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2128|L2128 - KAFO FEM FX CAST MOLDED TO P||3439.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2126|L2126 - KAFO FEM FX CAST THERMOPLAS||2729.0025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2116|L2116 - AFO TIBIAL FRACTURE RIGID||1533.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2114|L2114 - AFO TIB FX SEMI-RIGID||1164.15|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2112|L2112 - AFO TIBIAL FRACTURE SOFT||1017.495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2108|L2108 - AFO TIB FX CAST MOLDED TO PT||2142.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2106|L2106 - AFO TIB FX CAST PLASTER MOLD||1363.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2090|L2090 - HKAFO UNILAT TORSION BALL BR||945.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2080|L2080 - HKAFO UNILAT TORSION CABLE||766.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2070|L2070 - HKAFO TORSION UNILAT ROT STR||359.64|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2060|L2060 - HKAFO TORSION BALL BEARING J||1251.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2050|L2050 - HKAFO TORSION CABLE HIP PELV||975.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2040|L2040 - HKAFO TORSION BIL ROT STRAPS||366.3|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2038|L2038 - KAFO W/O JOINT MULTI-AXIS AN||2867.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2037|L2037 - KAFO PLAS SING FREE KNEE MOL||3429.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2036|L2036 - KAFO PLAS DOUB FREE KNEE MOL||3721.1175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2035|L2035 - KAFO PLASTIC PEDIATRIC SIZE||373.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2034|L2034 - KAFO PLA SIN UP W/WO K/A CUS||4428.2025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2030|L2030 - KAFO DBL SOLID STIRRUP W/O J||2031.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2020|L2020 - KAFO DBL SOLID STIRRUP BAND/||2341.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2010|L2010 - KAFO SNG SOLID STIRRUP W/O J||1854.45|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2005|L2005 - KAFO SNG/DBL MECHANICAL ACT||8837.235|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L2000|L2000 - KAFO SING FRE STIRR THI/CALF||2034.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1990|L1990 - AFO DOUB SOLID STIRRUP CALF||945.765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1980|L1980 - AFO SING SOLID STIRRUP CALF||736.0875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1971|"L1971 - AFO W/ANKLE JOINT| PREFAB"||1010.8575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1970|L1970 - AFO PLASTIC MOLDED W/ANKLE J||1644.2775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1960|L1960 - AFO POS SOLID ANK PLASTIC MO||1111.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1951|L1951 - AFO SPIRAL PREFABRICATED||1811.1825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1950|L1950 - AFO SPIRAL MOLDED TO PT PLAS||1493.8875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1945|L1945 - AFO MOLDED PLAS RIG ANT TIB||1969.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1940|L1940 - AFO MOLDED TO PATIENT PLASTI||1072.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1932|L1932 - AFO RIG ANT TIB PREFAB TCF/=||1924.47|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1930|L1930 - AFO PLASTIC||474.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1920|L1920 - AFO SING UPRIGHT W/ ADJUST S||701.1675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1910|L1910 - AFO SING BAR CLASP ATTACH SH||536.355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1907|L1907 - AFO SUPRAMALLEOLAR CUSTOM||1213.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1906|L1906 - AFO MULTILIG ANK SUP PRE OTS||275.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1904|L1904 - AFO MOLDED ANKLE GAUNTLET||943.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1902|L1902 - AFO ANKLE GAUNTLET PRE OTS||164.7675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1900|L1900 - AFO SPRNG WIR DRSFLX CALF BD||606.6|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1860|L1860 - KO SUPRACONDYLAR SOCKET MOLD||2239.155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1850|L1850 - KO SWEDISH TYPE PRE OTS||577.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1848|L1848 - KO DBL UPRIGHT W/AIR PRE OTS||1240.4475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1847|L1847 - KO DBL UPRIGHT W/AIR PRE CST||1240.4475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1846|L1846 - KO W ADJ FLEX/EXT ROTAT MOLD||2563.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1845|L1845 - KO DOUBLE UPRIGHT PRE CST||2020.005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1844|L1844 - KO W/ADJ JT ROT CNTRL MOLDED||3352.9725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1843|L1843 - KO SINGLE UPRIGHT PRE CST||1935.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1840|L1840 - KO DEROT ANT CRUCIATE CUSTOM||2010.6225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1836|L1836 - KO RIGID W/O JOINTS PRE OTS||287.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1834|L1834 - KO W/0 JOINT RIGID MOLDED TO||1912.7475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1833|L1833 - KO ADJ JNT POS R SUP PRE OTS||1625.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1832|L1832 - KO ADJ JNT POS R SUP PRE CST||1625.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1831|L1831 - KNEE ORTH POS LOCKING JOINT||634.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1830|L1830 - KO IMMOB CANVAS LONG PRE OTS||217.53|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1820|L1820 - KO ELAS W/ CONDYLE PADS & JO||260.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1812|L1812 - KO ELASTIC W/JOINTS PRE OTS||261.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1810|L1810 - KO ELASTIC WITH JOINTS||261.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1755|L1755 - LEGG PERTHES PATTEN BOTTOM T||3308.2425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1730|L1730 - LEGG PERTHES ORTH SCOTTISH R||2272.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1720|L1720 - LEGG PERTHES ORTHOSIS TRILAT||3012.5475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1710|L1710 - LEGG PERTHES ORTH NEWINGTON||4078.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1700|L1700 - LEG PERTHES ORTH TORONTO TYP||3469.4775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1690|L1690 - COMBINATION BILATERAL HO||4170.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1686|L1686 - HO POST-OP HIP ABDUCTION||1997.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1685|L1685 - POST-OP HIP ABDUCT CUSTOM FA||2977.605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1680|L1680 - PELVIC & HIP CONTROL THIGH C||2821.905|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1660|L1660 - HO ABDUCTION STATIC PLASTIC||343.2375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1652|L1652 - HO BI THIGHCUFFS W SPRDR BAR||768.8025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1650|L1650 - HO ABDUCTION HIP ADJUSTABLE||490.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1640|L1640 - PELV BAND/SPREAD BAR THIGH C||925.47|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1630|L1630 - ABDUCT CONTROL HIP SEMI-FLEX||346.005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1620|L1620 - HO FLEX PAVLIK HARNS PRE CST||289.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1610|L1610 - HO FREJKA COV ONLY PRE CST||88.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1600|L1600 - HO FLEX FREJKA W/COV PRE CST||258.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1310|L1310 - POST-OPERATIVE BODY JACKET||3447.45|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1300|L1300 - BODY JACKET MOLD TO PATIENT||3350.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1290|L1290 - LATERAL TROCHANTERIC PAD||200.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1280|L1280 - RIB GUSSET (ELASTIC) EACH||176.76|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1270|L1270 - ABDOMINAL PAD||198.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1260|L1260 - ANTERIOR THORACIC DEROTATION||198.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1250|L1250 - ANTERIOR ASIS PAD||193.2075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1240|L1240 - LUMBAR DEROTATION PAD||196.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1230|L1230 - MILWAUKEE TYPE SUPERSTRUCTUR||1140.12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1220|L1220 - ANTERIOR THORACIC EXTENSION||444.33|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1210|L1210 - LATERAL THORACIC EXTENSION||524.79|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1200|L1200 - FURNSH INITIAL ORTHOSIS ONLY||3485.565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1120|L1120 - COVERS FOR UPRIGHT EACH||87.57|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1110|L1110 - RING FLANGE PLAS/LEATHER MOL||549.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1100|L1100 - RING FLANGE PLASTIC/LEATHER||324.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1090|L1090 - LUMBAR SLING||183.8475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1085|L1085 - OUTRIGGER BIL W/ VERT EXTENS||393.57|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1080|L1080 - OUTRIGGER||141.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1070|L1070 - TRAPEZIUS SLING||204.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1060|L1060 - THORACIC PAD||199.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1050|L1050 - STERNAL PAD||177.2775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1040|L1040 - LUMBAR OR LUMBAR RIB PAD||204.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1030|L1030 - LUMBAR BOLSTER PAD||170.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1025|L1025 - KYPHOSIS PAD FLOATING||254.655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1020|L1020 - KYPHOSIS PAD||224.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1010|L1010 - CTLSO AXILLA SLING||163.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1005|L1005 - TENSION BASED SCOLIOSIS ORTH||6902.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1001|L1001 - CTLSO INFANT IMMOBILIZER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L1000|L1000 - CTLSO MILWAUKE INITIAL MODEL||4071.915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0984|L0984 - PROTECT BODY SOCK EA PRE OTS||121.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0982|L0982 - STOCKING SUP GRIPS 4 PRE OTS||38.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0980|L0980 - PERONEAL STRAPS PAIR PRE OTS||35.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0978|L0978 - AXILLARY CRUTCH EXTENSION||386.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0976|L0976 - LSO FULL CORSET||427.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0974|L0974 - TLSO FULL CORSET||478.7775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0972|L0972 - LSO CORSET FRONT||234.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0970|L0970 - TLSO CORSET FRONT||229.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0861|L0861 - HALO REPL LINER/INTERFACE||464.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0859|L0859 - MRI COMPATIBLE SYSTEM||2443.3425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0830|L0830 - HALO CERV INTO MILWAUKEE TYP||6289.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0820|L0820 - HALO CERVICAL INTO BODY JACK||4355.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0810|L0810 - HALO CERVICAL INTO JCKT VEST||5384.43|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0710|L0710 - CTLSO A-P-L CONTROL W/ INTER||5068.395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0700|L0700 - CTLSO A-P-L CONTROL MOLDED||4643.235|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0651|L0651 - LSO SAG-CO SHELL PNL PRE OTS||2935.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0650|L0650 - LSO SC R ANT/POS PNL PRE OTS||2935.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0649|L0649 - LSO SC R POS/LAT PNL PRE OTS||618.435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0648|L0648 - LSO SAG R AN/POS PNL PRE OTS||2213.9325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0643|L0643 - LSO SAG CTR RIGI POS PRE OTS||349.2225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0642|L0642 - LO SAG RI AN/POS PNL PRE OTS||886.5225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0641|L0641 - LO RIG POS PNL L1-L5 PRE OTS||168.12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0640|L0640 - LSO S/C SHELL/PANEL CUSTOM||2256.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0639|L0639 - LSO S/C SHELL/PANEL PREFAB||2935.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0638|L0638 - LSO SAG-CORONAL PANEL CUSTOM||2844.3825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0637|L0637 - LSO SC R ANT/POS PNL PRE CST||2935.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0636|L0636 - LSO SAGITTAL RIGID PANEL CUS||3383.8425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0635|L0635 - LSO SAGIT RIGID PANEL PREFAB||2293.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0634|L0634 - LSO FLEXION CONTROL CUSTOM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0633|L0633 - LSO SC R POS/LAT PNL PRE CST||618.435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0632|L0632 - LSO SAG RIGID FRAME CUST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0631|L0631 - LSO SAG R AN/POS PNL PRE CST||2213.9325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0630|L0630 - LSO R POST PNL SJ-T9 PRE CST||349.2225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0629|L0629 - LSO FLEX W/RIGID STAYS CUST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0628|L0628 - LSO FLEX NO RI STAYS PRE OTS||180.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0627|L0627 - LO SAG RI AN/POS PNL PRE CST||886.5225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0626|L0626 - LO SAG RIG PNL STAYS PRE CST||168.12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0625|L0625 - LO FLEX L1-BELOW L5 PRE OTS||118.845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0624|L0624 - SIO PANEL CUSTOM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0623|L0623 - SIO RIG PNL PELV/SAC PRE OTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0622|L0622 - SIO FLEX PELVISACRAL CUSTOM||521.4375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0621|L0621 - SIO FLEX PELVIC/SACR PRE OTS||192.3075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0492|L0492 - TLSO 3 PIECE RIGID SHELL||1073.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0491|L0491 - TLSO 2 PIECE RIGID SHELL||1656.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0490|L0490 - TLSO RIGID PLASTIC PRE ONE||610.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0488|L0488 - TLSO RIGID LINED PRE ONE PIE||2164.905|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0486|L0486 - TLSO RIGIDLINED CUST FAB TWO||3781.53|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0484|L0484 - TLSO RIGID PLASTIC CUST FAB||3817.3275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0482|L0482 - TLSO RIGID LINED CUSTOM FAB||3273.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0480|L0480 - TLSO RIGID PLASTIC CUSTOM FA||2855.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0472|L0472 - TLSO RIGID FRAME HYPEREX PRE||923.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0470|L0470 - TLSO RIGID FRAME PRE SUBCLAV||1471.365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0469|L0469 - TLSO RIG FRAM PELVIC PRE OTS||1033.47|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0468|L0468 - TLSO RIG FRAM PELVIC PRE CST||1033.47|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0467|L0467 - TLSO R FRAM SOFT PRE OTS||824.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0466|L0466 - TLSO R FRAM SOFT ANT PRE CST||824.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0464|L0464 - TLSO 4MOD SACRO-SCAP PRE||3205.665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0462|L0462 - TLSO 3MOD SACRO-SCAP PRE||2692.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0460|L0460 - TLSO 2 SHL SYMPHYS-STERN CST||2164.905|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0458|L0458 - TLSO 2MOD SYMPHIS-XIPHO PRE||1923.345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0457|L0457 - TLSO FLEX TRNK SJ-SS PRE OTS||2144.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0456|L0456 - TLSO FLEX TRNK SJ-SS PRE CST||2144.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0455|L0455 - TLSO FLEX TRNK SJ-T9 PRE OTS||747.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0454|L0454 - TLSO TRNK SJ-T9 PRE CST||747.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0452|L0452 - TLSO FLEX CUSTOM FAB THORACI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0450|L0450 - TLSO FLEX TRUNK/THOR PRE OTS||405.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0220|L0220 - THOR RIB BELT CUSTOM FABRICA||245.6325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0200|L0200 - CERV COL SUPP ADJ BAR & THOR||1035.72|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0190|L0190 - CERV COLLAR SUPP ADJ CERV BA||1127.97|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0180|L0180 - CER POST COL OCC/MAN SUP ADJ||749.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0174|L0174 - CERV SR 2PC THOR EXT PRE OTS||550.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0172|L0172 - CERV COL SR FOAM 2PC PRE OTS||306.6975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0170|L0170 - CERVICAL COLLAR MOLDED TO PT||1512.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0160|L0160 - CERV SR WIRE OCC/MAN PRE OTS||357.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0150|L0150 - CERV SEMI-RIG ADJ MOLDED CHN||251.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0140|L0140 - CERVICAL SEMI-RIGID ADJUSTAB||150.5475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0130|L0130 - FLEX THERMOPLASTIC COLLAR MO||436.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0120|L0120 - CERV FLEX N/ADJ FOAM PRE OTS||60.3225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0113|L0113 - CRANIAL CERVICAL TORTICOLLIS||615.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|L0112|L0112 - CRANIAL CERVICAL ORTHOSIS||3018.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0902|K0902 - KO DOUBLE UPRIGHT PRE OTS||2020.005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0901|K0901 - KO SINGLE UPRIGHT PRE OTS||1935.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0864|K0864 - PWC GP3 XHD MULT POW OPT S/B|RR|3847.5675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0863|K0863 - PWC GP3 VHD MULT POW OPT S/B|RR|3233.2275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0862|K0862 - PWC GP3 HD MULT POW OPT S/B|RR|2263.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0861|K0861 - PWC GP3 STD MULT POW OPT S/B|RR|1827.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0860|K0860 - PWC GP3 VHD SING POW OPT S/B|RR|3233.2275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0859|K0859 - PWC GP3 HD SING POW OPT CAP|RR|2158.38|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0858|K0858 - PWC GP3 HD SING POW OPT S/B|RR|2263.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0857|K0857 - PWC GP3 STD SING POW OPT CAP|RR|1860.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0856|K0856 - PWC GP3 STD SING POW OPT S/B|RR|1824.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0855|K0855 - PWC GP 3 XHD CAP CHAIR|RR|2928.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0854|K0854 - PWC GP 3 XHD SEAT/BACK|RR|3099.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0853|K0853 - PWC GP 3 VHD CAP CHAIR|RR|2339.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0852|K0852 - PWC GP 3 VHD SEAT/BACK|RR|2277.6075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0851|K0851 - PWC GP 3 HD CAP CHAIR|RR|1895.3325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0850|K0850 - PWC GP 3 HD SEAT/BACK|RR|1971.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0849|K0849 - PWC GP 3 STD CAP CHAIR|RR|1633.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0848|K0848 - PWC GP 3 STD SEAT/BACK|RR|1699.38|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0843|K0843 - PWC GP2 HD MULT POW OPT S/B|RR|1335.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0842|K0842 - PWC GP2 STD MULT POW OPT CAP|RR|1115.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0841|K0841 - PWC GP2 STD MULT POW OPT S/B|RR|1115.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0840|K0840 - PWC GP2 XHD SING POW OPT S/B|RR|2505.15|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0839|K0839 - PWC GP2 VHD SING POW OPT S/B|RR|1645.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0838|K0838 - PWC GP 2 HD SING POW OPT CAP|RR|1121.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0837|K0837 - PWC GP 2 HD SING POW OPT S/B|RR|1258.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0836|K0836 - PWC GP2 STD SING POW OPT CAP|RR|1064.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0835|K0835 - PWC GP2 STD SING POW OPT S/B|RR|1026.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0829|K0829 - PWC GP 2 XTRA HD CAP CHAIR|RR|1828.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0828|K0828 - PWC GP 2 XTRA HD SEAT/BACK|RR|1932.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0827|K0827 - PWC GP VHD CAP CHAIR|RR|1504.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0826|K0826 - PWC GP 2 VHD SEAT/BACK|RR|1752.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0825|K0825 - PWC GP 2 HD CAP CHAIR|RR|1157.2425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0824|K0824 - PWC GP 2 HD SEAT/BACK|RR|1282.9275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0823|K0823 - PWC GP 2 STD CAP CHAIR|RR|984.8025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0822|K0822 - PWC GP 2 STD SEAT/BACK|RR|1013.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0821|K0821 - PWC GP 2 STD PORT CAP CHAIR|RR|867.285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0820|K0820 - PWC GP 2 STD PORT SEAT/BACK|RR|727.335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0816|K0816 - PWC GP 1 STD CAP CHAIR|RR|876.915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0815|K0815 - PWC GP 1 STD SEAT/BACK|RR|878.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0814|K0814 - PWC GP 1 STD PORT CAP CHAIR|RR|821.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0813|K0813 - PWC GP 1 STD PORT SEAT/BACK|RR|683.8425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0808|K0808 - POV GROUP 2 VHD 451-600 LBS|UE|5566.1175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0808|K0808 - POV GROUP 2 VHD 451-600 LBS|RR|742.14|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0808|K0808 - POV GROUP 2 VHD 451-600 LBS|NU|7421.49|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0807|K0807 - POV GROUP 2 HD 301-450 LBS|UE|3599.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0807|K0807 - POV GROUP 2 HD 301-450 LBS|RR|479.88|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0807|K0807 - POV GROUP 2 HD 301-450 LBS|NU|4798.71|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0806|K0806 - POV GROUP 2 STD UP TO 300LBS|UE|2348.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0806|K0806 - POV GROUP 2 STD UP TO 300LBS|RR|313.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0806|K0806 - POV GROUP 2 STD UP TO 300LBS|NU|3131.4375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0802|K0802 - POV GROUP 1 VHD 451-600 LBS|UE|3426.48|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0802|K0802 - POV GROUP 1 VHD 451-600 LBS|RR|456.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0802|K0802 - POV GROUP 1 VHD 451-600 LBS|NU|4568.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0801|K0801 - POV GROUP 1 HD 301-450 LBS|UE|2968.7625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0801|K0801 - POV GROUP 1 HD 301-450 LBS|RR|395.7975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0801|K0801 - POV GROUP 1 HD 301-450 LBS|NU|3958.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0800|K0800 - POV GROUP 1 STD UP TO 300LBS|UE|1747.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0800|K0800 - POV GROUP 1 STD UP TO 300LBS|RR|233.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0800|K0800 - POV GROUP 1 STD UP TO 300LBS|NU|2330.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0738|K0738 - PORTABLE GAS OXYGEN SYSTEM|RR|105.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0733|K0733 - 12-24HR SEALED LEAD ACID|UE|46.3275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0733|K0733 - 12-24HR SEALED LEAD ACID|RR|6.1875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0733|K0733 - 12-24HR SEALED LEAD ACID|NU|61.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0730|K0730 - CTRL DOSE INH DRUG DELIV SYS|RR|428.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0672|K0672 - REMOVABLE SOFT INTERFACE LE||182.88|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0609|K0609 - REPL ELECTRODE FOR AED|KF|2226.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0609|K0609 - REPL ELECTRODE FOR AED||2005.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0608|K0608 - REPL GARMENT FOR AED|UE|226.125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0608|K0608 - REPL GARMENT FOR AED|RR|30.2175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0608|K0608 - REPL GARMENT FOR AED|NU|301.4775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0607|K0607 - REPL BATT FOR AED|RR|48.33|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0606|K0606 - AED GARMENT W ELEC ANALYSIS|RR|6263.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0605|K0605 - REPL BATT LITHIUM 4.5 V|NU|35.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0604|K0604 - REPL BATT LITHIUM 3.6 V|NU|14.7825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0603|K0603 - REPL BATT ALKALINE 1.5 V|NU|1.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0602|K0602 - REPL BATT SILVER OXIDE 3 V|NU|15.39|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0601|K0601 - REPL BATT SILVER OXIDE 1.5 V|NU|2.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0552|K0552 - SUP/EXT NON-INS INF PUMP SYR||6.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0455|K0455 - PUMP UNINTERRUPTED INFUSION|RR|639.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0195|K0195 - ELEVATING WHLCHAIR LEG RESTS|RR|35.8875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0105|K0105 - IV HANGER|UE|173.8125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0105|K0105 - IV HANGER|RR|23.175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0105|K0105 - IV HANGER|NU|231.7275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0098|"K0098 - DRIVE BELT FOR PWC| REPL"|UE|41.4225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0098|"K0098 - DRIVE BELT FOR PWC| REPL"|RR|5.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0098|"K0098 - DRIVE BELT FOR PWC| REPL"|NU|55.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0077|K0077 - FR CSTR ASMB SOL TIRE REP EA|UE|97.6725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0077|K0077 - FR CSTR ASMB SOL TIRE REP EA|RR|13.005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0077|K0077 - FR CSTR ASMB SOL TIRE REP EA|NU|130.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0073|K0073 - CASTER PIN LOCK EACH|UE|61.605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0073|K0073 - CASTER PIN LOCK EACH|RR|8.2125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0073|K0073 - CASTER PIN LOCK EACH|NU|82.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0072|K0072 - FR CSTR SEMI-PNE TIRE REP EA|UE|115.2225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0072|K0072 - FR CSTR SEMI-PNE TIRE REP EA|RR|15.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0072|K0072 - FR CSTR SEMI-PNE TIRE REP EA|NU|153.6525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0071|K0071 - FR CSTR COMP PNE TIRE REP EA|UE|189.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0071|K0071 - FR CSTR COMP PNE TIRE REP EA|RR|25.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0071|K0071 - FR CSTR COMP PNE TIRE REP EA|NU|252.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0070|K0070 - RR WHL COMPL PNE TIRE REP EA|UE|303.9525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0070|K0070 - RR WHL COMPL PNE TIRE REP EA|RR|40.545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0070|K0070 - RR WHL COMPL PNE TIRE REP EA|NU|405.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0069|K0069 - RR WHL COMPL SOL TIRE REP EA|UE|166.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0069|K0069 - RR WHL COMPL SOL TIRE REP EA|RR|22.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0069|K0069 - RR WHL COMPL SOL TIRE REP EA|NU|222.0075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0065|K0065 - SPOKE PROTECTORS|UE|77.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0065|K0065 - SPOKE PROTECTORS|RR|10.395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0065|K0065 - SPOKE PROTECTORS|NU|103.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0056|K0056 - SEAT HT <17 OR >=21 LTWT WC|UE|160.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0056|K0056 - SEAT HT <17 OR >=21 LTWT WC|RR|21.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0056|K0056 - SEAT HT <17 OR >=21 LTWT WC|NU|214.5825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0053|K0053 - ELEVATE FOOTREST ARTICULATE|UE|150.7275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0053|K0053 - ELEVATE FOOTREST ARTICULATE|RR|20.0925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0053|K0053 - ELEVATE FOOTREST ARTICULATE|NU|200.97|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0052|K0052 - SWINGAWAY DETACH FTREST REPL|UE|130.1175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0052|K0052 - SWINGAWAY DETACH FTREST REPL|RR|17.3475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0052|K0052 - SWINGAWAY DETACH FTREST REPL|NU|173.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0051|K0051 - CAM REL ASM FT/LEGRST REP EA|UE|81.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0051|K0051 - CAM REL ASM FT/LEGRST REP EA|RR|10.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0051|K0051 - CAM REL ASM FT/LEGRST REP EA|NU|108.495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0050|K0050 - RATCHET ASSEMBLY REPLACEMENT|UE|50.85|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0050|K0050 - RATCHET ASSEMBLY REPLACEMENT|RR|6.7725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0050|K0050 - RATCHET ASSEMBLY REPLACEMENT|NU|67.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0047|K0047 - ELEV LEGRST UPR HANGR REP EA|UE|114.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0047|K0047 - ELEV LEGRST UPR HANGR REP EA|RR|15.3225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0047|K0047 - ELEV LEGRST UPR HANGR REP EA|NU|152.9775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0046|K0046 - ELEV LGRST LWR EXTEN REPL EA|UE|30.8025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0046|K0046 - ELEV LGRST LWR EXTEN REPL EA|RR|4.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0046|K0046 - ELEV LGRST LWR EXTEN REPL EA|NU|41.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0045|K0045 - FTRST COMPL ASSEMBLY REPL EA|UE|88.38|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0045|K0045 - FTRST COMPL ASSEMBLY REPL EA|RR|11.97|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0045|K0045 - FTRST COMPL ASSEMBLY REPL EA|NU|117.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0044|K0044 - FTRST UPR HANGER BRAC REP EA|UE|26.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0044|K0044 - FTRST UPR HANGER BRAC REP EA|RR|3.5325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0044|K0044 - FTRST UPR HANGER BRAC REP EA|NU|35.2125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0043|K0043 - FTRST LOWR EXTEN TUBE REP EA|UE|30.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0043|K0043 - FTRST LOWR EXTEN TUBE REP EA|RR|4.0725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0043|K0043 - FTRST LOWR EXTEN TUBE REP EA|NU|40.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0042|K0042 - STANDARD SIZE FTPLATE REP EA|UE|53.5275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0042|K0042 - STANDARD SIZE FTPLATE REP EA|RR|7.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0042|K0042 - STANDARD SIZE FTPLATE REP EA|NU|71.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0041|K0041 - LARGE SIZE FOOTPLATE EACH|UE|80.3025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0041|K0041 - LARGE SIZE FOOTPLATE EACH|RR|10.755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0041|K0041 - LARGE SIZE FOOTPLATE EACH|NU|107.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0040|K0040 - ADJUSTABLE ANGLE FOOTPLATE|UE|101.88|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0040|K0040 - ADJUSTABLE ANGLE FOOTPLATE|RR|13.5675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0040|K0040 - ADJUSTABLE ANGLE FOOTPLATE|NU|135.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0039|K0039 - LEG STRAP H STYLE EACH|UE|82.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0039|K0039 - LEG STRAP H STYLE EACH|RR|11.07|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0039|K0039 - LEG STRAP H STYLE EACH|NU|110.43|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0038|K0038 - LEG STRAP EACH|UE|37.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0038|K0038 - LEG STRAP EACH|RR|5.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0038|K0038 - LEG STRAP EACH|NU|50.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0037|K0037 - HI MOUNT FLIP-UP FOOTREST EA|UE|73.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0037|K0037 - HI MOUNT FLIP-UP FOOTREST EA|RR|9.2025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0037|K0037 - HI MOUNT FLIP-UP FOOTREST EA|NU|97.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0020|K0020 - FIXED ADJUST ARMREST PAIR|UE|73.4175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0020|K0020 - FIXED ADJUST ARMREST PAIR|RR|9.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0020|K0020 - FIXED ADJUST ARMREST PAIR|NU|97.8975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0019|"K0019 - ARM PAD REPL| EACH"|UE|23.22|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0019|"K0019 - ARM PAD REPL| EACH"|RR|3.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0019|"K0019 - ARM PAD REPL| EACH"|NU|30.9375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0018|K0018 - DETACH ADJUST ARMRST UPPER|UE|43.7625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0018|K0018 - DETACH ADJUST ARMRST UPPER|RR|5.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0018|K0018 - DETACH ADJUST ARMRST UPPER|NU|58.3425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0017|K0017 - DETACH ADJUST ARMREST BASE|UE|77.895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0017|K0017 - DETACH ADJUST ARMREST BASE|RR|10.395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0017|K0017 - DETACH ADJUST ARMREST BASE|NU|103.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0015|K0015 - DETACH NON-ADJ HT ARMRST REP|UE|253.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0015|K0015 - DETACH NON-ADJ HT ARMRST REP|RR|33.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0015|K0015 - DETACH NON-ADJ HT ARMRST REP|NU|337.4775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0012|K0012 - LTWT PORTBL POWER WHLCHR|RR|783.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0011|K0011 - STND WT PWR WHLCHR W CONTROL|RR|1274.1975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0010|K0010 - STND WT FRAME POWER WHLCHR|RR|900.6525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0009|K0009 - OTHER MANUAL WHEELCHAIR/BASE|RR|184.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0007|K0007 - EXTRA HEAVY DUTY WHEELCHAIR|RR|333.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0006|K0006 - HEAVY DUTY WHEELCHAIR|RR|234.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0005|K0005 - ULTRALIGHTWEIGHT WHEELCHAIR|UE|3448.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0005|K0005 - ULTRALIGHTWEIGHT WHEELCHAIR|RR|459.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0005|K0005 - ULTRALIGHTWEIGHT WHEELCHAIR|NU|4598.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0004|K0004 - HIGH STRENGTH LTWT WHLCHR|RR|201.9375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0003|K0003 - LIGHTWEIGHT WHEELCHAIR|RR|158.355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0002|K0002 - STND HEMI (LOW SEAT) WHLCHR|RR|136.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|K0001|K0001 - STANDARD WHEELCHAIR|RR|89.7525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9999|J9999 - CHEMOTHERAPY DRUG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9600|J9600 - PORFIMER SODIUM INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9400|"J9400 - INJ| ZIV-AFLIBERCEPT| 1 MG"||18.4725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9395|"J9395 - INJECTION| FULVESTRANT"||210.5573|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9390|J9390 - VINORELBINE TARTRATE INJ||24.759|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9371|"J9371 - INJ| VINCRISTINE SUL LIP 1 MG"||5220.4252|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9370|J9370 - VINCRISTINE SULFATE 1 MG INJ||14.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9360|J9360 - VINBLASTINE SULFATE INJ||6.7162|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9357|J9357 - VALRUBICIN INJECTION||2506.8668|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9355|J9355 - TRASTUZUMAB INJECTION||201.3997|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9354|"J9354 - INJ| ADO-TRASTUZUMAB EMT 1 MG"||65.727|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9351|J9351 - TOPOTECAN INJECTION||4.509|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9340|J9340 - THIOTEPA INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9330|J9330 - TEMSIROLIMUS INJECTION||143.4083|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9328|J9328 - TEMOZOLOMIDE INJECTION||15.1627|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9320|J9320 - STREPTOZOCIN INJECTION||720.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9315|J9315 - ROMIDEPSIN INJECTION||673.4317|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9310|J9310 - RITUXIMAB INJECTION||1730.2815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9308|"J9308 - INJECTION| RAMUCIRUMAB"||121.5337|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9307|J9307 - PRALATREXATE INJECTION||498.9442|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9306|"J9306 - INJECTION| PERTUZUMAB| 1 MG"||23.5508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9305|J9305 - PEMETREXED INJECTION||138.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9303|J9303 - PANITUMUMAB INJECTION||232.623|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9302|J9302 - OFATUMUMAB INJECTION||113.6857|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9301|J9301 - OBINUTUZUMAB INJ||124.5487|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9300|J9300 - GEMTUZUMAB OZOGAMICIN INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9299|"J9299 - INJECTION| NIVOLUMAB"||57.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9293|J9293 - MITOXANTRONE HYDROCHL / 5 MG||61.5735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9280|J9280 - MITOMYCIN INJECTION||242.1067|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9271|J9271 - INJ PEMBROLIZUMAB||102.8137|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9270|J9270 - PLICAMYCIN (MITHRAMYCIN) INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9268|J9268 - PENTOSTATIN INJECTION||3646.6583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9267|J9267 - PACLITAXEL INJECTION||0.3443|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9266|J9266 - PEGASPARGASE INJECTION||20153.6415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9264|J9264 - PACLITAXEL PROTEIN BOUND||22.5742|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9263|J9263 - OXALIPLATIN||0.8708|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9262|"J9262 - INJ| OMACETAXINE MEP| 0.01 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9261|J9261 - NELARABINE INJECTION||333.2677|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9260|J9260 - METHOTREXATE SODIUM INJ||5.1953|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9250|J9250 - METHOTREXATE SODIUM INJ||0.5198|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9245|J9245 - INJ MELPHALAN HYDROCHL 50 MG||3609.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9230|J9230 - MECHLORETHAMINE HCL INJ||543.8565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9228|J9228 - IPILIMUMAB INJECTION||313.3283|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9226|J9226 - SUPPRELIN LA IMPLANT||53523.8843|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9225|J9225 - VANTAS IMPLANT||6766.6433|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9219|J9219 - LEUPROLIDE ACETATE IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9218|J9218 - LEUPROLIDE ACETATE INJECITON||36.3623|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9217|J9217 - LEUPROLIDE ACETATE SUSPNSION||568.323|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9216|J9216 - INTERFERON GAMMA 1-B INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9215|J9215 - INTERFERON ALFA-N3 INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9214|J9214 - INTERFERON ALFA-2B INJ||53.7773|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9213|J9213 - INTERFERON ALFA-2A INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9212|J9212 - INTERFERON ALFACON-1 INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9211|J9211 - IDARUBICIN HCL INJECTION||87.8715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9209|J9209 - MESNA INJECTION||9.3465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9208|J9208 - IFOSFAMIDE INJECTION||69.606|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9207|J9207 - IXABEPILONE INJECTION||165.312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9206|J9206 - IRINOTECAN INJECTION||9.3937|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9202|J9202 - GOSERELIN ACETATE IMPLANT||622.4918|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9201|J9201 - GEMCITABINE HCL INJECTION||19.6133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9200|J9200 - FLOXURIDINE INJECTION||156.5865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9190|J9190 - FLUOROURACIL INJECTION||4.0657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9185|J9185 - FLUDARABINE PHOSPHATE INJ||151.6343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9181|J9181 - ETOPOSIDE INJECTION||1.4198|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9179|J9179 - ERIBULIN MESYLATE INJECTION||234.9562|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9178|"J9178 - INJ| EPIRUBICIN HCL| 2 MG"||3.627|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9175|J9175 - ELLIOTTS B SOLUTION PER ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9171|J9171 - DOCETAXEL INJECTION||5.8388|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9165|J9165 - DIETHYLSTILBESTROL INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9160|J9160 - DENILEUKIN DIFTITOX INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9155|J9155 - DEGARELIX INJECTION||8.208|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9151|J9151 - DAUNORUBICIN CITRATE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9150|J9150 - DAUNORUBICIN INJECTION||59.544|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9130|J9130 - DACARBAZINE 100 MG INJ||8.5095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9120|J9120 - DACTINOMYCIN INJECTION||2610.765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9100|J9100 - CYTARABINE HCL 100 MG INJ||1.9868|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9098|J9098 - CYTARABINE LIPOSOME INJ||1308.0285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9070|J9070 - CYCLOPHOSPHAMIDE 100 MG INJ||109.512|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9065|J9065 - INJ CLADRIBINE PER 1 MG||39.456|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9060|J9060 - CISPLATIN 10 MG INJECTION||3.492|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9055|J9055 - CETUXIMAB INJECTION||121.0702|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9050|J9050 - CARMUSTINE INJECTION||7239.4042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9047|"J9047 - INJECTION| CARFILZOMIB| 1 MG"||69.48|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9045|J9045 - CARBOPLATIN INJECTION||8.1697|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9043|J9043 - CABAZITAXEL INJECTION||332.3633|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9042|J9042 - BRENTUXIMAB VEDOTIN INJ||279.9495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9041|"J9041 - INJ.| VELCADE 0.1 MG"||105.2055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9040|J9040 - BLEOMYCIN SULFATE INJECTION||47.691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9039|"J9039 - INJECTION| BLINATUMOMAB"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9035|J9035 - BEVACIZUMAB INJECTION||159.3945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9033|"J9033 - INJ.| TREANDA 1 MG"||55.3185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9032|"J9032 - INJECTION| BELINOSTAT| 10MG"||73.125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9031|J9031 - BCG LIVE INTRAVESICAL VAC||278.4577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9027|J9027 - CLOFARABINE INJECTION||311.2268|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9025|J9025 - AZACITIDINE INJECTION||6.7342|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9020|"J9020 - ASPARAGINASE| NOS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9019|J9019 - ERWINAZE INJECTION||874.5435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9017|J9017 - ARSENIC TRIOXIDE INJECTION||133.3395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9015|J9015 - ALDESLEUKIN INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J9000|J9000 - DOXORUBICIN HCL INJECTION||6.9795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8999|J8999 - ORAL PRESCRIPTION DRUG CHEMO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8705|J8705 - TOPOTECAN ORAL||227.619|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8700|J8700 - TEMOZOLOMIDE||8.1428|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8655|"J8655 - ORAL NETUPITANT| PALONOSETRO"||1111.6755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8650|J8650 - NABILONE ORAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8610|J8610 - METHOTREXATE ORAL 2.5 MG||3.114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8600|J8600 - MELPHALAN ORAL 2 MG||25.2328|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8597|J8597 - ANTIEMETIC DRUG ORAL NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8565|J8565 - GEFITINIB ORAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8562|J8562 - ORAL FLUDARABINE PHOSPHATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8560|J8560 - ETOPOSIDE ORAL 50 MG||154.395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8540|J8540 - ORAL DEXAMETHASONE||0.279|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8530|J8530 - CYCLOPHOSPHAMIDE ORAL 25 MG||8.2687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8521|"J8521 - CAPECITABINE| ORAL| 500 MG"||37.4557|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8520|"J8520 - CAPECITABINE| ORAL| 150 MG"||11.7855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8515|"J8515 - CABERGOLINE| ORAL 0.25MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8510|J8510 - ORAL BUSULFAN||27.7695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8501|J8501 - ORAL APREPITANT||22.959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8499|J8499 - ORAL PRESCRIP DRUG NON CHEMO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J8498|J8498 - ANTIEMETIC RECTAL/SUPP NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7999|"J7999 - COMPOUNDED DRUG| NOC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7799|J7799 - NON-INHALATION DRUG FOR DME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7699|J7699 - INHALATION SOLUTION FOR DME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7686|"J7686 - TREPROSTINIL| NON-COMP UNIT"||1139.4832|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7685|J7685 - TOBRAMYCIN COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7684|J7684 - TRIAMCINOLONE COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7683|J7683 - TRIAMCINOLONE COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7682|J7682 - TOBRAMYCIN NON-COMP UNIT||125.118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7681|J7681 - TERBUTALINE SULF COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7680|J7680 - TERBUTALINE SULF COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7676|J7676 - PENTAMIDINE COMP UNIT DOSE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7674|"J7674 - METHACHOLINE CHLORIDE| NEB"||1.1587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7670|J7670 - METAPROTERENOL COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7669|J7669 - METAPROTERENOL NON-COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7668|J7668 - METAPROTERENOL NON-COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7667|J7667 - METAPROTERENOL COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7665|J7665 - MANNITOL FOR INHALER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7660|J7660 - ISOPROTERENOL COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7659|J7659 - ISOPROTERENOL NON-COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7658|J7658 - ISOPROTERENOL NON-COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7657|J7657 - ISOPROTERENOL COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7650|J7650 - ISOETHARINE COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7649|J7649 - ISOETHARINE NON-COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7648|J7648 - ISOETHARINE NON-COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7647|J7647 - ISOETHARINE COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7645|J7645 - IPRATROPIUM BROMIDE COMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7644|J7644 - IPRATROPIUM BROMIDE NON-COMP||0.4748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7643|J7643 - GLYCOPYRROLATE COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7642|J7642 - GLYCOPYRROLATE COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7641|J7641 - FLUNISOLIDE COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7640|J7640 - FORMOTEROL COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7639|J7639 - DORNASE ALFA NON-COMP UNIT||87.7163|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7638|J7638 - DEXAMETHASONE COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7637|J7637 - DEXAMETHASONE COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7636|J7636 - ATROPINE COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7635|J7635 - ATROPINE COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7634|J7634 - BUDESONIDE COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7633|J7633 - BUDESONIDE NON-COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7632|J7632 - CROMOLYN SODIUM COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7631|J7631 - CROMOLYN SODIUM NONCOMP UNIT||1.7933|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7629|J7629 - BITOLTEROL MESYLATE COMP UNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7628|J7628 - BITOLTEROL MESYLATE COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7627|J7627 - BUDESONIDE COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7626|J7626 - BUDESONIDE NON-COMP UNIT||11.961|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7624|J7624 - BETAMETHASONE COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7622|J7622 - BECLOMETHASONE COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7620|J7620 - ALBUTEROL IPRATROP NON-COMP||0.3465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7615|J7615 - LEVALBUTEROL COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7614|J7614 - LEVALBUTEROL NON-COMP UNIT||0.1732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7613|J7613 - ALBUTEROL NON-COMP UNIT||0.1057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7612|J7612 - LEVALBUTEROL NON-COMP CON||0.6367|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7611|J7611 - ALBUTEROL NON-COMP CON||0.261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7610|J7610 - ALBUTEROL COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7609|J7609 - ALBUTEROL COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7608|J7608 - ACETYLCYSTEINE NON-COMP UNIT||9.0517|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7607|J7607 - LEVALBUTEROL COMP CON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7606|"J7606 - FORMOTEROL FUMARATE| INH"||21.1635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7605|J7605 - ARFORMOTEROL NON-COMP UNIT||18.5805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7604|J7604 - ACETYLCYSTEINE COMP UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7599|J7599 - IMMUNOSUPPRESSIVE DRUG NOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7527|J7527 - ORAL EVEROLIMUS||16.8637|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7525|J7525 - TACROLIMUS INJECTION||369.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7520|"J7520 - SIROLIMUS| ORAL"||21.753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7518|J7518 - MYCOPHENOLIC ACID||6.8805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7517|J7517 - MYCOPHENOLATE MOFETIL ORAL||2.2657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7516|J7516 - CYCLOSPORIN PARENTERAL 250MG||96.0615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7515|J7515 - CYCLOSPORINE ORAL 25 MG||2.1938|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7513|"J7513 - DACLIZUMAB| PARENTERAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7512|J7512 - PREDNISONE IR OR DR ORAL 1 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7511|J7511 - ANTITHYMOCYTE GLOBULN RABBIT||1446.7523|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7510|J7510 - PREDNISOLONE ORAL PER 5 MG||0.2812|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7509|J7509 - METHYLPREDNISOLONE ORAL||0.738|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7508|J7508 - TACROL ASTAGRAF EX REL ORAL||0.882|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7507|J7507 - TACROLIMUS IMME REL ORAL 1MG||1.9125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7506|J7506 - PREDNISONE ORAL PER 5 MG||0.1417|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7505|J7505 - MONOCLONAL ANTIBODIES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7504|J7504 - LYMPHOCYTE IMMUNE GLOBULIN||2558.0993|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7503|J7503 - TACROL ENVARSUS EX REL ORAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7502|J7502 - CYCLOSPORINE ORAL 100 MG||7.56|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7501|J7501 - AZATHIOPRINE PARENTERAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7500|J7500 - AZATHIOPRINE ORAL 50MG||0.8077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7340|J7340 - CARBIDOPA LEVODOPA ENT 100ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7336|J7336 - CAPSAICIN 8% PATCH||6.5047|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7330|J7330 - CULTURED CHONDROCYTES IMPLNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7328|J7328 - GELSYN-3 INJECTION 0.1 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7327|J7327 - MONOVISC INJ PER DOSE||2103.7545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7326|J7326 - GEL-ONE||1268.1293|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7325|J7325 - SYNVISC OR SYNVISC-ONE||29.5403|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7324|J7324 - ORTHOVISC INJ PER DOSE||379.2172|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7323|J7323 - EUFLEXXA INJ PER DOSE||335.466|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7321|J7321 - HYALGAN SUPARTZ VISCO-3 DOSE||198.261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7316|"J7316 - INJ| OCRIPLASMIN| 0.125 MG"||2355.1875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7315|J7315 - OPHTHALMIC MITOMYCIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7313|J7313 - FLUOCINOL ACET INTRAVIT IMP||1104.6308|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7312|J7312 - DEXAMETHASONE INTRA IMPLANT||452.511|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7311|J7311 - FLUOCINOLONE ACETONIDE IMPLT||45338.6947|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7310|J7310 - GANCICLOVIR LONG ACT IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7309|"J7309 - METHYL AMINOLEVULINATE| TOP"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7308|J7308 - AMINOLEVULINIC ACID HCL TOP||658.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7307|J7307 - ETONOGESTREL IMPLANT SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7306|J7306 - LEVONORGESTREL IMPLANT SYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7304|J7304 - CONTRACEPTIVE HORMONE PATCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7303|J7303 - CONTRACEPTIVE VAGINAL RING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7301|"J7301 - SKYLA| 13.5 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7300|J7300 - INTRAUT COPPER CONTRACEPTIVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7298|"J7298 - MIRENA| 52 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7297|"J7297 - LILETTA| 52 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7205|J7205 - FACTOR VIII FC FUSION RECOMB||4.2615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7201|J7201 - FACTOR IX ALPROLIX RECOMB||6.3157|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7200|J7200 - FACTOR IX RECOMBINAN RIXUBIS||2.7855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7199|J7199 - HEMOPHILIA CLOT FACTOR NOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7198|J7198 - ANTI-INHIBITOR||4.275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7197|J7197 - ANTITHROMBIN III INJECTION||8.1338|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7196|J7196 - ANTITHROMBIN RECOMBINANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7195|J7195 - FACTOR IX RECOMBINANT NOS||3.2692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7194|J7194 - FACTOR IX COMPLEX||2.7338|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7193|J7193 - FACTOR IX NON-RECOMBINANT||2.466|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7192|J7192 - FACTOR VIII RECOMBINANT NOS||2.6482|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7191|J7191 - FACTOR VIII (PORCINE)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7190|J7190 - FACTOR VIII||2.1578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7189|J7189 - FACTOR VIIA||4.428|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7188|J7188 - FACTOR VIII RECOMB OBIZUR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7187|"J7187 - HUMATE-P| INJ"||2.241|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7186|J7186 - ANTIHEMOPHILIC VIII/VWF COMP||2.1713|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7185|J7185 - XYNTHA INJ||2.7518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7183|J7183 - WILATE INJECTION||2.2477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7182|J7182 - FACTOR VIII RECOMB NOVOEIGHT||3.2715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7181|J7181 - FACTOR XIII RECOMB A-SUBUNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7180|J7180 - FACTOR XIII ANTI-HEM FACTOR||17.4915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7178|J7178 - INJ HUMAN FIBRINOGEN CON NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7131|J7131 - HYPERTONIC SALINE SOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7121|J7121 - 5% DEXTROSE IN LAC RINGERS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7120|J7120 - RINGERS LACTATE INFUSION||4.104|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7110|J7110 - DEXTRAN 75 INFUSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7100|J7100 - DEXTRAN 40 INFUSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7070|J7070 - D5W INFUSION||8.0505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7060|J7060 - 5% DEXTROSE/WATER||4.1377|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7050|J7050 - NORMAL SALINE SOLUTION INFUS||1.035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7042|J7042 - 5% DEXTROSE/NORMAL SALINE||1.3365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7040|J7040 - NORMAL SALINE SOLUTION INFUS||2.1105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J7030|J7030 - NORMAL SALINE SOLUTION INFUS||4.2233|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3590|J3590 - UNCLASSIFIED BIOLOGICS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3570|J3570 - LAETRILE AMYGDALIN VIT B17||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3535|J3535 - METERED DOSE INHALER DRUG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3530|J3530 - NASAL VACCINE INHALATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3520|J3520 - EDETATE DISODIUM PER 150 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3490|J3490 - DRUGS UNCLASSIFIED INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3489|J3489 - ZOLEDRONIC ACID 1MG||61.938|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3486|J3486 - ZIPRASIDONE MESYLATE||35.046|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3485|J3485 - ZIDOVUDINE||3.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3480|J3480 - INJ POTASSIUM CHLORIDE||0.3172|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3475|J3475 - INJ MAGNESIUM SULFATE||0.504|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3473|J3473 - HYALURONIDASE RECOMBINANT||0.8033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3472|"J3472 - OVINE| 1000 USP UNITS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3471|"J3471 - OVINE| UP TO 999 USP UNITS"||0.7113|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3470|J3470 - HYALURONIDASE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3465|"J3465 - INJECTION| VORICONAZOLE"||8.7345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3430|J3430 - VITAMIN K PHYTONADIONE INJ||6.1627|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3420|J3420 - VITAMIN B12 INJECTION||5.9287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3415|J3415 - PYRIDOXINE HCL 100 MG||22.194|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3411|J3411 - THIAMINE HCL 100 MG||7.236|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3410|J3410 - HYDROXYZINE HCL INJECTION||4.9207|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3400|J3400 - TRIFLUPROMAZINE HCL INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3396|J3396 - VERTEPORFIN INJECTION||24.6937|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3385|J3385 - VELAGLUCERASE ALFA||771.4372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3380|"J3380 - INJECTION| VEDOLIZUMAB"||38.3107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3370|J3370 - VANCOMYCIN HCL INJECTION||8.7053|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3365|"J3365 - UROKINASE 250|000 IU INJ"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3364|J3364 - UROKINASE 5000 IU INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3360|J3360 - DIAZEPAM INJECTION||14.949|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3357|"J3357 - USTEKINUMAB SUB CU INJ| 1 MG"||384.7117|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3355|"J3355 - UROFOLLITROPIN| 75 IU"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3350|J3350 - UREA INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3320|J3320 - SPECTINOMYCN DI-HCL INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3315|J3315 - TRIPTORELIN PAMOATE||537.687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3310|J3310 - PERPHENAZINE INJECITON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3305|J3305 - INJ TRIMETREXATE GLUCORONATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3303|J3303 - TRIAMCINOLONE HEXACETONL INJ||4.0819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3302|J3302 - TRIAMCINOLONE DIACETATE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3301|J3301 - TRIAMCINOLONE ACET INJ NOS||4.0702|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3300|J3300 - TRIAMCINOLONE A INJ PRS-FREE||8.4465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3285|J3285 - TREPROSTINIL INJECTION||137.7833|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3280|J3280 - THIETHYLPERAZINE MALEATE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3265|J3265 - INJECTION TORSEMIDE 10 MG/ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3262|J3262 - TOCILIZUMAB INJECTION||9.009|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3260|J3260 - TOBRAMYCIN SULFATE INJECTION||6.0323|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3250|J3250 - TRIMETHOBENZAMIDE HCL INJ||53.3835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3246|J3246 - TIROFIBAN HCL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3243|J3243 - TIGECYCLINE INJECTION||5.4652|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3240|J3240 - THYROTROPIN INJECTION||3221.9258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3230|J3230 - CHLORPROMAZINE HCL INJECTION||43.2112|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3145|J3145 - TESTOSTERONE UNDECANOATE 1 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3121|J3121 - INJ TESTOSTERO ENANTHATE 1MG||0.0967|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3110|J3110 - TERIPARATIDE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3105|J3105 - TERBUTALINE SULFATE INJ||1.9057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3101|J3101 - TENECTEPLASE INJECTION||211.3358|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3095|J3095 - TELAVANCIN INJECTION||11.9138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3090|J3090 - INJ TEDIZOLID PHOSPHATE||2.7315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3070|J3070 - PENTAZOCINE INJECTION||278.9393|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3060|"J3060 - INJ| TALIGLUCERASE ALFA 10 U"||86.7533|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3030|J3030 - SUMATRIPTAN SUCCINATE / 6 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3010|J3010 - FENTANYL CITRATE INJECTION||1.1093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J3000|J3000 - STREPTOMYCIN INJECTION||26.6648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2997|J2997 - ALTEPLASE RECOMBINANT||168.057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2995|J2995 - INJ STREPTOKINASE /250000 IU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2993|J2993 - RETEPLASE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2950|J2950 - PROMAZINE HCL INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2941|J2941 - SOMATROPIN INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2940|J2940 - SOMATREM INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2930|J2930 - METHYLPREDNISOLONE INJECTION||9.2363|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2920|J2920 - METHYLPREDNISOLONE INJECTION||6.5205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2916|J2916 - NA FERRIC GLUCONATE COMPLEX||5.7735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2910|J2910 - AUROTHIOGLUCOSE INJECITON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2860|"J2860 - INJECTION| SILTUXIMAB"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2850|J2850 - INJ SECRETIN SYNTHETIC HUMAN||78.2578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2820|J2820 - SARGRAMOSTIM INJECTION||77.1255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2810|J2810 - INJ THEOPHYLLINE PER 40 MG||0.6547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2805|J2805 - SINCALIDE INJECTION||207.1912|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2800|J2800 - METHOCARBAMOL INJECTION||97.2518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2796|J2796 - ROMIPLOSTIM INJECTION||133.002|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2795|J2795 - ROPIVACAINE HCL INJECTION||0.1732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2794|"J2794 - RISPERIDONE| LONG ACTING"||16.3845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2793|J2793 - RILONACEPT INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2792|"J2792 - RHO(D) IMMUNE GLOBULIN H| SD"||45.495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2791|J2791 - RHOPHYLAC INJECTION||10.6448|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2790|J2790 - RHO D IMMUNE GLOBULIN INJ||188.4038|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2788|J2788 - RHO D IMMUNE GLOBULIN 50 MCG||54.882|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2785|J2785 - REGADENOSON INJECTION||121.599|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2783|J2783 - RASBURICASE||521.7142|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2780|J2780 - RANITIDINE HYDROCHLORIDE INJ||2.3895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2778|J2778 - RANIBIZUMAB INJECTION||872.2237|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2770|J2770 - QUINUPRISTIN/DALFOPRISTIN||747.297|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2765|J2765 - METOCLOPRAMIDE HCL INJECTION||1.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2760|J2760 - PHENTOLAINE MESYLATE INJ||357.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2730|J2730 - PRALIDOXIME CHLORIDE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2725|J2725 - INJ PROTIRELIN PER 250 MCG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2724|J2724 - PROTEIN C CONCENTRATE||34.047|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2720|J2720 - INJ PROTAMINE SULFATE/10 MG||2.6235|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2710|J2710 - NEOSTIGMINE METHYLSLFTE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2704|"J2704 - INJ| PROPOFOL| 10 MG"||0.279|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2700|J2700 - OXACILLIN SODIUM INJECITON||4.068|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2690|J2690 - PROCAINAMIDE HCL INJECTION||103.8173|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2680|J2680 - FLUPHENAZINE DECANOATE 25 MG||50.0918|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2675|J2675 - INJ PROGESTERONE PER 50 MG||2.1825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2670|J2670 - TOTAZOLINE HCL INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2650|J2650 - PREDNISOLONE ACETATE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2597|J2597 - INJ DESMOPRESSIN ACETATE||30.411|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2590|J2590 - OXYTOCIN INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2562|J2562 - PLERIXAFOR INJECTION||692.7188|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2560|J2560 - PHENOBARBITAL SODIUM INJ||65.691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2550|J2550 - PROMETHAZINE HCL INJECTION||3.6877|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2547|"J2547 - INJECTION| PERAMIVIR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2545|J2545 - PENTAMIDINE NON-COMP UNIT||255.9105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2543|J2543 - PIPERACILLIN/TAZOBACTAM||5.8342|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2540|J2540 - PENICILLIN G POTASSIUM INJ||2.1285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2515|J2515 - PENTOBARBITAL SODIUM INJ||93.7665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2513|J2513 - PENTASTARCH 10% SOLUTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2510|J2510 - PENICILLIN G PROCAINE INJ||50.6767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2507|J2507 - PEGLOTICASE INJECTION||3067.6477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2505|"J2505 - INJECTION| PEGFILGRASTIM 6MG"||8613.2137|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2504|"J2504 - PEGADEMASE BOVINE| 25 IU"||633.15|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2503|J2503 - PEGAPTANIB SODIUM INJECTION||2331.3443|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2502|"J2502 - INJ| PASIREOTIDE LONG ACTING"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2501|J2501 - PARICALCITOL||2.1375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2469|J2469 - PALONOSETRON HCL||48.3053|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2460|J2460 - OXYTETRACYCLINE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2440|J2440 - PAPAVERIN HCL INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2430|J2430 - PAMIDRONATE DISODIUM /30 MG||26.0437|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2426|J2426 - PALIPERIDONE PALMITATE INJ||19.5435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2425|J2425 - PALIFERMIN INJECTION||36.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2410|J2410 - OXYMORPHONE HCL INJECTION||6.3945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2407|"J2407 - INJECTION| ORITAVANCIN"||57.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2405|J2405 - ONDANSETRON HCL INJECTION||0.2205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2400|J2400 - CHLOROPROCAINE HCL INJECTION||51.3405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2370|J2370 - PHENYLEPHRINE HCL INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2360|J2360 - ORPHENADRINE INJECTION||12.8295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2358|J2358 - OLANZAPINE LONG-ACTING INJ||6.561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2357|J2357 - OMALIZUMAB INJECTION||67.4303|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2355|J2355 - OPRELVEKIN INJECTION||987.876|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2354|"J2354 - OCTREOTIDE INJ| NON-DEPOT"||2.7608|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2353|"J2353 - OCTREOTIDE INJECTION| DEPOT"||357.0953|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2325|J2325 - NESIRITIDE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2323|J2323 - NATALIZUMAB INJECTION||38.2837|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2320|J2320 - NANDROLONE DECANOATE 50 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2315|"J2315 - NALTREXONE| DEPOT FORM"||7.1617|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2310|J2310 - INJ NALOXONE HYDROCHLORIDE||62.982|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2300|J2300 - INJ NALBUPHINE HYDROCHLORIDE||5.3347|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2280|"J2280 - INJ| MOXIFLOXACIN 100 MG"||20.6528|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2278|J2278 - ZICONOTIDE INJECTION||16.1505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2274|J2274 - INJ MORPHINE PF EPID ITHC||19.278|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2270|J2270 - MORPHINE SULFATE INJECTION||2.7428|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2265|J2265 - MINOCYCLINE HYDROCHLORIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2260|J2260 - INJ MILRINONE LACTATE / 5 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2250|J2250 - INJ MIDAZOLAM HYDROCHLORIDE||0.2948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2248|J2248 - MICAFUNGIN SODIUM INJECTION||2.1803|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2212|J2212 - METHYLNALTREXONE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2210|J2210 - METHYLERGONOVIN MALEATE INJ||11.0677|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2185|J2185 - MEROPENEM||2.9565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2180|J2180 - MEPERIDINE/PROMETHAZINE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2175|J2175 - MEPERIDINE HYDROCHL /100 MG||10.1835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2170|J2170 - MECASERMIN INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2150|J2150 - MANNITOL INJECTION||3.6157|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2060|J2060 - LORAZEPAM INJECTION||1.701|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2020|J2020 - LINEZOLID INJECTION||53.3475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2010|J2010 - LINCOMYCIN INJECTION||25.2157|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J2001|J2001 - LIDOCAINE INJECTION||0.0427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1990|J1990 - CHLORDIAZEPOXIDE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1980|J1980 - HYOSCYAMINE SULFATE INJ||54.8573|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1960|J1960 - LEVORPHANOL TARTRATE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1956|J1956 - LEVOFLOXACIN INJECTION||5.3842|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1955|J1955 - INJ LEVOCARNITINE PER 1 GM||39.2333|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1953|J1953 - LEVETIRACETAM INJECTION||0.4545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1950|J1950 - LEUPROLIDE ACETATE /3.75 MG||2090.1285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1945|J1945 - LEPIRUDIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1940|J1940 - FUROSEMIDE INJECTION||6.5047|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1931|J1931 - LARONIDASE INJECTION||66.2512|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1930|J1930 - LANREOTIDE INJECTION||108.3735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1890|J1890 - CEPHALOTHIN SODIUM INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1885|J1885 - KETOROLAC TROMETHAMINE INJ||1.5637|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1850|J1850 - KANAMYCIN SULFATE 75 MG INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1840|J1840 - KANAMYCIN SULFATE 500 MG INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1835|J1835 - ITRACONAZOLE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1833|"J1833 - INJECTION| ISAVUCONAZONIUM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1830|J1830 - INTERFERON BETA-1B / .25 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1826|J1826 - INTERFERON BETA-1A INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1817|J1817 - INSULIN FOR INSULIN PUMP USE||18.801|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1815|J1815 - INSULIN INJECTION||1.782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1810|J1810 - DROPERIDOL/FENTANYL INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1800|J1800 - PROPRANOLOL INJECTION||6.5092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1790|J1790 - DROPERIDOL INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1786|J1786 - IMUGLUCERASE INJECTION||94.4933|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1756|J1756 - IRON SUCROSE INJECTION||0.5985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1750|J1750 - INJ IRON DEXTRAN||27.4387|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1745|J1745 - INFLIXIMAB NOT BIOSIMIL 10MG||179.7862|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1744|J1744 - ICATIBANT INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1743|J1743 - IDURSULFASE INJECTION||1169.3767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1742|J1742 - IBUTILIDE FUMARATE INJECTION||212.0693|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1741|J1741 - IBUPROFEN INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1740|J1740 - IBANDRONATE SODIUM INJECTION||243.7853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1730|J1730 - DIAZOXIDE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1725|J1725 - HYDROXYPROGESTERONE CAPROATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1720|J1720 - HYDROCORTISONE SODIUM SUCC I||16.8795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1710|J1710 - HYDROCORTISONE SODIUM PH INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1700|J1700 - HYDROCORTISONE ACETATE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1675|J1675 - HISTRELIN ACETATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1670|J1670 - TETANUS IMMUNE GLOBULIN INJ||906.3473|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1655|J1655 - TINZAPARIN SODIUM INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1652|J1652 - FONDAPARINUX SODIUM||5.706|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1650|J1650 - INJ ENOXAPARIN SODIUM||2.5762|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1645|J1645 - DALTEPARIN SODIUM||35.0932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1644|J1644 - INJ HEPARIN SODIUM PER 1000U||0.4725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1642|J1642 - INJ HEPARIN SODIUM PER 10 U||0.4208|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1640|"J1640 - HEMIN| 1 MG"||48.9802|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1631|J1631 - HALOPERIDOL DECANOATE INJ||45.6412|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1630|J1630 - HALOPERIDOL INJECTION||3.4267|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1626|J1626 - GRANISETRON HCL INJECTION||0.972|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1620|J1620 - GONADORELIN HYDROCH/ 100 MCG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1610|J1610 - GLUCAGON HYDROCHLORIDE/1 MG||445.3808|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1602|J1602 - GOLIMUMAB FOR IV USE 1MG||54.8122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1600|J1600 - GOLD SODIUM THIOMALEATE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1599|"J1599 - IVIG NON-LYOPHILIZED| NOS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1595|J1595 - INJECTION GLATIRAMER ACETATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1590|J1590 - GATIFLOXACIN INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1580|J1580 - GARAMYCIN GENTAMICIN INJ||2.8305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1575|J1575 - HYQVIA 100MG IMMUNEGLOBULIN||24.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1573|"J1573 - HEPAGAM B INTRAVENOUS| INJ"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1572|J1572 - FLEBOGAMMA INJECTION||88.5577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1571|J1571 - HEPAGAM B IM INJECTION||125.577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1570|J1570 - GANCICLOVIR SODIUM INJECTION||148.905|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1569|J1569 - GAMMAGARD LIQUID INJECTION||85.761|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1568|J1568 - OCTAGAM INJECTION||95.4945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1566|"J1566 - IMMUNE GLOBULIN| POWDER"||78.5138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1562|"J1562 - VIVAGLOBIN| INJ"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1561|J1561 - GAMUNEX-C/GAMMAKED||93.9712|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1560|J1560 - GAMMA GLOBULIN > 10 CC INJ||752.6498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1559|J1559 - HIZENTRA INJECTION||19.0552|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1557|J1557 - GAMMAPLEX INJECTION||83.952|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1556|"J1556 - INJ| IMM GLOB BIVIGAM| 500 MG"||87.4327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1460|J1460 - GAMMA GLOBULIN 1 CC INJ||75.2648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1459|J1459 - INJ IVIG PRIVIGEN 500 MG||86.0738|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1458|J1458 - GALSULFASE INJECTION||819.873|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1457|J1457 - GALLIUM NITRATE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1455|J1455 - FOSCARNET SODIUM INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1453|J1453 - FOSAPREPITANT INJECTION||3.8857|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1452|J1452 - INTRAOCULAR FOMIVIRSEN NA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1451|"J1451 - FOMEPIZOLE| 15 MG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1450|J1450 - FLUCONAZOLE||10.8472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1447|J1447 - INJ TBO FILGRASTIM 1 MICROG||1.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1443|J1443 - INJ FERRIC PYROPHOSPHATE CIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1442|J1442 - INJ FILGRASTIM EXCL BIOSIMIL||2.2657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1439|J1439 - INJ FERRIC CARBOXYMALTOS 1 MG||2.3782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1438|J1438 - ETANERCEPT INJECTION||792.2565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1436|J1436 - ETIDRONATE DISODIUM INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1435|J1435 - INJECTION ESTRONE PER 1 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1430|J1430 - ETHANOLAMINE OLEATE 100 MG||909.2092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1410|J1410 - INJ ESTROGEN CONJUGATE 25 MG||513.8325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1380|J1380 - ESTRADIOL VALERATE 10 MG INJ||23.1165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1364|J1364 - ERYTHRO LACTOBIONATE /500 MG||108.8932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1335|J1335 - ERTAPENEM INJECTION||93.6675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1330|J1330 - ERGONOVINE MALEATE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1327|J1327 - EPTIFIBATIDE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1325|J1325 - EPOPROSTENOL INJECTION||34.821|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1324|J1324 - ENFUVIRTIDE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1322|"J1322 - ELOSULFASE ALFA| INJECTION"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1320|J1320 - AMITRIPTYLINE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1300|J1300 - ECULIZUMAB INJECTION||485.8245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1290|J1290 - ECALLANTIDE INJECTION||910.5345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1270|"J1270 - INJECTION| DOXERCALCIFEROL"||2.0745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1267|J1267 - DORIPENEM INJECTION||1.7978|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1265|J1265 - DOPAMINE INJECTION||1.3747|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1260|J1260 - DOLASETRON MESYLATE||17.4712|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1250|J1250 - INJ DOBUTAMINE HCL/250 MG||12.4695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1245|J1245 - DIPYRIDAMOLE INJECTION||1.8382|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1240|J1240 - DIMENHYDRINATE INJECTION||14.0152|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1230|J1230 - METHADONE INJECTION||23.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1212|J1212 - DIMETHYL SULFOXIDE 50% 50 ML||489.474|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1205|J1205 - CHLOROTHIAZIDE SODIUM INJ||260.64|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1200|J1200 - DIPHENHYDRAMINE HCL INJECTIO||1.1115|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1190|J1190 - DEXRAZOXANE HCL INJECTION||375.2595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1180|J1180 - DYPHYLLINE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1170|J1170 - HYDROMORPHONE INJECTION||4.6305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1165|J1165 - PHENYTOIN SODIUM INJECTION||1.4805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1162|J1162 - DIGOXIN IMMUNE FAB (OVINE)||5946.0907|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1160|J1160 - DIGOXIN INJECTION||10.2982|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1120|J1120 - ACETAZOLAMID SODIUM INJECTIO||46.71|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1110|J1110 - INJ DIHYDROERGOTAMINE MESYLT||172.674|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1100|J1100 - DEXAMETHASONE SODIUM PHOS||0.3105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1094|J1094 - INJ DEXAMETHASONE ACETATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1071|J1071 - INJ TESTOSTERONE CYPIONATE||0.0698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1050|J1050 - MEDROXYPROGESTERONE ACETATE||0.801|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1040|J1040 - METHYLPREDNISOLONE 80 MG INJ||18.7515|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1030|J1030 - METHYLPREDNISOLONE 40 MG INJ||9.693|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1020|J1020 - METHYLPREDNISOLONE 20 MG INJ||10.1137|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J1000|J1000 - DEPO-ESTRADIOL CYPIONATE INJ||31.0568|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0945|J0945 - BROMPHENIRAMINE MALEATE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0897|J0897 - DENOSUMAB INJECTION||34.8503|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0895|J0895 - DEFEROXAMINE MESYLATE INJ||33.7613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0894|J0894 - DECITABINE INJECTION||48.9982|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0890|J0890 - PEGINESATIDE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0888|J0888 - EPOETIN BETA NON ESRD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0887|J0887 - EPOETIN BETA ESRD USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0886|"J0886 - INJ| EPOETIN ALFA| 1000 UNITS FOR ESRD ON DIALYSIS"||27.7447|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0885|"J0885 - EPOETIN ALFA| NON-ESRD"||27.7447|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0882|"J0882 - DARBEPOETIN ALFA| ESRD USE"||9.3375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0881|"J0881 - DARBEPOETIN ALFA| NON-ESRD"||9.3375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0878|J0878 - DAPTOMYCIN INJECTION||1.8022|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0875|"J0875 - INJECTION| DALBAVANCIN"||32.814|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0850|J0850 - CYTOMEGALOVIRUS IMM IV /VIAL||2395.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0840|J0840 - CROTALIDAE POLY IMMUNE FAB||5721.7095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0834|"J0834 - INJ.| COSYNTROPIN| 0.25 MG"||100.098|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0833|J0833 - COSYNTROPIN INJECTION NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0800|J0800 - CORTICOTROPIN INJECTION||8051.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0795|J0795 - CORTICORELIN OVINE TRIFLUTAL||17.3768|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0780|J0780 - PROCHLORPERAZINE INJECTION||29.4525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0775|"J0775 - COLLAGENASE| CLOST HIST INJ"||86.5305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0770|J0770 - COLISTIMETHATE SODIUM INJ||23.4068|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0760|J0760 - COLCHICINE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0745|J0745 - INJ CODEINE PHOSPHATE /30 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0744|J0744 - CIPROFLOXACIN IV||2.2905|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0743|J0743 - CILASTATIN SODIUM INJECTION||10.2195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0740|J0740 - CIDOFOVIR INJECTION||1275.4418|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0735|J0735 - CLONIDINE HYDROCHLORIDE||25.9763|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0725|J0725 - CHORIONIC GONADOTROPIN/1000U||45.468|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0720|J0720 - CHLORAMPHENICOL SODIUM INJEC||71.4069|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0717|J0717 - CERTOLIZUMAB PEGOL INJ 1MG||14.553|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0716|J0716 - CENTRUROIDES IMMUNE F(AB)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0715|J0715 - CEFTIZOXIME SODIUM / 500 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0714|J0714 - CEFTAZIDIME AND AVIBACTAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0713|J0713 - INJ CEFTAZIDIME PER 500 MG||5.391|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0712|J0712 - CEFTAROLINE FOSAMIL INJ||5.0963|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0710|J0710 - CEPHAPIRIN SODIUM INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0706|J0706 - CAFFEINE CITRATE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0702|J0702 - BETAMETHASONE ACET&SOD PHOSP||13.1175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0698|J0698 - CEFOTAXIME SODIUM INJECTION||7.065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0697|J0697 - STERILE CEFUROXIME INJECTION||5.4383|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0696|J0696 - CEFTRIAXONE SODIUM INJECTION||1.7415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0695|J0695 - INJ CEFTOLOZANE TAZOBACTAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0694|J0694 - CEFOXITIN SODIUM INJECTION||11.0025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0692|J0692 - CEFEPIME HCL FOR INJECTION||5.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0690|J0690 - CEFAZOLIN SODIUM INJECTION||2.0093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0670|J0670 - INJ MEPIVACAINE HCL/10 ML||4.4213|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0641|J0641 - LEVOLEUCOVORIN INJECTION||3.6383|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0640|J0640 - LEUCOVORIN CALCIUM INJECTION||8.631|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0638|J0638 - CANAKINUMAB INJECTION||207.261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0637|J0637 - CASPOFUNGIN ACETATE||29.124|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0636|J0636 - INJ CALCITRIOL PER 0.1 MCG||0.7965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0630|J0630 - CALCITONIN SALMON INJECTION||4494.969|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0620|J0620 - CALCIUM GLYCER & LACT/10 ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0610|J0610 - CALCIUM GLUCONATE INJECTION||6.9795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0600|J0600 - EDETATE CALCIUM DISODIUM INJ||12587.4495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0598|"J0598 - C-1 ESTERASE| CINRYZE"||122.5688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0597|"J0597 - C-1 ESTERASE| BERINERT"||104.2245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0596|"J0596 - INJECTION| RUCONEST"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0595|J0595 - BUTORPHANOL TARTRATE 1 MG||5.3842|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0594|J0594 - BUSULFAN INJECTION||74.6437|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0592|J0592 - BUPRENORPHINE HYDROCHLORIDE||6.7275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0588|J0588 - INCOBOTULINUMTOXIN A||10.7235|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0587|"J0587 - INJ| RIMABOTULINUMTOXINB"||26.1113|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0586|J0586 - ABOBOTULINUMTOXINA||17.7781|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0585|"J0585 - INJECTION|ONABOTULINUMTOXINA"||12.8723|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0583|J0583 - BIVALIRUDIN||6.7635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0575|J0575 - BUPREN/NAL OVER 10MG BUPRENO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0574|J0574 - BUPREN/NAL 6.1 TO 10MG BUPRE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0573|J0573 - BUPREN/NAL 3.1 TO 6MG BUPREN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0572|J0572 - BUPREN/NAL UP TO 3MG BUPRENO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0571|J0571 - BUPRENORPHINE ORAL 1MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0561|J0561 - PENICILLIN G BENZATHINE INJ||18.738|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0558|J0558 - PENG BENZATHINE/PROCAINE INJ||14.823|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0520|J0520 - BETHANECHOL CHLORIDE INJECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0515|J0515 - INJ BENZTROPINE MESYLATE||45.7335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0500|J0500 - DICYCLOMINE INJECTION||129.9352|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0490|J0490 - BELIMUMAB INJECTION||93.2737|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0485|J0485 - BELATACEPT INJECTION||8.5478|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0480|J0480 - BASILIXIMAB||6767.928|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0476|J0476 - BACLOFEN INTRATHECAL TRIAL||171.8887|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0475|J0475 - BACLOFEN 10 MG INJECTION||373.3988|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0470|J0470 - DIMECAPROL INJECTION||87.093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0461|J0461 - ATROPINE SULFATE INJECTION||0.1103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0456|J0456 - AZITHROMYCIN||8.0122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0401|J0401 - INJ ARIPIPRAZOLE EXT REL 1MG||9.5648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0400|J0400 - ARIPIPRAZOLE INJECTION||1.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0395|J0395 - ARBUTAMINE HCL INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0390|J0390 - CHLOROQUINE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0380|J0380 - INJ METARAMINOL BITARTRATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0365|"J0365 - APROTONIN| 10|000 KIU"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0364|J0364 - APOMORPHINE HYDROCHLORIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0360|J0360 - HYDRALAZINE HCL INJECTION||23.6227|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0350|J0350 - INJECTION ANISTREPLASE 30 U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0348|J0348 - ANIDULAFUNGIN INJECTION||1.3207|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0330|J0330 - SUCCINYCHOLINE CHLORIDE INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0300|J0300 - AMOBARBITAL 125 MG INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0295|J0295 - AMPICILLIN SULBACTAM 1.5 GM||5.112|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0290|J0290 - AMPICILLIN 500 MG INJ||3.2107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0289|J0289 - AMPHOTERICIN B LIPOSOME INJ||40.905|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0288|J0288 - AMPHO B CHOLESTERYL SULFATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0287|J0287 - AMPHOTERICIN B LIPID COMPLEX||29.3085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0285|J0285 - AMPHOTERICIN B||43.9357|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0282|J0282 - AMIODARONE HCL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0280|J0280 - AMINOPHYLLIN 250 MG INJ||19.9733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0278|J0278 - AMIKACIN SULFATE INJECTION||2.5987|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0275|J0275 - ALPROSTADIL URETHRAL SUPPOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0270|J0270 - ALPROSTADIL FOR INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0257|J0257 - GLASSIA INJECTION||9.612|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0256|J0256 - ALPHA 1 PROTEINASE INHIBITOR||10.3343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0221|J0221 - LUMIZYME INJECTION||345.5955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0220|J0220 - ALGLUCOSIDASE ALFA INJECTION||465.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0215|J0215 - ALEFACEPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0210|J0210 - METHYLDOPATE HCL INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0207|J0207 - AMIFOSTINE||850.2367|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0205|J0205 - ALGLUCERASE INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0202|"J0202 - INJECTION| ALEMTUZUMAB"||3923.5838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0200|J0200 - ALATROFLOXACIN MESYLATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0190|J0190 - INJ BIPERIDEN LACTATE/5 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0180|J0180 - AGALSIDASE BETA INJECTION||356.5733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0178|J0178 - AFLIBERCEPT INJECTION||2206.125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0171|J0171 - ADRENALIN EPINEPHRINE INJECT||0.2858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0153|J0153 - ADENOSINE INJ 1MG||2.1645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0135|J0135 - ADALIMUMAB INJECTION||1694.8305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0133|J0133 - ACYCLOVIR INJECTION||0.1687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0132|J0132 - ACETYLCYSTEINE INJECTION||3.8678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0131|J0131 - ACETAMINOPHEN INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0130|J0130 - ABCIXIMAB INJECTION||2284.974|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0129|J0129 - ABATACEPT INJECTION||88.7445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|J0120|J0120 - TETRACYCLIN INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2037|"H2037 - DEV DELAY PREV DP CH| 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2036|"H2036 - A/D TX PROGRAM| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2035|"H2035 - A/D TX PROGRAM| PER HOUR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2034|"H2034 - A/D HALFWAY HOUSE| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2033|H2033 - MULTISYS THER/JUVENILE 15MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2032|"H2032 - ACTIVITY THERAPY| PER 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2031|"H2031 - MH CLUBHOUSE SVC| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2030|"H2030 - MH CLUBHOUSE SVC| PER 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2029|"H2029 - SEX OFFEND TX SVC| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2028|"H2028 - SEX OFFEND TX SVC| 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2027|"H2027 - PSYCHOED SVC| PER 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2026|"H2026 - SUPP MAINT EMPLOY| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2025|"H2025 - SUPP MAINT EMPLOY| 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2024|"H2024 - SUPPORTED EMPLOY| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2023|"H2023 - SUPPORTED EMPLOY| PER 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2022|"H2022 - COM WRAP-AROUND SV| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2021|"H2021 - COM WRAP-AROUND SV| 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2020|"H2020 - THER BEHAV SVC| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2019|"H2019 - THER BEHAV SVC| PER 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2018|"H2018 - PSYSOC REHAB SVC| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2017|"H2017 - PSYSOC REHAB SVC| PER 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2016|"H2016 - COMP COMM SUPP SVC| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2015|"H2015 - COMP COMM SUPP SVC| 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2014|"H2014 - SKILLS TRAIN AND DEV| 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2013|"H2013 - PSYCH HLTH FAC SVC| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2012|"H2012 - BEHAV HLTH DAY TREAT| PER HR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2011|"H2011 - CRISIS INTERVEN SVC| 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2010|H2010 - COMPREHENSIVE MED SVC 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2001|H2001 - REHABILITATION PROGRAM 1/2 D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H2000|H2000 - COMP MULTIDISIPLN EVALUATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H1011|H1011 - FAMILY ASSESSMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H1010|H1010 - NONMED FAMILY PLANNING ED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H1005|H1005 - PRENATALCARE ENHANCED SRV PK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H1004|H1004 - FOLLOW UP HOME VISIT/PRENTAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H1003|H1003 - PRENATAL AT RISK EDUCATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H1002|H1002 - CARECOORDINATION PRENATAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H1001|H1001 - ANTEPARTUM MANAGEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H1000|H1000 - PRENATAL CARE ATRISK ASSESSM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0050|H0050 - ALCOHOL/DRUG SERVICE 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0049|H0049 - ALCOHOL/DRUG SCREENING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0048|H0048 - SPEC COLL NON-BLOOD:A/D TEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0047|H0047 - ALCOHOL/DRUG ABUSE SVC NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0046|"H0046 - MENTAL HEALTH SERVICE| NOS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0045|H0045 - RESPITE NOT-IN-HOME PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0044|"H0044 - SUPPORTED HOUSING| PER MONTH"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0043|"H0043 - SUPPORTED HOUSING| PER DIEM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0042|H0042 - FOS C CHLD NON-THER PER MON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0041|H0041 - FOS C CHLD NON-THER PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0040|H0040 - ASSERT COMM TX PGM PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0039|H0039 - ASSER COM TX FACE-FACE/15MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0038|H0038 - SELF-HELP/PEER SVC PER 15MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0037|H0037 - COMM PSY SUP TX PGM PER DIEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0036|H0036 - COMM PSY FACE-FACE PER 15MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0035|H0035 - MH PARTIAL HOSP TX UNDER 24H||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0034|H0034 - MED TRNG & SUPPORT PER 15MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0033|H0033 - ORAL MED ADM DIRECT OBSERVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0032|H0032 - MH SVC PLAN DEV BY NON-MD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0031|H0031 - MH HEALTH ASSESS BY NON-MD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0030|H0030 - ALCOHOL AND/OR DRUG HOTLINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0029|H0029 - ALCOHOL AND/OR DRUG PREVENTI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0028|H0028 - ALCOHOL AND/OR DRUG PREVENTI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0027|H0027 - ALCOHOL AND/OR DRUG PREVENTI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0026|H0026 - ALCOHOL AND/OR DRUG PREVENTI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0025|H0025 - ALCOHOL AND/OR DRUG PREVENTI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0024|H0024 - ALCOHOL AND/OR DRUG PREVENTI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0023|H0023 - ALCOHOL AND/OR DRUG OUTREACH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0022|H0022 - ALCOHOL AND/OR DRUG INTERVEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0021|H0021 - ALCOHOL AND/OR DRUG TRAINING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0020|H0020 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0019|H0019 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0018|H0018 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0017|H0017 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0016|H0016 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0015|H0015 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0014|H0014 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0013|H0013 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0012|H0012 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0011|H0011 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0010|H0010 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0009|H0009 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0008|H0008 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0007|H0007 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0006|H0006 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0005|H0005 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0004|H0004 - ALCOHOL AND/OR DRUG SERVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0003|H0003 - ALCOHOL AND/OR DRUG SCREENIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0002|H0002 - ALCOHOL AND/OR DRUG SCREENIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|H0001|H0001 - ALCOHOL AND/OR DRUG ASSESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9677|G9677 - QTY ACT CARDIOVASC PREV MG PERF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9676|G9676 - 40-75Y W/TYPE 1/2 W/LDL-C RS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9675|G9675 - PT W/FAST/DIR LAB LDL-C >190||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9674|G9674 - PT W/CLIN ASCVD DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9673|G9673 - INTEND RPT CARDIOVASC PREV MSR GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9672|G9672 - QTY ACT DIABETIC RETIN MG PERF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9671|G9671 - INTEND RPT DIABETIC RETINOP MSR GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9670|G9670 - QTY ACT MULTI CHRONIC COND MSR PERF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9669|G9669 - INTEND RPT MULT CHRONIC MSR GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9667|G9667 - DOC MED RSN NO STATIN TX/PRESC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9666|G9666 - FAS/DIR LDL 70-189MG/DL MST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9665|G9665 - NO STATIN/NO ORDER STATIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9664|G9664 - TAKING STATIN OR REC'D ORDER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9663|G9663 - FAST/DIR LDL = 190 MG/DL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9662|G9662 - PRIOR DX/ACTIVE CLIN ASCVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9661|G9661 - >85Y SCOPE OTHR RSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9660|G9660 - DOC MED RSN SCOPE PT >85Y||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9659|G9659 - >85Y NO HX COLO CA/RSN SCOPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9658|G9658 - TOC TOOL INCL ELEM NOT USED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9657|G9657 - TOC DURING ANESTHETIC TO ICU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9656|G9656 - PT TRANS FROM ANEST TO PACU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9655|G9655 - TOC TOOL INCL KEY ELEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9654|G9654 - MON ANESTH CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9653|G9653 - PT NO TX SYS BIO RX PSORI 6 MTHS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9652|G9652 - PT TX SYS BIO MED PSORIASIS 6 MON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9651|G9651 - PSOR AS DOC NO SPC BM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9650|G9650 - DOC PT NO THERAPY CHG OR CONTRA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9649|G9649 - PSOR AS DOC SPC BM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9648|G9648 - PT W/90D MRS >2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9647|G9647 - NO MRS SCORE IN 90D FOLLOWUP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9646|G9646 - PT W/90D MRS 0-2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9645|G9645 - HAD SMOKE B/4 ANES DAY SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9644|G9644 - NO SMOK B/4 ANES DAY OF SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9643|G9643 - ELECTIVE SURGERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9642|G9642 - CURRENT SMOKER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9641|G9641 - AMP REQD W/IN 48H IELER PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9640|G9640 - DOC PLAN HYBRID/STAGE PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9639|G9639 - AMP NO REQD IN48H IELER PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9638|G9638 - NO DOC >1 DOSE REDUC TECH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9637|G9637 - DOC >1 DOSE REDUC TECH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9636|G9636 - NO LIFE ASST 2X SAME/DECR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9635|G9635 - NO DOC RSN DO QUAL LIFE ASSM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9634|G9634 - QUAL LIFE TOOL 2X SAME/IMPR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9633|G9633 - PT NO UI SRG 30 DAY PST SRG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9632|G9632 - MED RSN FOR NO RPT URET INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9631|G9631 - PT UI SRG 30 DAY PST SRG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9630|G9630 - PT NO BWLI SRG 30 DAY SRG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9629|G9629 - MED RSN NO RPT BOWEL INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9628|G9628 - PT BWLI SRG 30 DAY PST SRG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9627|G9627 - PT NO BL SRG 30 DAY PST SRG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9626|G9626 - MED RSN NO RPT BALDDER INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9625|G9625 - PT BL SRG 30 DAY PST SRG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9624|G9624 - PT NOT SCRN OR NO COUNSELING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9623|G9623 - DOC MED RSN NO SCR ETOH USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9622|G9622 - NO UNHEAL ETOH USER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9621|G9621 - SCR UNHEAL ETOH W/COUNSEL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9620|G9620 - NO SCR UTR MALIG/US/SAMP RNG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9619|G9619 - DOC RSN NO SCR UTERINE MALIG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9618|G9618 - DOC SCR UTER MAL OR US/SAMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9617|"G9617 - PRE-OP ASST NOT DOC| RNG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9616|G9616 - DOC RSN NO PREOP ASSMT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9615|G9615 - PRE-OP ASST DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9614|G9614 - PHOTODOC < 2 CEC LNDMK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9613|G9613 - DOC POST SURG ANATOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9612|G9612 - PHODOC 2 MR CEC LNDMK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9611|G9611 - NO DOC ORDER ANTI-PLAT RNG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9610|G9610 - DOC MD RSN NO ANTIPLA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9609|G9609 - DOC ORDER ANTI-PLAT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9608|G9608 - INTRAOP CYST EVAL NOT DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9607|G9607 - DOC MED RSN NOT PERF CYSTOSC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9606|G9606 - INTRAOP CYST EVAL TRAC INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9605|G9605 - SURV SCORE NO IMPROV W/TX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9604|G9604 - PT SURV RESULTS NOT AVAIL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9603|G9603 - PT SURV IMPROV BSLINE TX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9602|G9602 - PT NO DCHG HOME POSTOP DAY 7||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9601|G9601 - PT DCHG HOME POST OP DAY 7||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9600|G9600 - SYMP AAA URGENT REPAIR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9599|G9599 - AOR ANE >=6.0 CM MAX DIAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9598|G9598 - AOR ANE 5.5-5.9 CM MAX DIAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9597|G9597 - NO LOW PECARN PED HEAD TRAUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9596|G9596 - PED PT HD CT ORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9595|G9595 - DOC SHNT/TUM/COAG/THROMBOCYT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9594|G9594 - PT MBHT HD CT ORD EC PROV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9593|G9593 - LOW PECARN PED HEAD TRAUMA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9585|G9585 - NO EVAL OPI USE INSTR/INTV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9584|G9584 - EVAL OPIOID USE INSTR/PT INT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9583|G9583 - PRESC OPIATES >6 WKS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9582|"G9582 - DOOR TO PUNC TIME >2HR| NRG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9581|"G9581 - MD DOC| DOOR TO PUNCTURE TIME >2HR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9580|G9580 - DOOR TO PUNC TIME <2HRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9579|G9579 - NO DOC OPIOID TX 1X AT THER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9578|G9578 - DOC OPIOID TX 1X DURING THER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9577|G9577 - PRESC OPIATES >6 WKS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9574|G9574 - ADL PT MD DYS NO REM 6 MON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9573|G9573 - ADL PT MD OR DYS REM 6 MON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9572|G9572 - PHQ-SCR >9 DOC IN 12 MONTH TIME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9563|G9563 - NO F/U EVAL Q3MO OPIOD TX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9562|G9562 - FOLL-UP EVAL Q3MO OPIOD TX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9561|G9561 - PRESC OPIATES >6 WKS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9560|"G9560 - NO BETA-LACTAM ABX THER| RNG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9559|G9559 - DOC MED REAS NO ABX THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9558|G9558 - TX BETA-LACTAM ABX THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9557|G9557 - CT/CTA/MRI/A NO THYR <1.0CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9556|G9556 - CT/CTA/MRI/A NO FOLLUP IMAG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9555|G9555 - DOC MED RSN FOR FOLLUP IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9554|G9554 - CT/CTA/MRI/A CHST FOLL REC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9553|G9553 - PRIOR THYROID DISE DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9552|G9552 - INC THYR NODE <1.0 IN RPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9551|"G9551 - ABD IMAG NO LES|KID/LIVR/ADR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9550|G9550 - ABD IMAG AND FOLLOWUP NO REC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9549|G9549 - DOC MED RSN FOR FOLLOW IMAG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9548|G9548 - ABD IMAG AND FOLLOWUP REC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9547|G9547 - INCID FINDING LIVER/KID/ADRE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9544|G9544 - NO FILT REMOV W/IN 3MOS PLCM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9543|G9543 - DOC 2X RE-ASSESS FILT REMOV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9542|G9542 - DOC REASS APPR REMO FILT 3MS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9541|G9541 - FILTER REM 3 MON PLMT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9540|G9540 - PT ALIVE 3 MOS POST PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9539|G9539 - INTENT POT REMV TIME PLACEMT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9538|G9538 - ADV BRAIN IMAGE ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9537|G9537 - DOC SYSM RSN IMG HD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9536|G9536 - DOC MED REAS ADV BRAIN IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9535|G9535 - NORMAL NEURO EXAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9534|G9534 - ADV BRAIN IMAGE NOT ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9533|G9533 - INDIC FOR HEAD CT NOT VALID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9532|G9532 - PT HD CT ORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9531|G9531 - PT DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9530|G9530 - PT MBHT HD CT ORD EC PROV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9529|G9529 - MINOR BLUNT TRAUMA W/HEAD CT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9526|"G9526 - NO REASON| NO REFER HOSPICE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9525|G9525 - DOC PT REAS NO HOSPICE REFER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9524|G9524 - REFER TO HOSPICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9523|G9523 - D/C HEMO OR PERIT DIALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9522|G9522 - ER/IP HOSP =/>2 IN 12 MOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9521|G9521 - ER AND IP HOSP <2 IN 12 MOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9520|G9520 - REFRACT NOT +/- 0.5 W/IN 90D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9519|G9519 - FINAL REF +/- 0.5 W/IN 90D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9518|G9518 - DOC ACTIVE INJ DRUG USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9517|G9517 - NO IMPR VIS ACUIT W/IN 90D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9516|G9516 - IMPR VIS ACUIT W/IN 90D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9515|"G9515 - NO REAS| NO RET OR W/IN 90D"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9514|G9514 - REQ RET OR W/IN 90D OF SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9513|G9513 - INDIV PDC NOT > 0.8||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9512|G9512 - INDIV PDC > 0.8||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9511|G9511 - IDX EVT DTE PHQ>9 DOC 12 MO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9510|G9510 - REMIS 12M NOT PHQ-9 SCORE <5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9509|G9509 - ADIT MDD DYS REM 12 MNTHS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9508|G9508 - DOC PT NOT ON STATIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9507|G9507 - DOC REAS ON STATIN OR CONTRA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9506|G9506 - BIO IMM RESP MOD PRESC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9505|G9505 - ABX PRES W/IN 10 DYS OF SYMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9504|G9504 - DOC RSN HEP B STAT NOT ASSES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9503|G9503 - PT TK TAMS HCL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9502|G9502 - MED REAS NO PERF FOOT EXAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9501|G9501 - RAD EXPOS IND/EXP TM NO DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9500|G9500 - RAD EXPOS IND/EXP TM DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9499|G9499 - NO START/REC ANTVIR TX HEP C||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9498|G9498 - ABX REG PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9497|G9497 - REC INST NO SMOKE DAY SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9496|G9496 - DOC RSN NO ADENO/NEOPL DETEC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9480|G9480 - ADMISSION TO MCCM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9479|G9479 - PHARMACIST AT HOSPICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9478|G9478 - OTHE THERAPIST AT HOSPICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9477|G9477 - CARE COORD AT HOSPICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9476|G9476 - VOLUN SERVICE AT HOSPICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9475|G9475 - OTHER COUNSELOR AT HOSPICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9474|G9474 - DIET COUNSEL AT HOSPICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9473|G9473 - CHAP SERVICES AT HOSPICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9472|G9472 - NO DXA NO MED HX NO RV SX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9471|G9471 - W/IN 2YR DXA NOT ORDER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9470|G9470 - NO REC CORTICO>60D 1RX 600MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9469|G9469 - REC CORTICO>60D OR 1RX 600MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9468|G9468 - NO RECD CORTICO>=10MG/D >60D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9467|G9467 - RECD CORTICO >=10MG/DAY >60D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9466|G9466 - AOE COMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9465|G9465 - AOE INTENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9464|G9464 - SINUSITIS COMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9463|G9463 - SINUSITIS INTENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9460|G9460 - NO TOB ASSESS OR CESS INTER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9459|G9459 - TOB NON-USER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9458|G9458 - TOB USER RECD CESS INTERV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9457|G9457 - PT NO ABD IMG NO DOC RSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9456|G9456 - DOC MED PT REAS NO HCC SCRN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9455|"G9455 - ABD IMAG W/US| CT OR MRI"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9454|G9454 - NO SCR HCV INF 12 MTH RP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9453|G9453 - PT REAS NO HCV INFECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9452|G9452 - DOC MED REAS NO SCRN HCV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9451|G9451 - 1X SCRN HCV INFECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9450|G9450 - HX INJEC DRUG USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9449|G9449 - HX BLD TRANSF B/F 1992||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9448|G9448 - BORN 1945-1965||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9443|G9443 - STATIN NOT PRESC DISCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9442|G9442 - STATIN NOT PRESC DOC REAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9441|G9441 - STATIN PRESC DISCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9440|G9440 - P2Y INHIB NOT PRESC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9439|G9439 - P2Y INHIB NOT PRESC DOC REAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9438|G9438 - P2Y INHIB PRESC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9437|G9437 - ASP NOT PRESC DISCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9436|G9436 - ASP NOT PRESC DOC REAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9435|G9435 - ASP PRESC DISCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9434|G9434 - ASTH NOT CONTROLLED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9432|G9432 - ASTH CONTROLLED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9431|G9431 - PATHO RPT NO PT CTG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9430|G9430 - SPEC SITE NO CUTANEOUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9429|G9429 - DOC MED RSN NO PT CAT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9428|G9428 - PATHO RPT INCL PT CTG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9427|G9427 - NO IMPRO MED TIME PAIN MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9426|G9426 - IMPR MED TIME EDARR PAIN MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9425|G9425 - SPEC RPT NO DOC CLASS HISTO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9424|G9424 - SITE NO LUNG OR LUNG CX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9423|G9423 - MED REAS RPT NO HISTO TYPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9422|G9422 - RPT DOC CLASS HISTO TYPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9421|G9421 - LUNG CX BX RPT NO DOC CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9420|G9420 - SPEC SITE NO LUNG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9419|G9419 - MED REAS NOT INCL HISTO TYPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9418|G9418 - LUNGCX BX RPT DOCS CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9417|G9417 - PT NOT 1 TDAP BETW 10-13 YRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9416|G9416 - PT 1 TDAP BETW 10-13 YRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9415|G9415 - NO 1DOSE MENI VAC BTWN 11&13||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9414|G9414 - 1DOSE MENIG VAC BTWN 11 & 13||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9413|G9413 - NO ADMIT REQ SURG REV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9412|G9412 - ADMIT W/IN 180D REQ SURG REV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9411|G9411 - NO ADMIT W/IN 180D REQ REMOV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9410|G9410 - ADMIT W/IN 180D REQ REMOV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9409|G9409 - NO CARD TAMP E/IN 30D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9408|G9408 - CARD TAMP W/IN 30D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9407|G9407 - NO 7D F/U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9406|G9406 - DOC REAS NO 7D F/U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9405|G9405 - RECD F/U W/IN 7D DISCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9404|G9404 - NO 30 DAY F/U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9403|G9403 - DOC REAS NO 30 DAY F/U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9402|G9402 - RECD F/U W/IN 30D DISCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9401|G9401 - NO DISC TX CHOICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9400|G9400 - DOC REAS NO DISC TX OPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9399|G9399 - DOC DISC TX CHOICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9396|G9396 - INI PHQ9 >9 NOT ASSESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9395|G9395 - INI PHQ9 >9 NO REMISS >=5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9394|"G9394 - DX BIPOL| DEATH| NHRES| HOSP"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9393|G9393 - INI PHQ9 >9 REMISS <5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9390|G9390 - NO UNPLN RUP POST CAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9389|G9389 - UNPLN RUP POST CAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9386|G9386 - SCRN HCV INFEC NOT RECD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9385|G9385 - DOC PT REAS NOT REC HCV SRN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9384|G9384 - DOC MED RSN NO HCV SCRN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9383|G9383 - RECD SCRN HCV INFEC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9382|G9382 - NO OFF ASSIS EOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9381|G9381 - DOC MED REAS NO OFFER EOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9380|G9380 - OFF ASSIS EOL ISS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9368|G9368 - >= 2 SAME HI-RSK MED NOT ORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9367|G9367 - >= 2 SAME HI-RSK MED ORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9366|G9366 - 1 HIGH RISK NO ORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9365|G9365 - 1 HIGH RISK MED ORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9364|G9364 - SINUS CAUS BAC INX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9361|G9361 - DOC RSN ELECT C-SEC/INDUCT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9360|G9360 - NO DOC OF NEG OR MAN POS TB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9359|G9359 - DOC OF NEG OR MAN POS TB SCN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9358|G9358 - PP EVAL/EDU NOT PERF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9357|G9357 - PP EVAL/EDU PERF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9356|G9356 - EARLY IND/DELIVERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9355|G9355 - NO EARLY IND/DELIVERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9354|G9354 - 1 OR NO CT SINUS W/IN 90D DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9353|G9353 - MEDRSN >1 SINUS CT W 90D DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9352|G9352 - NOT >1 SINUS CT W 90D DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9351|G9351 - DOC >1 SINUS CT W 90D DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9350|G9350 - NO DOC SINUS CT 28D OR DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9349|G9349 - DOC SINUS CT 28D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9348|G9348 - DOC RSN FOR ORD CT SCAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9347|G9347 - NO FOLLOW UP PULM NOD NORSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9345|G9345 - FOLLOW UP PULM NOD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9344|G9344 - SYSRSN NO DICOM SRCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9342|G9342 - NO SRCH FOR CT IN 12MO NORSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9341|G9341 - SRCH FOR CT W IN 12 MOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9340|G9340 - DICOM FORMAT DOC ON RPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9329|G9329 - NORSN NO DICOM FORMAT DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9327|G9327 - CT DONE RAD DS INDEX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9326|"G9326 - CT DONE NO RAD DS INDEX| NRG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9324|G9324 - NOT ALL DATA NORSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9322|G9322 - NO DOC COUNT OF CT IN 12MO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9321|G9321 - DOC COUNT OF CT IN 12MO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9319|G9319 - IMAGE NOT STD NOMENCLATURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9318|G9318 - IMAGE STD NOMENCLATURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9317|G9317 - NO DOC COMM RISK CALC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9316|G9316 - DOC COMM RISK CALC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9315|G9315 - DOC FIRST LINE AMOX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9314|G9314 - NORSN NOT FIRST LINE AMOX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9313|G9313 - AMOXIC NOT PRESC AS 1ST LINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9312|G9312 - SURGICAL SITE INFECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9311|G9311 - NO SURG SITE INFECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9310|G9310 - UNPLND HOSP READM IN 30D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9309|G9309 - NO UNPLND HOSP READM IN 30D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9308|G9308 - UNPL RET OR W/COMPL W/IN 30D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9307|G9307 - NO RET FOR SURG W IN 30D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9306|G9306 - INTERV REQ FOR LEAK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9305|G9305 - NO INTERV REQ FOR LEAK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9304|G9304 - PROS INFO OP RPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9303|G9303 - NORSN NO PROS INFO OP RPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9302|G9302 - NORSN INCOMP INF ANTIBIO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9301|G9301 - DOC COMPL INF ANTIBIO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9300|G9300 - DOC MEDRSN NO COMPL ANTIBIO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9299|G9299 - NO EVAL RISKK VTE CARD PRIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9298|G9298 - EVAL RISK VTE CARD 30D PRIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9297|G9297 - NO DOC SHARE DEC PRIOR PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9296|G9296 - DOC SHARE DEC PRIOR PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9295|G9295 - NON CUTANEOUS LOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9294|G9294 - PT CAT AND THCK ON REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9293|G9293 - NO PT CATEGORY ON REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9292|G9292 - MEDRSN NO PT CATEGORY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9291|G9291 - NOT NSM LUNG CA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9290|G9290 - NO DOC TYPE NSM LUNG CA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9289|G9289 - DOC TYPE NSM LUNG CA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9288|G9288 - DOC MEDRSN NO HIST TYPE RPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9287|G9287 - NO ANTIBIO W IN 10D OF SYMPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9286|G9286 - ANTIBIO RX W IN 10D OF SYMPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9285|G9285 - SITE NOT SMALL CELL LUNG CA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9284|G9284 - NO HIST TYPE DOC ON REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9283|G9283 - HIST TYPE DOC ON REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9282|G9282 - DOC MEDRSN NO HISTO TYPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9281|G9281 - PNE SCRN DONE DOC NOT IND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9280|G9280 - PNE NOT GIVEN NORSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9279|G9279 - PNE SCRN DONE DOC VAC DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9278|G9278 - DOC NO DAILY ASPIRIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9277|G9277 - DOC DAILY ASPIRIN OR CONTRA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9276|G9276 - DOC OF TOBACCO USER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9275|G9275 - DOC OF NON TOBACCO USER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9274|G9274 - BP OUT OF NRML LIMITS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9273|G9273 - SYS<140 AND DIA<90||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9270|G9270 - DOC NO COMP OR MORT W IN 90D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9269|G9269 - DOC NO COMP OR MORT W IN 30D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9268|G9268 - DOC COMP OR MORT W IN 90D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9267|G9267 - DOC COMP OR MORT W IN 30D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9266|G9266 - NORSN PT CATH >=90D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9265|G9265 - DOC CATH >90D FOR MAINT DIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9264|G9264 - DOC RSN HEMOD W/CATH >=90D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9263|G9263 - DOC OF DISCH POST-AAA REPAIR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9262|G9262 - DOC OF DEATH POST-AAA REPAIR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9261|G9261 - SURVIVE/NO STROKE POST CEA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9260|G9260 - DOC OF PAT DEATH AFTER CEA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9259|G9259 - SURVIVE/NO STROKE POST CAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9258|G9258 - DOC OF PAT STROKE AFTER CEA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9257|G9257 - DOC OF PAT STROKE AFTER CAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9256|G9256 - DOC OF PAT DEATH AFTER CAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9255|G9255 - DOC PT DISCHG <=2D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9254|G9254 - DOC PT DISCHG >2D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9251|G9251 - DOC NO PAIN COMFORT 48HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9250|G9250 - DOC OF PAIN COMFORT 48HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9247|G9247 - 1 MED VISIT IN 24MO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9246|G9246 - NO MED VISIT IN 24MO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9245|G9245 - ANTIVIRAL ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9244|G9244 - ANTIVIRAL NOT ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9243|G9243 - DOC VIRAL LOAD <200||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9242|G9242 - DOC VIRAL LOAD >=200||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9241|G9241 - DOC PT W OUT CATH MAINT DIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9240|G9240 - DOC PT W CATH MAINT DIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9239|G9239 - DOC RSN HEMOD & CATH ACC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9238|G9238 - OP RAD MG INTENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9237|G9237 - GS MG INTENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9236|G9236 - OP RAD MG COMPOSITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9235|G9235 - GS MG COMPOSITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9234|G9234 - TKR INTENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9233|G9233 - TKR COMPOSITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9232|G9232 - PTRSN NO COMM COMORBID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9231|G9231 - DOC ESRD DIA TRANS PREG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9230|G9230 - NORSN FOR GC CHL SYP TEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9229|G9229 - PTRSN NO GC CHL SYP TEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9228|G9228 - GC CHL SYP DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9227|"G9227 - FOA DOC| CARE PLAN NOT DOC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9226|G9226 - 3 COMP FOOT EXAM COMPLETED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9225|G9225 - NORSN NO FOOT EXAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9223|G9223 - PJP PROPH ORDERED CD4 LOW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9222|G9222 - PJP PROPH ORDERED LOW CD4||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9219|G9219 - NO ODER PJP FOR MED REASON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9217|G9217 - NO PCP PROPH LOW CD4 NORSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9213|G9213 - NO DOC OF DSM-IV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9212|G9212 - DOC OF DSM-IV INIT EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9211|G9211 - NO HEPC RNA AFTER MED NO RSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9210|G9210 - NO HEPC RNA AFTER MED DOCRSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9209|G9209 - HEP C RNA 4TO12 WK AFTER MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9208|G9208 - NO REASON FOR NO HEP C GENO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9207|G9207 - HEP C GENOTYPE PRIOR TO MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9206|G9206 - HEP C THERAPY STARTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9205|G9205 - HEP C ANTIVIRAL STARTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9204|G9204 - NO REASON FOR NO HEP C RNA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9203|G9203 - HEP C RNA DONE PRIOR TO MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9198|G9198 - NO ORDER FOR CEPH NO REASON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9197|G9197 - ORDER FOR CEPH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9196|G9196 - MED REASON FOR NO CEPH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9192|G9192 - SYSTEM REASON FOR NO BETA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9191|G9191 - PT REASON FOR NO BETA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9190|G9190 - MEDICAL REASON FOR NO BETA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9189|G9189 - BETA PRES OR ALREADY TAKING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9188|G9188 - BETA NOT GIVEN NO REASON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9187|G9187 - BPCI HOME VISIT||92.7298|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9186|G9186 - MOTOR SPEECH GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9176|G9176 - SPEECH LANG D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9175|G9175 - SPEECH LANG GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9174|G9174 - SPEECH LANG CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9173|G9173 - VOICE D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9172|G9172 - VOICE GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9171|G9171 - VOICE CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9170|G9170 - MEMORY D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9169|G9169 - MEMORY GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9168|G9168 - MEMORY CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9167|G9167 - ATTEN D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9166|G9166 - ATTEN GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9165|G9165 - ATTEN CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9164|G9164 - LANG EXPRESS D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9163|G9163 - LANG EXPRESS GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9162|G9162 - LANG EXPRESS CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9161|G9161 - LANG COMP D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9160|G9160 - LANG COMP GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9159|G9159 - LANG COMP CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9158|G9158 - MOTOR SPEECH D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9157|G9157 - TRANSESOPH DOPPL CARDIAC MON||217.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9156|G9156 - EVALUATION FOR WHEELCHAIR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9153|G9153 - MAPCP DEMO PHYSICIAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9152|G9152 - MAPCP DEMO COMMUNITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9151|G9151 - MAPCP DEMO STATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9150|G9150 - MEDICAL HOME LEVEL III||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9149|G9149 - MEDICAL HOME LEVEL II||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9148|G9148 - MEDICAL HOME LEVEL 1||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9147|G9147 - OUTPT IV INSULIN TX ANY MEA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9143|G9143 - WARFARIN RESPON GENETIC TEST||131.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9140|G9140 - FRONTIER EXTENDED STAY DEMO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9139|G9139 - ONC DX CML DX STATUS UNKNOWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9138|G9138 - ONC DX NHL STG UNKNOWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9137|G9137 - ONC DX NHL RELAPSE/REFRACTOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9136|G9136 - ONC DX NHL TRANS TO LG BCELL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9135|G9135 - ONC DX NHL STG 3-4 NOT RELAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9134|G9134 - ONC NHLSTG 1-2 NO RELAP NO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9133|G9133 - ONC DX PROSTATE CLINICAL MET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9132|G9132 - ONC DX PROSTATE METS NO CAST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9131|G9131 - ONC DX BRST UNKNOWN NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9130|G9130 - ONC DX MULTI MYELOMA UNKNOWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9129|G9129 - ONC DX MULT MYELOMA STG2 HIG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9128|G9128 - ONC DX MULTI MYELOMA STAGE I||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9126|G9126 - ONC DX CML REMISSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9125|G9125 - ONC DX CML BLAST PHASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9124|G9124 - ONC DX CML ACCELER PHASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9123|G9123 - ONC DX CML CHRONIC PHASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9117|G9117 - ONC DX OVARIAN UNKNOWN NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9116|G9116 - ONC DX OVARIAN RECURRENCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9115|G9115 - ONC DX OVARIAN STG3/4 NOPROG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9114|G9114 - ONC DX OVARIAN STG1A-B OR 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9113|G9113 - ONC DX OVARIAN STG1A-B NO PR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9112|G9112 - ONC DX HEAD/NECK EXT UNKNOWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9111|G9111 - ONC DX HEAD/NECK M1 METS REC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9110|G9110 - ONC DX HEAD/NECK T3-4 NOPROG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9109|G9109 - ONC DX HEAD/NECK T1-T2NO PRG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9108|G9108 - ONC DX PANCREATIC UNKNWN NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9107|G9107 - ONC DX PANCREATIC UNRESECTAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9106|G9106 - ONC DX PANCREATC P R1/R2 NO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9105|G9105 - ONC DX PANCREATC P R0 RES NO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9104|G9104 - ONC DX GASTRIC UNKNOWN NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9103|G9103 - ONC DX GASTRIC RECURRENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9102|G9102 - ONC DX GASTRIC UNRESECTABLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9101|G9101 - ONC DX GASTRIC P R1-R2NOPROG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9100|G9100 - ONC DX GASTRIC NO RECURRENCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9099|G9099 - ONC DX ESOPHAGEAL UNKNOWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9098|G9098 - ONC DX ESOPHAGEAL METS RECUR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9097|G9097 - ONC DX ESOPHAGEAL T4 NO PROG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9096|G9096 - ONC DX ESOPHAG T1-T3 NOPROG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9095|G9095 - ONC DX RECTAL EXTENT UNKNWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9094|G9094 - ONC DX RECTAL M1 W/METS PROG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9093|"G9093 - ONC DX RECTAL T4|N|M0 NO PRG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9092|"G9092 - ONC DX RECTAL T1-3|N1-2NOPRG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9091|G9091 - ONC DX RECTAL T3 N0 NO PROG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9090|G9090 - ONC DX RECTAL T1-2 NO PROGR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9089|G9089 - ONC DX COLON EXTENT UNKNOWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9088|G9088 - ONC DX COLON METAS NOEVID DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9087|G9087 - ONC DX COLON METAS EVID DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9086|G9086 - ONC DX COLON T1-4 NO DX PROG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9085|"G9085 - ONC DX COLON T4| N0 W/O PROG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9084|"G9084 - ONC DX COLON T1-3|N1-2|NO PR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9083|G9083 - ONC DX PROSTATE UNKNWN NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9080|G9080 - ONC DX PROSTATE W/RISE PSA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9079|G9079 - ONC DX PROSTATE T3B-T4NOPROG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9078|G9078 - ONC DX PROSTATE T2NO PROGRES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9077|G9077 - ONC DX PROSTATE T1NO PROGRES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9075|G9075 - ONC DX BRST METASTIC/ RECUR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9074|G9074 - ONC DX BRST STG3-NOPROGRESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9073|"G9073 - ONC DX BRST STG3-HR| NO PRO"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9072|G9072 - ONC DX BRST STG1-2 NOPROGRES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9071|"G9071 - ONC DX BRST STG1-2B HR|NOPRO"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9070|G9070 - ONC DX SCLC/NSCLC EXT UNKNWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9069|G9069 - ONC DX SCLC/NSCLC EXT AT DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9068|G9068 - ONC DX SCLC/NSCLC LIMITED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9067|G9067 - ONC DX NSCLC DX UNKNOWN NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9066|G9066 - ONC DX NSCLC STG3B-4 METASTA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9065|G9065 - ONC DX NSCLC STG3A NO PROGRE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9064|G9064 - ONC DX NSCLC STG2 NO PROGRES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9063|G9063 - ONC DX NSCLC STGI NO PROGRES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9062|G9062 - ONC PRAC GUIDE DIFFERS NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9061|G9061 - ONC PRAC COND NOADD BY GUIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9060|G9060 - ONC PRAC MGMT DIF PT COMORB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9059|G9059 - ONC PRAC MGMT PT OPT ALTERNA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9058|G9058 - ONC PRAC MGMT DISAGREE W/GUI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9057|G9057 - ONC PRACT MGMT DIFFERS TRIAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9056|G9056 - ONC PRAC MGMT ADHERES GUIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9055|G9055 - ONC VISIT UNSPECIFIED NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9054|G9054 - ONC SUPERVISION PALLIATIVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9053|G9053 - ONC EXPECTANT MANAGEMENT PT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9052|G9052 - ONC SURVEILLANCE FOR DISEASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9051|G9051 - ONCOLOGY TX DECISION-MGMT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9050|G9050 - ONCOLOGY WORK-UP EVALUATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9036|"G9036 - RIMANTADINE HCL| BRAND"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9035|"G9035 - OSELTAMIVIR PHOSP| BRAND"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9034|"G9034 - ZANAMIVIR| INH PWDR| BRAND"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9033|G9033 - AMANTADINE HCL ORAL BRAND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9020|G9020 - RIMANTADINE HCL 100MG ORAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9019|G9019 - OSELTAMIVIR PHOSPHATE 75MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9018|"G9018 - ZANAMIVIR|INHALATION PWD 10M"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9017|G9017 - AMANTADINE HCL 100MG ORAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9016|G9016 - DEMO-SMOKING CESSATION COUN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9014|G9014 - ESRD DEMO BUNDLE-LEVEL II||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9013|G9013 - ESRD DEMO BUNDLE LEVEL I||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9012|G9012 - OTHER SPECIFIED CASE MGMT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9011|"G9011 - MCCD| RISK ADJ| LEVEL 5"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9010|"G9010 - MCCD| RISK ADJ| LEVEL 4"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9009|"G9009 - MCCD| RISK ADJ| LEVEL 3"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9008|"G9008 - MCCD|PHYS COOR-CARE OVRSGHT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9007|"G9007 - MCCD| SCH TEAM CONF"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9006|"G9006 - MCCD| HOME MONITORING"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9005|"G9005 - MCCD| RISK ADJ| MAINTENANCE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9004|"G9004 - MCCD| RISK ADJ LO| INITIAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9003|"G9003 - MCCD| RISK ADJ HI| INITIAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9002|"G9002 - MCCD|MAINTENANCE RATE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G9001|"G9001 - MCCD| INITIAL RATE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8999|G8999 - MOTOR SPEECH CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8998|G8998 - SWALLOW D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8997|G8997 - SWALLOW GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8996|G8996 - SWALLOW CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8995|G8995 - SUB PT/OT D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8994|G8994 - SUB PT/OT GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8993|G8993 - SUB PT/OT CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8992|G8992 - OTHER PT/OT  D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8991|G8991 - OTHER PT/OT GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8990|G8990 - OTHER PT/OT CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8989|G8989 - SELF CARE D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8988|G8988 - SELF CARE GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8987|G8987 - SELF CARE CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8986|G8986 - CARRY D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8985|G8985 - CARRY GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8984|G8984 - CARRY CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8983|G8983 - BODY POS D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8982|G8982 - BODY POS GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8981|G8981 - BODY POS CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8980|G8980 - MOBILITY D/C STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8979|G8979 - MOBILITY GOAL STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8978|G8978 - MOBILITY CURRENT STATUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8977|G8977 - ONCOLOGY MEASURES GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8976|G8976 - HGB >= 10 G/DL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8975|"G8975 - HGB <10G/DL| MED RSN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8974|G8974 - HGB NOT DOC RNS NOT GVN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8973|G8973 - MST RCNT HBB < 10G/DL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8972|G8972 - 1>=RISK OR>= MOD RISK FOR TE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8971|G8971 - WARFRN OR OTHR ANTCOG NO RX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8970|G8970 - NO RSK FAC OR 1 MOD RISK TE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8969|G8969 - DOC PT RSN NO PRESC WARF/FDA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8968|G8968 - DOC MED NOT PRESB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8967|G8967 - WARF OR OTHER FDA DRUG PRESC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8966|G8966 - CSIT PERF SX OR HIGH CHD RSK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8965|G8965 - CSIT PERF ON LOW CHD RSK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8964|G8964 - CSI ANY OTHER THAN PCI 2 YR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8963|G8963 - CSI PER ASX PT W/PCI 2 YRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8962|G8962 - CSIT ON PT ANY REAS 30 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8961|G8961 - CSIT LOWRISK SURG PTS PREOP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8960|G8960 - CLIN TX MDD NOT COMM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8959|G8959 - CLIN TX MDD COMM TO TX CLIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8958|G8958 - ASSESS VOL MGMT NOT DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8956|G8956 - PT RCV HEDIA OUTPT DYLS FAC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8955|G8955 - MOST RECENT ASSESS VOL MGMT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8953|G8953 - ONCOLOGY MG QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8952|"G8952 - PRE-HTN/HTN| NO F/U| NOT GVN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8950|"G8950 - PRE-HTN OR HTN DOC| F/U INDC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8948|G8948 - NO NEUROPSYCH SYMPTOMS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8947|G8947 - 1 OR MORE NEUROPSYCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8946|G8946 - MIBM BUT NO DX OF BREAST CA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8944|G8944 - AJCC MEL CNR STG 0 - IIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8942|G8942 - DOC FCN/CARE PLAN W/30 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8941|G8941 - ELD MALTREATMENT DOC AS POS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8940|G8940 - SRN CLIN DEP DOC NO F/U PLN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8939|"G8939 - PAIN AS DOC POSITIVE| NO F/U"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8938|G8938 - BMI DOC ONL FUP NT DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8937|G8937 - NO RX ACE/ARB THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8936|G8936 - PT NOT ELIGIBLE ACE/ARB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8935|G8935 - RX ACE OR ARB THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8934|G8934 - LVEF <40% OR DEP LV SYS FCN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8929|G8929 - ADJ CMO NOT PRES RSN NOT GVN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8928|G8928 - ADJ CHEM NOT PRES RSN SPEC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8927|G8927 - ADJ CHEM PRES AJCC III||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8926|G8926 - SPIRO NO PERF OR DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8925|G8925 - SPIR FEV1/FVC>=60% & NO COPD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8924|"G8924 - SPIR FEV1/FVC<70%|FEV<60%"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8923|G8923 - LVEF < 40% OR LVSD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8918|G8918 - PT W/O PREOP ORDER IV AB PRO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8917|G8917 - PT W IV AB NOT GIVEN ON TIME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8916|G8916 - PT W IV AB GIVEN ON TIME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8915|G8915 - PT NOT TRANS TO HOSP AT D/C||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8914|G8914 - PT TRANS TO HOSP POST D/C||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8913|G8913 - PT DOC NO WRONG EVENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8912|G8912 - PT DOC WITH WRONG EVENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8911|G8911 - PT DOC NO FALL IN ASC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8910|G8910 - PT DOC TO HAVE FALL IN ASC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8909|G8909 - PT DOC NO BURN PRIOR TO D/C||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8908|G8908 - PT DOC W BURN PRIOR TO D/C||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8907|G8907 - PT DOC NO EVENTS ON DISCHARG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8906|G8906 - CATARACT MEASURES GROUP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8903|G8903 - PARKINSON'S DISEASE MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8902|G8902 - DEMENTIA MEASURES GROUP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8900|G8900 - OBSTRUCTIVE SLEEP APNEA MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8899|G8899 - INFLAMMATORY BOWEL DIS MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8898|G8898 - COPD MEASURES GROUP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8885|"G8885 - NO REV| COMM| TRACK BIOPSY"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8884|G8884 - DOC REAS BIOPSY NOT REVIEW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8883|"G8883 - REV| COMM| TRACK| DOC BIOPSY"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8882|G8882 - NO SENT LYMPH NODE BIOPSY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8881|G8881 - BRST CNCR STAGE > T1N0M0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8880|G8880 - SEN LYM P NODE BIOP NOT PERF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8879|G8879 - NODE NEG INV BRST CNCR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8878|G8878 - SENT LYMPH NODE BIOPSY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8877|G8877 - NO BRST CNCR DX MIN INVASIVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8876|G8876 - DOC REAS NO MIN INV DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8875|G8875 - BREAST CANCER DX MIN INVSIVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8874|G8874 - TISSUE NOT IMAGE INTRAOP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8873|G8873 - SPECIMEN NOT INTRAOP IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8872|G8872 - INTRAOP IMAGE CONFIRM EXCISE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8869|G8869 - DOC IMMUNE HEP B ANTITNF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8868|G8868 - 1ST COURSE ANTITNF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8867|G8867 - NO PNEUMOCOCCAL ADMIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8866|G8866 - DOC PT REAS NO PNEUMOCOCCAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8865|G8865 - DOC MED REAS NO PNEUMOCOCCAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8864|G8864 - PNEUMOCOCCAL VACCINE ADMIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8863|G8863 - NO ASSESS BONE LOSS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8861|G8861 - DXA ORDERED FOR OSTEO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8858|G8858 - NOT REF FOR OTO EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8857|G8857 - NO ELIG REF FOR OTO EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8856|G8856 - REF FOR OTO EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8855|G8855 - POS AIR PRESS ADHERE NO PERF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8854|G8854 - REAS NO ADHERE POS AIR PRES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8853|G8853 - POS AIR PRESS NOT PRESCRIBE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8852|G8852 - POS AIR PRESS PRESCRIBE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8851|G8851 - ADHERE POS AIR PRESS THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8850|G8850 - NO PAP PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8849|G8849 - DOC REAS NO POS AIR PRESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8848|G8848 - MILD OSA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8846|G8846 - MOD OR SEVERE OSA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8845|G8845 - POS AIRWAY PRESS PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8844|G8844 - NO AHI OR RDI INITIAL DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8843|G8843 - DOC REAS NO AHI OR RDI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8842|G8842 - AHI OR RDI INITIAL DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8841|G8841 - NO SLEEP APNEA ASSESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8840|G8840 - DOC REAS NO SLEEP APNEA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8839|G8839 - SLEEP APNEA ASSESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8838|G8838 - NOT DISCH HOME BY DAY #2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8834|G8834 - PT DISCH HOME DAY #2 CEA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8833|G8833 - PT NOT DISCH HOME DAY#2 EVAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8826|G8826 - PT DISCH HOME DAY #2 EVAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8825|G8825 - PT NOT DISCH TO HOME DAY#7||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8818|G8818 - PT DISCH TO HOME BY DAY#7||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8817|G8817 - DOC REAS NO STATIN MED DISCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8816|G8816 - STATIN MED PRES AT DISCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8815|G8815 - DOC REAS NO STATIN THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8811|G8811 - NO RH-IMMUNOGLOBULIN ORDER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8810|G8810 - DOC REAS NO RH-IMMUNO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8809|G8809 - RH-IMMUNOGLOBULIN ORDER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8808|"G8808 - ULTRASOUND NOT PERF| RNG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8807|G8807 - NO TA TV ULTRASND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8806|G8806 - PERF ULTRSND TO LCT PREG DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8798|G8798 - SPECIMEN SITE NOT PROSTATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8797|G8797 - SPECIMEN SITE NOT ESOPHAGUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8785|G8785 - BP SCRN NO PERF AT INTERVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8784|G8784 - PT NO ELIG FOR BP ASSESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8783|G8783 - BP SCRN PERF REC INTERVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8765|G8765 - CATARACT MG QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8762|G8762 - PD MG QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8761|G8761 - DEMENTIA MG QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8759|G8759 - OSA MG QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8758|G8758 - IBD MG QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8757|G8757 - COPD MG QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8756|G8756 - NO BP MEASURE DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8755|G8755 - DIAS BP > OR = 90||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8754|G8754 - DIAS BP LESS 90||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8753|G8753 - SYS BP > OR = 140||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8752|G8752 - SYS BP LESS 140||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8749|G8749 - NO SIGNS MELANOMA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8735|G8735 - ELD MAL SCRN POS NO PLAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8734|G8734 - DOC NEG ELDER MAL NO PLAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8733|G8733 - DOC POS ELDER MAL SCRN PLAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8732|G8732 - NO DOC OF PAIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8731|G8731 - PAIN NEG NO PLAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8730|G8730 - PAIN DOC POS AND PLAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8728|G8728 - LIPID PROFILE NOT PERF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8726|G8726 - DOC REAS NO LIPID PROFILE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8725|G8725 - LIPID PROFILE PERF DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8724|"G8724 - PT| PN| HIST GRADE NOT DOC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8723|G8723 - SPEC SIT NOT PRIM TUMOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8722|"G8722 - MED REAS PT| PN| NOT DOC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8721|"G8721 - PT| PN| HIST GRADE DOC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8712|G8712 - NOT PRES ANTIBIOTIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8711|G8711 - PRES ANTIBIOTIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8710|G8710 - PT PRES ANTIBIOTIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8709|G8709 - PT PRESC DOC MED RSN ID URI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8708|G8708 - ANTIBIOTIC NOT PRES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8698|G8698 - ANTITHROMB NO PRESC NO REAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8697|G8697 - ANTITHROMB NO PRESC DOC REAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8696|G8696 - ANTITHROMB THX PRESC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8694|G8694 - LVEF <40%||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8674|"G8674 - RAFSCRS NECK| NO MSR/NO FOTO"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8673|G8673 - RAFSCRS GOI NO SCOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8672|G8672 - RAFSCRS GOI SCOR < 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8671|G8671 - RAFSCRS GOI SCOR >= 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8670|G8670 - RAFSCRS EWH NO SCOR NO SURV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8669|"G8669 - RAFSCRS HAND| NO MSR/SURV"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8668|G8668 - RAFSCRS EWH SCOR < 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8667|G8667 - RAFSCRS EWH SCOR >= 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8666|G8666 - RAFSCRS SI NO SCOR NO SURV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8665|G8665 - RAFSCRS SI NO SCOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8664|G8664 - RAFSCRS SI SCOR < 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8663|G8663 - RAFSCRS SI SCOR >= 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8662|G8662 - RAFSCRS LBI NO SCOR NO SURV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8661|G8661 - RAFSCRS LBI NO SCOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8660|G8660 - RAFSCRS LBI SCOR < 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8659|G8659 - RAFSCRS LBI SCOR >= 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8658|G8658 - RAFSCRS LLFAI NO SCOR + SURV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8657|G8657 - RAFSCRS LLFAI NO SCOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8656|G8656 - RAFSCRS LLFAI SCOR < 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8655|G8655 - RAFSCRS LLFAI SCOR >= 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8654|G8654 - RAFSCRS HI NO SCOR NO SURV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8653|G8653 - RAFSCRS HI NO SCOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8652|G8652 - RAFSCRS HI SCOR < 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8651|G8651 - RAFSCRS HI SCOR >=0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8650|G8650 - RAFSCRS KI NO SCOR NO SURV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8649|G8649 - RAFSCRS KI NO SCOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8648|G8648 - RAFSCRS KI SCOR < 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8647|G8647 - RAFSCRS KI SCOR >= 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8646|G8646 - ASTHMA MG QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8645|G8645 - ASTHMA MEASURES GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8635|G8635 - NO PHARM THER OSTEO RX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8634|G8634 - PT NO ELG PHAR THER OSTEO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8633|G8633 - PHARM THER OSTEO RX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8628|G8628 - NO SURG PROC W/IN 30 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8627|G8627 - SURG PROC W/IN 30 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8602|G8602 - NO TPA INIT W/IN 3 HRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8601|G8601 - NO ELIG TPA INIT W/IN 3 HRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8600|G8600 - TPA INITI W/IN 3 HRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8599|G8599 - NO ASA/ANTIPLAT THER USE RNG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8598|G8598 - ASA/ANTIPLAT THER USED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8578|G8578 - NO REOP REQ BLD GRFT OTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8577|G8577 - REOP REQ BLD GRFT OTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8576|G8576 - NO POSTOP REN FAIL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8575|G8575 - POSTOP REN FAIL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8574|G8574 - NO STRK CABG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8573|G8573 - STK CABG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8572|G8572 - NO STER WD IFX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8571|G8571 - STER WD IFX 30 D POSTOP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8570|G8570 - NO PROL INTUB REQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8569|G8569 - PROL INTUBATION REQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8568|G8568 - PT NO REF OTOLO NO SPEC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8567|G8567 - PT NO DOC HEAR LOSS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8566|G8566 - PT INELIG REF OTO EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8565|G8565 - VER DOC HEAR LOSS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8564|G8564 - PT REF OTO EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8563|G8563 - PT NO REF OTO REAS NO SPEC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8562|G8562 - PT NO HX ACT DRAIN 90 D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8561|G8561 - PT INELIG FOR REF OTO EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8560|G8560 - PT HX ACT DRAIN PREV 90 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8559|G8559 - PT REF DOC OTO EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8551|G8551 - HF MG QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8549|G8549 - HEPC MG QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8548|G8548 - HF MEASURES GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8545|G8545 - HEPC MEASURES GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8544|G8544 - CABG MEASURES GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8543|G8543 - CUR FUNCT ASSES; NO CARE PLN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8542|G8542 - DOC FUNCT NO DEFICIENCIES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8541|G8541 - NO DOC CUR FUNCT ASSESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8540|G8540 - FOA NOT DOC AS BEING PERF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8539|G8539 - DOC FUNCT AND CARE PLAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8536|G8536 - NO DOC ELDER MAL SCRN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8535|G8535 - ELD MALTREATMENT NOT DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8511|"G8511 - SCR DEP POS| NO PLAN DOC RNG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8510|"G8510 - SCR DEP NEG| NO PLAN REQD"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8509|G8509 - POS PAIN ASSESS NO F/U DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8506|G8506 - PT REC ACE/ARB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8500|G8500 - HIV MEAS QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8499|G8499 - RA MEAS QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8498|G8498 - CAD MEAS QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8497|G8497 - CABG MEAS QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8496|G8496 - PREV CARE MG QUAL ACT PERFRM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8495|G8495 - CKD MEAS QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8494|G8494 - DM MEAS QUAL ACT PERFORM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8491|G8491 - HIV/AIDS MEASURES GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8490|G8490 - RA MEASURES GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8489|G8489 - CAD MEASURES GRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8487|G8487 - REPORT CKD MEASURES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8486|"G8486 - REPORT| PREV CARE MEASURES"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8485|"G8485 - REPORT| DIABETES MEASURES"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8484|G8484 - FLU IMMUNIZE NO ADMIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8483|G8483 - FLU IMM NO ADMIN DOC REA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8482|G8482 - FLU IMMUNIZE ORDER/ADMIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8478|G8478 - BP NOT PERFORMED/DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8477|G8477 - BP SYS>=140 AND/OR DIAS >=90||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8476|G8476 - BP SYS <140 AND DIAS <90||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8475|G8475 - ACE/ARB THXPY NOT RX'D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8474|G8474 - ACE/ARB NOT RX'D; DOC REAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8473|G8473 - ACE/ARB THXPY RX'D||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8465|G8465 - HIGH RISK RECURRENCE PRO CA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8461|G8461 - PT REC ANTIVIR TREAT HEP C||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8460|G8460 - PT INELIG RNA NO ANTVIR TX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8458|G8458 - PT INELIG GENO NO ANTVIR TX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8452|G8452 - PT W/ABN LVEF B-BLOC NO RX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8451|G8451 - PT W/ABN LVEF INELIG B-BLOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8450|G8450 - BETA-BLOC RX PT W/ABN LVEF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8442|"G8442 - DOC PAIN AS NT PERF| NOT ELG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8433|G8433 - SCR FOR DEP NOT CPT DOC RSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8432|"G8432 - DEP SCR NOT DOC| RNG"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8431|G8431 - POS CLIN DEPRES SCRN F/U DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8430|G8430 - EC AT DOC MEDREC PT NOT ELIG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8428|G8428 - CUR MEDS NOT DOCUMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8427|G8427 - DOCREV CUR MEDS BY ELIG CLIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8422|G8422 - PT INELIG BMI CALCULATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8421|G8421 - BMI NOT CALCULATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8420|G8420 - CALC BMI NORM PARAMETERS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8419|G8419 - CALC BMI OUT NRM PARAM NOF/U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8418|G8418 - CALC BMI BLW LOW PARAM F/U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8417|G8417 - CALC BMI ABV UP PARAM F/U||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8416|G8416 - PT INELIG FOOTWEAR EVALUATIO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8415|G8415 - EVAL ON FOOT NOT PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8410|G8410 - EVAL ON FOOT DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8405|G8405 - LOW EXTEMITY NEUR NOT PERFOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8404|G8404 - LOW EXTEMITY NEUR EXAM DOCUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8401|G8401 - PT INELIG OSTEO SCREEN MEASU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8400|G8400 - PT W/DXA NO RESULTS DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8399|G8399 - PT W/DXA RESULTS DOCUMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8398|G8398 - DIL MACULAR/FUNDUS NOT PERFO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8397|G8397 - DIL MACULA/FUNDUS EXAM/W DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8396|G8396 - LVEF NOT PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G8395|G8395 - LVEF>=40% DOC NORMAL OR MILD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6017|G6017 - INTRAFRACTION TRACK MOTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6016|G6016 - DELIVERY COMP IMRT||700.3359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6015|G6015 - RADIATION TX DELIVERY IMRT||702.5206|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6014|G6014 - RADIATION TREATMENT DELIVERY||538.108|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6013|G6013 - RADIATION TREATMENT DELIVERY||538.108|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6012|G6012 - RADIATION TREATMENT DELIVERY||537.3838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6011|G6011 - RADIATION TREATMENT DELIVERY||654.7093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6010|G6010 - RADIATION TREATMENT DELIVERY||402.6767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6009|G6009 - RADIATION TREATMENT DELIVERY||403.401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6008|G6008 - RADIATION TREATMENT DELIVERY||407.7464|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6007|G6007 - RADIATION TREATMENT DELIVERY||612.7039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6006|G6006 - RADIATION TREATMENT DELIVERY||293.3178|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6005|G6005 - RADIATION TREATMENT DELIVERY||294.042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6004|G6004 - RADIATION TREATMENT DELIVERY||294.7662|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6003|G6003 - RADIATION TREATMENT DELIVERY||380.9498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6002|G6002 - STEREOSCOPIC X-RAY GUIDANCE||156.7224|44.4625|112.2599|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G6001|G6001 - ECHO GUIDANCE RADIOTHERAPY||110.4691|65.5627|44.9064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G3001|"G3001 - ADMIN + SUPPLY| TOSITUMOMAB"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0918|G0918 - NO SATISFY WITH CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0917|G0917 - SATISFY SURVEY NOT COMPLETE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0916|G0916 - SATISFY WITH CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0915|G0915 - NO IMPROVE VISUAL FUNCT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0914|G0914 - SURVEY NOT COMPLETE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0913|G0913 - IMPROVE VISUAL FUNCT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0483|G0483 - DRUG TEST DEF 22+ CLASSES||161.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0482|G0482 - DRUG TEST DEF 15-21 CLASSES||124.245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0481|G0481 - DRUG TEST DEF 8-14 CLASSES||92.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0480|G0480 - DRUG TEST DEF 1-7 CLASSES||59.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0479|G0479 - DRUG TEST PRESUMP NOT OPT||170.82|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0478|G0478 - DRUG TEST PRESUMP OPT INST||42.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0477|G0477 - DRUG TEST PRESUMP OPTICAL||32.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0476|G0476 - HPV COMBO ASSAY CA SCREEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0475|G0475 - HIV COMBINATION ASSAY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0473|G0473 - GROUP BEHAVE COUNS 2-10||25.7751|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0472|G0472 - HEP C SCREEN HIGH RISK/OTHER|QW|43.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0472|G0472 - HEP C SCREEN HIGH RISK/OTHER||43.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0471|G0471 - VEN BLOOD COLL SNF/HHA||11.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0470|"G0470 - FQHC VISIT| MH ESTAB PT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0469|"G0469 - FQHC VISIT| MH NEW PT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0468|"G0468 - FQHC VISIT| IPPE OR AWV"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0467|"G0467 - FQHC VISIT| ESTAB PT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0466|G0466 - FQHC VISIT NEW PATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0464|G0464 - COLORECTAL CANCER SCREENING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0463|G0463 - HOSPITAL OUTPT CLINIC VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0460|G0460 - AUTOLOGOUS PRP FOR ULCERS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0459|G0459 - TELEHEALTH INPT PHARM MGMT||91.7567|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0458|G0458 - LDR PROSTATE BRACHY COMP RAT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0455|G0455 - FECAL MICROBIOTA PREP INSTIL||163.06|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0454|G0454 - MD DOCUMENT VISIT BY NPP||20.2986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0453|G0453 - CONT INTRAOP NEURO MONITOR||72.2556|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0451|G0451 - DEVLOPMENT TEST INTERPT&REP||18.1098|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0448|G0448 - PLACE PERM PACING CARDIOVERT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0447|G0447 - BEHAVIOR COUNSEL OBESITY 15M||52.197|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0446|G0446 - INTENS BEHAVE THER CARDIO DX||52.197|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0445|G0445 - HIGH INTEN BEH COUNS STD 30M||52.197|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0444|G0444 - DEPRESSION SCREEN ANNUAL||20.2986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0443|G0443 - BRIEF ALCOHOL MISUSE COUNSEL||52.197|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0442|G0442 - ANNUAL ALCOHOL SCREEN 15 MIN||21.0229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0439|"G0439 - PPPS| SUBSEQ VISIT"||249.0688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0438|"G0438 - PPPS| INITIAL VISIT"||368.9118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0437|G0437 - SMOK/TBCO CESS COUNSEL VST >10 MIN||56.9492|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0436|G0436 - SMOK/TBCO CESS COUNSELING VST ASYMPTO PT INTERMED||27.3089|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0435|G0435 - ORAL HIV-1/HIV-2 SCREEN||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0433|G0433 - ELISA HIV-1/HIV-2 SCREEN|QW|42.0075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0433|G0433 - ELISA HIV-1/HIV-2 SCREEN||42.0075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0432|G0432 - EIA HIV-1/HIV-2 SCREEN||42.0075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0429|G0429 - DERMAL FILLER INJECTION(S)||156.7659|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0428|G0428 - COLLAGEN MENISCUS IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0427|G0427 - INPT/ED TELECONSULT70||442.1469|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0426|G0426 - INPT/ED TELECONSULT50||297.233|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0425|G0425 - INPT/ED TELECONSULT30||218.4593|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0424|G0424 - PULMONARY REHAB W EXER||30.5313|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0423|G0423 - INTENS CARDIAC REHAB NO EXER||222.0321|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0422|G0422 - INTENS CARDIAC REHAB W/EXERC||222.0321|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0421|G0421 - ED SVC CKD GRP PER SESSION||55.5008|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0420|G0420 - ED SVC CKD IND PER SESSION||240.3691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0416|"G0416 - PROSTATE BIOPSY| ANY MTHD"||1105.7315|344.5521|761.1794|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0415|G0415 - OPEN TX POST PELVIC FXCTURE||3034.8803|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0414|G0414 - PELVIC RING FX TREAT INT FIX||2142.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0413|G0413 - PELVIC RING FRACTURE UNI/BIL||2359.1852|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0412|G0412 - OPEN TX ILIAC SPINE UNI/BIL||1580.6743|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0411|G0411 - INTER ACTIVE GRP PSYCH PARTI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0410|G0410 - GRP PSYCH PARTIAL HOSP 45-50||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0409|G0409 - CORF RELATED SERV 15 MINS EA||24.6279|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0408|G0408 - INPT/TELE FOLLOW UP 35||225.6162|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0407|G0407 - INPT/TELE FOLLOW UP 25||156.9085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0406|G0406 - INPT/TELE FOLLOW UP 15||85.8694|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0405|G0405 - EKG INTERPRET & REPORT PREVE||18.7688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0404|G0404 - EKG TRACING FOR INITIAL PREV||17.3856|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0403|G0403 - EKG FOR INITIAL PREVENT EXAM||36.1544|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0402|G0402 - INITIAL PREVENTIVE EXAM||279.1071|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0400|G0400 - HOME SLEEP TEST/TYPE 4 PORTA||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0399|G0399 - HOME SLEEP TEST/TYPE 3 PORTA||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0398|G0398 - HOME SLEEP TEST/TYPE 2 PORTA||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0397|G0397 - ALCOHOL/SUBS INTERV >30 MIN||151.1106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0396|G0396 - ALCOHOL/SUBS INTERV 15-30MN||74.1068|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0390|G0390 - TRAUMA RESPONS W/HOSP CRITI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0389|G0389 - ULTRASOUND EXAM AAA SCREEN||241.563|64.8465|176.7165|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0384|G0384 - LEV 5 HOSP TYPE B ED VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0383|G0383 - LEV 4 HOSP TYPE B ED VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0382|G0382 - LEV 3 HOSP TYPE B ED VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0381|G0381 - LEV 2 HOSP TYPE B ED VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0380|G0380 - LEV 1 HOSP TYPE B ED VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0379|G0379 - DIRECT REFER HOSPITAL OBSERV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0378|G0378 - HOSPITAL OBSERVATION PER HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0372|G0372 - MD SERVICE REQUIRED FOR PMD||19.493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0365|G0365 - VESSEL MAPPING HEMO ACCESS||337.365|27.3943|309.9825|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0364|G0364 - BONE MARROW ASPIRATE &BIOPSY||19.4117|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0343|G0343 - LAPAROTOMY ISLET CELL TRANSP||2756.9325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0342|G0342 - LAPAROSCOPY ISLET CELL TRANS||1558.4189|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0341|G0341 - PERCUTANEOUS ISLET CELLTRANS||842.8258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0340|G0340 - ROBT LIN-RADSURG FRACTX 2-5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0339|"G0339 - ROBOT LIN-RADSURG COM| FIRST"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0337|G0337 - HOSPICE EVALUATION PREELECTI||159.3293|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0333|G0333 - DISPENSE FEE INITIAL 30 DAY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0329|G0329 - ELECTROMAGNTIC TX FOR ULCERS||20.0465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0328|G0328 - FECAL BLOOD SCRN IMMUNOASSAY|QW|48.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0328|G0328 - FECAL BLOOD SCRN IMMUNOASSAY||48.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0307|G0307 - CBC WITHOUT PLATELET||19.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0306|G0306 - CBC/DIFFWBC W/O PLATELET||23.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0305|G0305 - POST OP SERVICE LVRS MIN 6||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0304|G0304 - PRE-OP SERVICE LVRS 1-9 DOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0303|G0303 - PRE-OP SERVICE LVRS 10-15DOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0302|G0302 - PRE-OP SERVICE LVRS COMPLETE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0300|G0300 - HHS/HOSPICE OF LPN EA 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0299|G0299 - HHS/HOSPICE OF RN EA 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0297|G0297 - LDCT FOR LUNG CA SCREEN||523.9682|112.6007|411.3675|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0296|G0296 - VISIT TO DETERM LDCT ELIG||58.5604|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0295|G0295 - ELECTROMAGNETIC THERAPY ONC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0294|"G0294 - NON-COV PROC| CLINICAL TRIAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0293|"G0293 - NON-COV SURG PROC|CLIN TRIAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0289|"G0289 - ARTHRO| LOOSE BODY + CHONDRO"||194.6692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0288|"G0288 - RECON| CTA FOR SURG PLAN"||74.6321|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0283|G0283 - ELEC STIM OTHER THAN WOUND||29.7136|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0282|G0282 - ELECT STIM WOUND CARE NOT PD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0281|G0281 - ELEC STIM UNATTEND FOR PRESS||29.7136|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0279|"G0279 - TOMOSYNTHESIS| MAMMO"||117.8741|66.4537|51.4204|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0278|"G0278 - ILIAC ART ANGIO|CARDIAC CATH"||31.0276|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0277|"G0277 - HBOT| FULL BODY CHAMBER| 30M"||91.2572|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0276|G0276 - PILD/PLACEBO CONTROL CLIN TR||885.1744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0271|G0271 - GROUP MNT 2 OR MORE 30 MINS||33.1801|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0270|G0270 - MNT SUBS TX FOR CHANGE DX||60.1595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0269|G0269 - OCCLUSIVE DEVICE IN VEIN ART||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0268|G0268 - REMOVAL OF IMPACTED WAX MD||75.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0260|G0260 - INJ FOR SACROILIAC JT ANESTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0259|G0259 - INJECT FOR SACROILIAC JOINT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0257|G0257 - UNSCHED DIALYSIS ESRD PT HOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0255|G0255 - CURRENT PERCEP THRESHOLD TST||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0252|G0252 - PET IMAGING INITIAL DX||0|165.0337|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0250|G0250 - MD INR TEST REVIE INTER MGMT||20.2986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0249|G0249 - PROVIDE INR TEST MATER/EQUIP||227.4127|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0248|G0248 - DEMONSTRATE USE HOME INR MON||227.4167|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0247|G0247 - ROUTINE FOOTCARE PT W LOPS||51.8796|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0246|G0246 - FOLLOWUP EVAL OF FOOT PT LOP||47.8516|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0245|G0245 - INITIAL FOOT EXAM PT LOPS||95.5406|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0239|"G0239 - OTH RESP PROC| GROUP"||26.8006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0238|"G0238 - OTH RESP PROC| INDIV"||21.731|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0237|G0237 - THERAPEUTIC PROCD STRG ENDUR||20.2825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0235|G0235 - PET NOT OTHERWISE SPECIFIED||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0219|G0219 - PET IMG WHOLBOD MELANO NONCO||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0206|G0206 - DX MAMMO INCL CAD UNI||267.8875|77.4106|190.4769|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0204|G0204 - DX MAMMO INCL CAD BI||340.9737|96.9036|244.07|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0202|G0202 - SCR MAMMO BI INCL CAD||278.751|77.4106|201.3404|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0186|"G0186 - DSTRY EYE LESN|FDR VSSL TECH"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0182|G0182 - HOSPICE CARE SUPERVISION||235.0111|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0181|G0181 - HOME HEALTH CARE SUPERVISION||234.2909|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0180|G0180 - MD CERTIFICATION HHA PATIENT||114.8306|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0179|G0179 - MD RECERTIFICATION HHA PT||87.6844|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0177|G0177 - OPPS/PHP; TRAIN & EDUC SERV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0176|G0176 - OPPS/PHP;ACTIVITY THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0175|"G0175 - OPPS SERVICE|SCHED TEAM CONF"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0168|G0168 - WOUND CLOSURE BY ADHESIVE||61.6241|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0166|"G0166 - EXTRNL COUNTERPULSE| PER TX"||282.3117|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0164|G0164 - HHC LIS NURSE TRAIN EA 15||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0163|G0163 - HHC LPN/RN OBS/ASSES EA 15||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0162|"G0162 - HHC RN E&M PLAN SVS| 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0161|G0161 - HHC SLP EA 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0160|G0160 - HHC OCCUP THERAPY EA 15||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0159|G0159 - HHC PT MAINT EA 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0158|G0158 - HHC OT ASSISTANT EA 15||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0157|G0157 - HHC PT ASSISTANT EA 15||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0156|"G0156 - HHCP-SVS OF AIDE|EA 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0155|"G0155 - HHCP-SVS OF CSW|EA 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0153|"G0153 - HHCP-SVS OF S/L PATH|EA 15MN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0152|"G0152 - HHCP-SERV OF OT|EA 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0151|"G0151 - HHCP-SERV OF PT|EA 15 MIN"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0148|"G0148 - SCR C/V CYTO| AUTOSYS| RESCR"||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0147|"G0147 - SCR C/V CYTO| AUTOMATED SYS"||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0145|"G0145 - SCR C/V CYTO|THINLAYER|RESCR"||81.135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0144|"G0144 - SCR C/V CYTO|THINLAYER|RESCR"||65.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0143|"G0143 - SCR C/V CYTO|THINLAYER|RESCR"||62.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0141|"G0141 - SCR C/V CYTO|AUTOSYS AND MD"||70.0547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0130|G0130 - SINGLE ENERGY X-RAY STUDY||71.3243|24.9695|46.3548|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0129|G0129 - PARTIAL HOSP PROG SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0128|G0128 - CORF SKILLED NURSING SERVICE||15.9371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0127|G0127 - TRIM NAIL(S)||17.3203|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0124|G0124 - SCREEN C/V THIN LAYER BY MD||70.0547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0123|G0123 - SCREEN CERV/VAG THIN LAYER||62.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0122|G0122 - COLON CA SCRN; BARIUM ENEMA||554.8701|109.4597|445.4104|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0121|G0121 - COLON CA SCRN NOT HI RSK IND|53|215.8226|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0121|G0121 - COLON CA SCRN NOT HI RSK IND||431.6532|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0120|G0120 - COLON CA SCRN; BARIUM ENEMA||444.0868|113.8332|330.2536|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0118|G0118 - GLAUCOMA SCRN HGH RISK DIREC||91.9162|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0117|G0117 - GLAUCOMA SCRN HGH RISK DIREC||114.4769|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0109|G0109 - DIAB MANAGE TRN IND/GROUP||31.0074|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0108|G0108 - DIAB MANAGE TRN  PER INDIV||115.2535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0106|G0106 - COLON CA SCREEN;BARIUM ENEMA||440.4455|110.1919|330.2536|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0105|G0105 - COLORECTAL SCRN; HI RISK IND|53|216.5468|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0105|G0105 - COLORECTAL SCRN; HI RISK IND||430.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0104|G0104 - CA SCREEN;FLEXI SIGMOIDSCOPE||124.9327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0103|G0103 - PSA SCREENING||56.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0102|G0102 - PROSTATE CA SCREENING; DRE||19.493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0101|G0101 - CA SCREEN;PELVIC/BREAST EXAM||60.8959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0027|G0027 - SEMEN ANALYSIS||19.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0010|G0010 - ADMIN HEPATITIS B VACCINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0009|G0009 - ADMIN PNEUMOCOCCAL VACCINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|G0008|G0008 - ADMIN INFLUENZA VIRUS VAC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2633|E2633 - MOBILE ARM SUPPORT SUPINATOR|UE|247.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2633|E2633 - MOBILE ARM SUPPORT SUPINATOR|RR|32.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2633|E2633 - MOBILE ARM SUPPORT SUPINATOR|NU|329.8725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2632|E2632 - OFFSET/LAT ROCKER ARM W/ELA|UE|294.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2632|E2632 - OFFSET/LAT ROCKER ARM W/ELA|RR|39.285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2632|E2632 - OFFSET/LAT ROCKER ARM W/ELA|NU|392.805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2631|E2631 - ELEVAT PROXIMAL ARM SUPPORT|UE|461.88|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2631|E2631 - ELEVAT PROXIMAL ARM SUPPORT|RR|61.5825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2631|E2631 - ELEVAT PROXIMAL ARM SUPPORT|NU|615.8475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2630|E2630 - MONOSUSPENSION ARM/HAND SUPP|UE|1154.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2630|E2630 - MONOSUSPENSION ARM/HAND SUPP|RR|153.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2630|E2630 - MONOSUSPENSION ARM/HAND SUPP|NU|1539.495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2629|E2629 - FRICTION DAMPENING ARM SUPP|UE|1689.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2629|E2629 - FRICTION DAMPENING ARM SUPP|RR|225.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2629|E2629 - FRICTION DAMPENING ARM SUPP|NU|2252.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2628|E2628 - MOBILE ARM SUPPORTS RECLININ|UE|1307.9475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2628|E2628 - MOBILE ARM SUPPORTS RECLININ|RR|174.3975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2628|E2628 - MOBILE ARM SUPPORTS RECLININ|NU|1743.9525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2627|E2627 - ARM SUPP ATT TO WC RANCHO TY|UE|1744.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2627|E2627 - ARM SUPP ATT TO WC RANCHO TY|RR|232.6725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2627|E2627 - ARM SUPP ATT TO WC RANCHO TY|NU|2326.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2626|E2626 - SEO MOBILE ARM SUP ATT TO WC|UE|1099.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2626|E2626 - SEO MOBILE ARM SUP ATT TO WC|RR|146.565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2626|E2626 - SEO MOBILE ARM SUP ATT TO WC|NU|1465.8975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2625|E2625 - ADJ SKIN PRO/POS WC CUS>=22|UE|645.1875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2625|E2625 - ADJ SKIN PRO/POS WC CUS>=22|RR|86.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2625|E2625 - ADJ SKIN PRO/POS WC CUS>=22|NU|860.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2624|E2624 - ADJ SKIN PRO/POS CUS<22IN|UE|515.205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2624|E2624 - ADJ SKIN PRO/POS CUS<22IN|RR|68.6925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2624|E2624 - ADJ SKIN PRO/POS CUS<22IN|NU|686.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2623|E2623 - ADJ SKIN PRO WC CUS WD>=22IN|UE|645.84|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2623|E2623 - ADJ SKIN PRO WC CUS WD>=22IN|RR|86.13|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2623|E2623 - ADJ SKIN PRO WC CUS WD>=22IN|NU|861.12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2622|E2622 - ADJ SKIN PRO W/C CUS WD<22IN|UE|509.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2622|E2622 - ADJ SKIN PRO W/C CUS WD<22IN|RR|67.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2622|E2622 - ADJ SKIN PRO W/C CUS WD<22IN|NU|678.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2621|E2621 - WC PLANAR BACK CUSH WD>=22IN|UE|813.9375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2621|E2621 - WC PLANAR BACK CUSH WD>=22IN|RR|108.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2621|E2621 - WC PLANAR BACK CUSH WD>=22IN|NU|1085.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2620|E2620 - WC PLANAR BACK CUSH WD <22IN|UE|760.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2620|E2620 - WC PLANAR BACK CUSH WD <22IN|RR|101.4525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2620|E2620 - WC PLANAR BACK CUSH WD <22IN|NU|1014.48|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2619|E2619 - REPLACE COVER W/C SEAT CUSH|UE|79.5375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2619|E2619 - REPLACE COVER W/C SEAT CUSH|RR|10.5975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2619|E2619 - REPLACE COVER W/C SEAT CUSH|NU|105.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2616|E2616 - POS BACK POST/LAT WDTH>=22IN|UE|861.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2616|E2616 - POS BACK POST/LAT WDTH>=22IN|RR|114.9075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2616|E2616 - POS BACK POST/LAT WDTH>=22IN|NU|1149.21|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2615|E2615 - POS BACK POST/LAT WDTH <22IN|UE|653.8725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2615|E2615 - POS BACK POST/LAT WDTH <22IN|RR|87.1875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2615|E2615 - POS BACK POST/LAT WDTH <22IN|NU|871.83|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2614|E2614 - POSITION BACK CUSH WD>=22IN|UE|775.485|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2614|E2614 - POSITION BACK CUSH WD>=22IN|RR|103.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2614|E2614 - POSITION BACK CUSH WD>=22IN|NU|1033.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2613|E2613 - POSITION BACK CUSH WD <22IN|UE|562.5225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2613|E2613 - POSITION BACK CUSH WD <22IN|RR|75.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2613|E2613 - POSITION BACK CUSH WD <22IN|NU|750.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2612|E2612 - GEN USE BACK CUSH WDTH>=22IN|UE|589.0275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2612|E2612 - GEN USE BACK CUSH WDTH>=22IN|RR|78.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2612|E2612 - GEN USE BACK CUSH WDTH>=22IN|NU|785.3625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2611|E2611 - GEN USE BACK CUSH WDTH <22IN|UE|398.7675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2611|E2611 - GEN USE BACK CUSH WDTH <22IN|RR|53.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2611|E2611 - GEN USE BACK CUSH WDTH <22IN|NU|531.6525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2608|E2608 - SKIN PRO/POS WC CUS WD>=22IN|UE|490.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2608|E2608 - SKIN PRO/POS WC CUS WD>=22IN|RR|65.43|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2608|E2608 - SKIN PRO/POS WC CUS WD>=22IN|NU|654.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2607|E2607 - SKIN PRO/POS WC CUS WD <22IN|UE|404.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2607|E2607 - SKIN PRO/POS WC CUS WD <22IN|RR|53.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2607|E2607 - SKIN PRO/POS WC CUS WD <22IN|NU|539.46|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2606|E2606 - POSITION WC CUSH WDTH>=22 IN|UE|597.5325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2606|E2606 - POSITION WC CUSH WDTH>=22 IN|RR|79.6725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2606|E2606 - POSITION WC CUSH WDTH>=22 IN|NU|796.7475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2605|E2605 - POSITION WC CUSH WDTH <22 IN|UE|380.3625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2605|E2605 - POSITION WC CUSH WDTH <22 IN|RR|50.715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2605|E2605 - POSITION WC CUSH WDTH <22 IN|NU|507.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2604|E2604 - SKIN PROTECT WC CUS WD>=22IN|UE|270.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2604|E2604 - SKIN PROTECT WC CUS WD>=22IN|RR|36.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2604|E2604 - SKIN PROTECT WC CUS WD>=22IN|NU|361.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2603|E2603 - SKIN PROTECT WC CUS WD <22IN|UE|208.755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2603|E2603 - SKIN PROTECT WC CUS WD <22IN|RR|27.8325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2603|E2603 - SKIN PROTECT WC CUS WD <22IN|NU|278.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2602|E2602 - GEN W/C CUSHION WDTH >=22 IN|UE|165.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2602|E2602 - GEN W/C CUSHION WDTH >=22 IN|RR|22.0725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2602|E2602 - GEN W/C CUSHION WDTH >=22 IN|NU|220.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2601|E2601 - GEN W/C CUSHION WDTH < 22 IN|UE|83.3175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2601|E2601 - GEN W/C CUSHION WDTH < 22 IN|RR|11.1375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2601|E2601 - GEN W/C CUSHION WDTH < 22 IN|NU|111.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2512|"E2512 - SGD ACCESSORY| MOUNTING SYS"|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2512|"E2512 - SGD ACCESSORY| MOUNTING SYS"|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2512|"E2512 - SGD ACCESSORY| MOUNTING SYS"|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2511|E2511 - SGD SFTWRE PRGRM FOR PC/PDA|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2511|E2511 - SGD SFTWRE PRGRM FOR PC/PDA|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2511|E2511 - SGD SFTWRE PRGRM FOR PC/PDA|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2510|E2510 - SGD W MULTI METHODS MSG/ACCS|UE|12626.46|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2510|E2510 - SGD W MULTI METHODS MSG/ACCS|RR|1683.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2510|E2510 - SGD W MULTI METHODS MSG/ACCS|NU|16835.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2508|E2508 - SGD SPELLING PHYS CONTACT|UE|6672.33|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2508|E2508 - SGD SPELLING PHYS CONTACT|RR|889.6275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2508|E2508 - SGD SPELLING PHYS CONTACT|NU|8896.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2506|E2506 - SGD PREREC MSG > 40 MIN|UE|4314.8475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2506|E2506 - SGD PREREC MSG > 40 MIN|RR|575.28|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2506|E2506 - SGD PREREC MSG > 40 MIN|NU|5753.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2504|E2504 - SGD PREREC MSG>20MIN <=40MIN|UE|2942.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2504|E2504 - SGD PREREC MSG>20MIN <=40MIN|RR|392.4225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2504|E2504 - SGD PREREC MSG>20MIN <=40MIN|NU|3923.64|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2502|E2502 - SGD PREREC MSG >8MIN <=20MIN|UE|2230.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2502|E2502 - SGD PREREC MSG >8MIN <=20MIN|RR|297.45|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2502|E2502 - SGD PREREC MSG >8MIN <=20MIN|NU|2974.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2500|E2500 - SGD DIGITIZED PRE-REC <=8MIN|UE|729.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2500|E2500 - SGD DIGITIZED PRE-REC <=8MIN|RR|97.29|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2500|E2500 - SGD DIGITIZED PRE-REC <=8MIN|NU|972.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2402|E2402 - NEG PRESS WOUND THERAPY PUMP|RR|2786.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2397|"E2397 - PWC ACC| LITH-BASED BATTERY"|UE|748.53|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2397|"E2397 - PWC ACC| LITH-BASED BATTERY"|RR|99.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2397|"E2397 - PWC ACC| LITH-BASED BATTERY"|NU|998.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2396|E2396 - CASTER FORK|UE|92.0025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2396|E2396 - CASTER FORK|RR|12.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2396|E2396 - CASTER FORK|NU|122.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2395|E2395 - CASTER WHEEL EXCLUDES TIRE|UE|77.2425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2395|E2395 - CASTER WHEEL EXCLUDES TIRE|RR|10.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2395|E2395 - CASTER WHEEL EXCLUDES TIRE|NU|102.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2394|E2394 - DRIVE WHEEL EXCLUDES TIRE|UE|108.1575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2394|E2394 - DRIVE WHEEL EXCLUDES TIRE|RR|14.445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2394|E2394 - DRIVE WHEEL EXCLUDES TIRE|NU|144.2025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2392|"E2392 - SOLID CASTER TIRE| INTEGRATE"|UE|74.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2392|"E2392 - SOLID CASTER TIRE| INTEGRATE"|RR|9.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2392|"E2392 - SOLID CASTER TIRE| INTEGRATE"|NU|99.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2391|E2391 - SOLID CASTER TIRE|UE|29.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2391|E2391 - SOLID CASTER TIRE|RR|3.9375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2391|E2391 - SOLID CASTER TIRE|NU|39.195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2390|E2390 - SOLID DRIVE WHEEL TIRE|UE|66.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2390|E2390 - SOLID DRIVE WHEEL TIRE|RR|8.865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2390|E2390 - SOLID DRIVE WHEEL TIRE|NU|88.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2389|E2389 - FOAM CASTER TIRE|UE|42.7275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2389|E2389 - FOAM CASTER TIRE|RR|5.715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2389|E2389 - FOAM CASTER TIRE|NU|57.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2388|E2388 - FOAM DRIVE WHEEL TIRE|UE|77.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2388|E2388 - FOAM DRIVE WHEEL TIRE|RR|10.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2388|E2388 - FOAM DRIVE WHEEL TIRE|NU|103.5225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2387|E2387 - FOAM FILLED CASTER TIRE|UE|93.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2387|E2387 - FOAM FILLED CASTER TIRE|RR|12.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2387|E2387 - FOAM FILLED CASTER TIRE|NU|124.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2386|E2386 - FOAM FILLED DRIVE WHEEL TIRE|UE|207.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2386|E2386 - FOAM FILLED DRIVE WHEEL TIRE|RR|27.72|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2386|E2386 - FOAM FILLED DRIVE WHEEL TIRE|NU|277.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2385|"E2385 - TUBE| PNEUMATIC CASTER TIRE"|UE|73.9125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2385|"E2385 - TUBE| PNEUMATIC CASTER TIRE"|RR|9.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2385|"E2385 - TUBE| PNEUMATIC CASTER TIRE"|NU|98.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2384|E2384 - PNEUMATIC CASTER TIRE|UE|113.1975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2384|E2384 - PNEUMATIC CASTER TIRE|RR|15.12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2384|E2384 - PNEUMATIC CASTER TIRE|NU|150.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2383|"E2383 - INSERT| PNEUM WHEEL DRIVE"|UE|214.5375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2383|"E2383 - INSERT| PNEUM WHEEL DRIVE"|RR|28.5975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2383|"E2383 - INSERT| PNEUM WHEEL DRIVE"|NU|286.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2382|"E2382 - TUBE| PNEUM WHEEL DRIVE TIRE"|UE|30.9375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2382|"E2382 - TUBE| PNEUM WHEEL DRIVE TIRE"|RR|4.1175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2382|"E2382 - TUBE| PNEUM WHEEL DRIVE TIRE"|NU|41.22|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2381|E2381 - PNEUM DRIVE WHEEL TIRE|UE|107.3025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2381|E2381 - PNEUM DRIVE WHEEL TIRE|RR|14.3325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2381|E2381 - PNEUM DRIVE WHEEL TIRE|NU|143.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2378|E2378 - PW ACTUATOR REPLACEMENT|RR|127.2825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2377|"E2377 - EXPANDABLE CONTROLLER| INITL"|RR|99.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2376|"E2376 - EXPANDABLE CONTROLLER| REPL"|RR|273.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2375|E2375 - NON-EXPANDABLE CONTROLLER|UE|1261.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2375|E2375 - NON-EXPANDABLE CONTROLLER|RR|168.12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2375|E2375 - NON-EXPANDABLE CONTROLLER|NU|1681.425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2374|E2374 - HAND/CHIN CTRL STD JOYSTICK|RR|109.2825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2373|E2373 - HAND/CHIN CTRL SPEC JOYSTICK|RR|174.825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2372|E2372 - GR27 NON-SEALED LEADACID|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2372|E2372 - GR27 NON-SEALED LEADACID|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2372|E2372 - GR27 NON-SEALED LEADACID|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2371|E2371 - GR27 SEALED LEADACID BATTERY|UE|224.865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2371|E2371 - GR27 SEALED LEADACID BATTERY|RR|29.9925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2371|E2371 - GR27 SEALED LEADACID BATTERY|NU|299.79|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2370|E2370 - PWR WC DR WH MOTOR/GEAR COMB|UE|1089.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2370|E2370 - PWR WC DR WH MOTOR/GEAR COMB|RR|145.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2370|E2370 - PWR WC DR WH MOTOR/GEAR COMB|NU|1452.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2369|E2369 - PWR WC DRIVEWHEEL GEAR REPL|UE|638.82|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2369|E2369 - PWR WC DRIVEWHEEL GEAR REPL|RR|85.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2369|E2369 - PWR WC DRIVEWHEEL GEAR REPL|NU|851.76|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2368|E2368 - PWR WC DRIVEWHEEL MOTOR REPL|UE|725.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2368|E2368 - PWR WC DRIVEWHEEL MOTOR REPL|RR|96.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2368|E2368 - PWR WC DRIVEWHEEL MOTOR REPL|NU|967.455|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2367|"E2367 - BATTERY CHARGER| DUAL MODE"|UE|588.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2367|"E2367 - BATTERY CHARGER| DUAL MODE"|RR|78.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2367|"E2367 - BATTERY CHARGER| DUAL MODE"|NU|784.035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2366|"E2366 - BATTERY CHARGER| SINGLE MODE"|UE|310.0725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2366|"E2366 - BATTERY CHARGER| SINGLE MODE"|RR|41.4|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2366|"E2366 - BATTERY CHARGER| SINGLE MODE"|NU|413.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2365|E2365 - U1 SEALED LEADACID BATTERY|UE|151.4025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2365|E2365 - U1 SEALED LEADACID BATTERY|RR|20.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2365|E2365 - U1 SEALED LEADACID BATTERY|NU|201.825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2364|E2364 - U1NONSEALED LEADACID BATTERY|UE|167.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2364|E2364 - U1NONSEALED LEADACID BATTERY|RR|22.3875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2364|E2364 - U1NONSEALED LEADACID BATTERY|NU|223.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2363|E2363 - GR24 SEALED LEADACID BATTERY|UE|259.425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2363|E2363 - GR24 SEALED LEADACID BATTERY|RR|34.5825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2363|E2363 - GR24 SEALED LEADACID BATTERY|NU|345.915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2362|E2362 - GR24 NONSEALED LEADACID|UE|160.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2362|E2362 - GR24 NONSEALED LEADACID|RR|21.3525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2362|E2362 - GR24 NONSEALED LEADACID|NU|213.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2361|E2361 - 22NF SEALED LEADACID BATTERY|UE|198.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2361|E2361 - 22NF SEALED LEADACID BATTERY|RR|26.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2361|E2361 - 22NF SEALED LEADACID BATTERY|NU|265.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2360|E2360 - 22NF NONSEALED LEADACID|UE|170.28|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2360|E2360 - 22NF NONSEALED LEADACID|RR|22.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2360|E2360 - 22NF NONSEALED LEADACID|NU|227.07|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2359|E2359 - GR34 SEALED LEADACID BATTERY|UE|306.3375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2359|E2359 - GR34 SEALED LEADACID BATTERY|RR|40.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2359|E2359 - GR34 SEALED LEADACID BATTERY|NU|408.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2351|E2351 - ELECTRONIC SGD INTERFACE|UE|1112.805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2351|E2351 - ELECTRONIC SGD INTERFACE|RR|148.365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2351|E2351 - ELECTRONIC SGD INTERFACE|NU|1483.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2343|E2343 - W/C DPTH 22-25 IN SEAT FRAME|UE|1337.175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2343|E2343 - W/C DPTH 22-25 IN SEAT FRAME|RR|178.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2343|E2343 - W/C DPTH 22-25 IN SEAT FRAME|NU|1782.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2342|E2342 - W/C DPTH 20-21 IN SEAT FRAME|UE|835.7625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2342|E2342 - W/C DPTH 20-21 IN SEAT FRAME|RR|111.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2342|E2342 - W/C DPTH 20-21 IN SEAT FRAME|NU|1114.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2341|E2341 - W/C WDTH 24-27 IN SEAT FRAME|UE|1002.8925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2341|E2341 - W/C WDTH 24-27 IN SEAT FRAME|RR|133.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2341|E2341 - W/C WDTH 24-27 IN SEAT FRAME|NU|1337.175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2340|E2340 - W/C WDTH 20-23 IN SEAT FRAME|UE|668.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2340|E2340 - W/C WDTH 20-23 IN SEAT FRAME|RR|89.1675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2340|E2340 - W/C WDTH 20-23 IN SEAT FRAME|NU|891.3825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2330|E2330 - HEAD CONTROL PROXIMITY SWITC|RR|721.4175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2329|E2329 - HEAD CONTROL NONPROPORTIONAL|RR|373.995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2328|E2328 - HEAD/EXTREMITY CONTROL INTER|RR|1042.605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2327|E2327 - HEAD CONTROL INTERFACE MECH|RR|550.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2326|E2326 - BREATH TUBE KIT|RR|73.5525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2325|E2325 - SIP AND PUFF INTERFACE|RR|282.915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2324|E2324 - CHIN CUP INTERFACE|UE|70.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2324|E2324 - CHIN CUP INTERFACE|RR|9.3375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2324|E2324 - CHIN CUP INTERFACE|NU|93.6225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2323|E2323 - SPECIAL JOYSTICK HANDLE|UE|108.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2323|E2323 - SPECIAL JOYSTICK HANDLE|RR|14.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2323|E2323 - SPECIAL JOYSTICK HANDLE|NU|144.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2322|E2322 - MULT MECH SWITCHES|RR|296.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2321|E2321 - HAND INTERFACE JOYSTICK|RR|323.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2313|"E2313 - PWC HARNESS| EXPAND CONTROL"|RR|79.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2312|E2312 - MINI-PROP REMOTE JOYSTICK|RR|501.615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2311|E2311 - ELECTRO CONNECT BTW 2 SYS|RR|481.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2310|E2310 - ELECTRO CONNECT BTW CONTROL|RR|238.3425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2231|E2231 - SOLID SEAT SUPPORT BASE|UE|258.975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2231|E2231 - SOLID SEAT SUPPORT BASE|RR|34.5375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2231|E2231 - SOLID SEAT SUPPORT BASE|NU|345.3075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2228|"E2228 - MWC ACC| WHEELCHAIR BRAKE"|UE|1677.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2228|"E2228 - MWC ACC| WHEELCHAIR BRAKE"|RR|223.65|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2228|"E2228 - MWC ACC| WHEELCHAIR BRAKE"|NU|2236.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2227|E2227 - GEAR REDUCTION DRIVE WHEEL|RR|465.345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2226|E2226 - CASTER FORK REPLACEMENT ONLY|UE|66.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2226|E2226 - CASTER FORK REPLACEMENT ONLY|RR|8.8875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2226|E2226 - CASTER FORK REPLACEMENT ONLY|NU|88.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2225|E2225 - CASTER WHEEL EXCLUDES TIRE|UE|31.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2225|E2225 - CASTER WHEEL EXCLUDES TIRE|RR|4.1625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2225|E2225 - CASTER WHEEL EXCLUDES TIRE|NU|41.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2224|E2224 - PROPULSION WHL EXCL TIRE REP|UE|152.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2224|E2224 - PROPULSION WHL EXCL TIRE REP|RR|20.8575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2224|E2224 - PROPULSION WHL EXCL TIRE REP|NU|203.445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2222|"E2222 - SOLID CASTER INTEG WHL| REPL"|UE|37.395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2222|"E2222 - SOLID CASTER INTEG WHL| REPL"|RR|4.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2222|"E2222 - SOLID CASTER INTEG WHL| REPL"|NU|49.8375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2221|"E2221 - SOLID CASTER TIRE REPL| EACH"|UE|45.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2221|"E2221 - SOLID CASTER TIRE REPL| EACH"|RR|6.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2221|"E2221 - SOLID CASTER TIRE REPL| EACH"|NU|60.3225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2220|"E2220 - SOLID PROPULS TIRE| REPL| EA"|UE|50.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2220|"E2220 - SOLID PROPULS TIRE| REPL| EA"|RR|6.5475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2220|"E2220 - SOLID PROPULS TIRE| REPL| EA"|NU|66.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2219|E2219 - FOAM CASTER TIRE ANY SIZE EA|UE|71.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2219|E2219 - FOAM CASTER TIRE ANY SIZE EA|RR|10.2375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2219|E2219 - FOAM CASTER TIRE ANY SIZE EA|NU|95.6925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2218|E2218 - FOAM PROPULSION TIRE EACH|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2218|E2218 - FOAM PROPULSION TIRE EACH|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2218|E2218 - FOAM PROPULSION TIRE EACH|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2217|E2217 - FOAM FILLED CASTER TIRE EACH|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2217|E2217 - FOAM FILLED CASTER TIRE EACH|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2217|E2217 - FOAM FILLED CASTER TIRE EACH|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2216|E2216 - FOAM FILLED PROPULSION TIRE|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2216|E2216 - FOAM FILLED PROPULSION TIRE|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2216|E2216 - FOAM FILLED PROPULSION TIRE|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2215|E2215 - PNEUMATIC CASTER TIRE TUBE|UE|17.19|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2215|E2215 - PNEUMATIC CASTER TIRE TUBE|RR|2.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2215|E2215 - PNEUMATIC CASTER TIRE TUBE|NU|22.9275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2214|E2214 - PNEUMATIC CASTER TIRE EACH|UE|54.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2214|E2214 - PNEUMATIC CASTER TIRE EACH|RR|7.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2214|E2214 - PNEUMATIC CASTER TIRE EACH|NU|73.17|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2213|E2213 - PNEUMATIC PROP TIRE INSERT|UE|51.885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2213|E2213 - PNEUMATIC PROP TIRE INSERT|RR|6.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2213|E2213 - PNEUMATIC PROP TIRE INSERT|NU|69.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2212|E2212 - PNEUMATIC PROP TIRE TUBE|UE|10.6425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2212|E2212 - PNEUMATIC PROP TIRE TUBE|RR|1.4625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2212|E2212 - PNEUMATIC PROP TIRE TUBE|NU|14.1525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2211|E2211 - PNEUMATIC PROPULSION TIRE|UE|59.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2211|E2211 - PNEUMATIC PROPULSION TIRE|RR|8.1225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2211|E2211 - PNEUMATIC PROPULSION TIRE|NU|81.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2210|E2210 - WHEELCHAIR BEARINGS|UE|9.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2210|E2210 - WHEELCHAIR BEARINGS|RR|1.2375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2210|E2210 - WHEELCHAIR BEARINGS|NU|12.3975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2209|E2209 - ARM TROUGH EACH|UE|152.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2209|E2209 - ARM TROUGH EACH|RR|20.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2209|E2209 - ARM TROUGH EACH|NU|203.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2208|E2208 - CYLINDER TANK CARRIER|UE|160.6275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2208|E2208 - CYLINDER TANK CARRIER|RR|21.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2208|E2208 - CYLINDER TANK CARRIER|NU|214.155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2207|E2207 - CRUTCH AND CANE HOLDER|UE|76.9275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2207|E2207 - CRUTCH AND CANE HOLDER|RR|10.2825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2207|E2207 - CRUTCH AND CANE HOLDER|NU|102.555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2206|E2206 - MAN WC WHL LOCK COMP REPL EA|UE|67.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2206|E2206 - MAN WC WHL LOCK COMP REPL EA|RR|9.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2206|E2206 - MAN WC WHL LOCK COMP REPL EA|NU|90.495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2205|"E2205 - MANUAL WC ACCESSORY| HANDRIM"|UE|57.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2205|"E2205 - MANUAL WC ACCESSORY| HANDRIM"|RR|7.6725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2205|"E2205 - MANUAL WC ACCESSORY| HANDRIM"|NU|76.9275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2204|E2204 - FRAME DEPTH 22 TO 25 IN|UE|1342.125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2204|E2204 - FRAME DEPTH 22 TO 25 IN|RR|178.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2204|E2204 - FRAME DEPTH 22 TO 25 IN|NU|1789.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2203|E2203 - FRAME DEPTH LESS THAN 22 IN|UE|791.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2203|E2203 - FRAME DEPTH LESS THAN 22 IN|RR|105.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2203|E2203 - FRAME DEPTH LESS THAN 22 IN|NU|1055.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2202|E2202 - SEAT WIDTH 24-27 IN|UE|801.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2202|E2202 - SEAT WIDTH 24-27 IN|RR|106.875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2202|E2202 - SEAT WIDTH 24-27 IN|NU|1068.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2201|E2201 - MAN W/CH ACC SEAT W>=20''<24''|UE|614.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2201|E2201 - MAN W/CH ACC SEAT W>=20''<24''|RR|81.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2201|E2201 - MAN W/CH ACC SEAT W>=20''<24''|NU|819.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2120|E2120 - PULSE GEN SYS TX ENDOLYMP FL|RR|705.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2101|E2101 - BLD GLUCOSE MONITOR W LANCE|UE|351.765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2101|E2101 - BLD GLUCOSE MONITOR W LANCE|RR|46.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2101|E2101 - BLD GLUCOSE MONITOR W LANCE|NU|469.0125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2100|E2100 - BLD GLUCOSE MONITOR W VOICE|UE|1019.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2100|E2100 - BLD GLUCOSE MONITOR W VOICE|RR|135.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2100|E2100 - BLD GLUCOSE MONITOR W VOICE|NU|1359.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E2000|E2000 - GASTRIC SUCTION PUMP HME MDL|RR|125.01|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1841|E1841 - STATIC STR SHLDR DEV ROM ADJ|RR|1126.755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1840|E1840 - ADJ SHOULDER EXT/FLEX DEVICE|RR|920.475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1831|E1831 - STATIC STR TOE DEV EXT/FLEX|RR|164.3625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1830|E1830 - ADJUST TOE EXT/FLEX DEVICE|RR|267.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1825|E1825 - ADJUST FINGER EXT/FLEX DEVC|RR|267.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1821|E1821 - REPLACEMENT INTERFACE SPSD|UE|196.4025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1821|E1821 - REPLACEMENT INTERFACE SPSD|RR|26.1225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1821|E1821 - REPLACEMENT INTERFACE SPSD|NU|261.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1820|E1820 - SOFT INTERFACE MATERIAL|UE|152.5275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1820|E1820 - SOFT INTERFACE MATERIAL|RR|20.3175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1820|E1820 - SOFT INTERFACE MATERIAL|NU|203.3325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1818|E1818 - SPS FOREARM DEVICE|RR|335.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1816|E1816 - SPS ANKLE DEVICE|RR|328.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1815|E1815 - ADJUST ANKLE EXT/FLEX DEVICE|RR|267.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1812|E1812 - KNEE EXT/FLEX W ACT RES CTRL|RR|213.885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1811|E1811 - SPS KNEE DEVICE|RR|323.64|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1810|E1810 - ADJUST KNEE EXT/FLEX DEVICE|RR|263.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1806|E1806 - SPS WRIST DEVICE|RR|255.5325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1805|E1805 - ADJUST WRIST EXT/FLEX DEVICE|RR|267.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1802|E1802 - ADJST FOREARM PRO/SUP DEVICE|RR|812.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1801|E1801 - SPS ELBOW DEVICE|RR|311.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1800|E1800 - ADJUST ELBOW EXT/FLEX DEVICE|RR|259.02|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1702|E1702 - REPL MEASR SCALES JAW MOTION||50.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1701|E1701 - REPL CUSHIONS FOR JAW MOTION||25.065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1700|E1700 - JAW MOTION REHAB SYSTEM|RR|85.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1406|E1406 - O2/WATER VAPOR ENRICH W/O HE|RR|342.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1405|E1405 - O2/WATER VAPOR ENRICH W/HEAT|RR|383.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1392|E1392 - PORTABLE OXYGEN CONCENTRATOR|RR|105.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1391|"E1391 - OXYGEN CONCENTRATOR| DUAL"|RR|309.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1390|E1390 - OXYGEN CONCENTRATOR|RR|309.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1372|E1372 - OXY SUPPL HEATER FOR NEBULIZ|UE|255.15|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1372|E1372 - OXY SUPPL HEATER FOR NEBULIZ|RR|42.2775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1372|E1372 - OXY SUPPL HEATER FOR NEBULIZ|NU|344.565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1355|E1355 - OXYGEN SUPPLIES STAND/RACK||53.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1353|E1353 - OXYGEN SUPPLIES REGULATOR||70.4475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1310|E1310 - WHIRLPOOL NON-PORTABLE|UE|4006.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1310|E1310 - WHIRLPOOL NON-PORTABLE|RR|456.84|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1310|E1310 - WHIRLPOOL NON-PORTABLE|NU|5341.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1298|E1298 - WHEELCHAIR SPEC SEAT DEPTH/W|UE|790.335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1298|E1298 - WHEELCHAIR SPEC SEAT DEPTH/W|RR|107.82|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1298|E1298 - WHEELCHAIR SPEC SEAT DEPTH/W|NU|1053.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1297|E1297 - WHEELCHAIR SPECIAL SEAT DEPT|UE|195.12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1297|E1297 - WHEELCHAIR SPECIAL SEAT DEPT|RR|28.9125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1297|E1297 - WHEELCHAIR SPECIAL SEAT DEPT|NU|260.2125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1296|E1296 - WHEELCHAIR SPECIAL SEAT HEIG|UE|917.2125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1296|E1296 - WHEELCHAIR SPECIAL SEAT HEIG|RR|124.245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1296|E1296 - WHEELCHAIR SPECIAL SEAT HEIG|NU|1222.9425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1295|E1295 - WHEELCHAIR HEAVY DUTY FIXED|RR|302.13|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1280|E1280 - WHCHR H-DUTY DET ARM LEG RES|RR|284.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1270|E1270 - WHEELCHAIR LIGHTWEIGHT LEG R|RR|196.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1240|E1240 - WHCHR LITWT DET ARM LEG REST|RR|256.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1238|E1238 - FLD PED WC ADJSTABL W/O SEAT|RR|407.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1237|E1237 - RGD PED WC ADJSTABL W/O SEAT|RR|411.1875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1236|E1236 - FOLDING PED WC ADJUSTABLE|RR|407.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1235|E1235 - RIGID PED WC ADJUSTABLE|RR|462.06|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1234|E1234 - FLD PED WC TLTNSPC W/O SEAT|RR|479.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1233|E1233 - RIG PED WC TLTNSPC W/O SEAT|RR|551.1375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1232|E1232 - FOLDING PED WC TILT-IN-SPACE|RR|531.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1231|E1231 - RIGID PED W/C TILT-IN-SPACE|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1231|E1231 - RIGID PED W/C TILT-IN-SPACE|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1231|E1231 - RIGID PED W/C TILT-IN-SPACE|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1230|E1230 - POWER OPERATED VEHICLE|UE|4260.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1230|E1230 - POWER OPERATED VEHICLE|RR|553.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1230|E1230 - POWER OPERATED VEHICLE|NU|5625.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1228|E1228 - WHEELCHAIR SPEC SZ SPEC HT B|RR|59.2425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1227|E1227 - WHEELCHAIR SPEC SZ SPEC HT A|UE|517.7475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1227|E1227 - WHEELCHAIR SPEC SZ SPEC HT A|RR|69.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1227|E1227 - WHEELCHAIR SPEC SZ SPEC HT A|NU|690.255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1226|E1226 - MANUAL FULLY RECLINING BACK|UE|831.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1226|E1226 - MANUAL FULLY RECLINING BACK|RR|112.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1226|E1226 - MANUAL FULLY RECLINING BACK|NU|1108.17|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1225|E1225 - MANUAL SEMI-RECLINING BACK|RR|89.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1224|E1224 - WHEELCHAIR SPEC SIZE W/ LEG|RR|201.8475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1223|E1223 - WHEELCHAIR SPEC SIZE W FOOT|RR|184.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1222|E1222 - WHEELCHAIR SPEC SIZE W/ LEG|RR|167.1525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1221|E1221 - WHEELCHAIR SPEC SIZE W FOOT|RR|118.1925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1200|E1200 - WHEELCHAIR AMPUTEE FIXED ARM|RR|183.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1195|E1195 - WHEELCHAIR AMPUTEE HEAVY DUT|RR|265.6125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1190|E1190 - WHEELCHAIR AMPUTEE W/ LEG RE|RR|247.545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1180|E1180 - WHEELCHAIR AMPUTEE W/ FOOT R|RR|214.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1172|E1172 - WHEELCHAIR AMPUTEE DETACH AR|RR|243.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1171|E1171 - WHEELCHAIR AMPUTEE W/O LEG R|RR|176.3325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1170|E1170 - WHLCHR AMPU FXD ARM LEG REST|RR|188.865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1161|E1161 - MANUAL ADULT WC W TILTINSPAC|RR|588.5325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1160|E1160 - WHEELCHAIR FIXED ARMS|RR|132.165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1150|E1150 - WHEELCHAIR STANDARD W/ LEG R|RR|186.12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1110|E1110 - WHEELCHAIR SEMI-RECL DETACH|RR|214.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1100|E1100 - WHCHR S-RECL FXD ARM LEG RES|RR|219.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1093|E1093 - WHEELCHAIR WIDE W/ FOOT REST|RR|233.6625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1092|E1092 - WHEELCHAIR WIDE W/ LEG RESTS|RR|319.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1088|E1088 - WHEELCHAIR LIGHTWEIGHT DET A|RR|342.45|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1087|E1087 - WHEELCHAIR LIGHTWT FIXED ARM|RR|267.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1084|E1084 - HEMI-WHEELCHAIR DETACHABLE A|RR|244.0125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1083|E1083 - HEMI-WHEELCHAIR FIXED ARMS|RR|166.4775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1070|E1070 - WHEELCHAIR DETACHABLE FOOT R|RR|231.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1060|E1060 - WHEELCHAIR DETACHABLE ARMS|RR|266.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1050|E1050 - WHELCHR FXD FULL LENGTH ARMS|RR|215.3025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1039|E1039 - TRANSPORT CHAIR PT WT >300LB|RR|78.7725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1038|E1038 - TRANSPORT CHAIR PT WT<=300LB|RR|39.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1037|"E1037 - TRANSPORT CHAIR| PED SIZE"|RR|246.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1036|E1036 - PATIENT TRANSFER SYSTEM >300|RR|2073.915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1035|E1035 - PATIENT TRANSFER SYSTEM <300|RR|1459.4625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1031|E1031 - ROLLABOUT CHAIR WITH CASTERS|RR|99.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1030|E1030 - W/C VENT TRAY GIMBALED|RR|246.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1029|E1029 - W/C VENT TRAY FIXED|RR|78.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1028|E1028 - W/C MANUAL SWINGAWAY|UE|280.5075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1028|E1028 - W/C MANUAL SWINGAWAY|RR|37.395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1028|E1028 - W/C MANUAL SWINGAWAY|NU|373.995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1020|E1020 - RESIDUAL LIMB SUPPORT SYSTEM|UE|346.8375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1020|E1020 - RESIDUAL LIMB SUPPORT SYSTEM|RR|46.2375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1020|E1020 - RESIDUAL LIMB SUPPORT SYSTEM|NU|462.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1018|E1018 - HD SHCK ABSRBER FOR HD POWWC|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1018|E1018 - HD SHCK ABSRBER FOR HD POWWC|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1018|E1018 - HD SHCK ABSRBER FOR HD POWWC|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1017|E1017 - HD SHCK ABSRBR FOR HD MAN WC|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1017|E1017 - HD SHCK ABSRBR FOR HD MAN WC|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1017|E1017 - HD SHCK ABSRBR FOR HD MAN WC|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1016|E1016 - SHOCK ABSORBER FOR POWER W/C|UE|184.725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1016|E1016 - SHOCK ABSORBER FOR POWER W/C|RR|24.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1016|E1016 - SHOCK ABSORBER FOR POWER W/C|NU|246.33|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1015|E1015 - SHOCK ABSORBER FOR MAN W/C|UE|204.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1015|E1015 - SHOCK ABSORBER FOR MAN W/C|RR|27.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1015|E1015 - SHOCK ABSORBER FOR MAN W/C|NU|273.3525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1014|E1014 - RECLINING BACK ADD PED W/C|RR|90.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1012|E1012 - CTR MOUNT PWR ELEV LEG REST|RR|213.7275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1011|E1011 - PED WC MODIFY WIDTH ADJUSTM|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1011|E1011 - PED WC MODIFY WIDTH ADJUSTM|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1011|E1011 - PED WC MODIFY WIDTH ADJUSTM|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1010|E1010 - ADD PWR LEG ELEVATION|RR|238.3875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1009|E1009 - ADD MECH LEG ELEVATION|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1009|E1009 - ADD MECH LEG ELEVATION|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1009|E1009 - ADD MECH LEG ELEVATION|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1008|E1008 - PWR SEAT COMBO PWR SHEAR|RR|1788.9525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1007|E1007 - PWR SEAT COMBO W/SHEAR|RR|1767.5325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1006|E1006 - PWR SEAT COMBO W/O SHEAR|RR|1361.0475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1005|E1005 - PWR SEAT RECLINE PWR|RR|1107.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1004|E1004 - PWR SEAT RECLINE MECH|RR|1017.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1003|E1003 - PWR SEAT RECLINE|RR|922.05|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E1002|E1002 - PWR SEAT TILT|RR|820.035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0995|"E0995 - WC CALF REST| PAD REPLACEMNT"|UE|45.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0995|"E0995 - WC CALF REST| PAD REPLACEMNT"|RR|6.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0995|"E0995 - WC CALF REST| PAD REPLACEMNT"|NU|60.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0994|E0994 - WHEELCHAIR ARM REST|UE|27.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0994|E0994 - WHEELCHAIR ARM REST|RR|3.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0994|E0994 - WHEELCHAIR ARM REST|NU|37.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0992|E0992 - WHEELCHAIR SOLID SEAT INSERT|UE|138.825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0992|E0992 - WHEELCHAIR SOLID SEAT INSERT|RR|18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0992|E0992 - WHEELCHAIR SOLID SEAT INSERT|NU|185.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0990|E0990 - WHEELCHAIR ELEVATING LEG RES|UE|158.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0990|E0990 - WHEELCHAIR ELEVATING LEG RES|RR|20.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0990|E0990 - WHEELCHAIR ELEVATING LEG RES|NU|206.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0988|E0988 - LEVER-ACTIVATED WHEEL DRIVE|RR|744.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0986|E0986 - MAN W/C PUSH-RIM POWR SYSTEM|RR|1209.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0985|E0985 - W/C SEAT LIFT MECHANISM|UE|361.035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0985|E0985 - W/C SEAT LIFT MECHANISM|RR|48.15|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0985|E0985 - W/C SEAT LIFT MECHANISM|NU|481.3875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0984|E0984 - ADD PWR TILLER|RR|475.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0983|E0983 - ADD PWR JOYSTICK|RR|604.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0982|"E0982 - BACK UPHOLSTERY| REPLACEMENT"|UE|77.355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0982|"E0982 - BACK UPHOLSTERY| REPLACEMENT"|RR|10.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0982|"E0982 - BACK UPHOLSTERY| REPLACEMENT"|NU|103.1175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0981|"E0981 - SEAT UPHOLSTERY| REPLACEMENT"|UE|70.5825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0981|"E0981 - SEAT UPHOLSTERY| REPLACEMENT"|RR|9.2025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0981|"E0981 - SEAT UPHOLSTERY| REPLACEMENT"|NU|92.115|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0980|E0980 - WHEELCHAIR SAFETY VEST|UE|52.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0980|E0980 - WHEELCHAIR SAFETY VEST|RR|6.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0980|E0980 - WHEELCHAIR SAFETY VEST|NU|69.885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0978|"E0978 - W/C ACC|SAF BELT PELV STRAP"|UE|54.765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0978|"E0978 - W/C ACC|SAF BELT PELV STRAP"|RR|7.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0978|"E0978 - W/C ACC|SAF BELT PELV STRAP"|NU|73.53|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0974|E0974 - W/CH ACCESS ANTI-ROLLBACK|UE|133.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0974|E0974 - W/CH ACCESS ANTI-ROLLBACK|RR|18.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0974|E0974 - W/CH ACCESS ANTI-ROLLBACK|NU|176.9625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0973|E0973 - W/CH ACCESS DET ADJ ARMREST|UE|138.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0973|E0973 - W/CH ACCESS DET ADJ ARMREST|RR|17.91|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0973|E0973 - W/CH ACCESS DET ADJ ARMREST|NU|185.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0971|E0971 - WHEELCHAIR ANTI-TIPPING DEVI|UE|67.05|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0971|E0971 - WHEELCHAIR ANTI-TIPPING DEVI|RR|8.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0971|E0971 - WHEELCHAIR ANTI-TIPPING DEVI|NU|89.3475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0969|E0969 - WHEELCHAIR NARROWING DEVICE|UE|292.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0969|E0969 - WHEELCHAIR NARROWING DEVICE|RR|38.565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0969|E0969 - WHEELCHAIR NARROWING DEVICE|NU|389.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0968|E0968 - WHEELCHAIR COMMODE SEAT|RR|42.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0967|E0967 - MAN WC RIM/PROJECTION REP EA|UE|116.3025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0967|E0967 - MAN WC RIM/PROJECTION REP EA|RR|15.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0967|E0967 - MAN WC RIM/PROJECTION REP EA|NU|155.0925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0966|E0966 - WHEELCHAIR HEAD REST EXTENSI|UE|117.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0966|E0966 - WHEELCHAIR HEAD REST EXTENSI|RR|15.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0966|E0966 - WHEELCHAIR HEAD REST EXTENSI|NU|156.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0961|E0961 - WHEELCHAIR BRAKE EXTENSION|UE|34.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0961|E0961 - WHEELCHAIR BRAKE EXTENSION|RR|5.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0961|E0961 - WHEELCHAIR BRAKE EXTENSION|NU|53.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0960|E0960 - W/C SHOULDER HARNESS/STRAPS|UE|132.9075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0960|E0960 - W/C SHOULDER HARNESS/STRAPS|RR|17.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0960|E0960 - W/C SHOULDER HARNESS/STRAPS|NU|177.1875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0959|E0959 - AMPUTEE ADAPTER|UE|71.37|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0959|E0959 - AMPUTEE ADAPTER|RR|9.495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0959|E0959 - AMPUTEE ADAPTER|NU|95.1975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0958|E0958 - WHLCHR ATT- CONV 1 ARM DRIVE|RR|99.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0957|E0957 - W/C MEDIAL THIGH SUPPORT|UE|203.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0957|E0957 - W/C MEDIAL THIGH SUPPORT|RR|27.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0957|E0957 - W/C MEDIAL THIGH SUPPORT|NU|270.765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0956|E0956 - W/C LATERAL TRUNK/HIP SUPPOR|UE|141.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0956|E0956 - W/C LATERAL TRUNK/HIP SUPPOR|RR|18.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0956|E0956 - W/C LATERAL TRUNK/HIP SUPPOR|NU|188.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0955|E0955 - CUSHIONED HEADREST|UE|277.425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0955|E0955 - CUSHIONED HEADREST|RR|37.0125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0955|E0955 - CUSHIONED HEADREST|NU|369.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0952|"E0952 - TOE LOOP/HOLDER| EACH"|UE|25.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0952|"E0952 - TOE LOOP/HOLDER| EACH"|RR|3.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0952|"E0952 - TOE LOOP/HOLDER| EACH"|NU|34.335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0951|E0951 - LOOP HEEL|UE|25.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0951|E0951 - LOOP HEEL|RR|3.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0951|E0951 - LOOP HEEL|NU|34.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0950|E0950 - TRAY|UE|134.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0950|E0950 - TRAY|RR|17.8875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0950|E0950 - TRAY|NU|178.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0948|E0948 - FRACTURE FRAME ATTACHMNTS CE|UE|1002.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0948|E0948 - FRACTURE FRAME ATTACHMNTS CE|RR|133.65|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0948|E0948 - FRACTURE FRAME ATTACHMNTS CE|NU|1336.365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0947|E0947 - FRACTURE FRAME ATTACHMNTS PE|UE|1002.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0947|E0947 - FRACTURE FRAME ATTACHMNTS PE|RR|135.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0947|E0947 - FRACTURE FRAME ATTACHMNTS PE|NU|1336.365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0946|E0946 - FRACTURE FRAME DUAL W CROSS|RR|125.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0945|E0945 - BELT/HARNESS EXTREMITY|UE|72.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0945|E0945 - BELT/HARNESS EXTREMITY|RR|9.3825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0945|E0945 - BELT/HARNESS EXTREMITY|NU|93.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0944|E0944 - PELVIC BELT/HARNESS/BOOT|UE|83.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0944|E0944 - PELVIC BELT/HARNESS/BOOT|RR|11.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0944|E0944 - PELVIC BELT/HARNESS/BOOT|NU|111.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0942|E0942 - CERVICAL HEAD HARNESS/HALTER|UE|32.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0942|E0942 - CERVICAL HEAD HARNESS/HALTER|RR|4.9725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0942|E0942 - CERVICAL HEAD HARNESS/HALTER|NU|42.7725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0941|E0941 - GRAVITY ASSISTED TRACTION DE|RR|107.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0940|E0940 - TRAPEZE BAR FREE STANDING|RR|55.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0935|E0935 - CONT PAS MOTION EXERCISE DEV|RR|48.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0930|E0930 - FRACTURE FRAME FREE STANDING|RR|96.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0920|E0920 - FRACTURE FRAME ATTACHED TO B|RR|101.9925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0912|E0912 - HD TRAPEZE BAR FREE STANDING|RR|221.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0911|E0911 - HD TRAPEZE BAR ATTACH TO BED|RR|99.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0910|E0910 - TRAPEZE BAR ATTACHED TO BED|RR|32.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0900|E0900 - TRAC STAND FREE STAND PELVIC|UE|203.2425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0900|E0900 - TRAC STAND FREE STAND PELVIC|RR|58.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0900|E0900 - TRAC STAND FREE STAND PELVIC|NU|270.9|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0890|E0890 - TRACTION FRAME ATTACH PELVIC|UE|205.065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0890|E0890 - TRACTION FRAME ATTACH PELVIC|RR|81.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0890|E0890 - TRACTION FRAME ATTACH PELVIC|NU|254.565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0880|E0880 - TRAC STAND FREE STAND EXTREM|UE|200.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0880|E0880 - TRAC STAND FREE STAND EXTREM|RR|41.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0880|E0880 - TRAC STAND FREE STAND EXTREM|NU|265.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0870|E0870 - TRACT FRAME ATTACH FOOTBOARD|UE|185.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0870|E0870 - TRACT FRAME ATTACH FOOTBOARD|RR|28.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0870|E0870 - TRACT FRAME ATTACH FOOTBOARD|NU|245.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0860|E0860 - TRACT EQUIP CERVICAL TRACT|UE|67.455|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0860|E0860 - TRACT EQUIP CERVICAL TRACT|RR|13.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0860|E0860 - TRACT EQUIP CERVICAL TRACT|NU|90|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0856|E0856 - CERVIC COLLAR W AIR BLADDERS|RR|38.2725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0855|E0855 - CERVICAL TRACTION EQUIPMENT|RR|125.01|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0850|E0850 - TRACTION STAND FREE STANDING|UE|166.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0850|E0850 - TRACTION STAND FREE STANDING|RR|30.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0850|E0850 - TRACTION STAND FREE STANDING|NU|222.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0849|E0849 - CERVICAL PNEUM TRAC EQUIP|RR|128.205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0840|E0840 - TRACT FRAME ATTACH HEADBOARD|UE|132.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0840|E0840 - TRACT FRAME ATTACH HEADBOARD|RR|40.6125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0840|E0840 - TRACT FRAME ATTACH HEADBOARD|NU|176.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0791|E0791 - PARENTERAL INFUSION PUMP STA|RR|644.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0786|E0786 - IMPLANTABLE PUMP REPLACEMENT|UE|14897.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0786|E0786 - IMPLANTABLE PUMP REPLACEMENT|RR|1986.345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0786|E0786 - IMPLANTABLE PUMP REPLACEMENT|NU|19863.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0785|E0785 - REPLACEMENT IMPL PUMP CATHET|KF|1175.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0784|E0784 - EXT AMB INFUSN PUMP INSULIN|RR|989.8425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0783|E0783 - PROGRAMMABLE INFUSION PUMP|UE|15273.0675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0783|E0783 - PROGRAMMABLE INFUSION PUMP|RR|2036.4525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0783|E0783 - PROGRAMMABLE INFUSION PUMP|NU|20364.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0782|E0782 - NON-PROGRAMBLE INFUSION PUMP|UE|8009.55|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0782|E0782 - NON-PROGRAMBLE INFUSION PUMP|RR|1067.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0782|E0782 - NON-PROGRAMBLE INFUSION PUMP|NU|10679.4225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0781|E0781 - EXTERNAL AMBULATORY INFUS PU|RR|580.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0780|E0780 - MECH AMB INFUSION PUMP <8HRS|NU|25.6725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0779|E0779 - AMB INFUSION PUMP MECHANICAL|RR|40.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0776|E0776 - IV POLE|UE|222.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0776|E0776 - IV POLE|RR|35.2125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0776|E0776 - IV POLE|NU|302.6925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0765|E0765 - NERVE STIMULATOR FOR TX N&V|UE|157.005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0765|E0765 - NERVE STIMULATOR FOR TX N&V|RR|20.9475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0765|E0765 - NERVE STIMULATOR FOR TX N&V|NU|209.2725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0764|E0764 - FUNCTIONAL NEUROMUSCULARSTIM|RR|2752.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0762|E0762 - TRANS ELEC JT STIM DEV SYS|RR|273.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0760|E0760 - OSTEOGEN ULTRASOUND STIMLTOR|UE|6031.4625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0760|E0760 - OSTEOGEN ULTRASOUND STIMLTOR|RR|804.2175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0760|E0760 - OSTEOGEN ULTRASOUND STIMLTOR|NU|8042.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0749|E0749 - ELEC OSTEOGEN STIM IMPLANTED|RR|601.2225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0748|E0748 - ELEC OSTEOGEN STIM SPINAL|UE|7258.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0748|E0748 - ELEC OSTEOGEN STIM SPINAL|RR|967.725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0748|E0748 - ELEC OSTEOGEN STIM SPINAL|NU|9677.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0747|E0747 - ELEC OSTEOGEN STIM NOT SPINE|UE|7237.2375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0747|E0747 - ELEC OSTEOGEN STIM NOT SPINE|RR|967.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0747|E0747 - ELEC OSTEOGEN STIM NOT SPINE|NU|9740.8125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0745|E0745 - NEUROMUSCULAR STIM FOR SHOCK|RR|222.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0744|E0744 - NEUROMUSCULAR STIM FOR SCOLI|RR|227.7675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0740|E0740 - NON-IMPLANT PELV FLR E-STIM|RR|130.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0731|E0731 - CONDUCTIVE GARMENT FOR TENS/|NU|716.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0730|E0730 - TENS FOUR LEAD|NU|666.45|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0720|E0720 - TENS TWO LEAD|NU|710.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0705|E0705 - TRANSFER DEVICE|UE|89.9325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0705|E0705 - TRANSFER DEVICE|RR|12.2625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0705|E0705 - TRANSFER DEVICE|NU|121.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0694|E0694 - UVL MD CABINET SYS 6 FT|UE|8259.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0694|E0694 - UVL MD CABINET SYS 6 FT|RR|1101.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0694|E0694 - UVL MD CABINET SYS 6 FT|NU|11012.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0693|E0693 - UVL SYS PANEL 6 FT|UE|2594.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0693|E0693 - UVL SYS PANEL 6 FT|RR|346.005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0693|E0693 - UVL SYS PANEL 6 FT|NU|3459.915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0692|E0692 - UVL SYS PANEL 4 FT|UE|2105.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0692|E0692 - UVL SYS PANEL 4 FT|RR|280.6425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0692|E0692 - UVL SYS PANEL 4 FT|NU|2806.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0691|E0691 - UVL PNL 2 SQ FT OR LESS|UE|1676.3625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0691|E0691 - UVL PNL 2 SQ FT OR LESS|RR|223.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0691|E0691 - UVL PNL 2 SQ FT OR LESS|NU|2235.15|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0675|E0675 - PNEUMATIC COMPRESSION DEVICE|RR|956.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0673|E0673 - PRESSURE PNEUM APPL HALF LEG|UE|500.355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0673|E0673 - PRESSURE PNEUM APPL HALF LEG|RR|66.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0673|E0673 - PRESSURE PNEUM APPL HALF LEG|NU|667.035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0672|E0672 - PRESSURE PNEUM APPL FULL ARM|UE|602.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0672|E0672 - PRESSURE PNEUM APPL FULL ARM|RR|80.3025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0672|E0672 - PRESSURE PNEUM APPL FULL ARM|NU|802.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0671|E0671 - PRESSURE PNEUM APPL FULL LEG|UE|774.8325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0671|E0671 - PRESSURE PNEUM APPL FULL LEG|RR|103.365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0671|E0671 - PRESSURE PNEUM APPL FULL LEG|NU|1033.155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0670|E0670 - SEG PNEUM INT LEGS/TRUNK|UE|2344.9725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0670|E0670 - SEG PNEUM INT LEGS/TRUNK|RR|334.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0670|E0670 - SEG PNEUM INT LEGS/TRUNK|NU|3126.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0669|E0669 - SEG PNEUMATIC APPLI HALF LEG|UE|337.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0669|E0669 - SEG PNEUMATIC APPLI HALF LEG|RR|45.0675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0669|E0669 - SEG PNEUMATIC APPLI HALF LEG|NU|450.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0668|E0668 - SEG PNEUMATIC APPL FULL ARM|UE|824.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0668|E0668 - SEG PNEUMATIC APPL FULL ARM|RR|108.4725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0668|E0668 - SEG PNEUMATIC APPL FULL ARM|NU|1099.125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0667|E0667 - SEG PNEUMATIC APPL FULL LEG|UE|604.0125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0667|E0667 - SEG PNEUMATIC APPL FULL LEG|RR|90.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0667|E0667 - SEG PNEUMATIC APPL FULL LEG|NU|805.3425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0666|E0666 - PNEUMATIC APPLIANCE HALF LEG|UE|257.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0666|E0666 - PNEUMATIC APPLIANCE HALF LEG|RR|35.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0666|E0666 - PNEUMATIC APPLIANCE HALF LEG|NU|343.5075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0665|E0665 - PNEUMATIC APPLIANCE FULL ARM|UE|255.87|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0665|E0665 - PNEUMATIC APPLIANCE FULL ARM|RR|33.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0665|E0665 - PNEUMATIC APPLIANCE FULL ARM|NU|333.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0660|E0660 - PNEUMATIC APPLIANCE FULL LEG|UE|298.0125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0660|E0660 - PNEUMATIC APPLIANCE FULL LEG|RR|40.5225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0660|E0660 - PNEUMATIC APPLIANCE FULL LEG|NU|397.35|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0657|E0657 - SEGMENTAL PNEUMATIC CHEST|RR|135.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0656|E0656 - SEGMENTAL PNEUMATIC TRUNK|RR|143.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0655|E0655 - PNEUMATIC APPLIANCE HALF ARM|UE|201.6|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0655|E0655 - PNEUMATIC APPLIANCE HALF ARM|RR|26.82|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0655|E0655 - PNEUMATIC APPLIANCE HALF ARM|NU|234.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0652|E0652 - PNEUM COMPRES W/CAL PRESSURE|UE|9881.2575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0652|E0652 - PNEUM COMPRES W/CAL PRESSURE|RR|1303.245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0652|E0652 - PNEUM COMPRES W/CAL PRESSURE|NU|13186.7775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0651|E0651 - PNEUM COMPRESSOR SEGMENTAL|UE|1713.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0651|E0651 - PNEUM COMPRESSOR SEGMENTAL|RR|233.37|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0651|E0651 - PNEUM COMPRESSOR SEGMENTAL|NU|2284.4475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0650|E0650 - PNEUMA COMPRESOR NON-SEGMENT|UE|1142.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0650|E0650 - PNEUMA COMPRESOR NON-SEGMENT|RR|198.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0650|E0650 - PNEUMA COMPRESOR NON-SEGMENT|NU|1522.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0640|E0640 - FIXED PATIENT LIFT SYSTEM|RR|273.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0639|E0639 - MOVEABLE PATIENT LIFT SYSTEM|RR|273.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0636|E0636 - PT SUPPORT & POSITIONING SYS|RR|2491.335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0635|E0635 - PATIENT LIFT ELECTRIC|RR|282.33|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0630|E0630 - PATIENT LIFT HYDRAULIC|RR|192.5325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0629|"E0629 - SEAT LIFT MECH| NON-ELECTRIC"|UE|554.9625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0629|"E0629 - SEAT LIFT MECH| NON-ELECTRIC"|RR|74.0025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0629|"E0629 - SEAT LIFT MECH| NON-ELECTRIC"|NU|739.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0628|E0628 - SEAT LIFT FOR PT FURN-ELECTR|UE|571.725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0628|E0628 - SEAT LIFT FOR PT FURN-ELECTR|RR|76.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0628|E0628 - SEAT LIFT FOR PT FURN-ELECTR|NU|762.2775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0627|"E0627 - SEAT LIFT MECH| ELECTRIC ANY"|UE|553.6125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0627|"E0627 - SEAT LIFT MECH| ELECTRIC ANY"|RR|73.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0627|"E0627 - SEAT LIFT MECH| ELECTRIC ANY"|NU|738.135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0621|E0621 - PATIENT LIFT SLING OR SEAT|UE|146.2725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0621|E0621 - PATIENT LIFT SLING OR SEAT|RR|19.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0621|E0621 - PATIENT LIFT SLING OR SEAT|NU|194.5125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0620|E0620 - CAP BLD SKIN PIERCING LASER|RR|217.4625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0619|E0619 - APNEA MONITOR W RECORDER|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0618|E0618 - APNEA MONITOR|RR|697.3875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0617|E0617 - AUTOMATIC EXT DEFIBRILLATOR|RR|756.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0615|E0615 - PACEMAKER MONITR DIGITAL/VIS|UE|893.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0615|E0615 - PACEMAKER MONITR DIGITAL/VIS|RR|145.5075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0615|E0615 - PACEMAKER MONITR DIGITAL/VIS|NU|1190.97|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0610|E0610 - PACEMAKER MONITR AUDIBLE/VIS|UE|392.49|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0610|E0610 - PACEMAKER MONITR AUDIBLE/VIS|RR|53.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0610|E0610 - PACEMAKER MONITR AUDIBLE/VIS|NU|523.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0607|E0607 - BLOOD GLUCOSE MONITOR HOME|UE|124.6275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0607|E0607 - BLOOD GLUCOSE MONITOR HOME|RR|16.605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0607|E0607 - BLOOD GLUCOSE MONITOR HOME|NU|166.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0606|E0606 - DRAINAGE BOARD POSTURAL|RR|57.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0605|E0605 - VAPORIZER ROOM TYPE|UE|46.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0605|E0605 - VAPORIZER ROOM TYPE|RR|6.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0605|E0605 - VAPORIZER ROOM TYPE|NU|55.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0602|E0602 - MANUAL BREAST PUMP|UE|55.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0602|E0602 - MANUAL BREAST PUMP|RR|7.38|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0602|E0602 - MANUAL BREAST PUMP|NU|73.4175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0601|E0601 - CONT AIRWAY PRESSURE DEVICE|RR|173.5425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0600|E0600 - SUCTION PUMP PORTAB HOM MODL|RR|101.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0585|E0585 - NEBULIZER W/ COMPRESSOR & HE|RR|74.1375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0580|E0580 - NEBULIZER FOR USE W/ REGULAT|UE|212.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0580|E0580 - NEBULIZER FOR USE W/ REGULAT|RR|28.4175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0580|E0580 - NEBULIZER FOR USE W/ REGULAT|NU|283.995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0575|E0575 - NEBULIZER ULTRASONIC|RR|250.6725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0574|E0574 - ULTRASONIC GENERATOR W SVNEB|RR|97.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0572|E0572 - AEROSOL COMPRESSOR ADJUST PR|RR|91.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0570|E0570 - NEBULIZER WITH COMPRESSION|RR|32.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0565|E0565 - COMPRESSOR AIR POWER SOURCE|RR|134.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0562|E0562 - HUMIDIFIER HEATED USED W PAP|UE|369.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0562|E0562 - HUMIDIFIER HEATED USED W PAP|RR|49.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0562|E0562 - HUMIDIFIER HEATED USED W PAP|NU|493.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0561|E0561 - HUMIDIFIER NONHEATED W PAP|UE|143.91|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0561|E0561 - HUMIDIFIER NONHEATED W PAP|RR|19.17|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0561|E0561 - HUMIDIFIER NONHEATED W PAP|NU|191.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0560|E0560 - HUMIDIFIER SUPPLEMENTAL W/ I|UE|234.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0560|E0560 - HUMIDIFIER SUPPLEMENTAL W/ I|RR|39.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0560|E0560 - HUMIDIFIER SUPPLEMENTAL W/ I|NU|312.5475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0550|E0550 - HUMIDIF EXTENS SUPPLE W IPPB|RR|124.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0500|E0500 - IPPB ALL TYPES|RR|232.065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0486|E0486 - ORAL DEVICE/APPLIANCE CUSFAB|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0486|E0486 - ORAL DEVICE/APPLIANCE CUSFAB|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0486|E0486 - ORAL DEVICE/APPLIANCE CUSFAB|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0485|E0485 - ORAL DEVICE/APPLIANCE PREFAB|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0485|E0485 - ORAL DEVICE/APPLIANCE PREFAB|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0485|E0485 - ORAL DEVICE/APPLIANCE PREFAB|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0484|E0484 - NON-ELEC OSCILLATORY PEP DVC|UE|68.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0484|E0484 - NON-ELEC OSCILLATORY PEP DVC|RR|9.1575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0484|E0484 - NON-ELEC OSCILLATORY PEP DVC|NU|91.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0483|E0483 - HI FREQ CHEST WALL OSCIL SYS|RR|2644.425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0482|E0482 - COUGH STIMULATING DEVICE|RR|1037.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0480|E0480 - PERCUSSOR ELECT/PNEUM HOME M|RR|107.46|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0472|E0472 - RAD W BACKUP INVASIVE INTRFC|RR|1112.9625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0471|E0471 - RAD W/BACKUP NON INV INTRFC|RR|1029.5325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0470|E0470 - RAD W/O BACKUP NON-INV INTFC|RR|408.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0466|E0466 - HOME VENT NON-INVASIVE INTER|RR|2374.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0465|E0465 - HOME VENT INVASIVE INTERFACE|RR|2374.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0462|E0462 - ROCKING BED W/ OR W/O SIDE R|RR|724.8375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0444|"E0444 - PORTABLE 02 CONTENTS| LIQUID"||150.255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0443|"E0443 - PORTABLE 02 CONTENTS| GAS"||150.255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0442|"E0442 - STATIONARY O2 CONTENTS| LIQ"||153.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0441|"E0441 - STATIONARY O2 CONTENTS| GAS"||153.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0439|E0439 - STATIONARY LIQUID 02|RR|309.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0434|E0434 - PORTABLE LIQUID 02|RR|55.755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0433|E0433 - PORTABLE LIQUID OXYGEN SYS|RR|105.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0431|E0431 - PORTABLE GASEOUS 02|RR|55.755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0424|E0424 - STATIONARY COMPRESSED GAS 02|RR|309.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0373|E0373 - NONPOWERED PRESSURE MATTRESS|RR|984.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0372|E0372 - POWERED AIR MATTRESS OVERLAY|RR|814.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0371|E0371 - NONPOWER MATTRESS OVERLAY|RR|759.3075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0326|E0326 - URINAL FEMALE JUG-TYPE|UE|17.01|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0326|E0326 - URINAL FEMALE JUG-TYPE|RR|2.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0326|E0326 - URINAL FEMALE JUG-TYPE|NU|22.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0325|E0325 - URINAL MALE JUG-TYPE|UE|14.13|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0325|E0325 - URINAL MALE JUG-TYPE|RR|2.655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0325|E0325 - URINAL MALE JUG-TYPE|NU|21.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0316|E0316 - BED SAFETY ENCLOSURE|RR|419.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0310|E0310 - RAILS BED SIDE FULL LENGTH|UE|261.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0310|E0310 - RAILS BED SIDE FULL LENGTH|RR|37.3275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0310|E0310 - RAILS BED SIDE FULL LENGTH|NU|348.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0305|E0305 - RAILS BED SIDE HALF LENGTH|RR|28.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0304|E0304 - HOSP BED XTRA HVY DTY X WIDE|RR|1404.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0303|E0303 - HOSP BED HVY DTY XTRA WIDE|RR|517.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0302|E0302 - EX HD HOSP BED > 600 LBS|RR|1314.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0301|"E0301 - HD HOSP BED| 350-600 LBS"|RR|475.83|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0300|E0300 - ENCLOSED PED CRIB HOSP GRADE|RR|570.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0297|E0297 - HOSP BED TOTAL ELECT W/O MAT|RR|233.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0296|E0296 - HOSP BED TOTAL ELECT W/ MATT|RR|299.205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0295|E0295 - HOSP BED SEMI-ELECT W/O MATT|RR|197.5275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0294|E0294 - HOSP BED SEMI-ELECT W/ MATTR|RR|202.3875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0293|E0293 - HOSP BED VAR HT NO SR NO MAT|RR|122.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0292|E0292 - HOSP BED VAR HT NO SR W/MATT|RR|142.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0291|E0291 - HOSP BED FX HT W/O RAIL W/O|RR|93.9825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0290|E0290 - HOSP BED FX HT W/O RAILS W/M|RR|128.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0280|E0280 - BED CRADLE|UE|54.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0280|E0280 - BED CRADLE|RR|7.6275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0280|E0280 - BED CRADLE|NU|73.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0277|E0277 - POWERED PRES-REDU AIR MATTRS|RR|1033.7625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0276|E0276 - BED PAN FRACTURE|UE|23.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0276|E0276 - BED PAN FRACTURE|RR|3.3525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0276|E0276 - BED PAN FRACTURE|NU|30.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0275|E0275 - BED PAN STANDARD|UE|26.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0275|E0275 - BED PAN STANDARD|RR|3.645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0275|E0275 - BED PAN STANDARD|NU|35.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0272|E0272 - MATTRESS FOAM RUBBER|UE|280.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0272|E0272 - MATTRESS FOAM RUBBER|RR|38.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0272|E0272 - MATTRESS FOAM RUBBER|NU|374.5125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0271|E0271 - MATTRESS INNERSPRING|UE|278.8425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0271|E0271 - MATTRESS INNERSPRING|RR|37.1925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0271|E0271 - MATTRESS INNERSPRING|NU|371.7675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0266|E0266 - HOSP BED TOTAL ELEC W/O MATT|RR|295.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0265|E0265 - HOSP BED TOTAL ELECTR W/ MAT|RR|335.2275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0261|E0261 - HOSP BED SEMI-ELECTR W/O MAT|RR|199.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0260|E0260 - HOSP BED SEMI-ELECTR W/ MATT|RR|230.2425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0256|E0256 - HOSPITAL BED VAR HT W/O MATT|RR|140.805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0255|E0255 - HOSPITAL BED VAR HT W/ MATTR|RR|189.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0251|E0251 - HOSP BED FIXD HT W/O MATTRES|RR|128.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0250|E0250 - HOSP BED FIXED HT W/ MATTRES|RR|166.545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0249|E0249 - PAD WATER CIRCULATING HEAT U|UE|185.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0249|E0249 - PAD WATER CIRCULATING HEAT U|RR|27.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0249|E0249 - PAD WATER CIRCULATING HEAT U|NU|247.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0239|E0239 - HYDROCOLLATOR UNIT PORTABLE|UE|839.205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0239|E0239 - HYDROCOLLATOR UNIT PORTABLE|RR|111.915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0239|E0239 - HYDROCOLLATOR UNIT PORTABLE|NU|1118.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0236|E0236 - PUMP FOR WATER CIRCULATING P|RR|98.01|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0235|E0235 - PARAFFIN BATH UNIT PORTABLE|RR|42.9075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0225|E0225 - HYDROCOLLATOR UNIT|UE|725.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0225|E0225 - HYDROCOLLATOR UNIT|RR|95.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0225|E0225 - HYDROCOLLATOR UNIT|NU|966.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0217|E0217 - WATER CIRC HEAT PAD W PUMP|UE|921.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0217|E0217 - WATER CIRC HEAT PAD W PUMP|RR|122.76|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0217|E0217 - WATER CIRC HEAT PAD W PUMP|NU|1228.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0215|E0215 - ELECTRIC HEAT PAD MOIST|UE|112.365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0215|E0215 - ELECTRIC HEAT PAD MOIST|RR|15.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0215|E0215 - ELECTRIC HEAT PAD MOIST|NU|149.7825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0210|E0210 - ELECTRIC HEAT PAD STANDARD|UE|54.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0210|E0210 - ELECTRIC HEAT PAD STANDARD|RR|7.2225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0210|E0210 - ELECTRIC HEAT PAD STANDARD|NU|72.4725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0205|E0205 - HEAT LAMP WITH STAND|UE|362.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0205|E0205 - HEAT LAMP WITH STAND|RR|53.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0205|E0205 - HEAT LAMP WITH STAND|NU|482.715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0202|E0202 - PHOTOTHERAPY LIGHT W/ PHOTOM|RR|132.39|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0200|E0200 - HEAT LAMP WITHOUT STAND|UE|147.9825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0200|E0200 - HEAT LAMP WITHOUT STAND|RR|26.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0200|E0200 - HEAT LAMP WITHOUT STAND|NU|197.2125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0199|E0199 - DRY PRESSURE PAD FOR MATTRES|UE|54.4725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0199|E0199 - DRY PRESSURE PAD FOR MATTRES|RR|7.245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0199|E0199 - DRY PRESSURE PAD FOR MATTRES|NU|72.6525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0198|E0198 - WATER PRESSURE PAD FOR MATTR|RR|46.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0197|E0197 - AIR PRESSURE PAD FOR MATTRES|UE|356.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0197|E0197 - AIR PRESSURE PAD FOR MATTRES|RR|52.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0197|E0197 - AIR PRESSURE PAD FOR MATTRES|NU|434.655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0196|E0196 - GEL PRESSURE MATTRESS|RR|68.6925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0194|E0194 - AIR FLUIDIZED BED|RR|6880.6125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0193|E0193 - POWERED AIR FLOTATION BED|RR|1621.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0191|E0191 - PROTECTOR HEEL OR ELBOW|UE|15.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0191|E0191 - PROTECTOR HEEL OR ELBOW|RR|2.1825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0191|E0191 - PROTECTOR HEEL OR ELBOW|NU|21.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0189|E0189 - LAMBSWOOL SHEEPSKIN PAD|UE|89.82|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0189|E0189 - LAMBSWOOL SHEEPSKIN PAD|RR|12.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0189|E0189 - LAMBSWOOL SHEEPSKIN PAD|NU|119.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0188|E0188 - SYNTHETIC SHEEPSKIN PAD|UE|45.5625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0188|E0188 - SYNTHETIC SHEEPSKIN PAD|RR|6.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0188|E0188 - SYNTHETIC SHEEPSKIN PAD|NU|60.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0187|E0187 - WATER PRESSURE MATTRESS|RR|47.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0186|E0186 - AIR PRESSURE MATTRESS|RR|42.9075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0185|E0185 - GEL PRESSURE MATTRESS PAD|UE|446.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0185|E0185 - GEL PRESSURE MATTRESS PAD|RR|70.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0185|E0185 - GEL PRESSURE MATTRESS PAD|NU|595.44|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0184|E0184 - DRY PRESSURE MATTRESS|UE|332.3025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0184|E0184 - DRY PRESSURE MATTRESS|RR|47.655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0184|E0184 - DRY PRESSURE MATTRESS|NU|437.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0182|"E0182 - REPLACE PUMP| ALT PRESS PAD"|RR|49.7475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0181|E0181 - PRESS PAD ALTERNATING W/ PUM|RR|55.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0175|E0175 - COMMODE CHAIR FOOT REST|UE|121.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0175|E0175 - COMMODE CHAIR FOOT REST|RR|16.47|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0175|E0175 - COMMODE CHAIR FOOT REST|NU|164.7675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0171|E0171 - COMMODE CHAIR NON-ELECTRIC|RR|70.0875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0170|E0170 - COMMODE CHAIR ELECTRIC|RR|391.005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0168|E0168 - HEAVYDUTY/WIDE COMMODE CHAIR|UE|256.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0168|E0168 - HEAVYDUTY/WIDE COMMODE CHAIR|RR|34.29|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0168|E0168 - HEAVYDUTY/WIDE COMMODE CHAIR|NU|342.135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0167|E0167 - COMMODE CHAIR PAIL OR PAN|UE|19.5525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0167|E0167 - COMMODE CHAIR PAIL OR PAN|RR|2.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0167|E0167 - COMMODE CHAIR PAIL OR PAN|NU|24.7725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0165|E0165 - COMMODE CHAIR WITH DETACHARM|RR|38.7675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0163|E0163 - COMMODE CHAIR WITH FIXED ARM|UE|159.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0163|E0163 - COMMODE CHAIR WITH FIXED ARM|RR|36.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0163|E0163 - COMMODE CHAIR WITH FIXED ARM|NU|216.18|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0162|E0162 - SITZ BATH CHAIR|UE|238.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0162|E0162 - SITZ BATH CHAIR|RR|32.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0162|E0162 - SITZ BATH CHAIR|NU|308.07|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0161|E0161 - SITZ BATH/EQUIPMENT W/FAUCET|UE|45.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0161|E0161 - SITZ BATH/EQUIPMENT W/FAUCET|RR|6.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0161|E0161 - SITZ BATH/EQUIPMENT W/FAUCET|NU|61.335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0160|E0160 - SITZ TYPE BATH OR EQUIPMENT|UE|49.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0160|E0160 - SITZ TYPE BATH OR EQUIPMENT|RR|7.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0160|E0160 - SITZ TYPE BATH OR EQUIPMENT|NU|66.2625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0159|E0159 - BRAKE FOR WHEELED WALKER|UE|25.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0159|E0159 - BRAKE FOR WHEELED WALKER|RR|3.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0159|E0159 - BRAKE FOR WHEELED WALKER|NU|33.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0158|E0158 - WALKER LEG EXTENDERS SET OF4|UE|41.8725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0158|E0158 - WALKER LEG EXTENDERS SET OF4|RR|5.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0158|E0158 - WALKER LEG EXTENDERS SET OF4|NU|55.5975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0157|E0157 - WALKER CRUTCH ATTACHMENT|UE|101.655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0157|E0157 - WALKER CRUTCH ATTACHMENT|RR|13.995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0157|E0157 - WALKER CRUTCH ATTACHMENT|NU|135.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0156|E0156 - WALKER SEAT ATTACHMENT|UE|33.7725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0156|E0156 - WALKER SEAT ATTACHMENT|RR|5.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0156|E0156 - WALKER SEAT ATTACHMENT|NU|44.9775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0155|"E0155 - WALKER WHEEL ATTACHMENT|PAIR"|UE|39.8025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0155|"E0155 - WALKER WHEEL ATTACHMENT|PAIR"|RR|5.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0155|"E0155 - WALKER WHEEL ATTACHMENT|PAIR"|NU|53.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0154|E0154 - WALKER PLATFORM ATTACHMENT|UE|91.6425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0154|E0154 - WALKER PLATFORM ATTACHMENT|RR|12.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0154|E0154 - WALKER PLATFORM ATTACHMENT|NU|122.175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0153|E0153 - FOREARM CRUTCH PLATFORM ATTA|UE|112.5675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0153|E0153 - FOREARM CRUTCH PLATFORM ATTA|RR|16.5825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0153|E0153 - FOREARM CRUTCH PLATFORM ATTA|NU|150.165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0149|E0149 - HEAVY DUTY WHEELED WALKER|UE|285.12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0149|E0149 - HEAVY DUTY WHEELED WALKER|RR|38.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0149|E0149 - HEAVY DUTY WHEELED WALKER|NU|380.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0148|E0148 - HEAVYDUTY WALKER NO WHEELS|UE|169.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0148|E0148 - HEAVYDUTY WALKER NO WHEELS|RR|22.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0148|E0148 - HEAVYDUTY WALKER NO WHEELS|NU|226.6425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0147|E0147 - WALKER VARIABLE WHEEL RESIST|UE|777.645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0147|E0147 - WALKER VARIABLE WHEEL RESIST|RR|103.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0147|E0147 - WALKER VARIABLE WHEEL RESIST|NU|1036.845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0144|E0144 - ENCLOSED WALKER W REAR SEAT|RR|62.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0143|E0143 - WALKER FOLDING WHEELED W/O S|UE|134.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0143|E0143 - WALKER FOLDING WHEELED W/O S|RR|25.6725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0143|E0143 - WALKER FOLDING WHEELED W/O S|NU|179.37|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0141|E0141 - RIGID WHEELED WALKER ADJ/FIX|UE|148.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0141|E0141 - RIGID WHEELED WALKER ADJ/FIX|RR|28.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0141|E0141 - RIGID WHEELED WALKER ADJ/FIX|NU|197.64|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0140|E0140 - WALKER W TRUNK SUPPORT|UE|512.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0140|E0140 - WALKER W TRUNK SUPPORT|RR|68.3325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0140|E0140 - WALKER W TRUNK SUPPORT|NU|683.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0135|E0135 - WALKER FOLDING ADJUST/FIXED|UE|100.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0135|E0135 - WALKER FOLDING ADJUST/FIXED|RR|23.445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0135|E0135 - WALKER FOLDING ADJUST/FIXED|NU|130.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0130|E0130 - WALKER RIGID ADJUST/FIXED HT|UE|96.57|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0130|E0130 - WALKER RIGID ADJUST/FIXED HT|RR|23.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0130|E0130 - WALKER RIGID ADJUST/FIXED HT|NU|125.82|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0117|E0117 - UNDERARM SPRINGASSIST CRUTCH|RR|47.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0116|E0116 - CRUTCH UNDERARM EACH NO WOOD|UE|44.1675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0116|E0116 - CRUTCH UNDERARM EACH NO WOOD|RR|11.43|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0116|E0116 - CRUTCH UNDERARM EACH NO WOOD|NU|58.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0114|E0114 - CRUTCH UNDERARM PAIR NO WOOD|UE|75.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0114|E0114 - CRUTCH UNDERARM PAIR NO WOOD|RR|18.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0114|E0114 - CRUTCH UNDERARM PAIR NO WOOD|NU|99.765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0113|E0113 - CRUTCH UNDERARM EACH WOOD|UE|33.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0113|E0113 - CRUTCH UNDERARM EACH WOOD|RR|10.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0113|E0113 - CRUTCH UNDERARM EACH WOOD|NU|44.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0112|E0112 - CRUTCH UNDERARM PAIR WOOD|UE|59.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0112|E0112 - CRUTCH UNDERARM PAIR WOOD|RR|21.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0112|E0112 - CRUTCH UNDERARM PAIR WOOD|NU|78.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0111|E0111 - CRUTCH FOREARM EACH|UE|91.7775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0111|E0111 - CRUTCH FOREARM EACH|RR|17.7975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0111|E0111 - CRUTCH FOREARM EACH|NU|122.355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0110|E0110 - CRUTCH FOREARM PAIR|UE|122.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0110|E0110 - CRUTCH FOREARM PAIR|RR|33.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0110|E0110 - CRUTCH FOREARM PAIR|NU|164.0475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0105|E0105 - CANE ADJUST/FIXED QUAD/3 PRO|UE|94.1625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0105|E0105 - CANE ADJUST/FIXED QUAD/3 PRO|RR|18.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0105|E0105 - CANE ADJUST/FIXED QUAD/3 PRO|NU|122.175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0100|E0100 - CANE ADJUST/FIXED WITH TIP|UE|41.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0100|E0100 - CANE ADJUST/FIXED WITH TIP|RR|12.555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|E0100|E0100 - CANE ADJUST/FIXED WITH TIP|NU|52.425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9999|D9999 - UNSPECIFIED ADJUNCTIVE PROC BY REPORT (07/2019)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9987|D9987 - CANCELLED APPOINTMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9986|D9986 - MISSED APPOINTMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9985|D9985 - SALES TAX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9975|D9975 - EXTERNAL BLEACHING - PER ARCH (HOME)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9974|D9974 - INTERNAL BLEACHING - PER TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9973|D9973 - EXTERNAL BLEACHING - PER TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9972|D9972 - EXTERNAL BLEACHING - PER ARCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9971|D9971 - ODONTOPLASTY 1-2 TEETH; INCL REMOVAL ENAMEL PROJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9970|D9970 - ENAMEL MICROABRASION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9952|D9952 - OCCLUSAL ADJUSTMENT - COMPLETE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9951|D9951 - OCCLUSAL ADJUSTMENT - LIMITED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9950|D9950 - OCCLUSION ANALYSIS - MOUNTED CASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9943|D9943 - OCCLUSAL GUARD ADJUSTMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9942|D9942 - REPAIR AND/OR RELINE OF OCCLUSAL GUARD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9941|D9941 - FABRICATION OF ATHLETIC MOUTHGUARD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9940|D9940 - OCCLUSAL GUARD BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9935|D9935 - CLEAN INSPECT REMVBL PARTIAL MANDIBULAR DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9934|D9934 - CLEAN/ INSPECT REMVBL PARTIAL MAXILLARY DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9933|D9933 - CLEAN INSPECT REMVBL COMPLETE MANDIBULAR DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9932|D9932 - CLEAN/INSPECT REMOVBL COMPLETE MAXILLARY DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9930|D9930 - TX COMPLICATIONS - UNUSUAL CIRCUMSTANCES REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9920|D9920 - BEHAVIOR MANAGEMENT BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9911|D9911 - APPLIC DESENZT RSN CERV &OR ROOT SURF-TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9910|D9910 - APPLICATION OF DESENSITIZING MEDICAMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9630|"D9630 - DRUGS AND/OR MEDICAMENTS BY REPORT| HOME USE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9612|D9612 - TX PARENTERAL DRUGS 2/> ADMINISTRATIONS DIFF MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9610|D9610 - THERAPEUTIC PARENTERAL DRUG SINGL ADMINISTRATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9450|D9450 - CASE PRESENTATION DTL&EXT  TREATMENT PLANNING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9440|D9440 - OFFICE VISIT - AFTER REGULARLY SCHEDULED HOURS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9430|D9430 - OFFICE VISIT OBSERVATION NO OTHER SRVC PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9420|D9420 - HOSPITAL OR AMBULATORY SURGICAL CENTER CALL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9410|D9410 - HOUSE/EXTENDED CARE FACILITY CALL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9310|D9310 - CONSULT DX SERV DENT/PHY NOT REQUESTING DENT/PHY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9248|D9248 - NON-INTRAVENOUS CONSCIOUS SEDATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9243|D9243 - IV MOD (CONSCIOUS) SEDATION EACH 15 MIN INCRMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9230|D9230 - INHALATION OF NITROUS OXIDE/ANXIOLYSIS ANALGESIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9223|D9223 - DEEP SEDATION/ GEN ANESTH EACH 15 MIN INCREMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9219|D9219 - EVALUATION FOR MOD OR DEEP SEDATION / GA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9215|D9215 - LOCAL ANESTHESIA CONJUCTION OPERATIVE/SURG PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9212|D9212 - TRIGEMINAL DIVISION BLOCK ANESTHESIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9211|D9211 - REGIONAL BLOCK ANESTHESIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9210|D9210 - LOCAL ANES-NOT CONJUNCTION W/OP/SURGICAL PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9120|D9120 - FIXED PARTIAL DENTURE SECTIONING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D9110|D9110 - PALLIATIVE EMERGENCY TX DENTAL PAIN MINOR PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8999|D8999 - UNSPECIFIED ORTHODONTIC PROCEDURE BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8694|D8694 - REPAIR OF FIXED RETAINERS INCLUDES REATTACHMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8693|D8693 - RE-CEMENT OR RE-BOND FIXED RETAINER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8692|D8692 - REPLACEMENT OF LOST OR BROKEN RETAINER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8691|D8691 - REPAIR OF ORTHODONTIC APPLIANCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8690|D8690 - ORTHODONTIC TREATMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8681|D8681 - REMOVABLE ORTHODONTIC RETAINER ADJUSTMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8680|D8680 - ORTHODONTIC RETENTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8670|D8670 - PERIODIC ORTHODONTIC TREATMENT VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8660|D8660 - PREORTHODONTIC TREATMENT VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8220|D8220 - FIXED APPLIANCE THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8210|D8210 - REMOVABLE APPLIANCE THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8090|D8090 - COMPREHENSIVE ORTHODONTIC TX ADULT DENTITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8080|D8080 - COMPREHENSIVE ORTHODONTIC TX ADOLES DENTITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8070|D8070 - COMP ORTHODONTIC TX TRANSITIONAL DENTITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8060|D8060 - INTRCPTV ORTHODONTIC TX TRANSITIONAL DENTITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8050|D8050 - INTERCEPTIVE ORTHODONTIC TX PRIMARY DENTITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8040|D8040 - LIMITED ORTHODONTIC TREATMENT ADULT DENTITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8030|D8030 - LTD ORTHODONTIC TREATMENT ADOLESCENT DENTITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8020|D8020 - LTD ORTHODONTIC TREATMENT TRANSITIONAL DENTITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D8010|D8010 - LIMITED ORTHODONTIC TREATMENT PRIMARY DENTITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7999|D7999 - UNSPECIFIED ORAL SURGERY PROCEDURE BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7998|D7998 - INTRAORAL PLCMT FIX DEVICE NOT CONJUNCTION W/FX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7997|D7997 - APPLIANCE REMOVAL INCLUDES REMOVAL OF ARCHBAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7996|D7996 - IMPLANT-MANDIBLE AUGMENTATION PURPOSES BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7995|D7995 - SYNTHETIC GRAFT-MANDIBLE/FACIAL BONES BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7991|D7991 - CORONOIDECTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7990|D7990 - EMERGENCY TRACHEOTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7983|D7983 - CLOSURE OF SALIVARY FISTULA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7982|D7982 - SIALODOCHOPLASTY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7981|D7981 - EXCISION OF SALIVARY GLAND BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7980|D7980 - SURGICAL SIALOLITHOTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7972|D7972 - SURGICAL REDUCTION OF FIBROUS TUBEROSITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7971|D7971 - EXCISION OF PERICORONAL GINGIVA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7970|D7970 - EXCISION OF HYPERPLASTIC TISSUE - PER ARCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7963|D7963 - FRENULOPLASTY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7960|D7960 - FRENULECTOMY SEP PROC NOT INCIDENTL ANOTHER PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7955|D7955 - REPAIR MAXLOFACIAL SOFT &/ HARD TISSUE DEFECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7953|D7953 - BONE REPLCMT GRAFT RIDGE PRESERVATION  PER SITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7952|D7952 - SINUS AUGMENTATION VIA A VERTICAL APPROACH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7951|D7951 - SINUS AUG WITH BONE OR BONE SUBSTITUTES-LAT APP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7950|D7950 - OSSEOUS OSTEOPERIOSTEAL/CARTILAGE GRAFT MAND/MAX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7949|D7949 - LEFORT II OR LEFORT III - WITH BONE GRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7948|D7948 - LEFORT II/LEFORT III - W/O BONE GRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7947|D7947 - LEFORT I (MAXILLA - SEGMENTED)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7946|D7946 - LEFORT I (MAXILLA - TOTAL)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7945|D7945 - OSTEOTOMY - BODY OF MANDIBLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7944|D7944 - OSTEOTOMY - SEGMENTED OR SUBAPICAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7943|D7943 - OSTEOT-MANDIB RAMI W/BONE GRFT;INCL OBTAIN GRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7941|D7941 - OSTEOTOMY - MANDIBULAR RAMI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7940|D7940 - OSTEOPLASTY - FOR ORTHOGNATHIC DEFORMITIES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7921|D7921 - COLL APPL AUTOLOGOUS BLD CNCNTRT PRODUCT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7920|D7920 - SKIN GRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7912|D7912 - COMPLICATED SUTURE - GREATER THAN 5 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7911|D7911 - COMPLICATED SUTURE - UP TO 5 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7910|D7910 - SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7899|D7899 - UNSPECIFIED TMD THERAPY BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7881|D7881 - OCCLUSAL ORTHOTIC DEVICE ADJUSTMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7880|D7880 - OCCLUSAL ORTHOTIC DEVICE BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7877|D7877 - ARTHROSCOPY: DEBRIDEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7876|D7876 - ARTHROSCOPY: DISCECTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7875|D7875 - ARTHROSCOPY: SYNOVECTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7874|D7874 - ARTHROSCOPY: DISC REPSTN & STABILIZATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7873|D7873 - ARTHROSCOPY:  LAVAGE & LYSIS ADHESIONS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7872|D7872 - ARTHROSCOPY - DIAGNOSIS WITH OR WITHOUT BIOPSY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7871|D7871 - NON-ARTHROSCOPIC LYSIS AND LAVAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7870|D7870 - ARTHROCENTESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7865|D7865 - ARTHROPLASTY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7860|D7860 - ARTHROTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7858|D7858 - JOINT RECONSTRUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7856|D7856 - MYOTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7854|D7854 - SYNOVECTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7852|D7852 - DISC REPAIR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7850|D7850 - SURGICAL DISCECTOMY WITH/WITHOUT IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7840|D7840 - CONDYLECTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7830|D7830 - MANIPULATION UNDER ANESTHESIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7820|D7820 - CLOSED REDUCTION OF DISLOCATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7810|D7810 - OPEN REDUCTION OF DISLOCATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7780|D7780 - FACIAL BONES-COMP RDUC FIX & MULT APPROACHES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7771|D7771 - ALVEOLUS CLOSED REDUCTION STABILIZATION OF TEETH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7770|D7770 - ALVEOLUS - OPEN REDUCTION STABILIZATION OF TEETH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7760|D7760 - MALAR AND/OR ZYGOMATIC ARCH - CLOSED REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7750|D7750 - MALAR AND/OR ZYGOMATIC ARCH - OPEN REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7740|D7740 - MANDIBLE - CLOSED REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7730|D7730 - MANDIBLE - OPEN REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7720|D7720 - MAXILLA - CLOSED REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7710|D7710 - MAXILLA - OPEN REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7680|D7680 - FACE BONES-COMP RDUC W/FIX&MX SURG APPRCHES CPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7671|D7671 - ALVEOLUS-OPEN REDUCTION W/STABILIZATION TEETH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7670|D7670 - ALVEOLUS-CLOSED REDUCTION W/STABILIZATION TEETH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7660|D7660 - MALAR AND/OR ZYGOMATIC ARCH - CLOSED REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7650|D7650 - MALAR AND/OR ZYGOMATIC ARCH - OPEN REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7640|D7640 - MANDIBLE-CLOSED REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7630|D7630 - MANDIBLE-OPEN REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7620|D7620 - MAXILLA-CLOSED REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7610|D7610 - MAXILLA-OPEN REDUCTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7560|D7560 - MAXILLARY SINUSOTOMY REMOVAL TOOTH FRAGMENT/FB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7550|D7550 - PART OSTEC/SEQUESTRECTOMY REMOVAL NON-VITAL BONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7540|D7540 - REMV REACT-PRODUC FOREIGN BODIES-MUSCULOSKEL SYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7530|D7530 - REMOVAL FB FROM MUCOSA SKIN/SUBCUT ALVEOL TISSUE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7521|D7521 - I & D ABSCESS EXTRAORAL SOFT TISSUE COMPLICATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7520|D7520 - INCISION & DRAINAGE ABSCESS-EXTRAORAL SOFT TISS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7511|D7511 - I & D ABSCESS INTRAORAL SOFT TISSUE  COMPLICATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7510|D7510 - INCISION & DRAINAGE ABSCESS-INTRAORAL SOFT TISS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7490|D7490 - RADICAL RESECTION OF MAXILLA OR MANDIBLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7485|D7485 - REDUCTION OF OSSEOUS TUBEROSITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7473|D7473 - REMOVAL OF TORUS MANDIBULARIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7472|D7472 - REMOVAL OF TORUS PALATINUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7471|D7471 - REMOVAL OF LATERAL EXOSTOSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7465|D7465 - DESTRUCTION LESION PHYSICAL/CHEM METHOD BY REPRT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7461|D7461 - REMOVAL BEN NONODONTOGENIC CYST/TUMOR > 1.25 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7460|D7460 - REMOVAL BEN NONODONTOGENIC CYST/TUMR- UP 1.25 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7451|D7451 - REMOVAL BENIGN ODONTOGENIC CYST/TUMOR- > 1.25 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7450|D7450 - REMOVL BENIGN ODONTOGENC CYST/TUMR-UP T0 1.25 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7441|D7441 - EXC MALIG TUMOR-LESION DIAM GREATER THAN 1.25 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7440|D7440 - EXC MALIG TUMOR-LESION DIAMETER UP TO 1.25 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7415|D7415 - EXCISION OF MALIGNANT LESION COMPLICATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7414|D7414 - EXCISION OF MALIGNANT LESION > 1.25 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7413|D7413 - EXCISION OF MALIGNANT LESION UP TO 1.25 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7412|D7412 - EXCISION OF BENIGN LESION COMPLICATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7411|D7411 - EXCISION OF BENIGN LESION GREATER THAN 1.25 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7410|D7410 - EXCISION OF BENIGN LESION UP TO 1.25 CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7350|D7350 - VESTIBULOPLASTY RIDGE EXT W/SOFT TISS GRAFTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7340|D7340 - VESTIBULOPLASTY RIDGE EXT SEC EPITHELIALIZATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7321|D7321 - ALVEOLOPLSTY NOT CNJNC XTRCT 1-3 TEETH/SPCE QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7320|D7320 - ALVEOLOPLASTY NOT W/EXTRACTIONS 4/> TEETH/SPACE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7311|D7311 - ALVEOLOPLSTY CONJNC XTRACT 1-3 TEETH/SPACES QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7310|D7310 - ALVEOLOPLASTY W/EXTRACTION 4/> TEETH/SPACE QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7295|D7295 - HARVEST BONE FOR USE AUTOGENOUS GRAFTING PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7294|D7294 - PLACEMENT TEMP ANCHORAGE DEVICE W/O SURG FLAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7293|D7293 - PLACEMENT TEMP ANCHORAGE DEVICE RQR SURG FLAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7292|D7292 - PLACEMENT TEMP ANCHORAGE SCREW RET PLATE FLAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7291|D7291 - TRANSSEPTAL FIBEROT/SUPRA CRESTAL FIBEROT BR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7290|D7290 - SURGICAL REPOSITIONING OF TEETH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7288|D7288 - BRUSH BIOPSY - TRANSEPITHELIAL SAMPLE COLLECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7287|D7287 - EXFOLIATIVE CYTOLOGICAL SAMPLE COLLECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7286|D7286 - BIOPSY OF ORAL TISSUE  SOFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7285|D7285 - BIOPSY OF ORAL TISSUE HARD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7283|D7283 - PLCMT DEVICE FACILITATE ERUPTION IMPACTED TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7282|D7282 - MOBILIZ ERUPTED/MALPOSITIONED TOOTH AID ERUPTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7280|D7280 - EXPOSURE OF AN UNERUPTED TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7272|D7272 - TOOTH TRANSPLANTATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7270|D7270 - TOOTH REIMPL &/OR STBL ACC EVULSED/DISPLCD TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7261|D7261 - PRIMARY CLOSURE OF A SINUS PERFORATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7260|D7260 - OROANTRAL FISTULA CLOSURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7251|D7251 - CORONECTOMY  INTENTIONAL PARTIAL TOOTH REMOVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7250|D7250 - SURGICAL REMOVAL OF RESIDUAL TOOTH ROOTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7241|D7241 - REMV IMP TOOTH - CMPL BONY W/UNUSUAL SURG COMPS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7240|D7240 - REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7230|D7230 - REMOVAL OF IMPACTED TOOTH - PARTIALLY BONY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7220|D7220 - REMOVAL OF IMPACTED TOOTH - SOFT TISSUE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7210|D7210 - EXTRACTION ERUPTED TOOTH REMV BONE ELEV FLAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7140|D7140 - EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D7111|D7111 - EXTRACTION CORONAL REMNANTS - PRIMARY TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6999|D6999 - UNSPECIFIED FIXED PROSTHODONTIC PROCEDURE REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6985|D6985 - PEDIATRIC PARTIAL DENTURE FIXED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6980|D6980 - FIXED PARTIAL DENTURE REPAIR MATERIAL FAILURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6950|D6950 - PRECISION ATTACHMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6940|D6940 - STRESS BREAKER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6930|D6930 - RECEMENT / REBOND FIXED PARTIAL DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6920|D6920 - CONNECTOR BAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6794|D6794 - RETAINER CROWN - TITANIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6793|D6793 - PROVISIONAL RETAINER CROWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6792|D6792 - RETAINER CROWN - FULL CAST NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6791|D6791 - RETAINER CROWN FULL CAST PREDOM BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6790|D6790 - RETAINER CROWN - FULL CAST HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6783|D6783 - RETAINER CROWN - 3/4 PORCELAIN/CERAMIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6782|D6782 - RETAINER CROWN - 3/4 CAST NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6781|D6781 - RETAINER CROWN 3/4 CAST PREDOMINANTLY BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6780|D6780 - RETAINER CROWN - 3/4 CAST HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6752|D6752 - RETAINER CROWN - PORCELAIN FUSED TO NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6751|D6751 - RETNR CROWN PORCELAIN FUSED PREDOM BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6750|D6750 - RETNR CROWN PORCELAIN FUSED TO HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6740|D6740 - RETAINER CROWN - PORCELAIN/CERAMIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6722|D6722 - RETAINER CROWN - RESIN WITH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6721|D6721 - RETAINER CROWN - RESIN WITH PREDOM BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6720|D6720 - RETAINER CROWN - RESIN WITH HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6710|D6710 - RETAINER CROWN - INDIRECT RESIN BASED COMPOSITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6634|D6634 - RETAINER ONLAY - TITANIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6624|D6624 - RETAINER INLAY - TITANIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6615|D6615 - RETNR ONLAY CAST NOBLE METAL 3 OR MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6614|D6614 - RETAINER ONLAY - CAST NOBLE METAL TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6613|D6613 - RETNR ONLAY CAST PREDOM BASE METAL 3/MORE SURFS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6612|D6612 - RETAINER ONLAY CAST PREDOM BASE METAL 2 SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6611|D6611 - RETAINER ONLAY HIGH NOBLE METAL 3/MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6610|D6610 - RETAINER ONLAY - HIGH NOBLE METAL TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6609|D6609 - RETAINER ONLAY PORCELAIN/CERAMIC 3/MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6608|D6608 - RETAINER ONLAY - PORCELAIN/CERAMIC TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6607|D6607 - RETNR INLAY CAST NOBLE METAL 3 OR MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6606|D6606 - RETAINER INLAY - CAST NOBLE METAL TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6605|D6605 - RTAINR INLAY - CAST PREDOM BASE MTL 3/MORE SURFS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6604|D6604 - RETAINER INLAY - CAST PREDOM BASE METAL 2 SURFS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6603|D6603 - RETAINR INLAY - CAST HI NOBLE METAL 3/MORE SURFS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6602|D6602 - RETAINER INLAY CAST HIGH NOBLE METAL 2 SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6601|D6601 - RETAINER INLAY - PORC/CERAMIC 3 OR MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6600|D6600 - RETAINER INLAY - PORCELAIN/CERAMIC TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6549|D6549 - RESIN RETAINER FOR RESIN BONDED FIXED PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6548|D6548 - RETAINER - PORCELN/CERAMIC RSN BONDED FIX PROSTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6545|D6545 - RETAINER - CAST METAL RESIN BONDED FIX PROSTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6253|D6253 - PROVISIONAL PONTIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6252|D6252 - PONTIC - RESIN WITH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6251|D6251 - PONTIC - RESIN WITH PREDOMINANTLY BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6250|D6250 - PONTIC - RESIN WITH HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6245|D6245 - PONTIC - PORCELAIN/CERAMIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6242|D6242 - PONTIC - PORCELAIN FUSED TO NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6241|D6241 - PONTIC - PORCELN FUSED PREDOMINANTLY BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6240|D6240 - PONTIC - PORCELAIN FUSED TO HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6214|D6214 - PONTIC - TITANIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6212|D6212 - PONTIC - CAST NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6211|D6211 - PONTIC - CAST PREDOMINANTLY BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6210|D6210 - PONTIC - CAST HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6205|D6205 - PONTIC - INDIRECT RESIN BASED COMPOSITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6199|D6199 - UNSPECIFIED IMPLANT PROCEDURE BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6194|D6194 - ABUTMENT SUPPORTED RETAINER CROWN FOR FPD-TITANM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6190|D6190 - RADIOGRAPHIC/SURGICAL IMPLANT INDEX BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6117|D6117 - IMPL/ABUT SUPPORTED FD - MANDIBULAR - PARTIAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6116|D6116 - IMPL/ABUTMENT SUPPORTED FD - MAXILLARY - PARTIAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6115|D6115 - IMPLANT/ABUTMENT SUPPORTED FD - MANDIBULAR FULL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6114|D6114 - IMPLANT / ABUTMENT SUPPORTED FD - MAXILLARY FULL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6113|D6113 - IMPLANT / ABUTMENT SUPPORTED RPD - MANDIBULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6112|D6112 - IMPL/ABUTMENT SUPPORTED RPD - MAXILLARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6111|D6111 - IMPL/ABUTMENT SUPPORTED RD - MANDIBULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6110|D6110 - IMPL/ABUTMENT SUPPORTED RD - MAXILLARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6104|D6104 - BONE GRAFT AT TIME OF IMPLANT PLACEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6103|D6103 - BONE GRFT RPR PERIIMPLNT DFCT W/O FLAP ENTR/CLSE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6102|D6102 - DBRDMNT AND OSSEOUS CNTUR OF PERI-IMPLANT DEFECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6101|D6101 - DBRDMNT OF SNGL PERI-IMPLANT DEFECT/S||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6100|D6100 - IMPLANT REMOVAL BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6095|D6095 - REPAIR IMPLANT ABUTMENT BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6094|D6094 - ABUTMENT SUPPORTED CROWN  TITANIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6093|D6093 - RECMNT/REBOND IMPL/ABUTMNT SUPP FIX PART DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6092|D6092 - RECEMENT / REBOND  IMPLANT/ABUTMENT SUPP CROWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6091|D6091 - REPL ATTACHMNT IMPL/ABUT SUPP PROS PER ATTACHMNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6090|D6090 - REPAIR IMPLANT SUPPORTED PROSTHESIS BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6080|D6080 - IMPL MAINT PROC REMV CLEAN PROSTH & ABUT REINSRT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6077|D6077 - IMPL SUPP RTNR CST METL FPD TITNM/HIGH NOBLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6076|D6076 - IMPL SUPP RTNR PORCLN FUSED METL FPD TITNM/HIGH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6075|D6075 - IMPLANT SUPPORTED RETAINER FOR CERAMIC FPD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6074|D6074 - ABUTMENT RTNR CAST METAL FPD NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6073|D6073 - ABUT RTNR CAST METL FPD PREDOM BASE METL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6072|D6072 - ABUT SUPP RETN CAST METL FPD HIGH NOBLE METL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6071|D6071 - ABUT SUPP RETN PORCELN FUSD METAL FPD NOBLE METL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6070|D6070 - ABUT RETN PORCELN TO METL FPD PREDOM BASE METL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6069|D6069 - ABUT RETAINR PORCELN TO METL FPD HI NOBL METL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6068|D6068 - ABUT SUPP RETAINER PORCELAIN/CERAMIC FPD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6067|D6067 - IMPL SUPP METAL CROWN TITIANM/HIGH NOBLE METL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6066|D6066 - IMPL SUPP PORCLN FUSED METL CRWN TITNM/HIGH NOBL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6065|D6065 - IMPL SUPP PORCELAIN/CERAMIC CROWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6064|D6064 - ABUTMENT SUPP CAST METAL CROWN NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6063|D6063 - ABUTMENT SUPP CAST METAL CROWN PREDOM BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6062|D6062 - ABUTMENT SUPP CAST METAL CROWN HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6061|D6061 - ABUT SUPP PORCELAIN TO METAL CROWN NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6060|D6060 - ABUT SUPP PORCELAIN TO MTL CROWN PREDOM BASE MTL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6059|D6059 - ABUT SUPP PORCELAIN TO METL CROWN HI NOBLE METL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6058|D6058 - ABUTMENT SUPPORTED PORCELAIN/CERAMIC CROWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6057|D6057 - CUSTOM FABRICATED ABUTMENT  INCLUDES PLACEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6056|D6056 - PREFABRICATED ABUTMENT INCLUDES PLACEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6055|D6055 - CONNECTING BAR IMPLANT OR ABUTMENT SUPPORTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6052|D6052 - SEMI-PRECISION ATTACHMENT ABUTMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6051|D6051 - INTERIM ABUTMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6050|D6050 - SURGICAL PLACEMENT: TRANSOSTEAL IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6040|D6040 - SURGICAL PLACEMENT: EPOSTEAL IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6013|D6013 - SURGICAL PLACEMENT OF MINI IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6012|D6012 - SURG PLCMT INTERIM IMPL TRNSITIONL PROS: ENDOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6011|D6011 - SECOND STAGE IMPLANT SURGERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D6010|D6010 - SURG PLACEMENT IMPLANT BODY: ENDOSTEAL IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5999|D5999 - UNSPECIFIED MAXILLOFACIAL PROSTHESIS BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5994|D5994 - PERIDONL MEDIC CARRIER PERIPH SEAL LAB PRCESSD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5993|D5993 - MAINT / CLEAN MAXILLOFACIAL PROSTH BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5992|D5992 - ADJUST MAXILLOFACIAL PROSTH APPLIANCE BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5991|D5991 - VESICULOBULLOUS DISEASE MEDICAMENT CARRIER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5988|D5988 - SURGICAL SPLINT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5987|D5987 - COMMISSURE SPLINT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5986|D5986 - FLUORIDE GEL CARRIER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5985|D5985 - RADIATION CONE LOCATOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5984|D5984 - RADIATION SHIELD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5983|D5983 - RADIATION CARRIER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5982|D5982 - SURGICAL STENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5960|D5960 - SPEECH AID PROSTHESIS MODIFICATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5959|D5959 - PALATAL LIFT PROSTHESIS MODIFICATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5958|D5958 - PALATAL LIFT PROSTHESIS INTERIM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5955|D5955 - PALATAL LIFT PROSTHESIS DEFINITIVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5954|D5954 - PALATAL AUGMENTATION PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5953|D5953 - SPEECH AID PROSTHESIS ADULT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5952|D5952 - SPEECH AID PROSTHESIS PEDIATRIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5951|D5951 - FEEDING AID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5937|D5937 - TRISMUS APPLIANCE (NOT FOR TMD TREATMENT)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5936|D5936 - OBTURATOR PROSTHESIS INTERIM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5935|D5935 - MANDIBULAR RESECTION PROSTHESIS W/O GUIDE FLANGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5934|D5934 - MANDIBULAR RESECTION PROSTHESIS W/GUIDE FLANGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5933|D5933 - OBTURATOR PROSTHESIS MODIFICATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5932|D5932 - OBTURATOR PROSTHESIS DEFINITIVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5931|D5931 - OBTURATOR PROSTHESIS SURGICAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5929|D5929 - FACIAL PROSTHESIS REPLACEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5928|D5928 - ORBITAL PROSTHESIS REPLACEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5927|D5927 - AURICULAR PROSTHESIS REPLACEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5926|D5926 - NASAL PROSTHESIS REPLACEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5925|D5925 - FACIAL AUGMENTATION IMPLANT PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5924|D5924 - CRANIAL PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5923|D5923 - OCULAR PROSTHESIS INTERIM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5922|D5922 - NASAL SEPTAL PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5919|D5919 - FACIAL PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5916|D5916 - OCULAR PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5915|D5915 - ORBITAL PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5914|D5914 - AURICULAR PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5913|D5913 - NASAL PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5912|D5912 - FACIAL MOULAGE (COMPLETE)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5911|D5911 - FACIAL MOULAGE (SECTIONAL)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5899|D5899 - UNS REMOVABLE PROSTHODONTIC PROCEDURE REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5875|D5875 - MODIFICATION REMV PROSTH AFTER IMPLANT SURGERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5867|D5867 - REPLACEMENT REPL PART SEMI-PRCISN/PRCISN ATTCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5866|D5866 - OVERDENTURE  PARTIAL MIBULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5865|D5865 - OVERDENTURE  COMPLETE MIBULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5864|D5864 - OVERDENTURE  PARTIAL MAXILLARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5863|D5863 - OVERDENTURE  COMPLETE MAXILLARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5862|D5862 - PRECISION ATTACHMENT BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5851|D5851 - TISSUE CONDITIONING MANDIBULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5850|D5850 - TISSUE CONDITIONING MAXILLARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5821|D5821 - INTERIM PARTIAL DENTURE (MANDIBULAR)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5820|D5820 - INTERIM PARTIAL DENTURE (MAXILLARY)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5811|D5811 - INTERIM COMPLETE DENTURE (MANDIBULAR)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5810|D5810 - INTERIM COMPLETE DENTURE (MAXILLARY)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5761|D5761 - RELINE MANDIBULAR PARTIAL DENTURE (LABORATORY)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5760|D5760 - RELINE MAXILLARY PARTIAL DENTURE (LABORATORY)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5751|D5751 - RELINE COMPLETE MANDIBULAR DENTURE (LABORATORY)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5750|D5750 - RELINE COMPLETE MAXILLARY DENTURE (LABORATORY)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5741|D5741 - RELINE MANDIBULAR PARTIAL DENTURE (CHAIRSIDE)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5740|D5740 - RELINE MAXILLARY PARTIAL DENTURE (CHAIRSIDE)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5731|D5731 - RELINE COMPLETE MANDIBULAR DENTURE (CHAIRSIDE)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5730|D5730 - RELINE COMPLETE MAXILLARY DENTURE (CHAIRSIDE)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5721|D5721 - REBASE MANDIBULAR PARTIAL DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5720|D5720 - REBASE MAXILLARY PARTIAL DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5711|D5711 - REBASE COMPLETE MANDIBULAR DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5710|D5710 - REBASE COMPLETE MAXILLARY DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5671|D5671 - REPLACE ALL TEETH&ACRYLIC CAST METL FRMEWRK MAND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5670|D5670 - REPLACE ALL TEETH&ACRYLIC CAST METAL FRMEWRK MAX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5660|D5660 - ADD CLASP TO EXISTING PARTIAL DENTURE PER TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5650|D5650 - ADD TOOTH TO EXISTING PARTIAL DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5640|D5640 - REPLACE BROKEN TEETH - PER TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5630|D5630 - REPAIR OR REPLACE BROKEN CLASP PER TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5620|D5620 - REPAIR CAST FRAMEWORK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5610|D5610 - REPAIR RESIN DENTURE BASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5520|D5520 - REPLACE MISSING/BROKEN TEETH - COMPLETE DENTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5510|D5510 - REPAIR BROKEN COMPLETE DENTURE BASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5422|D5422 - ADJUST PARTIAL DENTURE - MANDIBULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5421|D5421 - ADJUST PARTIAL DENTURE - MAXILLARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5411|D5411 - ADJUST COMPLETE DENTURE - MANDIBULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5410|D5410 - ADJUST COMPLETE DENTURE - MAXILLARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5281|D5281 - REMV UNILAT PART DENTUR - 1 PIECE CAST METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5226|D5226 - MANDIBULAR PARTIAL DENTURE FLEXIBLE BASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5225|D5225 - MAXILLARY PARTIAL DENTRUE FLEXIBLE BASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5224|D5224 - IMMED MAND PART DENTURE CAST METL FRAME W/RESIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5223|D5223 - IMMED MAXIL PART DENTURE CAST METL FRAME W/RESIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5222|D5222 - IMMED MANDIBULAR PARTIAL DENTURE RESIN BASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5221|D5221 - IMMED MAXILLARY PARTIAL DENTURE RESIN BASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5214|D5214 - MAND PART DENTUR- CAST METL FRMEWRK W/RSN BASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5213|D5213 - MAX PART DENTUR-CAST METL FRMEWRK W/RSN BASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5212|D5212 - MANDIBULAR PARTIAL DENTURE - RESIN BASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5211|D5211 - MAXILLARY PARTIAL DENTURE - RESIN BASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5140|D5140 - IMMEDIATE DENTURE - MANDIBULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5130|D5130 - IMMEDIATE DENTURE - MAXILLARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5120|D5120 - COMPLETE DENTURE - MANDIBULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D5110|D5110 - COMPLETE DENTURE - MAXILLARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4999|D4999 - UNSPECIFIED PERIODONTAL PROCEDURE BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4921|D4921 - GINGIVAL IRRIGATION PER QUADRANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4920|D4920 - UNSCHEDULED DRESSING CHANGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4910|D4910 - PERIODONTAL MAINTENANCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4381|D4381 - LOC DEL ANTIMICROBL AGTS CREVICULR TISS TOOTH BR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4355|D4355 - FULL MOUTH DEBRID ENABLE COMP EVALUATION&DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4342|D4342 - PRDONTAL SCALING&ROOT PLANING 1-3 TEETH-QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4341|D4341 - PRDONTAL SCALING&ROOT PLANING 4/MORE TEETH-QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4321|D4321 - PROVISIONAL SPLINTING - EXTRACORONAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4320|D4320 - PROVISIONAL SPLINTING - INTRACORONAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4285|D4285 - NON-AUTO CNNCTV TSSUE GRFT PROC E/A TOOTH/IMPLNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4283|"D4283 - AUTO CNNCTV TISSUE GRFT PROC E/A TOOTH| IMPLANT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4278|"D4278 - FREE SOFT TISSUE GRAFT| E/ADNL TOOTH| IMPLNT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4277|"D4277 - FREE SOFT TISSUE GRAFT| 1ST TOOTH/ IMPLANT"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4276|D4276 - COMB CNCTIVE TISSUE&DBL PEDICLE GRAFT PER TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4275|D4275 - NONAUTGNS CONECTV TISSUE GRFT 1ST TOOTH/IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4274|D4274 - MESIAL OR DISTAL WEDGE PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4273|D4273 - AUTOGNS CONECTIVE TISSUE GRFT 1ST TOOTH/IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4270|D4270 - PEDICLE SOFT TISSUE GRAFT PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4268|D4268 - SURGICAL REVISION PROCEDURE PER TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4267|D4267 - GUID TISSUE REGEN - NONRESORB BARRIER PER SITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4266|D4266 - GUID TISSUE REGEN - RESORBABLE BARRIER PER SITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4265|D4265 - BIOLOGIC MATERIALS AID SOFT&OSSEOUS TISSUE REGEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4264|D4264 - BONE REPLACEMENT GRAFT - EA ADD SITE QUADRANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4263|D4263 - BONE REPLACEMENT GRAFT - FIRST SITE IN QUADRANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4261|D4261 - OSSEOUS SURG 1-3 CNTIG TEETH QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4260|D4260 - OSSEOUS SURG 4/> CNTIG TEETH QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4249|D4249 - CLINICAL CROWN LENGTHENING - HARD TISSUE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4245|D4245 - APICALLY POSITIONED FLAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4241|D4241 - GINGL FLP PROC 1-3 CONTIG/TOOTH BOUND SPACE-QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4240|D4240 - GINGL FLP PROC 4/> CONTIG/TOOTH BOUND SPACE-QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4231|D4231 - ANATOMICAL CROWN EXPOSURE 1-3 TEETH PER QUADRANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4230|D4230 - ANAT CROWN EXP 4/> CONTIGUOUS TEETH PER QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4212|D4212 - GINGIVECT/PLSTY FOR ACCESS RESTORATION PER TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4211|D4211 - GINGIVECT/PLSTY 1-3 CNTIG/TOOTH BOUND SPACE-QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D4210|D4210 - GINGIVECT/PLSTY 4/>CNTIG/TOOTH BOUND SPACES-QUAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3999|D3999 - UNSPECIFIED ENDODONTIC PROCEDURE BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3950|D3950 - CANAL PREPARATION&FITTING PREFORMED DOWEL/POST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3920|D3920 - HEMISECTION NOT INCLUDING ROOT CANAL THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3910|D3910 - SURGICAL PROCEDURE ISOLATION TOOTH W/RUBBER DAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3470|D3470 - INTENTIONAL REIMPLANTATION W/NECESSARY SPLINTING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3460|D3460 - ENDODONTIC ENDOSSEOUS IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3450|D3450 - ROOT AMPUTATION - PER ROOT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3432|D3432 - GTR RESORB BRRER PER SITE IN CONJ PERIRAD SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3431|D3431 - BIO MAT SFT OSS REGE CONJ PERIR SUR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3430|D3430 - RETROGRADE FILLING - PER ROOT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3429|D3429 - BG IN CONJ PERIRADICUL SURG EACH CONTIG TH SSS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3428|D3428 - BG IN CONJ PERIRADICULAR SURG/TOOTH SINGLE SITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3427|D3427 - PERIRADICULAR SURGERY WITHOUT APICOECTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3426|D3426 - APICOECTOMY (EACH ADDITIONAL ROOT)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3425|D3425 - APICOECTOMY - MOLAR (FIRST ROOT)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3421|D3421 - APICOECTOMY - PREMOLAR (FIRST ROOT)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3410|D3410 - APICOECTOMY - ANTERIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3357|D3357 - PULPAL REGENERATION - COMPLETION OF TREATMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3356|D3356 - PULPAL REGEN - INTERIM MED RPLCMNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3355|D3355 - PULPAL REGENERATION - INITIAL VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3353|D3353 - APEXIFICATION/RECALCIFICATION - FINAL VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3352|D3352 - APEXIFICAT/RECALCIFICAT INT MED REPL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3351|D3351 - APEXIFICATION/RECALCIFICAT INIT VST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3348|D3348 - RETREATMENT PREVIOUS ROOT CANAL THERAPY - MOLAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3347|D3347 - RETREATMENT PREVIOUS RC THERAPY - PREMOLAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3346|D3346 - RETREATMENT PREVIOUS RC THERAPY - ANTERIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3333|D3333 - INTERNAL ROOT REPAIR OF PERFORATION DEFECTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3332|D3332 - INCOMPLETE ENDO TX; INOP UNRESTORABLE/FX TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3331|D3331 - TREATMENT RC OBSTRUCTION; NON-SURGICAL ACCESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3330|D3330 - ENODODONTIC THERAPY MOLAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3320|D3320 - ENDODONTIC THERAPY PREMOLAR TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3310|D3310 - ENDODONTIC THERAPY ANTERIOR TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3240|D3240 - PULPAL THERAPY - POSTERIOR PRIMARY TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3230|D3230 - PULPAL THERAPY - ANTERIOR PRIMARY TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3222|D3222 - PART PULPOTOMY FOR APEXOGENEIS PERM TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3221|D3221 - PULPAL DEBRIDEMENT PRIMARY AND PERMANENT TEETH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3220|D3220 - TX PULP-REMV PULP CORONAL DENTINOCEMENTL JUNC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3120|D3120 - PULP CAP - INDIRECT(EXCLUDING FINAL RESTORATION)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D3110|D3110 - PULP CAP - DIRECT (EXCLUDING FINAL RESTORATION)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2999|D2999 - UNSPECIFIED RESTORATIVE PROCEDURE BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2990|D2990 - RESIN INFILT OF INCIPIENT LESIONS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2983|D2983 - VENEER REPAIR BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2982|D2982 - ONLAY REPAIR BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2981|D2981 - INLAY REPAIR BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2980|D2980 - CROWN REPAIR MATERIAL FAILURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2975|D2975 - COPING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2971|D2971 - ADD PROC NEW CRWN UND XSTING PART DENTUR FRMEWRK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2962|D2962 - LABIAL VENEER (PORCELAIN LAMINATE) - LABORATORY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2961|D2961 - LABIAL VENEER (RESIN LAMINATE) - LABORATORY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2960|D2960 - LABIAL VENEER (RESIN LAMINATE) - CHAIRSIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2957|D2957 - EACH ADDITIONAL PREFABRICATED POST - SAME TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2955|D2955 - POST REMOVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2954|D2954 - PREFABRICATED POST AND CORE IN ADDITION TO CROWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2953|D2953 - EACH ADDITIONAL INDIRECTLY FAB POST SAME TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2952|D2952 - POST AND CORE ADDITION TO CROWN INDIRECTLY FAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2951|D2951 - PIN RETENTION - PER TOOTH ADDITION RESTORATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2950|D2950 - CORE BUILDUP INCLUDING ANY PINS WHEN REQUIRED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2949|D2949 - RESTOR FOUNDATION FOR INDIR RESTOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2941|D2941 - INTERIM THERAPEUTIC RESTORATION  PRIM DENTITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2940|D2940 - PROTECTIVE RESTORATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2934|D2934 - PREFAB ESTHETIC COAT STNLESS STEEL CROWN  PRIM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2933|D2933 - PREFABR STAINLESS STEEL CROWN W/RESIN WINDOW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2932|D2932 - PREFABRICATED RESIN CROWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2931|D2931 - PREFABR STAINLESS STEEL CROWN - PERMANENT TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2930|D2930 - PREFABR STAINLESS STEEL CROWN - PRIMARY TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2929|D2929 - PREFABR  PORC CROWN - PRIMARY TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2921|D2921 - REATTACHMENT OF TOOTH FRAG INCISAL EDGE/CUSP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2920|D2920 - RE-CEMENT OR RE-BOND CROWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2915|D2915 - RECMNT/REBND INDRCT OR PREFAB POST AND CORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2910|D2910 - RECMNT/REBND INLAY/ONLAY/VNR/PART CVRGE RESTRATN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2799|D2799 - PROVISIONAL CROWN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2794|D2794 - CROWN - TITANIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2792|D2792 - CROWN - FULL CAST NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2791|D2791 - CROWN - FULL CAST PREDOMINANTLY BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2790|D2790 - CROWN - FULL CAST HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2783|D2783 - CROWN - 3/4 PORCELAIN/CERAMIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2782|D2782 - CROWN - 3/4 CAST NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2781|D2781 - CROWN - 3/4 CAST PREDOMINANTLY BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2780|D2780 - CROWN - 3/4 CAST HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2752|D2752 - CROWN - PORCELAIN FUSED TO NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2751|D2751 - CROWN - PORCELAIN FUSED PREDOMINANTLY BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2750|D2750 - CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2740|D2740 - CROWN - PORCELAIN/CERAMIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2722|D2722 - CROWN - RESIN WITH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2721|D2721 - CROWN - RESIN WITH PREDOMINANTLY BASE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2720|D2720 - CROWN - RESIN WITH HIGH NOBLE METAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2712|D2712 - CROWN 3/4 RESIN-BASED COMPOSITE (INDIRECT)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2710|D2710 - CROWN - RESIN-BASED COMPOSITE (INDIRECT)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2664|D2664 - ONLAY RESIN BASED COMPOSIT FOUR OR MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2663|D2663 - ONLAY - RESIN-BASED COMPOSITE - THREE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2662|D2662 - ONLAY - RESIN-BASED COMPOSITE - TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2652|D2652 - INLAY RESIN BASED COMPOSITE 3 OR MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2651|D2651 - INLAY - RESIN-BASED COMPOSITE - TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2650|D2650 - INLAY - RESIN-BASED COMPOSITE - ONE SURFACE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2644|D2644 - ONLAY - PORCELAIN/CERAMIC - 4 OR MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2643|D2643 - ONLAY - PORCELAIN/CERAMIC - THREE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2642|D2642 - ONLAY - PORCELAIN/CERAMIC - TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2630|D2630 - INLAY - PORCELAIN/CERAMIC - THREE/MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2620|D2620 - INLAY - PORCELAIN/CERAMIC - TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2610|D2610 - INLAY - PORCELAIN/CERAMIC - ONE SURFACE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2544|D2544 - ONLAY - METALLIC - FOUR OR MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2543|D2543 - ONLAY - METALLIC - THREE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2542|D2542 - ONLAY - METALLIC - TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2530|D2530 - INLAY - METALLIC - THREE OR MORE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2520|D2520 - INLAY - METALLIC - TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2510|D2510 - INLAY - METALLIC - ONE SURFACE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2430|D2430 - GOLD FOIL - THREE SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2420|D2420 - GOLD FOIL - TWO SURFACES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2410|D2410 - GOLD FOIL - ONE SURFACE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2394|D2394 - RESIN COMPOS - FOUR OR MORE SURFACES POSTERIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2393|D2393 - RESIN-BASED COMPOSITE - THREE SURFACES POSTERIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2392|D2392 - RESIN-BASED COMPOSITE - TWO SURFACES POSTERIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2391|D2391 - RESIN-BASED COMPOSITE - ONE SURFACE POSTERIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2390|D2390 - RESIN-BASED COMPOSITE CROWN ANTERIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2335|D2335 - RESIN-BASED COMPOSITE 4/> SURFACES INCISAL ANGLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2332|D2332 - RESIN-BASED COMPOSITE - THREE SURFACES ANTERIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2331|D2331 - RESIN-BASED COMPOSITE - TWO SURFACES ANTERIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2330|D2330 - RESIN-BASED COMPOSITE - ONE SURFACE ANTERIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2161|D2161 - AMALGAM-FOUR/MORE SURFACES PRIMARY/PERMANENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2160|D2160 - AMALGAM - THREE SURFACES PRIMARY OR PERMANENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2150|D2150 - AMALGAM - TWO SURFACES PRIMARY OR PERMANENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D2140|D2140 - AMALGAM - ONE SURFACE PRIMARY OR PERMANENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1999|D1999 - UNSPECIFIED PREVENTIVE PROCEDURE BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1555|D1555 - REMOVAL OF FIXED SPACE MAINTAINER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1550|D1550 - RECMNT/REBND OF SPACE MAINTAINER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1525|D1525 - SPACE MAINTAINER - REMOVABLE - BILATERAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1520|D1520 - SPACE MAINTAINER - REMOVABLE - UNILATERAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1515|D1515 - SPACE MAINTAINER - FIXED - BILATERAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1510|D1510 - SPACE MAINTAINER - FIXED - UNILATERAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1354|D1354 - INTERIM CARIES ARRESTING MEDICATION APPLICATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1353|D1353 - SEALANT REPAIR PER TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1352|D1352 - PREV RSN REST MOD HIGH CARIES RISK PT-PERM TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1351|D1351 - SEALANT - PER TOOTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1330|D1330 - ORAL HYGIENE INSTRUCTIONS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1320|D1320 - TOBACCO CNSL CONTROL&PREVENTION ORAL DISEASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1310|D1310 - NUTRITIONAL COUNSELING CONTROL OF DENTAL DISEASE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1208|D1208 - TOPICAL APPLICATION OF FLUORIDE EXCL VARNISH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1206|D1206 - TOPICAL APPLICATION OF FLUORIDE VARNISH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1120|D1120 - PROPHYLAXIS - CHILD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D1110|D1110 - PROPHYLAXIS - ADULT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0999|D0999 - UNSPECIFIED DIAGNOSTIC PROCEDURE BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0603|D0603 - CARIES RISK AX AND DOCU WITH FNDNG OF HIGH RISK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0602|D0602 - CARIES RISK AX AND DOCU WITH A FNDNG OF MOD RISK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0601|D0601 - CARIES RISK ASSESS DOCU FINDING OF LOW RISK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0502|D0502 - OTHER ORAL PATHOLOGY PROCEDURES BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0486|D0486 - ACCESSION TRANSEPITHELIAL CYTOLOG SAMPL MIC EXAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0485|D0485 - CONSULT INCL PREP SLIDES BX MATL SPL REF SRC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0484|D0484 - CONSULTATION ON SLIDES PREPARED ELSEWHERE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0483|D0483 - INDIRECT IMMUNOFLUORESCENCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0482|D0482 - DIRECT IMMUNOFLUORESCENCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0481|D0481 - ELECTRON MICROSCOPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0480|D0480 - ACESS EXFOLIATIVE CYTOL SMEAR MIC EXAM PREP/REPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0479|D0479 - TISSUE INSITU HYBRIDIZATION INCL INTERPRETATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0478|D0478 - IMMUNOHISTOCHEMICAL STAINS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0477|D0477 - SPECIAL STAINS NOT FOR MICROORGANISMS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0476|D0476 - SPECIAL STAINS FOR MICROORGANISMS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0475|D0475 - DECALCIFICATION PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0474|D0474 - ACCESS TISS GR&MIC EX ASSESS SURG MARG PREP/RPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0473|D0473 - ACCESS TISSUE GR&MIC EXAMINATION PREP/REPRT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0472|D0472 - ACCESSION OF TISSUE GROSS EXAMINATION PREP/REPRT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0470|D0470 - DIAGNOSTIC CASTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0460|D0460 - PULP VITALITY TESTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0431|D0431 - ADJUNCTIVE PREDX TST NOT INCL CYTOLOGY/BX PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0425|D0425 - CARIES SUSCEPTIBILITY TESTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0423|D0423 - GENETIC TEST SUSCEPT TO DSEASE SPECIMEN ANLYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0422|D0422 - COLLECT/PREP GENETIC SAMPLE  FOR LAB ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0418|D0418 - ANALYSIS OF SALIVA SAMPLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0417|D0417 - CLCT & PREP SALIVA SAMPLE FOR LAB DX TESTING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0416|D0416 - VIRAL CULTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0415|D0415 - COLLECTION MICROORGANISMS CULTURE & SENSITIVITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0395|D0395 - FUSION OF 2/> 3D IMAGE VOLUMES OF 1/> MODALITIES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0394|D0394 - DIGITAL SUBTR OF 2 > IMAGES OF THE SAME MODALITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0393|D0393 - TREATMENT SIMULATION USING 3D IMAGE VOLUME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0391|D0391 - INTERPRETATION OF DIAGNOSTIC IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0386|D0386 - MAXILLOFACIAL ULTRASOUND IMAGE CAPTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0385|D0385 - MAXILLOFACIAL MRI IMAGE CAPTURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0384|D0384 - CNE BEAM CAPTR  FR TMJ 2 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0383|D0383 - CNE BEAM CAPTR  W FLD VIEW BTH JAWS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0382|D0382 - CNE BEAM CAPTR  W FLD VIEW 1 ARCH MAXL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0381|D0381 - CNE BEAM CAPTR  W FLD VIEW 1 ARCH MNDBL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0380|D0380 - CNE BEAM CAPTR LMTD FLD <1 WHL JAW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0371|D0371 - SIALOENDOSCOPY CAPTURE AND INTERPRETATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0370|D0370 - MAXLFCL US IMAGE CAPTR AND INTRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0369|D0369 - MAXILLOFACIAL MRI CAPTURE AND INTERPRETATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0368|D0368 - CNE BEAM CAPTR INTERP  FR TMJ 2 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0367|D0367 - CNE BEAM CAPTR INTERP W FLD VIEW BTH JAWS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0366|D0366 - CNE BEAM CAPTR INTERP W FLD VIEW 1 ARCH MAXL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0365|D0365 - CNE BEAM CAPTR INTERP W FLD VIEW 1 ARCH MNDBL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0364|D0364 - CNE BEAM  CAPTR & INTREP LESS THAN WHL JAW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0351|D0351 - 3D PHOTOGRAPHIC IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0350|D0350 - 2D ORAL/FACIAL PHOTOGRAPHIC IMAGES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0340|D0340 - 2D CEPHLOMTRIC RAD IMG - ACQSTN MEASRE& ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0330|D0330 - PANORAMIC RADIOGRAPHIC IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0322|D0322 - TOMOGRAPHIC SURVEY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0321|D0321 - OTHER TEMPOROMANDIBULAR JOINT IMAGES BY REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0320|D0320 - TEMPOROMANDIBULAR JOINT ARTHROGRAM INCL INJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0310|D0310 - SIALOGRAPHY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0290|D0290 - POST-ANT/LAT SKULL&FACIAL BONE SURVEY FILM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0277|D0277 - VERTICAL BITEWINGS - 7 TO 8 RADIOGRAPHIC IMAGES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0274|D0274 - BITEWINGS - FOUR RADIOGRAPHIC IMAGES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0273|D0273 - BITEWINGS - THREE RADIOGRAPHIC IMAGES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0272|D0272 - BITEWINGS - TWO RADIOGRAPHIC IMAGES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0270|D0270 - BITEWING - SINGLE RADIOGRAPHIC IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0251|D0251 - EXTRAORAL POSTERIOR DENTAL RAD IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0250|D0250 - EXTRAORAL 2D PRJECTN RAD IMG BY RAD SRCE/ DTECTR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0240|D0240 - INTRAORAL - OCCLUSAL RADIOGRAPHIC IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0230|D0230 - INTRAORAL-PERIAPICAL-EACH ADDITIONAL IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0220|D0220 - INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0210|D0210 - INTRAORAL-COMPLETE SERIES OF RADIOGRAPHIC IMAGES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0191|D0191 - ASSESSMENT OF A PATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0190|D0190 - SCREENING OF A PATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0180|D0180 - COMP PERIODONTAL EVALUATION - NEW OR EST PATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0171|D0171 - RE-EVALUATION POST-OPERATIVE OFFICE VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0170|D0170 - RE-EVALUATION - LIMITED PROBLEM FOCUSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0160|D0160 - DTL&EXT ORAL EVALUATION - PROBLEM FOCUSED REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0150|D0150 - COMP ORAL EVALUATION - NEW OR EST PATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0145|D0145 - ORAL EVAL PT UND 3 YR AGE CNSL W/PRIM CAREGIVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0140|D0140 - LIMITED ORAL EVALUATION - PROBLEM FOCUSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|D0120|D0120 - PERIODIC ORAL EVALUATION - EST PATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9006|B9006 - PARENTERAL INFUS PUMP STATIO|UE|4887.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9006|B9006 - PARENTERAL INFUS PUMP STATIO|RR|1031.6925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9006|B9006 - PARENTERAL INFUS PUMP STATIO|NU|6517.2375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9006|B9006 - PARENTERAL INFUS PUMP STATIO|MS|515.8575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9004|B9004 - PARENTERAL INFUS PUMP PORTAB|UE|4887.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9004|B9004 - PARENTERAL INFUS PUMP PORTAB|RR|1031.6925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9004|B9004 - PARENTERAL INFUS PUMP PORTAB|NU|6517.2375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9004|B9004 - PARENTERAL INFUS PUMP PORTAB|MS|515.8575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9002|B9002 - ENTER NUTR INF PUMP ANY TYPE|UE|1626.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9002|B9002 - ENTER NUTR INF PUMP ANY TYPE|RR|212.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9002|B9002 - ENTER NUTR INF PUMP ANY TYPE|NU|2169.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9002|B9002 - ENTER NUTR INF PUMP ANY TYPE|MS|110.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9000|B9000 - ENTER INFUSION PUMP W/O ALRM|UE|1662.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9000|B9000 - ENTER INFUSION PUMP W/O ALRM|RR|210.285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9000|B9000 - ENTER INFUSION PUMP W/O ALRM|NU|2216.9475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B9000|B9000 - ENTER INFUSION PUMP W/O ALRM|MS|105.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B5100|B5100 - PARENTERAL SOLUTION HEPATIC||11.9925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B5000|B5000 - PARENTERAL SOL RENAL-AMIROSY||30.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4224|B4224 - PARENTERAL ADMINISTRATION KI||64.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4222|B4222 - PARENTERAL SUPPLY KIT HOMEMI||25.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4220|B4220 - PARENTERAL SUPPLY KIT PREMIX||20.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4216|B4216 - PARENTERAL NUTRITION ADDITIV||19.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4199|B4199 - PARENTERAL SOL > 100GM PROTE||825.3225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4197|B4197 - PARENTERAL SOL 74-100 GM PRO||722.2725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4193|B4193 - PARENTERAL SOL 52-73 GM PROT||593.2575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4189|B4189 - PARENTERAL SOL AMINO ACID &||459.135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4185|B4185 - PARENTERAL SOL 10 GM LIPIDS||29.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4180|B4180 - PARENTERAL SOL CARB > 50%||63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4178|B4178 - PARENTERAL SOL AMINO ACID >||148.6125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4176|B4176 - PARENTERAL SOL AMINO ACID 7-||123.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4168|B4168 - PARENTERAL SOL AMINO ACID 3.||63.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4164|B4164 - PARENTERAL 50% DEXTROSE SOLU||43.875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4155|B4155 - EF INCOMPLETE/MODULAR||1.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4154|B4154 - EF SPEC METABOLIC NONINHERIT||2.2275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4153|B4153 - EF HYDROLYZED/AMINO ACIDS||3.645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4152|B4152 - EF CALORIE DENSE>/=1.5KCAL||1.0125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4150|B4150 - EF COMPLET W/INTACT NUTRIENT||1.2375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4149|B4149 - EF BLENDERIZED FOODS||2.97|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4088|"B4088 - GASTRO/JEJUNO TUBE| LOW-PRO"||74.0925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4087|"B4087 - GASTRO/JEJUNO TUBE| STD"||70.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4083|B4083 - ENTERAL STOMACH TUBE LEVINE||4.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4082|B4082 - ENTERAL NG TUBING W/O STYLET||30.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4081|B4081 - ENTERAL NG TUBING W/ STYLET||41.5125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4036|B4036 - ENTERAL FEED SUP KIT GRAV BY||14.355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4035|B4035 - ENTERAL FEED SUPP PUMP PER D||20.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|B4034|B4034 - ENTER FEED SUPKIT SYR BY DAY||10.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP23|||37.17|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP22|||37.17|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP21|||36.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP20|||34.9875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP19|||33.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP18|||32.625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP16|||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP12|||27.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP11|||27.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP10|||26.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP09|||26.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP08|||25.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP07|||25.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP06|||24.03|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP05|||23.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP04|||21.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP03|||20.3625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|ATP02|||15.975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9999|"A9999 - DME SUPPLY OR ACCESSORY| NOS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9901|A9901 - DELIVERY/SET UP/DISPENSING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9900|A9900 - SUPPLY/ACCESSORY/SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9700|A9700 - ECHOCARDIOGRAPHY CONTRAST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9699|A9699 - RADIOPHARM RX AGENT NOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9698|A9698 - NON-RAD CONTRAST MATERIALNOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9606|A9606 - RADIUM RA223 DICHLORIDE THER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9604|A9604 - SM 153 LEXIDRONAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9600|A9600 - SR89 STRONTIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9599|A9599 - RADIOPH DX B AMYLOID PET NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9586|A9586 - FLORBETAPIR F18||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9585|A9585 - GADOBUTROL INJECTION||0.8842|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9584|A9584 - IODINE I-123 IOFLUPANE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9583|A9583 - GADOFOSVESET TRISODIUM INJ||33.3405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9582|A9582 - IODINE I-123 IOBENGUANE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9581|A9581 - GADOXETATE DISODIUM INJ||31.4977|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9580|A9580 - SODIUM FLUORIDE F-18||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9579|"A9579 - GAD-BASE MR CONTRAST NOS|1ML"||4.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9578|A9578 - INJ MULTIHANCE MULTIPACK||4.527|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9577|A9577 - INJ MULTIHANCE||4.7992|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9576|A9576 - INJ PROHANCE MULTIPACK||3.7035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9575|A9575 - INJ GADOTERATE MEGLUMI 0.1ML||0.4703|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9572|A9572 - INDIUM IN-111 PENTETREOTIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9571|A9571 - INDIUM IN-111 AUTO PLATELET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9570|A9570 - INDIUM IN-111 AUTO WBC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9569|A9569 - TECHNETIUM TC-99M AUTO WBC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9568|A9568 - TECHNETIUM TC99M ARCITUMOMAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9567|A9567 - TECHNETIUM TC-99M AEROSOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9566|A9566 - TC99M FANOLESOMAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9564|A9564 - P32 CHROMIC PHOSPHATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9563|A9563 - P32 NA PHOSPHATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9562|A9562 - TC99M MERTIATIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9561|A9561 - TC99M OXIDRONATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9560|A9560 - TC99M LABELED RBC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9559|A9559 - CO57 CYANO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9558|A9558 - XE133 XENON 10MCI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9557|A9557 - TC99M BICISATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9556|A9556 - GA67 GALLIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9555|A9555 - RB82 RUBIDIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9554|"A9554 - I125 IOTHALAMATE| DX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9553|A9553 - CR51 CHROMATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9552|A9552 - F18 FDG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9551|A9551 - TC99M SUCCIMER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9550|A9550 - TC99M GLUCEPTATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9548|A9548 - IN111 PENTETATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9547|A9547 - IN111 OXYQUINOLINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9546|A9546 - CO57/58||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9545|"A9545 - I131 TOSITUMOMAB| RX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9544|"A9544 - I131 TOSITUMOMAB| DX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9543|"A9543 - Y90 IBRITUMOMAB| RX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9542|"A9542 - IN111 IBRITUMOMAB| DX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9541|A9541 - TC99M SULFUR COLLOID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9540|A9540 - TC99M MAA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9539|A9539 - TC99M PENTETATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9538|A9538 - TC99M PYROPHOSPHATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9537|A9537 - TC99M MEBROFENIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9536|A9536 - TC99M DEPREOTIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9532|"A9532 - I125 SERUM ALBUMIN| DX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9531|A9531 - I131 MAX 100UCI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9530|"A9530 - I131 IODIDE SOL| RX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9529|"A9529 - I131 IODIDE SOL| DX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9528|"A9528 - IODINE I-131 IODIDE CAP| DX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9527|A9527 - IODINE I-125 SODIUM IODIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9526|A9526 - NITROGEN N-13 AMMONIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9524|"A9524 - I131 SERUM ALBUMIN| DX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9521|A9521 - TC99M EXAMETAZIME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9520|A9520 - TC99 TILMANOCEPT DIAG 0.5MCI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9517|"A9517 - I131 IODIDE CAP| RX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9516|A9516 - IODINE I-123 SOD IODIDE MIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9512|A9512 - TC99M PERTECHNETATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9510|A9510 - TC99M DISOFENIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9509|A9509 - IODINE I-123 SOD IODIDE MIL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9508|"A9508 - I131 IODOBENGUATE| DX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9507|A9507 - IN111 CAPROMAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9505|A9505 - TL201 THALLIUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9504|A9504 - TC99M APCITIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9503|A9503 - TC99M MEDRONATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9502|A9502 - TC99M TETROFOSMIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9501|A9501 - TECHNETIUM TC-99M TEBOROXIME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9500|A9500 - TC99M SESTAMIBI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9300|A9300 - EXERCISE EQUIPMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9284|A9284 - NON-ELECTRONIC SPIROMETER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9283|A9283 - FOOT PRESS OFF LOAD SUPP DEV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9282|A9282 - WIG ANY TYPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9281|A9281 - REACHING/GRABBING DEVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9280|"A9280 - ALERT DEVICE| NOC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9279|A9279 - MONITORING FEATURE/DEVICENOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9278|"A9278 - EXTERNAL RECEIVER| CGM SYS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9277|"A9277 - EXTERNAL TRANSMITTER| CGM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9276|"A9276 - DISPOSABLE SENSOR| CGM SYS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9275|A9275 - DISP HOME GLUCOSE MONITOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9274|A9274 - EXT AMB INSULIN DELIVERY SYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9273|A9273 - HOT/COLD BOTLE/CAP/COL/WRAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9272|"A9272 - DISP WOUND SUCT| DRSG/ACCESS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9270|A9270 - NON-COVERED ITEM OR SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9180|"A9180 - LICE TREATMENT| TOPICAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9155|A9155 - ARTIFICIAL SALIVA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9153|A9153 - MULTI-VITAMIN NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9152|A9152 - SINGLE VITAMIN NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A9150|A9150 - MISC/EXPER NON-PRESCRIPT DRU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8004|"A8004 - REPL SOFT INTERFACE| HELMET"|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8004|"A8004 - REPL SOFT INTERFACE| HELMET"|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8004|"A8004 - REPL SOFT INTERFACE| HELMET"|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8004|"A8004 - REPL SOFT INTERFACE| HELMET"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8003|A8003 - HARD PROTECT HELMET CUSTOM|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8003|A8003 - HARD PROTECT HELMET CUSTOM|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8003|A8003 - HARD PROTECT HELMET CUSTOM|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8003|A8003 - HARD PROTECT HELMET CUSTOM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8002|A8002 - SOFT PROTECT HELMET CUSTOM|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8002|A8002 - SOFT PROTECT HELMET CUSTOM|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8002|A8002 - SOFT PROTECT HELMET CUSTOM|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8002|A8002 - SOFT PROTECT HELMET CUSTOM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8001|A8001 - HARD PROTECT HELMET PREFAB|UE|286.155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8001|A8001 - HARD PROTECT HELMET PREFAB|RR|38.1375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8001|A8001 - HARD PROTECT HELMET PREFAB|NU|381.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8001|A8001 - HARD PROTECT HELMET PREFAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8000|A8000 - SOFT PROTECT HELMET PREFAB|UE|286.155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8000|A8000 - SOFT PROTECT HELMET PREFAB|RR|38.1375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8000|A8000 - SOFT PROTECT HELMET PREFAB|NU|381.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A8000|A8000 - SOFT PROTECT HELMET PREFAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7527|A7527 - TRACH/LARYN TUBE PLUG/STOP||8.91|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7526|A7526 - TRACHEOSTOMY TUBE COLLAR||8.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7525|A7525 - TRACHEOSTOMY MASK||5.13|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7524|A7524 - TRACHEOSTOMA STENT/STUD/BTTN||192.555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7523|A7523 - TRACHEOSTOMY SHOWER PROTECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7522|A7522 - TRACH/LARYN TUBE STAINLESS||112.3425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7521|A7521 - TRACH/LARYN TUBE CUFFED||117|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7520|A7520 - TRACH/LARYN TUBE NON-CUFFED||118.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7509|A7509 - HEAT & MOISTURE EXCHANGE SYS||3.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7508|A7508 - HOUSING & INTEGRATED ADHESIV||7.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7507|A7507 - INTEGRATED FILTER & HOLDER||6.1875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7506|A7506 - HMES/TRACHVALVE ADHESIVEDISK||0.8325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7505|A7505 - HMES OR TRACH VALVE HOUSING||11.655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7504|A7504 - TRACHEOSTOMA HMES FILTER||1.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7503|A7503 - HMES FILTER HOLDER OR CAP||28.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7502|A7502 - REPLACEMENT DIAPHRAGM/FPLATE||124.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7501|A7501 - TRACHEOSTOMA VALVE W DIAPHRA||261.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7048|A7048 - VACUUM DRAIN BOTTLE/TUBE KIT||105.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7047|A7047 - RESP SUCTION ORAL INTERFACE|NU|300.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7047|A7047 - RESP SUCTION ORAL INTERFACE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7046|"A7046 - REPL WATER CHAMBER| PAP DEV"|NU|36.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7046|"A7046 - REPL WATER CHAMBER| PAP DEV"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7045|A7045 - REPL EXHALATION PORT FOR PAP|UE|25.5825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7045|A7045 - REPL EXHALATION PORT FOR PAP|RR|3.3975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7045|A7045 - REPL EXHALATION PORT FOR PAP|NU|34.0875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7045|A7045 - REPL EXHALATION PORT FOR PAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7044|A7044 - PAP ORAL INTERFACE|NU|222.03|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7044|A7044 - PAP ORAL INTERFACE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7041|A7041 - WATER SEAL DRAIN CONTAINER||190.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7040|A7040 - ONE WAY CHEST DRAIN VALVE||101.1825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7039|"A7039 - FILTER| NON DISPOSABLE W PAP"|NU|21.6|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7039|"A7039 - FILTER| NON DISPOSABLE W PAP"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7038|A7038 - POS AIRWAY PRESSURE FILTER|NU|8.4375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7038|A7038 - POS AIRWAY PRESSURE FILTER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7037|A7037 - POS AIRWAY PRESSURE TUBING|NU|59.175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7037|A7037 - POS AIRWAY PRESSURE TUBING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7036|A7036 - POS AIRWAY PRESS CHINSTRAP|NU|28.7775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7036|A7036 - POS AIRWAY PRESS CHINSTRAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7035|A7035 - POS AIRWAY PRESS HEADGEAR|NU|61.0875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7035|A7035 - POS AIRWAY PRESS HEADGEAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7034|A7034 - NASAL APPLICATION DEVICE|NU|197.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7034|A7034 - NASAL APPLICATION DEVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7033|A7033 - REPLACEMENT NASAL PILLOWS|NU|48.8925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7033|A7033 - REPLACEMENT NASAL PILLOWS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7032|A7032 - REPLACEMENT NASAL CUSHION|NU|67.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7032|A7032 - REPLACEMENT NASAL CUSHION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7031|A7031 - REPLACEMENT FACEMASK INTERFA|NU|119.6325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7031|A7031 - REPLACEMENT FACEMASK INTERFA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7030|A7030 - CPAP FULL FACE MASK|NU|318.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7030|A7030 - CPAP FULL FACE MASK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7029|A7029 - REPL NASAL PILLOW COMB MASK|NU|43.5375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7029|A7029 - REPL NASAL PILLOW COMB MASK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7028|A7028 - REPL ORAL CUSHION COMBO MASK|NU|104.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7028|A7028 - REPL ORAL CUSHION COMBO MASK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7027|A7027 - COMBINATION ORAL/NASAL MASK|NU|384.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7027|A7027 - COMBINATION ORAL/NASAL MASK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7026|A7026 - REPLACE CHST CMPRSS SYS HOSE|NU|71.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7026|A7026 - REPLACE CHST CMPRSS SYS HOSE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7025|A7025 - REPLACE CHEST COMPRESS VEST|RR|108.2025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7025|A7025 - REPLACE CHEST COMPRESS VEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7020|"A7020 - INTERFACE| COUGH STIM DEVICE"|NU|36.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7020|"A7020 - INTERFACE| COUGH STIM DEVICE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7018|A7018 - WATER DISTILLED W/NEBULIZER||0.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7017|A7017 - NEBULIZER NOT USED W OXYGEN|UE|248.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7017|A7017 - NEBULIZER NOT USED W OXYGEN|RR|33.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7017|A7017 - NEBULIZER NOT USED W OXYGEN|NU|331.38|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7017|A7017 - NEBULIZER NOT USED W OXYGEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7016|A7016 - NEBULIZER DOME & MOUTHPIECE|NU|16.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7016|A7016 - NEBULIZER DOME & MOUTHPIECE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7015|A7015 - AEROSOL MASK USED W NEBULIZE|NU|4.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7015|A7015 - AEROSOL MASK USED W NEBULIZE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7014|A7014 - COMPRESSOR NONDISPOS FILTER|NU|10.35|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7014|A7014 - COMPRESSOR NONDISPOS FILTER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7013|A7013 - DISPOSABLE COMPRESSOR FILTER|NU|1.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7013|A7013 - DISPOSABLE COMPRESSOR FILTER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7012|A7012 - NEBULIZER WATER COLLEC DEVIC|NU|8.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7012|A7012 - NEBULIZER WATER COLLEC DEVIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7010|A7010 - DISPOSABLE CORRUGATED TUBING|NU|47.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7010|A7010 - DISPOSABLE CORRUGATED TUBING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7009|A7009 - NEBULIZER RESERVOIR BOTTLE|NU|101.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7009|A7009 - NEBULIZER RESERVOIR BOTTLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7008|A7008 - DISPOSABLE NEBULIZER PREFILL|NU|23.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7008|A7008 - DISPOSABLE NEBULIZER PREFILL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7007|A7007 - LG VOL NEBULIZER DISPOSABLE|NU|10.35|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7007|A7007 - LG VOL NEBULIZER DISPOSABLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7006|A7006 - FILTERED NEBULIZER ADMIN SET|NU|22.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7006|A7006 - FILTERED NEBULIZER ADMIN SET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7005|A7005 - NONDISPOSABLE NEBULIZER SET|NU|56.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7005|A7005 - NONDISPOSABLE NEBULIZER SET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7004|A7004 - DISPOSABLE NEBULIZER SML VOL|NU|3.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7004|A7004 - DISPOSABLE NEBULIZER SML VOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7003|A7003 - NEBULIZER ADMINISTRATION SET|NU|5.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7003|A7003 - NEBULIZER ADMINISTRATION SET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7002|A7002 - TUBING USED W SUCTION PUMP|NU|8.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7002|A7002 - TUBING USED W SUCTION PUMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7001|A7001 - NONDISPOSABLE PUMP CANISTER|NU|71.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7001|A7001 - NONDISPOSABLE PUMP CANISTER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7000|A7000 - DISPOSABLE CANISTER FOR PUMP|NU|19.2375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A7000|A7000 - DISPOSABLE CANISTER FOR PUMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6550|A6550 - NEG PRES WOUND THER DRSG SET||56.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6549|A6549 - G COMPRESSION STOCKING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6545|A6545 - GRAD COMP NON-ELASTIC BK|AW|211.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6545|A6545 - GRAD COMP NON-ELASTIC BK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6544|A6544 - GC STOCKING GARTER BELT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6541|A6541 - GC STOCKING WAISTLNGTH 40-50||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6540|A6540 - GC STOCKING WAISTLNGTH 30-40||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6539|A6539 - GC STOCKING WAISTLNGTH 18-30||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6538|A6538 - GC STOCKING FULL LNGTH 40-50||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6537|A6537 - GC STOCKING FULL LNGTH 30-40||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6536|A6536 - GC STOCKING FULL LNGTH 18-30||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6535|A6535 - GC STOCKING THIGHLNGTH 40-50||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6534|A6534 - GC STOCKING THIGHLNGTH 30-40||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6533|A6533 - GC STOCKING THIGHLNGTH 18-30||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6532|A6532 - COMPRESSION STOCKING BK40-50|AW|151.6275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6532|A6532 - COMPRESSION STOCKING BK40-50||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6531|A6531 - COMPRESSION STOCKING BK30-40|AW|107.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6531|A6531 - COMPRESSION STOCKING BK30-40||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6530|A6530 - COMPRESSION STOCKING BK18-30||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6513|A6513 - COMPRESS BURN MASK FACE/NECK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6512|"A6512 - COMPRES BURN GARMENT| NOC"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6511|A6511 - COMPRES BURN GARMENT PANTY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6510|A6510 - COMPRES BURN GARMENT LEOTARD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6509|A6509 - COMPRES BURN GARMENT JACKET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6508|A6508 - CMPRS BURNGARMENT FOOT-THIGH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6507|A6507 - CMPRS BURNGARMENT FOOT-KNEE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6506|A6506 - CMPRSBURNGRMNT GLOVE-AXILLA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6505|A6505 - CMPRSBURNGARMENT GLOVE-ELBOW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6504|A6504 - CMPRSBURNGARMENT GLOVE-WRIST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6503|A6503 - COMPRES BURNGARMENT FACEHOOD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6502|A6502 - COMPRES BURNGARMENT CHINSTRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6501|A6501 - COMPRES BURNGARMENT BODYSUIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6457|A6457 - TUBULAR DRESSING||2.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6456|A6456 - ZINC PASTE BAND W >=3''<5''/YD||3.15|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6455|A6455 - SELF-ADHER BAND >=5''/YD||3.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6454|A6454 - SELF-ADHER BAND W>=3'' <5''/YD||1.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6453|A6453 - SELF-ADHER BAND W <3''/YD||1.5525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6452|A6452 - HIGH COMPRES BAND W>=3''<5''YD||14.6925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6451|A6451 - MOD COMPRES BAND W>=3''<5''/YD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6450|A6450 - LT COMPRES BAND >=5''/YD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6449|A6449 - LT COMPRES BAND >=3'' <5''/YD||4.365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6448|A6448 - LT COMPRES BAND <3''/YD||2.88|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6447|A6447 - CONFORM BAND S W >=5''/YD||1.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6446|A6446 - CONFORM BAND S W>=3'' <5''/YD||1.0125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6445|A6445 - CONFORM BAND S W <3''/YD||0.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6444|A6444 - CONFORM BAND N/S W>=5''/YD||1.395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6443|A6443 - CONFORM BAND N/S W>=3''<5''/YD||0.6975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6442|A6442 - CONFORM BAND N/S W<3''/YD||0.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6441|A6441 - PAD BAND W>=3'' <5''/YD||1.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6413|"A6413 - ADHESIVE BANDAGE| FIRST-AID"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6412|A6412 - OCCLUSIVE EYE PATCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6411|A6411 - NON-STERILE EYE PAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6410|A6410 - STERILE EYE PAD||0.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6407|"A6407 - PACKING STRIPS| NON-IMPREG"||4.68|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6404|A6404 - STERILE GAUZE > 48 SQ IN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6403|A6403 - STERILE GAUZE>16 <= 48 SQ IN||1.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6402|A6402 - STERILE GAUZE <= 16 SQ IN||0.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6266|A6266 - IMPREG GAUZE NO H20/SAL/YARD||4.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6262|A6262 - WOUND FILLER DRY FORM / GRAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6261|A6261 - WOUND FILLER GEL/PASTE /OZ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6260|A6260 - WOUND CLEANSER ANY TYPE/SIZE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6259|A6259 - TRANSPARENT FILM > 48 SQ IN||27.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6258|A6258 - TRANSPARENT FILM >16<=48 IN||10.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6257|A6257 - TRANSPARENT FILM <= 16 SQ IN||3.825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6256|A6256 - ABSORPT DRG > 48 SQ IN W/BDR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6255|A6255 - ABSORPT DRG >16<=48 IN W/BDR||7.56|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6254|A6254 - ABSORPT DRG <=16 SQ IN W/BDR||2.9925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6253|A6253 - ABSORPT DRG > 48 SQ IN W/O B||15.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6252|A6252 - ABSORPT DRG >16 <=48 W/O BDR||8.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6251|A6251 - ABSORPT DRG <=16 SQ IN W/O B||4.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6250|A6250 - SKIN SEAL PROTECT MOISTURIZR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6248|A6248 - HYDROGEL DRSG GEL FILLER||40.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6247|A6247 - HYDROGEL DRG > 48 SQ IN W/B||59.1525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6246|A6246 - HYDROGEL DRG >16<=48 IN W/B||24.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6245|A6245 - HYDROGEL DRG <= 16 IN W/BDR||18.0675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6244|A6244 - HYDROGEL DRG >48 IN W/O BDR||97.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6243|A6243 - HYDROGEL DRG >16<=48 W/O BDR||30.645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6242|A6242 - HYDROGEL DRG <=16 IN W/O BDR||15.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6241|A6241 - HYDROCOLLOID DRG FILLER DRY||6.39|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6240|A6240 - HYDROCOLLD DRG FILLER PASTE||30.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6239|A6239 - HYDROCOLLD DRG > 48 IN W/BDR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6238|A6238 - HYDROCOLLD DRG >16<=48 W/BDR||56.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6237|A6237 - HYDROCOLLD DRG <=16 IN W/BDR||19.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6236|A6236 - HYDROCOLLD DRG > 48 IN W/O B||67.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6235|A6235 - HYDROCOLLD DRG >16<=48 W/O B||41.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6234|A6234 - HYDROCOLLD DRG <=16 W/O BDR||16.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6233|A6233 - HYDROGEL DRESSING >48 SQ IN||47.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6232|A6232 - HYDROGEL DSG>16<=48 SQ IN||17.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6231|A6231 - HYDROGEL DSG<=16 SQ IN||11.655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6230|A6230 - GAUZE > 48 SQ IN WATER/SALNE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6229|A6229 - GAUZE >16<=48 SQ IN WATR/SAL||8.9775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6228|A6228 - GAUZE <= 16 SQ IN WATER/SAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6224|A6224 - GAUZE > 48 IN NO W/SAL W/O B||8.9775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6223|A6223 - GAUZE >16<=48 NO W/SAL W/O B||6.03|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6222|A6222 - GAUZE <=16 IN NO W/SAL W/O B||5.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6221|A6221 - GAUZE > 48 SQ IN W/BORDER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6220|A6220 - GAUZE >16 <=48 SQ IN W/BORDR||6.435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6219|A6219 - GAUZE <= 16 SQ IN W/BORDER||2.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6218|A6218 - NON-STERILE GAUZE > 48 SQ IN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6217|A6217 - NON-STERILE GAUZE>16<=48 SQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6216|A6216 - NON-STERILE GAUZE<=16 SQ IN||0.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6215|A6215 - FOAM DRESSING WOUND FILLER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6214|A6214 - FOAM DRG > 48 SQ IN W/BORDER||25.5825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6213|A6213 - FOAM DRG >16<=48 SQ IN W/BDR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6212|A6212 - FOAM DRG <=16 SQ IN W/BORDER||24.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6211|A6211 - FOAM DRG > 48 SQ IN W/O BRDR||73.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6210|A6210 - FOAM DRG >16<=48 SQ IN W/O B||49.5675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6209|A6209 - FOAM DRSG <=16 SQ IN W/O BDR||18.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6208|A6208 - CONTACT LAYER > 48 SQ IN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6207|A6207 - CONTACT LAYER >16<= 48 SQ IN||18.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6206|A6206 - CONTACT LAYER <= 16 SQ IN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6205|A6205 - COMPOSITE DRSG > 48 SQ IN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6204|A6204 - COMPOSITE DRSG >16<=48 SQ IN||15.48|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6203|A6203 - COMPOSITE DRSG <= 16 SQ IN||8.37|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6199|A6199 - ALGINATE DRSG WOUND FILLER||13.1625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6198|A6198 - ALGINATE DRESSING > 48 SQ IN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6197|A6197 - ALGINATE DRSG >16 <=48 SQ IN||40.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6196|A6196 - ALGINATE DRESSING <=16 SQ IN||18.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6154|A6154 - WOUND POUCH EACH||35.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6025|"A6025 - SILICONE GEL SHEET| EACH"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6024|A6024 - COLLAGEN DSG WOUND FILLER||15.39|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6023|A6023 - COLLAGEN DRESSING >48 SQ IN||473.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6022|A6022 - COLLAGEN DRSG>16<=48 SQ IN||52.29|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6021|A6021 - COLLAGEN DRESSING <=16 SQ IN||52.29|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6011|A6011 - COLLAGEN GEL/PASTE WOUND FIL||5.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6010|A6010 - COLLAGEN BASED WOUND FILLER||77.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A6000|A6000 - WOUND WARMING WOUND COVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5513|A5513 - MULTI DEN INSERT CUSTOM MOLD||96.2775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5512|A5512 - MULTI DEN INSERT DIRECT FORM||64.5075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5510|A5510 - COMPRESSION FORM SHOE INSERT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5508|A5508 - DIABETIC DELUXE SHOE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5507|A5507 - MODIFICATION DIABETIC SHOE||77.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5506|A5506 - DIABETIC SHOE W/OFF SET HEEL||77.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5505|A5505 - DIAB SHOE W/METATARSAL BAR||77.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5504|A5504 - DIABETIC SHOE WITH WEDGE||77.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5503|A5503 - DIABETIC SHOE W/ROLLER/ROCKR||77.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5501|A5501 - DIABETIC CUSTOM MOLDED SHOE||474.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5500|A5500 - DIAB SHOE FOR DENSITY INSERT||158.1525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5200|A5200 - PERCUTANEOUS CATHETER ANCHOR||28.125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5131|A5131 - APPLIANCE CLEANER||39.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5126|A5126 - DISK/FOAM PAD +OR- ADHESIVE||3.2625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5122|A5122 - SOLID SKIN BARRIER 8X8||31.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5121|A5121 - SOLID SKIN BARRIER 6X6||15.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5120|"A5120 - SKIN BARRIER| WIPE OR SWAB"|AV|0.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5120|"A5120 - SKIN BARRIER| WIPE OR SWAB"|AU|0.6075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5120|"A5120 - SKIN BARRIER| WIPE OR SWAB"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5114|A5114 - FOAM/FABRIC LEG STRAP||18.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5113|A5113 - LATEX LEG STRAP||11.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5112|A5112 - URINARY LEG BAG||86.1075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5105|A5105 - URINARY SUSPENSORY||101.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5102|A5102 - BEDSIDE DRAIN BTL W/WO TUBE||56.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5093|A5093 - OSTOMY ACCESSORY CONVEX INSE||4.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5083|A5083 - STOMA ABSORPTIVE COVER||1.5975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5082|A5082 - CONTINENT STOMA CATHETER||29.5875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5081|"A5081 - STOMA PLUG OR SEAL| ANY TYPE"||6.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5073|A5073 - URINARY POUCH ON BARR W/FLNG||7.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5072|A5072 - URINARY POUCH W/O BARRIER||8.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5071|A5071 - URINARY POUCH W/BARRIER||14.94|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5063|A5063 - DRAIN OSTOMY POUCH W/FLANGE||6.7275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5062|A5062 - DRNBLE OSTOMY POUCH W/O BARR||5.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5061|A5061 - POUCH DRAINABLE W BARRIER AT||8.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5057|A5057 - 1 PC OST POU W BUILT-IN CONV||23.895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5056|A5056 - 1 PC OST POUCH W FILTER||11.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5055|A5055 - STOMA CAP||3.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5054|A5054 - CLSD OSTOMY POUCH W/FLANGE||4.4775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5053|A5053 - CLSD OSTOMY POUCH FACEPLATE||3.69|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5052|A5052 - CLSD OSTOMY POUCH W/O BARR||3.69|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A5051|A5051 - POUCH CLSD W BARR ATTACHED||5.13|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4932|A4932 - REUSABLE RECTAL THERMOMETER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4931|A4931 - REUSABLE ORAL THERMOMETER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4930|"A4930 - STERILE| GLOVES PER PAIR"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4929|"A4929 - TOURNIQUET FOR DIALYSIS| EA"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4928|A4928 - SURGICAL MASK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4927|A4927 - NON-STERILE GLOVES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4918|A4918 - VENOUS PRESSURE CLAMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4913|A4913 - MISC DIALYSIS SUPPLIES NOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4911|A4911 - DRAIN BAG/BOTTLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4890|A4890 - REPAIR/MAINT CONT HEMO EQUIP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4870|A4870 - PLUMB/ELEC WK HM HEMO EQUIP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4860|A4860 - DISPOSABLE CATHETER TIPS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4802|A4802 - PROTAMINE SULFATE PER 50 MG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4774|A4774 - AMMONIA TEST STRIPS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4773|A4773 - OCCULT BLOOD TEST STRIPS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4772|A4772 - BLOOD GLUCOSE TEST STRIPS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4771|A4771 - SERUM CLOTTING TIME TUBE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4770|A4770 - BLOOD COLLECTION TUBE/VACUUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4766|A4766 - DIALYSATE CONC SOL ADD 10 ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4765|A4765 - DIALYSATE CONC POW PER PACK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4760|"A4760 - DIALYSATE SOL TEST KIT| EACH"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4755|A4755 - COMB ART/VENOUS BLOOD TUBING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4750|A4750 - ART OR VENOUS BLOOD TUBING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4740|A4740 - SHUNT ACCESSORY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4737|A4737 - INJ ANESTHETIC PER 10 ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4736|"A4736 - TOPICAL ANESTHETIC| PER GRAM"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4730|"A4730 - FISTULA CANNULATION SET| EA"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4728|"A4728 - DIALYSATE SOLUTION| NON-DEX"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4726|A4726 - DIALYS SOL FLD VOL > 5999CC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4725|A4725 - DIALYS SOL FLD VOL > 4999CC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4724|A4724 - DIALYS SOL FLD VOL > 3999CC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4723|A4723 - DIALYS SOL FLD VOL > 2999CC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4722|A4722 - DIALYS SOL FLD VOL > 1999CC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4721|A4721 - DIALYSAT SOL FLD VOL > 999CC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4720|A4720 - DIALYSAT SOL FLD VOL > 249CC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4719|A4719 - 'Y SET' TUBING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4714|A4714 - TREATED WATER PER GALLON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4709|A4709 - ACID CONC SOL PER GALLON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4708|A4708 - ACETATE CONC SOL PER GALLON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4707|A4707 - BICARBONATE CONC POW PER PAC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4706|A4706 - BICARBONATE CONC SOL PER GAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4690|"A4690 - DIALYZER| EACH"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4680|"A4680 - ACTIVATED CARBON FILTER| EA"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4674|"A4674 - CHEM/ANTISEPT SOLUTION| 8OZ"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4673|A4673 - EXT LINE W EASY LOCK CONNECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4672|"A4672 - DRAINAGE EXT LINE| DIALYSIS"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4671|A4671 - DISPOSABLE CYCLER SET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4670|"A4670 - AUTOMATIC BP MONITOR| DIAL"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4663|A4663 - DIALYSIS BLOOD PRESSURE CUFF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4660|A4660 - SPHYG/BP APP W CUFF AND STET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4657|A4657 - SYRINGE W/WO NEEDLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4653|A4653 - PD CATHETER ANCHOR BELT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4652|A4652 - MICROCAPILLARY TUBE SEALANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4651|A4651 - CALIBRATED MICROCAP TUBE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4650|A4650 - IMPLANT RADIATION DOSIMETER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4649|A4649 - SURGICAL SUPPLIES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4648|A4648 - IMPLANTABLE TISSUE MARKER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4642|A4642 - IN111 SATUMOMAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4641|A4641 - RADIOPHARM DX AGENT NOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4640|A4640 - ALTERNATING PRESSURE PAD|UE|96.9075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4640|A4640 - ALTERNATING PRESSURE PAD|RR|13.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4640|A4640 - ALTERNATING PRESSURE PAD|NU|133.56|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4640|A4640 - ALTERNATING PRESSURE PAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4639|A4639 - INFRARED HT SYS REPLCMNT PAD|RR|71.46|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4639|A4639 - INFRARED HT SYS REPLCMNT PAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4638|A4638 - REPL BATT PULSE GEN SYS|UE|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4638|A4638 - REPL BATT PULSE GEN SYS|RR|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4638|A4638 - REPL BATT PULSE GEN SYS|NU|0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4638|A4638 - REPL BATT PULSE GEN SYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4637|A4637 - REPL TIP CANE/CRUTCH/WALKER|UE|2.8575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4637|A4637 - REPL TIP CANE/CRUTCH/WALKER|RR|0.45|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4637|A4637 - REPL TIP CANE/CRUTCH/WALKER|NU|3.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4637|A4637 - REPL TIP CANE/CRUTCH/WALKER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4636|A4636 - HANDGRIP FOR CANE ETC|UE|5.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4636|A4636 - HANDGRIP FOR CANE ETC|RR|0.72|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4636|A4636 - HANDGRIP FOR CANE ETC|NU|7.155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4636|A4636 - HANDGRIP FOR CANE ETC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4635|A4635 - UNDERARM CRUTCH PAD|UE|7.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4635|A4635 - UNDERARM CRUTCH PAD|RR|1.4625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4635|A4635 - UNDERARM CRUTCH PAD|NU|10.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4635|A4635 - UNDERARM CRUTCH PAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4634|A4634 - REPLACEMENT BULB TH LIGHTBOX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4633|A4633 - UVL REPLACEMENT BULB|NU|102.06|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4633|A4633 - UVL REPLACEMENT BULB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4630|A4630 - REPL BAT T.E.N.S. OWN BY PT|NU|13.2075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4630|A4630 - REPL BAT T.E.N.S. OWN BY PT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4629|A4629 - TRACHEOSTOMY CARE KIT||11.5425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4628|A4628 - OROPHARYNGEAL SUCTION CATH|NU|9.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4628|A4628 - OROPHARYNGEAL SUCTION CATH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4627|A4627 - SPACER BAG/RESERVOIR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4626|A4626 - TRACHEOSTOMY CLEANING BRUSH||7.9425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4625|A4625 - TRACH CARE KIT FOR NEW TRACH||17.235|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4624|A4624 - TRACHEAL SUCTION TUBE|NU|6.5475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4624|A4624 - TRACHEAL SUCTION TUBE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4623|A4623 - TRACHEOSTOMY INNER CANNULA||15.57|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4620|A4620 - VARIABLE CONCENTRATION MASK||1.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4619|A4619 - FACE TENT|NU|4.455|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4619|A4619 - FACE TENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4618|A4618 - BREATHING CIRCUITS|UE|15.345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4618|A4618 - BREATHING CIRCUITS|RR|2.1825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4618|A4618 - BREATHING CIRCUITS|NU|20.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4618|A4618 - BREATHING CIRCUITS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4617|A4617 - MOUTH PIECE||7.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4616|A4616 - TUBING (OXYGEN) PER FOOT||0.1575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4615|A4615 - CANNULA NASAL||1.8|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4614|A4614 - HAND-HELD PEFR METER||59.1525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4613|A4613 - BATTERY CHARGER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4612|A4612 - BATTERY CABLES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4611|A4611 - HEAVY DUTY BATTERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4608|A4608 - TRANSTRACHEAL OXYGEN CATH||124.6725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4606|A4606 - OXYGEN PROBE USED W OXIMETER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4605|A4605 - TRACH SUCTION CATH CLOSE SYS|NU|40.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4605|A4605 - TRACH SUCTION CATH CLOSE SYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4604|A4604 - TUBING WITH HEATING ELEMENT|NU|120.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4604|A4604 - TUBING WITH HEATING ELEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4602|A4602 - REPLACE LITHIUM BATTERY 1.5V|NU|9.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4602|A4602 - REPLACE LITHIUM BATTERY 1.5V||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4601|A4601 - LITH ION NON PROSTH RECHARGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4600|"A4600 - SLEEVE| INTER LIMB COMP DEV"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4595|A4595 - TENS SUPPL 2 LEAD PER MONTH||54.6525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4590|A4590 - SPECIAL CASTING MATERIAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4580|A4580 - CAST SUPPLIES (PLASTER)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4575|A4575 - HYPERBARIC O2 CHAMBER DISPS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4570|A4570 - SPLINT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4566|A4566 - SHOULD SLING/VEST/ABRESTRAIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4565|A4565 - SLINGS||19.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4562|"A4562 - PESSARY| NON RUBBER| ANY TYPE"||127.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4561|"A4561 - PESSARY RUBBER| ANY TYPE"||51.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4559|A4559 - COUPLING GEL OR PASTE||0.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4558|A4558 - CONDUCTIVE GEL OR PASTE||13.5675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4557|"A4557 - LEAD WIRES| PAIR"||44.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4556|"A4556 - ELECTRODES| PAIR"||30.2175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4555|A4555 - CA TX E-STIM ELECTR/TRANSDUC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4554|A4554 - DISPOSABLE UNDERPADS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4550|A4550 - SURGICAL TRAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4520|A4520 - INCONTINENCE GARMENT ANYTYPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4510|A4510 - FULL LENGTH SURG STOCKING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4500|A4500 - BELOW KNEE SURGICAL STOCKING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4495|A4495 - THIGH LENGTH SURG STOCKING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4490|A4490 - ABOVE KNEE SURGICAL STOCKING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4483|A4483 - MOISTURE EXCHANGER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4481|A4481 - TRACHEOSTOMA FILTER||0.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4480|A4480 - VABRA ASPIRATOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4470|A4470 - GRAVLEE JET WASHER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4466|A4466 - ELASTIC GARMENT/COVERING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4465|A4465 - NON-ELASTIC EXTREMITY BINDER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4463|A4463 - SURGICAL DRESS HOLDER REUSE||33.12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4461|A4461 - SURGICL DRESS HOLD NON-REUSE||8.19|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4459|"A4459 - MANUAL PUMP ENEMA| REUSABLE"||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4458|A4458 - REUSABLE ENEMA BAG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4456|"A4456 - ADHESIVE REMOVER| WIPES"||0.6075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4455|A4455 - ADHESIVE REMOVER PER OUNCE||3.555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4452|A4452 - WATERPROOF TAPE|AW|0.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4452|A4452 - WATERPROOF TAPE|AV|0.9|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4452|A4452 - WATERPROOF TAPE|AU|0.9|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4452|A4452 - WATERPROOF TAPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4450|A4450 - NON-WATERPROOF TAPE|AW|0.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4450|A4450 - NON-WATERPROOF TAPE|AV|0.2025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4450|A4450 - NON-WATERPROOF TAPE|AU|0.2025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4450|A4450 - NON-WATERPROOF TAPE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4435|A4435 - 1PC OST PCH DRAIN HGH OUTPUT||14.355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4434|A4434 - OST PCH URINE W LOCK FLNG/FT||9.3375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4433|A4433 - URINE OST PCH BAR W LOCK FLN||8.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4432|A4432 - OS PCH URINE W BAR/FANGE/TAP||8.9325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4431|A4431 - OST PCH URINE W BARRIER/TAPV||15.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4430|A4430 - OST URINE PCH W B/BLTIN CONV||21.1725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4429|A4429 - URINE OST POUCH W BLTINCONV||20.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4428|A4428 - URINE OST POUCH W FAUCET/TAP||16.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4427|A4427 - OST PCH DRAIN/BARR LK FLNG/F||6.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4426|A4426 - OST PCH DRAIN 2 PIECE SYSTEM||6.795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4425|A4425 - OST PCH DRAIN FOR BARRIER FL||8.91|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4424|A4424 - OST PCH DRAIN W BAR & FILTER||11.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4423|A4423 - OST PCH FOR BAR W LK FL/FLTR||4.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4422|A4422 - OST POUCH ABSORBENT MATERIAL||0.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4421|A4421 - OSTOMY SUPPLY MISC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4420|A4420 - OST PCH CLSD FOR BAR W LK FL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4419|A4419 - OST PCH FOR BAR W FLANGE/FLT||4.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4418|A4418 - OST PCH CLSD W/O BAR W FILTR||4.5225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4417|A4417 - OST PCH W BAR/BLTINCONV/FLTR||9.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4416|A4416 - OST PCH CLSD W BARRIER/FILTR||6.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4415|A4415 - OST SKN BARR W/O CONV >4 SQI||14.895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4414|A4414 - OST SKNBAR W/O CONV<=4 SQ IN||12.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4413|A4413 - 2 PC DRAINABLE OST POUCH||13.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4412|A4412 - OST POUCH DRAIN HIGH OUTPUT||6.7275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4411|A4411 - OST SKN BARR EXTND =4SQ||12.69|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4410|A4410 - OST SKN BARR EXTND >4 SQ||22.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4409|A4409 - OST SKN BARR CONVEX <=4 SQ I||15.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4408|A4408 - EXT WEAR OST SKN BARR >4SQ''||24.5475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4407|A4407 - EXT WEAR OST SKN BARR <=4SQ''||21.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4406|A4406 - PECTIN BASED OSTOMY PASTE||14.2425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4405|A4405 - NONPECTIN BASED OSTOMY PASTE||8.4825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4404|A4404 - OSTOMY RING EACH||4.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4402|A4402 - LUBRICANT PER OUNCE||3.375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4400|A4400 - OSTOMY IRRIGATION SET||103.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4399|A4399 - OSTOMY IRRIG CONE/CATH W BRS||26.4825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4398|A4398 - OSTOMY IRRIGATION BAG||31.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4397|A4397 - IRRIGATION SUPPLY SLEEVE||10.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4396|A4396 - PERISTOMAL HERNIA SUPPRT BLT||100.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4395|A4395 - OSTOMY POUCH SOLID DEODORANT||0.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4394|A4394 - OSTOMY POUCH LIQ DEODORANT||6.435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4393|A4393 - URINE PCH W EX WEAR BAR CONV||22.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4392|A4392 - URINARY POUCH W ST WEAR BARR||20.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4391|A4391 - URINARY POUCH W EX WEAR BARR||17.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4390|A4390 - DRAINABLE PCH EX WEAR CONVEX||23.895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4389|A4389 - DRAINABLE PCH W ST WEAR BARR||15.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4388|A4388 - DRAINABLE PCH W EX WEAR BARR||10.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4387|A4387 - OST CLSD POUCH W ATT ST BARR||5.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4385|A4385 - OST SKN BARRIER SLD EXT WEAR||12.69|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4384|A4384 - OSTOMY FACEPLT/SILICONE RING||23.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4383|A4383 - URINARY RUBBER POUCH W/O FP||70.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4382|A4382 - URINARY HVY PLSTC PCH W/O FP||61.2225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4381|A4381 - URINARY PLASTIC POUCH W/O FP||11.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4380|A4380 - URINARY RUBBER POUCH W FCPLT||92.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4379|A4379 - URINARY PLASTIC POUCH W FCPL||37.35|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4378|A4378 - DRAINABLE RUBBER PCH W/O FP||76.455|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4377|A4377 - DRAINABLE PLSTIC PCH W/O FP||10.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4376|A4376 - DRAINABLE RUBBER PCH W FCPLT||118.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4375|A4375 - DRAINABLE PLASTIC PCH W FCPL||42.7275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4373|A4373 - SKIN BARRIER WITH FLANGE||15.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4372|A4372 - SKIN BARRIER SOLID 4X4 EQUIV||10.44|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4371|A4371 - SKIN BARRIER POWDER PER OZ||9.0675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4369|A4369 - SKIN BARRIER LIQUID PER OZ||6.03|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4368|A4368 - OSTOMY FILTER||0.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4367|A4367 - OSTOMY BELT||16.7625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4366|A4366 - OSTOMY VENT||3.2175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4364|"A4364 - ADHESIVE| LIQUID OR EQUAL"||6.21|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4363|"A4363 - OSTOMY CLAMP| REPLACEMENT"||5.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4362|A4362 - SOLID SKIN BARRIER||7.335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4361|A4361 - OSTOMY FACE PLATE||40.1175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4360|A4360 - DISPOSABLE EXT URETHRAL DEV||1.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4358|A4358 - URINARY LEG OR ABDOMEN BAG||16.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4357|A4357 - BEDSIDE DRAINAGE BAG||20.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4356|A4356 - EXT URETH CLMP OR COMPR DVC||113.49|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4355|A4355 - BLADDER IRRIGATION TUBING||20.205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4354|A4354 - CATH INSERTION TRAY W/BAG||24.9525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4353|A4353 - INTERMITTENT URINARY CATH||17.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4352|A4352 - COUDE TIP URINARY CATHETER||15.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4351|A4351 - STRAIGHT TIP URINE CATHETER||4.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4349|A4349 - DISPOSABLE MALE EXTERNAL CAT||5.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4346|A4346 - CATH INDW FOLEY 3 WAY||41.4|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4344|A4344 - CATH INDW FOLEY 2 WAY SILICN||33.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4340|A4340 - INDWELLING CATHETER SPECIAL||67.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4338|A4338 - INDWELLING CATHETER LATEX||25.9425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4337|A4337 - INCONTINENT RECTAL INSERT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4336|A4336 - URETHRAL INSERT||3.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4335|A4335 - INCONTINENCE SUPPLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4334|A4334 - URINARY CATH LEG STRAP||12.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4333|A4333 - URINARY CATH ANCHOR DEVICE||5.49|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4332|A4332 - LUBE STERILE PACKET||0.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4331|A4331 - EXTENSION DRAINAGE TUBING||7.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4330|A4330 - STOOL COLLECTION POUCH||17.7975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4328|A4328 - FEM URINARY COLLECT POUCH||25.4475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4327|A4327 - FEM URINARY COLLECT DEV CUP||110.9475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4326|A4326 - MALE EXTERNAL CATHETER||26.8425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4322|A4322 - IRRIGATION SYRINGE||7.38|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4321|A4321 - CATH THERAPEUTIC IRRIG AGENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4320|A4320 - IRRIGATION TRAY||11.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4316|A4316 - CATH W/DRAINAGE 3-WAY||70.6275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4315|A4315 - CATH W/DRAINAGE 2-WAY SILCNE||55.7775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4314|A4314 - CATH W/DRAINAGE 2-WAY LATEX||58.05|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4313|A4313 - CATHETER W/BAG 3-WAY||39.1725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4312|A4312 - CATH W/O BAG 2-WAY SILICONE||38.1375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4311|A4311 - CATHETER W/O BAG 2-WAY LATEX||36.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4310|A4310 - INSERT TRAY W/O BAG/CATH||17.2575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4306|A4306 - DRUG DELIVERY SYSTEM <=50 ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4305|A4305 - DRUG DELIVERY SYSTEM >=50 ML||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4301|A4301 - IMPLANTABLE ACCESS SYST PERC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4300|A4300 - CATH IMPL VASC ACCESS PORTAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4290|A4290 - SACRAL NERVE STIM TEST LEAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4286|A4286 - REPLCMNT BREASTPUMP LOK RING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4285|A4285 - REPLCMNT BREAST PUMP BOTTLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4284|A4284 - REPLCMNT BREAST PUMP SHIELD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4283|A4283 - REPLACEMENT BREASTPUMP CAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4282|A4282 - REPLACEMENT BREASTPUMP ADPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4281|A4281 - REPLACEMENT BREASTPUMP TUBE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4280|A4280 - BRST PRSTHS ADHSV ATTCHMNT||13.275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4270|A4270 - DISPOSABLE ENDOSCOPE SHEATH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4269|A4269 - SPERMICIDE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4268|A4268 - FEMALE CONDOM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4267|A4267 - MALE CONDOM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4266|A4266 - DIAPHRAGM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4265|A4265 - PARAFFIN||8.46|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4264|A4264 - INTRATUBAL OCCLUSION DEVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4263|A4263 - PERMANENT TEAR DUCT PLUG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4262|A4262 - TEMPORARY TEAR DUCT PLUG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4261|A4261 - CERVICAL CAP CONTRACEPTIVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4259|A4259 - LANCETS PER BOX|KL|25.83|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4259|A4259 - LANCETS PER BOX||3.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4258|A4258 - LANCET DEVICE EACH|KL|38.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4258|A4258 - LANCET DEVICE EACH||5.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4257|A4257 - REPLACE LENSSHIELD CARTRIDGE||31.725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4256|A4256 - CALIBRATOR SOLUTION/CHIPS|KL|20.8575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4256|A4256 - CALIBRATOR SOLUTION/CHIPS||9|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4255|A4255 - GLUCOSE MONITOR PLATFORMS||10.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4253|A4253 - BLOOD GLUCOSE/REAGENT STRIPS|NU|23.4225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4253|A4253 - BLOOD GLUCOSE/REAGENT STRIPS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4252|A4252 - BLOOD KETONE TEST OR STRIP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4250|A4250 - URINE REAGENT STRIPS/TABLETS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4248|A4248 - CHLORHEXIDINE ANTISEPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4247|A4247 - BETADINE/IODINE SWABS/WIPES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4246|A4246 - BETADINE/PHISOHEX SOLUTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4245|A4245 - ALCOHOL WIPES PER BOX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4244|A4244 - ALCOHOL OR PEROXIDE PER PINT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4236|A4236 - SILVR OXIDE BATT GLUCOSE MON|NU|2.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4236|A4236 - SILVR OXIDE BATT GLUCOSE MON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4235|A4235 - LITHIUM BATT FOR GLUCOSE MON|NU|2.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4235|A4235 - LITHIUM BATT FOR GLUCOSE MON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4234|A4234 - J-CELL BATT FOR GLUCOSE MON|NU|5.625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4234|A4234 - J-CELL BATT FOR GLUCOSE MON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4233|A4233 - ALKALIN BATT FOR GLUCOSE MON|NU|1.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4233|A4233 - ALKALIN BATT FOR GLUCOSE MON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4232|A4232 - SYRINGE W/NEEDLE INSULIN 3CC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4231|A4231 - INFUSION INSULIN PUMP NEEDLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4230|A4230 - INFUS INSULIN PUMP NON NEEDL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4223|A4223 - INFUSION SUPPLIES W/O PUMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4222|A4222 - INFUSION SUPPLIES WITH PUMP||99.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4221|A4221 - SUPP NON-INSULIN INF CATH/WK||49.9725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4220|A4220 - INFUSION PUMP REFILL KIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4218|A4218 - STERILE SALINE OR WATER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4217|"A4217 - STERILE WATER/SALINE| 500 ML"|AU|7.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4217|"A4217 - STERILE WATER/SALINE| 500 ML"||7.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4216|"A4216 - STERILE WATER/SALINE| 10 ML"||1.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4215|A4215 - STERILE NEEDLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4213|A4213 - 20+ CC SYRINGE ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4212|A4212 - NON CORING NEEDLE OR STYLET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4211|A4211 - SUPP FOR SELF-ADM INJECTIONS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4210|A4210 - NONNEEDLE INJECTION DEVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4209|A4209 - 5+ CC STERILE SYRINGE&NEEDLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4208|A4208 - 3 CC STERILE SYRINGE&NEEDLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4207|A4207 - 2 CC STERILE SYRINGE&NEEDLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A4206|A4206 - 1 CC STERILE SYRINGE&NEEDLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0999|A0999 - UNLISTED AMBULANCE SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0998|A0998 - AMBULANCE RESPONSE/TREATMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0888|A0888 - NONCOVERED AMBULANCE MILEAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0436|A0436 - ROTARY WING AIR MILEAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0435|A0435 - FIXED WING AIR MILEAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0434|A0434 - SPECIALTY CARE TRANSPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0433|A0433 - ALS 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0432|A0432 - PI VOLUNTEER AMBULANCE CO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0431|A0431 - ROTARY WING AIR TRANSPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0430|A0430 - FIXED WING AIR TRANSPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0429|A0429 - BLS-EMERGENCY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0428|A0428 - BLS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0427|A0427 - ALS1-EMERGENCY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0426|A0426 - ALS 1||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0425|A0425 - GROUND MILEAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0424|A0424 - EXTRA AMBULANCE ATTENDANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0422|A0422 - AMBULANCE 02 LIFE SUSTAINING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0420|A0420 - AMBULANCE WAITING 1/2 HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0398|A0398 - ALS ROUTINE DISPOSBLE SUPPLS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0396|A0396 - ALS ESOPHAGEAL INTUB SUPPLS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0394|A0394 - ALS IV DRUG THERAPY SUPPLIES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0392|A0392 - ALS DEFIBRILLATION SUPPLIES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0390|A0390 - ADVANCED LIFE SUPPORT MILEAG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0384|A0384 - BLS DEFIBRILLATION SUPPLIES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0382|A0382 - BASIC SUPPORT ROUTINE SUPPLS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0380|A0380 - BASIC LIFE SUPPORT MILEAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0225|A0225 - NEONATAL EMERGENCY TRANSPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0210|A0210 - NONER TRANSPORT MEALS ESCORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0200|A0200 - NONER TRANSPORT LODGNG ESCRT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0190|A0190 - NONER TRANSPORT MEALS RECIP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0180|A0180 - NONER TRANSPORT LODGNG RECIP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0170|A0170 - TRANSPORT PARKING FEES/TOLLS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0160|A0160 - NONER TRANSPORT CASE WORKER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0140|A0140 - NONEMERGENCY TRANSPORT AIR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0130|A0130 - NONER TRANSPORT WHEELCH VAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0120|A0120 - NONER TRANSPORT MINI-BUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0110|A0110 - NONEMERGENCY TRANSPORT BUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0100|A0100 - NONEMERGENCY TRANSPORT TAXI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0090|A0090 - INTEREST ESCORT IN NON ER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0080|A0080 - NONINTEREST ESCORT IN NON ER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|A0021|A0021 - OUTSIDE STATE AMBULANCE SERV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99607|99607 - MEDICATION THERAPY EACH ADDITIONAL 15 MIN(11/19)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99606|99606 - MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99605|99605 - MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99602|99602 - HOME NFS/SPECTY DRUG ADMN PR VST </2 HR EA HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99601|99601 - HOME NFS/SPECTY DRUG ADMN PR VST </2 HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99600|99600 - UNLISTED HOME VISIT SERVICE/PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99512|99512 - HOME VISIT HEMODIALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99511|99511 - HOME VISIT FECAL IMPACTION MGMT&ENEMA ADMN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99510|99510 - HOME VISIT INDIV FAM/MARRIAGE COUNSELING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99509|99509 - HOME VISIT ASSISTANCE DAILY LIV&PRSONAL CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99507|99507 - HOME VISIT CARE&MAINT CATH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99506|99506 - HOME VISIT INTRAMUSCULAR INJECTIONS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99505|99505 - HOME VISIT STOMA CARE&MAINT CLST&CSTOST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99504|99504 - HOME VISIT MECHANICAL VENTILATION CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99503|99503 - HOME VISIT RESPIRATORY THERAPY CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99502|99502 - HOME VISIT NEWBORN CARE & ASSESSMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99501|99501 - HOME VISIT POSTNATAL ASSMT&F-UP CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99500|99500 - HOME VISIT PRENATAL MONITORING & ASSESSMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99499|99499 - UNLISTED EVALUATION AND MANAGEMENT SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99498|99498 - ADVANCE CARE PLANNING EA ADDL 30 MINS||162.0716|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99497|99497 - ADVANCE CARE PLANNING FIRST 30 MINS||173.0245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99496|99496 - TRANSITIONAL CARE MANAGE SRVC 7 DAY DISCHARGE||350.7971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99495|99495 - TRANSITIONAL CARE MANAGE SRVC 14 DAY DISCHARGE||242.4564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99490|99490 - CHRON CARE MANAGEMENT SRVC 20 MIN PER MONTH||68.7118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99489|99489 - CMPLX CHRON CARE MGMT EA ADDL 30 MIN PER MONTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99487|99487 - CMPLX CHRON CARE MGMT W/O PT VST 1ST HR PER MO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99486|99486 - SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN||146.7652|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99485|99485 - SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN||168.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99480|99480 - SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS||263.6541|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99479|99479 - SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS||275.3352|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99478|99478 - SUBSEQUENT INTENSIVE CARE INFANT < 1500 GRAMS||302.0013|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99477|99477 - INITIAL HOSP NEONATE 28 D/< NOT CRITICALLY ILL||787.8704|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99476|99476 - SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS||764.1577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99475|99475 - INITIAL PED CRITICAL CARE 2 THRU 5 YEARS||1270.207|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99472|99472 - SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO||902.4681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99471|99471 - INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS||1923.1673|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99469|99469 - SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS/<||879.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99468|99468 - 1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS/<||2077.8193|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99467|99467 - CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN||257.8522|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99466|99466 - CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN||509.8614|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99465|99465 - DELIVERY/BIRTHING ROOM RESUSCITATION||336.0603|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99464|99464 - ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN||158.5439|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99463|99463 - 1ST HOSP/BIRTHING CENTER NB ADMIT & DSCHG SM DAT||260.729|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99462|99462 - SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN||92.3141|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99461|99461 - 1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER||139.1975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99460|99460 - 1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB||212.6614|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99456|99456 - WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99455|99455 - WORK RELATED/MED DBLT XM TREATING PHYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99450|99450 - BASIC LIFE AND/OR DISABILITY EXAMINATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99449|99449 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99448|99448 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99447|99447 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99446|99446 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99444|99444 - PHYS/QHP ONLINE EVALUATION & MANAGEMENT SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99443|99443 - PHYS/QHP TELEPHONE EVALUATION 21-30 MIN||84.3355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99442|99442 - PHYS/QHP TELEPHONE EVALUATION 11-20 MIN||56.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99441|99441 - PHYS/QHP TELEPHONE EVALUATION 5-10 MIN||28.1105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99429|99429 - UNLISTED PREVENTIVE MEDICINE SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99420|99420 - HEALTH RISK ASSESSMENT TEST||22.4552|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99416|99416 - PROLNG CLINCL STAFF SVC DURING O/P E/M EA 30 MIN||10.1433|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99415|99415 - PROLNG CLINCL STAFF SVC DURING O/P E/M 1ST HR||18.1098|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99412|99412 - PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 60 M||28.1105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99411|99411 - PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 30 M||17.1576|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99409|99409 - ALCOHOL/SUBSTANCE SCREEN & INTERVENTION >30 MIN||146.7652|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99408|99408 - ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN||73.3826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99407|99407 - TOBACCO USE CESSATION INTENSIVE >10 MINUTES||56.9533|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99406|99406 - TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES||27.3089|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99404|99404 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 60 MIN||220.1478|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99403|99403 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 45 MIN||164.7284|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99402|99402 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 30 MIN||110.1146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99401|99401 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 15 MIN||53.8896|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99397|99397 - PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER||224.9001|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99396|99396 - PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS||213.9431|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99395|99395 - PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS||196.7855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99394|99394 - PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS||191.3091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99393|99393 - PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS||168.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99392|99392 - PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS||168.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99391|99391 - PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y||153.8529|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99387|99387 - INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>||281.8493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99386|99386 - INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS||262.3563|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99385|99385 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS||215.5543|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99384|99384 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR||224.9001|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99383|99383 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS||191.3091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99382|99382 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS||179.6279|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99381|99381 - INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR||168.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99380|99380 - SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN/>||194.4501|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99379|99379 - SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN||124.1312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99378|99378 - SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES/>||194.4501|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99377|99377 - SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN||124.1312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99375|99375 - SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN/>||194.4501|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99374|99374 - SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES||124.1312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99368|99368 - TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN||81.1945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99367|99367 - TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN||124.1312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99366|99366 - TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN||92.1514|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99364|99364 - ANTICOAGULANT MGMT OUTPATIENT EA SBSQ 90 DAYS||71.0472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99363|99363 - ANTICOAGULANT MGMT OUTPATIENT INIT 90 DAYS||185.8326|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99360|99360 - PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES||135.0841|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99359|99359 - PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES||115.347|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99358|99358 - PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR||238.7499|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99357|99357 - PROLONGED SVC I/P REQ UNIT/FLOOR TIME EA 30 MIN||200.0853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99356|99356 - PROLONGED SERVICE I/P REQ UNIT/FLOOR TIME 1ST HR||201.5337|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99355|99355 - PROLNG E&M/PSYCTX SVC OFFICE O/P DIR CON ADDL 30||198.4048|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99354|99354 - PROLNG E&M/PSYCTX SVC OFFICE O/P DIR CON 1ST HR||204.2027|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99350|99350 - HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS||389.6204|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99349|99349 - HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES||280.4701|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99348|99348 - HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES||184.3802|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99347|99347 - HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES||121.1448|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99345|99345 - HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN||483.8672|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99344|99344 - HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES||399.1249|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99343|99343 - HOME VST NEW PATIENT MOD-HI SEVERITY 45 MINUTES||285.7226|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99342|99342 - HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES||173.9114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99341|99341 - HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES||120.502|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99340|99340 - INDIV PHYS SUPVJ HOME/DOM/R-HOME MO 30 MIN/>||236.3049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99339|99339 - INDIV PHYS SUPVJ HOME/DOM/R-HOME MO 15-29 MIN||168.0813|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99337|99337 - DOM/R-HOME E/M EST PT SIGNIF NEW PROB 60 MINUTES||422.4831|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99336|99336 - DOM/R-HOME E/M EST PT MOD HI SEVERITY 40 MINUTES||294.564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99335|99335 - DOM/R-HOME E/M EST PT LW MOD SEVERITY 25 MINUTES||208.1332|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99334|99334 - DOM/R-HOME E/M EST PT SELF-LMTD/MINOR 15 MINUTES||131.8536|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99328|99328 - DOM/R-HOME E/M NEW PT SIGNIF NEW PROB 75 MINUTES||475.8886|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99327|99327 - DOMICIL/REST HOME NEW PT VISIT HI SEVER 60 MIN||407.0141|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99326|99326 - DOMICIL/REST HOME NEW PT HI-MOD SEVER 45 MINUTES||305.3663|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99325|99325 - DOMICIL/REST HOME NEW PT VISIT MOD SEVER 30 MIN||176.8083|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99324|99324 - DOMICIL/REST HOME NEW PT VISIT LOW SEVER 20 MIN||121.2262|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99318|99318 - E/M ANNUAL NURSING FACILITY ASSESS STABLE 30 MIN||209.5003|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99316|99316 - NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES||231.3327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99315|99315 - NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES||159.6387|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99310|99310 - SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN||295.8417|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99309|99309 - SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN||198.7794|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99308|99308 - SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN||150.6957|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99307|99307 - SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN||97.4571|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99306|99306 - INITIAL NURSING FACILITY CARE/DAY 45 MINUTES||363.9146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99305|99305 - INITIAL NURSING FACILITY CARE/DAY 35 MINUTES||284.9742|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99304|99304 - INITIAL NURSING FACILITY CARE/DAY 25 MINUTES||200.2399|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99292|99292 - CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN||247.2409|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99291|99291 - CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN||493.7615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99288|99288 - PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99285|99285 - EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ||385.9332|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99284|99284 - EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY||261.367|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99283|99283 - EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY||137.6918|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99282|99282 - EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY||91.9275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99281|99281 - EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB||47.1314|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99255|99255 - INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN||444.0063|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99254|99254 - INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN||367.9587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99253|99253 - INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN||253.1733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99252|99252 - INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN||165.0539|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99251|99251 - INITIAL INPATIENT CONSULT NEW/ESTAB PT 20 MIN||108.1046|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99245|99245 - OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN||419.6756|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99244|99244 - OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN||338.9613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99243|99243 - OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN||210.8835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99242|99242 - OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN||150.7118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99241|99241 - OFFICE CONSULTATION NEW/ESTAB PATIENT 15 MIN||71.8528|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99239|99239 - HOSPITAL DISCHARGE DAY MANAGEMENT > 30 MIN||234.2256|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99238|99238 - HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN/<||158.1902|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99236|99236 - OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES||478.2441|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99235|99235 - OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES||371.1892|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99234|99234 - OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES||293.9453|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99233|99233 - SBSQ HOSPITAL CARE/DAY 35 MINUTES||228.5293|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99232|99232 - SBSQ HOSPITAL CARE/DAY 25 MINUTES||158.365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99231|99231 - SBSQ HOSPITAL CARE/DAY 15 MINUTES||86.5976|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99226|99226 - SBSQ OBSERVATION CARE/DAY 35 MINUTES||230.6979|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99225|99225 - SBSQ OBSERVATION CARE/DAY 25 MINUTES||159.8135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99224|99224 - SBSQ OBSERVATION CARE/DAY 15 MINUTES||87.3219|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99223|99223 - INITIAL HOSPITAL CARE/DAY 70 MINUTES||445.06|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99222|99222 - INITIAL HOSPITAL CARE/DAY 50 MINUTES||300.8743|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99221|99221 - INITIAL HOSPITAL CARE/DAY 30 MINUTES||222.8289|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99220|99220 - INITIAL OBSERVATION CARE/DAY 70 MINUTES||407.1115|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99219|99219 - INITIAL OBSERVATION CARE/DAY 50 MINUTES||297.8839|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99218|99218 - INITIAL OBSERVATION CARE/DAY 30 MINUTES||219.1916|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99217|99217 - OBSERVATION CARE DISCHARGE MANAGEMENT||158.9185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99215|99215 - OFFICE OUTPATIENT VISIT 40 MINUTES||243.9129|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99214|99214 - OFFICE OUTPATIENT VISIT 25 MINUTES||172.3002|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99213|99213 - OFFICE OUTPATIENT VISIT 15 MINUTES||112.21|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99212|99212 - OFFICE OUTPATIENT VISIT 10 MINUTES||55.3421|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99211|99211 - OFFICE OUTPATIENT VISIT 5 MINUTES||20.2986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99205|99205 - OFFICE OUTPATIENT NEW 60 MINUTES||371.368|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99204|99204 - OFFICE OUTPATIENT NEW 45 MINUTES||285.6533|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99203|99203 - OFFICE OUTPATIENT NEW 30 MINUTES||168.7725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99202|99202 - OFFICE OUTPATIENT NEW 20 MINUTES||110.4401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99201|99201 - OFFICE OUTPATIENT NEW 10 MINUTES||58.243|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99199|99199 - UNLISTED SPECIAL SERVICE PROCEDURE/REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99195|99195 - PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE||204.2574|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99192|99192 - ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99191|99191 - ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99190|99190 - ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99188|99188 - APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99184|99184 - INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE||506.7494|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99183|99183 - PHYS/QHP ATTN&SUPVJ HYPRBARIC OXYGEN TX/SESSION||243.9532|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99177|99177 - INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99175|99175 - IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED||34.7671|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99174|99174 - INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99173|99173 - SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT||6.5221|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99172|99172 - VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99170|99170 - ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG||197.5138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99156|||176.36|||0|07/01/2020
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99153|99153 - MOD SED SAME PHYS/QHP EACH ADDL 15 MINS||22.01|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99152|99152 - MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS||107.3|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99150|99150 - MOD SED DIFF PHYS/QHP ADD ON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99149|99149 - MOD SED DIFF PHYS/QHP 5/>YRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99148|99148 - MOD SED DIFF PHYS/QHP<5 YRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99145|99145 - MOD SEDAT PHYS/QHP EA 15 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99144|99144 - MOD SEDAT PHYS/QHP 5YRS/>||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99143|99143 - MOD SEDAT PHYS/QHP <5 YRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99140|99140 - ANES COMPLICJ EMERGENCY CONDITIONS SPECIFY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99135|99135 - ANES COMPLICJ UTILIZATION CONTROLLED HYPOTENSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99116|99116 - ANES COMPLICJ UTILIZATION TOTAL BODY HYPOTHERMIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99100|99100 - ANESTHESIA EXTREME AGE PATIENT UNDER 1 YR/<||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99091|99091 - COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D||124.1312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99090|99090 - ANALYSIS CLINICAL DATA STORED IN COMPUTERS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99082|99082 - UNUSUAL TRAVEL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99080|99080 - SPEC REPORTS > USUAL MED COMUNICAJ/STAND RPRTG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99078|99078 - PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99075|99075 - MEDICAL TESTIMONY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99071|99071 - EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99070|99070 - SUPPLIES&MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99060|99060 - SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99058|99058 - SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99056|99056 - SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99053|99053 - SERVICES PROVIDED BTW 10 PM&8 AM AT 24-HR FACI||12|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99051|99051 - SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99050|99050 - SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99027|99027 - HOSPITAL MANDATED CALL SVC OUT-OF-HOSPITAL EA HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99026|99026 - HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99024|99024 - POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99002|99002 - HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99001|99001 - HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|99000|99000 - HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98969|98969 - NONPHYSICIAN ONLINE ASSESSMENT AND MANAGEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98968|98968 - NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN||84.3355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98967|98967 - NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN||56.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98966|98966 - NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN||28.1105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98962|98962 - EDUCATION&TRAINING SELF-MGMT NONPHYS 5-8 PTS||20.2825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98961|98961 - EDUCATION&TRAINING SELF-MGMT NONPHYS 2-4 PTS||27.5248|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98960|98960 - EDUCATION&TRAINING SELF-MGMT NONPHYS 1 PT||57.2223|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98943|98943 - CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION||52.2784|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98942|98942 - CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS||103.4217|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98941|98941 - CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS||76.7597|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98940|98940 - CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS||50.1017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98929|98929 - OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS||158.9265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98928|98928 - OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS||132.2645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98927|98927 - OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS||104.8782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98926|98926 - OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS||79.6647|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|98925|98925 - OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS||52.2784|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97814|97814 - ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ||61.7015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97813|97813 - ACUPUNCTURE 1/> NDLS W/ELEC STIMJ 1ST 15 MIN||73.3826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97811|97811 - ACUPUNCTURE 1/> NDLS W/O ELEC STIMJ EA 15 MIN||56.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97810|97810 - ACUPUNCTURE 1/> NDLES W/O ELEC STIMJ INIT 15 MIN||67.9062|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97804|97804 - MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI||33.1801|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97803|97803 - MEDICAL NUTRITION RE-ASSMT&IVNTJ INDIV EA 15 M||60.1595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97802|97802 - MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI||70.9497|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97799|97799 - UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PROC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97762|97762 - CHECKOUT ORTHOTIC/PROSTHETIC ESTAB PT EA 15 MIN||99.0852|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97761|97761 - PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS||71.023|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97760|97760 - ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS||81.1623|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97755|97755 - ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN||78.2001|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97750|97750 - PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN||71.023|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97610|97610 - LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY||35.4422|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97608|97608 - NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97607|97607 - NEG PRESSURE WOUND THERAPY NON DME </= 50 SQ CM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97606|97606 - NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM||60.6558|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97605|97605 - NEGATIVE PRESSURE WOUND THERAPY DME </= 50 SQ CM||55.9036|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97602|97602 - RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97598|97598 - DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM||24.408|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97597|97597 - DEBRIDEMENT OPEN WOUND 20 SQ CM/<||51.957|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97546|97546 - WORK HARDENING/CONDITIONING EACH HOUR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97545|97545 - WORK HARDENING/CONDITIONING 1ST 2 HR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97542|97542 - WHEELCHAIR MGMT EA 15 MIN||66.6776|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97537|97537 - COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN||65.2292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97535|97535 - SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES||75.3684|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97533|97533 - SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES||62.9711|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97532|97532 - DEVELOPMENT OF COGNITIVE SKILLS EACH 15 MINUTES||57.9015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97530|97530 - THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN||74.5588|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97150|97150 - THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS||37.851|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97140|97140 - MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES||64.3382|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97139|97139 - UNLISTED THERAPEUTIC PROCEDURE SPECIFY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97124|97124 - THER PX 1/> AREAS EACH 15 MINUTES MASSAGE||56.4449|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97116|97116 - THER PX 1/> AREAS EA 15 MIN GAIT TRAING W/STAIR||61.1972|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97113|97113 - THER PX 1/> AREAS EACH 15 MIN AQUA THER W/XERSS||91.2161|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97112|97112 - THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA||72.4715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97110|97110 - THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES||69.5746|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97039|97039 - UNLIST MODALITY SPEC TYPE&TIME CONSTANT ATTEND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97036|97036 - APPL MODALITY 1/> AREAS HUBBARD TANK EA 15 MIN||69.6358|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97035|97035 - APPL MODALITY 1/> AREAS ULTRASOUND EA 15 MIN||27.785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97034|97034 - APPL MODALITY 1/> AREAS CONTRAST BATHS EA 15 MIN||38.6485|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97033|97033 - APPL MODALITY 1/> AREAS IONTOPHORESIS EA 15 MIN||55.7127|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97032|97032 - APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN||41.1467|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97028|97028 - APPL MODALITY 1/> AREAS ULTRAVIOLET||15.8638|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97026|97026 - APPLICATION MODALITY 1/> AREAS INFRARED||12.8042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97024|97024 - APPLICATION MODALITY 1/> AREAS DIATHERMY||13.5284|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97022|97022 - APPLICATION MODALITY 1/> AREAS WHIRLPOOL||49.1865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97018|97018 - APPL MODALITY 1/> AREAS PARAFFIN BATH||22.9434|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97016|97016 - APPL MODALITY 1/> AREAS VASOPNEUMATIC DEVICES||40.5771|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97014|97014 - APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED||34.059|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97012|97012 - APPL MODALITY 1/> AREAS TRACTION MECHANICAL||34.6286|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97010|97010 - APPLICATION MODALITY 1/> AREAS HOT/COLD PACKS||12.8042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97006|97006 - ATHLETIC TRAIN REEVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97005|97005 - ATHLETIC TRAIN EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97004|97004 - OT RE-EVALUATION||112.0762|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97003|97003 - OT EVALUATION||182.8753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97002|97002 - PT RE-EVALUATION||90.3493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|97001|97001 - PT EVALUATION||163.321|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96999|96999 - UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PROCED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96936|96936 - RCM CELULR & SUBCELULR SKN IMGNG I&R EA ADDL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96935|96935 - RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ EA ADDL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96934|96934 - RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R ADD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96933|96933 - RCM CELULR & SUBCELULR SKN IMGNG I&R 1ST LES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96932|96932 - RCM CELULR & SUBCELULR SKN IMGNG IMG ACQUISITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96931|96931 - RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R 1ST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96922|96922 - LASER SKIN DISEASE PSORIASIS >500 SQ CM||268.4393|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96921|96921 - LASER SKIN DISEASE PSORIASIS 250-500 SQ CM||166.3114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96920|96920 - LASER SKIN DISEASE PSORIASIS TOT AREA <250 SQ CM||146.9852|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96913|96913 - PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION||267.2535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96912|96912 - PHOTOCHEMOTX PSORALENS&ULTRAVIOLET PUVA||186.1315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96910|96910 - PHOTOCHEMOTX TAR&UVB/PETROLATUM/UVB||145.5746|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96904|96904 - WHOLE BODY INTEGUMENTARY PHOTOGRAPHY||128.197|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96902|96902 - MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM||46.0737|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96900|96900 - ACTINOTHERAPY ULTRAVIOLET LIGHT||42.0095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96571|96571 - PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN||60.2611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96570|96570 - PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN||128.5289|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96567|96567 - PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY||275.9402|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96549|96549 - UNLISTED CHEMOTHERAPY PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96542|96542 - CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT||93.0343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96523|96523 - IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST||51.0257|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96522|96522 - REFILL&MAINTENANCE PUMP DRUG DLVR SYSTEMIC||232.7707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96521|96521 - REFILLING & MAINTENANCE PORTABLE PUMP||283.4629|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96450|96450 - CHEMOTX ADMN CNS REQ SPINAL PUNCTURE||179.0705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96446|96446 - CHEMOTX ADMN PRTL CAVITY PORT/CATH||62.5063|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96440|96440 - CHEMOTX ADMN PLEURAL CAVITY REQ&W/THORACNTS||309.926|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96425|96425 - CHEMOTX ADMN IA NFS >8 HR PRTBLE IMPLTBL PMP||371.5138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96423|96423 - CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR||161.4585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96422|96422 - CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS </1 HR||347.6061|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96420|96420 - CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ||216.5082|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96417|96417 - CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR||129.1895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96416|96416 - CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP||288.5366|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96415|96415 - CHEMOTHERAPY ADMN IV INFUSION TQ EA HR||59.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96413|96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG||278.2426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96411|96411 - CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG||128.3839|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96409|96409 - CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG||227.9412|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96406|96406 - CHEMOTHERAPY ADMINISTRATION INTRALESIONAL >7||102.1279|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96405|96405 - CHEMOTHERAPY ADMINISTRATION INTRALESIONAL </7||65.8028|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96402|96402 - CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO||67.4591|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96401|96401 - CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO||153.8174|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96379|96379 - UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96376|96376 - THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96375|96375 - THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG||46.4443|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96374|96374 - THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG||117.3577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96373|96373 - THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL||41.22|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96372|96372 - THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM||52.8077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96371|96371 - SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE||148.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96370|96370 - SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR||31.8863|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96369|96369 - SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP||394.2542|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96368|96368 - IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS||43.3927|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96367|96367 - IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR||63.8379|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96366|96366 - IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR||39.8529|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96365|96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR||142.9499|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96361|96361 - IV INFUSION HYDRATION EACH ADDITIONAL HOUR||31.8783|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96360|96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR||117.9966|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96155|96155 - HLTH&BEHAVIOR IVNTJ EA 15 MIN FAM W/O PT||49.943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96154|96154 - HLTH&BEHAVIOR IVNTJ EA 15 MIN FAM W/PT||42.778|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96153|96153 - HLTH&BEHAVIOR IVNTJ EA 15 MIN GRP 2/>PTS||10.2327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96152|96152 - HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV||43.5836|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96151|96151 - HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT||45.1948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96150|96150 - HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT||47.5302|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96127|96127 - BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT||10.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96125|96125 - STANDARDIZED COGNITIVE PERFORMANCE TESTING||253.5809|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96120|96120 - NEUROPSYCHOLOG TESTING COMPUTER W/PROF I&R||57.7589|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96119|96119 - NEUROPSYC TSTG W/PROF I&R ADMN BY TECH PR HR||53.0067|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96118|96118 - NUROPSYC TESTING PR HR W/PT & INTERPJ TIME||175.9415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96116|96116 - NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR||193.3352|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96111|96111 - DEVELOPMENTAL TESTING W/INTERP & REPORT||272.5157|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96110|96110 - DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM||18.1098|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96105|96105 - ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR||233.7133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96103|96103 - PSYCHOLOGICAL TESTING COMPUTER W/PROF I&R||59.2073|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96102|96102 - PSYCHOLOGICAL TESTING ADMN BY TECH PR HR||51.8796|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96101|96101 - PSYCHOLOGICAL TESTING PR HR WITH PATIENT||177.39|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96040|96040 - MEDICAL GENETICS COUNSELING EACH 30 MINUTES||95.6106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96020|96020 - TEST SELECT & ADMN FUNCTL BRAIN MAP PHYS/QHP||0|364.7404|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96004|96004 - PHYS/QHP R&I CPTR MTN ALYS WALK/FUNCJL ACTV REPR||257.9215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96003|96003 - DYN FINE WIRE EMG WALKG/FUNCJAL ACTV 1 MUSC||38.5019|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96002|96002 - DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC||48.2504|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96001|96001 - COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG||237.7485|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|96000|96000 - COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS||210.2366|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95999|95999 - UNLIS NEUROLOGICAL/NEUROMUSCULAR DX PX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95992|95992 - CANALITH REPOSITIONING PROCEDURE||82.887|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95991|95991 - RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP||88.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95990|95990 - REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN||187.588|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95982|95982 - ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG||80.6451|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95981|95981 - ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG||39.3929|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95980|95980 - ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG||102.1763|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95979|95979 - ELEC ALYS NSTIM PLS GEN CPLX DP BRN EA 30 MIN||198.0834|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95978|95978 - ELEC ALYS NSTIM PLS GEN CPLX DP BRN 1ST HR||426.2259|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95975|95975 - ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV EA 30 MIN||205.0896|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95974|95974 - ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV 1ST HR||362.0183|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95972|95972 - ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG||92.725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95971|95971 - ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG||90.3855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95970|95970 - ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING||52.9253|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95967|95967 - MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL||0|410.8672|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95966|95966 - MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY||0|471.4376|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95965|95965 - MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY||0|931.3609|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95962|95962 - FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR||563.5947|383.9812|179.6134|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95961|95961 - FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR||627.5711|358.8772|268.6939|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95958|95958 - WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG||1207.8989|501.0248|706.8741|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95957|95957 - DIGITAL ANALYSIS ELECTROENCEPHALOGRAM||661.4529|232.6998|428.7531|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95956|95956 - MNTR SEIZURE CMPTR 16CHAN EEG ATND EA 24 HR||3393.5852|424.1596|2969.4256|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95955|95955 - EEG NONINTRACRANIAL SURGERY||451.4758|119.7737|331.702|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95954|95954 - RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE||943.4021|277.089|666.3131|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95953|95953 - LOCALIZE CEREBRAL SEIZURE CPTR PORTABLE EEG||889.8775|363.3491|526.5284|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95951|95951 - LOCALIZE CEREBRAL SEIZURE CABLE/RADIO EEG/VIDEO||0|707.9214|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95950|95950 - MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG||690.2111|177.4432|512.768|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95943|95943 - PARASYMP & SYMP NRV FUNCJ HRT RATE VARIABILITY||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95941|95941 - IONM REMOTE/NEARBY/>1 PATIENT IN OR PER HOUR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95940|95940 - IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES||72.2556|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95939|95939 - CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LI||1043.8834|265.3185|778.565|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95938|95938 - SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB||706.6372|101.8919|604.7454|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95937|95937 - NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH||171.8781|76.2755|95.6026|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95933|95933 - ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST||158.3537|69.2692|89.0845|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95930|95930 - VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R||267.9286|41.2361|226.6925|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95929|95929 - CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS||475.7572|178.8183|296.9389|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95928|95928 - CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS||472.128|177.3618|294.7662|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95927|95927 - SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD||295.5589|60.8959|234.6631|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95926|95926 - SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS||286.1399|60.8959|225.244|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95925|95925 - SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS||323.0757|62.3443|260.7314|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95924|95924 - TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT||319.026|198.0753|120.9507|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95923|95923 - TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION||343.3945|102.9456|240.4489|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95922|95922 - TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ||214.2372|107.7711|106.4661|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95921|95921 - TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP||184.0555|100.7648|83.2906|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95913|95913 - NERVE CONDUCTION STUDIES 13/> STUDIES||638.1212|416.5024|221.6189|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95912|95912 - NERVE CONDUCTION STUDIES 11-12 STUDIES||556.7842|351.8226|204.9615|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95911|95911 - NERVE CONDUCTION STUDIES 9-10 STUDIES||496.2138|296.3218|199.8919|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95910|95910 - NERVE CONDUCTION STUDIES 7-8 STUDIES||410.2993|237.2039|173.0954|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95909|95909 - NERVE CONDUCTION STUDIES 5-6 STUDIES||307.7235|177.3578|130.3657|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95908|95908 - NERVE CONDUCTION STUDIES 3-4 STUDIES||252.8164|147.7988|105.0176|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95907|95907 - NERVE CONDUCTION STUDIES 1-2 STUDIES||203.7032|118.2399|85.4633|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95905|95905 - MOTOR &/SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB||143.8127|6.2047|137.608|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95887|95887 - NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION||171.6421|84.01|87.632|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95886|95886 - NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE||193.8652|102.6121|91.2532|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95885|95885 - NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED||123.0783|41.9643|81.1139|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95875|95875 - ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB||264.6361|130.6493|133.9869|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95874|95874 - NEEDLE EMG GUID W/CHEMODENERVATION||152.9345|44.2998|108.6347|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95873|95873 - ELECTRICAL STIMULATION GUID W/CHEMODENERVATION||153.6547|44.2957|109.359|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95872|95872 - NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER||425.4501|339.9868|85.4633|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95870|95870 - NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI||193.4955|43.5755|149.9199|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95869|95869 - NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12||193.4955|44.2998|149.1957|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95868|95868 - NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI||281.2201|139.991|141.2292|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95867|95867 - NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI||199.8178|92.6275|107.1903|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95866|95866 - NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM||283.9543|148.519|135.4353|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95865|95865 - NEEDLE ELECTROMYOGRAPHY LARYNX||308.3091|187.3584|120.9507|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95864|95864 - NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS||508.7295|239.3114|269.4181|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95863|95863 - NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS||451.2429|220.9333|230.3096|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95861|95861 - NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS||363.8228|183.4851|180.3377|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95860|95860 - NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS||257.6911|114.2892|143.4019|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95857|95857 - CHOLINESTERASE INHIBITOR CHALLENGE TEST||65.1639|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95852|95852 - ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID||13.211|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95851|95851 - ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPI||17.239|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95834|95834 - MUSC TSTG MNL W/REPRT TOTAL EVAL BODY W/HANDS||69.3546|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95833|95833 - MUSC TSTG MNL W/REPRT TOTAL EVAL BODY EX HANDS||48.0103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95832|95832 - MUSC TSTG MNL W/REPRT HAND W/WO CMPRSN NRML SIDE||34.9661|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95831|95831 - MUSC TSTG MNL W/REPRT XTR EX HAND/TRNK||33.4323|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95830|95830 - INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP||203.6371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95829|95829 - ELECTROCORTICOGRAM SURGERY SPX||3907.2127|745.1939|3162.0188|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95827|95827 - ELECTROENCEPHALOGRAM ALL NIGHT RECORDING||1437.7646|126.8613|1310.9033|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95824|95824 - ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY||0|87.1511|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95822|95822 - ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY||772.8879|127.5856|645.3023|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95819|95819 - ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP||856.9028|127.5856|729.3172|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95816|95816 - ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY||750.4367|127.5856|622.8512|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95813|95813 - EEG EXTENDED MONITORING 61-119 MINUTES||879.5811|203.8611|675.7201|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95812|95812 - ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN||722.9159|127.5856|595.3304|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95811|95811 - POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND||1363.2445|281.9266|1081.3179|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95810|95810 - POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND||1297.242|270.9697|1026.2723|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95808|95808 - POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND||1306.251|195.2477|1111.0033|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95807|95807 - SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN||990.3523|138.6279|851.7244|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95806|95806 - SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT||354.929|135.4828|219.4462|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95805|95805 - MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG||885.408|131.4549|753.9532|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95803|95803 - ACTIGRAPHY TESTING RECORDING ANALYSIS I&R||297.0356|97.1437|199.8919|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95801|95801 - SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL||193.564|109.5491|84.0149|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95800|95800 - SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME||373.5762|115.0215|258.5547|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95783|95783 - POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM||2227.6957|310.5825|1917.1132|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95782|95782 - POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND||2124.44|281.9266|1842.5134|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95251|95251 - CONTINUOUS GLUCOSE MONITORING ANALYSIS I&R||96.0167|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95250|95250 - CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT||323.0234|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95199|95199 - UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SRVC/PX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95180|95180 - RAPID DESENSITIZATION PROCEDURE EACH HOUR||224.2411|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95170|95170 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE||7.0103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95165|95165 - PREPJ& ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN||7.0103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95149|95149 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT||7.0103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95148|95148 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT||7.0103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95147|95147 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT||7.0103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95146|95146 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT||7.0103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95145|95145 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT||7.0103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95144|95144 - PREPJ& ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO||7.0103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95134|95134 - PROF SVCS ALLG IMMNTX W/PRV XTRC 5 STING INSECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95133|95133 - PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95132|95132 - PROF SVCS ALLG IMMNTX W/PRV XTRC 3 STING INSECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95131|95131 - PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95130|95130 - PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95125|95125 - PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2/> NJX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95120|95120 - PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95117|95117 - PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS||21.0067|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95115|95115 - PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX||18.1098|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95079|95079 - INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES||148.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95076|95076 - INGESTION CHALLENGE TEST INITIAL 120 MINUTES||162.8691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95071|95071 - INHLJ BRNCL CHALLENGE TSTG W/AGS/GASES||71.707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95070|95070 - INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL||62.292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95065|95065 - DIRECT NASAL MUCOUS MEMBRANE TEST||52.1487|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95060|95060 - OPHTHALMIC MUCOUS MEMBRANE TESTS||71.7029|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95056|95056 - PHOTO TESTS||90.537|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95052|95052 - PHOTO PATCH TEST SPECIFY NUMBER TSTS||13.7644|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95044|95044 - PATCH/APPLICATION TEST SPECIFY NUMBER TESTS||11.5917|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95028|95028 - IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING||27.5248|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95027|95027 - INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE||9.5004|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95024|95024 - INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS||2.2581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95018|95018 - ALLG TEST PERQ & IC DRUG/BIOL IMMED REACT W/I&R||15.6278|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95017|95017 - ALLG TSTG PERQ & IC VENOMS IMMED REACT W/I&R||7.8159|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95012|95012 - NITRIC OXIDE EXPIRED GAS DETERMINATION||39.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|95004|95004 - PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS||13.8458|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94799|94799 - UNLISTED PULMONARY SERVICE/PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94781|94781 - CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN||18.7688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94780|94780 - CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN||50.9967|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94777|94777 - PEDIATRIC APNEA MONITOR PHYS/QHP REVIEW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94776|94776 - PEDIATRIC APNEA MONITOR ANALYSES COMPUTER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94775|94775 - PEDIATRIC APNEA MONITOR ATTACHMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94774|94774 - PEDIATRIC APNEA MONITOR ATTACHMENT PHYS I&R||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94772|94772 - CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94770|94770 - CARBON DIOXIDE EXP GAS DETER INFRARED ANALYZER||16.4334|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94762|94762 - NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR||49.976|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94761|94761 - NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER||10.1433|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94760|94760 - NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER||6.5221|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94750|94750 - PULMONARY COMPLIANCE STUDY||167.0042|25.0508|141.9534|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94729|94729 - CO DIFFUSING CAPACITY||113.0856|20.38|92.7057|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94728|94728 - AIRWAY RESISTANCE BY OSCILLOMETRY||84.6859|28.1919|56.4941|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94727|94727 - GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&V||88.3071|27.4676|60.8395|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94726|94726 - PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST||110.034|27.4676|82.5664|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94690|94690 - O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX||102.6943|8.5401|94.1541|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94681|94681 - O2 UPTK EXP GAS ALYS W/CO2 OUTPUT % O2 XTRC||109.5459|21.9098|87.636|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94680|94680 - O2 UPTK EXP GAS ANALYSIS REST&XERS DIRECT SIMP||119.4491|28.1919|91.2572|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94669|94669 - MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION||67.3616|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94668|94668 - MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ||59.395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94667|94667 - MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL||53.6012|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94664|94664 - DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP||35.4914|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94662|94662 - CONTINUOUS NEGATIVE PRESSURE VENTJ INITIAT&MGM||82.9805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94660|94660 - CPAP VENTILATION CPAP INITIATION&MGMT||84.4249|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94645|94645 - CONTINUOUS INHALATION TREATMENT EA ADDL HR||28.9733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94644|94644 - CONTINUOUS INHALATION TREATMENT 1ST HR||89.8087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94642|94642 - PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94640|94640 - PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT||37.6641|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94621|94621 - CARDIOPULMONARY EXERCISE TESTING||346.181|153.5274|192.6536|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94620|94620 - PULMONARY STRESS TESTING SIMPLE||120.3763|68.2276|52.1487|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94610|94610 - INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP||131.8617|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94453|94453 - HIGH ALTITUDE SIMULATJ W/PHYS I&R W/O2 TITRATION||166.943|42.3712|124.5718|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94452|94452 - HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP&REPORT||120.5801|32.2198|88.3603|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94450|94450 - BREATHING RESPONSE TO HYPOXIA||143.0434|44.5439|98.4995|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94400|94400 - BREATHING RESPONSE TO CO2||117.6953|43.8196|73.8756|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94375|94375 - RESPIRATORY FLOW VOLUME LOOP||82.9201|32.9441|49.976|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94250|94250 - EXPIRED GAS COLLECTION QUANT 1 PROCEDURE SPX||54.4962|11.7625|42.7337|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94200|94200 - MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ||52.3235|12.4867|39.8368|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94150|94150 - VITAL CAPACITY TOTAL SEPARATE PROCEDURE||51.998|8.5401|43.4579|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94070|94070 - BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT||127.2931|64.281|63.0122|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94060|94060 - BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN||126.7727|28.9975|97.7753|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94016|94016 - PATIENT-INITIATED SPIROMETRIC PHYS/QHP R&I ONLY||56.3837|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94015|94015 - PATIENT-INITIATED SPIROMETRIC RECORDING||63.0122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94014|94014 - PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R&I||119.3959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94013|94013 - MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS||76.3891|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94012|94012 - MEAS SPIRO FRCD EXP FLO PRE&POST BRONCH INF/2YRS||347.5707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94011|94011 - MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT&/2 Y||227.0768|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94010|94010 - SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ||75.2629|18.7688|56.4941|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94005|94005 - HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN/>||201.9897|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94004|94004 - VENTILATION ASSIST & MGMT NURSING FAC PR DAY||108.8329|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94003|94003 - VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DA||148.7953|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|94002|94002 - VENTILATION ASSIST & MGMT INPATIENT 1ST DAY||207.4532|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93998|93998 - UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93990|93990 - DUPLEX SCAN HEMODIALYSIS ACCESS||240.93|55.5209|185.4|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93982|93982 - IMPLANT WIRELESS PRESS SENSOR STUDY ANEURYSM SAC||90.8133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93981|93981 - DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD||154.2444|49.2268|105.0176|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93980|93980 - DUP-SCAN ARTL INFL&VEN O/F PEN VSL COMPL||257.882|136.2071|121.6749|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93979|93979 - DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD||251.7836|55.5129|196.2708|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93978|93978 - DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE||399.0825|89.1079|309.9825|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93976|93976 - DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT||342.5768|89.0918|253.485|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93975|93975 - DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM||438.2325|128.9768|309.24|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93971|93971 - DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY||252.093|50.0284|202.0646|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93970|93970 - DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY||387.405|77.4187|309.9825|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93965|93965 - EXTREMITY STUDY||249.8268|39.0714|210.7554|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93931|93931 - DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY||270.6096|55.5088|215.1008|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93930|93930 - DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY||399.0825|89.1038|309.9825|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93926|93926 - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY||319.8614|54.0604|265.801|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93925|93925 - DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY||396.9|87.6473|309.24|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93924|93924 - N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI||361.8668|55.5088|306.358|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93923|93923 - NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS||289.0368|50.0324|239.0044|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93922|93922 - NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL||185.2808|28.1185|157.1623|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93895|93895 - CAROTID INTIMA MEDIA & CAROTID ATHEROMA EVAL BI||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93893|93893 - TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ||318.645|132.5086|186.1425|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93892|93892 - TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT||321.5475|135.4176|186.1425|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93890|93890 - TRANSCRANIAL DOPPLER INTRACRAN ART VASOREAC STDY||424.5975|114.6227|309.9825|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93888|93888 - TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD||308.2656|56.9533|251.3124|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93886|93886 - TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL||414.45|105.2037|309.24|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93882|93882 - DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY||270.6177|56.2411|214.3765|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93880|93880 - DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY||399.0825|89.0998|309.9825|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93799|93799 - UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93798|93798 - OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING||31.2555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93797|93797 - OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR||19.5744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93790|93790 - AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R||41.4802|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93788|93788 - AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R||10.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93786|93786 - AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY||60.8395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93784|93784 - AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R||113.1871|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93770|93770 - DERMINATION OF VENOUS PRESSUE||17.9632|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93750|93750 - INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS||103.1244|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93745|93745 - 1ST SET-UP & PRGRMG PHYS/QHP OF WEARABLE CVDFB||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93740|93740 - TEMPRATURE GRADIENT STUDY||17.9632|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93724|93724 - ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM||594.5441|537.3258|57.2183|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93702|93702 - BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT||220.8946|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93701|93701 - BIOMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS||49.2518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93668|93668 - PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION||39.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93662|93662 - INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S&I||0|316.1363|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93660|93660 - CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR||338.4215|208.776|129.6455|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93657|93657 - ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN||953.2578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93656|93656 - EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN||2541.694|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93655|93655 - ICAR CATHETER ABLATION ARRHYTHMIA ADD ON||953.2538|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93654|93654 - EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA||2540.0828|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93653|93653 - EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA||1906.5075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93650|93650 - ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION||1353.7361|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93644|93644 - EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR||597.5119|382.4071|215.1048|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93642|93642 - EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS||919.3422|607.9065|311.4356|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93641|93641 - EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN||0|733.0503|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93640|93640 - EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE||0|431.5219|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93631|93631 - INTRAOP EPICAR& ENDOCAR PACG& MAPG||0|897.4316|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93624|93624 - ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT||0|589.1418|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93623|93623 - PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS||0|355.845|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93622|93622 - COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC||0|383.2473|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93621|93621 - COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC||0|262.0502|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93620|93620 - COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION||0|1437.0831|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93619|93619 - COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION||0|905.9765|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93618|93618 - INDUCTION ARRHYTHMIA ELECTRICAL PACING||0|530.301|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93616|93616 - ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG||0|144.686|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93615|93615 - ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS||0|115.9818|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93613|93613 - INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING||892.5658|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93612|93612 - INTRAVENTRICULAR PACING||0|366.6472|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93610|93610 - INTRA-ATRIAL PACING||0|369.5482|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93609|93609 - INTRA-VENTRIC&/ATRIAL MAPG TACHYCARD W/CATH MA||0|621.1175|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93603|93603 - RIGHT VENTRICULAR RECORDING||0|260.0362|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93602|93602 - INTRA-ATRIAL RECORDING||0|260.0362|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93600|93600 - BUNDLE OF HIS RECORDING||0|265.1098|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93583|93583 - PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER||1703.3876|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93582|93582 - PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS||1509.756|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93581|93581 - PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT||3007.1751|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93580|93580 - PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT||2204.6218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93572|93572 - IV DOP VEL&/OR PRESS C/FLO RSRV MEAS ADDL VSL||0|172.6128|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93571|93571 - IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL||0|215.4029|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93568|93568 - NJX PULMONARY ANGIO HRT CATH W/S&I||106.4564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93567|93567 - NJX SUPRAVALV AORTOG HRT CATH W/S&I||118.0642|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93566|93566 - NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S&I||104.121|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93565|93565 - NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S&I||103.3887|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93564|93564 - NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S&I||138.2122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93563|93563 - NJX SEL HRT ART CONGENITAL HRT CATH W/S&I||132.2355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93562|93562 - INDIC DIL STD ARTL&/OR VEN CATHJ SBSQ OUTP MEA||0|17.9632|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93561|93561 - INDIC DIL STD ARTL&/OR VEN CATHJ W/OUTP MEAS||0|56.9573|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93533|93533 - CMBN R HRT T-SEPTAL L HRT CATHJ SEPTAL OPNG CGEN||0|800.9396|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93532|93532 - CMBN R HRT T-SEPTAL L HRT CATHJ NTC SEPTUM CGEN||0|1200.3311|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93531|93531 - CMBN R HRT & RETROGRADE L HRT CATHJ CGEN ANOMA||0|970.0384|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93530|93530 - R HRT CATHETERIZATION CONGENITAL CARDIAC ANOMALY||0|495.9536|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93505|93505 - ENDOMYOCARDIAL BIOPSY||1603.8803|523.3148|1080.5654|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93503|93503 - INSERTION FLOW DIRECTED CATHETER FOR MONITORING||291.7436|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93464|93464 - PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU||576.6856|194.2834|382.4023|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93463|93463 - MEDICATION ADMIN & HEMODYNAMIC MEASURMENT||219.8345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93462|93462 - LEFT HEART CATH BY TRANSEPTAL PUNCTURE||470.3042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93461|93461 - R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I||3059.8393|972.58|2087.2593|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93460|93460 - R & L HRT CATH WINJX HRT ART& L VENTR IMG||2677.7923|881.6781|1796.1142|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93459|93459 - CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I||2494.1928|791.5044|1702.6883|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93458|93458 - CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I||2256.2759|702.055|1554.2209|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93457|93457 - CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I||2663.1498|826.4786|1836.6712|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93456|93456 - CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I||2356.5083|737.1065|1619.4017|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93455|93455 - CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I||2187.8203|664.0171|1523.8032|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93454|93454 - CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I||1879.6489|574.5677|1305.0812|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93453|93453 - R & L HRT CATH W/NJX L VENTRICULOG IMG S&I||2390.5632|749.4346|1641.1287|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93452|93452 - L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I||1851.7785|566.9758|1284.8028|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93451|93451 - RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT||1630.871|324.3453|1306.5257|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93355|93355 - ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN||503.726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93352|93352 - USE OF ECHO CONTRAST AGENT DURING STRESS ECHO||71.0802|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93351|93351 - ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG||568.3123|188.8029|379.5094|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93350|93350 - ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST||504.3849|158.1942|346.1907|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93325|93325 - DOP ECHOCARD COLOR FLOW VELOCITY MAPPING||52.7142|7.0876|45.6266|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93321|93321 - DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD||56.9903|16.4334|40.557|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93320|93320 - DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY||113.9033|40.7559|73.1474|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93318|93318 - ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ||0|259.3168|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93317|93317 - ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT||0|234.3553|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93316|93316 - ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY||85.8855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93315|93315 - ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R||0|315.1148|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93314|93314 - ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I&R ONLY||630.5954|230.8075|399.7879|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93313|93313 - ECHO R-T 2D W/PROBE PLACEMENT ONLY||50.5166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93312|93312 - ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R||646.5365|269.9241|376.6125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93308|93308 - ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD||259.2539|57.1893|202.0646|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93307|93307 - ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP||274.0189|100.1993|173.8196|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93306|93306 - ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D||476.2865|140.9593|335.3272|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93304|93304 - F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY||324.7804|81.4346|243.3458|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93303|93303 - COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY||498.0135|141.6835|356.3299|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93299|93299 - REM INTERROG ICPMS/SCRMS <30 D TECH REVIEW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93298|93298 - REM INTERROG SCRMS <30 D PHYS/QHP||58.5604|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93297|93297 - REM INTERROG ICPMS <30 D PHYS/QHP||58.5604|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93296|93296 - REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW||52.8729|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93295|93295 - INTERROGATION EVAL REMOTE </90 D 1/2/MLT LD DFB||148.8606|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93294|93294 - REM INTERROG PM/LDLS PM <90 D PHYS/QHP||74.8311|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93293|93293 - TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL||111.2465|34.4739|76.7726|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93292|93292 - INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR||70.1401|47.6849|22.4552|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93291|93291 - INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON||77.3824|47.6849|29.6975|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93290|93290 - INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON||67.2432|47.6849|19.5583|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93289|93289 - INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB||140.7603|100.9235|39.8368|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93288|93288 - INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON||78.8309|46.9607|31.8702|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93287|93287 - PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB||77.5451|50.7445|26.8006|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93286|93286 - PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON||58.2148|33.5869|24.6279|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93285|93285 - PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON||90.4266|57.8322|32.5944|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93284|93284 - PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB||194.1496|139.104|55.0456|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93283|93283 - PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB||175.9504|127.4228|48.5275|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93282|93282 - PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB||135.1211|93.8359|41.2852|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93281|93281 - PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER||146.3914|99.3124|47.0791|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93280|93280 - PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER||125.0552|85.2184|39.8368|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93279|93279 - PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP||106.6932|71.2019|35.4914|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93278|93278 - SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG||63.6019|27.3863|36.2156|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93272|93272 - XTRNL PT ACTIVTD ECG DWNLD W/R&I </30 DAYS||56.3837|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93271|93271 - XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS||348.3594|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93270|93270 - XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS||18.834|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93268|93268 - XTRNL PT ACTIV ECG TRANSMIS W/R&I </30 DAYS||423.5771|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93261|93261 - INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB||129.8767|84.9703|44.9064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93260|93260 - PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM||143.8119|98.9055|44.9064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93229|93229 - XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT||1484.6987|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93228|93228 - XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS||57.8362|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93227|93227 - XTRNL ECG CONTINUOUS RHYTHM W/I&R UP TO 48 HRS||58.5564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93226|93226 - EXTERNAL ECG SCANNING ANALYSIS REPORT||77.4968|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93225|93225 - XTRNL ECG & 48 HR RECORDING||54.3214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93224|93224 - XTRNL ECG & 48 HR RECORD SCAN STOR W/R&I||190.3746|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93050|93050 - ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE||36.8786|18.7688|18.1098|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93042|93042 - RHYTHM ECG 1-3 LEADS INTERPRETATION & REPRT ON||15.7091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93041|93041 - RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I&R||11.5917|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93040|93040 - RHYTHM ECG 1-3 LEADS W/INTERPRETATION & REPORT||27.3009|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93025|93025 - MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS||332.0227|81.4346|250.5881|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93024|93024 - ERGONOVINE PROVOCATION TST||238.4011|126.8613|111.5397|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93018|93018 - CV STRS TST XERS&/OR RX CONT ECG I&R ONLY||32.1385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93017|93017 - CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY||80.3937|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93016|93016 - CV STRS TST XERS&/OR RX CONT ECG W/O I&R||49.2961|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93015|93015 - CV STRS TST XERS&/OR RX CONT ECG W/SI&R||161.8283|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93010|93010 - ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY||18.7688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93005|93005 - ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R||17.3856|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|93000|93000 - ECG ROUTINE ECG W/LEAST 12 LDS W/I&R||36.1544|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92998|92998 - PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL||729.3349|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92997|92997 - PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL||1478.9967|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92993|92993 - ATRIAL SEPTECT/SEPTOSTOMY BLADE METHOD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92992|92992 - ATRIAL SEPTECT/SEPTOST TRANSVENOUS BALLOON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92990|92990 - PRQ BALLOON VALVULOPLASTY PULMONARY VALVE||2431.6914|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92987|92987 - PRQ BALLOON VALVULOPLASTY MITRAL VALVE||3085.5491|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92986|92986 - PRQ BALLOON VALVULOPLASTY AORTIC VALVE||2991.5384|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92979|92979 - ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL||0|172.6128|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92978|92978 - ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL||0|216.1271|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92977|92977 - THROMBOLYSIS CORONARY INTRAVENOUS INFUSION||126.7929|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92975|92975 - THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH||881.5758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92974|92974 - TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX||365.0723|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92973|92973 - PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY||399.9691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92971|92971 - CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL||226.7666|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92970|92970 - CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL||420.6021|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92961|92961 - CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX||583.8119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92960|92960 - CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL||270.4002|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92953|92953 - TEMPORARY TRANSCUTANEOUS PACING||25.0549|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92950|92950 - CARDIOPULMONARY RESUSCITATION||418.7065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92944|92944 - PRQ TRLUML CORONRY CHRNIC OCCLUS REVASC ADDL VSL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92943|92943 - PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL||1532.9958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92941|92941 - PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL||1533.7241|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92938|92938 - PRQ TRLUML CORONARY BYP GRFT REVASC ADDL VESSEL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92937|92937 - PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL||1367.544|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92934|92934 - PRQ TRLUML CORONARY STENT/ATH/ANGIO ADDL BRANCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92933|92933 - PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH||1530.6604|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92929|92929 - PRQ TRLUML CORONARY STENT W/ANGIO ADDL ART/BRNCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92928|92928 - PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH||1368.3496|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92925|92925 - PRQ TRLUML CORONARY ANGIO/ATHEREC ADDL ART/BRNCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92924|92924 - PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH||1463.845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92921|92921 - PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92920|92920 - PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH||1232.4688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92700|92700 - UNLISTED OTORHINOLARYNGOLOGICAL SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92640|92640 - ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR||211.3394|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92633|92633 - AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92630|92630 - AUDITORY REHABILITATION PRELINGUAL HEARING LOSS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92627|92627 - EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15||39.6249|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92626|92626 - EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR||167.8453|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92625|92625 - ASSESSMENT TINNITUS||137.5661|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92621|92621 - EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN||41.9603|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92620|92620 - EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN||181.6991|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92618|92618 - EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN||73.3826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92617|92617 - FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V I&R||92.6315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92616|92616 - FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V REC||223.9237|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92615|92615 - FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I&R||73.9441|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92614|92614 - FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC||150.1423|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92613|92613 - FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I&R||84.7423|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92612|92612 - FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC||150.8665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92611|92611 - MOTION FLUOR EVAL SWLNG FUNCJ C/V REC||189.1001|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92610|92610 - EVAL ORAL&PHARYNGEAL SWLNG FUNCJ||159.7933|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92609|92609 - THER SP-GENRATJ DEV PRGRMG&MODIFICAJ||238.1852|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92608|92608 - RX SP-GENRATJ AUGMNT&COMUNICAJ DEV EA 30 MIN||113.6181|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92607|92607 - RX SP-GENRATJ AUGMNT&COMUNICAJ DEV 1ST HR||273.6354|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92606|92606 - THER SVC N-SP-GENRATJ DEV PRGRMG&MODIFICAJ||157.7181|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92605|92605 - EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR||196.7855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92604|92604 - ANALYSIS COCHLEAR IMPLT 7 YR/> SBSQ REPRGRMG||149.2432|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92603|92603 - ANALYSIS COCHLEAR IMPLT 7 YR/> PRGRMG||269.6558|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92602|92602 - ANALYSIS COCHLEAR IMPLT PT <7 YR SBSQ REPRGRMG||152.5551|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92601|92601 - ANALYSIS COCHLEAR IMPLT PT <7 YR PRGRMG||265.0091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92597|92597 - EVAL&/FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC||158.0234|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92596|92596 - EAR PROTECTOR ATTENUATION MEASUREMENTS||86.1916|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92595|92595 - ELECTROACOUS EVAL HEARING AID BINAURAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92594|92594 - ELECTROACOUS EVAL HEARING AID MONAURAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92593|92593 - HEARING AID CHECK BINAURAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92592|92592 - HEARING AID CHECK MONAURAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92591|92591 - HEARING AID EXAMINATION & SELECTION BINAURAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92590|92590 - HEARING AID EXAMINATION & SELECTION MONAURAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92588|92588 - DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL||71.8367|63.8661|7.9706|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92587|92587 - DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD||47.034|40.5118|6.5221|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92586|92586 - AUDITORY EVOKED POTENTIALS LIMITED||174.5478|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92585|92585 - AUDITORY EVOKED POTENTIALS COMPREHENSIVE||281.465|59.1179|222.3471|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92584|92584 - ELECTROCOCHLEOGRAPHY||149.924|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92583|92583 - SELECT PICTURE AUDIOMETRY||107.1903|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92582|92582 - CONDITIONING PLAY AUDIOMETRY||138.3363|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92579|92579 - VISUAL REINFORCEMENT AUDIOMETRY||82.4842|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92577|92577 - STENGER TEST SPEECH||34.0429|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92576|92576 - SYNTHETIC SENTENCE IDENTIFICATION TEST||73.1514|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92575|92575 - SENSORINEURAL ACUITY LEVEL||147.7513|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92572|92572 - STAGGERED SPONDAIC WORD||73.1514|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92571|92571 - FILTERED SPEECH TEST||55.7699|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92570|92570 - ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY||66.0468|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92568|92568 - ACOUSTIC REFLEX THRESHOLD||34.2338|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92567|92567 - TYMPANOMETRY||24.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92565|92565 - STENGER TEST PURE TONE||32.5944|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92564|92564 - SHORT INCREMENT SENSITIVITY INDEX||57.2183|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92563|92563 - TONE DECAY TEST||63.0122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92562|92562 - LOUDNESS BALANCE BINAURAL/MONAURAL||94.8784|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92561|92561 - BEKESY AUDIOMETRY DIAGNOSTIC||77.5008|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92560|92560 - BEKESY AUDIOMETRY SCREENING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92559|92559 - AUDIOMETRIC TESTING GROUPS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92558|92558 - EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92557|92557 - COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ||72.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92556|92556 - SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ||76.0483|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92555|92555 - SPEECH AUDIOMETRY THRESHOLD||47.8033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92553|92553 - PURE TONE AUDIOMETRY AIR & BONE||76.0483|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92552|92552 - PURE TONE AUDIOMETRY AIR ONLY||63.7364|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92551|92551 - SCREENING TEST PURE TONE AIR ONLY||24.6279|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92550|92550 - TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS||46.3097|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92548|92548 - CDP-SOT 6 CONDITIONS W/INTERPRETATION & REPORT||213.3832|57.6694|155.7138|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92547|92547 - USE VERTICAL ELECTRODES||12.3119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92546|92546 - SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING||213.123|32.7813|180.3417|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92545|92545 - OSCILLATING TRACKING TEST W/RECORDING||33.1841|28.8347|4.3494|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92544|92544 - OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC||36.2438|31.1701|5.0736|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92542|92542 - POSITIONAL NYSTAGMUS TEST||61.1319|55.334|5.7979|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92541|92541 - SPONTANEOUS NYSTAGMUS TEST||52.5104|45.9883|6.5221|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92540|92540 - VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRK||220.0834|175.177|44.9064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92538|92538 - CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL||44.4544|35.0354|9.419|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92537|92537 - CALORIC VESTIBULAR TEST W/REC BI BITHERMAL||87.4564|70.0708|17.3856|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92534|92534 - OPTOKINETIC NYSTAGMUS TEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92533|92533 - CALORIC VESTIBULAR TEST EACH IRRIGATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92532|92532 - POSITIONAL NYSTAGMUS TEST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92531|92531 - SPONTANEOUS NYSTAGMUS W/GAZE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92526|92526 - TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING||186.9113|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92524|92524 - BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE||195.4636|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92523|92523 - EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION||420.6166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92522|92522 - EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE||201.2574|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92521|92521 - EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)||240.9556|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92520|92520 - LARYNGEAL FUNCTION STUDIES||91.5859|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92516|92516 - FACIAL NERVE FUNCTION STUDIES||51.3101|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92512|92512 - NASAL FUNCTION STUDIES||63.8782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92511|92511 - NASOPHARYNGOSCOPY W/ENDOSCOPE SPX||86.0933|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92508|92508 - TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2/>INDIV||50.4884|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92507|92507 - TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND||172.1012|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92504|92504 - BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE||21.0229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92502|92502 - OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA||212.9426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92499|92499 - UNLISTED OPHTHALMOLOGICAL SERVICE/PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92371|92371 - RPR&REFITG SPECTACLE PROSTHESIS APHAKIA||23.9037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92370|92370 - RPR&REFITG SPECTACLES EXCEPT APHAKIA||35.9264|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92358|92358 - PROSTHESIS SERVICE APHAKIA TEMPORARY||23.1794|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92355|92355 - FITTING SPECTACLE MOUNTED LW VIS AID TLSCP||42.7337|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92354|92354 - FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT||27.5248|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92353|92353 - FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL||56.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92352|92352 - FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL||41.4028|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92342|92342 - FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL||59.366|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92341|92341 - FITTING SPECTACLES XCPT APHAKIA BIFOCAL||53.084|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92340|92340 - FITTING SPECTACLES XCPT APHAKIA MONOFOCAL||41.4028|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92326|92326 - REPLACEMENT CONTACT LENS||71.7029|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92325|92325 - MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION||85.4633|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92317|92317 - RX CONTACT CORNEOSCLERAL LENS||49.2961|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92316|92316 - RX CONTACT CORNEAL LENS APHAKIA BOTH EYES||72.8944|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92315|92315 - RX CONTACT CORNEAL LENS APHAKIA 1 EYE||48.5718|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92314|92314 - RX&FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA||77.3292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92313|92313 - RX&FITG CORNEOSCLERAL LENS||104.5447|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92312|92312 - RX&FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES||140.6298|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92311|92311 - RX&FITG CONTACT CORNEAL LENS APHAKIA 1 EYE||123.2321|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92310|92310 - RX&FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK||131.9431|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92287|92287 - ANT SGM IMAGING W/FLUOROSCEIN ANGIO & I&R||286.155|102.1932|183.96|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92286|92286 - ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY||81.4797|48.8852|32.5944|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92285|92285 - XTRNL OCULAR PHOTOG W/I&R DOCMT MEDICAL PROGRE||42.4203|6.9289|35.4914|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92284|92284 - DARK ADAPTATION XM W/INTERPRETATION & REPORT||127.2529|27.3049|99.948|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92283|92283 - COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV||114.3714|20.2173|94.1541|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92275|92275 - ELECTRORETINOGRAPY W/INTERPRETATION & REPORT||310.9587|119.0293|191.9294|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92270|92270 - ELECTRO-OCULOGRAPY W/INTERPRETATION & REPORT||193.4584|91.3378|102.1207|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92265|92265 - NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I&R||168.1103|94.9589|73.1514|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92260|92260 - OPHTHALMODYNAMOMETRY||24.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92250|92250 - FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT||164.3675|52.8318|111.5357|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92240|92240 - INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I&R UNI/BI||529.6847|140.0441|389.6406|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92235|92235 - FLUORESCEIN ANGRPH W/MULTIFRAME I&R UNI/BI||230.3862|102.9174|127.4688|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92230|92230 - FLUORESCEIN ANGIOSCOPY INTERPRETATION & REPORT||73.696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92228|92228 - REMOTE IMAGING MGT RETINAL DISEASE W/I&R UNI/B||73.269|45.7442|27.5248|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92227|92227 - REMOTE IMG DX RETINL DIS W/ALYS & REPORT UNI/B||29.6975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92226|92226 - OPHTHALMOSCPY EXTENDED RETINAL DRAWING I&R SBS||41.7976|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92225|92225 - OPHTHALMOSCPY EXTENDED RETINAL DRAWING I&R 1ST||46.5498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92145|92145 - CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI||32.5332|18.7688|13.7644|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92140|92140 - GLAUCOMA PROVOCATIVE TESTS||59.1219|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92136|92136 - OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL||188.3566|68.1301|120.2265|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92134|92134 - COMPUTERIZED OPHTHALMIC IMAGING RETINA||96.0537|62.735|33.3187|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92133|92133 - COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE||93.881|61.2866|32.5944|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92132|92132 - CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I&R UNI/BI||73.8305|41.9603|31.8702|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92100|92100 - SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES||74.4976|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92083|92083 - VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM||135.1622|61.2866|73.8756|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92082|92082 - VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM||101.0339|47.4368|53.5972|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92081|92081 - VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM||71.251|35.7596|35.4914|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92072|92072 - FITTING CONTACT LENS FOR MNGT OF KERATOCONUS||227.5327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92071|92071 - FIT CONTACT LENS TX OCULAR SURFACE DISEASE||73.7733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92065|92065 - ORTHOPTIC &/PLEOPTIC TRAINING W/MEDICAL DIRECTJ||111.6533|39.9503|71.7029|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92060|92060 - SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX||138.1566|83.8352|54.3214|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92025|92025 - COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI||80.3486|44.133|36.2156|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92020|92020 - GONIOSCOPY SEPARATE PROCEDURE||45.7442|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92019|92019 - OPHTH XM&EVAL ANES W/WO MANJ GLOBE LMTD||157.698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92018|92018 - OPHTH XM&EVAL ANES W/WO MANJ GLOBE COMPL||318.0407|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92015|92015 - DETERMINATION REFRACTIVE STATE||42.9327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92014|92014 - OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>||175.2544|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92012|92012 - OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT||115.4122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92004|92004 - OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST||219.07|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|92002|92002 - OPHTH MEDICAL XM&EVAL INTERMEDIATE NEW PT||104.9435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91299|91299 - UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91200|91200 - LIVER ELASTOGRAPHY W/O IMAG W/I&R||66.6615|28.9975|37.6641|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91133|91133 - ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG||356.6385|76.3569|280.2816|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91132|91132 - ELECTROGASTROGRAPHY DX TRANSCUTANEOUS||320.0281|62.1977|257.8304|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91122|91122 - ANORECTAL MANOMETRY||478.6945|200.5815|278.1129|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91120|91120 - RECTAL SESATION TONE & COMPLIANCE TEST||875.554|111.4857|764.0682|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91117|91117 - COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R||304.6219|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91112|91112 - GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP||2222.4199|243.0912|1979.3287|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91111|91111 - GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I&R||1486.3171|116.0672|1370.25|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91110|91110 - GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R||1830.8491|420.7664|1410.0827|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91065|91065 - BREATH HYDROGEN/METHANE TEST||160.9663|22.634|138.3322|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91040|91040 - ESOPHGL BALO DISTENSION DX STD W/PROVOCATION||895.0921|110.7454|784.3467|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91038|91038 - ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG||925.8554|127.0241|798.8313|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91037|91037 - GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD||335.2692|112.2019|223.0673|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91035|91035 - GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD||993.5989|186.0767|807.5221|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91034|91034 - GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT||395.3885|113.6584|281.7301|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91030|91030 - ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS||285.5293|104.4674|181.0619|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91022|91022 - DUODENAL MOTILITY MANOMETRIC STUDY||353.5821|166.0021|187.58|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91020|91020 - GASTRIC MOTILITY MANOMETRIC STUDIES||489.7456|166.7303|323.0153|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91013|91013 - ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION||48.5436|21.0229|27.5208|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|91010|91010 - ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT||370.3941|148.7752|221.6189|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90999|90999 - UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90997|90997 - HEMOPERFUSION||206.2126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90993|90993 - DIALYSIS TRAINING PATIENT PER TRAINING SESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90989|90989 - DIALYSIS TRAINING PATIENT COMPLETED COURSE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90970|90970 - ESRD RELATED SVC <FULL MONTH 20/>YR OLD||17.0762|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90969|90969 - ESRD RELATED SVC <FULL MONTH 12-19 YR OLD||33.5096|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90968|90968 - ESRD RELATED SVC <FULL MONTH 2-11 YR OLD||34.3152|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90967|90967 - ESRD RELATED SVC <FULL MONTH <2 YR OLD||39.7916|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90966|90966 - ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD||521.4418|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90965|90965 - ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD||997.2079|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90964|90964 - ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD||1047.9605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90963|90963 - ESRD SVC HOME DIALYSIS FULL MONTH <2YR OLD||1199.3193|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90962|90962 - ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT||402.3029|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90961|90961 - ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS||522.8943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90960|90960 - ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS||623.1017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90959|90959 - ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT||651.0615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90958|90958 - ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS||960.3092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90957|90957 - ESRD RELATED SVC MONTHLY 12-19 YR OLD 4/> VISITS||1421.7252|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90956|90956 - ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT||700.3616|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90955|90955 - ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS||1006.7124|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90954|90954 - ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS||1798.3296|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90953|90953 - ESRD RELATED SVC MONTHLY <2 YR OLD 1 VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90952|90952 - ESRD RELATED SVC MONTHLY <2 YR OLD 2/3 VISITS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90951|90951 - ESRD RELATED SVC MONTHLY & <2 YR OLD 4/> VISITS||2079.3604|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90947|90947 - DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS||274.7697|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90945|90945 - DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL||188.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90940|90940 - HEMODIALYSIS ACCESS FLOW STUDY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90937|90937 - HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX||230.1405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90935|90935 - HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION||160.5417|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90911|90911 - BIOFDBK TRNG PERINL MUSC ANORECT/URO SPHX W/EMG||98.5188|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90901|90901 - BIOFEEDBACK TRAINING ANY MODALITY||43.901|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90899|90899 - UNLISTED PSYCHIATRIC SERVICE/PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90889|90889 - PREP REPORT PT PSYCH STATUS AGENCY/PAYER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90887|90887 - INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY||167.0638|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90885|90885 - PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES||109.309|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90882|90882 - ENVIRONMENTAL IVNTJ MGMT PURPOSES PSYC PT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90880|90880 - HYPNOTHERAPY||209.0483|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90876|90876 - INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN||213.9431|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90875|90875 - INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN||135.0841|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90870|90870 - ELECTROCONVULSIVE THERAPY||246.3418|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90869|90869 - REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV & MN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90868|90868 - THERAP REPETITIVE TMS TX SUBSEQ DELIVERY & MNG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90867|90867 - REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90865|90865 - NARCOSYNTHESIS PSYC DX&THER PURPOSES||286.0481|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90863|90863 - PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90853|90853 - GROUP PSYCHOTHERAPY||56.229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90849|90849 - MULTIPLE FAMILY GROUP PSYCHOTHERAPY||67.0965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90847|90847 - FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS||235.4743|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90846|90846 - FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS||227.4184|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90845|90845 - PSYCHOANALYSIS||202.5222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90840|90840 - PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES||140.4139|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90839|90839 - PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES||294.2015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90838|90838 - PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN||243.4489|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90837|90837 - PSYCHOTHERAPY W/PATIENT 60 MINUTES||281.5561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90836|90836 - PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN||184.2376|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90834|90834 - PSYCHOTHERAPY W/PATIENT 45 MINUTES||187.9441|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90833|90833 - PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN||144.7633|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90832|90832 - PSYCHOTHERAPY W/PATIENT 30 MINUTES||141.1381|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90792|90792 - PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES||314.02|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90791|90791 - PSYCHIATRIC DIAGNOSTIC EVALUATION||283.7288|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90785|90785 - PSYCHOTHERAPY COMPLEX INTERACTIVE||30.9341|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90749|90749 - UNLISTED VACCINE/TOXOID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90748|90748 - HIB-HEPB VACCINE FOR INTRAMUSCULAR USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90747|90747 - HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM||268.6838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90746|90746 - HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE||134.343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90744|90744 - HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM||54.486|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90743|90743 - HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM||54.486|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90740|90740 - HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM||268.6838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90739|90739 - HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90738|90738 - JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90736|90736 - ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90734|90734 - MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90733|90733 - MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90732|90732 - PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE||185.6654|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90723|90723 - DTAP-HEPB-IPV VACCINE INTRAMUSCULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90717|90717 - YELLOW FEVER VACCINE LIVE SUBQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90716|90716 - VAR VACCINE LIVE FOR SUBCUTANEOUS USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90715|90715 - TDAP VACCINE 7 YRS/> IM||70.2112|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90714|90714 - TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE||51.1785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90713|90713 - POLIOVIRUS VACCINE INACTIVATED SUBQ/IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90710|90710 - MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90707|90707 - MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90702|90702 - DT VACCINE YOUNGER THAN 7 YRS FOR IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90700|90700 - DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90698|90698 - DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90697|90697 - DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90696|90696 - DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90691|90691 - TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM||169.0222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90690|90690 - TYPHOID VACCINE LIVE ORAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90688|90688 - IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE||41.1041|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90687|90687 - IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE||20.5521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90686|90686 - IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE||40.8476|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90685|90685 - IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE||55.3399|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90681|90681 - RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90680|90680 - RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90676|90676 - RABIES VACCINE INTRADERMAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90675|90675 - RABIES VACCINE INTRAMUSCULAR||630.4612|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90673|90673 - RIV3 VACCINE PRESERVATIVE FREE FOR IM USE||83.6831|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90672|90672 - LAIV4 VACCINE FOR INTRANASAL USE||60.471|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90670|90670 - PCV13 VACCINE FOR INTRAMUSCULAR USE||389.5893|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90668|90668 - IIV VACCINE PANDEMIC FOR INTRAMUSCULAR USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90667|90667 - IIV VACCINE PANDEMIC ADJUVANT FOR IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90666|90666 - INFLUENZA VACCINE PANDEMIC SPLT PRSRV FREE IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90664|90664 - LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90662|90662 - IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM||81.7081|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90661|90661 - CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE||50.1479|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90660|90660 - LAIV3 VACCINE LIVE FOR INTRANASAL USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90658|90658 - IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90657|90657 - IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE||13.5496|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90656|90656 - IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE||31.2289|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90655|90655 - IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90654|90654 - INFLUENZA VACC IIV3 SPLIT VIRUS PRSRV FREE ID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90653|90653 - IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90651|90651 - 9VHPV VACC 2/3 DOSE SCHED IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90650|90650 - 2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90649|90649 - 4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90648|90648 - HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90647|90647 - HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90644|90644 - HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90636|90636 - HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90634|90634 - HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90633|90633 - HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90632|90632 - HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE||115.272|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90630|90630 - INFLUENZA VACC IIV4 SPLIT VIRUS PRSRV FREE ID||52.8005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90625|90625 - CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90621|90621 - MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90620|90620 - MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90586|90586 - BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL||278.4577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90585|90585 - BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ||278.4577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90581|90581 - ANTHRAX VACCINE SUBCUTANEOUS/IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90477|90477 - ADENOVIRUS VACCINE TYPE 7 LIVE FOR ORAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90476|90476 - ADENOVIRUS VACCINE TYPE 4 LIVE ORAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90474|90474 - IM ADM INTRANSL/ORAL EA VACCINE||26.5726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90473|90473 - IM ADM INTRANSL/ORAL 1 VACCINE||52.8077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90472|90472 - IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE||26.5726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90471|90471 - IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE||52.8077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90461|90461 - IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT||26.5726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90460|90460 - IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX||52.8077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90399|90399 - UNLISTED IMMUNE GLOBULIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90396|90396 - VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90393|90393 - VACCINIA IMMUNE GLOBULIN HUMAN IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90389|90389 - TETANUS IMMUNE GLOBULIN TIG HUMAN IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90386|90386 - RHO(D) IMMUNE GLOBULIN HUMAN IV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90385|90385 - RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90384|90384 - RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90378|90378 - RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90376|90376 - RABIES IG HEAT-TREATED HUMAN IM/SUBQ||591.3135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90375|90375 - RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ||641.6595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90371|90371 - HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM||254.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90296|90296 - DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90291|90291 - CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90288|90288 - BOTULISM IMMUNE GLOBULIN HUMAN INTRAVENOUS USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90287|90287 - BOTULINUM ANTITOXIN EQUINE ANY ROUTE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90284|90284 - IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90283|90283 - IMMUNE GLOBULIN IGIV HUMAN IV USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|90281|90281 - IMMUNE GLOBULIN IG HUMAN IM USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|9007F|9007F - OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS/>||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|9006F|9006F - SYMPT CAROT STENOS IPSIL CAROT TIA/STRK<120DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|9005F|9005F - ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|9004F|9004F - AORTIC ANEURYSM 6/> CM MAX DIAM CTRLN/AXIAL CT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|9003F|9003F - AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|9002F|9002F - AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|9001F|9001F - AORTIC ANEURYSM<5CM MAX DIAM CENTERLINE/AXIAL CT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89398|89398 - UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89356|89356 - THAWING CRYOPRESERVED OOCYTES EACH ALIQUOT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89354|89354 - THAWING CRYOPRESERVED TESTICULAR/OVARIAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89353|89353 - THAWING CRYOPRESERVED SPERM/SEMEN EACH ALIQUOT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89352|89352 - THAWING CRYOPRESERVED EMBRYO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89346|89346 - STORAGE PER YEAR OOCYTE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89344|89344 - STORAGE PER YR REPRDTVE TISS TSTICULAR/OVARIAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89343|89343 - STORAGE PER YEAR SPERM/SEMEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89342|89342 - STORAGE PER YEAR EMBRYO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89337|89337 - CRYOPRESERVATION MATURE OOCYTE(S)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89335|89335 - CRYOPRSRV REPRODUCTIVE TISSUE TESTICULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89331|89331 - SPERM EVALUATION RETROGRADE EJACULATION URINE||47.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89330|89330 - SPERM EVALUATION CERVICAL MUCOUS PENETRATION||30.33|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89329|89329 - SPERM EVALUATION HAMSTER PENETRATION TEST||64.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89325|89325 - SPERM ANTIBODIES||32.715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89322|89322 - SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA||35.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89321|89321 - SEMEN ANALYSIS SPERM PRESENCE&/MOTILITY SPRM|QW|17.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89321|89321 - SEMEN ANALYSIS SPERM PRESENCE&/MOTILITY SPRM||17.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89320|89320 - SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT||17.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89310|89310 - SEMEN ALYS MOTILITY&CNT X W/HUHNER TST||26.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89300|89300 - SEMEN ALYS PRESENCE&/MOTILITY SPRM HUHNER|QW|27.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89300|89300 - SEMEN ALYS PRESENCE&/MOTILITY SPRM HUHNER||27.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89291|89291 - BX OOCYTE MICROTQ >5 EMBRY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89290|89290 - BX OOCYTE MICROTQ </= 5 EMBRY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89281|89281 - ASSTD FERTILIZATION MICROTQ > 10 OOCYTES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89280|89280 - ASSTD FERTILIZATION MICROTQ </EQUAL 10 OOCYTES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89272|89272 - EXTND CUL OOCYTE/EMBRYO 4-7 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89268|89268 - INSEMINATION OOCYTES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89264|89264 - SPRM ID FROM TSTIS TISS FRSH/CRYOPRSRVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89261|89261 - SPRM ISOL CPLX PREP INSEMINATION/DX SEMEN ALYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89260|89260 - SPRM ISOL SMPL PREP INSEMINATION/DX SEMEN ALYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89259|89259 - CRYOPRSRV SPRM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89258|89258 - CRYOPRSRV EMBRYO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89257|89257 - SPRM ID FROM ASPIR OTH/THN SEMINAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89255|89255 - PREPJ EMBRYO TR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89254|89254 - OOCYTE ID FROM FOLLICULAR FLU||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89253|89253 - ASSTD EMBRYO HATCHING MICROTQS ANY METH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89251|89251 - CUL OOCYTE/EMBRYO < 4 D CO-CULT OCYTE/EMBRY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89250|89250 - CUL OOCYTE/EMBRYO <4 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89240|89240 - UNLIS MISC PATH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89230|89230 - SWEAT COLLECTION IONTOPHORESIS||10.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89220|89220 - SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX||33.3187|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89190|89190 - NASAL SMEAR EOSINOPHILS||14.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89160|89160 - MEAT FIBERS FECES||11.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89125|89125 - FAT STAIN FECES URINE/RESPIR SECRETIONS||13.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89060|89060 - CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID||21.9375|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89055|89055 - LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE||7.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89051|89051 - CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT||5.4|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89050|89050 - CELL COUNT MISCELLANEOUS BODY FLUIDS||14.49|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|89049|89049 - CAFFEINE HALOTHANE CONTRACTURE TEST||146.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88749|88749 - UNLISTED IN VIVO LABORTORY SERVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88741|88741 - HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN||15.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88740|88740 - HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN||15.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88738|88738 - HGB QUANTITATIVE TRANSCUTANEOUS||15.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88720|88720 - BILIRUBIN TOTAL TRANSCUTANEOUS||15.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88399|88399 - UNLISTED SURGICAL PATHOLOGY PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88388|88388 - MACR EXM DISS&PRP NONMICR IMPRNT/CONSLT/FRZ SE||74.6442|54.3617|20.2825|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88387|88387 - MACRO EXAM DISSECT&PREP TISS NONMICRO STD EA||91.2403|72.4062|18.834|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88381|88381 - MICRODISSECTION PREP IDENTIFIED TARGET MANUAL||243.3208|56.4611|186.8598|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88380|88380 - MICRODISSECTION PREP IDENTIFIED TARGET LASER||304.058|128.0617|175.9963|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88377|88377 - M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB||844.9977|146.1062|698.8914|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88375|88375 - OPTICAL ENDOMICROSCOPIC IMAGE INTERP & REPORT||108.8168|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88374|88374 - M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB||707.1867|101.0009|606.1858|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88373|88373 - M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH||155.5913|46.9566|108.6347|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88372|88372 - PROTEIN ALYS WSTRN BLOT I&R IMMUNOLOGICAL EA||69.705|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88371|88371 - PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP&REPO||68.1075|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88369|88369 - M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH||224.9017|69.9121|154.9896|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88368|88368 - M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL||238.9223|90.4508|148.4715|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88367|88367 - M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN||222.4929|78.3668|144.1261|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88366|88366 - IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN||542.4155|141.1873|401.2283|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88365|88365 - IN SITU HYBRIDIZATION 1ST PROBE STAIN||367.8395|99.8698|267.9697|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88364|88364 - IN SITU HYBRIDIZATION EA ADDL PROBE STAIN||279.2231|76.4342|202.7888|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88363|88363 - EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSI||43.5755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88362|88362 - NERVE TEASING PREPARATIONS||546.3775|245.8133|300.5641|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88361|88361 - M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST||312.346|132.7325|179.6134|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88360|88360 - M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL||255.201|123.3868|131.8142|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88358|88358 - MORPHOMETRIC ANALYSIS TUMOR||181.5573|101.1636|80.3937|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88356|88356 - MORPHOMETRIC ANALYSIS NERVE||441.4163|272.6582|168.758|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88355|88355 - MORPHOMETRIC ANALYSIS SKELETAL MUSCLE||335.1709|185.251|149.9199|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88350|88350 - IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN||150.8552|62.499|88.3562|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88348|88348 - ELECTRON MICROSCOPY DIAGNOSTIC||717.7198|172.3534|545.3664|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88346|88346 - IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN||195.7818|83.5219|112.2599|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88344|88344 - IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE||358.2537|88.8356|269.4181|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88342|88342 - IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE||222.9771|81.0237|141.9534|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88341|88341 - IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE||186.8227|60.8064|126.0163|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88334|88334 - PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE||132.6923|87.7859|44.9064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88333|88333 - PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE||215.4617|143.0345|72.4272|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88332|88332 - PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION||108.3737|69.9854|38.3883|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88331|88331 - PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC||205.9653|142.2289|63.7364|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88329|88329 - PATHOLOGY CONSULTATION DURING SURGERY||82.2361|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88325|88325 - CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL||299.943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88323|88323 - CONSLTJ&REPRT MATERIAL REQUIRING PREPJ SLIDES||299.5289|196.684|102.8449|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88321|88321 - CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE||190.7315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88319|88319 - SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS||186.1025|61.5307|124.5718|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88314|88314 - SPECIAL STAIN I&R HISTOCHEMICAL W/FROZEN TISSU||160.8277|50.7405|110.0872|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88313|88313 - SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT||141.7375|27.3049|114.4326|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88312|88312 - SPECIAL STAIN GROUP 1 MICROORGANISMS I&R||204.2897|61.612|142.6776|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88311|88311 - DECALCIFICATION PROCEDURE||46.1389|28.7534|17.3856|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88309|88309 - LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM||981.705|335.6785|646.0266|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88307|88307 - LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM||644.4911|189.6657|454.8254|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88305|88305 - LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM||156.0304|86.5001|69.5302|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88304|88304 - LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM||95.224|25.6937|69.5302|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88302|88302 - LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM||67.6951|16.2706|51.4245|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88300|88300 - LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY||31.8009|10.07|21.731|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88299|88299 - UNLISTED CYTOGENETIC STUDY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88291|88291 - CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP||69.4199|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88289|88289 - CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY||105.5475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88285|88285 - CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY||58.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88283|88283 - CHRMSM ANALYSIS ADDL SPECIALIZED BANDING||109.305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88280|88280 - CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY||76.9275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88275|88275 - MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL||123.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88274|88274 - MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL||106.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88273|88273 - MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL||98.4825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88272|88272 - MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS||82.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88271|88271 - MOLECULAR CYTOGENETICS DNA PROBE EACH||65.6325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88269|88269 - CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP||509.7825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88267|88267 - CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE||551.0025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88264|88264 - CHRMSM ANALYZE 20-25 CELLS||382.0275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88263|88263 - CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE||460.6425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88262|88262 - CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING||382.0275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88261|88261 - CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING||541.71|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88249|88249 - CHRMSM BREAKAGE SYNDS SCORE 100 CLL||530.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88248|88248 - CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL||530.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88245|88245 - CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL||456.255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88241|88241 - THAWING&EXPANSION FROZEN CELLS EACH ALIQUOT||24.9525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88240|88240 - CRYOPRSRV FRZING&STORAGE CELLS EA CELL LINE||24.9525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88239|88239 - TISS CUL NEO DISORDERS SOLID TUMOR||452.1375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88237|88237 - TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS||270.6075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88235|88235 - TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS||451.35|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88233|88233 - TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX||431.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88230|88230 - TISS CUL NON-NEO DISORDERS LYMPHOCYTE||357.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88199|88199 - UNLISTED CYTOPATHOLOGY PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88189|88189 - FLOW CYTOMETRY INTERPRETATION 16/> MARKERS||249.2146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88188|88188 - FLOW CYTOMETRY INTERPJ 9-15 MARKERS||202.0872|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88187|88187 - FLOW CYTOMETRY INTERPJ 2-8 MARKERS||158.8371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88185|88185 - FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA||94.1501|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88184|88184 - FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST||154.2653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88182|88182 - FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS||235.1384|82.3135|152.8249|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88177|88177 - CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL||65.7053|50.4964|15.2089|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88175|88175 - CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS||81.135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88174|88174 - CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS||65.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88173|88173 - CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT||325.6464|161.2378|164.4086|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88172|88172 - CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST||122.9518|82.3908|40.561|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88167|88167 - CYTP SLIDES C/V MNL SCR&CPTR RESCR CELL S&I||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88166|88166 - CYTP SLIDES C/V MNL SCR&CPTR RESCR PHYS SUPV||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88165|88165 - CYTP SLIDES C/V MNL SCR&RESCR PHYS SUPV||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88164|88164 - CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88162|88162 - CYTP SMRS ANY OTH SRC EXTND STD > 5 SLIDES||219.8482|89.4784|130.3697|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88161|88161 - CYTP SMRS ANY OTH SRC PREPJ SCR&INTERPJ||136.6107|56.9412|79.6695|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88160|88160 - CYTP SMRS ANY OTH SRC SCR&INTERPJ||151.8195|59.1139|92.7057|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88155|88155 - CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL||18.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88154|88154 - CYTP SLIDES C/V MNL SCR&CPTR-RESCR CELL S&I||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88153|88153 - CYTP SLIDES C/V MNL SCR&RESCR PHYS||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88152|88152 - CYTP SLIDES C/V MNL SCR&CPTR RESCR PHYS||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88150|88150 - CYTP SLIDES C/V MNL SCR UNDER PHYS||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88148|88148 - CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88147|88147 - CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88143|88143 - CYTP C/V FLU AUTO THIN MNL SCR&RESCR PHYS||62.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88142|88142 - CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN||62.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88141|88141 - CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN||70.0547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88140|88140 - SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR||24.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88130|88130 - SEX CHROMATIN IDENTIFICATION BARR BODIES||46.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88125|88125 - CYTOPATHOLOGY FORENSIC||49.9269|30.3686|19.5583|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88121|88121 - CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA||1137.9497|113.1581|1024.7916|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88120|88120 - CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL||1303.9856|131.4468|1172.5388|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88112|88112 - CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V||150.8593|63.2232|87.636|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88108|88108 - CYTP CONCENTRATION SMEARS & INTERPRETATION||151.3313|51.3834|99.948|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88106|88106 - CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ||155.8314|44.2957|111.5357|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88104|88104 - CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ||159.55|65.3959|94.1541|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88099|88099 - UNLISTED NECROPSY PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88045|88045 - NECROPSY CORONER CALL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88040|88040 - NECROPSY FORENSIC EXAMINATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88037|88037 - NECROPSY LIMITD GROSS&/MCRSCP SINGLE ORGAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88036|88036 - NECROPSY LIMITED GROSS&/MCRSCP REGIONAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88029|88029 - NECROPSY GROSS&MCRSCP STILLBORN/NEWBORN BRAIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88028|88028 - NECROPSY GROSS & MICROSCOPIC INFANT W/BRAIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88027|88027 - NECROPSY GROSS&MCRSCP BRAIN & SPINAL CORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88025|88025 - NECROPSY GROSS & MICROSCOPIC W/BRAIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88020|88020 - NECROPSY GROSS & MICROSCOPIC W/O CNS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88016|88016 - NECROPSY GROSS EXAM MACERATED STILLBORN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88014|88014 - NECROPSY GROSS EXAM STILLBORN/NEWBORN W/BRAIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88012|88012 - NECROPSY GROSS EXAMINATION INFANT W/BRAIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88007|88007 - NECROPSY GROSS EXAMINATION W/BRAIN&SPINAL CORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88005|88005 - NECROPSY GROSS EXAMINATION W/BRAIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|88000|88000 - NECROPSY GROSS EXAMINATION ONLY W/O CNS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87999|87999 - UNLISTED MICROBIOLOGY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87912|87912 - NFCT AGENT GENOTYPE HEPATITIS B VIRUS||267.3|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87910|87910 - NFCT AGT GENOTYPE NUCLEIC ACID CYTOMEGALOVIRUS||267.3|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87906|87906 - NFCT GEXYP DNA/RNA HIV 1 OTHER REGION||133.65|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87905|87905 - INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS|QW|37.44|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87905|87905 - INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS||37.44|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87904|87904 - NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG||67.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87903|87903 - NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS||1036.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87902|87902 - NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS||267.3|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87901|87901 - NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR&PROTEAS||267.3|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87900|87900 - NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION||338.805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87899|87899 - IAADIADOO NOT OTHERWISE SPECIFIED|QW|36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87899|87899 - IAADIADOO NOT OTHERWISE SPECIFIED||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87880|87880 - IAADIADOO STREPTOCOCCUS GROUP A|QW|36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87880|87880 - IAADIADOO STREPTOCOCCUS GROUP A||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87850|87850 - IAADIADOO NEISSERIA GONORRHOEAE||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87810|87810 - CHLAMYDIA TRACHOMATIS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87809|87809 - INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS|QW|36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87809|87809 - INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87808|87808 - IAADIADOO TRICHOMONAS VAGINALIS|QW|36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87808|87808 - IAADIADOO TRICHOMONAS VAGINALIS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87807|87807 - IAADIADOO RESPIRATORY SYNCTIAL VIRUS|QW|36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87807|87807 - IAADIADOO RESPIRATORY SYNCTIAL VIRUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87806|87806 - IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES|QW|73.8|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87806|87806 - IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES||73.8|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87804|87804 - IAADIADOO INFLUENZA|QW|36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87804|87804 - IAADIADOO INFLUENZA||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87803|87803 - IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87802|87802 - IAADIADOO STREPTOCOCCUS GROUP B||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87801|87801 - IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ||120.285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87800|87800 - IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ||120.87|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87799|87799 - IADNA NOS QUANTIFICATION EACH ORGANISM||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87798|87798 - IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87797|87797 - IADNA NOS DIRECT PROBE TQ EACH ORGANISM||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87661|87661 - IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87660|87660 - IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87653|87653 - IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87652|87652 - IADNA STREPTOCOCCUS GROUP A QUANTIFICATION||127.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87651|87651 - IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ|QW|60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87651|87651 - IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87650|87650 - IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ|QW|60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87650|87650 - IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87641|87641 - IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87640|87640 - IADNA S AUREUS AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87633|87633 - IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET||540.45|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87632|87632 - IADNA RESPIRATRY PROBE & REV TRNSCR 6-11 TARGETS||302.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87631|87631 - IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS||206.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87625|87625 - IADNA HUMAN PAPILLOMAVIRUS TYPES 16 & 18 ONLY||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87624|87624 - IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87623|87623 - IADNA HUMAN PAPILLOMAVIRUS LOW-RISK TYPES||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87592|87592 - IADNA NEISSERIA GONORRHOEAE QUANTIFICATION||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87591|87591 - IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87590|87590 - IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87582|87582 - IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION||127.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87581|87581 - IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87580|87580 - IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87562|87562 - IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87561|87561 - IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87560|87560 - IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87557|87557 - IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87556|87556 - IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87555|87555 - IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87552|87552 - IADNA MYCOBACTERIA SPECIES QUANTIFICATION||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87551|87551 - IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87550|87550 - IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87542|87542 - IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION||127.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87541|87541 - IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87540|87540 - IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87539|87539 - IADNA HIV-2 QUANT & REVERSE TRANSCRIPTION||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87538|87538 - IADNA HIV-2 AMPLIFIED PROBE & REVERSE TRANSCRIPJ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87537|87537 - IADNA HIV-2 DIRECT PROBE TECHNIQUE||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87536|87536 - IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION||159.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87535|87535 - IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87534|87534 - IADNA HIV-1 DIRECT PROBE TECHNIQUE||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87533|87533 - IADNA HERPES VIRUS-6 QUANTIFICATION||127.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87532|87532 - IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87531|87531 - IADNA HERPES VIRUS-6 DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87530|87530 - IADNA HERPES SOMPLX VIRUS QUANTIFICATION||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87529|87529 - IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87528|87528 - IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87527|87527 - IADNA HEPATITIS G QUANTIFICATION||127.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87526|87526 - IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87525|87525 - IADNA HEPATITIS G DIRECT PROBE TECHNIQUE||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87522|87522 - IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87521|87521 - IADNA HEPATITIS C AMPLIFIED PROBE&REVRSE TRANSCR||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87520|87520 - IADNA HEPATITIS C DIRECT PROBE TECHNIQUE||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87517|87517 - IADNA HEPATITIS B VIRUS QUANTIFICATION||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87516|87516 - IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87515|87515 - IADNA HEPATITIS B VIRUS DIRECT PROBE TECHNIQUE||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87512|87512 - IADNA GARDNERELLA VAGINALIS QUANTIFICATION||127.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87511|87511 - IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87510|87510 - IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87507|87507 - IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25||540.45|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87506|87506 - IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11||302.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87505|87505 - NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN||206.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87503|87503 - NFCT AGENT DNA/RNA INFLUENZA >2 TYPES EA ADDL||23.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87502|87502 - INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES|QW|159.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87502|87502 - INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES||159.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87501|87501 - INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE||98.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87500|87500 - INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87498|87498 - IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87497|87497 - IADNA CYTOMEGALOVIRUS QUANTIFICATION||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87496|87496 - IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87495|87495 - IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87493|87493 - INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87492|87492 - IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION||107.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87491|87491 - IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87490|87490 - IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87487|87487 - IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87486|87486 - IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87485|87485 - IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87482|87482 - IADNA CANDIDA SPECIES QUANTIFICATION||127.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87481|87481 - IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87480|87480 - IADNA CANDIDA SPECIES DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87477|87477 - IADNA BORRELIA BURGDORFERI QUANTIFICATION||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87476|87476 - IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87475|87475 - IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87472|87472 - IADNA BARTONELLA HENSELAE&QUINTANA QUANTJ||131.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87471|87471 - IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87470|87470 - IADNA BARTONELLA DIRECT PROBE TECHNIQUE||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87451|87451 - IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM||29.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87450|87450 - IAAD IA SINGLE STEP METHOD NOS EA ORGANISM||29.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87449|87449 - IAAD IA MULT STEP METHOD NOS EACH ORGANISM|QW|36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87449|87449 - IAAD IA MULT STEP METHOD NOS EACH ORGANISM||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87430|87430 - IAAD IA STREPTOCOCCUS GROUP A||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87427|87427 - IAAD IA SHIGA-LIKE TOXIN||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87425|87425 - IAAD IA ROTAVIRUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87420|87420 - IAAD IA RESPIRATORY SYNCTIAL VIRUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87400|87400 - IAAD IA INFLUENZA A/B EACH||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87391|87391 - IAAD IA HIV-2||54.0675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87390|87390 - IAAD IA HIV-1||54.0675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87389|87389 - IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE|QW|73.8|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87389|87389 - IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE||73.8|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87385|87385 - IAAD IA HISTOPLASM CAPSULATUM||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87380|87380 - IAAD IA HEPATITIS DELTA ANTIGEN||50.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87350|87350 - IAAD IA HEPATITIS BE ANTIGEN||35.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87341|87341 - IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION||31.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87340|87340 - IAAD IA HEPATITIS B SURFACE ANTIGEN||31.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87339|87339 - IAAD IA HPYLORI||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87338|87338 - IAAD IA HPYLORI STOOL||44.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87337|87337 - IAAD IA ENTAMOEBA HISTOLYTICA GRP||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87336|87336 - IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87335|87335 - IAAD IA ESCHERICHIA COLI 0157||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87332|87332 - IAAD IA CYTOMEGALOVIRUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87329|87329 - IAAD IA GIARDIA||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87328|87328 - IAAD IA CRYPTOSPORIDIUM||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87327|87327 - IAAD IA CRYPTOCOCCUS NEOFORMANS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87324|87324 - IAAD IA CLOSTRIDIUM DIFFICILE TOXIN||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87320|87320 - IAAD IA CHLAMYDIA TRACHOMATIS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87305|87305 - IAAD IA QUAL/SEMIQUAN MULTIPLE STEP ASPERGILLUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87301|87301 - IAAD IA ADENOVIRUS ENTERIC TYP 40/41||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87300|87300 - IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87299|87299 - IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87290|87290 - IAADI VARICELLA ZOSTER VIRUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87285|87285 - IAADI TREPONEMA PALLIDUM||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87283|87283 - IAADI RUBEOLA||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87281|87281 - IAADI PNEUMOCUSTIS CARINII||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87280|87280 - IAADI RESPIRATORY SYNCTIAL VIRUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87279|87279 - IAADI PARAINFLUENZA VIRUS EACH TYPE||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87278|87278 - IAADI LEGIONELLA PNEUMOPHILA||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87277|87277 - IAADI LEGIONELLA MICDADEI||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87276|87276 - IAADI INFFLUENZA A VIRUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87275|87275 - IAADI INFLUENZA B VIRUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87274|87274 - IAADI HERPES SMPLX VIRUS TYPE 1||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87273|87273 - IAADI HERPES SMPLX VIRUS TYPE 2||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87272|87272 - IAADI CRYPTOSPORIDIUM||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87271|87271 - IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87270|87270 - IAADI CHLAMYDIA TRACHOMATIS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87269|87269 - IAADI GIARDIA||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87267|87267 - IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87265|87265 - IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87260|87260 - IAADI ADENOVIRUS||36.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87255|87255 - VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC||92.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87254|87254 - VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA||59.9625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87253|87253 - VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE||49.905|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87252|87252 - VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT||67.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87250|87250 - VIRUS INOCULATION EGGS/SM ANIMAL OBS&DSJ||59.9625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87230|87230 - TOXIN/ANTITOXIN ASSAY TISSUE CULTURE||60.525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87220|87220 - TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT||13.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87210|87210 - SMR PRIM SRC WET MOUNT NFCT AGT|QW|13.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87210|87210 - SMR PRIM SRC WET MOUNT NFCT AGT||13.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87209|87209 - SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS||55.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87207|87207 - SMR PRIM SRC SPEC STAIN BODIES/PARASITS||18.36|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87206|87206 - SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT||16.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87205|87205 - SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL||7.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87197|87197 - SERUM BACTERICIDAL TITER||46.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87190|87190 - SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD||17.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87188|87188 - SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT||20.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87187|87187 - SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA||31.77|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87186|87186 - SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ||26.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87185|87185 - SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ||14.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87184|87184 - SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD||21.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87181|87181 - SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ||14.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87177|87177 - OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID||27.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87176|87176 - HOMOGENIZATION TISSUE CULTURE||18.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87172|87172 - PINWORM EXAMINATION||13.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87169|87169 - MACROSCOPIC EXAMINATION PARASITE||13.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87168|87168 - MACROSCOPIC EXAMINATION ARTHROPOD||13.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87166|87166 - DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT||34.605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87164|87164 - DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION||26.7975|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87158|87158 - CULTURE TYPING OTHER METHODS||16.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87153|87153 - CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE||217.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87152|87152 - CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING||16.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87150|87150 - CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM||60.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87149|87149 - CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM||60.4575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87147|87147 - CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES||13.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87143|87143 - CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY||38.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87140|87140 - CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM||17.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87118|87118 - CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL||33.5475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87116|87116 - CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL||22.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87110|87110 - CULTURE CHLAMYDIA ANY SOURCE||60.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87109|87109 - CULTURE MYCOPLASMA ANY SOURCE||47.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87107|87107 - CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD||31.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87106|87106 - CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST||31.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87103|87103 - CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD||27.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87102|87102 - CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD||25.7625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87101|87101 - CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL||23.625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87088|87088 - CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE||24.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87086|87086 - CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE||24.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87084|87084 - CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART||26.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87081|87081 - CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ||20.3175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87077|87077 - CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL|QW|24.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87077|87077 - CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL||24.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87076|87076 - CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL||24.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87075|87075 - CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO&ID||29.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87073|87073 - CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL||28.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87071|87071 - CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL||28.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87070|87070 - CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL||26.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87046|87046 - CUL BACT STOOL AEROBIC ADDL PATHOGENS&ID EA||28.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87045|87045 - CUL BACT STOOL AEROBIC ISOL SALMONELLA&SHIGELL||28.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87040|87040 - CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES||31.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87015|87015 - CONCENTRATION INFECTIOUS AGENTS||20.4525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|87003|87003 - ANIMAL INOCULATION SMALL ANIMAL W/OBS&DSJ||51.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86999|86999 - UNLISTED TRANSFUSION MEDICINE PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86985|86985 - SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86978|86978 - PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86977|86977 - PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86976|86976 - PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86975|86975 - PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86972|86972 - PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86971|86971 - PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86970|86970 - PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86965|86965 - POOLING PLATELETS/OTHER BLOOD PRODUCTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86960|86960 - VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86950|86950 - LEUKOCYTE TRANSFUSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86945|86945 - IRRADIATION BLOOD PRODUCT EACH UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86941|86941 - HEMOLYSINS&AGGLUTININS INCUBATED||37.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86940|86940 - HEMOLYSINS&AGGLUTININS AUTO SCREEN EACH||25.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86932|86932 - FROZEN BLOOD EACH UNIT FREEZING & THAWING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86931|86931 - FROZEN BLOOD EACH UNIT THAWING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86930|86930 - FROZEN BLOOD EACH UNIT FREEZING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86927|86927 - FRESH FROZEN PLASMA THAWING EACH UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86923|86923 - COMPATIBILITY EACH UNIT ELECTRONIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86922|86922 - COMPATIBILITY EACH UNIT ANTIGLOBULIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86921|86921 - COMPATIBILITY EACH UNIT INCUBATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86920|86920 - COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86911|86911 - BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86910|86910 - BLOOD TYPING PATERNITY PR INDIV ABO RH&MN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86906|86906 - BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE||23.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86905|86905 - BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH||11.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86904|86904 - BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT||29.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86902|86902 - BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH||11.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86901|86901 - BLOOD TYPING SEROLOGIC RH (D)||9.1575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86900|86900 - BLOOD TYPING SEROLOGIC ABO||9.1575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86891|86891 - AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86890|86890 - AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86886|86886 - ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER||14.2425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86885|86885 - ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL||17.55|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86880|86880 - ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM||16.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86870|86870 - ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86860|86860 - ANTIBODY ELUTION RBC EACH ELUTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86850|86850 - ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE||11.7225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86849|86849 - UNLISTED IMMUNOLOGY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86835|86835 - ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL||917.1675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86834|86834 - ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL||1015.4025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86833|86833 - ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL||327.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86832|86832 - ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL||360.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86831|86831 - ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL||196.5375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86830|86830 - ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE||229.275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86829|86829 - ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL||90.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86828|86828 - ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL||121.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86826|86826 - HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION||80.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86825|86825 - HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION||240.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86822|86822 - HLA TYPING LYMPHOCYTE CULTURE PRIMED||112.05|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86821|86821 - HLA TYPING LYMPHOCYTE CULTURE MIXED||173.0475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86817|86817 - HLA TYPING DR/DQ MULTIPLE ANTIGENS||197.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86816|86816 - HLA TYPING DR/DQ SINGLE ANTIGEN||85.3875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86813|86813 - HLA TYPING A/B/C MULTIPLE ANTIGENS||177.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86812|86812 - HLA TYPING A/B/C SINGLE ANTIGEN||79.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86808|86808 - SERUM SCREENING % REACTIVE ANTIBODY QUICK METH||90.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86807|86807 - SERUM SCREENING % REACTIVE ANTIBODY STANDRD METH||121.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86806|86806 - LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT||145.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86805|86805 - LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ||160.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86804|86804 - HEPATITIS C ANTIBODY CONFIRMATORY TEST||47.475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86803|86803 - HEPATITIS C ANTIBODY|QW|43.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86803|86803 - HEPATITIS C ANTIBODY||43.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86800|86800 - THYROGLOBULIN ANTIBODY||48.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86793|86793 - ANTIBODY YERSINIA||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86790|86790 - ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED||39.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86789|86789 - ANTIBODY WEST NILE VIRUS||35.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86788|86788 - ANTIBODY WEST NILE VIRUS IGM||51.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86787|86787 - ANTIBODY VARICELLA-ZOSTER||39.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86784|86784 - ANTIBODY TRICHINELLA||38.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86780|86780 - ANTIBODY TREPONEMA PALLIDUM|QW|40.5675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86780|86780 - ANTIBODY TREPONEMA PALLIDUM||40.5675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86778|86778 - ANTIBODY TOXOPLASMA IGM||44.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86777|86777 - ANTIBODY TOXOPLASMA||35.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86774|86774 - ANTIBODY TETANUS||45.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86771|86771 - ANTIBODY SHIGELLA||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86768|86768 - ANTIBODY SALMONELLA||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86765|86765 - ANTIBODY RUBEOLA||39.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86762|86762 - ANTIBODY RUBELLA||35.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86759|86759 - ANTIBODY ROTAVIRUS||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86757|86757 - ANTIBODY RICKETTSIA||59.3325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86756|86756 - ANTIBODY RESPIRATORY SYNCTIAL VIRUS||39.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86753|86753 - ANTIBODY PROTOZOA NES||37.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86750|86750 - ANTIBODY PLASMODIUM MALARIA||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86747|86747 - ANTIBODY PARVOVIRUS||46.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86744|86744 - ANTIBODY NOCARDIA||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86741|86741 - ANTIBODY NEISSERIA MENINGITIDIS||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86738|86738 - ANTIBODY MYCOPLSM||40.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86735|86735 - ANTIBODY MUMPS||39.9825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86732|86732 - ANTIBODY MUCORMYCOSIS||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86729|86729 - ANTIBODY LYMPHOGRANULOMA VENEREUM||36.6075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86727|86727 - ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS||39.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86723|86723 - ANTIBODY LISTERIA MONOCYTOGENES||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86720|86720 - ANTIBODY LEPTOSPIRA||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86717|86717 - ANTIBODY LEISHMANIA||37.53|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86713|86713 - ANTIBODY LEGIONELLA||46.9125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86711|86711 - ANTIBODY JOHN CUNNINGHAM VIRUS||35.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86710|86710 - ANTIBODY INFLUENZA VIRUS||41.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86709|86709 - HEPATITIS ANTIBODY HAAB IGM ANTIBODY||34.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86708|86708 - HEPATITIS A ANTIBODY HAAB||37.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86707|86707 - HEPATITIS BE ANTIBODY HBEAB||35.46|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86706|86706 - HEPATITIS B SURF ANTIBODY HBSAB||32.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86705|86705 - HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY||36.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86704|86704 - HEPATITIS B CORE ANTIBODY HBCAB TOTAL||36.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86703|86703 - ANTIBODY HIV-1&HIV-2 SINGLE RESULT||42.0075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86702|86702 - ANTIBODY HIV-2||41.4225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86701|86701 - ANTIBODY HIV-1|QW|27.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86701|86701 - ANTIBODY HIV-1||27.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86698|86698 - ANTIBODY HISTOPLASMA||38.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86696|86696 - ANTIBODY HERPES SMPLX TYPE 2||59.3325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86695|86695 - ANTIBODY HERPES SMPLX TYPE 1||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86694|86694 - ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST||35.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86692|86692 - ANTIBODY HEP DELTA AGENT||52.605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86689|86689 - ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST||59.3325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86688|86688 - ANTIBODY HTLV-II||42.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86687|86687 - ANTIBODY HTLV-I||25.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86684|86684 - ANTIBODY HAEMOPHILUS INFLUENZA||48.555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86682|86682 - ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED||39.87|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86677|86677 - ANTIBODY HELICOBACTER PYLORI||44.4825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86674|86674 - ANTIBODY GIARDIA LAMBLIA||45.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86671|86671 - ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED||37.5525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86668|86668 - ANTIBODY FRANCISELLA TULARENSIS||31.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86666|86666 - ANTIBODY EHRLICHIA||31.2075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86665|86665 - ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA||55.62|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86664|86664 - ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA||46.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86663|86663 - ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA||40.2075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86658|86658 - ANTIBODY ENTEROVIRUS||39.9375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86654|86654 - ANTIBODY ENCEPHALITIS WESTRN EQUINE||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86653|86653 - ANTIBODY ENCEPHALITIS ST. LOUIS||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86652|86652 - ANTIBODY ENCEPHALITIS EASTERN EQUINE||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86651|86651 - ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86648|86648 - ANTIBODY DIPHTHERIA||46.62|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86645|86645 - ANTIBODY CYTOMEGALOVIRUS CMV IGM||51.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86644|86644 - ANTIBODY CYTOMEGALOVIRUS CMV||35.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86641|86641 - ANTIBODY CRYPTOCOCCUS||44.1675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86638|86638 - ANTIBODY COXIELLA BURNETII Q FEVER||37.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86635|86635 - ANTIBODY COCCIDIOIDES||35.1675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86632|86632 - ANTIBODY CHLAMYDIA IGM||38.88|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86631|86631 - ANTIBODY CHLAMYDIA||36.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86628|86628 - ANTIBODY CANDIDA||36.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86625|86625 - ANTIBODY CAMPYLOBACTER||40.2075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86622|86622 - ANTIBODY BRUCELLA||27.3825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86619|86619 - ANTIBODY BORRELIA RELAPSING FEVER||40.995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86618|86618 - ANTIBODY BORRELIA BURGDORFERI LYME DISEASE|QW|52.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86618|86618 - ANTIBODY BORRELIA BURGDORFERI LYME DISEASE||52.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86617|86617 - ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST||47.475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86615|86615 - ANTIBODY BORDETELLA||40.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86612|86612 - ANTIBODY BLASTOMYCES||39.555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86611|86611 - ANTIBODY BARTONELLA||31.2075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86609|86609 - ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED||39.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86606|86606 - ANTIBODY ASPERGILLUS||46.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86603|86603 - ANTIBODY ADENOVIRUS||39.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86602|86602 - ANTIBODY ACTINOMYCES||31.2075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86593|86593 - SYPHILIS TEST QUANTITATIVE||13.4775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86592|86592 - SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL||13.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86590|86590 - STREPTOKINASE ANTIBODY||33.84|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86580|86580 - SKIN TEST TUBERCULOSIS INTRADERMAL||15.9371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86510|86510 - SKIN TEST HISTOPLASMOSIS||12.316|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86490|86490 - SKIN TEST COCCIDIOIDOMYCOSIS||142.6776|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86486|86486 - SKIN TEST UNLISTED ANTIGEN EACH||10.1433|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86485|86485 - SKIN TEST CANDIDA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86481|86481 - TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP||229.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86480|86480 - TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON||189.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86431|86431 - RHEUMATOID FACTOR QUANTITATIVE||17.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86430|86430 - RHEUMATOID FACTOR QUALITATIVE||17.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86406|86406 - PARTICLE AGGLUTINATION TITER EACH ANTIBODY||32.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86403|86403 - PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY||31.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86386|86386 - NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE|QW|48.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86386|86386 - NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE||48.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86384|86384 - NITROBLUE TETRAZOLIUM DYE TEST NTD||34.8975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86382|86382 - NEUTRALIZATION TEST VIRAL||51.84|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86378|86378 - MIGRATION INHIBITORY FACTOR TEST MIF||60.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86376|86376 - MICROSOMAL ANTIBODIES EACH||44.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86367|86367 - STEM CELLS TOTAL COUNT||72.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86361|86361 - T CELLS ABSOLUTE CD4 COUNT||80.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86360|86360 - T CELLS ABSOLUTE CD4&CD8 COUNT RATIO||144.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86359|86359 - T CELLS TOTAL COUNT||72.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86357|86357 - NATURAL KILLER CELLS TOTAL COUNT||72.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86356|86356 - MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA||80.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86355|86355 - B CELLS TOTAL COUNT||72.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86353|86353 - LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS||150.2775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86352|86352 - CELLULAR FUNCTION ASSAY STIMUL&DETECT BIOMARKE||416.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86344|86344 - LEUKOCYTE PHAGOCYTOSIS||24.48|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86343|86343 - LEUKOCYTE HISTAMINE RELEASE TEST LHR||38.205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86341|86341 - ISLET CELL ANTIBODY||60.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86340|86340 - INTRINSIC FACTOR ANTIBODIES||46.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86337|86337 - INSULIN ANTIBODIES||65.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86336|86336 - INHIBIN A||39.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86335|86335 - IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS||89.9325|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86334|86334 - IMMUNOFIXJ ELECTROPHORESIS SERUM||68.49|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86332|86332 - IMMUNE COMPLEX ASSAY||74.7|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86331|86331 - IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY||36.72|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86329|86329 - IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED||43.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86327|86327 - IMMUNOELECTROPHORESIS CROSSED||69.5475|46.151||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86325|86325 - IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION||68.5575|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86320|86320 - IMMUNOELECTROPHORESIS SERUM||68.6925|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86318|86318 - IMMUNOASSAY NFCT AGT ANTB QUAL/SEMIQUAN 1 STEP|QW|39.6675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86318|86318 - IMMUNOASSAY NFCT AGT ANTB QUAL/SEMIQUAN 1 STEP||39.6675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86317|86317 - IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS||36.81|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86316|86316 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE||63.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86310|86310 - HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION||22.545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86309|86309 - HETEROPHILE ANTIBODIES TITER||19.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86308|86308 - HETEROPHILE ANTIBODIES SCREEN|QW|15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86308|86308 - HETEROPHILE ANTIBODIES SCREEN||15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86305|86305 - HUMAN EPIDIDYMIS PROTEIN 4 (HE4)||63.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86304|86304 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125||63.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86301|86301 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9||63.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86300|86300 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3||63.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86294|86294 - IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE|QW|35.5275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86294|86294 - IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE||35.5275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86280|86280 - HEMAGGLUTINATION INHIBITION TEST HAI||25.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86277|86277 - GROWTH HORMONE HUMAN ANTIBODY||48.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86256|86256 - FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY||36.9225|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86255|86255 - FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY||36.9225|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86243|86243 - FC RECEPTOR||62.8875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86235|86235 - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD||54.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86226|86226 - DNA ANTIBODY SINGLE STRANDED||37.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86225|86225 - DNA ANTIBODY NATIVE/DOUBLE STRANDED||42.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86215|86215 - DEOXYRIBONUCLEASE ANTIBODY||40.6125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86200|86200 - CYCLIC CITRULLINATED PEPTIDE ANTIBODY||39.6675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86185|86185 - CNTERIMMUNOELECTROPHORESIS EACH ANTIGEN||27.4275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86171|86171 - COMPLEMENT FIXATION TESTS EACH ANTIGEN||21.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86162|86162 - COMPLEMENT TOTAL HEMOLYTIC||62.28|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86161|86161 - COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT||36.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86160|86160 - COMPLEMENT ANTIGEN EACH COMPONENT||36.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86157|86157 - COLD AGGLUTININ TITER||24.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86156|86156 - COLD AGGLUTININ SCREEN||20.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86155|86155 - CHEMOTAXIS ASSAY SPECIFY METHOD||49.005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86152|86152 - CELL ENUMERATION IMMUNE SELECTJ & ID FLUID SPEC||753.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86148|86148 - ANTI-PHOSPHATIDYLSERINE ANTIBODY||49.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86147|86147 - CARDIOLIPIN ANTIBODY EACH IG CLASS||77.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86146|86146 - BETA 2 GLYCOPROTEIN I ANTIBODY EACH||77.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86141|86141 - C-REACTIVE PROTEIN HIGH SENSITIVITY||39.6675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86140|86140 - C-REACTIVE PROTEIN||15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86079|86079 - BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT||113.4063|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86078|86078 - BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT||114.8547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86077|86077 - BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REP||114.8547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86063|86063 - ANTISTREPTOLYSIN O SCREEN||17.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86060|86060 - ANTISTREPTOLYSIN O TITER||21.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86039|86039 - ANTINUCLEAR ANTIBODIES ANA TITER||34.2|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86038|86038 - ANTINUCLEAR ANTIBODIES ANA||37.0575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86023|86023 - ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY||38.1825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86022|86022 - ANTIBODY IDENTIFICATION PLATELET ANTIBODIES||56.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86021|86021 - ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES||46.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86005|86005 - ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN||16.875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86003|86003 - ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH||15.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86001|86001 - ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN||15.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|86000|86000 - AGGLUTININS FEBRILE EACH ANTIGEN||21.3975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85999|85999 - UNLISTED HEMATOLOGY & COAGULATION PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85810|85810 - VISCOSITY||35.775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85732|85732 - THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA||19.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85730|85730 - THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD||18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85705|85705 - THROMBOPLASTIN INHIBITION TISSUE||29.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85675|85675 - THROMBIN TIME TITER||18.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85670|85670 - THROMBIN TIME PLASMA||17.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85660|85660 - SICKLING RBC REDUCTION||16.8975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85652|85652 - SEDIMENTATION RATE RBC AUTOMATED||8.28|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85651|85651 - SEDIMENTATION RATE RBC NON-AUTOMATED||10.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85635|85635 - REPTILASE TEST||30.1725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85613|85613 - RUSSELL VIPER VENOM TIME DILUTED||29.3625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85612|85612 - RUSSELL VIPER VENON TIME UNDILUTED||29.3625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85611|85611 - PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH||12.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85610|85610 - PROTHROMBIN TIME|QW|12.06|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85610|85610 - PROTHROMBIN TIME||12.06|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85598|85598 - PHOSPHOLIPID NEUTRALIZATION HEXAGONAL||55.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85597|85597 - PHOSPHOLIPID NEUTRALIZATION PLATELET||55.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85576|85576 - PLATELET AGGREGATION IN VITRO EACH AGENT|QW|65.8575|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85576|85576 - PLATELET AGGREGATION IN VITRO EACH AGENT||65.8575|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85557|85557 - OSMOTIC FRAGILITY RBC INCUBATED||40.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85555|85555 - OSMOTIC FRAGILITY RBC UNINCUBATED||20.475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85549|85549 - MURAMIDASE||57.465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85547|85547 - MECHANICAL FRAGILITY RBC||18.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85540|85540 - WBC ALKALINE PHOSPHATASE COUNT||18.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85536|85536 - IRON STAIN PERIPHERAL BLOOD||19.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85530|85530 - HEPARIN-PROTAMINE TOLERANCE TST||43.4475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85525|85525 - HEPARIN NEUTRALIZATION||36.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85520|85520 - HEPARIN ASSAY||40.1175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85475|85475 - HEMOLYSIN ACID||15.9975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85461|85461 - HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE||20.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85460|85460 - HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS||7.4025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85445|85445 - HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE||20.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85441|85441 - HEINZ BODIES DIRECT||12.8925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85421|85421 - FBRNLYC FACTORS&INHIBITORS PLSMNG AGIC ASSAY||31.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85420|85420 - FBRNLYC FACTORS&INHIBITRS PLSMNG XCPT AGIC ASS||20.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85415|85415 - FBRNLYC FACTORS&INHIBITORS PLSMNG ACTIVATOR||52.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85410|85410 - FBRNLYC FACTORS&INHIBITORS ALPHA-2 ANTIPLASMIN||23.625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85400|85400 - FIBRINOLYTIC FACTORS & INHIBITORS PLASMIN||27.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85397|85397 - COAGJ&FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL||70.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85396|85396 - COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY||45.7482|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85390|85390 - FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP&REPOR||15.84|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85385|85385 - FIBRINOGEN ANTIGEN||26.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85384|85384 - FIBRINOGEN ACTIVITY||26.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85380|85380 - FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE||31.2075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85379|85379 - FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE||31.2075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85378|85378 - FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN||21.87|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85370|85370 - FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE||34.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85366|85366 - FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ||26.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85362|85362 - FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN||21.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85360|85360 - EUGLOBULIN LYSIS||25.7625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85348|85348 - COAGULATION TIME OTHER METHODS||10.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85347|85347 - COAGULATION TIME ACTIVATED||13.05|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85345|85345 - COAGULATION TIME LEE AND WHITE||10.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85337|85337 - THROMBOMODULIN||31.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85335|85335 - FACTOR INHIBITOR TEST||39.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85307|85307 - ACTIVATED PROTEIN C APC RESISTANCE ASSAY||46.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85306|85306 - CLOTTING INHIBITORS PROTEIN S FREE||46.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85305|85305 - CLOTTING INHIBITORS PROTEIN S TOTAL||35.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85303|85303 - CLOTTING INHIBITORS PROTEIN C ACTIVITY||42.39|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85302|85302 - CLOTTING INHIBITORS PROTEIN C ANTIGEN||36.8325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85301|85301 - CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY||33.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85300|85300 - CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY||36.3375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85293|85293 - CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY||58.05|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85292|85292 - CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY||58.05|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85291|85291 - CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB||27.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85290|85290 - CLOTTING FACTOR XIII FIBRIN STABILIZING||50.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85280|85280 - CLOTTING FACTOR XII HAGEMAN||59.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85270|85270 - CLOTTING FACTOR XI PTA||54.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85260|85260 - CLOTTING FACTOR X STUART-PROWER||54.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85250|85250 - CLOTTING FACTOR IX PTC/CHRISTMAS||58.365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85247|85247 - CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS||70.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85246|85246 - CLOTTING FACTOR VIII VW FACTOR ANTIGEN||70.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85245|85245 - CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT||70.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85244|85244 - CLOTTING FACTOR VIII RELATED ANTIGEN||62.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85240|85240 - CLOTTING FACTOR VIII AHG 1 STAGE||54.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85230|85230 - CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR||54.8775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85220|85220 - CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR||54.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85210|85210 - CLOTTING FACTOR II PROTHROMBIN SPECIFIC||39.8025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85175|85175 - CLOT LYSIS TIME WHOLE BLOOD DILUTION||13.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85170|85170 - BLOOD CLOT RETRACTION||11.0925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85130|85130 - CHROMOGENIC SUBSTRATE ASSAY||36.45|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85097|85097 - BONE MARROW SMEAR INTERPRETATION||110.5093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85060|85060 - BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT||55.0899|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85055|85055 - RETICULATED PLATELET ASSAY||80.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85049|85049 - BLOOD COUNT PLATELET AUTOMATED||13.725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85048|85048 - BLOOD COUNT LEUKOCYTE WBC AUTOMATED||7.785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85046|85046 - BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS||17.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85045|85045 - BLOOD COUNT RETICULOCYTE AUTOMATED||12.2625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85044|85044 - BLOOD COUNT RETICULOCYTE AUTOMATED||13.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85041|85041 - BLOOD COUNT RED BLOOD CELL AUTOMATED||9.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85032|85032 - BLOOD COUNT MANUAL CELL COUNT EACH||13.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85027|85027 - BLOOD COUNT COMPLETE AUTOMATED||19.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85025|85025 - BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC||23.8275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85018|85018 - BLOOD COUNT HEMOGLOBIN|QW|7.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85018|85018 - BLOOD COUNT HEMOGLOBIN||7.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85014|85014 - BLOOD COUNT HEMATOCRIT|QW|7.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85014|85014 - BLOOD COUNT HEMATOCRIT||7.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85013|85013 - BLOOD COUNT SPUN MICROHEMATOCRIT||7.2675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85009|85009 - BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT||11.4075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85008|85008 - BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT||10.53|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85007|85007 - BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT||10.53|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85004|85004 - BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT||19.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|85002|85002 - BLEEDING TIME TEST||13.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84999|84999 - UNLISTED CHEMISTRY PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84830|84830 - OVULATION TEST VISUAL COLOR COMPARISON HLH||30.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84704|84704 - GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN||19.665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84703|84703 - GONADOTROPIN CHORIONIC QUALITATIVE|QW|19.665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84703|84703 - GONADOTROPIN CHORIONIC QUALITATIVE||19.665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84702|84702 - GONADOTROPIN CHORIONIC QUANTITATIVE||19.665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84681|84681 - ASSAY OF C-PEPTIDE||48.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84630|84630 - ASSAY OF ZINC||34.8975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84620|84620 - XYLOSE ABSORPTION TEST BLOOD &/URINE||36.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84600|84600 - ASSAY OF VOLATILES||49.275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84597|84597 - ASSAY OF VITAMIN K||42.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84591|84591 - ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED||35.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84590|84590 - ASSAY OF VITAMIN A||35.5725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84588|84588 - ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE||104.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84586|84586 - ASSAY OF VASOACTIVE INTESTINAL PEPTIDE||108.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84585|84585 - ASSAY OF VANILLYLMANDELIC ACID URINE||47.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84583|84583 - ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE||15.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84580|84580 - UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN||21.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84578|84578 - ASSAY OF UROBILINOGEN URINE QUALITATIVE||9.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84577|84577 - ASSAY OF UROBILINOGEN FECES QUANTITATIVE||21.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84560|84560 - ASSAY OF URIC ACID OTHER SOURCE||14.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84550|84550 - ASSAY OF BLOOD/URIC ACID|QW|13.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84550|84550 - ASSAY OF BLOOD/URIC ACID||13.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84545|84545 - UREA NITROGEN CLEARANCE||20.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84540|84540 - ASSAY OF UREA NITROGEN URINE||14.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84525|84525 - ASSAY OF UREA NITROGEN SEMIQUANTITATIVE||7.4025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84520|84520 - ASSAY OF UREA NITROGEN QUANTITATIVE|QW|12.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84520|84520 - ASSAY OF UREA NITROGEN QUANTITATIVE||12.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84512|84512 - ASSAY OF TROPONIN QUALITATIVE||22.6125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84510|84510 - ASSAY OF TYROSINE||31.8825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84490|84490 - TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION||23.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84488|84488 - ASSAY OF TRYPSIN FECES QUALITATIVE||22.3875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84485|84485 - ASSAY OF TRYPSIN DUODENAL FLUID||23.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84484|84484 - ASSAY OF TROPONIN QUANTITATIVE||30.15|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84482|84482 - TRIIODOTHYRONINE T3 REVERSE||48.3075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84481|84481 - ASSAY OF TRIIODOTHYRONINE T3 FREE||51.9075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84480|84480 - ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3||39.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84479|84479 - THYROID HORM UPTK/THYROID HORMONE BINDING RATIO||19.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84478|84478 - ASSAY OF TRIGLYCERIDES|QW|17.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84478|84478 - ASSAY OF TRIGLYCERIDES||17.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84466|84466 - ASSAY OF L7383TRANSFERRIN||39.1275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84460|84460 - TRANSFERASE ALANINE AMINO ALT SGPT|QW|16.245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84460|84460 - TRANSFERASE ALANINE AMINO ALT SGPT||16.245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84450|84450 - TRANSFERASE ASPARTATE AMINO AST SGOT|QW|15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84450|84450 - TRANSFERASE ASPARTATE AMINO AST SGOT||15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84449|84449 - ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN||55.17|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84446|84446 - ASSAY OF TOCOPHEROL ALPHA VITAMIN E||43.4475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84445|84445 - THYROID STIMULATING IMMUNE GLOBULINS TSI||25.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84443|84443 - ASSAY OF THYROID STIMULATING HORMONE TSH|QW|51.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84443|84443 - ASSAY OF THYROID STIMULATING HORMONE TSH||51.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84442|84442 - ASSAY OF THYROXINE BINDING GLOBULIN||35.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84439|84439 - ASSAY OF FREE THYROXINE||27.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84437|84437 - ASSAY OF THYROXINE REQUIRING ELUTION||19.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84436|84436 - ASSAY OF THYROXINE TOTAL||21.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84432|84432 - ASSAY OF THYROGLOBULIN||49.23|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84431|84431 - THROMBOXANE METABOLITE W/WO THROMBOXANE URINE||51.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84430|84430 - ASSAY OF THIOCYANATE||17.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84425|84425 - ASSAY OF THIAMINE-VITAMIN B-1||65.07|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84403|84403 - ASSAY OF TESTOSTERONE TOTAL||79.1325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84402|84402 - ASSAY OF TESTOSTERONE FREE||78.0525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84392|84392 - ASSAY OF SULFATE URINE||14.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84379|84379 - SUGARS MONO DI&OLIGOS MLT QUANTITATIVE EA SPEC||35.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84378|84378 - SUGARS MONO DI&OLIGOS 1 QUANTITATIVE EACH SPEC||35.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84377|84377 - SUGARS MONO DI&OLIGOS MLT QUALITATIVE EACH SPE||16.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84376|84376 - SUGARS MONO DI&OLIGOS 1 QUALITATAIVE EACH SPEC||16.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84375|84375 - SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY||60.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84315|84315 - SPECIFIC GRAVITY EXCEPT URINE||7.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84311|84311 - SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED||21.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84307|84307 - ASSAY OF SOMATOSTATIN||56.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84305|84305 - ASSAY OF SOMATOMEDIN||65.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84302|84302 - ASSAY OF SODIUM OTHER SOURCE||10.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84300|84300 - ASSAY OF URINE SODIUM||10.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84295|84295 - SODIUM SERUM PLASMA OR WHOLE BLOOD|QW|14.76|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84295|84295 - SODIUM SERUM PLASMA OR WHOLE BLOOD||14.76|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84285|84285 - ASSAY OF SILICA||72.1575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84275|84275 - ASSAY OF SIALIC ACID||41.175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84270|84270 - ASSAY OF SEX HORMONE BINDING GLOBULIN||66.6225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84260|84260 - ASSAY OF SEROTONIN||94.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84255|84255 - ASSAY OF SELENIUM||78.255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84252|84252 - ASSAY OF RIBOFLAVIN-VITAMIN B-2||62.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84244|84244 - ASSAY OF RENIN||67.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84238|84238 - RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR||112.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84235|84235 - RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST||160.425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84234|84234 - ASSAY OF RECEPTOR ASSAY PROGESTERONE||198.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84233|84233 - ASSAY OF RECEPTOR ASSAY ESTROGEN||197.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84228|84228 - ASSAY OF QUININE||35.6625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84220|84220 - ASSAY OF PYRUVATE KINASE||28.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84210|84210 - ASSAY OF PYRUVATE||33.2775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84207|84207 - ASSAY OF PYRIDOXAL PHOSPHATE||86.1075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84206|84206 - ASSAY OF PROINSULIN||54.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84203|84203 - PROTOPORPHYRIN RBC SCREEN||26.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84202|84202 - PROTOPORPHYRIN RBC QUANTITATIVE||43.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84182|84182 - PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL||55.17|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84181|84181 - PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID||52.2|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84166|84166 - PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATI||54.6525|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84165|84165 - PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM||32.9175|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84163|84163 - PREGNANCY-ASSOCIATED PLASMA PROTEIN-A||19.665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84160|84160 - PROTEIN TOTAL REFRACTOMETRY ANY SRC||15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84157|84157 - PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC|QW|11.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84157|84157 - PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC||11.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84156|84156 - PROTEIN TOTAL XCPT REFRACTOMETRY URINE||11.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84155|84155 - PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD|QW|11.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84155|84155 - PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD||11.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84154|84154 - ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE||56.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84153|84153 - ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL||56.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84152|84152 - ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED||56.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84150|84150 - ASSAY OF PROSTAGLNDIN EACH||76.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84146|84146 - ASSAY OF PROLACTIN||59.4|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84145|84145 - PROCALCITONIN (PCT)||82.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84144|84144 - ASSAY OF PROGESTERONE||62.4375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84143|84143 - 17-HYDROXYPREGNENOLONE||69.93|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84140|84140 - PREGNENOLONE||63.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84138|84138 - PREGNANETRIOL||58.0275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84135|84135 - PREGNANEDIOL||58.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84134|84134 - PREALBUMIN||44.7075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84133|84133 - POTASSIUM URINE||13.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84132|84132 - POTASSIUM SERUM PLASMA/WHOLE BLOOD|QW|14.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84132|84132 - POTASSIUM SERUM PLASMA/WHOLE BLOOD||14.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84126|84126 - PORPHYRINS FECES QUANTITATIVE||78.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84120|84120 - PORPHYRINS URINE QUANTITATION & FRACTIONATION||45.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84119|84119 - PORPHYRINS URINE QUALITATAIVE||26.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84112|84112 - EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN||197.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84110|84110 - ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE||25.875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84106|84106 - PORPHOBILINOGEN URINE QUALITATIVE||13.1175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84105|84105 - ASSAY OF PHOSPHORUS INORGANIC URINE||15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84100|84100 - ASSAY OF PHOSPHORUS INORGANIC||14.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84087|84087 - ASSAY OF PHOSPHOHEXOSE ISOMERASE||31.6575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84085|84085 - PHOSPHOGLUCONATE 6-DEHYD RBC||20.655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84081|84081 - PHOSPHATIDYLGLYCEROL||50.625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84080|84080 - ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES||45.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84078|84078 - ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE||22.3875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84075|84075 - ASSAY OF PHOSPHATASE ALKALINE|QW|15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84075|84075 - ASSAY OF PHOSPHATASE ALKALINE||15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84066|84066 - ASSAY OF PHOSPHATASE ACID PROSTATIC||29.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84061|84061 - PHOSPHATASE ACID FORENSIC EXAMINATION||24.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84060|84060 - ASSAY OF PHOSPHATASE ACID TOTAL||22.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84035|84035 - ASSAY OF PHENYLKETONES QUALITATIVE||11.2275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|84030|84030 - ASSAY OF PHENYLALANINE BLOOD||16.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83993|83993 - ASSAY OF CALPROTECTIN FECAL||60.165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83992|83992 - ASSAY OF PHENCYCLIDINE||45.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83987|83987 - PH EXHALED BREATH CONDENSATE||48.6675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83986|83986 - PH BODY FLUID NOT ELSEWHERE SPECIFIED|QW|10.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83986|83986 - PH BODY FLUID NOT ELSEWHERE SPECIFIED||10.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83970|83970 - ASSAY OF PARATHORMONE||126.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83951|83951 - ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP||197.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83950|83950 - ONCOPROTEIN HER-2/NEU||197.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83945|83945 - ASSAY OF OXALATE||39.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83937|83937 - ASSAY OF OSTEOCALCIN||91.485|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83935|83935 - ASSAY OF OSMOLALITY URINE||20.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83930|83930 - ASSAY OF OSMOLALITY BLOOD||20.2725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83921|83921 - ORGANIC ACID 1 QUANTITATIVE||50.4225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83919|83919 - ORGANIC ACIDS QUALITATIVE EACH SPECIMEN||50.4225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83918|83918 - ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN||50.4225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83916|83916 - OLIGOCLONAL IMMUNE||61.6275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83915|83915 - ASSAY OF NUCLEOTIDASE 5'-||34.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83885|83885 - ASSAY OF NICKEL||75.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83883|83883 - ASSAY OF NEPHELOMETRY EACH ANALYTE NES||41.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83880|83880 - NATRIURETIC PEPTIDE|QW|104.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83880|83880 - NATRIURETIC PEPTIDE||104.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83876|83876 - MYELOPEROXIDASE MPO||104.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83874|83874 - MYOGLOBIN||39.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83873|83873 - MYELIN BASIC PROTEIN CEREBROSPINAL FLUID||52.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83872|83872 - MUCIN SYNOVIAL FLUID ROPES TEST||17.955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83864|83864 - MUCOPOLYSACCHARIDES ACID QUANTITATIVE||61.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83861|83861 - MICROFLUIDIC ANALYSIS TEAR OSMOLARITY|QW|50.625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83861|83861 - MICROFLUIDIC ANALYSIS TEAR OSMOLARITY||50.625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83857|83857 - METHEMALBUMIN||32.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83835|83835 - METANEPHRINES||51.9075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83825|83825 - ASSAY OF MERCURY QUANTITATIVE||49.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83789|83789 - MASS SPECT&TANDEM MASS SPECT NONDRG ANAL NES EA||18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83785|83785 - ASSAY OF MANGANESE||75.3975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83775|83775 - ASSAY OF MALATE DEHYDROGENASE||22.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83735|83735 - ASSAY OF MAGNESIUM||20.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83727|83727 - LUTEINIZING RELEASING FACTOR||52.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83721|83721 - LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL|QW|29.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83721|83721 - LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL||29.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83719|83719 - LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL||35.6625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83718|83718 - LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL|QW|25.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83718|83718 - LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL||25.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83704|83704 - LIPOPROTEIN BLOOD QUAN NUMBERS & SUBCLASSES||96.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83701|83701 - LIPOPROTEIN BLOOD HIGH RESOLTJ&QUANTJ SUBCLASS||76.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83700|83700 - LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP&QUAN||26.7975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83698|83698 - LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2||104.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83695|83695 - LIPOPROTEIN (A)||39.6675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83690|83690 - ASSAY OF LIPASE||21.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83670|83670 - LEUCINE AMINOPEPTIDASE LAP||28.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83664|83664 - FETAL LUNG MATURITY LAMELLAR BODY DENSITY||57.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83663|83663 - FETAL LUNG MATURITY FLUORESCENCE POLARIZATION||57.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83662|83662 - FETAL LUNG MATURITY FOAM STABILITY TEST||57.96|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83661|83661 - FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO||67.3875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83655|83655 - ASSAY OF LEAD|QW|37.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83655|83655 - ASSAY OF LEAD||37.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83633|83633 - LACTOSE URINE QUALITATIVE||16.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83632|83632 - LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN||61.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83631|83631 - LACTOFERRIN FECAL QUANTITATIVE||60.165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83630|83630 - LACTOFERRIN FECAL QUALITATIVE||60.165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83625|83625 - LACTATE DEHYDROGENASE ISOENZYMES SEP&QUAN||35.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83615|83615 - LACTATE DEHYDROGENASE LDH||18.495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83605|83605 - ASSAY OF LACTATE|QW|32.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83605|83605 - ASSAY OF LACTATE||32.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83593|83593 - KETOSTEROIDS 17- FRACTIONATION||80.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83586|83586 - ASSAY OF KETOSTEROIDS 17- TOTAL||38.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83582|83582 - ASSAY OF KETOGENIC STEROIDS FRACTIONATION||43.4475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83570|83570 - ISOCITRIC DEHYDROGENASE||27.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83550|83550 - IRON BINDING CAPACITY||26.7975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83540|83540 - ASSAY OF IRON||19.845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83528|83528 - ASSAY OF INTRINSIC FACTOR||48.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83527|83527 - ASSAY OF INSULIN FREE||39.69|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83525|83525 - ASSAY OF INSULIN TOTAL||35.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83520|83520 - IMMUNOASSAY ANALYTE QUANTITATIVE NOS|QW|39.6675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83520|83520 - IMMUNOASSAY ANALYTE QUANTITATIVE NOS||39.6675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83519|83519 - IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY||41.4|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83518|83518 - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP|QW|25.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83518|83518 - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP||25.965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83516|83516 - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP|QW|32.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83516|83516 - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP||32.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83505|83505 - ASSAY OF HYDROXYPROLINE TOTAL||74.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83500|83500 - ASSAY OF HYDROXYPROLINE FREE||69.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83499|83499 - ASSAY OF HYDROXYPROGESTERONE 20-||77.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83498|83498 - ASSAY OF HYDROXYPROGESTERONE 17-D||83.2725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83497|83497 - ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA||39.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83491|83491 - HYDROXYCORTICOSTEROIDS 17||53.7075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83150|83150 - ASSAY OF HOMOVANILLIC ACID||59.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83090|83090 - ASSAY OF HOMOCYSTEINE||51.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83088|83088 - ASSAY OF HISTAMINE||90.5175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83080|83080 - ASSAY OF B-HEXOSAMINIDASE EACH ASSAY||51.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83070|83070 - ASSAY OF HEMOSIDERIN QUALITATIVE||14.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83069|83069 - ASSAY OF HEMOGLOBIN URINE||12.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83068|83068 - HEMOGLOBIN UNSTABLE SCREEN||25.9425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83065|83065 - HEMOGLOBIN THERMOLABILE||21.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83060|83060 - HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE||25.335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83051|83051 - ASSAY OF HEMOGLOBIN PLASMA||22.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83050|83050 - HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE||22.455|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83045|83045 - HEMOGLOBIN METHEMOGLOBIN QUALITATIVE||12.6225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83037|83037 - HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE|QW|29.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83037|83037 - HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE||29.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83036|83036 - HEMOGLOBIN GLYCOSYLATED A1C|QW|29.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83036|83036 - HEMOGLOBIN GLYCOSYLATED A1C||29.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83033|83033 - HEMOGLOBIN F FETAL QUALITATIVE||18.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83030|83030 - HEMOGLOBIN F FETAL CHEMICAL||25.335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83026|83026 - HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED||7.245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83021|83021 - HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY||18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83020|83020 - HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS||29.97|40.6746||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83018|83018 - HEAVY METAL QUANTIATIVE EACH NES||67.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83015|83015 - HEAVY METAL QUALITATIVE ANY ANALYTES||57.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83014|83014 - HPYLORI DRUG ADMINISTRATION||24.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83013|83013 - HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE||206.4375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83012|83012 - ASSAY OF HAPTOGLOBIN PHENOTYPES||52.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83010|83010 - ASSAY OF HAPTOGLOBIN QUANTITATIVE||11.43|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83009|83009 - HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE||41.445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83006|83006 - GROWTH STIMULATION EXPRESSED GENE 2||67.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83003|83003 - ASSAY OF GROWTH HORMONE HUMAN||43.6275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83002|83002 - GONADOTROPIN LUTEINIZING HORMONE|QW|56.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83002|83002 - GONADOTROPIN LUTEINIZING HORMONE||56.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83001|83001 - GONADOTROPIN FOLLICLE STIMULATING HORMONE|QW|56.9475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|83001|83001 - GONADOTROPIN FOLLICLE STIMULATING HORMONE||56.9475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82985|82985 - ASSAY OF GLYCATED PROTEIN|QW|46.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82985|82985 - ASSAY OF GLYCATED PROTEIN||46.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82979|82979 - ASSAY OF GLUTATHIONE REDUCTASE RBC||21.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82978|82978 - ASSAY OF GLUTATHIONE||43.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82977|82977 - ASSAY OF GLUTAMYLTRASE GAMMA|QW|22.0725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82977|82977 - ASSAY OF GLUTAMYLTRASE GAMMA||22.0725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82965|82965 - ASSAY OF GLUTAMATE DEHYDROGENASE||23.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82963|82963 - ASSAY OF GLUCOSIDASE BETA||65.8575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82962|82962 - GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE||7.1775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82960|82960 - GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN||18.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82955|82955 - GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE||23.895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82952|82952 - GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS|QW|12.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82952|82952 - GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS||12.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82951|82951 - GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS|QW|39.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82951|82951 - GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS||39.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82950|82950 - GLUCOSE POST GLUCOSE DOSE|QW|14.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82950|82950 - GLUCOSE POST GLUCOSE DOSE||14.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82948|82948 - GLUCOSE BLOOD REAGENT STRIP||9.72|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82947|82947 - GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP|QW|12.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82947|82947 - GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP||12.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82946|82946 - GLUCOSE TOLERANCE TEST||46.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82945|82945 - GLUCOSE BODY FLUID OTHER THAN BLOOD||12.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82943|82943 - ASSAY OF GLUCAGON||43.785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82941|82941 - ASSAY OF GASTRIN||54.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82938|82938 - GASTRIN AFTER SECRETIN STIMULATION||54.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82930|82930 - GASTRIC ACID ANALYIS W/PH EACH SPECIMEN||16.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82820|82820 - HGB-O2 AFFINITY PO2 50% SATURATION OXYGEN||30.6225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82810|82810 - GASES BLOOD O2 SATURATION ONLY DIRECT MEAS||26.7525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82805|82805 - GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY||86.9625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82803|82803 - BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3||59.31|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82800|82800 - GASES BLOOD PH ONLY||25.9425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82787|82787 - GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES||24.57|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82785|82785 - ASSAY OF GAMMAGLOBULIN IGE||50.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82784|82784 - ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH||28.5075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82777|82777 - GALECTIN-3||67.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82776|82776 - GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN||25.7175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82775|82775 - GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN||64.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82760|82760 - ASSAY OF GALACTOSE||34.3125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82759|82759 - ASSAY OF GALACTOKINASE RBC||65.8575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82757|82757 - ASSAY OF FRUCTOSE SEMEN||53.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82747|82747 - ASSAY OF FOLIC ACID RBC||53.0775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82746|82746 - ASSAY OF FOLIC ACID SERUM||45.0675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82735|82735 - ASSAY OF FLUORIDE||56.8125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82731|82731 - FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN||197.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82728|82728 - ASSAY OF FERRITIN||41.7825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82726|82726 - VERY LONG CHAIN FATTY ACIDS||18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82725|82725 - FATTY ACIDS NONESTERIFIED||40.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82715|82715 - FAT DIFFIAL FECES QUANTITATIVE||52.74|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82710|82710 - FAT/LIPIDS FECES QUANTITATIVE||51.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82705|82705 - FAT/LIPIDS FECES QUALITATIVE||15.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82696|82696 - ASSAY OF ETIOCHOLANOLONE||72.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82693|82693 - ASSAY OF ETHYLENE GLYCOL||45.6525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82679|82679 - ASSAY OF ESTRONE|QW|76.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82679|82679 - ASSAY OF ESTRONE||76.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82677|82677 - ASSAY OF ESTRIOL||74.115|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82672|82672 - ASSAY OF ESTROGENS TOTAL||51.03|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82671|82671 - ASSAY OF ESTROGENS FRACTIONATED||99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82670|82670 - ASSAY OF ESTRADIOL||85.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82668|82668 - ASSAY OF ERYTHROPOIETIN||57.6|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82664|82664 - ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED||105.3|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82658|82658 - NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA||18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82657|82657 - NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA||18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82656|82656 - ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN||32.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82652|82652 - 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED||117.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82638|82638 - ASSAY OF DIBUCAINE NUMBER||37.53|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82634|82634 - DEOXYCORTISOL 11-||89.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82633|82633 - DESOXYCORTICOSTERONE 11-||94.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82627|82627 - DEHYDROEPIANDROSTERONE-SULFATE||68.1525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82626|82626 - DEHYDROEPIANDROSTERONE||77.445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82615|82615 - CSTINE&HOMOCSTINE URINE QUALITATIVE||25.02|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82610|82610 - CYSTATIN C||41.67|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82608|82608 - CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY||43.8975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82607|82607 - CYANOCOBALAMIN VITAMIN B-12||46.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82600|82600 - ASSAY OF CYANIDE||59.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82595|82595 - CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE||19.8225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82585|82585 - ASSAY OF CRYOFIBRN||26.3025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82575|82575 - CREATININE CLEARANCE||28.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82570|82570 - CREATININE OTHER SOURCE|QW|15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82570|82570 - CREATININE OTHER SOURCE||15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82565|82565 - CREATININE BLOOD|QW|15.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82565|82565 - CREATININE BLOOD||15.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82554|82554 - CREATINE KINASE ISOFORMS||36.3825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82553|82553 - CREATINE KINASE MB FRACTION ONLY||35.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82552|82552 - CREATINE KINASE ISOENZYMES||41.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82550|82550 - CREATINE KINASE TOTAL|QW|19.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82550|82550 - CREATINE KINASE TOTAL||19.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82542|82542 - COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC||18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82540|82540 - ASSAY OF CREATINE||14.22|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82533|82533 - CORTISOL TOTAL||49.9725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82530|82530 - CORTISOL FREE||51.21|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82528|82528 - CORTICOSTERONE||69.0075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82525|82525 - ASSAY OF COPPER||38.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82523|82523 - COLLAGEN CROSS LINKS ANY METHOD|QW|57.285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82523|82523 - COLLAGEN CROSS LINKS ANY METHOD||57.285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82507|82507 - ASSAY OF CITRATE||85.2075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82495|82495 - ASSAY OF CHROMIUM||62.1675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82485|82485 - CHONDROITIN B SULFATE QUANTITATIVE||63.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82482|82482 - CHOLINESTERASE RBC||23.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82480|82480 - CHOLINESTERASE SERUM||24.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82465|82465 - CHOLESTEROL SERUM/WHOLE BLOOD TOTAL|QW|13.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82465|82465 - CHOLESTEROL SERUM/WHOLE BLOOD TOTAL||13.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82441|82441 - CHLORINATED HYDROCARBONS SCREEN||18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82438|82438 - CHLORIDE OTHER SOURCE||14.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82436|82436 - CHLORIDE URINE||15.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82435|82435 - CHLORIDE BLD|QW|14.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82435|82435 - CHLORIDE BLD||14.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82415|82415 - CHLORAMPHENICOL||38.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82397|82397 - CHEMILUMINESCENT ASSAY||43.29|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82390|82390 - CERULOPLASMIN||32.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82387|82387 - CATHEPSIN-D||63.7875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82384|82384 - CATECHOLAMINES FRACTIONATED||77.4|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82383|82383 - CATECHOLAMINES BLOOD||76.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82382|82382 - CATECHOLAMINES TOTAL URINE||52.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82380|82380 - CAROTENE||28.2825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82379|82379 - CARNITINE QUANTITATIVE EACH SPECIMEN||51.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82378|82378 - CARCINOEMBRYONIC ANTIGEN CEA||58.14|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82376|82376 - CARBOXYHEMOGLOBIN QUALITATIVE||18.36|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82375|82375 - CARBOXYHEMOGLOBIN QUANTITATIVE||8.82|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82374|82374 - CARBON DIOXIDE BICARBONATE|QW|14.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82374|82374 - CARBON DIOXIDE BICARBONATE||14.985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82373|82373 - CARBOHYDRATE DEFICIENT TRANSFERRIN||18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82370|82370 - CALCULUS XRAY DIFFRACTION||38.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82365|82365 - CALCULUS INFRARED SPECTROSCOPY||39.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82360|82360 - CALCULUS QUANTITATIVE CHEMICAL||39.4425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82355|82355 - CALCULUS QUALITATIVE ANALYSIS||35.4825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82340|82340 - CALCIUM URINE QUANTITATIVE TIMED SPECIMEN||18.4725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82331|82331 - CALCIUM AFTER CALCIUM INFUSION TEST||15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82330|82330 - CALCIUM IONIZED|QW|41.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82330|82330 - CALCIUM IONIZED||41.9175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82310|82310 - CALCIUM TOTAL|QW|15.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82310|82310 - CALCIUM TOTAL||15.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82308|82308 - CALCITONIN||82.1025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82306|82306 - 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED||90.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82300|82300 - CADMIUM||70.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82286|82286 - BRADYKININ||21.105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82274|82274 - BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3|QW|48.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82274|82274 - BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3||48.7575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82272|82272 - BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC|QW|9.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82272|82272 - BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC||9.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82271|82271 - BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES|QW|9.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82271|82271 - BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES||9.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82270|82270 - BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER||9.855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82261|82261 - BIOTINIDASE EACH SPECIMEN||51.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82252|82252 - BILIRUBIN FECES QUALITATIVE||13.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82248|82248 - BILIRUBIN DIRECT||15.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82247|82247 - BILIRUBIN TOTAL|QW|15.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82247|82247 - BILIRUBIN TOTAL||15.3675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82240|82240 - BILE ACIDS CHOLYLGLYCINE||81.4725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82239|82239 - BILE ACIDS TOTAL||52.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82232|82232 - BETA-2 MICROGLOBULIN||49.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82190|82190 - ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE||45.6975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82180|82180 - ASSAY OF ASCORBIC ACID BLOOD||27.0675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82175|82175 - ASSAY OF ARSENIC||58.14|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82172|82172 - APOLIPOPROTEIN EACH||47.4975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82164|82164 - ANGIOTENSIN I-CONVERTING ENZYME||44.7525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82163|82163 - ANGIOTENSIN II||62.91|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82160|82160 - ANDROSTERONE||76.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82157|82157 - ANDROSTENEDIONE||89.73|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82154|82154 - ANDROSTANEDIOL GLUCURONIDE||88.38|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82150|82150 - ASSAY OF AMYLASE|QW|19.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82150|82150 - ASSAY OF AMYLASE||19.8675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82143|82143 - AMNIOTIC FLU SCAN||21.0375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82140|82140 - ASSAY OF AMMONIA||30.33|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82139|82139 - AMINO ACIDS 6/> AMINO ACIDS QUANTITATIVE EA SPE||51.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82136|82136 - AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC||51.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82135|82135 - AMINOLEVULINIC ACID DELTA||50.4225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82131|82131 - AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN||51.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82128|82128 - AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN||42.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82127|82127 - AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN||42.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82120|82120 - AMINES VAGINAL FLUID QUALITATIVE|QW|7.4025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82120|82120 - AMINES VAGINAL FLUID QUALITATIVE||7.4025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82108|82108 - ASSAY OF ALUMINUM||51.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82107|82107 - AFP-L3 FRACTION ISOFORM & TOTAL AFP W/RATIO||197.415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82106|82106 - ALPHA-FETOPROTEIN AMNIOTIC FLUID||51.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82105|82105 - ALPHA-FETOPROTEIN SERUM||51.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82104|82104 - ALPHA-1-ANTITRYPSIN PHENOTYPE||44.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82103|82103 - ALPHA-1-ANTITRYPSIN TOTAL||41.175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82088|82088 - ASSAY OF ALDOSTERONE||124.8975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82085|82085 - ASSAY OF ALDOLASE||29.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82075|82075 - ASSAY OF ALCOHOL BREATH||36.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82045|82045 - ALBUMIN ISCHEMIA MODIFIED||104.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82044|82044 - URINE ALBUMIN SEMIQUANTITATIVE|QW|14.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82044|82044 - URINE ALBUMIN SEMIQUANTITATIVE||14.0175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82043|82043 - URINE ALBUMIN QUANTITATIVE|QW|17.7075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82043|82043 - URINE ALBUMIN QUANTITATIVE||17.7075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82042|82042 - OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN|QW|15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82042|82042 - OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN||15.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82040|82040 - ALBUMIN SERUM PLASMA/WHOLE BLOOD|QW|8.82|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82040|82040 - ALBUMIN SERUM PLASMA/WHOLE BLOOD||8.82|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82030|82030 - ADENOSINE 5-MONOPHOSPHATE CYCLIC||79.065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82024|82024 - ADRENOCORTICOTROPIC HORMONE ACTH||118.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82017|82017 - ACYLCARNITINES QUANTIATIVE EACH SPECIMEN||51.6825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82016|82016 - ACYLCARNITINES QUALITATIVE EACH SPECIMEN||42.5025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82013|82013 - ASSAY OF ACETYLCHOLINESTERASE||34.2225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82010|82010 - KETONE BODIES SERUM QUANTITATIVE|QW|25.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82010|82010 - KETONE BODIES SERUM QUANTITATIVE||25.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|82009|82009 - KETONE BODIES SERUM QUALITATIVE||10.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81599|81599 - UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81595|81595 - CARDIOLOGY HRT TRNSPL MRNA GENE EXPRESS 20 GENES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81545|81545 - ONCOLOGY THYROID GENE EXPRESSION 142 GENES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81540|81540 - ONCOLOGY TUM UNKNOWN ORIGIN MRNA 92 GENES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81538|81538 - ONCOLOGY LUNG MS 8-PROTEIN SIGNATURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81536|81536 - ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP ADD||338.805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81535|81535 - ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP 1ST||1303.785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81528|81528 - ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS||1144.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81525|81525 - ONCOLOGY COLON MRNA GENE EXPRESSION 12 GENES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81519|81519 - ONCOLOGY BREAST MRNA GENE EXPRESSION 21 GENES||7693.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81512|81512 - FETAL CONGENITAL ABNOR ASSAY FIVE ANAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81511|81511 - FETAL CONGENITAL ABNOR ASSAY FOUR ANAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81510|81510 - FETAL CONGENITAL ABNOR ASSAY THREE ANAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81509|81509 - FETAL CONGENITAL ABNOR ASSAY 3 PROTEINS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81508|81508 - FETAL CONGENITAL ABNOR ASSAY TWO PROTEINS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81507|81507 - FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81506|81506 - ENDOCRINOLOGY BIOCHEMICAL ASSAY SEVEN ANAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81504|81504 - ONCOLOGY TISSUE OF ORIGIN SIMILAR SCOR ALGORITHM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81503|81503 - ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81500|81500 - ONCO (OVARIAN) BIOCHEMICAL ASSAY TWO PROTEINS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81493|81493 - COR ART DISEASE MRNA GENE EXPRESSION 23 GENES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81490|81490 - AUTOIMMUNE RHEUMATOID ARTHRTS ANALYS 12 BIOMRKRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81479|81479 - UNLISTED MOLECULAR PATHOLOGY PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81471|81471 - X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81470|81470 - X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81465|81465 - WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81460|81460 - WHOLE MITOCHONDRIAL GENOME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81455|81455 - GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51/> GEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81450|81450 - GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE||1458.9|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81445|81445 - GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE||1345.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81442|81442 - NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81440|81440 - NUCLEAR MITOCHONDRIAL 100 GENE GENOMIC SEQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81438|81438 - HEREDTRY NURONDCRN TUM DSRDRS DUP/DEL ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81437|81437 - HEREDTRY NURONDCRN TUM DSRDRS GEN SEQ ANAL 6 GEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81436|81436 - HEREDITARY COLON CA DSRDRS DUP/DEL ANALYS 5 GEN||1792.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81435|81435 - HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN||1792.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81434|81434 - HEREDITARY RETINAL DSRDRS GEN SEQ ANALYS 15 GEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81433|81433 - HEREDITARY BRST CA-RELATED DUP/DEL ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81432|81432 - HEREDITARY BRST CA-RELATED GEN SEQ ANALYS 10 GEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81431|81431 - HEARING LOSS DUP/DEL ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81430|81430 - HEARING LOSS GENOMIC SEQUENCE ANALYSIS 60 GENES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81427|81427 - GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81426|81426 - GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81425|81425 - GENOME SEQUENCE ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81420|81420 - FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81417|81417 - EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81416|81416 - EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81415|81415 - EXOME SEQUENCE ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81412|81412 - ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81411|81411 - AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81410|81410 - AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81408|81408 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 9||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81407|81407 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 8||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81406|81406 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 7||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81405|81405 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 6||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81404|81404 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81403|81403 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 4||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81402|81402 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 3||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81401|81401 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81400|81400 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 1||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81383|81383 - HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP||334.485|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81382|81382 - HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA||379.08|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81381|81381 - HLA I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GRP||289.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81380|81380 - HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS EA||543.2625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81379|81379 - HLA CLASS I TYPING HIGH RESOLUTION COMPLETE||1027.935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81378|81378 - HLA I&II HIGH RESOLUTION HLA-A -B -C AND -DRB1||1059.1425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81377|81377 - HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA||281.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81376|81376 - HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA||374.6025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81375|81375 - HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1||676.575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81374|81374 - HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH||222.975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81373|81373 - HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS EACH||341.325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81372|81372 - HLA CLASS I TYPING LOW RESOLUTION COMPLETE||677.0475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81371|81371 - HLA I&LI LOW RESOLUTION HLA-A -B&-DRB1||737.7075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81370|81370 - HLA CLASS I&II LOW HLA-A -B -C -DRB1/3/4/5&DQB||1232.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81355|81355 - VKORC1 GENE ANALYSIS COMMON VARIANT(S)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81350|81350 - UGT1A1 GENE ANALYSIS COMMON VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81342|81342 - TRG@ GENE REARRANGEMENT ANALYSIS||617.58|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81341|81341 - TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY||151.9875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81340|81340 - TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD||640.3275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81332|81332 - SERPINA1 GENE ANALYSIS COMMON VARIANTS||133.785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81331|81331 - SNRPN/UBE3A METHYLATION ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81330|81330 - SMPD1 GENE ANALYSIS COMMON VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81326|81326 - PMP22 GENE ANALYSIS KNOWN FAMILIAL VARIANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81325|81325 - PMP22 GENE ANALYSIS FULL SEQUENCE ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81324|81324 - PMP22 GENE ANAL DUPLICATION/DELETION ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81323|81323 - PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT||196.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81322|81322 - PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT||131.1975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81321|81321 - PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS||1349.55|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81319|81319 - PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS||497.9925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81318|81318 - PMS2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS||414.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81317|81317 - PMS2 GENE ANALYSIS FULL SEQUENCE||1755.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81316|81316 - PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN||969.165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81315|81315 - PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT||635.4|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81314|81314 - PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS||741.3975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81313|81313 - PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO||585.585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81311|81311 - NRAS GENE ANALYSIS VARIANTS IN EXON 2&3||665.5275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81310|81310 - NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS||555.2325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81304|81304 - MECP2 GENE ANALYSIS DUPLICATION/DELETION VARIANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81303|81303 - MECP2 GENE ANALYSIS KNOWN FAMILIAL VARIANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81302|81302 - MECP2 GENE ANALYSIS FULL SEQUENCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81301|81301 - MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF||887.49|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81300|81300 - MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA||363.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81299|81299 - MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS||362.25|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81298|81298 - MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS||646.65|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81297|81297 - MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS||340.83|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81296|81296 - MSH2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS||291.015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81295|81295 - MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS||340.83|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81294|81294 - MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS||428.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81293|81293 - MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS||582.0075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81292|81292 - MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS||1451.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81291|81291 - MTHFR GENE ANALYSIS COMMON VARIANTS||133.785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81290|81290 - MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81288|81288 - MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS||359.19|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81287|81287 - MGMT GENE PROMOTER METHYLATION ANALYSIS||186.9525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81282|81282 - LONG QT SYN GENE DUP/DLT VAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81281|81281 - LONG QT SYND KNOWN FAM VAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81280|81280 - LONG QT SYND GENE FULL SEQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81276|81276 - KRAS GENE ANALYSIS ADDITIONAL VARIANT(S)||443.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81275|81275 - KRAS GENE ANALYSIS VARIANTS IN EXON 2||443.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81273|81273 - KIT GENE ANALYSIS D816 VARIANT(S)||280.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81272|81272 - KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS||741.3975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81270|81270 - JAK2 GENE ANALYSIS P.VAL617PHE VARIANT||280.9575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81268|81268 - CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA||799.29|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81267|81267 - CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION||635.85|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81266|81266 - COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81265|81265 - COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC||659.115|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81264|81264 - IGK@ GENE REARRANGE DETECT ABNORMAL CLONAL POP||457.6725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81263|81263 - IGH@ VARIABLE REGION SOMATIC MUTATION ANALYSIS||902.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81262|81262 - IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE||133.785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81261|81261 - IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED||606.825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81260|81260 - IKBKAP GENE ANALYSIS COMMON VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81257|81257 - HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81256|81256 - HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS||200.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81255|81255 - HEXA GENE ANALYSIS COMMON VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81254|81254 - GJB6 GENE ANALYSIS COMMON VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81253|81253 - GJB2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81252|81252 - GJB2 GENE ANALYSIS FULL GENE SEQUENCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81251|81251 - GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81250|81250 - G6PC GENE ANALYSIS COMMON VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81246|81246 - FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS||186.84|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81245|81245 - FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS||372.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81244|81244 - FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81243|81243 - FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81242|81242 - FANCC GENE ANALYSIS COMMON VARIANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81241|81241 - F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT||187.29|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81240|81240 - F2 GENE ANALYSIS 20210G >A VARIANT||150.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81235|81235 - EGFR GENE ANALYSIS COMMON VARIANTS||741.3975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81229|81229 - CYTOGENOM CONST MICROARRAY COPY NUMBER&SNP VAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81228|81228 - CYTOGENOM CONST MICROARRAY COPY NUMBER VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81227|81227 - CYP2C9 GENE ANALYSIS COMMON VARIANTS||393.3225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81226|81226 - CYP2D6 GENE ANALYSIS COMMON VARIANTS||1014.5475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81225|81225 - CYP2C19 GENE ANALYSIS COMMON VARIANTS||655.56|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81224|81224 - CFTR GENE ANALYSIS INTRON 8 POLY-T ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81223|81223 - CFTR GENE ANALYSIS FULL GENE SEQUENCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81222|81222 - CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81221|81221 - CFTR GENE ANALYSIS KNOWN FAMILIAL VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81220|81220 - CFTR GENE ANALYSIS COMMON VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81219|81219 - CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9||372.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81218|81218 - CEBPA GENE ANALYSIS FULL GENE SEQUENCE||741.3975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81217|81217 - BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT||209.475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81216|81216 - BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81215|81215 - BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT||209.475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81214|81214 - BRCA1 FULL SEQ ANAL&COMMON DUP/DEL VARIANTS||3230.9325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81213|81213 - BRCA1&BRCA2 ANAL UNCOMMON DUP/DEL VARIANTS||1309.14|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81212|81212 - BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT||396.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81211|81211 - BRCA1&BRCA2 FULL SEQ ANALYS/COMM DUP/DEL BRCA||4905.495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81210|81210 - BRAF GENE ANALYSIS V600 VARIANT(S)||402.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81209|81209 - BLM GENE ANALYSIS 2281DEL6INS7 VARIANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81208|81208 - BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE||492.975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81207|81207 - BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE||443.925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81206|81206 - BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE||502.5375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81205|81205 - BCKDHB GENE ANALYSIS COMMON VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81203|81203 - APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81202|81202 - APC GENE ANALYSIS KNOWN FAMILIAL VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81201|81201 - APC GENE ANALYSIS FULL GENE SEQUENCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81200|81200 - ASPA GENE ANALYSIS COMMON VARIANTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81170|81170 - ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS||741.3975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81162|81162 - BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS||5593.185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81161|81161 - DMD DUPLICATION/DELETION ANALYSIS||315.315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81099|81099 - UNLISTED URINALYSIS PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81050|81050 - VOLUME MEASUREMENT TIMED COLLECTION EACH||9.2025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81025|81025 - URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS||19.3725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81020|81020 - URINALYSIS 2/3 GLASS TEST||11.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81015|81015 - URINALYSIS MICROSCOPIC ONLY||9.3375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81007|81007 - URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK|QW|7.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81007|81007 - URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK||7.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81005|81005 - URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS||6.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81003|81003 - URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY|QW|6.885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81003|81003 - URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY||6.885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81002|81002 - URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP||7.83|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81001|81001 - URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY||9.72|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|81000|81000 - URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY||9.72|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80502|80502 - CLINICAL PATHOLOGY CONSULTATION COMPREHENSIVE||152.0709|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80500|80500 - CLINICAL PATHOLOGY CONSULTATION LIMITED||42.8513|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80439|80439 - THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR||206.01|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80438|80438 - THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR||154.5075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80436|80436 - METYRAPONE PANEL||279.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80435|80435 - INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY||278.28|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80434|80434 - INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY||310.095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80432|80432 - INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL||338.7375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80430|80430 - GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN||210.6|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80428|80428 - GROWTH HORMONE STIMULATION PANEL||174.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80426|80426 - GONADOTROPIN RELEASING HORMONE STIMJ PANEL||454.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80424|80424 - GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA||154.7775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80422|80422 - GLUCOSE TOLERANCE PANEL INSULINOMA||141.21|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80420|80420 - DEXMETHASONE SUPPRESSION PANEL 48 HR||220.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80418|80418 - COMBINED RAPID ANT PITUITARY EVALUATION PANEL||1746.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80417|80417 - PERIPHERAL VEIN RENIN STIMULATION PANEL||134.82|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80416|80416 - RENAL VEIN RENIN STIMULATION PANEL||404.46|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80415|80415 - CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE||171.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80414|80414 - CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE||158.265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80412|80412 - CORTICOTROPIC RELEASING HORM STIMJ PANEL||1010.295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80410|80410 - CALCITONIN STIMULATION PANEL||246.24|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80408|80408 - ALDOSTERONE SUPPRESSION EVALUATION PANEL||384.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80406|80406 - ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY||239.85|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80402|80402 - ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY||266.5125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80400|80400 - ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY||99.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80377|80377 - DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80376|80376 - DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80375|80375 - DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80374|80374 - DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80373|80373 - DRUG SCREENING TRAMADOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80372|80372 - DRUG SCREENING TAPENTADOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80371|80371 - DRUG SCREENING STIMULANTS SYNTHETIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80370|80370 - DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80369|80369 - DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80368|80368 - DRUG SCREENING SEDATIVE HYPNOTICS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80367|80367 - DRUG SCREENING PROPOXYPHENE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80366|80366 - DRUG SCREENING PREGABALIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80365|80365 - DRUG SCREENING OXYCODONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80364|80364 - DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80363|80363 - DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80362|80362 - DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80361|80361 - DRUG SCREENING OPIATES 1 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80360|80360 - DRUG SCREENING METHYLPHENIDATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80359|80359 - DRUG SCREENING METHYLENEDIOXYAMPHETAMINES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80358|80358 - DRUG SCREENING METHADONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80357|80357 - DRUG SCREENING KETAMINE AND NORKETAMINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80356|80356 - DRUG SCREENING HEROIN METABOLITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80355|80355 - DRUG SCREENING GABAPENTIN NON-BLOOD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80354|80354 - DRUG SCREENING FENTANYL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80353|80353 - DRUG SCREENING COCAINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80352|80352 - DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80351|80351 - DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80350|80350 - DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80349|80349 - DRUG SCREENING CANNABINOIDS NATURAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80348|80348 - DRUG SCREENING BUPRENORPHINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80347|80347 - DRUG SCREENING BENZODIAZEPINES 13 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80346|80346 - DRUG SCREENING BENZODIAZEPINES 1-12||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80345|80345 - DRUG SCREENING BARBITURATES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80344|80344 - ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80343|80343 - ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80342|80342 - ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80341|80341 - ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80340|80340 - ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80339|80339 - ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80338|80338 - ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80337|80337 - ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80336|80336 - ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80335|80335 - ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80334|80334 - ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80333|80333 - ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80332|80332 - ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80331|80331 - DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80330|80330 - DRUG SCREEN ANALGESICS NON-OPIOID 3-5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80329|80329 - DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80328|80328 - DRUG SCREEN QUANT ANABOLIC STEROID 3 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80327|80327 - DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80326|80326 - DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80325|80325 - DRUG SCREEN QUANT AMPHETAMINES 3 OR 4||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80324|80324 - DRUG SCREEN QUANT AMPHETAMINES 1 OR 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80323|80323 - ALKALOIDS NOT OTHERWISE SPECIFIED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80322|80322 - DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80321|80321 - DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80320|80320 - DRUG SCREEN QUANTITATIVE ALCOHOLS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80304|80304 - DRUG SCREEN ONE/MULT CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80303|80303 - DRUG SCREEN ONE/MULT CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80302|80302 - DRUG SCREEN PRSMPTV 1 CLASS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80301|80301 - DRUG SCREEN CLASS LIST A||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80300|80300 - DRUG SCREEN NON TLC DEVICES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80299|80299 - QUANTITATION DRUG NOT ELSEWHERE SPECIFIED||36.945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80203|80203 - DRUG SCREEN QUANTITATIVE ZONISAMIDE||40.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80202|80202 - DRUG SCREEN QUANTITATIVE VANCOMYCIN||34.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80201|80201 - DRUG SCREEN QUANTITATIVE TOPIRAMATE||36.54|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80200|80200 - DRUG SCREEN QUANTITATIVE TOBRAMYCIN||45.9|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80199|80199 - DRUG SCREEN QUANTITATIVE TIAGABINE||18.405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80198|80198 - DRUG SCREEN QUANTITATIVE THEOPHYLLINE||43.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80197|80197 - DRUG SCREEN QUANTITATIVE TACROLIMUS||42.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80195|80195 - DRUG SCREEN QUANTITATIVE SIROLIMUS||42.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80194|80194 - DRUG SCREEN QUANTITATIVE QUINIDINE||44.7525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80192|80192 - DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE||51.345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80190|80190 - DRUG SCREEN QUANTITATIVE PROCAINAMIDE||51.345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80188|80188 - DRUG SCREEN QUANTITATIVE PRIMIDONE||50.8725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80186|80186 - DRUG SCREEN QUANTITATIVE PHENYTOIN FREE||42.1875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80185|80185 - DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL||40.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80184|80184 - DRUG SCREEN QUANTITATIVE PHENOBARBITAL||35.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80183|80183 - DRUG SCREEN QUANTITATIVE OXCARBAZEPINE||40.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80180|80180 - DRUG SCREEN QUANTITATIVE MYCOPHENOLATE||18.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80178|80178 - DRUG SCREEN QUANTITATIVE LITHIUM|QW|20.2725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80178|80178 - DRUG SCREEN QUANTITATIVE LITHIUM||20.2725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80177|80177 - DRUG SCREEN QUANTITATIVE LEVETIRACETAM||40.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80176|80176 - DRUG SCREEN QUANTITATIVE LIDOCAINE||45.0225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80175|80175 - DRUG SCREEN QUANTITATIVE LAMOTRIGINE||40.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80173|80173 - DRUG SCREEN QUANTITATIVE HALOPRIDOL||44.64|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80171|80171 - DRUG SCREEN QUANTITATIVE GABAPENTIN||40.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80170|80170 - DRUG SCREEN QUANTITATIVE GENTAMICIN||50.22|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80169|80169 - DRUG ASSAY EVEROLIMUS||42.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80168|80168 - DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE||50.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80165|80165 - DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE||34.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80164|80164 - DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL||34.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80163|80163 - DRUG SCREEN QUANTITATIVE DIGOXIN FREE||40.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80162|80162 - DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL||40.7025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80159|80159 - DRUG ASSAY CLOZAPINE||56.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80158|80158 - DRUG ASSAY CYCLOSPORINE||18.2475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80157|80157 - DRUG ASSAY CARBAMAZEPINE FREE||40.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80156|80156 - DRUG ASSAY CARBAMAZEPINE TOTAL||44.64|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80155|80155 - DRUG ASSAY CAFFEINE||43.3575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80150|80150 - DRUG SCREEN QUANTITATIVE AMIKACIN||46.215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80081|80081 - OBSTETRIC PANEL||229.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80076|80076 - HEPATIC FUNCTION PANEL||25.0425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80074|80074 - ACUTE HEPATITIS PANEL||146.0025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80069|80069 - RENAL FUNCTION PANEL|QW|26.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80069|80069 - RENAL FUNCTION PANEL||26.6175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80061|80061 - LIPID PANEL|QW|41.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80061|80061 - LIPID PANEL||41.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80055|80055 - OBSTETRIC PANEL||146.52|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80053|80053 - COMPREHENSIVE METABOLIC PANEL|QW|32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80053|80053 - COMPREHENSIVE METABOLIC PANEL||32.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80051|80051 - ELECTROLYTE PANEL|QW|21.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80051|80051 - ELECTROLYTE PANEL||21.4875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80050|80050 - GENERAL HEALTH PANEL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80048|80048 - BASIC METABOLIC PANEL CALCIUM TOTAL|QW|25.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80048|80048 - BASIC METABOLIC PANEL CALCIUM TOTAL||25.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80047|80047 - BASIC METABOLIC PANEL CALCIUM IONIZED|QW|25.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|80047|80047 - BASIC METABOLIC PANEL CALCIUM IONIZED||25.92|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|79999|79999 - RP THERAPY UNLISTED PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|79445|79445 - RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN||0|257.1239|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|79440|79440 - RP THERAPY INTRA-ARTICULAR ADMINISTRATION||314.6073|211.7624|102.8449|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|79403|79403 - RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS||415.2384|246.4804|168.758|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|79300|79300 - RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN||0|176.7149|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|79200|79200 - RP THERAPY INRACAVITARY ADMINISTRATION||345.0331|225.5268|119.5062|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|79101|79101 - RP THERAPY INTRAVENOUS ADMINISTRATION||310.0218|212.2465|97.7753|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|79005|79005 - RP THERAPY ORAL ADMINISTRATION||296.4121|195.7358|100.6762|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78999|78999 - UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78816|78816 - PET IMAGING FOR CT ATTENUATION WHOLE BODY||0|268.8011|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78815|78815 - PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH||0|266.1402|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78814|78814 - PET IMAGING CT FOR ATTENUATION LIMITED AREA||0|241.008|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78813|78813 - PET IMAGING WHOLE BODY||0|218.3739|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78812|78812 - PET IMAGING SKULL BASE TO MID-THIGH||0|209.1096|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78811|78811 - PET IMAGING LIMITED AREA CHEST HEAD/NECK||0|171.8974|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78808|78808 - NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS||96.351|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78807|78807 - RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT||726.6185|115.351|611.2675|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78806|78806 - RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY||710.2584|93.1971|617.0613|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78805|78805 - RP LOCLZJ INFLAMMATORY PROCESS LIMITED AREA||390.5348|79.8274|310.7074|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78804|78804 - RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING||1205.9091|115.9125|1089.9966|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78803|78803 - RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING||726.6185|116.0752|610.5432|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78802|78802 - RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING||692.8768|93.1971|599.6798|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78801|78801 - RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D||556.8841|89.0184|467.8656|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78800|78800 - RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING||408.8033|74.9205|333.8828|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78799|78799 - UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78761|78761 - TESTICULAR IMAGING WITH VASCULAR FLOW||446.1379|79.6647|366.4732|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78740|78740 - URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM||464.5449|61.1359|403.409|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78730|78730 - URINARY BLADDER RESIDUAL STUDY||162.0079|17.1576|144.8503|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78725|78725 - KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY||231.9692|40.76|191.2092|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78710|78710 - KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC||427.6212|68.3903|359.2309|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78709|78709 - KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE||778.4779|152.7258|625.7521|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78708|78708 - KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX||376.3466|131.5403|244.8064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78707|78707 - KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX||498.148|104.154|393.994|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78701|78701 - KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW||448.6852|52.5185|396.1667|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78700|78700 - KIDNEY IMAGING MORPHOLOGY||366.5215|49.2961|317.2255|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78699|78699 - UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78660|78660 - RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY||384.5581|59.366|325.192|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78650|78650 - CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATIO||700.2537|66.535|633.7187|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78647|78647 - CEREBROSPINAL FLUID FLOW W/O MATL TOMOG SPECT||746.0752|100.0446|646.0306|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78645|78645 - CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ||686.1678|61.8642|624.3036|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78635|78635 - CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY||720.5322|67.9835|652.5487|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78630|78630 - CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY||720.3815|75.0752|645.3064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78610|78610 - BRAIN IMAGING VASCULAR FLOW ONLY||371.8192|33.591|338.2282|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78609|78609 - BRAIN IMAGING PET PERFUSION EVALUATION||165.0337|165.0337|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78608|78608 - BRAIN IMAGING PET METABOLIC EVALUATION||0|159.9762|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78607|78607 - BRAIN IMAGING TOMOGRAPHIC SPECT||750.2128|131.703|618.5098|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78606|78606 - BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW||704.1189|69.6761|634.4429|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78605|78605 - BRAIN IMAGING MINIMUM 4 STATIC VIEWS||424.3908|59.366|365.0247|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78601|78601 - BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW||455.37|55.5821|399.7879|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78600|78600 - BRAIN IMAGING <4 STATIC VIEWS||394.6892|49.943|344.7463|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78599|78599 - UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78598|78598 - QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGIN||655.1354|92.3915|562.744|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78597|78597 - QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING||432.6989|79.2619|353.437|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78582|78582 - PULMONARY VENTILATION & PERFUSION IMAGING||716.3205|117.365|598.9555|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78580|78580 - PULMONARY PERFUSION IMAGING PARTICULATE||511.5628|81.3572|430.2056|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78579|78579 - PULMONARY VENTILATION IMAGING||397.989|52.5185|345.4705|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78499|78499 - UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78496|78496 - CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT||96.782|54.0483|42.7337|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78494|78494 - CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT||483.3621|129.2008|354.1613|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78492|78492 - MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST&STRESS||0|199.1983|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78491|78491 - MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS||0|159.2479|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78483|78483 - CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT||520.4074|158.2796|362.1278|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78481|78481 - CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT||375.1833|105.7612|269.4222|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78473|78473 - CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT||621.0796|158.2796|462.8|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78472|78472 - CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS||491.7926|106.4894|385.3032|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78469|78469 - MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ||484.7823|100.9276|383.8548|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78468|78468 - MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ||423.6907|86.911|336.7797|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78466|78466 - MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN||407.5868|77.3252|330.2616|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78459|78459 - MYOCRD IMG PET METAB EVAL SINGLE STUDY||0|157.7995|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78458|78458 - VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL||360.0437|85.5479|274.4958|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78457|78457 - VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL||403.1843|85.2346|317.9497|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78456|78456 - ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE||674.4617|108.0966|566.3651|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78454|78454 - MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES||933.6222|148.5351|785.0871|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78453|78453 - MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS||649.8419|109.5491|540.2928|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78452|78452 - MYOCARDIAL SPECT MULTIPLE STUDIES||1010.5003|175.4372|835.0631|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78451|78451 - MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS||731.1548|149.5808|581.574|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78445|78445 - NONCARDIAC VASCULAR FLOW IMAGING||373.3651|51.7942|321.5709|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78428|78428 - CARDIAC SHUNT DETECTION||386.5922|83.8513|302.7408|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78414|78414 - CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM||0|49.2961|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78399|78399 - UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78351|78351 - BONE DENSTY 1/> SITES DUAL PHOTON ABSORPTIOMETR||33.591|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78350|78350 - BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY||69.1516|24.2452|44.9064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78320|78320 - BONE &/JOINT IMAGING TOMOGRAPHIC SPECT||489.3839|112.0472|377.3367|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78315|78315 - BONE &/JOINT IMAGING 3 PHASE STUDY||740.5335|111.8845|628.649|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78306|78306 - BONE &/JOINT IMAGING WHOLE BODY||539.3398|94.6496|444.6902|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78305|78305 - BONE &/JOINT IMAGING MULTIPLE AREAS||494.1933|91.5085|402.6848|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78300|78300 - BONE &/JOINT IMAGING LIMITED AREA||386.7428|69.5174|317.2255|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78299|78299 - UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78291|78291 - PERITONEAL-VENOUS SHUNT PATENCY TEST||538.7742|94.084|444.6902|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78290|78290 - INTESTINE IMAGING||710.2423|75.0752|635.1671|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78282|78282 - GASTROINTESTINAL PROTEIN LOSS||0|42.2084|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78278|78278 - ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING||744.6348|108.7435|635.8913|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78272|78272 - VITAMIN B-12 ABSRPJ STDY W/WO INTRINSIC FACT||205.722|29.7217|176.0003|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78271|78271 - VITAMIN B-12 ABSRPJ STUDY W/INTRINSIC FACTOR||191.3921|22.634|168.758|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78270|78270 - VITAMIN B-12 ABSRPJ STUDY W/O INTRINSIC FACTOR||214.5675|23.3583|191.2092|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78268|78268 - UREA BREATH TEST C-14 ISOTOPIC ANALYSIS||41.445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78267|78267 - UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS||24.0975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78266|78266 - GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY||1008.2712|118.8948|889.3764|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78265|78265 - GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT||778.59|107.2136|671.3775|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78264|78264 - GASTRIC EMPTYING IMAGING STUDY||712.1789|81.3572|630.8217|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78262|78262 - GASTROESOPHAGEAL REFLUX STUDY||521.2098|73.6227|447.5871|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78261|78261 - GASTRIC MUCOSA IMAGING||529.986|75.8808|454.1052|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78258|78258 - ESOPHAGEAL MOTILITY||473.9028|81.3572|392.5455|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78232|78232 - SALIVARY GLAND FUNCTION STUDY||211.6947|44.3852|167.3096|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78231|78231 - SALIVARY GLAND IMAGING SERIAL IMAGES||278.7389|58.5604|220.1785|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78230|78230 - SALIVARY GLAND IMAGING||301.3367|42.774|258.5627|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78227|78227 - HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ||769.9725|99.3204|670.6575|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78226|78226 - HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER||706.3851|81.3572|625.0279|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78216|78216 - LIVER & SPLEEN IMAGING W/VASCULAR FLOW||269.7307|61.14|208.5907|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78215|78215 - LIVER & SPLEEN IMAGING STATIC ONLY||414.6503|53.971|360.6794|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78206|78206 - LIVER IMAGING SPECT W/VASCULAR FLOW||730.6303|104.154|626.4763|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78205|78205 - LIVER IMAGING SPECT||451.9277|75.3152|376.6125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78202|78202 - LIVER IMAGING W/VASCULAR FLOW||430.0179|53.4054|376.6125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78201|78201 - LIVER IMAGING STATIC ONLY||399.7548|47.042|352.7128|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78199|78199 - UNLIS HEMATOP RET/ENDO&LYMPHATIC DX NUC MED||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78195|78195 - LYMPHATICS & LYMPH NODES IMAGING||760.8362|131.4629|629.3733|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78191|78191 - PLATELET SURVIVAL STUDY||359.1366|67.2552|291.8814|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78190|78190 - KINETICS PLATELET W/WO DIFFRNTL ORGAN/TIS LOCLZJ||836.6936|120.4125|716.281|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78185|78185 - SPLEEN IMAGING ONLY W/WO VASCULAR FLOW||450.1256|44.5439|405.5817|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78140|78140 - LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE||292.5073|67.9835|224.5238|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78135|78135 - RBC SURVIVAL STUDY DIFFERNTL ORGAN/TISS KINETICS||741.78|71.1245|670.6575|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78130|78130 - RED CELL SURVIVAL STUDY||359.1366|67.2552|291.8814|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78122|78122 - WHOLE BLOOD VOLUME DETERM PLASMA&RED CELL VOLU||209.3633|47.8476|161.5157|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78121|78121 - RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS||217.7206|35.9264|181.7942|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78120|78120 - RED CELL VOLUME DETERMINATION SPX 1 SAMPLING||199.6027|25.7751|173.8276|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78111|78111 - PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES||204.591|24.2452|180.3457|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78110|78110 - PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE||199.2772|21.1042|178.173|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78104|78104 - BONE MARROW IMAGING WHOLE BODY||523.6387|85.4666|438.1721|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78103|78103 - BONE MARROW IMAGING MULTIPLE AREAS||475.4326|80.7143|394.7182|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78102|78102 - BONE MARROW IMAGING LIMITED AREA||362.2696|59.5288|302.7408|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78099|78099 - UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78075|78075 - ADRENAL IMAGING CORTEX &/MEDULLA||908.4457|78.4563|829.9894|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78072|78072 - PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT||885.0375|170.9291|714.1083|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78071|78071 - PARATHYROID PLANAR IMAGING W/WO SUBTRACTION||765.1775|130.7347|634.4429|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78070|78070 - PARATHYROID PLANAR IMAGING||638.7915|86.915|551.8765|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78020|78020 - THYROID CARCINOMA METASTASES UPTAKE||180.8863|62.1043|118.782|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78018|78018 - THYROID CARCINOMA METASTASES IMG WHOLE BODY||666.8045|92.4728|574.3317|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78016|78016 - THYROID CARCINOMA METASTASES IMG ADDL STUDY||595.4923|76.9264|518.5659|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78015|78015 - THYROID CARCINOMA METASTASES IMG LMTD AREA||469.708|72.8171|396.8909|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78014|78014 - THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS||513.9514|54.7766|459.1748|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78013|78013 - THYROID IMAGING WITH VASCULAR FLOW||405.7034|40.6786|365.0247|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|78012|78012 - THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT||168.1313|21.1042|147.027|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77799|77799 - UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77790|77790 - SUPERVISION HANDLING LOADING RADIATION SOURCE||30.4218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77789|77789 - SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE||254.09|130.9667|123.1234|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77778|77778 - INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX||1661.4837|908.9588|752.5248|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77772|77772 - HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS||1909.6985|614.7243|1294.9742|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77771|77771 - HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL||1252.0657|432.9317|819.134|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77770|77770 - HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL||672.0683|222.3044|449.7639|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77768|77768 - HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES||732.0458|159.1585|572.8872|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77767|77767 - HDR RDNCL SKN SURF BRACHYTX LES </2CM/1 CHAN||468.4626|120.0951|348.3674|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77763|77763 - INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX||1571.9795|986.7642|585.2153|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77762|77762 - INTRACAVITARY RADIATION SOURCE APPLIC INTERMED||1107.2661|655.3215|451.9446|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77761|77761 - INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE||828.0769|434.0749|394.0021|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77750|77750 - NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE||800.5022|568.732|231.7702|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77620|77620 - HYPERTHERMIA INTRACAVITARY PROBES||797.8042|177.846|619.9583|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77615|77615 - HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS||2189.7723|237.208|1952.5643|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77610|77610 - HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS||2042.8548|189.5303|1853.3245|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77605|77605 - HYPERTHERMIA EXTERNAL GENERATED DEEP||1650.3125|255.4265|1394.8859|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77600|77600 - HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL||873.1283|180.7469|692.3814|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77525|77525 - PROTON TX DELIVERY COMPLEX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77523|77523 - PROTON TX DELIVERY INTERMEDIATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77522|77522 - PROTON TX DELIVERY SIMPLE W/COMPENSATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77520|77520 - PROTON TX DELIVERY SIMPLE W/O COMPENSATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77499|77499 - UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77470|77470 - SPECIAL TREATMENT PROCEDURE||336.4357|237.9322|98.5035|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77469|77469 - INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT||705.9887|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77435|77435 - STEREOTACTIC BODY RADIATION MANAGEMENT||1386.7832|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77432|77432 - STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION||919.9923|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77431|77431 - RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY||223.3581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77427|77427 - RADIATION TREATMENT MANAGEMENT 5 TREATMENTS||407.0141|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77425|77425 - INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77424|77424 - INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77423|77423 - HIGH ENERGY NEUTRON RADJ TX DLVR 1/> ISOCENTER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77422|77422 - HIGH ENERGY NEUTRON RADJ TX DLVR 1 TX AREA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77417|77417 - THERAPEUTIC RADIOLOGY PORT IMAGES(S)||22.4552|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77412|77412 - RADIATION TREATMENT DELIVERY 1 MEV >= COMPLEX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77407|77407 - RADIATION TX DELIVERY 1 MEV >= INTERMEDIATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77402|77402 - RADIATION TREATMENT DELIVERY 1 MEV >= SIMPLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77401|77401 - RADIATION TX DELIVERY SUPERFICIAL&/ORTHO VOLTA||49.2518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77399|77399 - UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77387|77387 - GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77386|77386 - INTENSITY MODULATED RADIATION TX DLVR COMPLEX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77385|77385 - INTENSITY MODULATED RADIATION TX DLVR SIMPLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77373|77373 - STEREOTACTIC BODY RADIATION DELIVERY||2786.9233|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77372|77372 - RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR||2192.3131|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77371|77371 - RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77370|77370 - SPEC MEDICAL RADJ PHYSICS CONSLTJ||249.184|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77338|77338 - MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN||1073.5503|488.3471|585.2032|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77336|77336 - CONTINUING MEDICAL PHYSICS CONSLTJ PR WK||162.256|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77334|77334 - TX DEVICES DESIGN & CONSTRUCTION COMPLEX||322.2572|141.1953|181.0619|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77333|77333 - TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE||115.4895|95.9313|19.5583|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77332|77332 - TX DEVICES DESIGN & CONSTRUCTION SIMPLE||173.876|62.3403|111.5357|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77331|77331 - SPEC DOSIM ONLY PRESCRIBED TREATING PHYS||137.4606|99.0723|38.3883|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77321|77321 - SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY||197.4985|108.414|89.0845|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77318|77318 - BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL||748.6241|329.9942|418.63|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77317|77317 - BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL||517.5548|209.0161|308.5387|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77316|77316 - BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL||397.4428|159.8828|237.56|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77307|77307 - TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY||613.905|329.9942|283.9108|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77306|77306 - TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION||317.049|159.8828|157.1663|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77301|77301 - NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS||4060.1093|910.3259|3149.7834|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77300|77300 - BASIC RADIATION DOSIMETRY CALCULATION||141.2163|70.9618|70.2545|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77299|77299 - UNLIS PX THER RADIOL CLINICAL TX PLANNING||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77295|77295 - 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS||1038.0589|488.3471|549.7118|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77293|77293 - RESPIRATORY MOTION MANAGEMENT SIMULATION||969.406|228.5091|740.8969|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77290|77290 - THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX||1065.7578|178.5702|887.1876|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77285|77285 - THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED||889.233|120.0951|769.1379|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77280|77280 - THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE||564.0942|79.5793|484.5149|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77263|77263 - THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX||364.5817|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77262|77262 - THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE||248.9826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77261|77261 - THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE||166.3316|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77086|77086 - VERTEBRAL FRACTURE ASSESSMENT VIA DXA||73.8144|19.493|54.3214|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77085|77085 - DXA BONE DENSITY STUDY AXIAL SKELETON||117.6058|34.3152|83.2906|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77084|77084 - BONE MARROW BLOOD SUPPLY||730.7775|178.9037|551.88|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77081|77081 - DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL||59.0124|24.2452|34.7671|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77080|77080 - DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL||85.6462|22.634|63.0122|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77078|77078 - CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE||150.5025|27.3863|123.12|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77077|77077 - JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS||78.5787|35.845|42.7337|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77076|77076 - RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT||201.2582|78.1348|123.1234|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77075|77075 - RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL||182.5708|60.1716|122.3991|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77074|77074 - RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED||134.7634|50.7486|84.0149|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77073|77073 - BONE LENGTH STUDIES||75.3563|31.8984|43.4579|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77072|77072 - BONE AGE STUDIES||48.629|21.1042|27.5248|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77071|77071 - MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS||101.8597|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77063|77063 - SCREENING DIGITAL BREAST TOMOSYNTHESIS BI||117.8741|66.4537|51.4204|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77062|77062 - DIGITAL BREAST TOMOSYNTHESIS BILATERAL||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77061|77061 - DIGITAL BREAST TOMOSYNTHESIS UNILATERAL||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77059|77059 - MRI BREAST BILATERAL||1097.4825|181.3205|916.155|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77058|77058 - MRI BREAST UNILATERAL||1097.4825|181.3205|916.155|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77057|77057 - MAMMOGRAM SCREENING||173.0132|78.1348|94.8784|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77056|77056 - MAMMOGRAM BOTH BREASTS||241.7539|96.9036|144.8503|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77055|77055 - MAMMOGRAM ONE BREAST||188.222|78.1348|110.0872|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77054|77054 - MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE||160.1115|50.7486|109.363|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77053|77053 - MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE||121.7152|39.873|81.8422|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77052|77052 - COMP SCREEN MAMMOGRAM ADD-ON||17.1455|6.282|10.8635|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77051|77051 - COMPUTER DX MAMMOGRAM ADD-ON||17.1455|6.282|10.8635|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77022|77022 - MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION||0|472.0394|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77021|77021 - MRI GUIDANCE NEEDLE PLACEMENT RS&I||834.2478|167.2266|667.0212|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77014|77014 - CT GUIDANCE RADIATION THERAPY FLDS PLACEMENT||247.381|96.7369|150.6442|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77013|77013 - CT GUIDANCE &MONITORING VISC TISS ABLATION||0|435.2301|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77012|77012 - CT GUIDANCE NEEDLE PLACEMENT||264.4001|128.2405|136.1595|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77011|77011 - CT GUIDANCE STEREOTACTIC LOCALIZATION||464.6948|138.7866|325.9082|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77003|77003 - FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON||179.4378|67.1779|112.2599|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77002|77002 - FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON||194.1625|62.3484|131.8142|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|77001|77001 - FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT||146.5018|42.2125|104.2893|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76999|76999 - UNLISTED US PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76998|76998 - ULTRASONIC GUIDANCE INTRAOPERATIVE||0|140.9383|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76977|76977 - US BONE DENSITY MEAS & INTERP PERIPH ANY METHO||14.8995|6.2047|8.6948|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76975|76975 - GI ENDOSCOPIC US S&I||0|94.2508|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76970|76970 - US STUDY FOLLOW UP||193.7396|43.0954|150.6442|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76965|76965 - US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION||195.6021|147.0746|48.5275|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76948|76948 - US GUIDANCE ASPIRATION OVA IMG S&I||124.7869|44.3932|80.3937|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76946|76946 - US GUIDANCE AMNIOCENTESIS IMG S&I||70.4615|43.6609|26.8006|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76945|76945 - US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I||0|77.1746|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76942|76942 - US GUIDANCE NEEDLE PLACEMENT IMG S&I||130.0394|74.2696|55.7699|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76941|76941 - US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I||0|152.1804|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76940|76940 - US &MNTR PARENCHYMAL TISSUE ABLATION||0|229.2978|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76937|76937 - US VASC ACCESS SITS VSL PATENCY NDL ENTRY||66.9056|32.1425|34.7631|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76936|76936 - US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL||574.6869|219.8055|354.8815|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76932|76932 - US ENDOMYOCARDIAL BIOPSY RS&I||0|72.8171|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76930|76930 - US GUIDANCE PERICARDIOCENTESIS RS&I||0|72.8171|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76886|76886 - US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ||222.3302|68.0649|154.2653|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76885|76885 - US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ||268.9425|82.8057|186.1425|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76882|76882 - US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG||77.8746|54.6952|23.1794|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76881|76881 - US COMPL JOINT R-T W/IMAGE DOCUMENTATION||239.7931|69.5947|170.1984|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76873|76873 - US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX||356.6498|172.6909|183.9588|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76872|76872 - US TRANSRECTAL||198.2719|74.4243|123.8476|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76870|76870 - US SCROTUM & CONTENTS||143.5557|71.1286|72.4272|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76857|76857 - US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U||101.8556|55.5008|46.3548|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76856|76856 - US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE||230.8703|76.605|154.2653|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76831|76831 - SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER||249.2242|81.9227|167.3015|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76830|76830 - US TRANSVAGINAL||256.2184|77.3292|178.8892|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76828|76828 - DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT||114.6598|63.2353|51.4245|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76827|76827 - DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE||160.4451|64.1183|96.3268|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76826|76826 - ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD||342.0926|92.2287|249.8639|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76825|76825 - ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING||581.4338|186.7196|394.7142|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76821|76821 - DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART||196.9209|80.3156|116.6053|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76820|76820 - DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY||101.1354|56.9533|44.1821|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76819|76819 - FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING||188.7997|88.1275|100.6722|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76818|76818 - FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING||259.1718|120.8355|138.3363|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76817|76817 - US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG||206.0145|85.0638|120.9507|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76816|76816 - US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS||243.772|97.4732|146.2988|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76815|76815 - US PREGNANT UTERUS LIMITED 1/> FETUSES||178.4002|72.6584|105.7418|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76814|76814 - US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION||175.3929|114.5534|60.8395|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76813|76813 - US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION||258.781|135.6577|123.1234|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76812|76812 - US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT||439.6713|205.0163|234.655|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76811|76811 - US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION||389.9596|218.3087|171.6509|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76810|76810 - US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO||199.9233|111.5671|88.3562|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76805|76805 - US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION||299.9527|112.3727|187.58|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76802|76802 - US PREG UTERUS 14 WK TRANSABDL EACH GESTATION||140.0361|94.4095|45.6266|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76801|76801 - US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT||260.8401|111.6444|149.1957|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76800|76800 - ULTRASOUND SPINAL CANAL & CONTENTS||298.9553|133.8265|165.1288|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76776|76776 - US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN||327.7627|84.4169|243.3458|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76775|76775 - US RETROPERITONEAL REAL TIME W/IMAGE LIMITED||123.5093|64.1183|59.391|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76770|76770 - US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE||238.5195|82.0814|156.438|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76705|76705 - US ABDOMINAL REAL TIME W/IMAGE LIMITED||192.3926|65.6481|126.7445|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76700|76700 - US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION||257.919|89.8933|168.0257|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76642|76642 - US BREAST UNI REAL TIME WITH IMAGE LIMITED||186.6108|75.7994|110.8114|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76641|76641 - US BREAST UNI REAL TIME WITH IMAGE COMPLETE||226.1262|81.2759|144.8503|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76604|76604 - US CHEST REAL TIME W/IMAGE DOCUMENTATION||184.8248|60.253|124.5718|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76536|76536 - US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM||242.8447|62.5071|180.3377|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76529|76529 - OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION||166.8737|71.2711|95.6026|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76519|76519 - OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL||176.0446|68.1301|107.9145|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76516|76516 - OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN||165.1812|68.1301|97.051|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76514|76514 - OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI||32.5332|21.6657|10.8675|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76513|76513 - OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM||200.1964|78.5215|121.6749|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76512|76512 - OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN||197.405|116.2871|81.118|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76511|76511 - OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY||214.7866|116.2871|98.4995|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76510|76510 - OPH US DX B-SCAN&QUAN A-SCAN SM PT ENCTR||360.979|195.126|165.853|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76506|76506 - ECHOENCEPHALOGRAPHY REAL TIME IMAGING||248.492|71.7754|176.7165|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76499|76499 - UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76498|76498 - UNLISTED MAGNETIC RESONANCE PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76497|76497 - UNLISTED COMPUTED TOMOGRAPHY PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76496|76496 - UNLISTED FLUOROSCOPIC PROCEDURE||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76390|76390 - MRI SPECTROSCOPY||915.9764|154.8051|761.1713|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76380|76380 - CT LIMITED/LOCALIZED FOLLOW UP STUDY||232.515|109.3904|123.12|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76377|76377 - 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION||152.0226|88.2862|63.7364|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76376|76376 - 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION||48.7104|21.9098|26.8006|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76140|76140 - CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76125|76125 - CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION||0|31.9024|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76120|76120 - CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC||173.2984|42.9327|130.3657|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76102|76102 - RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI||359.6168|74.9858|284.631|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76101|76101 - RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI||272.7009|74.2575|198.4435|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76100|76100 - RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY||193.0435|69.9202|123.1234|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76098|76098 - RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN||35.3488|17.9632|17.3856|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76080|76080 - RADEX ABSCESS/FISTULA/SINUS TRACT RS&I||117.3899|58.7232|58.6668|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76010|76010 - RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD||54.3415|20.2986|34.0429|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76001|76001 - FLUOROSCOPY SPX >1 HOUR PHYS/QHP TIME||0|79.3553|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|76000|76000 - FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME||97.7181|19.4971|78.221|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75989|75989 - RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I||256.6776|130.6573|126.0203|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75984|75984 - CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I||223.1479|78.2976|144.8503|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75978|75978 - REPAIR VENOUS BLOCKAGE||288.3247|59.4595|228.8652|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75970|75970 - TRANSCATHETER BIOPSY RS&I||0|90.0601|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75968|75968 - REPAIR ARTERY BLOCKAGE EACH||181.8304|39.877|141.9534|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75966|75966 - REPAIR ARTERIAL BLOCKAGE||361.2473|143.2456|218.0017|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75964|75964 - REPAIR ARTERY BLOCKAGE EACH||184.0112|39.8851|144.1261|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75962|75962 - REPAIR ARTERIAL BLOCKAGE||291.9458|59.4595|232.4864|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75959|75959 - PLMT DSTL XTN PRSTH EVASC DESC THORAC AORTA RS&I||0|389.4029|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75958|75958 - PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I||0|445.6481|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75957|75957 - EVASC RPR DESCND THORCIC AORTA CELIAC ORIG RS&I||0|670.6488|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75956|75956 - EVASC RPR DESCND THORCIC AORTA SUBCLAV ORIG RS&I||0|780.9664|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75954|75954 - EVASC RPR ILIAC ART W/ILIO-ILIAC PROSTH RS&I||0|253.1274|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75953|75953 - PLMT XTN PROSTH EVASC RPR INFRARENAL RS&I||0|151.6633|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75952|75952 - EVASC RPR INFRARENAL AAA/DISSECTION RS&I||0|500.3513|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75902|75902 - MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I||150.2083|42.2938|107.9145|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75901|75901 - MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I||366.1187|53.2467|312.872|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75898|75898 - ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS||0|187.3133|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75894|75894 - TRANSCATHETER EMBOLIZATION ANY METH RS&I||0|147.595|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75893|75893 - VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS&||247.0274|60.1716|186.8557|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75891|75891 - HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I||306.967|124.4566|182.5104|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75889|75889 - HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I||304.7943|123.0082|181.7861|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75887|75887 - PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP||338.3812|155.8709|182.5104|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75885|75885 - PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I||336.2126|155.1507|181.0619|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75880|75880 - VENOGRAPHY ORBITAL RS&I||297.581|80.3075|217.2735|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75872|75872 - VENOGRAPHY EPIDURAL RS&I||296.8318|119.391|177.4407|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75870|75870 - VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I||312.0326|127.3495|184.6831|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75860|75860 - VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I||302.6297|124.4647|178.165|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75842|75842 - VENOGRAPHY ADRENAL BILATERAL SELECTIVE RS&I||381.5218|165.6927|215.829|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75840|75840 - VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I||313.4811|127.3495|186.1315|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75833|75833 - VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I||349.6959|161.3876|188.3082|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75831|75831 - VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I||298.2883|123.7445|174.5438|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75827|75827 - VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I||293.959|125.9333|168.0257|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75825|75825 - VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I||288.8854|125.9293|162.9561|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75822|75822 - VENOGRAPHY EXTREMITY BILATERAL RS&I||290.391|116.5715|173.8196|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75820|75820 - VENOGRAPHY EXTREMITY UNILATERAL RS&I||241.8232|77.4187|164.4046|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75810|75810 - SPLENOPORTOGRAPY RS&I||0|128.0778|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75809|75809 - SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I||206.6251|53.084|153.5411|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75807|75807 - LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I||0|131.2188|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75805|75805 - LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I||0|90.6216|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75803|75803 - LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I||0|130.4906|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75801|75801 - LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I||0|98.6365|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75791|75791 - AV DIALYSIS SHUNT IMAGING||678.8587|192.1711|486.6876|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75774|75774 - ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I||182.5547|39.1528|143.4019|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75756|75756 - ANGIOGRAPHY INTERNAL MAMMARY RS&I||351.9016|125.2091|226.6925|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75746|75746 - ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I||320.7314|125.1809|195.5506|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75743|75743 - ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I||361.1861|180.1242|181.0619|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75741|75741 - ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I||320.6662|141.777|178.8892|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75736|75736 - ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I||338.8493|123.7445|215.1048|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75733|75733 - ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I||387.2914|141.7649|245.5266|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75731|75731 - ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I||362.0086|127.3495|234.6591|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75726|75726 - ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I||315.6618|123.7364|191.9254|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75716|75716 - ANGIOGRAPHY EXTREMITY BILATERAL RS&I||395.2942|143.9738|251.3204|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75710|75710 - ANGIOGRAPHY EXTREMITY UNILATERAL RS&I||344.6552|125.9293|218.726|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75705|75705 - ANGIOGRAPHY SPINAL SELECTIVE RS&I||517.5822|253.9539|263.6283|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75658|75658 - ANIOGRAPHY BRACHIAL RETROGRADE RS&I||353.2888|142.5294|210.7594|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75635|75635 - CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP||743.8275|265.8228|478.0125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75630|75630 - AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I||364.4447|196.419|168.0257|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75625|75625 - AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I||292.5065|124.4808|168.0257|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75605|75605 - AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I||293.2187|124.4687|168.75|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75600|75600 - AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I||407.408|53.979|353.429|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75574|75574 - CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST||740.925|263.642|477.27|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75573|75573 - CT HRT CONTRST CARDIAC STRUCT&MORPH CONG HRT D||758.79|280.7996|477.99|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75572|75572 - CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH||592.9442|193.1603|399.7838|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75571|75571 - CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM||90.2025|64.1183|26.0775|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75565|75565 - CARDIAC MRI FOR VELOCITY FLOW MAPPING||113.5698|27.3863|86.1835|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75563|75563 - CARDIAC MRI W/W/O CONTRAST W/STRESS||1046.3566|326.4624|719.8941|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75561|75561 - CARDIAC MRI W/WO CONTRAST & FURTHER SEQ||883.0468|284.8236|598.2233|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75559|75559 - CARDIAC MRI W/O CONTRAST W/STRESS IMAGING||911.9589|318.8093|593.1496|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|75557|75557 - CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST||667.3563|257.4373|409.919|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74775|74775 - PERINEOGRAM||0|69.5174|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74742|74742 - TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I||0|65.8148|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74740|74740 - HYSTEROSALPINGOGRAPHY RS&I||155.1926|42.2084|112.9841|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74713|74713 - FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES||486.7263|199.2023|287.5239|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74712|74712 - FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES||887.04|335.1734|551.88|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74710|74710 - PELVIMETRY W/WOPLACENTAL LOCALIZATION||77.3743|38.2618|39.1125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74485|74485 - DILATION URETERS/URETHRA RS&I||191.9818|57.9949|133.9869|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74470|74470 - RADEX RENAL CYST STUDY TRANSLUMBAR RS&I||0|58.7232|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74455|74455 - URETHROCYSTOGRAPHY VOIDING RS&I||168.5461|36.732|131.8142|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74450|74450 - URETHROCYSTOGRAPHY RETROGRADE RS&I||0|36.732|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74445|74445 - CORPORA CAVERNOSOGRAPY RS&I||0|120.8194|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74440|74440 - VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I||168.2247|40.7559|127.4688|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74430|74430 - CYSTOGRAPHY MINIMUM 3 VIEWS RS&I||79.3843|35.9264|43.4579|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74425|74425 - UROGRAPHY ANTEGRADE RS&I||0|39.1488|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74420|74420 - X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL||0|39.1448|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74415|74415 - UROGRAPY INFUSION DRIP &/BOLUS TECHQ W/WO TOMO||282.1079|54.6952|227.4127|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74410|74410 - UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE||224.1694|53.971|170.1984|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74400|74400 - UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY||227.7905|54.6952|173.0954|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74363|74363 - PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS&I||0|95.5365|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74360|74360 - INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I||0|62.3524|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74355|74355 - PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS&I||0|85.8774|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74340|74340 - INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I||0|60.1716|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74330|74330 - CMBN NDSC CATHJ BILIARY&PNCRTC DUCTAL SYS RS&I||0|101.4931|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74329|74329 - ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS&I||0|79.5833|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74328|74328 - ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS&I||0|78.8591|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74301|74301 - CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS||0|23.4437|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74300|74300 - CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I||0|40.6013|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74290|74290 - CHOLECYSTOGRAPHY ORAL CONTRST||145.2894|35.9264|109.363|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74283|74283 - THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ||435.0939|227.2355|207.8585|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74280|74280 - RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY||441.1738|110.9202|330.2536|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74270|74270 - RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY||280.845|77.3292|203.5125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74263|74263 - CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING||1553.9583|251.782|1302.1763|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74262|74262 - CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST||756.225|278.9483|477.27|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74261|74261 - CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST||496.125|268.7197|227.4075|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74260|74260 - DUODENOGRAPY HYPOTONIC||443.7|56.225|387.4725|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74251|74251 - RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY||464.805|77.3292|387.4725|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74250|74250 - RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY||215.3159|52.3598|162.9561|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74249|74249 - RADEX GI UPR W/WO GLUCOSE W/SM INTEST FOLLW-THRU||381.8561|101.5745|280.2816|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74247|74247 - RADEX UPPER GI W/WO GLUCAGON/DELAY IMAGES W/KUB||280.845|77.3292|203.5125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74246|74246 - RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY||264.9092|77.3292|187.58|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74245|74245 - RADEX GI TRACT UPR W/SM INT W/MULT SERIAL IMAGES||356.508|101.5745|254.9335|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74241|74241 - RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/KUB||245.355|77.3292|168.0257|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74240|74240 - RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY||235.94|77.3292|158.6107|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74235|74235 - RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS&I||0|137.9681|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74230|74230 - RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY||262.1475|59.366|202.7925|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74220|74220 - RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY||184.0926|51.5542|132.5384|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74210|74210 - RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY||160.8237|39.873|120.9507|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74190|74190 - PERITONEOGRAM RS&I||0|52.4411|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74185|74185 - MRA ABDOMEN W/WO CONTRAST MATERIAL||835.2483|199.3651|635.8833|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74183|74183 - MRI ABDOMEN W/O & W/CONTRAST MATERIAL||1049.7546|252.3677|797.3869|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74182|74182 - MRI ABDOMEN W/CONTRAST MATERIAL||938.2439|193.0016|745.2422|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74181|74181 - MRI ABDOMEN W/O CONTRAST MATERIAL||690.5245|162.5517|527.9728|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74178|74178 - CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE||735.5686|224.2532|511.3155|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74177|74177 - CT ABDOMEN & PELVIS W/CONTRAST MATERIAL||648.5553|203.1489|445.4064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74176|74176 - CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL||422.6684|194.5315|228.1369|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74175|74175 - CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST||639.8686|201.7005|438.1681|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74174|74174 - CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG||809.5458|243.9129|565.6328|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74170|74170 - CT ABDOMEN W/O & W/CONTRAST MATERIAL||545.9102|156.2697|389.6406|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74160|74160 - CT ABDOMEN W/CONTRAST MATERIAL||480.3918|142.1717|338.2201|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74150|74150 - CT ABDOMEN W/O CONTRAST MATERIAL||314.6161|132.83|181.7861|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74022|74022 - RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES||93.1447|35.9264|57.2183|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74020|74020 - RADEX ABDOMEN COMPL W/DCBTS&/ERC VIEWS||78.2533|30.4499|47.8033|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74010|74010 - RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS||73.5784|25.7751|47.8033|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|74000|74000 - RADEX ABDOMEN 1 ANTEROPOSTERIOR VIEW||49.2719|20.2986|28.9733|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73725|73725 - MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL||832.5142|200.9762|631.5379|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73723|73723 - MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL||975.7082|239.8809|735.8272|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73722|73722 - MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL||790.3259|181.2391|609.0867|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73721|73721 - MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL||492.6385|151.5174|341.1211|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73720|73720 - MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR||1040.889|239.8809|801.0081|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73719|73719 - MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL||835.9524|180.5149|655.4375|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73718|73718 - MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL||702.675|150.7932|551.88|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73706|73706 - CT ANGIOGRAPHY LOWER EXTREMITY||689.04|211.0462|478.0125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73702|73702 - CT LOWER EXTREMITY W/O & W/CONTRAST MATRL||569.0655|135.2468|433.8187|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73701|73701 - CT LOWER EXTREMITY W/CONTRAST MATERIAL||470.0818|129.689|340.3928|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73700|73700 - CT LOWER EXTREMITY W/O CONTRAST MATERIAL||339.1425|111.7258|227.4075|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73660|73660 - RADEX TOE MINIMUM 2 VIEWS||58.2801|14.8222|43.4579|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73650|73650 - RADEX CALCANEUS MINIMUM 2 VIEWS||56.3515|17.9632|38.3883|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73630|73630 - RADEX FOOT COMPLETE MINIMUM 3 VIEWS||60.054|18.7688|41.2852|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73620|73620 - RADIOLOGIC EXAMINATION FOOT 2 VIEWS||54.1788|17.239|36.9398|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73615|73615 - RADEX ANKLE ARTHROGRAPHY RS&I||217.3339|63.7928|153.5411|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73610|73610 - RADEX ANKLE COMPLETE MINIMUM 3 VIEWS||64.3994|19.493|44.9064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73600|73600 - RADIOLOGIC EXAMINATION ANKLE 2 VIEWS||62.1453|18.6874|43.4579|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73592|73592 - RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS||57.8|17.9632|39.8368|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73590|73590 - RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS||59.2484|18.6874|40.561|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73580|73580 - RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I||239.0649|63.0726|175.9923|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73565|73565 - RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST||73.733|19.4117|54.3214|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73564|73564 - RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS||81.4636|24.9695|56.4941|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73562|73562 - RADIOLOGIC EXAMINATION KNEE 3 VIEWS||73.8958|21.0229|52.8729|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73560|73560 - RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS||64.318|18.6874|45.6306|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73552|73552 - RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS||67.3777|21.0229|46.3548|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73551|73551 - RADIOLOGIC EXAMINATION FEMUR 1 VIEW||57.8|18.6874|39.1125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73525|73525 - RADEX HIP ARTHROGRAPHY RS&I||210.8198|63.7968|147.023|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73523|73523 - RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS||117.6872|35.845|81.8422|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73522|73522 - RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS||101.5914|33.5096|68.0818|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73521|73521 - RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS||82.1878|25.6937|56.4941|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73503|73503 - RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS||107.2225|31.8984|75.3241|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73502|73502 - RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS||85.8089|24.9695|60.8395|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73501|73501 - RADEX HIP UNILATERAL WITH PELVIS 1 VIEW||61.5838|21.0229|40.561|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73225|73225 - MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL||839.0242|190.829|648.1952|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73223|73223 - MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL||972.087|239.8809|732.2061|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73222|73222 - MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL||783.0835|181.2391|601.8444|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73221|73221 - MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL||491.9143|151.5174|340.3969|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73220|73220 - MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS||1035.0952|239.8809|795.2142|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73219|73219 - MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL||836.6767|181.2391|655.4375|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73218|73218 - MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL||702.675|150.7932|551.88|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73206|73206 - CT ANGIOGRAPHY UPPER EXTREMITY||678.1725|200.1707|477.99|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73202|73202 - CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL||575.5836|135.971|439.6125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73201|73201 - CT UPPER EXTREMITY W/CONTRAST MATERIAL||463.5637|129.689|333.8747|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73200|73200 - CT UPPER EXTREMITY W/O CONTRAST MATERIAL||339.1425|111.7258|227.4075|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73140|73140 - RADEX FINGR MINIMUM 2 VIEWS||64.7982|15.5464|49.2518|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73130|73130 - RADEX HAND MINIMUM 3 VIEWS||63.6752|19.493|44.1821|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73120|73120 - RADEX HAND 2 VIEWS||54.1788|18.6874|35.4914|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73115|73115 - RADEX WRIST ARTHROGRAPHY RS&I||221.6833|63.0726|158.6107|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73110|73110 - RADEX WRIST COMPLETE MINIMUM 3 VIEWS||73.0902|19.493|53.5972|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73100|73100 - RADEX WRIST 2 VIEWS||59.9727|18.6874|41.2852|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73092|73092 - RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS||56.3515|17.9632|38.3883|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73090|73090 - RADEX FOREARM 2 VIEWS||53.4546|18.6874|34.7671|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73085|73085 - RADEX ELBOW ARTHROGRAPHY RS&I||202.1291|63.7968|138.3322|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73080|73080 - RADEX ELBOW COMPLETE MINIMUM 3 VIEWS||64.3994|19.493|44.9064|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73070|73070 - RADEX ELBOW 2 VIEWS||56.2701|17.8818|38.3883|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73060|73060 - RADEX HUMERUS MINIMUM 2 VIEWS||59.9727|18.6874|41.2852|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73050|73050 - RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ||73.3343|23.3583|49.976|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73040|73040 - RADEX SHOULDER ARTHROGRAPHY RS&I||207.9189|60.8959|147.023|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73030|73030 - RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS||60.1354|21.0229|39.1125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73020|73020 - RADEX SHOULDER 1 VIEW||47.5793|17.1576|30.4218|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73010|73010 - RADEX SCAPULA COMPLETE||62.2267|20.2173|42.0095|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|73000|73000 - RADEX CLAVICLE COMPLETE||57.0757|18.6874|38.3883|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72295|72295 - DISKOGRAPY LUMBAR RS&I||208.1179|96.5822|111.5357|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72285|72285 - DISKOGRAPY CERVICAL/THORACIC RS&I||241.9489|134.7586|107.1903|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72275|72275 - EPIDUROGRAPY RS&I||241.5791|87.3138|154.2653|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72270|72270 - MYELOGRAPY 2/MORE REGIONS RS&I||270.1327|149.182|120.9507|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72265|72265 - MYELOGRAPY LUMBOSACRAL RS&I||194.3534|92.957|101.3964|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72255|72255 - MYELOGRAPHY THORACIC RS&I||205.8719|103.027|102.8449|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72240|72240 - MYELOGRAPHY CERVICAL RS&I||206.5921|101.5745|105.0176|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72220|72220 - RADEX SACRUM & COCCYX MINIMUM 2 VIEWS||58.6056|19.493|39.1125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72202|72202 - RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS||68.1833|21.1042|47.0791|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72200|72200 - RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS||59.3298|19.493|39.8368|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72198|72198 - MRA PELVIS W/WO CONTRAST MATERIAL||830.903|199.3651|631.5379|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72197|72197 - MRI PELVIS W/O & W/CONTRAST MATERIAL||1048.3061|252.3677|795.9385|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72196|72196 - MRI PELVIS W/CONTRAST MATERIAL||852.0603|193.7259|658.3345|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72195|72195 - MRI PELVIS W/O CONTRAST MATERIAL||715.14|163.2759|551.88|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72194|72194 - CT PELVIS W/O & W/CONTRAST MATERIAL||540.8205|135.971|404.8494|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72193|72193 - CT PELVIS W/CONTRAST MATERIAL||470.0818|129.689|340.3928|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72192|72192 - CT PELVIS W/O CONTRAST MATERIAL||306.5561|121.8731|184.6831|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72191|72191 - CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST||636.8943|201.6231|435.2712|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72190|72190 - RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS||79.2095|24.1639|55.0456|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72170|72170 - RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS||65.8479|19.493|46.3548|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72159|72159 - MRA SPINAL CANAL W/WO CONTRAST MATERIAL||863.4934|201.5378|661.9556|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72158|72158 - MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL||789.9996|255.5087|534.4909|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72157|72157 - MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL||792.8965|255.5087|537.3878|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72156|72156 - MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL||791.4481|255.5087|535.9393|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72149|72149 - MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL||668.5164|199.9306|468.5858|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72148|72148 - MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL||466.1755|165.6154|300.5601|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72147|72147 - MRI SPINAL CANAL THORACIC W/CONTRAST MATRL||669.2366|198.4781|470.7585|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72146|72146 - MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL||468.3482|165.6154|302.7328|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72142|72142 - MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL||676.483|199.9306|476.5524|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72141|72141 - MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL||468.3482|165.6154|302.7328|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72133|72133 - CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL||561.5098|141.4515|420.0583|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72132|72132 - CT LUMBAR SPINE W/CONTRAST MATERIAL||475.6396|135.971|339.6686|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72131|72131 - CT LUMBAR SPINE W/O CONTRAST MATERIAL||339.1425|111.7258|227.4075|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72130|72130 - CT THORACIC SPINE W/O & W/CONTRAST MATERIAL||565.8512|141.4475|424.4037|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72129|72129 - CT THORACIC SPINE W/CONTRAST MATERIAL||477.0881|135.971|341.1171|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72128|72128 - CT THORACIC SPINE W/O CONTRAST MATERIAL||339.1425|111.7258|227.4075|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72127|72127 - CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL||562.23|141.4475|420.7825|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72126|72126 - CT CERVICAL SPINE W/CONTRAST MATERIAL||476.3639|135.971|340.3928|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72125|72125 - CT CERVICAL SPINE W/O CONTRAST MATERIAL||346.95|119.5377|227.4075|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72120|72120 - RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS||83.6362|24.9695|58.6668|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72114|72114 - RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6||129.3563|36.6506|92.7057|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72110|72110 - RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS||101.7541|35.1208|66.6333|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72100|72100 - RADEX SPINE LUMBOSACRAL 2/3 VIEWS||72.7728|24.9695|47.8033|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72084|72084 - RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW||167.7486|45.3495|122.3991|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72083|72083 - RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW||140.4638|39.0674|101.3964|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72082|72082 - RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW||129.2749|35.845|93.4299|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72081|72081 - RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW||81.0688|29.6443|51.4245|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72080|72080 - RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS||64.082|24.2452|39.8368|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72074|72074 - RADEX SPINE THORACIC MINIMUM 4 VIEWS||81.4636|24.2452|57.2183|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72072|72072 - RADEX SPINE THORACIC 3 VIEWS||72.0485|24.2452|47.8033|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72070|72070 - RADEX SPINE THORACIC 2 VIEWS||70.6001|24.9695|45.6306|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72052|72052 - RADEX SPINE CERVICAL 6 OR MORE VIEWS||117.3698|40.5972|76.7726|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72050|72050 - RADEX SPINE CERVICAL 4 OR 5 VIEWS||93.7876|35.1208|58.6668|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72040|72040 - RADEX SPINE CERVICAL 2 OR 3 VIEWS||69.1516|24.9695|44.1821|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|72020|72020 - RADEX SPINE 1 VIEW SPECIFY LEVEL||46.1309|17.1576|28.9733|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71555|71555 - MRA CHEST W/O & W/CONTRAST MATERIAL||823.738|199.4424|624.2956|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71552|71552 - MRI CHEST W/O & W/CONTRAST MATERIAL||1168.5375|252.3677|916.155|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71551|71551 - MRI CHEST W/CONTRAST MATERIAL||946.9347|192.2774|754.6573|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71550|71550 - MRI CHEST W/O CONTRAST MATERIAL||714.42|162.5517|551.88|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71275|71275 - CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST||625.384|202.4247|422.9592|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71270|71270 - CT THORAX W/O & W/CONTRAST MATERIAL||571.8198|153.9342|417.8856|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71260|71260 - CT THORAX W/CONTRAST MATERIAL||477.2508|139.0307|338.2201|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71250|71250 - CT THORAX W/O CONTRAST MATERIAL||341.4825|114.0612|227.4075|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71130|71130 - RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS||74.9455|24.9695|49.976|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71120|71120 - RADEX STERNUM MINIMUM 2 VIEWS||61.7466|22.634|39.1125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71111|71111 - RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS||99.6628|36.6506|63.0122|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71110|71110 - RADEX RIBS BILATERAL 3 VIEWS||78.2492|30.4459|47.8033|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71101|71101 - RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS||76.0806|30.4499|45.6306|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71100|71100 - RADEX RIBS UNILATERAL 2 VIEWS||68.4274|24.9695|43.4579|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71035|71035 - RADEX CHEST SPECIAL VIEWS||68.1019|20.2986|47.8033|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71034|71034 - RADEX CHEST COMPLETE MINIMUM 4 VIEWS W/FLUORO||173.2331|52.2824|120.9507|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71030|71030 - RADEX CHEST COMPLETE MINIMUM 4 VIEWS||87.2695|35.1208|52.1487|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71023|71023 - RADEX CH 2 VIEWS FRONTAL & LATERAL W/FLUORO||132.0172|42.2084|89.8087|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71022|71022 - RADEX CH 2 VIEWS FRONTAL & LATERAL OBLIQUE PRJCJ||87.2655|36.5652|50.7002|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71021|71021 - RADEX CH 2 VIEWS FRNT & LAT APICAL LORDOTIC PX||71.0069|30.4459|40.561|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71020|71020 - RADIOLOGIC EXAM CHEST 2 VIEWS FRONTAL&LATERAL||58.2881|24.2452|34.0429|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71015|71015 - RADIOLOGIC EXAMINATION CHEST STERO FRONTAL||58.2068|24.1639|34.0429|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|71010|71010 - RADIOLOGIC EXAMINATION CHEST SINGLE VIEW FRONTAL||47.0992|20.2986|26.8006|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70559|70559 - MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST||0|360.7164|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70558|70558 - MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL||0|357.8074|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70557|70557 - MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL||0|324.9447|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70555|70555 - MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION||0|281.4465|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70554|70554 - MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION||935.558|236.6626|698.8955|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70553|70553 - MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL||787.8269|255.5087|532.3182|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70552|70552 - MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL||665.6155|198.4781|467.1374|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70551|70551 - MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL||481.3803|164.8871|316.4932|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70549|70549 - MRA NECK W/O &W/CONTRAST MATERIAL||1116.9675|200.8135|916.155|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70548|70548 - MRA NECK W/CONTRAST MATERIAL||850.6328|134.3598|716.273|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70547|70547 - MRA NECK W/O CONTRST MATERIAL||686.2275|134.3598|551.88|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70546|70546 - MRA HEAD W/O & W/CONTRAST MATERIAL||1116.9675|200.8135|916.155|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70545|70545 - MRA HEAD W/CONTRAST MATERIAL||797.7639|133.6356|664.1283|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70544|70544 - MRA HEAD W/O CONTRST MATERIAL||686.2275|134.3598|551.88|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70543|70543 - MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL||1019.1621|239.1567|780.0054|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70542|70542 - MRI ORBIT FACE & NECK W/CONTRAST MATERIAL||831.6071|180.5149|651.0922|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70540|70540 - MRI ORBIT FACE &/NECK W/O CONTRAST||701.9325|150.069|551.88|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70498|70498 - CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST||611.7782|194.6128|417.1654|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70496|70496 - CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST||613.9509|194.6128|419.3381|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70492|70492 - CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL||578.1832|161.7461|416.4371|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70491|70491 - CT SOFT TISSUE NECK W/CONTRAST MATERIAL||491.4301|154.6585|336.7717|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70490|70490 - CT SOFT TISSUE NECK W/O CONTRAST MATERIAL||370.395|142.9773|227.4075|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70488|70488 - CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL||428.2472|141.4475|286.7997|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70487|70487 - CT MAXILLOFACIAL W/CONTRAST MATERIAL||352.5082|125.8197|226.6885|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70486|70486 - CT MAXILLOFACIAL W/O CONTRAST MATERIAL||292.2874|95.2924|196.995|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70482|70482 - CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR||625.9865|161.0219|464.9647|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70481|70481 - CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL||573.9925|153.9342|420.0583|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70480|70480 - CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL||370.395|142.9773|227.4075|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70470|70470 - CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL||401.4506|142.1717|259.2789|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70460|70460 - CT HEAD/BRAIN W/CONTRAST MATERIAL||338.7478|125.8197|212.9281|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70450|70450 - CT HEAD/BRAIN W/O CONTRAST MATERIAL||243.7639|95.2924|148.4715|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70390|70390 - SIALOGRAPHY RS&I||194.3011|42.2084|152.0926|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70380|70380 - RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS||74.5386|20.2173|54.3214|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70371|70371 - CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC||192.9863|95.2111|97.7753|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70370|70370 - RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ||158.3325|35.9264|122.4|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70360|70360 - RADIOLOGIC EXAMINATION NECK SOFT TISSUE||58.6056|18.7688|39.8368|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70355|70355 - ORTHOPANTOGRAM||43.6448|24.8108|18.834|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70350|70350 - CEPHALOGRAM ORTHODONTIC||41.9523|22.394|19.5583|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70336|70336 - MRI TEMPOROMANDIBULAR JOINT||665.3391|164.1629|501.1762|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70332|70332 - TEMPOROMANDBLE JT ARTHROGRAPHY RS&I||169.5386|68.8664|100.6722|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70330|70330 - RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT||97.5594|28.0291|69.5302|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70328|70328 - RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT||63.7565|20.2986|43.4579|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70320|70320 - RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH||108.2601|26.4179|81.8422|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70310|70310 - RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH||75.9057|17.9632|57.9425|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70300|70300 - RADIOLOGIC EXAMINATION TEETH 1 VIEW||31.2394|13.1296|18.1098|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70260|70260 - RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS||95.4801|38.986|56.4941|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|7025F|7025F - INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70250|70250 - RADIOLOGIC EXAMINATION SKULL 4/> VIEWS||75.1082|28.0291|47.0791|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70240|70240 - RADIOLOGIC EXAMINATION SELLA TURCICA||62.3894|21.8284|40.561|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70220|70220 - RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS||78.0865|28.1105|49.976|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70210|70210 - RADEX SINUSES PARANASAL <3 VIEWS||61.5025|19.493|42.0095|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|7020F|7020F - MAMMO ASSESSMENT CAT IN DATABASE FOR RATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70200|70200 - RADEX ORBITS COMPLETE MINIMUM 4 VIEWS||87.7456|31.2515|56.4941|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70190|70190 - RADEX OPTIC FORAMINA||74.1399|24.8881|49.2518|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70170|70170 - DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I||0|33.591|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70160|70160 - RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS||67.2963|19.493|47.8033|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70150|70150 - RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS||86.1344|29.6403|56.4941|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70140|70140 - RADEX FACIAL BONES < 3 VIEWS||61.6652|23.2769|38.3883|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70134|70134 - RADEX INTERNAL AUDITORY MEATI COMPLETE||107.0638|38.982|68.0818|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70130|70130 - RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE||113.5859|38.2618|75.3241|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70120|70120 - RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE||70.2746|20.2986|49.976|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70110|70110 - RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS||78.8107|28.1105|50.7002|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|7010F|7010F - PT INFORMATION ENTERED INTO RECALL SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70100|70100 - RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS||68.1019|20.2986|47.8033|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70030|70030 - RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY||57.8813|18.7688|39.1125|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70015|70015 - CISTERNOGRAPHY POSITIVE CONTRAST RS&I||322.6069|137.9238|184.6831|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|70010|70010 - MYELOGRAPY POST FOSSA RS&I||136.4633|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69990|69990 - MICROSURG TQS REQ USE OPERATING MICROSCOPE||495.8335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69979|69979 - UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69970|69970 - REMOVAL TUMOR TEMPORAL BONE||4760.2269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69960|69960 - DECOMPRESSION INTERNAL AUDITORY CANAL||4261.9452|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69955|69955 - TOTAL FACIAL NERVE DECOMPRESSION &/REPAIR||4421.3808|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69950|69950 - VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH||3962.7296|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69949|69949 - UNLISTED PROCEDURE INNER EAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69930|69930 - COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY||2711.2479|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69915|69915 - VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR||3410.8725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69910|69910 - LABYRINTHECTOMY W/MASTOIDECTOMY||2244.6777|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69905|69905 - LABYRINTHECTOMY TRANSCANAL||2012.9357|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69840|69840 - REVISION FENESTRATION OPERATION||1974.2606|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69820|69820 - FENESTRATION SEMICIRCULAR CANAL||1880.1299|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69806|69806 - ENDOLYMPHATIC SAC SHUNT||2083.5463|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69805|69805 - ENDOLYMPHATIC SAC W/O SHUNT||2328.724|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69801|69801 - LABYRINTHOTOMY TRANSCANAL||280.5023|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69799|69799 - UNLISTED PROCEDURE MIDDLE EAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69745|69745 - SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE||3064.0993|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69740|69740 - SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE||2578.3333|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69725|69725 - DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE||4166.32|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69720|69720 - DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION||2670.0304|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69718|69718 - RPLMCT OSSEOINTEGRATE IMPLNT W/MASTOIDECTOMY||2969.6093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69717|69717 - RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY||2496.8585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69715|69715 - IMPLJ OSSEOINTEGRATED TEMPORAL BONE W/O MASTOID||2939.318|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69714|69714 - IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID||2375.8603|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69711|69711 - RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE||1896.1484|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69710|69710 - IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69700|69700 - CLOSURE POSTAURICULAR FISTULA MASTOID SPX||1503.2927|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69676|69676 - TYMPANIC NEURECTOMY||1818.2866|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69670|69670 - MASTOID OBLITERATION SEPARATE PROCEDURE||2079.8124|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69667|69667 - REPAIR ROUND WINDOW FISTULA||1774.3808|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69666|69666 - REPAIR OVAL WINDOW FISTULA||1773.5752|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69662|69662 - REVISION STAPEDECTOMY/STAPEDOTOMY||2554.76|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69661|69661 - STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT||2661.661|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69660|69660 - STAPEDECTOMY/STAPEDOTOMY||2040.2519|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69650|69650 - STAPES MOBILIZATION||1767.037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69646|69646 - TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR||3383.5088|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69645|69645 - TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR||3180.1689|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69644|69644 - TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR||3235.1082|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69643|69643 - TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR||2690.822|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69642|69642 - TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ||2936.0618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69641|69641 - TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ||2285.5658|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69637|69637 - TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP||3002.9134|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69636|69636 - TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ||3019.7456|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69635|69635 - TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ||2698.4373|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69633|69633 - TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP||2288.0728|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69632|69632 - TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ||2359.2868|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69631|69631 - TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ||1932.7716|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69620|69620 - MYRINGOPLASTY||1073.481|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69610|69610 - TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH||645.7067|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69605|69605 - REVJ MASTOIDECTOMY W/APICECTOMY||3420.1674|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69604|69604 - REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY||2444.7686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69603|69603 - REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY||2780.8684|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69602|69602 - REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC||2390.4682|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69601|69601 - REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY||2300.2937|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69554|69554 - EXCISION AURAL GLOMUS TUMOR EXTENDED||5392.5986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69552|69552 - EXCISION AURAL GLOMUS TUMOR TRANSMASTOID||3435.1387|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69550|69550 - EXCISION AURAL GLOMUS TUMOR TRANSCANAL||2270.5793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69540|69540 - EXCISION AURAL POLYP||276.0361|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69535|69535 - RESCJ TEMPORAL BONE EXTERNAL APPROACH||5927.6139|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69530|69530 - PETROUS APICECTOMY RADICAL MASTOIDECTOMY||3632.4664|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69511|69511 - MASTOIDECTOMY RADICAL||2683.2817|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69505|69505 - MASTOIDECTOMY MODIFIED RADICAL||2624.6318|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69502|69502 - MASTOIDECTOMY COMPLETE||2138.0304|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69501|69501 - TRANSMASTOID ANTROTOMY||1610.8519|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69450|69450 - TYMPANOLYSIS TRANSCANAL||1186.5715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69440|69440 - MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC||1505.8529|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69436|69436 - TYMPANOSTOMY GENERAL ANESTHESIA||351.7904|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69433|69433 - TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA||290.2476|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69424|69424 - VENTILATING TUBE RMVL REQUIRING GENERAL ANES||137.326|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69421|69421 - MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES||326.0073|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69420|69420 - MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ||263.3415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69399|69399 - UNLISTED PROCEDURE EXTERNAL EAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69320|69320 - RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG||3373.8303|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69310|69310 - RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX||2372.6999|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69300|69300 - OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ||1052.7949|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69222|69222 - DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX||297.954|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69220|69220 - DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE||115.4364|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69210|69210 - REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT||73.0692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69209|69209 - REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT||26.0764|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69205|69205 - RMVL FB XTRNL AUDITORY CANAL ANES||222.1135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69200|69200 - RMVL FB XTRNL AUDITORY CANAL W/O ANES||104.8009|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69155|69155 - RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ||3681.437|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69150|69150 - RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ||2300.1995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69145|69145 - EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL||544.2966|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69140|69140 - EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL||1899.0082|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69120|69120 - EXCISION EXTERNAL EAR COMPLETE AMPUTATION||879.8172|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69110|69110 - EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR||704.6555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69105|69105 - BIOPSY EXTERNAL AUDITORY CANAL||140.223|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69100|69100 - BIOPSY EXTERNAL EAR||108.7515|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69090|69090 - EAR PIERCING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69020|69020 - DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS||309.4724|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69005|69005 - DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX||345.7766|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|69000|69000 - DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE||259.9685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68899|68899 - UNLISTED PROCEDURE LACRIMAL SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68850|68850 - INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY||121.6902|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68840|68840 - PROBE LACRIMAL CANALICULI W/WO IRRIGATION||250.3344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68816|68816 - PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION||432.1358|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68815|68815 - PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT||477.5948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68811|68811 - PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES||356.0472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68810|68810 - PROBE NASOLACRIMAL DUCT W/WO IRRIGATION||323.9941|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68801|68801 - DILATION LACRIMAL PUNCTUM W/WO IRRGATION||184.853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68770|68770 - CLOSURE LACRIMAL FISTULA SPX||1357.5498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68761|68761 - CLSR LACRIMAL PUNCTUM PLUG EACH||255.5748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68760|68760 - CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER||314.3672|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68750|68750 - CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT||1696.0808|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68745|68745 - CONJUNCTIVORHINOSTOMY W/O TUBE||1639.3878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68720|68720 - DACRYOCSTORHINOSTOMY||1633.374|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68705|68705 - CORRECTION EVERTED PUNCTUM CAUTERY||359.0698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68700|68700 - PLASTIC REPAIR CANALICULI||1303.4322|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68550|68550 - EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY||2396.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68540|68540 - EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH||2008.5517|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68530|68530 - RMVL FB/DACRYOLITH LACRIMAL PASSAGES||559.6311|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68525|68525 - BIOPSY LACRIMAL SAC||578.5538|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68520|68520 - EXCISION LACRIMAL SAC||1483.2559|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68510|68510 - BIOPSY LACRIMAL GLAND||638.6811|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68505|68505 - EXCISION LACRIMAL GLAND XCPT TUMOR PRTL||2091.6466|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68500|68500 - EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL||2104.6054|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68440|68440 - SNIP INCISION LACRIMAL PUNCTUM||211.5924|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68420|68420 - INCISION DRAINAGE LACRIMAL SAC||365.38|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68400|68400 - INCISION DRAINAGE LACRIMAL GLAND||285.0725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68399|68399 - UNLISTED PROCEDURE CONJUNCTIVA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68371|68371 - HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR||888.9148|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68362|68362 - CONJUNCTIVAL FLAP TOTAL||1417.3798|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68360|68360 - CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX||888.8576|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68340|68340 - RPR & DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE||860.4176|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68335|68335 - RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB||1398.0495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68330|68330 - RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT||993.7729|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68328|68328 - CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT||1530.7168|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68326|68326 - CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT||1394.1069|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68325|68325 - CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT||1422.6323|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68320|68320 - CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT||1160.8536|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68200|68200 - SUBCONJUNCTIVAL INJECTION||75.7019|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68135|68135 - DESTRUCTION LESION CONJUNCTIVA||325.4055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68130|68130 - EXCISION LESION CONJUNCTIVA ADJACENT SCLERA||887.5477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68115|68115 - EXCISION LESION CONJUNCTIVA > 1 CM||397.7304|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68110|68110 - EXCISION LESION CONJUNCTIVA </1 CM||319.7623|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68100|68100 - BIOPSY CONJUNCTIVA||210.9125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68040|68040 - EXPRESSION CONJUNCTIVAL FOLLICLES||111.2255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|68020|68020 - INCISION CONJUNCTIVA DRAINAGE OF CYST||238.2786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67999|67999 - UNLISTED PROCEDURE EYELIDS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67975|67975 - RCNSTJ EYELID FULL THICKNESS SECOND STAGE||1481.3796|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67974|67974 - RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG||2013.8928|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67973|67973 - RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG||2017.758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67971|67971 - RCNSTJ EYELID FULL THICKNESS </TWO-THIRDS 1 STG||1567.1556|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67966|67966 - EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN||1423.2381|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67961|67961 - EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN||981.3957|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67950|67950 - CANTHOPLASTY||1000.5794|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67938|67938 - REMOVAL EMBEDDED FOREIGN BODY EYELID||248.8126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67935|67935 - SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK||961.6126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67930|67930 - SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK||523.0127|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67924|67924 - REPAIR ENTROPION EXTENSIVE||989.2076|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67923|67923 - REPAIR ENTROPION EXCISION TARSAL WEDGE||929.04|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67922|67922 - REPAIR ENTROPION THERMOCAUTERIZATION||422.1472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67921|67921 - REPAIR ENTROPION SUTURE||665.6622|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67917|67917 - REPAIR ECTROPION EXTENSIVE||989.2116|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67916|67916 - REPAIR ECTROPION EXCISION TARSAL WEDGE||929.7763|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67915|67915 - REPAIR ECTROPION THERMOCAUTERIZATION||422.8714|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67914|67914 - REPAIR ECTROPION SUTURE||702.7156|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67912|67912 - CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD||1060.8565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67911|67911 - CORRECTION LID RETRACTION||1215.6826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67909|67909 - REDUCTION OVERCORRECTION PTOSIS||945.7214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67908|67908 - RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ||914.5312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67906|67906 - RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING||1097.3203|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67904|67904 - RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL||1291.2258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67903|67903 - RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL||1046.0996|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67902|67902 - RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING||1564.9015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67901|67901 - RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL||1246.1164|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67900|67900 - REPAIR BROW PTOSIS||1102.2473|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67882|67882 - CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS||1018.1849|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67880|67880 - CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY||793.6667|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67875|67875 - TEMPORARY CLOSURE EYELIDS SUTURE||210.9165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67850|67850 - DESTRUCTION LESION LID MARGIN </ 1 CM||294.5117|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67840|67840 - EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE||342.2497|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67835|67835 - CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF||945.3186|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67830|67830 - CORRECTION TRICHIASIS INCCISION LID MARGIN||298.1941|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67825|67825 - CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS||260.8111|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67820|67820 - CORRECTION TRICHIASIS EPILATION FORCEPS ONLY||115.152|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67810|67810 - INCISIONAL BIOPSY EYELID SKIN & LID MARGIN||158.129|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67808|67808 - EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT||795.1192|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67805|67805 - EXCISION CHALAZION MULTIPLE DIFFERENT LIDS||356.7545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67801|67801 - EXCISION CHALAZION MULTIPLE SAME LID||290.0809|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67800|67800 - EXCISION CHALAZION SINGLE||223.7126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67715|67715 - CANTHOTOMY SEPARATE PROCEDURE||233.445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67710|67710 - SEVERING TARSORRHAPHY||208.6262|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67700|67700 - BLEPHAROTOMY DRAINAGE ABSCESS EYELID||250.4318|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67599|67599 - UNLISTED PROCEDURE ORBIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67570|67570 - OPTIC NERVE DECOMPRESSION||2503.5176|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67560|67560 - ORBITAL IMPLANT REMOVAL/REVISION||2125.165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67550|67550 - ORBITAL IMPLANT INSERTION||2072.5612|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67515|67515 - INJECTION MEDICATION/OTHER SUBST TENON CAPSULE||194.662|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67505|67505 - RETROBULBAR INJECTION ALCOHOL||177.6671|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67500|67500 - RETROBULBAR INJECTION MEDICATION SPX||160.2284|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67450|67450 - ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX||2698.3898|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67445|67445 - ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN||3031.3897|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67440|67440 - ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG||2588.7183|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67430|67430 - ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB||2666.2272|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67420|67420 - ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION||3498.5842|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67415|67415 - FINE NEEDLE ASPIRATION ORBITAL CONTENTS||229.4694|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67414|67414 - ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN||2864.578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67413|67413 - ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY||1837.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67412|67412 - ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION||1828.0738|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67405|67405 - ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY||1703.9668|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67400|67400 - ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY||1996.9245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67399|67399 - UNLISTED PROCEDURE EXTRAOCULAR MUSCLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67346|67346 - BIOPSY EXTRAOCULAR MUSCLE||421.7758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67345|67345 - CHEMODENERVATION EXTRAOCULAR MUSCLE||474.4079|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67343|67343 - RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX||1410.4468|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67340|67340 - STRABISMUS EXPL&/RPR DETACHED EXTROCULAR MUSC||787.7125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67335|67335 - PLACEMENT ADJUSTABLE SUTURE STRABISMUS||325.9581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67334|67334 - STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION||662.6291|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67332|67332 - STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY||729.0788|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67331|67331 - STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC||671.9748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67320|67320 - TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC||708.2186|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67318|67318 - STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE||1518.5885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67316|67316 - STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC||1733.2599|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67314|67314 - STRABISMUS RECESSION/RESCJ 1 VER MUSC||1452.8873|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67312|67312 - STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC||1539.6597|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67311|67311 - STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC||1290.2985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67299|67299 - UNLISTED PROCEDURE POSTERIOR SEGMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67255|67255 - SCLERAL REINFORCEMENT SPX W/GRAFT||1469.0935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67250|67250 - SCLERAL REINFORCEMENT SPX W/O GRAFT||1679.0256|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67229|67229 - EXTENSIVE RETINOPATHY 1/> SESS PRETERM INFANT||2426.1787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67228|67228 - TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION||666.6539|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67227|67227 - DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY||555.8191|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67225|67225 - DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION||61.0505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67221|67221 - DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY||467.056|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67220|67220 - DSTRJ LESION CHOROID PC 1/> SESS||1078.1696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67218|67218 - DSTRJ LESION RETINA 1/> SESS RADJ IMPLTJ||3005.9675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67210|67210 - DSTRJ LOCLZD LESION RETINA 1/> SESS PC||1078.1696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67208|67208 - DSTRJ LOCLZD LESION RETINA 1/> SESS CRTX DTHRM||1249.4854|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67145|67145 - PROPH RTA DTCHMNT W/O DRG 1/> SESS||1073.4988|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67141|67141 - PROPH RTA DTCHMNT W/O DRG 1/> SESS CRTX DTHRM||1051.1088|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67121|67121 - RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR||1963.4785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67120|67120 - RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR||1202.9888|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67115|67115 - RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT||1074.683|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67113|67113 - RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL||3048.4587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67110|67110 - RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS||1496.769|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67108|67108 - RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH||2785.5916|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67107|67107 - REPAIR RETINAL DETACHMENT SCLERAL BUCKLING||2202.0496|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67105|67105 - RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC||1390.6525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67101|67101 - RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX||1454.4171|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67043|67043 - VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE||2639.9615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67042|67042 - VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA||2499.4131|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67041|67041 - VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE||2498.6888|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67040|67040 - VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC||2259.2349|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67039|67039 - VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC||2088.5619|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67036|67036 - VITRECTOMY MECHANICAL PARS PLANA||1948.7418|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67031|67031 - SEVERING VITREOUS STRANS LASER 1/> STAGES||768.7012|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67030|67030 - DISCISSION VITREOUS STRANS PARS PLANA APPROACH||1140.588|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67028|67028 - INTRAVITREAL NJX PHARMACOLOGIC AGT SPX||217.4426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67027|67027 - IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS||1843.9078|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67025|67025 - INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX||1364.0477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67015|67015 - ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL||1247.4923|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67010|67010 - RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT||1170.7971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|67005|67005 - RMVL VITREOUS ANT APPR PARTIAL REMOVAL||1017.8433|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66999|66999 - UNLISTED PROCEDURE ANTERIOR SEGMENT EYE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66990|66990 - USE OPHTHALMIC ENDOSCOPE||198.458|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66986|66986 - EXCHANGE INTRAOCULAR LENS||1963.5599|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66985|66985 - INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL||1661.0414|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66984|66984 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP||1381.1521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66983|66983 - ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG||1600.9302|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66982|66982 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP||1721.4442|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66940|66940 - REMOVAL LENS MATERIAL EXTRACAPSULAR||1689.5789|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66930|66930 - REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS||1852.5173|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66920|66920 - RMVL LENS MATERIAL INTRACAPSULAR||1629.6795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66852|66852 - RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY||1825.5338|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66850|66850 - RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR||1712.0502|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66840|66840 - RMVL LENS MATERIAL ASPIR TQ 1/> STAGES||1503.8719|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66830|66830 - RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ||1537.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66825|66825 - REPOSITIONING IO LENS PROSTHESIS REQ INC SPX||1631.3979|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66821|66821 - POST-CATARACT LASER SURGERY||665.9756|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66820|66820 - DISCISSION SECONDARY MEMBRANOUS CATARACT||838.0897|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66770|66770 - DSTRJ CYST/LESION IRIS/CILIARY BODY||1042.2553|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66762|66762 - IRIDOPLASTY PHOTOCOAGULATION 1/> SESSIONS||918.8032|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66761|66761 - IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION||509.0091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66740|66740 - CILIARY BODY DESTRUCTION CYCLODIALYSIS||848.7647|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66720|66720 - CILIARY BODY DESTRUCTION CRYOTHERAPY||909.9135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66711|66711 - ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS||1381.4051|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66710|66710 - CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL||848.0404|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66700|66700 - CILIARY BODY DESTRUCTION DIATHERMY||848.7647|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66682|66682 - SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE||1366.3718|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66680|66680 - REPAIR IRIS CILIARY BODY||1113.9051|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66635|66635 - IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX||1239.2326|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66630|66630 - IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX||1226.9085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66625|66625 - IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX||923.9462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66605|66605 - IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY||2283.0209|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66600|66600 - IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES||1787.4847|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66505|66505 - IRIDOTOMY STAB INC SPX TRANSFIXION||829.6672|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66500|66500 - IRIDOTOMY STAB INC SPX XCP TRANSFIXION||756.2314|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66250|66250 - REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT||1201.5403|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66225|66225 - REPAIR SCLERAL STAPHYLOMA W/GRAFT||2012.9414|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66220|66220 - REPAIR SCLERAL STAPHYLOMA W/O GRAFT||1605.5084|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66185|66185 - REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT||1819.4805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66184|66184 - REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT||1687.4722|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66183|66183 - INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR||2220.3721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66180|66180 - AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT||2455.2365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66179|66179 - AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT||2323.9525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66175|66175 - TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT||2146.8702|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66174|66174 - TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT||2048.0461|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66172|66172 - FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING||2612.833|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66170|66170 - FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO||2082.2171|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66160|66160 - FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT||2126.1253|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66155|66155 - FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC||1881.2763|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66150|66150 - FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY||1882.8061|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66130|66130 - EXCISION LESION SCLERA||1230.6795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66030|66030 - INJX ANTERIOR CHAMBER EYE MEDICATION SPX||238.0264|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|66020|66020 - INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX||283.5306|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65930|65930 - RMVL BLOOD CLOT ANTERIOR SEGMENT EYE||1375.749|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65920|65920 - RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE||1698.7868|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65900|65900 - RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE||2070.6116|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65880|65880 - SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL||1424.0324|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65875|65875 - SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE||1355.8048|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65870|65870 - SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE||1271.9857|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65865|65865 - SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE||1016.8629|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65860|65860 - SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX||549.3131|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65855|65855 - TRABECULOPLASTY BY LASER SURGERY||514.9213|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65850|65850 - TRABECULOTOMY AB EXTERNO||1815.2318|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65820|65820 - GONIOTOMY||1608.129|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65815|65815 - PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/AIR IN||1028.8816|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65810|65810 - PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX||1002.0649|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65800|65800 - PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX||200.7934|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65785|65785 - IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS||842.9813|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65782|65782 - OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT||2485.5479|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65781|65781 - OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT||2883.5506|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65780|65780 - OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE||1538.3112|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65779|65779 - PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED||333.2818|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65778|65778 - PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES||128.3871|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65775|65775 - CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM||1187.6744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65772|65772 - CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM||875.8786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65771|65771 - RADIAL KERATOTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65770|65770 - KERATOPROSTHESIS||3042.1839|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65767|65767 - EPIKERATOPLASTY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65765|65765 - KERATOPHAKIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65760|65760 - KERATOMILEUSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65757|65757 - BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65756|65756 - KERATOPLASTY ENDOTHELIAL||2568.7596|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65755|65755 - KERATOPLASTY PENETRATING PSEUDOPHAKIA||2653.8081|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65750|65750 - KERATOPLASTY PENETRAING APHAKIA||2668.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65730|65730 - KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA||2650.2159|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65710|65710 - KERATOPLASTY ANTERIOR LAMELLAR||2387.013|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65600|65600 - MULTIPLE PUNCTURES ANTERIOR CORNEA||740.4199|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65450|65450 - DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION||688.1134|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65436|65436 - RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT||802.699|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65435|65435 - RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION||150.1834|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65430|65430 - CORNEA SCRAPING DIAGNOSTIC SMEAR &/CULTURE||224.2008|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65426|65426 - EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG||1031.4611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65420|65420 - EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT||810.5318|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65410|65410 - BIOPSY CORNEA||226.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65400|65400 - EXCISION LESION CORNEA XCP PTERYGIUM||1298.9571|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65290|65290 - RPR WND EXTRAOCULAR MUSCLE TENDON&/TENON CAPSU||1056.3895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65286|65286 - RPR LAC APPL TISSUE GLUE WOUND CORNEA&/SCLERA||1071.6837|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65285|65285 - RPR LAC CORN&/SCLRA PERF W/REPOS/RESCJ UVEAL T||2400.2393|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65280|65280 - RPR LAC CORNEA&/SCLERA PERFOR X INVG UVEAL TIS||1451.7965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65275|65275 - RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY||1000.1073|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65273|65273 - RPR LAC CJNC MOBLJ & REARGMT W/HOSPIZATION||824.3075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65272|65272 - RPR LAC CJNC MOBLJ& REARGMT W/O HOSPITALIZATION||758.338|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65270|65270 - RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR||304.1708|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65265|65265 - RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ||2336.146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65260|65260 - RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE||2071.584|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65235|65235 - RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS||1532.1782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65222|65222 - RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP||114.0411|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65220|65220 - RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP||92.7169|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65210|65210 - RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR||116.2138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65205|65205 - REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL||96.322|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65175|65175 - REMOVAL OCULAR IMPLANT||1406.0539|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65155|65155 - REINSERTION OCULAR IMPLT RNFCMT &/ ATTACH MUSCLE||1814.1145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65150|65150 - REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT||1224.3057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65140|65140 - INSJ OC IMPLT AFTER ENCL MUSC ATTACHED||1729.9457|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65135|65135 - INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED||1590.3898|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65130|65130 - INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL||1566.466|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65125|65125 - MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX||626.3789|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65114|65114 - EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP||3219.7092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65112|65112 - EXENTERATION ORBIT RMVL ORBIT CONTENTS & BONE||3064.1066|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65110|65110 - EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY||2634.0879|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65105|65105 - ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT||1819.2453|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65103|65103 - ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT||1648.8366|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65101|65101 - ENUCLEATION OF EYE W/O IMPLANT||1577.8015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65093|65093 - EVISCERATION OCULAR CONTENTS W/IMPLANT||1343.0055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|65091|65091 - EVISCERATION OCULAR CONTENTS W/O IMPLANT||1359.2802|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64999|64999 - UNLISTED PROCEDURE NERVOUS SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64911|64911 - NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE||2227.7296|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64910|64910 - NERVE REPAIR W/CONDUIT EACH NERVE||1811.3778|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64907|64907 - NERVE PEDICAL TRANSFER SECOND STAGE||3048.6536|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64905|64905 - NERVE PEDICLE TRANSFER FIRST STAGE||2269.9284|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64902|64902 - NERVE GRAFT EACH NERVE MULTIPLE STRANDS||1477.9188|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64901|64901 - NERVE GRAFT EACH NERVE 1 STRAND||1256.1074|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64898|64898 - NERVE GRAFT MLT STRANDS ARM/LEG >4 CM||3027.2956|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64897|64897 - NERVE GRAFT MLT STRANDS ARM/LEG </4 CM||2754.4714|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64896|64896 - NERVE GRAFT MLT STRANDS HAND/FOOT > 4 CM||3179.1345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64895|64895 - NERVE GRAFT MLT STRANDS HAND/FOOT </4 CM||2961.6161|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64893|64893 - NERVE GRAFT 1 STRAND ARM/LEG >4 CM||2506.6481|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64892|64892 - NERVE GRAFT 1 STRAND ARM/LEG <4 CM||2307.5924|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64891|64891 - NRV GRF 1 STRAND HAND/FOOT >4 CM||2575.7828|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64890|64890 - NERVE GRAFT 1 STRAND HAND/FOOT </4 CM||2409.4803|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64886|64886 - NERVE GRAFT HEAD/NECK >4 CM||2898.8473|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64885|64885 - NERVE GRAFT HEAD/NECK </ 4 CM||2548.8155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64876|64876 - SUTURE NERVE REQ SHORTENING BONE EXTREMITY||398.4119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64874|64874 - SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE||384.4074|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64872|64872 - SUTURE NERVE REQ SECONDARY/DELAYED SUTURE||269.8097|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64868|64868 - ANASTOMOSIS FACIAL HYPOGLOSSAL||2246.3236|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64866|64866 - ANASTOMOSIS FACIAL-SPINAL ACCESSORY||2547.4347|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64865|64865 - SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT||2491.5061|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64864|64864 - SUTURE FACIAL NERVE EXTRACRANIAL||1948.7683|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64862|64862 - SUTURE LUMBAR PLEXUS||3426.9393|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64861|64861 - SUTURE BRACHIAL PLEXUS||2942.6419|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64859|64859 - SUTURE EACH ADDITIONAL PERIPHERAL NERVE||564.2674|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64858|64858 - SUTURE SCIATIC NERVE||2511.5897|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64857|64857 - SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS||2330.8435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64856|64856 - SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS||2241.4827|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64840|64840 - SUTURE POSTERIOR TIBIAL NERVE||2239.1642|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64837|64837 - SUTURE EACH ADDITIONAL NERVE HAND/FOOT||829.8049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64836|64836 - SUTURE 1 NERVE ULNAR MOTOR||1786.0201|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64835|64835 - SUTURE 1 NERVE MEDIAN MOTOR THENAR||1780.2182|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64834|64834 - SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE||1632.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64832|64832 - SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV||753.2281|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64831|64831 - SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE||1501.211|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64823|64823 - SYMPATHECTOMY SUPERFICIAL PALMAR ARCH||1718.5232|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64822|64822 - SYMPATHECTOMY ULNAR ARTERY||1507.5994|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64821|64821 - SYMPATHECTOMY RADIAL ARTERY||1507.5994|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64820|64820 - SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT||1595.921|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64818|64818 - SYMPATHECTOMY LUMBAR||1374.8024|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64809|64809 - SYMPATHECTOMY THORACOLUMBAR||2260.3579|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64804|64804 - SYMPATHECTOMY CERVICOTHORACIC||2230.2205|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64802|64802 - SYMPATHECTOMY CERVICAL||1474.6835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64795|64795 - BIOPSY NERVE||428.9303|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64792|64792 - EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV||2664.3292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64790|64790 - EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV||1855.962|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64788|64788 - EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV||875.2406|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64787|64787 - IMPLANTATION NERVE END BONE/MUSCLE||543.5861|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64786|64786 - EXCISION NEUROMA SCIATIC NERVE||2374.324|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64784|64784 - EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC||1609.5179|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64783|64783 - EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT||492.4838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64782|64782 - EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE||997.684|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64778|64778 - EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT||324.5089|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64776|64776 - EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT||860.6593|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64774|64774 - EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE||915.2562|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64772|64772 - TRANSECTION/AVULSION OTH SPINAL NRV XDRL||1233.3525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64771|64771 - TRANSECTION/AVULSION OTH CRANIAL NRV XDRL||1313.2951|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64766|64766 - TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY||1331.2535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64763|64763 - TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY||1119.5426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64760|64760 - TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL||1117.6221|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64755|64755 - TRANSECTION/AVULSION VAGUS NERVES||2056.1826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64746|64746 - TRANSECTION/AVULSION PHRENIC NERVE||994.1128|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64744|64744 - TRANSECTION/AVULSION GREATER OCCIPITAL NERVE||1081.678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64742|64742 - TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL||1065.5556|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64740|64740 - TRANSECTION/AVULSION LINGUAL NERVE||1004.7846|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64738|64738 - TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO||934.2248|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64736|64736 - TRANSECTION/AVULSION MENTAL NERVE||870.697|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64734|64734 - TRANSECTION/AVULSION INFRAORBITAL NERVE||905.879|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64732|64732 - TRANSECTION/AVULSION SUPRAORBITAL NERVE||820.1434|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64727|64727 - INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE||411.5004|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64726|64726 - DECOMPRESSION PLANTAR DIGITAL NERVE||604.8662|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64722|64722 - DECOMPRESSION UNSPECIFIED NERVE||808.7345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64721|64721 - NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE||926.5845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64719|64719 - NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST||872.251|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64718|64718 - NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW||1289.4084|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64716|64716 - NEUROPLASTY &/TRANSPOSITION CRANIAL NERVE||1177.0115|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64714|64714 - NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS||1420.4588|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64713|64713 - NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS||1606.5299|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64712|64712 - NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV||1261.9883|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64708|64708 - NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC||1085.714|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64704|64704 - NEUROPLASTY NERVE HAND/FOOT||698.8608|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64702|64702 - NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT||1087.7449|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64681|64681 - DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS||427.0315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64680|64680 - DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS||368.0119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64653|64653 - CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY||120.9652|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64650|64650 - CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE||93.3799|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64647|64647 - CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES||303.4449|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64646|64646 - CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES||259.6092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64645|64645 - CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES||185.9785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64644|64644 - CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES||263.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64643|64643 - CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE||162.1199|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64642|64642 - CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE||240.2628|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64640|64640 - DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE||203.418|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64636|64636 - DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL||134.7667|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64635|64635 - DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL||498.0062|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64634|64634 - DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA||154.1824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64633|64633 - DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA||505.0165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64632|64632 - DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE||152.7138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64630|64630 - DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE||426.9502|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64620|64620 - DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE||380.6574|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64617|64617 - CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG||275.6962|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64616|64616 - CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA||240.7872|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64615|64615 - CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE||276.0256|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64612|64612 - CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL||255.6634|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64611|64611 - CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS||221.4618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64610|64610 - DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR||1090.1432|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64605|64605 - DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH||911.5778|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64600|64600 - DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH||486.3645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64595|64595 - REVISION/RMVL PERIPHERAL/GASTRIC NPGR||277.4717|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64590|64590 - INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR||353.9301|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64585|64585 - REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE||314.9319|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64581|64581 - INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE||1479.5026|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64580|64580 - INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR||666.0247|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64575|64575 - INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD||701.8786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64570|64570 - REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO||1444.6758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64569|64569 - REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV||1742.9078|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64568|64568 - INC IMPLTJ CRNL NRV NSTIM ELTRDS & PULSE GENER||1457.6629|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64566|64566 - POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE||68.6425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64565|64565 - PRQ IMPLTJ NSTIM ELTRD NEUROMUSCULAR||288.5793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64561|64561 - PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING||673.8696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64555|64555 - PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV||337.6353|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64553|64553 - PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE||343.7425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64550|64550 - APPLICATION OF SURFACE NEUROSTIMULATOR||19.5744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64530|64530 - INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG||204.8294|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64520|64520 - INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC||179.7786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64517|64517 - INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS||272.8983|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64510|64510 - NJX ANES STELLATE GANGLION CRV SYMPATHETIC||163.5039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64508|64508 - INJECTION ANESTHETIC AGENT CAROTID SINUS SPX||161.9821|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64505|64505 - INJECTION ANES AGENT SPHENOPALATINE GANGLION||192.184|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64495|64495 - NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL||118.256|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64494|64494 - NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL||116.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64493|64493 - NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL||202.8968|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64492|64492 - NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL||136.9434|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64491|64491 - NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL||135.4949|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64490|64490 - NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL||237.212|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64489|64489 - TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)||202.2942|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64488|64488 - TAP BLOCK BILATERAL BY INJECTION(S)||179.6561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64487|64487 - TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)||166.3638|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64486|64486 - TAP BLOCK UNILATERAL BY INJECTION(S)||142.1919|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64484|64484 - NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV||116.8035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64483|64483 - NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL||250.8991|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64480|64480 - NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV||141.6183|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64479|64479 - NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL||294.6454|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64463|64463 - PVB THORACIC CONT CATHETER INFUSION W/IMG GID||189.3233|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64462|64462 - PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID||122.6948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64461|64461 - PVB THORACIC SINGLE INJECTION SITE W/IMG GID||194.637|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64455|64455 - NJX ANES&/STEROID PLANTAR COMMON DIGITAL NERVE||78.5497|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64450|64450 - INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH||101.0049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64449|64449 - INJECTION AA&/STRD LUMBAR PLEXUS CONT NFS CATH||189.3354|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64448|64448 - INJECTION AA&/STRD FEMORAL NERVE CONT NFS CATH||161.0581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64447|64447 - INJECTION AA&/STRD FEMORAL NERVE||149.8571|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64446|64446 - INJECTION AA&/STRD SCIATIC NERVE CONT NFS CATH||179.1841|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64445|64445 - INJECTION AA&/STRD SCIATIC NERVE||162.7467|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64435|64435 - INJECTION AA&/STRD PARACERVICAL NERVE||184.9578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64430|64430 - INJECTION AA&/STRD PUDENDAL NERVE||182.8584|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64425|64425 - INJECTION AA&/STRD ILIOINGUINAL IH NERVES||208.4055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64421|64421 - INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL||204.9229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64420|64420 - INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL||151.5948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64418|64418 - INJECTION AA&/STRD SUPRASCAPULAR NERVE||169.4033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64417|64417 - INJECTION AA&/STRD AXILLARY NERVE||159.5122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64416|64416 - INJECTION AA&/STRD BRACHIAL PLEXUS CONT NFS CATH||178.4598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64415|64415 - INJECTION AA&/STRD BRACHIAL PLEXUS||147.5217|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64413|64413 - INJECTION ANESTHETIC AGENT CERVICAL PLEXUS||180.2136|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64410|64410 - INJECTION ANESTHETIC AGENT PHRENIC NERVE||156.5258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64408|64408 - INJECTION AA&/STRD VAGUS NERVE||166.5064|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64405|64405 - INJECTION AA&/STRD GREATER OCCIPITAL NERVE||139.535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64402|64402 - INJECTION ANESTHETIC AGENT FACIAL NERVE||173.9517|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|64400|64400 - INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH||156.8634|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63746|63746 - RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT||1338.4136|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63744|63744 - RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT||1497.1645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63741|63741 - CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM||1505.0867|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63740|63740 - CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM||2102.8041|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63710|63710 - DURAL GRAFT SPINAL||2413.5622|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63709|63709 - RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM||2452.6087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63707|63707 - RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM||2043.2858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63706|63706 - REPAIR MYELOMENINGOCELE > 5 CM DIAMETER||3784.4341|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63704|63704 - REPAIR MYELOMENINGOCELE < 5 CM DIAMETER||3710.3788|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63702|63702 - REPAIR MENINGOCELE > 5 CM DIAMETER||2829.686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63700|63700 - REPAIR MENINGOCELE < 5 CM DIAMETER||2591.5258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63688|63688 - REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR||819.9549|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63685|63685 - INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING||813.2701|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63664|63664 - REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR||1908.0027|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63663|63663 - REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR||1011.4638|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63662|63662 - RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR||1850.1383|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63661|63661 - RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR||714.4427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63655|63655 - LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL||1834.2705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63650|63650 - PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL||922.4542|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63621|63621 - STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION||577.8328|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63620|63620 - STEREOTACTIC RADIOSURGERY 1 SPINAL LESION||2510.7446|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63615|63615 - STRTCTC BX ASPIRAT/EXC LESION SPINAL CORD||2185.6605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63610|63610 - STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG||964.9261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63600|63600 - CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ||2020.3746|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63308|63308 - VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG||733.5692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63307|63307 - VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR||5183.224|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63306|63306 - VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR||5175.2574|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63305|63305 - VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC||5457.4048|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63304|63304 - VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL||5248.2461|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63303|63303 - VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR||5201.1123|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63302|63302 - VCRPEC LES 1 SEG XDRL THRC THORACOLMBR||4884.9147|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63301|63301 - VCRPEC LES 1 SGM XDRL THORACIC TTHRC||4961.6446|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63300|63300 - VCRPEC LES 1 SGM XDRL CERVICAL||4118.2871|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63295|63295 - OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX||756.9508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63290|63290 - LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL||6211.1977|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63287|63287 - LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR||6215.771|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63286|63286 - LAM BX/EXC ISPI NEO IDRL IMED THORACIC||5815.6054|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63285|63285 - LAM BX/EXC ISPI NEO IDRL IMED CERVICAL||5905.5091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63283|63283 - LAM BX/EXC ISPI NEO IDRL SACRAL||4240.7515|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63282|63282 - LAM BX/EXC ISPI NEO IDRL XMED LUMBAR||4410.0364|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63281|63281 - LAM BX/EXC ISPI NEO IDRL XMED THORACIC||4686.8096|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63280|63280 - LAM BX/EXC ISPI NEO IDRL XMED CERVICAL||4745.8655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63278|63278 - LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL||3581.7879|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63277|63277 - LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR||3467.4592|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63276|63276 - LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC||4001.3411|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63275|63275 - LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL||4032.4862|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63273|63273 - LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL||4188.4804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63272|63272 - LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR||4233.4987|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63271|63271 - LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC||4642.0499|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63270|63270 - LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL||4683.3327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63268|63268 - LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL||3212.8971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63267|63267 - LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR||3059.2964|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63266|63266 - LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC||3848.8239|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63265|63265 - LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL||3742.5262|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63252|63252 - LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR||6845.8339|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63251|63251 - LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC||6853.91|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63250|63250 - LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL||6328.2315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63200|63200 - LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR||3436.8804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63199|63199 - LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES THORACIC||3915.1575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63198|63198 - LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES CERVICAL||3729.9315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63197|63197 - LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC||3861.686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63196|63196 - LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACTS CRV||3166.2135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63195|63195 - LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT THORACIC||3468.4428|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63194|63194 - LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT CERVICAL||3599.7269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63191|63191 - LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE||3035.5627|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63190|63190 - LAMINECTOMY W/RHIZOTOMY > 2 SEGMENTS||2806.9673|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63185|63185 - LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS||2525.9317|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63182|63182 - LAM&SCTJ DENTATE LIG W/WO DURAL GRF CRV >2 SEG||3121.9339|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63180|63180 - LAM&SCTJ DENTATE LIG W/WO DURAL GRF CRV 1/2 SEG||3347.6944|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63173|63173 - LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL||3848.2318|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63172|63172 - LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID||3108.4031|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63170|63170 - LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR||3591.2271|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63103|63103 - VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG||661.917|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63102|63102 - VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG||5078.8372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63101|63101 - VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG||5181.5057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63091|63091 - VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG||398.6391|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63090|63090 - VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG||4368.2783|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63088|63088 - VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG||585.3369|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63087|63087 - VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG||5392.427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63086|63086 - VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG||429.7311|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63085|63085 - VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG||4279.4782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63082|63082 - VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG||601.6478|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63081|63081 - VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG||3931.6859|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63078|63078 - DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC||436.9291|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63077|63077 - DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC||3354.4058|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63076|63076 - DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC||557.7348|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63075|63075 - DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC||3027.0532|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63066|63066 - COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG||471.751|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63064|63064 - COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG||3960.3603|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63057|63057 - TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR||722.6904|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63056|63056 - TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR||3312.1603|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63055|63055 - TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC||3646.7061|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63051|63051 - LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ||3823.1068|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63050|63050 - LAMOP CERVICAL W/DCMPRN SPI CORD 2/> VERT SEG||3327.7848|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63048|63048 - LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR||477.6842|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63047|63047 - LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR||2453.9355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63046|63046 - LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT THORACIC||2720.8064|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63045|63045 - LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL||2876.7683|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63044|63044 - LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63043|63043 - LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63042|63042 - LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR||2885.8973|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63040|63040 - LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL||3108.1864|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63035|63035 - LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR||432.3026|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63030|63030 - LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR||2150.4914|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63020|63020 - LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC||2584.7177|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63017|63017 - LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR||2796.3633|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63016|63016 - LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC||3397.8564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63015|63015 - LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL||3320.2662|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63012|63012 - LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR||2655.3001|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63011|63011 - LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL||2436.4251|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63005|63005 - LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR||2633.8092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63003|63003 - LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC||2764.1676|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|63001|63001 - LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV||2777.7153|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62370|62370 - ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP||105.1304|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62369|62369 - ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFIL||80.0755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62368|62368 - ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG||79.3513|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62367|62367 - ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL||56.7946|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62365|62365 - RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS||655.9145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62362|62362 - IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP||858.6477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62361|62361 - IMPLTJ/RPLCMT FS NON-PRGRBL PUMP||796.5072|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62360|62360 - IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR||690.3231|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62355|62355 - RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH||594.0873|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62351|62351 - IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM||1928.6316|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62350|62350 - IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM||891.2422|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62319|62319 - INJECT SPINE W/CATH LMB/SCRL||215.1676|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62318|62318 - INJECT SPINE W/CATH CRV/THRC||223.7932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62311|62311 - INJECT SPINE LUMBAR/SACRAL||199.4384|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62310|62310 - INJECT SPINE CERV/THORACIC||242.2897|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62305|62305 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS||282.8257|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62304|62304 - MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL||271.1486|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62303|62303 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC||279.4406|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62302|62302 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL||275.0952|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62294|62294 - NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL||1745.5082|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62292|62292 - INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR||1290.0158|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62291|62291 - INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC||380.8241|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62290|62290 - INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR||385.1937|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62287|62287 - DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR||1259.4466|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62284|62284 - INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR||192.2041|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62282|62282 - INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL||322.5279|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62281|62281 - INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC||349.857|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62280|62280 - INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID||358.2996|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62273|62273 - INJECTION EPIDURAL BLOOD/CLOT PATCH||255.118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62272|62272 - THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF||186.3692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62270|62270 - DIAGNOSTIC LUMBAR SPINAL PUNCTURE||174.1757|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62269|62269 - BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE||607.3466|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62268|62268 - PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX||580.3962|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62267|62267 - PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS||358.389|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62264|62264 - PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY||534.3878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62263|62263 - PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS||749.1421|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62258|62258 - RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT||2522.5611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62256|62256 - RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT||1329.3692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62252|62252 - REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT||185.023|105.3535|79.6695|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62230|62230 - RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS||1884.3689|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62225|62225 - RPLCMT/IRRIGATION VENTRICULAR CATHETER||1163.8037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62223|62223 - CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS||2342.0446|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62220|62220 - CRTJ SHUNT VENTRICULO-ATR-JUG-AUR||2304.1316|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62201|62201 - VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC||2702.7618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62200|62200 - VENTRICULOCISTERNOSTOMY 3RD VENTRICLE||3093.2853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62194|62194 - RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER||1028.5368|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62192|62192 - CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH||2183.4637|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62190|62190 - CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR||1972.9282|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62180|62180 - VENTRICULOCISTERNOSTOMY||3587.647|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62165|62165 - NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID||3465.4218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62164|62164 - NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY||4670.7219|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62163|62163 - NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY||2492.9465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62162|62162 - NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG||4247.0601|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62161|62161 - NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS||3414.9778|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62160|62160 - NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS||433.3756|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62148|62148 - INCISE&RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT||289.6426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62147|62147 - CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER||3179.5236|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62146|62146 - CRANIOPLASTY W/AUTOGRAFT </ 5 CM DIAMETER||2787.5678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62145|62145 - CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG||3165.611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62143|62143 - RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL||2322.6522|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62142|62142 - RMVL BONE FLAP/PROSTHETIC PLATE SKULL||1980.3655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62141|62141 - CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER||2546.2255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62140|62140 - CRANIOPLASTY SKULL DEFECT </5 CM DIAMETER||2311.2812|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62121|62121 - CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE||3558.8654|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62120|62120 - RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY||3701.7944|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62117|62117 - RDCTJ CRANIOMEGALIC CRANIO&RECNSTJ W/WO GRAFT||3656.3998|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62115|62115 - RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY||2927.4363|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62100|62100 - CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA||3583.4506|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62010|62010 - ELVTN DEPRS SKL FX W/RPR DURA&/DBRDMT BRN||3433.9947|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62005|62005 - ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL||2788.1462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|62000|62000 - ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL||2315.8933|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61888|61888 - REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR||884.2165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61886|61886 - INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2/> ELTRDS||1871.9587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61885|61885 - INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR||1140.8329|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61880|61880 - REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS||1268.5796|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61870|61870 - CRNEC IMPLTJ NSTIM ELTRD CEREBELLAR CORTICAL||2570.7607|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61868|61868 - STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY||1136.059|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61867|61867 - STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY||5131.5313|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61864|61864 - STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY||647.8013|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61863|61863 - STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY||3370.1012|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61860|61860 - CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL||3533.7034|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61850|61850 - TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL||2207.4269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61800|61800 - APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY||348.9273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61799|61799 - STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX||692.4628|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61798|61798 - STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES||3115.9717|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61797|61797 - STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE||502.5425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61796|61796 - STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES||2278.9172|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61791|61791 - CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC||2400.2699|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61790|61790 - CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN||1972.0726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61783|61783 - STEREOTACTIC COMPUTER ASSISTED PX SPINAL||527.1463|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61782|61782 - STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL||396.1538|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61781|61781 - STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL||535.1692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61770|61770 - STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC||3644.9322|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61760|61760 - STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING||3568.096|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61751|61751 - STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT&I/MR||3100.7524|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61750|61750 - STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES||3161.4919|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61735|61735 - CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN||3543.0459|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61720|61720 - CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS||2862.1902|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61711|61711 - ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES||5845.2126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61710|61710 - ARYSM VASC MALFRMJ IA EMBOLIZATION||4868.8536|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61708|61708 - ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS||4750.1585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61705|61705 - ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART||5782.8965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61703|61703 - ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART||3061.7413|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61702|61702 - SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ||9063.1028|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61700|61700 - SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION||7669.5284|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61698|61698 - CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ||10466.7391|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61697|61697 - COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION||9541.4009|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61692|61692 - INTRACRANIAL ARVEN MALFRMJ DURAL CMPL||8230.4718|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61690|61690 - INTRACRANIAL ARVEN MALFRMJ DURAL SMPL||4876.2449|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61686|61686 - INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL||10130.943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61684|61684 - INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL||6440.9257|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61682|61682 - INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL||9398.6153|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61680|61680 - INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL||5043.4175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61651|61651 - EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL||498.3985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61650|61650 - EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST||1173.5112|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61645|61645 - PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL||1759.3113|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61642|61642 - PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER||1023.302|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61641|61641 - PERQ BALO DILA IC VSPSM EA VSL SM VASC TER||511.2889|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61640|61640 - BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL||1456.6841|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61635|61635 - TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD||3209.773|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61630|61630 - BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS||2986.1135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61626|61626 - TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS||1946.6601|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61624|61624 - TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS||2575.2995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61623|61623 - EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK||1281.2928|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61619|61619 - SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP||3234.914|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61618|61618 - SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT||2905.2526|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61616|61616 - RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL||7459.096|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61615|61615 - RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL||5074.6392|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61613|61613 - OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ||7222.7911|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61612|61612 - TRNSXJ/LIG CRTD ART PETROUS CANAL RPR ANAST/GRF||3290.1063|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61611|61611 - TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR||875.4589|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61610|61610 - TRNSXJ/LIG CAROTID ARTERY SINUS W/RPR ANAST/GRFT||3501.0341|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61608|61608 - RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL||7280.2084|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61607|61607 - RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL||6074.0883|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61606|61606 - RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR||6674.3087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61605|61605 - RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL||4836.4106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61601|61601 - RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF||5385.7357|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61600|61600 - RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL||4748.043|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61598|61598 - TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM||6331.7399|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61597|61597 - TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL||6312.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61596|61596 - TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART||5438.3218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61595|61595 - TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV||5256.9087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61592|61592 - ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE||7094.6449|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61591|61591 - INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR&/MOBI||6925.2875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61590|61590 - INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN||6793.7561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61586|61586 - BICORONAL TRANSZYGMTC&/LEFORT I W/O BONE GRFT||5330.3058|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61585|61585 - ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ||7217.0593|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61584|61584 - ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ||6371.5968|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61583|61583 - CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE||6457.9084|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61582|61582 - CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT||6423.1252|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61581|61581 - CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ||5902.435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61580|61580 - CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ||5561.6821|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61576|61576 - TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE||8085.0939|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61575|61575 - TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES||4811.8946|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61571|61571 - CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN||4471.2142|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61570|61570 - CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN||4193.8795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61567|61567 - CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG||5795.4888|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61566|61566 - CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY||5057.2295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61564|61564 - EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN||5189.5052|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61563|61563 - EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN||4294.9819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61559|61559 - XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT||4721.4648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61558|61558 - XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS||4238.1011|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61557|61557 - CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP||3590.3071|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61556|61556 - CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP||3540.5131|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61552|61552 - CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES||2597.6298|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61550|61550 - CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE||2149.0848|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61548|61548 - HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL||3529.2034|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61546|61546 - CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR||5219.8521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61545|61545 - CRANIOTOMY EXCISION CRANIOPHARYNGIOMA||7207.8296|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61544|61544 - CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS||4300.2851|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61543|61543 - CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY||4763.181|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61541|61541 - CRANIOTOMY TRANSECTION CORPUS CALLOSUM||4857.9788|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61540|61540 - CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG||4935.9219|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61539|61539 - CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG||5285.1803|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61538|61538 - CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY||6035.9602|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61537|61537 - CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY||5548.0739|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61536|61536 - CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY||5839.8522|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61535|61535 - CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX||2224.6063|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61534|61534 - CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY||3647.4907|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61533|61533 - CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING||3414.7007|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61531|61531 - SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING||2724.6184|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61530|61530 - CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA||6973.9214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61526|61526 - CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM||8274.4236|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61524|61524 - CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST||4657.9161|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61522|61522 - CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS||4880.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61521|61521 - CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL||7101.2927|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61520|61520 - CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM||8490.9801|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61519|61519 - CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA||6599.4792|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61518|61518 - CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA||6200.1545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61517|61517 - IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT||199.7582|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61516|61516 - CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR||4166.8114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61514|61514 - CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR||4268.5438|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61512|61512 - CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR||5735.5548|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61510|61510 - CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR||4906.8463|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6150F|6150F - PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61501|61501 - CRANIECTOMY OSTEOMYELITIS||2573.5699|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61500|61500 - CRANIECTOMY W/EXCISION TUMOR/LESION SKULL||2954.0532|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61480|61480 - CRNEC SUBOCPTL MESENCEPHAL TRCOTOMY/PEDUNCULOTMY||3616.2827|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61460|61460 - CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NR||4757.2921|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61458|61458 - CRNEC SOPL EXPL/DCMPRN CRNL NRV||4513.736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61450|61450 - CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION||4328.2659|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61345|61345 - OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA||4576.3688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61343|61343 - CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD||4940.6918|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61340|61340 - SUBTEMPORAL CRANIAL DECOMPRESSION||3200.4804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61333|61333 - EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION||4079.1996|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61332|61332 - EXPLORATION ORBIT TRANSCRANIAL APPROACH W/BIOPSY||3955.3721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61330|61330 - DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH||3594.2166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61323|61323 - CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY||5422.2993|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61322|61322 - CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY||5352.5201|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61321|61321 - CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL||4725.3711|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61320|61320 - CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL||4278.849|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61316|61316 - INCISION & SUBCUTANEOUS PLMT CRANIAL BONE GRAF||199.8396|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61315|61315 - CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL||4652.2938|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61314|61314 - CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL||4096.0212|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61313|61313 - CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL||4461.1741|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61312|61312 - CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL||4684.1141|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61305|61305 - CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL||4507.0592|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61304|61304 - CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL||3696.6136|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61253|61253 - BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI||1825.5273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61250|61250 - BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG||1810.5908|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61215|61215 - INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH||1122.6007|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61210|61210 - BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE||839.2554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61156|61156 - BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL||2794.7891|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61154|61154 - BURR HOLE W/EVAC&/DRG HEMATOMA XDRL/SDRL||2842.3089|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61151|61151 - BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST||2236.1964|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61150|61150 - BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST||3005.928|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61140|61140 - BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION||2833.5077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61120|61120 - BURR HOLE VENTRICULAR PUNCTURE||1662.1394|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6110F|6110F - COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61108|61108 - TWIST DRILL HOLE EVAC&/DRG SUBDURAL HEMATOMA||2022.2976|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61107|61107 - TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE||716.3906|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61105|61105 - TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE||1010.6107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61070|61070 - PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX||128.2526|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61055|61055 - CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION||269.9845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61050|61050 - CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX||191.2358|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6102F|6102F - SAFETY COUNSELING DEMENTIA ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61026|61026 - VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ||229.6764|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61020|61020 - VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX||225.3834|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6101F|6101F - SAFETY COUNSELING DEMENTIA PROVIDED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6100F|6100F - VERIFY CORRECT PT SITE PXD DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61001|61001 - SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ||189.6407|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|61000|61000 - SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT||257.1876|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6090F|6090F - PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6080F|6080F - PATIENT QUERIED ABOUT FALLS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6070F|6070F - PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60699|60699 - UNLISTED PROCEDURE ENDOCRINE SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60659|60659 - UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60650|60650 - LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL||2670.3929|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60605|60605 - EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY||3886.8086|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60600|60600 - EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY||3138.6492|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60545|60545 - ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR||2717.5864|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60540|60540 - ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX||2367.0511|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60522|60522 - THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX||3047.3969|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60521|60521 - THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX||2517.369|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60520|60520 - THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX||2329.1051|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60512|60512 - PARATHYROID AUTOTRANSPLANTATION ADD-ON||548.5284|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60505|60505 - PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC||3092.893|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60502|60502 - PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR||2870.9261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60500|60500 - PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS||2150.2892|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6045F|6045F - RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6040F|6040F - USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6030F|6030F - ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60300|60300 - ASPIRATION AND/OR INJECTION THYROID CYST||112.2261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60281|60281 - EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT||1302.0288|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60280|60280 - EXCISION THYROGLOSSAL DUCT CYST/SINUS||978.2482|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60271|60271 - THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH||2362.3077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60270|60270 - THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC||3057.8648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60260|60260 - THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL||2442.1432|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60254|60254 - THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT||3743.6766|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60252|60252 - THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT||2951.0105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60240|60240 - THYROIDECTOMY TOTAL/COMPLETE||2050.7496|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60225|60225 - TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC||2074.0314|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60220|60220 - TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY||1573.6672|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60212|60212 - PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC||2243.218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60210|60210 - PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY||1574.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6020F|6020F - NOTHING BY MOUTH ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60200|60200 - EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS||1463.3866|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6015F|6015F - PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6010F|6010F - DYSPHAGIA SCREENING PRIOR ORAL INTAKE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60100|60100 - BIOPSY THYROID PERCUTANEOUS CORE NEEDLE||177.8782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|6005F|6005F - RATIONALE FOR LEVEL OF CARE DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|60000|60000 - I&D THYROGLOSSAL DUCT CYST INFECTED||334.9462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59899|59899 - UNLISTED PROCEDURE MATERNITY CARE & DELIVERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59898|59898 - UNLISTED LAPAROSCOPY PX MATERNITY CARE&DELIVERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59897|59897 - UNLISTED FETAL INVASIVE PX W/ULTRASOUND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59871|59871 - REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA||297.1017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59870|59870 - UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE||1039.0966|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59866|59866 - MULTIFETAL PREGNANCY REDUCTION||483.7778|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59857|59857 - INDUCED ABORT 1/> VAG SUPPOS DLVR FETUS HYSTOT||1153.8441|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59856|59856 - INDUCED ABORT 1/> VAG SUPP DLVR FETUS D&C &/EVAC||1084.6353|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59855|59855 - INDUCED ABORT 1/> VAG SUPPOSITORIES DLVR FETUS||920.6158|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59852|59852 - INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS HYSTOTM||1115.8925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59851|59851 - INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS D&C||817.4753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59850|59850 - INDUCED ABORTION 1/> AMNIOTIC INJX W/D&C/EVACJ||773.1344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59841|59841 - INDUCED ABORTION DILATION & EVACUATION||801.2087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59840|59840 - INDUCED ABORTION DILATION AND CURETTAGE||459.344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59830|59830 - TX SEPTIC ABORTION SURGICAL||966.1119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59821|59821 - TX MISSED ABORTION SECOND TRIMESTER SURGICAL||787.1728|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59820|59820 - TX MISSED ABORTION FIRST TRIMESTER SURGICAL||782.2175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59812|59812 - TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL||653.6266|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59622|59622 - CESAREAN DLVRY & POSTPARTUM CARE ATTEMPTED VBA||2897.8878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59620|59620 - CESAREAN DELIVERY ATTEMPTED VBAC||2108.5319|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59618|59618 - ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC||5201.0341|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59614|59614 - VAGINAL DELIVERY & POSTPARTUM CARE VBAC||2555.4488|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59612|59612 - VAGINAL DELIVERY AFTER CESAREAN DELIVERY||2056.8754|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59610|59610 - ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB||4864.2101|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59525|59525 - STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY||1083.4543|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59515|59515 - CESAREAN DELIVERY ONLY W/POSTPARTUM CARE||2820.3314|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59514|59514 - CESAREAN DELIVERY ONLY||2054.9677|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59510|59510 - OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM||5130.8054|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59430|59430 - POSTPARTUM CARE ONLY SEPARATE PROCEDURE||311.4679|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59426|59426 - ANTEPARTUM CARE ONLY 7/> VISITS||1404.8624|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59425|59425 - ANTEPARTUM CARE ONLY 4-6 VISITS||796.4476|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59414|59414 - DELIVERY PLACENTA SEPARATE PROCEDURE||205.9146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59412|59412 - EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS||231.3601|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59410|59410 - VAGINAL DELIVERY ONLY W/POSTPARTUM CARE||2323.8824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59409|59409 - VAGINAL DELIVERY ONLY||1823.8727|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59400|59400 - OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM||4622.5053|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59350|59350 - HYSTERORRHAPHY RUPTURED UTERUS||596.0385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59325|59325 - CERCLAGE CERVIX PREGNANCY ABDOMINAL||542.592|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59320|59320 - CERCLAGE CERVIX PREGNANCY VAGINAL||339.8184|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59300|59300 - EPISIOTOMY/VAG RPR OTH/THN ATTENDING||331.2783|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59200|59200 - INSERTION CERVICAL DILATOR SEPARATE PROCEDURE||99.9302|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59160|59160 - CURETTAGE POSTPARTUM||384.8585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59151|59151 - LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY||1661.9332|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59150|59150 - LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY||1711.9696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59140|59140 - TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION||881.6|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59136|59136 - TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER||1886.3024|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59135|59135 - TX ECTOPIC PREGNANCY NTRSTL REQ TOT HYST||1852.025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59130|59130 - TX ECTOPIC PREGNANCY ABDL PREGNANCY||2068.107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59121|59121 - TX ECTOPIC PREGNANCY W/O SALPING&/OOPHORECTOMY||1768.5443|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59120|59120 - TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR||1762.8809|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59100|59100 - HYSTEROTOMY ABDOMINAL||1767.4978|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59076|59076 - FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE||1051.85|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59074|59074 - FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE||670.2227|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59072|59072 - FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE||1051.85|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59070|59070 - TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE||676.0487|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59051|59051 - FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY||94.4538|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59050|59050 - FETAL MONITORING LABOR PHYS WRITTEN REPORT||113.7962|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59030|59030 - FETAL SCALP BLOOD SAMPLING||226.2792|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59025|59025 - FETAL NONSTRESS TEST||104.3087|66.6446|37.6641|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59020|59020 - FETAL CONTRACTION STRESS TEST||152.4535|82.9233|69.5302|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59015|59015 - CHORIONIC VILLUS SAMPLING||294.7824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59012|59012 - CORDOCENTESIS INTRAUTERINE||454.1963|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59001|59001 - AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID||402.0484|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|59000|59000 - AMNIOCENTESIS DIAGNOSIC||180.1806|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58999|58999 - UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58976|58976 - GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH||481.763|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58974|58974 - EMBRYO TRANSFER INTRAUTERINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58970|58970 - FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD||440.1732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58960|58960 - LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK||2151.8673|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58958|58958 - RESECTION RECRT MAL W/OMENTECTOMY PEL LMPHADEC||3867.0972|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58957|58957 - RESECJ RECUR OVARIAN/TUBAL/PERITONEAL MALIGNANCY||3517.3546|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58956|58956 - BSO W/TOT OMENTECTOMY & HYSTERECTOMY MALIGNANC||3054.586|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58954|58954 - BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY||4896.8625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58953|58953 - BSO W/OMENTECTOMY TAH&RAD DEBULKING DISSECTION||4504.9856|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58952|58952 - RESCJ PRIM PRTL MAL W/BSO & OMNTC RAD DEBULKING||3639.0851|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58951|58951 - RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD||3217.9868|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58950|58950 - RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO||2496.7844|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58943|58943 - OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY||2602.5286|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58940|58940 - OOPHORECTOMY PARTIAL/TOTAL UNI/BI||1153.8135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58925|58925 - OVARIAN CYSTECTOMY UNI/BI||1640.9023|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58920|58920 - WEDGE RESCJ/BISCTJ OVARY UNI/BI||1677.9203|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58900|58900 - BIOPSY OVARY UNI/BI SEPARATE PROCEDURE||996.437|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58825|58825 - TRANSPOSITION OVARY||1526.0653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58822|58822 - DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH||1649.1879|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58820|58820 - DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN||677.2354|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58805|58805 - DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL||879.611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58800|58800 - DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR||648.3354|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58770|58770 - SALPINGOSTOMY||2028.5281|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58760|58760 - FIMBRIOPLASTY||1801.6068|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58752|58752 - TUBOUTERINE IMPLANTATION||2032.987|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58750|58750 - TUBOTUBAL ANASTATOMOSIS||2140.705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58740|58740 - LYSIS OF ADHESIONS SALPINX/OVARY||1941.41|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58720|58720 - SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX||1619.9197|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58700|58700 - SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX||1716.9047|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58679|58679 - UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT/OVARY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58673|58673 - LAPAROSCOPY SALPINGOSTOMY||1749.5|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58672|58672 - LAPAROSCOPY FIMBRIOPLASTY||1609.1553|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58671|58671 - LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS||795.7797|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58670|58670 - LAPAROSCOPY FULGURATION OVIDUCTS||797.2322|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58662|58662 - LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE||1558.1296|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58661|58661 - LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES||1430.6617|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58660|58660 - LAPAROSCOPY W/LYSIS OF ADHESIONS||1480.3976|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58615|58615 - OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR||530.5145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58611|58611 - LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG||170.4731|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58605|58605 - LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX||718.1863|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58600|58600 - LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI||793.595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58579|58579 - UNLISTED HYSTEROSCOPY PROCEDURE UTERUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58578|58578 - UNLISTED LAPAROSCOPY PROCEDURE UTERUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58573|58573 - LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR||2677.8495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58572|58572 - LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM||2242.447|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58571|58571 - LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY||1975.6712|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58570|58570 - LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<||1708.4838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58565|58565 - HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS||945.454|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58563|58563 - HYSTEROSCOPY ENDOMETRIAL ABLATION||750.7469|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58562|58562 - HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY||637.1577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58561|58561 - HYSTEROSCOPY REMOVAL LEIOMYOMATA||1202.8776|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58560|58560 - HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM||848.0654|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58559|58559 - HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS||751.4792|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58558|58558 - HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C||586.3238|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58555|58555 - HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE||416.1681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58554|58554 - LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR||2924.0665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58553|58553 - LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS||2497.7237|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58552|58552 - LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES||2170.7288|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58550|58550 - LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/<||1932.7289|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58548|58548 - LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY||4213.6126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58546|58546 - LAPS MYOMECTOMY EXC 5/> MYOMAS >250 GRAMS||2464.0683|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58545|58545 - LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/<||1985.0629|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58544|58544 - LAPS SUPRACRV HYSTEREC >250 G RMVL TUBE/OVARY||1983.9689|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58543|58543 - LAPS SUPRACERVICAL HYSTERECTOMY >250||1818.2689|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58542|58542 - LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVAR||1797.5796|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58541|58541 - LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<||1570.7719|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58540|58540 - HYSTEROPLASTY RPR UTERINE ANOMALY||1986.944|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58520|58520 - HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL||1867.2146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58410|58410 - UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY||1794.039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58400|58400 - UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX||963.0104|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58356|58356 - ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CR||762.2162|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58353|58353 - ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID||478.4882|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58350|58350 - CHROMOTUBATION OVIDUCT W/MATERIALS||169.4524|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58346|58346 - INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY||982.9521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58345|58345 - TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING||596.8376|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58340|58340 - CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI||127.4228|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58323|58323 - SPERM WASHING ARTIFICIAL INSEMINATION||26.5033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58322|58322 - ARTIFICIAL INSEMINATION INTRA-UTERINE||129.225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58321|58321 - ARTIFICIAL INSEMINATION INTRA-CERVICAL||108.1981|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58301|58301 - REMOVAL INTRAUTERINE DEVICE IUD||149.4463|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58300|58300 - INSERTION INTRAUTERINE DEVICE IUD||119.8059|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58294|58294 - VAGINAL HYSTERECTOMY >250 GM RPR ENTEROCELE||2677.1648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58293|58293 - VAG HYST >250 GM COLPOURTCSTOPEXY W/WO NDSC CTR||2993.1947|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58292|58292 - VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR ENTRCLE||2880.1711|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58291|58291 - VAG HYST > 250 GM RMVL TUBE&/OVARY||2726.9329|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58290|58290 - VAGINAL HYSTERECTOMY UTERUS > 250 GM||2525.4765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58285|58285 - VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION||2947.407|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58280|58280 - VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE||2300.2518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58275|58275 - VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY||2159.3046|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58270|58270 - VAGINAL HYSTERECTOMY 250 GM/< W/RPR ENTEROCELE||1932.9198|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58267|58267 - VAG HYST 250 GM/< W/COLPO-URTCSTOPEXY||2312.8522|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58263|58263 - VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL||2169.5985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58262|58262 - VAG HYST 250 GM/< W/RMVL TUBE&/OVARY||2022.1743|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58260|58260 - VAGINAL HYSTERECTOMY UTERUS 250 GM/<||1809.794|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58240|58240 - PEL EXNTJ GYNECOLOGIC MAL||6458.4208|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58210|58210 - RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY||4089.5958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58200|58200 - TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM||3029.4498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58180|58180 - SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY||2118.2023|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58152|58152 - TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY||2745.6848|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58150|58150 - TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY||2232.0387|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58146|58146 - MYOMECTOMY 5/> MYOMAS &/>250 GM ABDOMINA||2525.2816|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58145|58145 - MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL APPR||1200.6123|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58140|58140 - MYOMECTOMY 1-4 MYOMAS W/250 GM/< ABDOMINAL APPR||2027.5847|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58120|58120 - DILATION & CURETTAGE DX&/THER NONOBSTETRIC||479.8755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58110|58110 - ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY||90.3122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|58100|58100 - ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX||192.8591|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57800|57800 - DILATION CERVICAL CANAL INSTRUMENTAL SPX||106.2493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57720|57720 - TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG||667.0841|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57700|57700 - CERCLAGE UTERINE CERVIX NONOBSTETRICAL||688.9165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57558|57558 - DILATION & CURETTAGE CERVICAL STUMP||246.5537|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57556|57556 - EXC CRV STUMP VAG APPR W/RPR NTRCL||1241.1732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57555|57555 - EXC CRV STUMP VAG APPR W/ANT &/POST REPAIR||1311.0934|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57550|57550 - EXCISION CERVICAL STUMP VAGINAL APPROACH||886.1943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57545|57545 - EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR||1855.9596|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57540|57540 - EXCISION CERVICAL STUMP ABDOMINAL APPROACH||1716.6292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57531|57531 - RAD TRACHELECTOMY W/BI PEL LMPHADEC||4049.3514|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57530|57530 - TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX||757.994|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57522|57522 - CONIZATION CERVIX W/WO D&C RPR ELTRD EXC||530.4943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57520|57520 - CONIZATION CERVIX W/WO D&C RPR KNIFE/LASER||600.752|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57513|57513 - CAUTERY CERVIX LASER ABLATION||291.9112|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57511|57511 - CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT||286.8214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57510|57510 - CAUTERY CERVIX ELECTRO/THERMAL||253.1|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57505|57505 - ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D&C||199.4956|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57500|57500 - BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX||166.2583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57461|57461 - COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX||414.8211|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57460|57460 - COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX||358.4865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57456|57456 - COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE||227.345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57455|57455 - COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX||244.4253|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57454|57454 - COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE||298.6242|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57452|57452 - COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA||202.7582|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57426|57426 - REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC||1850.1271|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57425|57425 - LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX||2131.7476|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57423|57423 - PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH||2005.2036|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57421|57421 - COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX||275.8637|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57420|57420 - COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT||202.8678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57415|57415 - REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL||349.9061|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57410|57410 - PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL||236.6747|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57400|57400 - DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL||296.7118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57335|57335 - VAGINOPLASTY INTERSEX STATE||2503.8036|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57330|57330 - CLSR VESICOVAG FSTL TRANSVESICAL&VAG APPR||1643.4343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57320|57320 - CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH||1177.8646|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57311|57311 - CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL||1166.5009|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57310|57310 - CLOSURE URETHROVAGINAL FISTULA||1019.2966|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57308|57308 - CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ||1446.1646|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57307|57307 - CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST||2386.4853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57305|57305 - CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH||2064.8395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57300|57300 - CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR||1233.1124|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57296|57296 - REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR||2082.2847|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57295|57295 - REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP||1045.3319|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57292|57292 - CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT||1805.0499|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57291|57291 - CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT||1334.6273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57289|57289 - PEREYRA PX W/ANTERIOR COLPORRHAPHY||1619.7997|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57288|57288 - SLING OPERATION STRESS INCONTINENCE||1572.3468|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57287|57287 - RMVL/REVJ SLING STRESS INCONTINENCE||1491.9015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57285|57285 - PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH||1476.7652|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57284|57284 - PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR||1793.873|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57283|57283 - COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH||1509.8639|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57282|57282 - COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH||1093.6355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57280|57280 - COLPOPEXY ABDOMINAL APPROACH||2097.3591|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57270|57270 - REPAIR ENTEROCELE ABDOMINAL APPROACH SPX||1757.4053|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57268|57268 - REPAIR ENTEROCELE VAGINAL APPROACH SPX||1056.35|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57267|57267 - INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE||567.9006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57265|57265 - CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR||2002.5959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57260|57260 - CMBND ANTERPOST COLPORRAPHY W/CYSTO||1828.0948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57250|57250 - POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY||1481.7494|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57240|57240 - ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO||1473.7748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57230|57230 - PLASTIC REPAIR URETHROCELE||861.9813|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57220|57220 - PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH||694.401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57210|57210 - COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU||801.4028|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57200|57200 - COLPORRHAPHY SUTURE INJURY VAGINA||658.3361|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57180|57180 - INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX||229.8883|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57170|57170 - DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS||107.3925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57160|57160 - FIT&INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI||103.6046|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57156|57156 - INSERTION VAGINAL RADIATION DEVICE||325.4208|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57155|57155 - INSERTION UTERINE TANDEM&/VAGINAL OVOIDS||646.6912|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57150|57150 - IRRIGATION VAGINA&/APPL MEDICAMENT TX DISEASE||63.8862|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57135|57135 - EXCISION VAGINAL CYST/TUMOR||378.4355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57130|57130 - EXCISION VAGINAL SEPTUM||346.0368|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57120|57120 - COLPOCLEISIS LE FORT TYPE||1113.5595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57112|57112 - VAGNC COMPL RMVL VAG WALL TOT PEL LMPHADEC BX||4105.462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57111|57111 - VAGINECTOMY COMPL RMVL VAG WALL & PARAVAG TISS||3548.0833|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57110|57110 - VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL||1961.177|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57109|57109 - VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC||3844.0257|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57107|57107 - VAGINECTOMY PRTL RMVL VAG WALL & PARAVAGINAL T||3217.3657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57106|57106 - VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL||1082.6938|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57105|57105 - BIOPSY VAGINAL MUCOSA EXTENSIVE||274.2614|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57100|57100 - BIOPSY VAGINAL MUCOSA SIMPLE||148.1645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57065|57065 - DESTRUCTION VAGINAL LESIONS EXTENSIVE||381.7514|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57061|57061 - DESTRUCTION VAGINAL LESIONS SIMPLE||212.7065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57023|57023 - I&D VAGINAL HEMATOMA NON-OBSTETRICAL||678.9924|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57022|57022 - I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM||371.4292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57020|57020 - COLPOCENTESIS SEPARATE PROCEDURE||178.8505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57010|57010 - COLPOTOMY W/DRAINAGE PELVIC ABSCESS||946.0687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|57000|57000 - COLPOTOMY W/EXPLORATION||411.4529|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56821|56821 - COLPOSCOPY VULVA W/BIOPSY||255.7971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56820|56820 - COLPOSCOPY VULVA||191.9109|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56810|56810 - PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX||570.3303|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56805|56805 - CLITOROPLASTY INTERSEX STATE||2559.4244|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56800|56800 - PLASTIC REPAIR INTROITUS||527.5523|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56740|56740 - EXC BARTHOLINS GLAND/CYST||659.9344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56700|56700 - PRTL HYMENECTOMY/REVJ HYMENAL RING||405.6349|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56640|56640 - VULVECTOMY RAD COMPL ILIAC & PELVIC LMPHADECTOMY||3368.0743|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56637|56637 - VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY||3344.5058|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56634|56634 - VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY||2897.5865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56633|56633 - VULVECTOMY RADICAL COMPLETE||2685.257|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56632|56632 - VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY||3039.6793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56631|56631 - VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY||2619.9795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56630|56630 - VULVECTOMY RADICAL PARTIAL||2049.5574|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56625|56625 - VULVECTOMY SIMPLE COMPLETE||1383.1395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56620|56620 - VULVECTOMY SIMPLE PARTIAL||1138.7561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56606|56606 - BIOPSY VULVA/PERINEUM EACH ADDL LESION||66.067|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56605|56605 - BIOPSY VULVA/PERINEUM 1 LESION SPX||133.5744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56515|56515 - DESTRUCTION LESIONS VULVA EXTENSIVE||440.2224|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56501|56501 - DESTRUCTION LESIONS VULVA SIMPLE||249.0357|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56442|56442 - HYMENOTOMY SIMPLE INCISION||104.0605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56441|56441 - LYSIS LABIAL ADHESIONS||301.1554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56440|56440 - MARSUPIALIZATION BARTHOLINS GLAND CYST||398.0872|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56420|56420 - I&D OF BARTHOLINS GLAND ABSCESS||199.3651|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|56405|56405 - I&D VULVA/PERINEAL ABSCESS||234.539|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55980|55980 - INTERSEX SURG FEMALE MALE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55970|55970 - INTERSEX SURG MALE FEMALE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55920|55920 - PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL||1001.4712|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55899|55899 - UNLISTED PROCEDURE MALE GENITAL SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55876|55876 - PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT||223.4516|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55875|55875 - TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ||1697.6091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55873|55873 - CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI||1709.6761|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55870|55870 - ELECTROEJACULATION||318.044|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55866|55866 - LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT||3093.4037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55865|55865 - EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH||2979.1661|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55862|55862 - EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX||2562.8143|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55860|55860 - EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST||1952.4862|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55845|55845 - PROSTECT RETROPUB RAD W/WO NRV SPAR & BI PLV LYM||3047.902|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55842|55842 - PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX||2613.9705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55840|55840 - PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING||2615.427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55831|55831 - PROSTATECTOMY RETROPUBIC SUBTOTAL||2109.1014|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55821|55821 - PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES||1948.2141|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55815|55815 - PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC||3958.8805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55812|55812 - PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX||3596.2854|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55810|55810 - PROSTATECTOMY PERINEAL RADICAL||2947.2668|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55801|55801 - PROSTATECTOMY PERINEAL SUBTOTAL||2453.5343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55725|55725 - PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED||1316.3137|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55720|55720 - PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE||1006.1911|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55706|55706 - BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID||828.4838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55705|55705 - BIOPSY PROSTATE INCISIONAL ANY APPROACH||591.7559|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55700|55700 - PROSTATE NEEDLE BIOPSY ANY APPROACH||311.5259|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55680|55680 - EXCISION MULLERIAN DUCT CYST||785.8564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55650|55650 - VESICULECTOMY ANY APPROACH||1599.0411|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55605|55605 - VESICULOTOMY COMPLICATED||1213.8724|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55600|55600 - VESICULOTOMY||934.3956|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55559|55559 - UNLISTED LAPROSCOPY PROCEDURE SPERMATIC CORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55550|55550 - LAPS LIGATION SPERMATIC VEINS VARICOCELE||952.6109|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55540|55540 - EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR||1200.9724|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55535|55535 - EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL||953.974|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55530|55530 - EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX||778.5287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55520|55520 - EXC LESION SPERMATIC CORD SEPARATE PROCEDURE||1002.0882|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55500|55500 - EXC HYDROCELE SPRMATIC CORD UNI SPX||877.3359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55450|55450 - LIGATION PRQ VAS DEFERENS UNI/BI SPX||571.4492|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55400|55400 - VASOVASOSTOMY VASOVASORRHAPHY||1132.2582|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55300|55300 - VASOTOMY VASOGRAMS UNI/BI||418.9957|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55250|55250 - VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS||499.7721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55200|55200 - VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX||616.6118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55180|55180 - SCROTOPLASTY COMPLICATED||1537.6328|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55175|55175 - SCROTOPLASTY SIMPLE||801.9522|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55150|55150 - RESECTION SCROTUM||1089.9692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55120|55120 - REMOVAL FOREIGN BODY SCROTUM||789.1521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55110|55110 - SCROTAL EXPLORATION||858.6042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55100|55100 - DRAINAGE SCROTAL WALL ABSCESS||366.246|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55060|55060 - RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE||842.6429|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55041|55041 - EXCISION HYDROCELE BILATERAL||1130.1596|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55040|55040 - EXCISION HYDROCELE UNILATERAL||748.5629|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|55000|55000 - PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED||189.1404|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54901|54901 - EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI||2466.7574|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54900|54900 - EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI||1868.2361|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54865|54865 - EXPLORATION EPIDIDYMIS W/WO BIOPSY||793.164|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54861|54861 - EPIDIDYMECTOMY BILATERAL||1257.684|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54860|54860 - EPIDIDYMECTOMY UNILATERAL||928.1135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54840|54840 - EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY||711.5868|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54830|54830 - EXCISION LOCAL LESION EPIDIDYMIS||824.8344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54800|54800 - BIOPSY EPIDIDYMIS NEEDLE||284.8598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54700|54700 - I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE||474.5416|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54699|54699 - UNLISTED LAPAROSCOPY PROCEDURE TESTIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54692|54692 - LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS||1899.1001|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54690|54690 - LAPAROSCOPY SURGICAL ORCHIECTOMY||1640.3625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54680|54680 - TRANSPLANTATION TESTIS TO THIGH||1763.2281|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54670|54670 - SUTURE/REPAIR TESTICULAR INJURY||895.9549|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54660|54660 - INSJ TESTICULAR PROSTH SEPARATE PROCEDURE||790.023|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54650|54650 - ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS||1578.0553|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54640|54640 - ORCHIOPEXY INGUINAL OR SCROTAL APPROACH||1061.2811|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54620|54620 - FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE||670.5376|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54600|54600 - RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS||1010.5285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54560|54560 - EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL||1528.6287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54550|54550 - EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA||1095.7791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54535|54535 - ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL||1655.5875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54530|54530 - ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH||1120.8139|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54522|54522 - ORCHIECTOMY PARTIAL||1375.3808|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54520|54520 - ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH||721.9943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54512|54512 - EXC XTRPARENCHYMAL LESION TESTIS||1199.6359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54505|54505 - BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE||466.0707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54500|54500 - BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE||165.7008|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54450|54450 - FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING||129.3877|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54440|54440 - PLASTIC OPERATION PENIS INJURY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54438|54438 - REPLANTATION PENIS COMP AMPUTATION W/URETH REP||3059.2359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54437|54437 - REPAIR OF TRAUMATIC CORPOREAL TEAR(S)||1512.1913|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54435|54435 - CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM||920.4442|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54430|54430 - CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI||1422.3471|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54420|54420 - CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI||1567.9362|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54417|54417 - RMVL & RPLCMT PENILE PROSTHESIS INFECTED FIELD||2000.9525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54416|54416 - RMVL & RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI||1575.537|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54415|54415 - RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT||1171.3143|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54411|54411 - RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL||2283.7089|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54410|54410 - RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS||1912.3207|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54408|54408 - RPR COMPONENT INFLATABLE PENILE PROSTHESIS||1757.8089|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54406|54406 - RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH||1625.6217|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54405|54405 - INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH||1801.1806|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54401|54401 - INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED||1450.597|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54400|54400 - INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID||1177.3071|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54390|54390 - PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER||2899.4925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54385|54385 - PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT||2166.4003|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54380|54380 - PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR||1779.5721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54360|54360 - PLASTIC RPR PENIS CORRECT ANGULATION||1603.716|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54352|54352 - RPR HYPOSPADIAS CRIPPLE W/DSJ & EXC & GRFS/FLAP||3163.5744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54348|54348 - RPR HYPOSPADIAS COMPLCTJS DSJ & URTP FLAP/GRF||2260.2934|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54344|54344 - RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS & URTP||2306.4517|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54340|54340 - RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE||1265.0076|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54336|54336 - 1 STG PERINEAL HYPOSPADIAS RPR W/GRF&/FLAP||2779.2677|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54332|54332 - 1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR||2377.4747|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54328|54328 - 1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ||2094.3324|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54326|54326 - 1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS||2107.7061|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54324|54324 - 1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS||2221.3936|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54322|54322 - 1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT||1713.4278|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54318|54318 - URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS||1658.1952|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54316|54316 - URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF||2330.6929|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54312|54312 - URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR > 3 CM||1909.1588|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54308|54308 - URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR <3 CM||1591.5426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54304|54304 - PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR||1669.3681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54300|54300 - PENIS STRAIGHTENING CHORDEE||1424.9387|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54250|54250 - NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST||268.7237|246.2685|22.4552|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54240|54240 - PENILE PLETHYSMOGRAPHY||221.4827|149.7798|71.7029|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54235|54235 - NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT||162.5477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54231|54231 - DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS||258.5845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54230|54230 - INJECTION CORPORA CAVERNOSOGRAPY||176.8124|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54220|54220 - IRRIGATION CORPORA CAVERNOSA PRIAPISM||299.3646|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54205|54205 - NJX PEYRONIE W/SURG EXPOS PLAQUE||1180.7374|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54200|54200 - INJECTION PEYRONIE DISEASE||182.8954|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54164|54164 - FRENULOTOMY PENIS||424.2981|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54163|54163 - REPAIR INCOMPLETE CIRCUMCISION||481.9837|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54162|54162 - LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS||441.4267|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54161|54161 - CIRCUMCISION AGE >28 DAYS||436.3571|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54160|54160 - CIRCUMCISION NEONATE||324.1592|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54150|54150 - CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK||219.0611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54135|54135 - AMPUTATION PENIS RADICAL W/LYMPH NODES||3354.6684|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54130|54130 - AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE||2657.6967|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54125|54125 - AMPUTATION PENIS COMPLETE||1809.5008|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54120|54120 - AMPUTATION PENIS PARTIAL||1404.5587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54115|54115 - REMOVAL FOREIGN BODY DEEP PENILE TISSUE||940.4295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54112|54112 - EXC PENILE PLAQUE GRAFT > 5 CM LENGTH||2095.0889|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54111|54111 - EXC PENILE PLAQUE GRAFT &/5 CM LENGTH||1783.7056|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54110|54110 - EXCISION OF PENILE PLAQUE||1404.5789|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54105|54105 - BIOPSY PENIS DEEP STRUCTURES||472.1941|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54100|54100 - BIOPSY PENIS SEPARATE PROCEDURE||277.7359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54065|54065 - DSTRJ LESION PENIS EXTENSIVE||380.1732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54060|54060 - DSTRJ LESION PENIS SIMPLE SURG EXCISION||287.0655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54057|54057 - DSTRJ LESION PENIS SIMPLE LASER||207.5475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54056|54056 - DSTRJ LESION PENIS SIMPLE CRYOSURGERY||240.8742|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54055|54055 - DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION||202.1564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54050|54050 - DSTRJ LESION PENIS SIMPLE CHEMICAL||228.5583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54015|54015 - I&D PENIS DEEP||689.1598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54001|54001 - SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN||305.8464|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|54000|54000 - SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN||237.5213|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53899|53899 - UNLISTED PROCEDURE URINARY SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53860|53860 - TRURL RF FEMALE BLADDER NECK STRS URIN INCONT||503.958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53855|53855 - INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT||185.7835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53852|53852 - TRURL DSTRJ PRSTATE TISS RF THERMOTH||1383.5319|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53850|53850 - TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH||1344.8068|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53665|53665 - DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES||86.6097|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53661|53661 - DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ||89.9014|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53660|53660 - DILAT FEMALE URETHRA W/SUPPOSITORY&/INSTLJ INI||92.7169|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53621|53621 - DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE SBSQ||161.6849|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53620|53620 - DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST||195.0358|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53605|53605 - DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES||145.1822|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53601|53601 - DILAT URETHRAL STRIX DILATOR MALE SBSQ||119.5498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53600|53600 - DILAT URETHRAL STRIX DILATOR MALE 1ST||142.4319|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53520|53520 - CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX||1234.8791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53515|53515 - URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS||1771.2068|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53510|53510 - URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL||1403.4277|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53505|53505 - URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE||1082.2346|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53502|53502 - URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE||1079.3297|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53500|53500 - URETHROLSS TRVG SEC OPN W/CSTO||1662.7525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53460|53460 - URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM||1015.0447|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53450|53450 - URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT||906.3664|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53449|53449 - RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER||1358.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53448|53448 - RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD||2869.3117|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53447|53447 - RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC||1798.4955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53446|53446 - REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER||1426.3711|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53445|53445 - INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER||1672.1474|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53444|53444 - INSERTION TANDEM CUFF||1765.1608|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53442|53442 - RMVL/REVJ SLING MALE URINARY INCONTINENCE||1738.4383|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53440|53440 - SLING OPRATION CORRJ MALE URINARY INCONTINENCE||1675.0886|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53431|53431 - URTP W/TUBULARIZATION POST URT&/LWR BLDR||2584.2891|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53430|53430 - URETHROPLASTY RCNSTJ FEMALE URETHRA||2148.0222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53425|53425 - URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE||2089.287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53420|53420 - URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE||1901.392|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53415|53415 - URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT||2522.3887|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53410|53410 - URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA||2180.462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53405|53405 - URETHROPLASTY 2ND STAGE W/URINARY DIVERSION||1945.9399|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53400|53400 - URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX||1783.5227|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53275|53275 - EXCISION/FULGURATION URETHRAL PROLAPSE||583.4599|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53270|53270 - EXCISION OR FULGURATION SKENES GLANDS||412.4454|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53265|53265 - EXC/FULGURATION URETHRAL CARUNCLE||412.6774|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53260|53260 - EXC/FULGURATION URETHRAL POLYP DSTL URETHRA||399.9506|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53250|53250 - EXCISION OF BULBOURETHRAL GLAND||913.1197|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53240|53240 - MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE||947.3052|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53235|53235 - EXC URETHRAL DIVERTICULUM SPX MALE||1405.8404|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53230|53230 - EXC URETHRAL DIVERTICULUM SPX FEMALE||1344.8552|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53220|53220 - EXC/FULGURATION CARCINOMA URETHRA||1009.0148|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53215|53215 - URETHRECTOMY TOT W/CYSTOST MALE||2073.0204|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53210|53210 - URETHRECTOMY TOT W/CYSTOST FEMALE||1714.9737|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53200|53200 - BIOPSY URETHRA||317.4091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53085|53085 - DRG PERINEAL URINARY XTRVASATION COMPLIC||1482.7266|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53080|53080 - DRG PERINEAL URINARY XTRVASATION UNCOMP SPX||930.0381|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53060|53060 - DRG OF SKENE'S GLAND ABSCESS OR CYST||363.0438|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53040|53040 - DRAINAGE DEEP PERIURETHRAL ABSCESS||869.0689|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53025|53025 - MEATOTOMY CUTTING MEATUS SPX INFANT||159.1706|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53020|53020 - MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT||216.5428|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53010|53010 - URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA||650.5572|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|53000|53000 - URTT/URTS XTRNL SPX PENDULOUS URETHRA||326.8612|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52700|52700 - TRURL DRAINAGE PROSTATIC ABSCESS||978.154|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52649|52649 - LASER ENUCLEATION PROSTATE W/MORCELLATION||1831.9278|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52648|52648 - LASER VAPORIZATION OF PROSTATE FOR URINE FLOW||1536.2819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52647|52647 - LASER COAGULATION OF PROSTATE FOR URINE FLOW||1439.5208|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52640|52640 - TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE||693.8927|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52630|52630 - TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS||885.006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52601|52601 - TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE||1885.4589|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|5250F|5250F - ASTHMA DISCHARGE PLAN PRESENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52500|52500 - TRANSURETHRAL RESECTION BLADDER NECK||1081.9704|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52450|52450 - TRANSURETHRAL INCISION PROSTATE||1041.3651|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52442|52442 - CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL||136.5607|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52441|52441 - CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE||513.3802|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52402|52402 - CSTO W/TRURL RESCJ/INC EJACULATORY DUXS||600.0512|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52400|52400 - CYSTO INC FULG/RESCJ URTL VALVES/FOLDS||1066.9154|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52356|52356 - CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT||933.8043|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52355|52355 - CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR||1049.1713|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52354|52354 - CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION||935.9769|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52353|52353 - CYSTO W/URETEROSCOPY W/LITHOTRIPSY||879.7439|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52352|52352 - CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES||794.664|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52351|52351 - CYSTO W/URTROSCOPY&/PYELOSCOPY DX||679.2969|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52346|52346 - CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE||1001.5557|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52345|52345 - CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX||885.9486|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52344|52344 - CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE||829.7155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52343|52343 - CYSTO W/TX INTRA-RENAL STRICTURE||772.0259|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52342|52342 - CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE||693.1508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52341|52341 - CYSTO W/TX URETERAL STRICTURE||636.9177|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52334|52334 - CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR||574.6426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52332|52332 - CYSTO W/INSERT URETERAL STENT||347.5296|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52330|52330 - CYSTO MANJ W/O RMVL URETERAL STONE||591.5682|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52327|52327 - CYSTO W/SUBURTRIC NJX IMPLT MATRL||589.1756|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52325|52325 - CYSTO FRAGMENTATION URETERAL STONE||720.9599|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52320|52320 - CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS||553.2983|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52318|52318 - LITHOLAPAXY COMP/LG > 2.5 CM||1064.4084|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52317|52317 - LITHOLAPAXY SMPL/SM <2.5 CM||780.5781|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52315|52315 - CYSTO W/COMPLEX REMOVAL STONE & STENT||615.4107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52310|52310 - CYSTO W/SIMPLE REMOVAL STONE & STENT||339.4817|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52305|52305 - CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT||625.6474|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52301|52301 - CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI||650.4541|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52300|52300 - CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI||629.2645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52290|52290 - CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI||546.6055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52287|52287 - CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER||378.8826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52285|52285 - CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME||437.9232|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52283|52283 - CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE||450.5727|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52282|52282 - CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT||754.791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52281|52281 - CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS||339.7137|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52277|52277 - CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER||725.3827|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52276|52276 - CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE||593.4155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52275|52275 - CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE||556.9195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52270|52270 - CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE||406.2608|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52265|52265 - CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA||363.7229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52260|52260 - CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH||470.8753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52250|52250 - CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG||537.1824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52240|52240 - CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE||879.7439|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52235|52235 - CYSTOURETHROSCOPY W/DEST &/RMVL MED BLADDER TUM||647.069|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52234|52234 - CYSTO W/REMOVAL OF TUMORS SMALL||551.2803|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52224|52224 - CYSTO W/REMOVAL OF LESIONS SMALL||458.2581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52214|52214 - CYSTO W/DESTRUCTION OF LESIONS||396.5445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52204|52204 - CYSTOURETHROSCOPY WITH BIOPSY||316.6769|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52010|52010 - CYSTO W/EJACULATORY DUCT CATHETERIZATION||373.0767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|5200F|5200F - CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52007|52007 - CYSTO W/URTRL CATHJ BRUSH BX URTR&/RENAL PELVIS||370.1677|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52005|52005 - CYSTO BLADDER W/URETERAL CATHETERIZATION||296.773|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52001|52001 - CYSTO W/IRRIG & EVAC MULTPLE OBSTRUCTING CLOTS||644.1721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|52000|52000 - CYSTOURETHROSCOPY||281.1412|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51999|51999 - UNLISTED LAPAROSCOPY PROCEDURE BLADDER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51992|51992 - LAPAROSCOPY SLING OPERATION STRESS INCONT||1870.7221|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51990|51990 - LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT||1668.5866|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51980|51980 - CUTANEOUS VESICOSTOMY||1586.0621|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51960|51960 - ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS||3108.4313|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51940|51940 - CLOSURE EXSTROPHY BLADDER||3695.5986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51925|51925 - CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY||2419.1643|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51920|51920 - CLOSURE VESICOUTERINE FISTULA||1916.6613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51900|51900 - CLSR VESICOVAGINAL FISTUL AABDL APPROACH||1859.3624|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51880|51880 - CLOSURE CYSTOSTOMY SEPARATE PROCEDURE||1039.9851|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51865|51865 - CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED||1993.5587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51860|51860 - CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE||1656.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51845|51845 - ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL||1302.6709|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51841|51841 - ANT VESICOURETHROPEXY/URETHROPEXY COMP||1732.8104|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51840|51840 - ANT VESICOURETHROPEXY/URETHROPEXY SMPL||1458.147|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51820|51820 - CSTOURTP W/UNI/BI URTRONEOCSTOST||2475.1823|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51800|51800 - CSTOPLASTY/CSTOURTP PLSTC ANY||2322.1898|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51798|51798 - MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP||39.1166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51797|51797 - VOID PRESSURE STUDIES INTRAABDOMINAL||235.3946|89.824|145.5705|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51792|51792 - STIMULUS EVOKED RESPONSE||442.0889|124.1433|317.9457|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51785|51785 - NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ||554.3311|195.8285|358.5026|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51784|51784 - EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL||406.4912|171.8322|234.6591|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51741|51741 - COMPLEX UROFLOMETRY||33.9817|18.7688|15.2129|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51736|51736 - SIMPLE UROFLOMETRY||33.2575|18.7688|14.4887|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51729|51729 - COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL||716.5018|283.4033|433.0985|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51728|51728 - COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES||661.0864|234.506|426.5804|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51727|51727 - COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE||655.2966|239.5796|415.7169|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51726|51726 - BLADDER PRESSURE MEASUREMENT DURING FILLING||552.8061|191.4066|361.3996|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51725|51725 - SIMPLE CYSTOMETROGRAM||396.1852|170.9452|225.24|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51720|51720 - BLADDER INSTILLATION ANTICARCINOGENIC AGENT||178.8425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51715|51715 - NDSC NJX IMPLT MATRL URT&/BLDR NCK||446.9515|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51710|51710 - CHANGE CYSTOSTOMY TUBE COMPLICATED||177.618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51705|51705 - CHANGE CYSTOSTOMY TUBE SIMPLE||115.2736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51703|51703 - INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED||181.4953|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51702|51702 - INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE||67.1006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51701|51701 - INSJ NON-NDWELLG BLADDER CATHETER||62.0309|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51700|51700 - BLDR IRRIGATION SMPL LAVAGE &/INSTLJ||100.6263|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51610|51610 - NJX RETROGRADE URETHROCSTOGRAPY||142.5665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51605|51605 - NJX & PLACEMENT CHAIN CONTRAST&/URETHROCSTOGRAPY||84.901|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51600|51600 - NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY||99.898|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51597|51597 - PELVIC EXENTERATION COMPLETE MALIGNANCY||5138.6922|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51596|51596 - CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR||5261.5506|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51595|51595 - CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC||4897.8357|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51590|51590 - CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST||4327.64|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51585|51585 - CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES||4716.7923|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51580|51580 - CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES||4237.1618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51575|51575 - CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY||4077.5352|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51570|51570 - CYSTECTOMY COMPLETE SEPARATE PROCEDURE||3304.1543|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51565|51565 - CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST||2902.4668|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51555|51555 - CYSTECTOMY PARTIAL COMPLICATED||2832.4814|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51550|51550 - CYSTECTOMY PARTIAL SIMPLE||2150.1168|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51535|51535 - CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE||1736.0006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51530|51530 - CYSTOTOMY EXCISION BLADDER TUMOR||1770.8394|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51525|51525 - CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE||1915.03|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51520|51520 - CYSTOTOMY SIMPLE EXCISION VESICAL NECK||1328.5273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51500|51500 - EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR||1418.6688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51102|51102 - ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER||324.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51101|51101 - ASPIRATION BLADDER TROCAR/INTRACATHETER||116.9823|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51100|51100 - ASPIRATION BLADDER NEEDLE||88.2209|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51080|51080 - DRG PRIVESICAL/PREVESICAL SPACE ABSC||907.3307|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51065|51065 - CYSTOTOMY W/CALCULUS BASKET XTRJ&/FRAGMENTATIO||1284.354|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51060|51060 - TRANSVESICAL URETROLITHOTOMY||1295.2095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51050|51050 - CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS||1047.2645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51045|51045 - CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX||1086.6324|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51040|51040 - CYSTOSTOMY CYSTOTOMY W/DRAINAGE||637.8506|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51030|51030 - CSTOTOMY/CSTOST CRYOSURG DSTRJ INTRAVESICAL LES||1053.901|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|51020|51020 - CYSTOTOMY/CYSTOSTOMY FULG&/INSJ RADACT MATRL||1039.1844|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|5100F|5100F - FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50980|50980 - NDSC URETEROTOMY RMVL FB/CALCULUS||795.3963|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50976|50976 - URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX||1045.7862|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50974|50974 - URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX||1062.7932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50972|50972 - NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER||812.4234|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50970|50970 - URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING||835.432|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50961|50961 - URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE||712.0863|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50957|50957 - URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY||795.6323|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50955|50955 - URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY||790.9615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50953|50953 - URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER||729.5694|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50951|50951 - URETERAL ENDOSCOPY VIA URETEROSTOMY||687.9184|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50949|50949 - UNLISTED LAPAROSCOPY PROCEDURE URETER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50948|50948 - LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT||2854.2776|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50947|50947 - LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT||3106.4415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50945|50945 - LAPAROSCOPY URTROLITHOTOMY||2171.9581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50940|50940 - DELIGATION URETER||1976.3697|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50930|50930 - CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR||2624.6777|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50920|50920 - CLOSURE URETEROCUTANEOUS FISTULA||1967.4107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50900|50900 - URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE||1916.4164|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50860|50860 - URETEROSTOMY TRANSPLANTATION URETER SKIN||2107.4741|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50845|50845 - CUTANANEOUS APPENDICO-VESICOSTOMY||2786.6534|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50840|50840 - RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST||2748.4359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50830|50830 - URINARY UNIDIVERSION||4050.3358|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50825|50825 - CONTINENT DVRJ W/INT ANAST ANY SGM SM&/LG INTSTN||3703.4982|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50820|50820 - URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS||2936.0537|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50815|50815 - URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS||2732.1612|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50810|50810 - URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER & COLOSTO||2811.9145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50800|50800 - URETEROENTEROSTOMY ANAST URETER INTESTINE||2058.5889|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50785|50785 - URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP||2709.5062|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50783|50783 - URETERONEOCYSTOSTOMY W/URETERAL TAILORING||2528.2429|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50782|50782 - URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR||2358.2218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50780|50780 - URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER||2472.9573|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50770|50770 - TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR||2571.5865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50760|50760 - URETEROURETEROSTOMY||2521.1497|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50750|50750 - URETEROCALYCOSTOMY ANAST URETER RENAL CALYX||2575.1593|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50740|50740 - EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR||2734.1188|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50728|50728 - REVJ UR-CUTAN ANAST RPR FSCAL DFCT & HERNIA||1558.261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50727|50727 - REVJ URINARY-CUTANEOUS ANASTAMOSIS||1122.9825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50725|50725 - URTROLSS RETROCAVAL URTR W/REANAST||2517.0452|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50722|50722 - URETEROLYSIS FOR OVARIAN VEIN SYNDROME||2273.2522|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50715|50715 - URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS||2715.1664|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50706|50706 - BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I||424.3215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50705|50705 - URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I||455.9307|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50700|50700 - URETEROPLASTY PLASTIC OPERATION URETER||2076.0921|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50695|50695 - PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH||809.3645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50694|50694 - PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH||637.3696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50693|50693 - PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT||492.8423|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50690|50690 - NJX VISUALIZATION ILEAL CONDUIT&/URETEROPYELOG||156.5017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50688|50688 - CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL||176.3814|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50686|50686 - MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH||196.3094|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50684|50684 - INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH||111.2295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50660|50660 - URETERECTOMY TOT ECTOPIC URETER CMBN APPR||2565.6218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50650|50650 - URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE||2310.7649|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50630|50630 - URTROLITHOTOMY LOWER ONE-THIRD URETER||1988.1153|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|5062F|5062F - DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50620|50620 - URTROLITHOTOMY MIDDLE ONE-THIRD URETER||2023.9724|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50610|50610 - URTROLITHOTOMY UPPER ONE-THIRD URETER||2177.8043|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|5060F|5060F - FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50606|50606 - ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC||356.102|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50605|50605 - URETEROTOMY INSERTION INDWELLING STENT ALL TYPES||2194.7106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50600|50600 - URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE||2105.3981|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50593|50593 - ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY||1079.1258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50592|50592 - ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY||813.1202|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50590|50590 - LITHOTRIPSY XTRCORP SHOCK WAVE||1261.8787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50580|50580 - RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS||1367.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50576|50576 - RNL NDSC NFROT FULGURATION &/INCISION W/WO BX||1269.5343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50575|50575 - RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY||1605.4029|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50574|50574 - RENAL NDSC NEPHROTOMY W/BIOPSY||1270.4905|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50572|50572 - RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER||1194.7604|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50570|50570 - RENAL NDSC NEPHROTOMY W/WO IRRIGATION||1104.2041|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50562|50562 - RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR||1300.8148|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50561|50561 - RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS||886.9169|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50557|50557 - RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BI||776.8635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50555|50555 - RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY||763.087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50553|50553 - RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA||698.5499|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50551|50551 - RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION||660.6054|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50549|50549 - UNLISTED LAPAROSCOPY PROCEDURE RENAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50548|50548 - LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY||3014.6196|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50547|50547 - LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR||3588.5654|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50546|50546 - LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT||2685.5824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50545|50545 - LAPAROSCOPY RADICAL NEPHRECTOMY||2996.2334|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50544|50544 - LAPAROSCOPY SURG PYELOPLASTY||2783.9426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50543|50543 - LAPAROSCOPY SURG PARTIAL NEPHRECTOMY||3321.0686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50542|50542 - LAPS ABLTJ RENAL MASS LESION W/INTRAOP US||2604.5636|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50541|50541 - LAPAROSCOPY SURG ABLATION RENAL CYSTS||2052.8232|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50540|50540 - SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI||2572.1794|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50526|50526 - CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR||3310.8874|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50525|50525 - CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR||3184.1244|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50520|50520 - CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA||2516.1872|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|5050F|5050F - TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50500|50500 - NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY||2845.6005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50435|50435 - EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I||227.797|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50434|50434 - CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ||470.8512|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50433|50433 - PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I||614.7315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50432|50432 - PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I||498.2374|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50431|50431 - NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS||148.0429|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50430|50430 - NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS||376.2709|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50405|50405 - PYELOPLASTY COMPLICATED||3121.5488|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50400|50400 - PYELOPLASTY SIMPLE||2587.1981|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50396|50396 - MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH||264.0408|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50395|50395 - INTRO GUIDE PELVIS&/URETER W/DILAT NFROS TRACT||401.9767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50391|50391 - INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUB||220.2614|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50390|50390 - ASPIR &/NJX RENAL CYST/PELVIS NEEDLE PRQ||218.8009|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50389|50389 - RMVL NFROS TUBE REQ FLUORO GUIDANCE||122.6948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50387|50387 - RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH||220.5748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50386|50386 - REMOVE INT DWELL URETERAL STENT TRANSURETHRAL||396.3536|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50385|50385 - REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL||522.2668|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50384|50384 - REMOVAL INDWELLING URETERAL STENT PRQ||556.5207|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50382|50382 - RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ||612.7498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50380|50380 - RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY||4412.9945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50370|50370 - RMVL TRNSPLED RENAL ALLOGRAFT||2669.8532|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50365|50365 - RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY||6314.4873|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50360|50360 - RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY||5405.0491|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50340|50340 - RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE||2076.7567|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50329|50329 - BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA||401.8735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50328|50328 - BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA||429.2961|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50327|50327 - BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA||489.1745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50325|50325 - BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50323|50323 - BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50320|50320 - DONOR NEPHRECTOMY OPEN LIVING DONOR||3220.4423|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50300|50300 - DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50290|50290 - EXCISION PERINEPHRIC CYST||2002.0956|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50280|50280 - EXCISION/UNROOFING CYST KIDNEY||2126.454|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50250|50250 - OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND||2715.1462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50240|50240 - NEPHRECTOMY PARTIAL||2955.2503|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50236|50236 - NEPHRECTOMY TOT URETEREC&BLDR CUFF SEPAR INCISN||3276.6995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50234|50234 - NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC||2905.433|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50230|50230 - NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD||2864.3838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50225|50225 - NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL||2687.1687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50220|50220 - NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ||2335.139|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|5020F|5020F - TX SUMM RPRT COMMUN PHYS&PT 1 MO COMPLETE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50205|50205 - RENAL BIOPSY SURG EXPOSURE KIDNEY||1679.9182|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50200|50200 - RENAL BIOPSY PRQ TROCAR/NEEDLE||319.1629|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|5015F|5015F - DOCD CONTACT THAT FX EXISTED & PT TSTED/TXD OP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50135|50135 - PYELOTOMY COMPLICATED||2539.7283|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50130|50130 - PYELOTOMY W/REMOVAL CALCULUS||2303.4903|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50125|50125 - PYELOTOMY W/DRAINAGE PYELOSTOMY||2294.7705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50120|50120 - PYELOTOMY W/EXPLORATION||2117.2307|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|5010F|5010F - DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50100|50100 - TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX||2353.4728|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50081|50081 - PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY > 2 CM||2850.1932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50080|50080 - PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY </2 CM||1939.3566|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50075|50075 - NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1||3256.1608|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50070|50070 - NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY||2646.9428|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50065|50065 - NEPHROLITHOTOMY SECONDARY FOR CALCULUS||2699.3106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50060|50060 - NEPHROLITHOTOMY REMOVAL STAGE 1||2551.9758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|5005F|5005F - COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50045|50045 - NEPHROTOMY W/EXPLORATION||2142.4878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50040|50040 - NEPHROSTOMY/NEPHROTOMY W/DRAINAGE||2064.3707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50020|50020 - DRAINAGE PERIRENAL/RENAL ABSCESS OPEN||2266.3314|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|50010|50010 - RNL EXPL X NECESSITATING OTH SPEC PX||1642.6472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49999|49999 - UNLISTED PROCEDURE ABDOMEN PERITONEUM & OMENTUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49906|49906 - FREE OMENTAL FLAP W/MICROVASCULAR ANAST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49905|49905 - OMENTAL FLAP INTRA-ABDOMINAL||796.8343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49904|49904 - OMENTAL FLAP EXTRA-ABDOMINAL||3171.9276|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49900|49900 - SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN||1809.1198|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49659|49659 - UNLIS LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49657|49657 - LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED||2952.9028|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49656|49656 - LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE||2052.037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49655|49655 - LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED||2305.5228|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49654|49654 - LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE||1887.6348|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49653|49653 - LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED||2070.44|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49652|49652 - LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE||1659.5623|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49651|49651 - LAPS SURG RPR RECURRENT INGUINAL HERNIA||1234.9943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49650|49650 - LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA||949.6753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49611|49611 - RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG||1347.9398|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49610|49610 - RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG||1534.6828|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49606|49606 - RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH||2501.3554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49605|49605 - RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH||11120.0265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49600|49600 - RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE||1567.2498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49590|49590 - RPR SPIGELIAN HERNIA||1273.3085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49587|49587 - RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED||1054.8258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49585|49585 - RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE||985.6057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49582|49582 - RPR UMBILICAL HERNIA < 5 YRS INCARCERATED||1071.1899|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49580|49580 - RPR UMBILICAL HERNIA < 5 YRS REDUCIBLE||732.7958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49572|49572 - RPR EPIGASTRIC HERNIA INCARCERATED||1146.0613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49570|49570 - RPR EPIGASTRIC HERNIA REDUCIBLE SPX||921.7727|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49568|49568 - IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT CLOSURE||602.8933|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49566|49566 - RPR RECRT INCAL/VNT HERNIA INCARCERATED||2097.7361|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49565|49565 - RPR RECRT INCAL/VNT HERNIA REDUCIBLE||1712.4957|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49561|49561 - RPR 1ST INCAL/VNT HERNIA INCARCERATED||2078.4018|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49560|49560 - REPAIR FIRST ABDOMINAL WALL HERNIA||1645.0656|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49557|49557 - RPR RECRT FEM HRNA INCARCERATED||1613.6514|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49555|49555 - RPR RECRT FEM HERNIA REDUCIBLE||1330.9449|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49553|49553 - RPR 1ST FEM HERNIA ANY AGE INCARCERATED||1404.8318|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49550|49550 - RPR 1ST FEM HRNA ANY AGE REDUCIBLE||1279.8467|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49540|49540 - REPAIR LUMBAR HERNIA||1495.567|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49525|49525 - RPR INGUN HERNIA SLIDING ANY AGE||1274.2809|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49521|49521 - RPR RECRT INGUN HERNIA ANY AGE INCARCERATED||1596.559|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49520|49520 - RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE||1407.5821|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49507|49507 - RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED||1301.6752|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49505|49505 - RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE||1156.9409|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49501|49501 - RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED||1297.9372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49500|49500 - RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE||800.2838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49496|49496 - RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER||1366.7046|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49495|49495 - RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC||849.7048|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49492|49492 - RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED||2136.8035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49491|49491 - RPR 1ST INGUN HRNA PRETERM INFT RDC||1769.6359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49465|49465 - CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE||70.2456|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49460|49460 - OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE||109.2438|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49452|49452 - REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS||317.4091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49451|49451 - REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ||206.2408|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49450|49450 - REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS||152.3432|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49446|49446 - CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ||368.89|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49442|49442 - INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS||498.372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49441|49441 - INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ||578.6054|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49440|49440 - INSERT GASTROSTOMY TUBE PERCUTANEOUS||499.8526|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49436|49436 - DELAYED CREATION EXIT SITE EMBEDDED CATHETER||414.1984|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49435|49435 - INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER||272.0057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49429|49429 - RMVL PERITONEAL-VENOUS SHUNT||1023.7685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49428|49428 - LIGATION PERITONEAL-VENOUS SHUNT||962.5802|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49427|49427 - INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT||104.3369|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49426|49426 - REVIS PERITONEAL-VENOUS SHUNT||1369.6619|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49425|49425 - INSERTION PERITONEAL-VENOUS SHUNT||1637.2425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49424|49424 - CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX||86.6017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49423|49423 - EXCHNG ABSC/CST DRG CATH RAD GID SPX||163.2961|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49422|49422 - REMOVAL TUNNELED INTRAPERITONEAL CATHETER||850.5781|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49421|49421 - INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN||519.8766|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49419|49419 - INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT||990.2645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49418|49418 - INSJ INTRAPERITONEAL CATHETER W/IMG GUID||493.5948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49412|49412 - PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT||186.8936|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49411|49411 - INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT||446.2031|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49407|49407 - IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL||514.0722|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49406|49406 - IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ||479.4074|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49405|49405 - IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ||479.4074|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49402|49402 - REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY||1913.4993|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49400|49400 - INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX||212.3762|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49329|49329 - UNLISTED LAPAROSCOPIC PX ABD PERTONEUM & OMENTUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49327|49327 - LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT||295.5308|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49326|49326 - LAPAROSCOPY W/OMENTOPEXY||427.8637|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49325|49325 - LAPS W/REVISION INTRAPERITONEAL CATHETER||929.5426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49324|49324 - LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER||871.1087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49323|49323 - LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY||1418.0968|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49322|49322 - LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE||819.2218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49321|49321 - LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE||768.2412|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49320|49320 - LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX||723.7465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49255|49255 - OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX||1761.7926|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49250|49250 - UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX||1304.6092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49220|49220 - STAGING LAPAROTOMY HODGKINS DISEASE/LYMPHOMA||1992.6524|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49215|49215 - EXC PRESAC/SACROCOCCYGEAL TUMOR||4968.4455|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49205|49205 - EXC/DESTRUCTION OPEN ABDOMINAL TUMORS >10.0 CM||3938.548|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49204|49204 - EXC/DESTRUCTION OPEN ABDMNL TUMORS 5.1-10.0 CM||3429.0347|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49203|49203 - EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<||2677.9035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49185|49185 - SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID||277.7681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49180|49180 - BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE||193.746|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49084|49084 - PERITONEAL LAVAGE W/WO IMAGING GUIDANCE||244.5792|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49083|49083 - ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE||244.4785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49082|49082 - ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE||165.8635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49062|49062 - DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN||1643.1129|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49060|49060 - DRAINAGE OF RETROPERITONEAL ABSCESS OPEN||2461.9955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49040|49040 - DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN||2234.7487|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49020|49020 - DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN||3561.0462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49010|49010 - EXPL RETROPERITONEUM W/WO BX SPX||2092.577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49002|49002 - REOPENING RECENT LAPAROTOMY||2341.6643|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|49000|49000 - EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX||1721.1131|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48999|48999 - UNLISTED PROCEDURE PANCREAS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48556|48556 - RMVL TRANSPLANTED PANCREATIC ALLOGRAFT||2823.2742|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48554|48554 - TRANSPLANTATION PANCREATIC ALLOGRAFT||5673.3555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48552|48552 - BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA||528.5834|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48551|48551 - BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48550|48550 - DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48548|48548 - PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST||3726.3748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48547|48547 - DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ||4011.0219|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48545|48545 - PANCREATORRHAPHY INJURY||2983.5767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48540|48540 - INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y||2910.9707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48520|48520 - INT ANAST PANCREATIC CYST GI TRACT DIRECT||2445.94|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48510|48510 - EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN||2427.1647|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48500|48500 - MARSUPIALIZATION PANCREATIC CYST||2513.8856|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48400|48400 - INJECTION INTRAOPERATIVE PANCREATOGRAPHY||237.5818|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48160|48160 - PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48155|48155 - PANCREATECTOMY TOTAL||4063.5541|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48154|48154 - PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY||6508.5104|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48153|48153 - PNCRTECT W/PANCREATOJEJUNOSTOMY||6941.0901|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48152|48152 - PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY||6434.7991|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48150|48150 - PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY||6977.0366|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48148|48148 - EXCISION AMPULLA VATER||2784.4976|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48146|48146 - PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX||4195.3666|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48145|48145 - PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY||3642.4139|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48140|48140 - PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY||3500.3364|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48120|48120 - EXCISION LESION PANCREAS||2478.4933|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48105|48105 - RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS||6397.7529|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48102|48102 - BIOPSY PANCREA PERCUTANEOUS NEEDLE||547.5456|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48100|48100 - BIOPSY PANCREAS OPEN||1980.2744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48020|48020 - REMOVAL PANCREATIC CALCULUS||2617.3573|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48001|48001 - PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY||5136.2577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|48000|48000 - PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS||4193.343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47999|47999 - UNLISTED PROCEDURE BILIARY TRACT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47900|47900 - SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY||3061.374|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47802|47802 - U-TUBE HEPATICOENTEROSTOMY||3377.2573|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47801|47801 - PLACEMENT CHOLEDOCHAL STENT||2237.9228|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47800|47800 - RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST||3523.7317|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47785|47785 - ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS & GI||7288.4827|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47780|47780 - ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS & GI||5542.5661|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47765|47765 - ANAST INTRAHEPATC DUCTS & GI TRACT||6805.778|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47760|47760 - ANAST XTRHEPATC BILIARY DUCTS & GI TRACT||5062.1106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47741|47741 - CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM||3285.2356|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47740|47740 - CHOLECYSTOENTEROSTOMY ROUX-EN-Y||2908.686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47721|47721 - CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY||3030.2079|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47720|47720 - CHOLECYSTOENTEROSTOMY DIRECT||2567.0324|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47715|47715 - EXCISION CHOLEDOCHAL CYST||2975.1631|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47712|47712 - EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC||4456.3493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47711|47711 - EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC||3479.4932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47701|47701 - PORTOENETEROSTOMY||3799.3296|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47700|47700 - EXPL CONGENITAL ATRESIA BILE DUCTS||2316.4282|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47620|47620 - CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP||3081.0732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47612|47612 - CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY||2843.4029|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47610|47610 - CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT||2807.6964|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47605|47605 - CHOLECYSTECTOMY W/CHOLANGIOGRAPHY||2512.4017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47600|47600 - CHOLECYSTECTOMY||2385.3865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47579|47579 - UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47570|47570 - LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY||1710.4527|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47564|47564 - LAPS SURG CHOLECSTC W/EXPL COMMON DUCT||2486.0047|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47563|47563 - LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY||1594.309|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47562|47562 - LAPAROSCOPY SURG CHOLECYSTECTOMY||1466.5736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47556|47556 - BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT||949.8107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47555|47555 - BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT||835.1758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47554|47554 - BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS||1078.6602|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47553|47553 - BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE||697.8256|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47552|47552 - BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH||703.9941|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47550|47550 - BILIARY NDSC INTRAOPERATIVE||373.9419|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47544|47544 - REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I||487.7719|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47543|47543 - ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT||378.6981|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47542|47542 - BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT||301.5808|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47541|47541 - PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW||640.4736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47540|47540 - PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH||1203.887|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47539|47539 - PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH||1008.5298|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47538|47538 - PLMT BILE DUCT STENT PRQ EXISTING ACCESS||745.5758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47537|47537 - REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I||224.2894|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47536|47536 - EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I||333.509|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47535|47535 - CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH||527.8769|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47534|47534 - PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT||918.8596|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47533|47533 - PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL||692.2227|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47532|47532 - NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS||488.8506|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47531|47531 - NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS||216.0506|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47490|47490 - CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT||734.1613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47480|47480 - CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX||1944.9804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47460|47460 - TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS||2800.7522|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47425|47425 - CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP||3026.9895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47420|47420 - CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP||3000.0632|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47400|47400 - HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1||4820.6692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47399|47399 - UNLISTED PROCEDURE LIVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47383|47383 - ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION||1103.9431|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47382|47382 - ABLTJ 1/> LVR TUM PRQ RF||1743.0391|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47381|47381 - ABLTJ OPN 1/> LVR TUM CRYOSURG||3003.1857|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47380|47380 - ABLTJ OPN 1/> LVR TUM RF||3230.8168|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47379|47379 - UNLIS LAPAROSCOPIC PROCEDURE LIVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47371|47371 - LAPS SURG ABLTJ 1 > LVR TUM CRYOSURG||2538.2058|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47370|47370 - LAPS SURG ABLTJ 1/> LVR TUM RF||2790.7748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47362|47362 - MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING||3238.4989|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47361|47361 - MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR||6784.3008|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47360|47360 - MGMT LVR HEMRRG CPLX SUTR WND/INJ||4164.1715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47350|47350 - MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ||3061.7405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47300|47300 - MARSUPIALIZATION CST/ABSC LVR||2524.7958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47147|47147 - BKBENCH RCNSTJ LVR GRF ARTL ANAST EA||865.1424|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47146|47146 - BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA||743.221|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47145|47145 - BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I&V VI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47144|47144 - BKBENCH PREPJ CADAVER WHOLE LIVER GRF I&IV VII||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47143|47143 - BKBENCH PREP CADAVER DONOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47142|47142 - DONOR HEPATECTOMY LIVING DONOR SEG V VI VII &VI||10551.5153|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47141|47141 - DONOR HEPATECTOMY LIVING DONOR SEG II III & IV||9565.6357|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47140|47140 - DONOR HEPATECTOMY LIVING DONOR SEG II & III||7999.4267|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47135|47135 - LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE||12027.3468|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47133|47133 - DONOR HEPATECTOMY CADAVER DONOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47130|47130 - HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY||7406.787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47125|47125 - HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY||6893.9006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47122|47122 - HEPATECTOMY RESCJ TRISEGMENTECTOMY||7711.7852|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47120|47120 - HEPATECTOMY RESCJ PARTIAL LOBECTOMY||5215.5123|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47100|47100 - BIOPSY LIVER WEDGE||1877.013|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47015|47015 - LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS||2555.8934|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47010|47010 - HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES||2687.9291|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47001|47001 - BX LVR NDL DONE PURPOSE TM OTH MAJOR PX||234.3586|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|47000|47000 - BIOPSY LIVER NEEDLE PERCUTANEOUS||231.3489|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46999|46999 - UNLISTED PROCEDURE ANUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46947|46947 - HEMORRHOIDOPEXY STAPLING||845.3554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46946|46946 - INT HRHC BY LIGATION 2+ HROID W/O IMG GDN||490.8904|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46945|46945 - INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN||488.1771|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46942|46942 - CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ||290.731|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46940|46940 - CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST||324.8996|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46930|46930 - DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY||318.8141|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46924|46924 - DSTRJ LESION ANUS EXTENSIVE||406.1674|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46922|46922 - DSTRJ LESION ANUS SIMPLE SURG EXCISION||298.1401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46917|46917 - DSTRJ LESION ANUS SIMPLE LASER SURG||290.1292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46916|46916 - DSTRJ LESION ANUS SIMPLE CRYOSURGERY||314.0289|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46910|46910 - DSTRJ LESION ANUS SMPL ELTRDSICCATION||295.2311|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46900|46900 - DSTRJ LESION ANUS SIMPLE CHEMICAL||301.725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46762|46762 - SPHNCTROP ANAL IMPLTJ ARTIF SPHNCTR||2056.6402|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46761|46761 - SPHNCTROP ANAL LEVATOR MUSC IMBRCJ||2054.6826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46760|46760 - SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT||2423.5782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46754|46754 - RMVL THIERSCH WIRE/SUTURE ANAL CANAL||499.0277|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46753|46753 - GRAFT THIERSCH RCT INCONTINENCE &/PROLAPSE||1352.2006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46751|46751 - SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD||1321.8594|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46750|46750 - SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT||1674.0671|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46748|46748 - RPR CLOACAL ANOMALY CMBN ABDL & SACROPRNL W/GRF||8891.9852|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46746|46746 - RPR CLOACAL ANOMALY CMBN ABDL&SACROPRNL||8184.6721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46744|46744 - RPR CLOACAL ANOMALY SACROPERINEAL||7893.5229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46742|46742 - RPR HI IMPRF ANUS W/FSTL TABDL & SACROPRNL||5427.7202|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46740|46740 - RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR||4784.6034|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46735|46735 - RPR HI IMPRF ANUS W/O FISTULA CMBN APPR||4710.959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46730|46730 - RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR||4062.7026|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46716|46716 - RPR LW IMPERFORATE ANUS W/TRPOS FISTULA||2460.4979|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46715|46715 - RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK||1196.896|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46712|46712 - RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR||4776.2244|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46710|46710 - RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR||2341.475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46707|46707 - REPAIR ANORECTAL FISTULA PLUG||1047.6222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46706|46706 - REPAIR ANAL FISTULA W/FIBRIN GLUE||366.1768|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46705|46705 - ANOPLASTY PLASTIC OPERATION STRICTURE INFANT||1106.6555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46700|46700 - ANOPLASTY PLASTIC OPERATION STRICTURE ADULT||1446.4087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46615|46615 - ANOSCOPY ABLATION LESION||206.4116|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46614|46614 - ANOSCOPY CONTROL BLEEDING||143.6323|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46612|46612 - ANOSC RMVL MULT TUMORS CAUTERY/SNARE||207.8762|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46611|46611 - ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ||180.8605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46610|46610 - ANOSCOPY W/RMVL LESION CAUTERY||179.9896|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46608|46608 - ANOSCOPY W/RMVL FOREIGN BODY||180.1484|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46607|46607 - ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX||281.6052|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46606|46606 - ANOSCOPY W/BX SINGLE/MULTIPLE||169.1753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46604|46604 - ANOSCOPY W/DILATION||147.5015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46601|46601 - ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT||208.6093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46600|46600 - ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD||89.9707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46505|46505 - CHEMODENERVATION INTERNAL ANAL SPHINCTER||524.379|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46500|46500 - INJECTION SCLEROSING SOLUTION HEMORRHOIDS||268.0245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46320|46320 - EXC THROMBOSED HEMORRHOID XTRNL||244.4946|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46288|46288 - CLSR ANAL FSTL W/RCT ADVMNT FLAP||1212.7534|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46285|46285 - SURG TX ANAL FISTULA 2ND STAGE||904.1535|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46280|46280 - TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON||1031.6206|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46275|46275 - SURG TX ANAL FISTULA INTERSPHINCTERIC||907.0625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46270|46270 - SURG TX ANAL FISTULA SUBQ||858.8282|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46262|46262 - HRHC 2/> COL/GRP W/FSTULECTMY INCL FSSRECTMY||1217.1963|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46261|46261 - HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSU||1154.4121|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46260|46260 - HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO||1048.9562|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46258|46258 - HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY||1028.3233|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46257|46257 - HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTO||927.987|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46255|46255 - HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP||780.2043|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46250|46250 - HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP||693.9853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46230|46230 - EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS||381.4541|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46221|46221 - HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS||415.5059|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46220|46220 - EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS||260.9118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46200|46200 - FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED||707.3607|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46083|46083 - INCISION THROMBOSED HEMORRHOID EXTERNAL||233.5095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46080|46080 - SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX||353.86|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46070|46070 - INCISION ANAL SEPTUM INFANT||495.7771|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46060|46060 - I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON||1047.4272|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46050|46050 - I&D PERIANAL ABSCESS SUPERFICIAL||212.9668|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46045|46045 - I&D INTRAMURAL IM/ABSC TRANSANAL ANES||954.2745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46040|46040 - I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX||909.6049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46030|46030 - REMOVAL ANAL SETON OTHER MARKER||198.6449|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|46020|46020 - PLACEMENT SETON||514.2237|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45999|45999 - UNLISTED PROCEDURE RECTUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45990|45990 - ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX||240.0187|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45915|45915 - RMVL FECAL IMPACTION/FB SPX UNDER ANES||499.0801|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45910|45910 - DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL||429.6844|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45905|45905 - DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL||373.4513|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45900|45900 - RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE||448.9655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45825|45825 - CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY||3097.0837|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45820|45820 - CLOSURE RECTOURETHRAL FISTULA||2662.627|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45805|45805 - CLSR RECTOVESICAL FISTULA W/COLOSTOMY||3264.9459|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45800|45800 - CLOSURE RECTOVESICAL FISTULA||2687.8051|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4563F|4563F - PT RECVD ASPIRIN W/IN 24 HRS PRIOR ANESTH START||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4562F|4562F - PATIENT DOES NOT HAVE A CORONARY ARTERY STENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4561F|4561F - PATIENT HAS A CORONARY ARTERY STENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4560F|4560F - ANESTH DID NOT INVOLVE GENERAL/NEURAXIAL ANESTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4559F|4559F - 1BODY TEMP MEAS>=35.5C IN 30-15 MINS POST ANESTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4558F|4558F - PT RCEVD 2 PROPHYLACTIC RX AGENTS PRE&INTRA-OP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4557F|4557F - PT NO EXHIBIT 3+ RISK FACTORS POST-OP NAUSEA/VOM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4556F|4556F - PT SHOWS 3+RISK FACTORS POST-OP NAUSEA&VOMITING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45563|45563 - EXPL RPR & PRESACRAL DRG RECTAL INJ W/COLOSTOMY||3680.4783|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45562|45562 - EXPL RPR & PRESACRAL DRG RECTAL INJURY||2495.7637|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45560|45560 - REPAIR RECTOCELE SEPARATE PROCEDURE||1528.8728|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4555F|4555F - PT DID NOT RECEIVE INHALATIONAL ANESTHETIC AGENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45550|45550 - PROCTOPEXY W/SIGMOID RESCJ ABDL APPR||3264.2087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4554F|4554F - PT RECEIVED INHALATIONAL ANESTHETIC AGENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45541|45541 - PROCTOPEXY PERINEAL APPROACH||2099.216|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45540|45540 - PROCTOPEXY ABDOMINAL APPROACH||2368.5326|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4553F|4553F - PT OFFERED ASSISTANCE PLANNING END LIFE ISSUES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4552F|4552F - PT OFFERED REFERRAL SPEECH LANGUAGE PATHOLOGIST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45520|45520 - PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE||88.5141|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4551F|4551F - NUTRITIONAL SUPPORT OFFERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4550F|4550F - OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45505|45505 - PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE||1309.2824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45500|45500 - PROCTOPLASTY STENOSIS||1152.5906|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45499|45499 - UNLISTED LAPAROSCOPY PROCEDURE RECTUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4541F|4541F - TX PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4540F|4540F - DISEASE MODIFYING PHARMACOTHERAPY DISCUSSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45402|45402 - LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ||3405.7038|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45400|45400 - LAPAROSCOPY PROCTOPEXY PROLAPSE||2550.2398|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45399|45399 - UNLISTED PROCEDURE COLON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45398|45398 - COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)||546.5603|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45397|45397 - LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR||4821.6665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45395|45395 - LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY||4423.0057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45393|45393 - COLONOSCOPY FLEXIBLE WITH DECOMPRESSION||588.138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45392|45392 - COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL||704.9133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45391|45391 - COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX||598.6438|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45390|45390 - COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION||768.0342|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45389|45389 - COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT||672.38|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45388|45388 - COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES||628.1576|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45386|45386 - COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT||493.7696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45385|45385 - COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ||591.5642|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45384|45384 - COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS||531.0059|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45382|45382 - COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD||602.4317|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45381|45381 - COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST||468.1331|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45380|45380 - COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE||468.1371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45379|45379 - COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)||555.8819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45378|45378 - COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD|53|215.8266|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45378|45378 - COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD||431.6532|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45350|45350 - SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)||239.0995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45349|45349 - SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION||462.0339|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45347|45347 - SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT||362.7626|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45346|45346 - SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES||375.8149|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45342|45342 - SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX||397.4726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45341|45341 - SIGMOIDOSCOPY FLX NDSC US XM||292.6636|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45340|45340 - SIGMOIDOSCOPY FLX TNDSC BALO DILAT||187.0531|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45338|45338 - SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ||284.1316|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45337|45337 - SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE||273.683|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45335|45335 - SGMDSC FLX DIRED SBMCSL NJX ANY SBST||161.4287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45334|45334 - SIGMOIDOSCOPY FLX CONTROL BLEEDING||278.6471|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45333|45333 - SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS||223.5531|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45332|45332 - SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY||249.8977|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45331|45331 - SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE||161.4247|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45330|45330 - SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD||124.9327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45327|45327 - PROCTOSGMDSC RIGID TNDSC STENT PLMT||272.8363|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45321|45321 - PROCTOSGMDSC RIGID DCMPRN VOLVULUS||239.6159|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45320|45320 - PROCTOSGMDSC RIGID ABLATION LESION||246.4063|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45317|45317 - PROCTOSGMDSC RIGID CONTROL BLEEDING||262.6447|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45315|45315 - PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE||234.1483|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45309|45309 - PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ||211.5094|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45308|45308 - PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY||198.3718|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45307|45307 - PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY||237.0605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45305|45305 - PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE||175.3881|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45303|45303 - PROCTOSGMDSC RIGID W/DILATION||205.6874|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45300|45300 - PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX||119.5417|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4526F|4526F - NEUROPSYCHIATRIC INTERVENTION RECEIVED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4525F|4525F - NEUROPSYCHIATRIC INTERVENTION ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45190|45190 - DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH||1537.6119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45172|45172 - EXC RCT TUM INCL MUSCULARIS PROPRIA||1793.5758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45171|45171 - EXC RCT TUM NOT INCL MUSCULARIS PROPRIA||1325.5208|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45160|45160 - EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL||2278.8898|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45150|45150 - DIVISION STRICTURE RECTUM||864.1499|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45136|45136 - EXC ILEOANAL RSVR W/ILEOSTOMY||4049.03|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45135|45135 - EXC RCT PROCIDENTIA W/ANAST ABDL & PRNL APPROACH||3059.2464|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45130|45130 - EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH||2432.4277|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45126|45126 - PELVIC EXENTERATION COLORECTAL MALIGNANCY||6264.3662|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45123|45123 - PRCTECT PRTL W/O ANAST PRNL APPR||2503.5031|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45121|45121 - PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS||3889.492|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45120|45120 - PRCTECT COMPL W/PULL-THRU PX & ANASTOMOSIS||3369.6469|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45119|45119 - PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM||4360.978|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45116|45116 - PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY||3684.8793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45114|45114 - PRCTECT PRTL W/ANAST ABDL & TRANSSAC APPROACH||4072.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45113|45113 - PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR||4243.9747|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45112|45112 - PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX||4215.9037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45111|45111 - PRCTECT PRTL RESCJ RECTUM TABDL APPR||2427.2018|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45110|45110 - PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST||4130.2841|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4510F|4510F - PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45108|45108 - ANORECTAL MYOMECTOMY||809.1035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45100|45100 - BX ANORECTAL WALL ANAL APPROACH||658.9217|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45020|45020 - I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC||1266.8081|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4500F|4500F - REFERRED TO OUTPT CARD REHABILITATION PROGRAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45005|45005 - I&D SUBMUCOSAL ABSCESS RECTUM||354.1049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|45000|45000 - TRANSRECTAL DRAINAGE OF PELVIC ABSCESS||936.7503|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44979|44979 - UNLISTED LAPAROSCOPY PROCEDURE APPENDIX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44970|44970 - LAPAROSCOPIC APPENDECTOMY||1339.4037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44960|44960 - APPENDEC RPTD APPENDIX ABSC/PRITONITIS||1956.0123|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44955|44955 - APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX||189.2983|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44950|44950 - APPENDECTOMY||1437.2217|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44900|44900 - INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN||1724.9985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44899|44899 - UNLISTED PX MECKEL'S DIVERTICULUM & MESENTERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44850|44850 - SUTURE MESENTERY SEPARATE PROCEDURE||1677.7616|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44820|44820 - EXCISION LESION MESENTERY SEPARATE PROCEDURE||1875.0103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4481F|4481F - PT RCVNG ACE/ARB AND BETA BLOCKER < 3 MONTHS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4480F|4480F - PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44800|44800 - EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT||1701.1368|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44799|44799 - UNLISTED PROCEDURE SMALL INTESTINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44721|44721 - BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA||869.508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44720|44720 - BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA||621.2835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44715|44715 - BKBENCH PREP CADAVER/LIVING DONOR INTESTINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4470F|4470F - IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44705|44705 - PREPARE FECAL MICROBIOTA FOR INSTILLATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44701|44701 - INTRAOPERATIVE COLONIC LAVAGE||380.3706|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44700|44700 - EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS||2285.1284|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44680|44680 - INTESTINAL PLICATION SEPARATE PROCEDURE||2387.8315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44661|44661 - CLSR ENTEROVES FSTL W/INTESTINE&/BLADDER RESCJ||3483.8152|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44660|44660 - CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ||2987.392|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44650|44650 - CLSR ENTEROENTERIC/ENTEROCOLIC FSTL||3254.163|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44640|44640 - CLOSURE INTESTINAL CUTANEOUS FISTULA||3146.673|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44626|44626 - CLSR NTRSTM LG/SM RESCJ & COLORECTAL ANASTOMOSIS||3600.812|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44625|44625 - CLSR NTRSTM LG/SM RESCJ & ANAST OTH/THN CLRCT||2277.7878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44620|44620 - CLOSURE ENTEROSTOMY LG/SMALL INTESTINE||1942.2736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44615|44615 - INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ||2411.1897|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44605|44605 - SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY||2925.0533|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44604|44604 - SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY||2371.357|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44603|44603 - ENTERORRHAPHY MULTIPLE PERFORATIONS||3636.3066|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44602|44602 - ENTERORRHAPHY SINGLE PERFORATION||3172.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4450F|4450F - SELF-CARE EDUCATION PROVIDED TO PATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44500|44500 - INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE||55.4234|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44408|44408 - COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION||539.55|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44407|44407 - COLONOSCOPY STOMA W/US GID NDL ASPIR/BX||639.7002|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44406|44406 - COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM||534.1509|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44405|44405 - COLONOSCOPY STOMA W/BALLOON DILATION||428.5243|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44404|44404 - COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION||402.9039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44403|44403 - COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ||700.592|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44402|44402 - COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT||609.3155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44401|44401 - COLONOSCOPY STOMA ABLATION LESION||562.9123|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44394|44394 - COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE||525.5987|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44392|44392 - COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS||462.8476|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44391|44391 - COLONOSCOPY STOMA CONTROL BLEEDING||536.4582|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44390|44390 - COLONOSCOPY STOMA W/RMVL FOREIGN BODY||490.6084|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44389|44389 - COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE||402.1676|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44388|44388 - COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX|53|181.0192|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44388|44388 - COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX||366.412|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44386|44386 - NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE||212.2707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44385|44385 - NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX||172.8778|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44384|44384 - ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT||356.566|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44382|44382 - ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE||176.9751|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44381|44381 - ILEOSCOPY STOMA W/BALLOON DILATION||203.3318|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44380|44380 - ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD||139.0307|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44379|44379 - ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT||944.6516|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44378|44378 - ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING||888.9881|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44377|44377 - ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE||694.8473|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44376|44376 - ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX||658.5955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44373|44373 - ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE||448.6521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44372|44372 - ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE||558.2214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44370|44370 - ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT||618.625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44369|44369 - ENTEROSCOPY > 2ND PRTN ABLTJ LESION||571.4082|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44366|44366 - ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING||558.9214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44365|44365 - ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY||418.8781|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44364|44364 - ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE||475.9409|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44363|44363 - ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY||447.1916|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44361|44361 - ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY||372.5804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44360|44360 - ENDOSCOPY UPPER SMALL INTESTINE||337.6957|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44346|44346 - REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX||2645.5338|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44345|44345 - REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX||2349.7912|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44340|44340 - REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX||1387.928|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44322|44322 - COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX||2206.3176|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44320|44320 - COLOSTOMY/SKIN LEVEL CECOSTOMY||2687.0092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44316|44316 - CONTINENT ILEOSTOMY KOCK PROCEDURE SPX||3170.8481|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44314|44314 - REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX||2242.8957|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44312|44312 - REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX||1313.7277|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44310|44310 - ILEOSTOMY/JEJUNOSTOMY NON-TUBE||2337.617|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44300|44300 - PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN||1881.7475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44238|44238 - UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44227|44227 - LAPS CLSR NTRSTM LG/SM INT W/RESCJ & ANASTOMOSIS||3741.4338|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44213|44213 - LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY||424.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44212|44212 - LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY||4583.6489|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44211|44211 - LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS||4888.1387|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44210|44210 - LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS||3989.2885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44208|44208 - LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST||4455.2465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44207|44207 - LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST||4089.1753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44206|44206 - LAPS COLECTOMY PRTL W/END CLST & CLSR DSTL SGM||3932.0758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44205|44205 - LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM||3000.8898|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44204|44204 - LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS||3450.9485|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44203|44203 - LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS||544.9354|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44202|44202 - LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ & ANA||3108.2323|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44188|44188 - LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY||2733.7765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44187|44187 - LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE||2464.1634|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44186|44186 - LAPAROSCOPY SURGICAL JEJUNOSTOMY||1455.698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44180|44180 - LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE||2054.9992|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44160|44160 - COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS||2781.2793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44158|44158 - COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR||4770.0383|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44157|44157 - COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST||4818.5618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44156|44156 - COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST||5137.0923|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44155|44155 - COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY||4658.6975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44151|44151 - COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST||4783.3749|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44150|44150 - COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS||4177.9311|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44147|44147 - COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH||4365.4635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44146|44146 - COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY||4742.1074|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44145|44145 - COLECTOMY PRTL W/COLOPROCTOSTOMY||3720.0371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44144|44144 - COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA||3969.3927|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44143|44143 - COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT||3728.1624|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44141|44141 - COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY||4083.8213|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44140|44140 - COLECTOMY PARTIAL W/ANASTOMOSIS||3004.5955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44139|44139 - MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT||273.9996|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44137|44137 - RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44136|44136 - INTESTINAL ALLOTRANSPLANTATION LIVING DONOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44135|44135 - INTESTINAL ALLOTRANSPLANTATION CADAVER DONOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44133|44133 - DONOR ENTERECTOMY OPEN LIVING DONOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44132|44132 - DONOR ENTERECTOMY OPEN CADAVER DONOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44130|44130 - ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX||2940.5264|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44128|44128 - ENTRC RESCJ ATRESIA EA RESCJ & ANASTOMOSIS||552.214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44127|44127 - ENTRC RESCJ ATRESIA RESCJ & ANAST SGM W/TAPRING||6361.0217|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44126|44126 - ENTRC RESCJ ATRESIA RESCJ & ANAST W/O TAPRING||5533.2034|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44125|44125 - ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY||2647.4527|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44121|44121 - ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ & ANA||547.1202|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44120|44120 - ENTRC RESCJ SMALL INTESTINE 1 RESCJ & ANAST||2742.3657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44111|44111 - EXC 1/> SM/LG LESIONS INTESTNE MULT ENTEROTOMIE||2204.2827|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44110|44110 - EXC 1/> SMALL/LARGE LESIONS INTESTINE ENTEROTOM||1905.1058|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44100|44100 - BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS||245.3203|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44055|44055 - CORRJ MALROTATION BANDS&/RDCTJ VOLVULUS||3345.3775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44050|44050 - RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT||2094.0295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44025|44025 - COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL||2206.4224|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44021|44021 - ENTEROTOMY SM INT OTH/THN DUO DCMPRN||2180.8753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44020|44020 - ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL||2180.9035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44015|44015 - TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD||321.3993|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44010|44010 - DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL||1929.2624|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4400F|4400F - REHAB THERAPY OPTIONS DISCUSSED W/PATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|44005|44005 - ENTEROLSS FRING INTSTINAL ADHESION SPX||2449.9107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43999|43999 - UNLISTED PROCEDURE STOMACH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43888|43888 - GSTR RSTCV OPN RMVL & RPLCMT SUBQ PORT||1013.3424|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43887|43887 - GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY||713.4494|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43886|43886 - GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY||795.7427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43882|43882 - REVISION/RMVL GASTRIC NSTIM ELTRDE ANTRUM OPEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43881|43881 - IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43880|43880 - CLOSURE GASTROCOLIC FISTULA||3582.6982|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43870|43870 - CLOSURE GASTROSTOMY SURG||1588.2348|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43865|43865 - REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY||3818.2893|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43860|43860 - REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY||3666.7566|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43855|43855 - REVJ GASTRODUOL ANAST W/RCNSTJ W/VGTMY||3692.5018|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43850|43850 - REVJ GASTRODUOL ANAST W/RCNSTJ W/O VAGOTOMY||3637.2282|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43848|43848 - REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE||4315.8581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43847|43847 - GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ||3978.8528|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43846|43846 - GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/<||3615.0195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43845|43845 - GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM||4402.26|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43843|43843 - GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP||2860.0562|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43842|43842 - GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY||2668.6971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43840|43840 - GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ||3042.8445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43832|43832 - GASTROSTOMY OPN W/CONSTJ GSTR TUBE||2327.7049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43831|43831 - GASTROSTOMY OPN NEONATAL FEEDING||1292.4116|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43830|43830 - GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX||1557.3136|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43825|43825 - GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE||2922.5463|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43820|43820 - GASTROJEJUNOSTOMY W/O VAGOTOMY||3003.4435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43810|43810 - GASTRODUODENOSTOMY||2276.1629|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43800|43800 - PYLOROPLASTY||2078.8126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43775|43775 - LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY||2485.8597|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43774|43774 - LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT||2145.2623|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43773|43773 - LAPS GASTRIC RESTRICTIVE PX REMOVE&RPLCMT DEVICE||2836.9919|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43772|43772 - LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE||2122.2987|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43771|43771 - LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE||2846.4633|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43770|43770 - LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE||2499.0368|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43761|43761 - REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO||231.5358|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43760|43760 - CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GDNCE||105.8707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43757|43757 - DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN||173.2686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43756|43756 - DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN||113.4917|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43755|43755 - GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPEC||136.6421|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43754|43754 - GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN||72.4755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43753|43753 - GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE||49.3122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43752|43752 - NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDNCE||92.0821|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43659|43659 - UNLISTED LAPAROSCOPIC PROCEDURE STOMACH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43653|43653 - LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX||1271.3114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43652|43652 - LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV||1707.6822|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43651|43651 - LAPS SURG TRNSXJ VAGUS NRV TRUNCAL||1452.1429|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43648|43648 - LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43647|43647 - LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43645|43645 - LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ||4153.0381|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43644|43644 - LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM||3884.8937|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43641|43641 - VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL||2658.6385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43640|43640 - VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV||2637.8831|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43635|43635 - VAGOTOMY PFRMD W/PRTL DSTL GSTRCT||253.7823|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43634|43634 - GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH||4750.5404|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43633|43633 - GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ||4310.3929|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43632|43632 - GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY||4562.9669|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43631|43631 - GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY||3247.8721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43622|43622 - GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE||5202.2699|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43621|43621 - GSTRCT TOT W/ROUX-EN-Y RCNSTJ||5101.7419|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43620|43620 - GSTRCT TOT W/ESOPHAGOENTEROSTOMY||4393.0399|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43611|43611 - EXC LOCAL MALIGNANT TUMOR STOMACH||2737.3372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43610|43610 - EXC LOCAL ULCER/BENIGN TUMOR STOMACH||2192.7594|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43605|43605 - BIOPSY STOMACH LAPAROTOMY||1868.4592|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43520|43520 - PYLOROMYOTOMY CUTTING PYLORIC MUSC||1536.3262|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43510|43510 - GSTRT W/ESOPHGL DILAT&INSJ PRM INTRAL TUBE||2104.7182|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4350F|4350F - COUNSELING PROVIDED SYMP MNGMNT PALLIATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43502|43502 - GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC||3411.1552|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43501|43501 - GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER||3011.2514|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43500|43500 - GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL||1750.6882|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43499|43499 - UNLISTED PROCEDURE ESOPHAGUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43496|43496 - FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43460|43460 - ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE||483.6795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43453|43453 - DILATION ESOPHAGUS GUIDE WIRE||205.7325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43450|43450 - DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS||190.9103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43425|43425 - CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR||3240.4759|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43420|43420 - CLSR ESOPHAGOSTOMY/FSTL CRV APPR||2276.1492|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43415|43415 - SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR||5795.3309|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43410|43410 - SUTR ESOPHGL WND/INJ CRV APPR||2346.8983|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4340F|4340F - COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43405|43405 - LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J||3281.5766|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43401|43401 - TRNSXJ ESOPH W/RPR ESOPHAGEAL VARICES||3496.7346|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43400|43400 - LIGATION DIRECT ESOPHAGEAL VARICES||3331.0741|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43361|43361 - GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT||5762.792|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43360|43360 - GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH||5312.8791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43352|43352 - ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR||2401.1238|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43351|43351 - ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR||2894.9748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43341|43341 - ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR||3163.7557|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43340|43340 - ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR||3057.2107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43338|43338 - ESOPHAGUS LENGTHENING||263.7057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43337|43337 - RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH||3661.9512|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43336|43336 - RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH||3398.3229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43335|43335 - RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH||3028.3292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43334|43334 - RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH||2823.3427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43333|43333 - LAPT RPR PARAESOPH HIATAL HERNIA W/MESH||2838.9391|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43332|43332 - RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH||2604.3445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43331|43331 - ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH||3023.7091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43330|43330 - ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH||2976.7493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43328|43328 - ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY||2556.0119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43327|43327 - ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY||1835.0189|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43325|43325 - ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH||3003.2727|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43320|43320 - EGST W/WO VAGOTOMY&PYLOROPLASTY TABDL/TTHRC AP||3119.99|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43314|43314 - ESPHGP CGEN DFCT THRC APPR W/RPR FSTL||6944.6871|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43313|43313 - ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL||6089.3447|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43312|43312 - ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL||3650.4223|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43310|43310 - ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL||3352.8333|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4330F|4330F - EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43305|43305 - ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL||2458.6813|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43300|43300 - ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL||1374.2804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4328F|4328F - PT/CAREGIVER QUERIED SLEEP DISTURBANCES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43289|43289 - UNLISTED LAPAROSCOPIC PROCEDURE ESOPHAGUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43283|43283 - LAPS ESOPHAGEAL LENGTHENING ADDL||358.8797|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43282|43282 - LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH||3901.5131|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43281|43281 - LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH||3469.3161|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43280|43280 - LAPS SURG ESOPG/GSTR FUNDOPLASTY||2423.082|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43279|43279 - LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED||2902.1413|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43278|43278 - ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE||998.4759|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43277|43277 - ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA||874.9715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43276|43276 - ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE||1111.0235|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43275|43275 - ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT||870.3007|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43274|43274 - ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT||1066.793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43273|43273 - ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC||272.5479|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43270|43270 - EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE||541.1209|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4326F|4326F - PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43266|43266 - EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION||526.6444|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43265|43265 - ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD||999.2815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43264|43264 - ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT||841.6166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43263|43263 - ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI||826.7984|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43262|43262 - ERCP W/SPHINCTEROTOMY/PAPILLOTOMY||826.0702|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43261|43261 - ERCP W/BIOPSY SINGLE/MULTIPLE||783.3736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43260|43260 - ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING||746.1493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4325F|4325F - MEDICAL & SURGICAL TREATMENT OPTION REVIEW W/P||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43259|43259 - EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM||526.3721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43257|43257 - EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD||541.7719|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43255|43255 - EGD TRANSORAL CONTROL BLEEDING ANY METHOD||468.129|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43254|43254 - EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION||628.0521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43253|43253 - EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER||609.5113|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43252|43252 - EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY||393.7048|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43251|43251 - EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH||457.9858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43250|43250 - EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS||398.1477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4324F|4324F - PT QUERIED PARKINSONS MED-RELATED COMPLICATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43249|43249 - EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM||360.1791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43248|43248 - EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS||389.6607|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43247|43247 - EGD FLEXIBLE FOREIGN BODY REMOVAL||414.4876|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43246|43246 - EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE||466.7168|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43245|43245 - EGD DILATION GASTRIC/DUODENAL STRICTURE||411.3586|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43244|43244 - EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES||570.6026|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43243|43243 - EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES||551.4431|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43242|43242 - EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY||610.9638|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43241|43241 - EGD INTRALUMINAL TUBE/CATHETER INSERTION||335.5351|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43240|43240 - EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST||905.9951|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43239|43239 - EGD TRANSORAL BIOPSY SINGLE/MULTIPLE||326.7468|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43238|43238 - EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS||541.1209|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43237|43237 - ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS||456.5293|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43236|43236 - ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION||326.7428|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43235|43235 - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC||289.5266|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43233|43233 - EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER||529.5373|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43232|43232 - ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX||462.5672|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43231|43231 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM||375.7215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4322F|4322F - CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43229|43229 - ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION||460.3252|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43227|43227 - ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL||387.3333|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43226|43226 - ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION||308.1528|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43220|43220 - ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM||279.3793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43217|43217 - ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE||376.4739|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43216|43216 - ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS||315.139|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43215|43215 - ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY||333.6999|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43214|43214 - ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM||447.273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43213|43213 - ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER||598.5745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43212|43212 - ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT||443.7042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43211|43211 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN||547.2443|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43210|43210 - EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY||961.5039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4320F|4320F - PT COUNSEL PSYCHSOC & PHARM TX ALCOHOL DEPEND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43206|43206 - ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY||317.2424|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43205|43205 - ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES||331.495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43204|43204 - ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES||318.28|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43202|43202 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY||245.2228|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43201|43201 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ||245.2188|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43200|43200 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC||210.1754|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43198|43198 - ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY||224.2242|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43197|43197 - ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC||187|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43196|43196 - ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION||442.8462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43195|43195 - ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION||413.3485|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43194|43194 - ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY||435.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43193|43193 - ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY||379.9162|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43192|43192 - ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL||381.3566|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43191|43191 - ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH||344.8647|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43180|43180 - ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH||1232.0426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43135|43135 - DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR||3347.6227|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43130|43130 - DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR||1759.8624|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43124|43124 - TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY||8647.311|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43123|43123 - PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ||10654.0057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43122|43122 - PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL||5774.3942|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43121|43121 - PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY||6485.2254|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43118|43118 - PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ||8338.9253|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43117|43117 - PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY||5567.2689|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43116|43116 - PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF||11402.0998|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43113|43113 - TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ||10226.4304|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43112|43112 - TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY||6076.087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43108|43108 - TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ||10347.7493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43107|43107 - TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY||5748.3541|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43101|43101 - EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR||2282.7945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43100|43100 - EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR||1392.9348|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4306F|4306F - PT COUNSEL PSYCHOSOC&PHARM TX OPIOID ADDICTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4305F|4305F - PT EDUC FOOT CARE & DAILY INSPCTN FEET RCVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43045|43045 - ESOPHAGOTOMY THORACIC APPR W/RMVL FB||2930.761|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43030|43030 - CRICOPHARYNGEAL MYOTOMY||1158.3837|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|43020|43020 - ESOPHAGOTOMY CERVICAL APPR W/RMVL FB||1179.3679|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4301F|4301F - PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4300F|4300F - PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42999|42999 - UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42972|42972 - CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ||1139.8598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42971|42971 - CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION||1016.6035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42970|42970 - CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS||897.844|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42962|42962 - CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ||1153.5066|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42961|42961 - CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ||940.9958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42960|42960 - CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE||378.0005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42955|42955 - PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING||1713.2554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42953|42953 - PHARYNGOESOPHAGEAL REPAIR||2177.0092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42950|42950 - PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX||1811.7259|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4293F|4293F - PT SCRND HGH-RSK SEXUAL BEHAVIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4290F|4290F - PATIENT SCREENED FOR INJECTION DRUG USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42900|42900 - SUTURE PHARYNX WOUND/INJURY||754.5396|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42894|42894 - RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS||5351.2022|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42892|42892 - RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR||4252.3835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42890|42890 - LIMITED PHARYNGECTOMY||3214.4688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42870|42870 - EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX||1320.6035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42860|42860 - EXCISION TONSIL TAGS||415.7258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42845|42845 - RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP||5039.4959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42844|42844 - RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP||3109.2498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42842|42842 - RADICAL RESECTION TONSIL W/O CLOSURE||2262.7819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42836|42836 - ADENOIDECTOMY SECONDARY AGE 12/>||534.4007|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42835|42835 - ADENOIDECTOMY SECONDARY<AGE 12||425.0715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42831|42831 - ADENOIDECTOMY PRIMARY AGE 12/>||495.2277|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42830|42830 - ADENOIDECTOMY PRIMARY <AGE 12||458.4264|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42826|42826 - TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>||558.4099|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42825|42825 - TONSILLECTOMY PRIMARY/SECONDARY <AGE 12||581.3533|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42821|42821 - TONSILLECTOMY & ADENOIDECTOMY AGE 12/>||670.88|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42820|42820 - TONSILLECTOMY & ADENOIDECTOMY <AGE 12||646.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42815|42815 - EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRYNX||1238.9659|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42810|42810 - EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TIS||637.5017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4280F|4280F - PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42809|42809 - REMOVAL FOREIGN BODY PHARYNX||273.0691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42808|42808 - EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD||361.8193|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42806|42806 - BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION||292.1883|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42804|42804 - BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE||249.569|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42800|42800 - BIOPSY OROPHARYNX||247.9006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4279F|4279F - PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4276F|4276F - POTENT ANTIRETROVIRAL THERAPY PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4274F|4274F - FLU IMMUNO ADMIND/PREVIOUSLY RCVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42725|42725 - I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR||1826.8671|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42720|42720 - I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL||879.5127|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4271F|4271F - PT RCVNG POT ANTI R-VIRAL THX <6 MON/NOT RCVN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4270F|4270F - PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42700|42700 - I&D ABSCESS PERITONSILLAR||299.7561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4269F|4269F - APPROP METHOD OFFLOADING PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42699|42699 - UNLISTED PX SALIVARY GLANDS/DUCTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4268F|4268F - PT ED RE NEED LONG TERM COMPRESS THXPY RCVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4267F|4267F - COMPRESSION THERAPY PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4266F|4266F - USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42665|42665 - LIGATION SALIVARY DUCT INTRAORAL||453.9264|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42660|42660 - DILAT&CATHJ SALIVARY DUCT W/WO INJECTION||198.3556|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4265F|4265F - USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42650|42650 - DILATION SALIVARY DUCT||130.153|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4261F|4261F - TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4260F|4260F - WOUND SURFACE CULTURE TECHNIQUE USED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42600|42600 - CLOSURE SALIVARY FISTULA||774.8512|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4256F|4256F - DURATION GEN NEUR ANESTH <60 MIN DOCD RECORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4255F|4255F - DURATION GEN NEUR ANESTH 60 MINS/> DOC RECORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42550|42550 - INJECTION PROCEDURE SIALOGRAPHY||142.7493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42510|42510 - PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS||1424.2169|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4250F|4250F - ACTV WRMNG INTRAOP FOR NORMOTHERMIA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42509|42509 - PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS||1877.2555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42507|42507 - PAROTID DUCT DIVERSION BILATERAL WILKE PX||1139.0477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42505|42505 - PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP||1009.9557|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42500|42500 - PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM||760.4608|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4248F|4248F - COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS/>||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4245F|4245F - PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42450|42450 - EXISION OF SUBLINGUAL GLAND||795.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42440|42440 - EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND||918.6824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4242F|4242F - TLK RE SPRVSD XRCS PROG TO PTS BACK PN >12WKS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42426|42426 - EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ||3023.9983|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42425|42425 - EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL||1869.1561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42420|42420 - EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FACIAL NR||2656.5004|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42415|42415 - EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FACIAL NR||2363.3123|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42410|42410 - EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ||1388.6256|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4240F|4240F - INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN >12 WK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42409|42409 - MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA||491.696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42408|42408 - EXC SUBLINGUAL SALIVARY CYST RANULA||726.206|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42405|42405 - BIOPSY SALIVARY GLAND INCISIONAL||504.6419|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42400|42400 - BIOPSY SALIVARY GLAND NEEDLE||122.2598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42340|42340 - SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL||747.7009|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42335|42335 - SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL||574.0215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42330|42330 - SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL||367.601|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42320|42320 - DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL||390.4752|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42310|42310 - DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL||274.64|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4230F|4230F - ANTICONVUL MED THERAPY 6 MOS/>||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42305|42305 - DRAINAGE ABSCESS PAROTID COMPLICATED||962.0912|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42300|42300 - DRAINAGE ABSCESS PAROTID SIMPLE||339.2344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42299|42299 - UNLISTED PROCEDURE PALATE UVULA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42281|42281 - INSJ PIN-RETAINED PALATAL PROSTHESIS||335.6132|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42280|42280 - MAXILLARY IMPRESJ PALATAL PROSTHESIS||246.9726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42260|42260 - REPAIR NASOLABIAL FISTULA||1485.8716|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42235|42235 - REPAIR ANTERIOR PALATE W/VOMER FLAP||1616.2043|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42227|42227 - LENGTHENING PALATE W/ISLAND FLAP||1878.7588|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42226|42226 - LENGTHENING PALATE & PHARYNGEAL FLAP||1980.8593|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42225|42225 - PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP||1934.0944|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42220|42220 - PALATOPLASTY CLEFT PALATE SEC LNGTH PX||1107.3395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4221F|4221F - DIURETIC MEDICATION THERAPY 6 MOS/>||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42215|42215 - PALATOPLASTY CLEFT PALATE MAJOR REVJ||1458.4177|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42210|42210 - PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE||2210.4294|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4220F|4220F - DIGOXIN MEDICATION THERAPY 6 MONTHS/>||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42205|42205 - PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE||1981.1799|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42200|42200 - PALATOP CL PALATE SOFT&/HARD PALATE ONLY||1896.6011|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42182|42182 - REPAIR LACERATION PALATE >2 CM/COMPLEX||572.7189|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42180|42180 - REPAIR LACERATION PALATE </2 CM||410.5337|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42160|42160 - DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM||327.3091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42145|42145 - PALATOPHARYNGOPLASTY||1565.5419|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42140|42140 - UVULECTOMY EXCISION UVULA||342.0097|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42120|42120 - RESCJ PALATE/EXTENSIVE RESCJ LESION||2263.3845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4210F|4210F - ACE/ARB MEDICATION THERAPY 6 MONTHS/>||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42107|42107 - EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE||775.3804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42106|42106 - EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE||398.5803|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42104|42104 - EXC LESION PALATE UVULA W/O CLOSURE||310.0661|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42100|42100 - BIOPSY PALATE UVULA||244.3528|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4201F|4201F - EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4200F|4200F - EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|42000|42000 - DRAINAGE ABSCESS PALATE UVULA||230.6577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4196F|4196F - PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4195F|4195F - PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4194F|4194F - PATIENT RCVNG >= 10 MG DAILY PREDNISONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4193F|4193F - PATIENT RCVNG <10 MG DAILY PREDNISONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4192F|4192F - PATIENT NOT RECEIVING GLUCOCORTICOID||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4191F|4191F - APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4190F|4190F - APPROP DIURETIC THXP MONIT TST ORDRD/DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4189F|4189F - APPROP DIGOXIN THXP MONIT TST ORDRD/DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41899|41899 - UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4188F|4188F - APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4187F|4187F - DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41874|41874 - ALVEOLOPLASTY EACH QUADRANT SPECIFY||574.4163|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41872|41872 - GINGIVOPLASTY EACH QUADRANT SPECIFY||572.9195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41870|41870 - PERIODONTAL MUCOSAL GRAFTING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4186F|4186F - NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4185F|4185F - NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41850|41850 - DESTRUCTION LESION DENTOALVEOLAR STRUCTURES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41830|41830 - ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY||638.1116|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4182F|4182F - CONFORMAL RADIATION THERAPY NOT RECEIVED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41828|41828 - EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC||480.5836|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41827|41827 - EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR||687.5664|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41826|41826 - EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR||474.5875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41825|41825 - EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR||272.2885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41823|41823 - EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS||722.5736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41822|41822 - EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS||409.4107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41821|41821 - OPRCULECTOMY EXC PRICORONAL TISSUE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41820|41820 - GINGIVECTOMY EXC GINGIVA EACH QUADRANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4181F|4181F - CONFORMAL RADIATION THERAPY RECEIVED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4180F|4180F - ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41806|41806 - RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE||579.104|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41805|41805 - RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS||383.2465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41800|41800 - DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS||321.8254|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4179F|4179F - TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4178F|4178F - ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4177F|4177F - COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4176F|4176F - COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4175F|4175F - CORRECT VISUAL ACUIT 20/40/> W/IN 90 DAYS SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4174F|4174F - TLK VIS FXN & QUAL LIFE/TRXMNT FOR PT/CRGVR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4172F|4172F - PATIENT NOT RECEIVING (ESA) THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4171F|4171F - PATIENT RECEIVING (ESA) THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4169F|4169F - PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4168F|4168F - PT RCVG CARE ICU & RCVNG MECH VENT 24 HRS/<||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4167F|4167F - HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4165F|4165F - 3D-CRT OR INTENSITY MODUL RAD THXPY RECVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4164F|4164F - ADJUVANT HORMONAL THXPY RX/ADMIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4163F|4163F - PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4159F|4159F - CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41599|41599 - UNLISTED PROCEDURE TONGUE FLOOR MOUTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4158F|4158F - PATIENT COUNSELED ABOUT RISKS ALCOHOL USE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4157F|4157F - HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4155F|4155F - HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4153F|4153F - COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41530|41530 - SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION||828.2348|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41520|41520 - FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY||574.3599|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4151F|4151F - NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41512|41512 - TONGUE BASE SUSPENSION PERMANENT SUTURE TQ||1465.5698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41510|41510 - SUTURE TONGUE LIP MICROGNATHIA||924.6269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4150F|4150F - CURRENT HEPATITIS C ANTIVIRAL TREATMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41500|41500 - FIXJ TONGUE MECHANICAL OTHER/THAN SUTURE||908.1484|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4149F|4149F - HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4148F|4148F - HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4145F|4145F - 2+ ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4144F|4144F - ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4142F|4142F - CORTICOSTEROID SPARING THERAPY PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4140F|4140F - INHALED CORTICOSTEROIDS PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4136F|4136F - SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4135F|4135F - SYSTEMIC CORTICOSTEROIDS PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4134F|4134F - ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4133F|4133F - ANTIHISTAMINE/DECONGESTANT PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4132F|4132F - SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4131F|4131F - SYSTEMIC ANTIMICROBIAL TX PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4130F|4130F - ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41252|41252 - RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX||470.16|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41251|41251 - RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE||405.7654|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41250|41250 - RPR LAC 2.5 CM/< MOUTH&/ANT TWO-THIRDS TONG||340.5121|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4124F|4124F - ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4120F|4120F - ANTIBIOTIC PRESCRIBED OR DISPENSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4115F|4115F - BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41155|41155 - GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ & RAD NECK||6787.0882|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41153|41153 - GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ||5401.3981|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41150|41150 - GLSSC COMPOSIT W/RESCJ FLOOR & MANDIBULAR RESCJ||4952.9579|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41145|41145 - GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ||6253.2619|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41140|41140 - GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ||4918.1351|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41135|41135 - GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ||4882.8492|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41130|41130 - GLOSSECTOMY HEMIGLOSSECTOMY||2957.8516|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41120|41120 - GLOSSECTOMY <ONE-HALF TONGUE||2391.4687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41116|41116 - EXCISION LESION FLOOR MOUTH||489.9631|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41115|41115 - EXCISION LINGUAL FRENUM FRENECTOMY||339.8652|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41114|41114 - EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP||1419.3906|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41113|41113 - EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD||624.4736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41112|41112 - EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS||562.7601|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41110|41110 - EXCISION LESION TONGUE W/O CLOSURE||292.339|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4110F|4110F - LIMA GRAFT USED IN 1ST ISOLATED CABG PXD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41108|41108 - BIOPSY FLOOR MOUTH||201.6642|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41105|41105 - BIOPSY TONGUE POSTERIOR ONE-THIRD||248.877|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41100|41100 - BIOPSY TONGUE ANTERIOR TWO-THIRDS||240.4996|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41019|41019 - PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT||1052.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41018|41018 - XTRORAL I&D FLOOR MASTICATOR SPACE||924.2128|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41017|41017 - XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB||788.299|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41016|41016 - XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMENT||784.6738|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41015|41015 - XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL||780.1576|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41010|41010 - INCISION LINGUAL FRENUM FRENOTOMY||238.6774|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4100F|4100F - BISPHOS THXPY VENOUS ORDERED OR RECEIVED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41009|41009 - INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE||653.9955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41008|41008 - INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE||603.4218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41007|41007 - INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE||541.871|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41006|41006 - INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD||562.5804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41005|41005 - INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC||276.5283|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|41000|41000 - INTRAORAL I&D TONGUE/FLOOR LINGUAL||250.0653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4095F|4095F - PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4090F|4090F - PATIENT RECEIVING ERYTHROPOIETIN THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40899|40899 - UNLISTED PROCEDURE VESTIBULE MOUTH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4086F|4086F - ASPIRIN OR CLOPIDOGREL PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4084F|4084F - ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40845|40845 - VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG||2744.2097|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40844|40844 - VESTIBULOPLASTY ENTIRE ARCH||2353.7966|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40843|40843 - VESTIBULOPLASTY POSTERIOR BILATERAL||1904.6474|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40842|40842 - VESTIBULOPLASTY POSTERIOR UNILATERAL||1349.6364|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40840|40840 - VESTIBULOPLASTY ANTERIOR||1405.4505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40831|40831 - CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL||498.3405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40830|40830 - CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<||365.4412|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40820|40820 - DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS||377.4446|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40819|40819 - EXC FRENUM LABIAL/BUCCAL||533.3518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40818|40818 - EXC MUCOSA VESTIBULE MOUTH AS DON GRF||601.1081|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40816|40816 - EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC||706.6244|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40814|40814 - EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR||679.9583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40812|40812 - EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR||440.9434|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40810|40810 - EXC LES MUCOSA & SBMCSL VESTIBULE MOUTH W/O RPR||282.7371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40808|40808 - BIOPSY VESTIBULE MOUTH||239.3122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40806|40806 - INCISION LABIAL FRENUM FRENOTOMY||70.6122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40805|40805 - RMVL EMBEDDED FB VESTIBULE MOUTH COMP||494.9482|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40804|40804 - RMVL EMBEDDED FB VESTIBULE MOUTH SMPL||259.0654|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40801|40801 - DRG ABSC CST HMTMA VESTIBULE MOUTH COMP||495.2237|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40800|40800 - DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL||290.3661|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4079F|4079F - DOC REHAB SERVICES WERE CONSIDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40799|40799 - UNLISTED PROCEDURE LIPS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4077F|4077F - DOC T-PA ADMINISTRATION WAS CONSIDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40761|40761 - PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP||2394.646|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4075F|4075F - ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4073F|4073F - ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40720|40720 - PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT & RECL||2261.613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4070F|4070F - DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40702|40702 - PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS||1907.5033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40701|40701 - PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX||2271.832|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40700|40700 - PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI||2015.7795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4069F|4069F - VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4067F|4067F - PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4066F|4066F - ELECTROCONVULSIVE THERAPY (ECT) PROVIDED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4065F|4065F - ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40654|40654 - RPR LIP FULL THKNS >ONE-HALF VERT HEIGHT/COMPLE||937.2039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40652|40652 - RPR LIP FULL THICKNESS HALF/< VERTICAL HEIGHT||774.3187|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40650|40650 - RPR LIP FULL THICKNESS VERMILION ONLY||659.6186|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4064F|4064F - ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4063F|4063F - ANTIDEPRESSANT RXTHXY CONSIDER & NOT PRESCRIBE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4062F|4062F - PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4060F|4060F - PSYCHOTHERAPY SERVICES PROVIDED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4058F|4058F - PAG PROVIDED TO CAREGIVER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4056F|4056F - APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4055F|4055F - PATIENT RECEIVING PERITONEAL DIALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4054F|4054F - HEMODIALYSIS VIA CATHETER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4053F|4053F - HEMODIALYSIS VIA FUNCTIONING AVGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40530|40530 - RESCJ LIP > ONE-FOURTH W/O RCNSTJ||894.2382|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4052F|4052F - HEMODIAL VIA FUNCTIONG AV FISTULA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40527|40527 - EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP||1375.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40525|40525 - EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP||1222.0838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40520|40520 - EXC LIP V-EXC W/PRIM DIR LINR CLSR||793.9333|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4051F|4051F - REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40510|40510 - EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR||790.5563|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4050F|4050F - HYPERTENSION PLAN OF CARE DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40500|40500 - VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT||802.1649|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4049F|4049F - DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|40490|40490 - BIOPSY OF LIP||163.5321|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4048F|4048F - DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4047F|4047F - DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4046F|4046F - DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4045F|4045F - APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4044F|4044F - DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4043F|4043F - DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4042F|4042F - DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4041F|4041F - DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4040F|4040F - PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4037F|4037F - INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4035F|4035F - INFLUENZA IMMUNIZATION RECOMMENDED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4033F|4033F - PULMONARY REHABILITATION RECOMMENDED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4030F|4030F - LONG-TERM OXYGEN THERAPY PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4025F|4025F - INHALED BRONCHODILATOR PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4019F|4019F - DOCUMENT COUNSELING EXERCISE CALCIUM & VITAMIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4018F|4018F - THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4017F|4017F - GI PROPHYLAXIS NSAID USE PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4016F|4016F - ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4015F|4015F - PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4014F|4014F - DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4013F|4013F - STATIN THERAPY RXD/CURRENTLY TAKEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4012F|4012F - WARFARIN THERAPY PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4011F|4011F - ORAL ANTIPLATELET THERAPY PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4010F|4010F - ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4008F|4008F - BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4005F|4005F - PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4004F|4004F - PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4003F|4003F - PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4001F|4001F - TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|4000F|4000F - TOBACCO USE CESSATION IVNTJ COUNSELING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39599|39599 - UNLISTED PROCEDURE DIAPHRAGM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39561|39561 - RESCJ DIAPHRAGM W/COMPLEX REPAIR||2765.2173|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39560|39560 - RESCJ DIAPHRAGM W/SIMPLE REPAIR||1778.9856|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39545|39545 - IMBRICATION DIAPHRAGM EVENTRATION||2000.1131|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39541|39541 - RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC||2112.5824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39540|39540 - RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT||1937.7035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39503|39503 - RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ||13809.8263|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39501|39501 - REPAIR LACERATION DIAPHRAGM ANY APPROACH||1895.9027|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39499|39499 - UNLISTED PROCEDURE MEDIASTINUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39402|39402 - MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES||915.7242|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39401|39401 - MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY||700.2118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39220|39220 - RESECTION MEDIASTINAL TUMOR||2555.8548|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39200|39200 - RESECTION OF MEDIASTINAL CYST||1978.9508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39010|39010 - MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR||1764.8587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|39000|39000 - MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR||1107.3322|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38999|38999 - UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38900|38900 - INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION||310.9998|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38794|38794 - CANNULATION THORACIC DUCT||663.4959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38792|38792 - INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE||87.5458|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38790|38790 - INJECTION PROCEDURE LYMPHANGIOGRAPHY||184.4003|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38780|38780 - RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC&RNL||2283.7838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38770|38770 - PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR&OBTURATOR||1801.9926|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38765|38765 - INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC||2886.5772|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38760|38760 - INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX||1875.5315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38747|38747 - ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC||602.1691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38746|38746 - THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC||487.9983|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38745|38745 - AXILLARY LYMPHADENECTOMY COMPLETE||1950.8258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38740|38740 - AXILLARY LYMPHADENECTOMY SUPERFICIAL||1543.069|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38724|38724 - CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ||3248.2636|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38720|38720 - CERVICAL LYMPHADENECTOMY||3003.8657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38700|38700 - SUPRAHYOID LYMPHADENECTOMY||1795.3787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38589|38589 - UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38572|38572 - LAPS BI TOT PEL LMPHADEC & PRI-AORTIC LYMPH BX 1||2074.9047|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38571|38571 - LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY||1491.6921|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38570|38570 - LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT||1122.6917|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38564|38564 - LMTD LMPHADEC STAGING SPX RPR AORTIC&/SPLENIC||1568.14|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38562|38562 - LMTD LMPHADEC STAGING SPX PEL&PARA-AORTIC||1558.153|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38555|38555 - EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ||2232.9676|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38550|38550 - EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ||1118.0861|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38542|38542 - DISSECTION DEEP JUGULAR NODE||1151.5925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38530|38530 - BX/EXC LYMPH NODE OPEN INT MAMMARY NODE||1219.3875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38525|38525 - BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE||967.6466|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38520|38520 - BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD||1029.7226|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38510|38510 - BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE||937.4858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38505|38505 - BX/EXC LYMPH NODE NEEDLE SUPERFICIAL||158.5116|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38500|38500 - BX/EXC LYMPH NODE OPEN SUPERFICIAL||563.502|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38382|38382 - SUTR&/LIG THORACIC DUCT ABDOMINAL APPROACH||1381.766|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38381|38381 - SUTR&/LIG THORACIC DUCT THORACIC APPROACH||1796.1303|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38380|38380 - SUTR&/LIG THORACIC DUCT CERVICAL APPROACH||1261.4195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38308|38308 - LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS||990.3008|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38305|38305 - DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV||1051.5148|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38300|38300 - DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL||405.4069|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38243|38243 - TRNSPLJ HEMATOPOIETIC CELL BOOST||261.4492|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38242|38242 - ALLOGENEIC LYMPHOCYTE INFUSIONS||262.0107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38241|38241 - TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR||373.5657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38240|38240 - TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR||498.3317|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38232|38232 - BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS||441.467|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38230|38230 - BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC||442.9155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38221|38221 - DIAGNOSTIC BONE MARROW BIOPSIES||166.8931|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38220|38220 - DIAGNOSTIC BONE MARROW ASPIRATIONS||137.0328|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38215|38215 - TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM||111.2658|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38214|38214 - TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ||95.7154|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38213|38213 - TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ||28.0372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38212|38212 - TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL||111.2658|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38211|38211 - TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ||167.3402|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38210|38210 - TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL||185.226|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38209|38209 - TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR||28.0372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38208|38208 - TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR||66.1484|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38207|38207 - TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR||105.0611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38206|38206 - BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL||185.3364|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38205|38205 - BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC||184.6122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38204|38204 - MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ||235.8239|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38200|38200 - INJECTION PROCEDURE SPLENOPORTOGRAPY||265.6391|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38129|38129 - UNLISTED LAPAROSCOPY PROCEDURE SPLEEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38120|38120 - LAPAROSCOPIC SURGICAL SPLENECTOMY||2353.049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38115|38115 - RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT||2841.5113|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38102|38102 - SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX||591.2774|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38101|38101 - SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE||2593.5551|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|38100|38100 - SPLENECTOMY TOTAL SEPARATE PROCEDURE||2586.3611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37799|37799 - UNLISTED PROCEDURE VASCULAR SURGERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37790|37790 - PENILE VENOUS OCCLUSIVE PROCEDURE||1119.214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37788|37788 - PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT||2887.3031|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37785|37785 - LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG||589.269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37780|37780 - LIGJ & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX||573.344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3776F|3776F - ADENOMA(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37766|37766 - STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS||1247.5858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37765|37765 - STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS||1019.3627|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37761|37761 - LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG||1249.8318|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37760|37760 - LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG||1401.7464|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3775F|3775F - ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37735|37735 - LIGJ & DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS||1550.5224|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37722|37722 - LIGJ DIVJ&STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW||1089.7823|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37718|37718 - LIGJ DIVJ & STRIPPING SHORT SAPHENOUS VEIN||989.3236|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37700|37700 - LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ||562.2977|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37660|37660 - LIGATION OF COMMON ILIAC VEIN||2649.3926|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37650|37650 - LIGATION OF FEMORAL VEIN||1149.7018|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3763F|3763F - PATIENT IS NOT DYSARTHRIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3762F|3762F - PATIENT IS DYSARTHRIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3761F|3761F - PT WO/DYSPHAG/WT LOSS/IMPAIRED NUTRITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37619|37619 - INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I||3715.9157|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37618|37618 - LIGATION MAJOR ARTERY EXTREMITY||862.919|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37617|37617 - LIGATION MAJOR ARTERY ABDOMEN||3022.3863|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37616|37616 - LIGATION MAJOR ARTERY CHEST||2481.6255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37615|37615 - LIGATION MAJOR ARTERY NECK||1140.1562|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3760F|3760F - PT W/DYSPHAG/WT LOSS/IMPAIRED NUTRITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37609|37609 - LIGATION/BIOPSY TEMPORAL ARTERY||461.7818|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37607|37607 - LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA||853.1576|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37606|37606 - LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION||1298.6244|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37605|37605 - LIGATION INTERNAL/COMMON CAROTID ARTERY||1812.9488|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37600|37600 - LIGATION EXTERNAL CAROTID ARTERY||1603.3985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3759F|3759F - PT SCRND DYSPHAGIA WT LOSS IMPAIRED NUTRITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3758F|3758F - PULM FUNC TESTING/PEAK COUGH EXPIRATORY FLOW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3757F|3757F - NO PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3756F|3756F - PT HAS PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37565|37565 - LIGATION INTERNAL JUGULAR VEIN||1631.4373|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3755F|3755F - COGNITIVE&BEHAVIORAL IMPAIRMENT SCRNG PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3754F|3754F - SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3753F|3753F - PT HAS CLINICAL SYMP&SIGNS NEUROPATHY W/CAUSE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3752F|3752F - ELECTRODIAG STUDIES DSP NOT DOCD RVWD W/IN 6 MON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3751F|3751F - ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3750F|3750F - PT NOT RCVNG CORTICOSTERIDS>/=10MG/DAY 60/> DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37501|37501 - UNLISTED VASCULAR ENDOSCOPY PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37500|37500 - VASC ENDOSCOPY SURG W/LIG PERFORATOR VEINS SPX||1707.5002|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3725F|3725F - SCREENING FOR DEPRESSION PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37253|37253 - INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL||168.2835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37252|37252 - INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL||210.3494|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37244|37244 - VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE||1559.3413|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37243|37243 - VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT||1332.1308|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37242|37242 - VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I||1128.0618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37241|37241 - VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I||1029.7782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37239|37239 - OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL||342.3367|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37238|37238 - OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST||718.5907|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37237|37237 - OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL||489.0158|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37236|37236 - OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL||1037.0809|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37235|37235 - REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP EA VSL||926.6771|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37234|37234 - REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL||651.42|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37233|37233 - REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP UNI EA VSL||757.4003|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37232|37232 - REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL||465.2507|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37231|37231 - REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL||1773.8765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37230|37230 - REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL||1630.7574|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37229|37229 - REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL||1655.9831|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37228|37228 - REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI||1280.3446|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37227|37227 - REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL||1707.4921|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37226|37226 - REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL||1231.2684|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37225|37225 - REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL||1419.6919|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37224|37224 - REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI||1048.0612|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37223|37223 - REVSC OPN/PRQ ILIAC ART W/STNT & ANGIOP IPSILATL||492.6611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37222|37222 - REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL||429.7271|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37221|37221 - REVSC OPN/PRQ ILIAC ART W/STNT PLMT & ANGIOPLSTY||1170.0109|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37220|37220 - REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL||952.0244|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37218|37218 - TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE||1865.7734|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37217|37217 - TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE||2499.6523|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37216|37216 - TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37215|37215 - TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ||2278.8181|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37214|37214 - CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL||309.2509|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37213|37213 - THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX||563.8678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37212|37212 - THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX||802.4211|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37211|37211 - THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX||912.2706|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3720F|3720F - COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37200|37200 - TRANSCATHETER BIOPSY||500.6905|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37197|37197 - PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING||720.7714|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37195|37195 - THROMBOLYSIS CEREBRAL IV INFUSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37193|37193 - RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I||834.4258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37192|37192 - REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I||838.1396|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37191|37191 - INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I||543.3863|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37188|37188 - PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX||667.4562|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37187|37187 - PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN||929.1479|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37186|37186 - SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL||569.8437|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37185|37185 - PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ||383.2917|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37184|37184 - PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST||1047.4393|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37183|37183 - REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT||894.5379|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37182|37182 - INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT||1894.9343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37181|37181 - VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL||5226.6577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37180|37180 - VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL||4587.913|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37160|37160 - VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC||4963.9365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37145|37145 - VENOUS ANASTOMOSIS OPEN RENOPORTAL||4832.584|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|37140|37140 - VENOUS ANASTOMOSIS OPEN PORTOCAVAL||5166.47|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3700F|3700F - PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36870|36870 - PERCUT THROMBECT AV FISTULA||674.8339|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36861|36861 - XTRNL CANNULA DECLTNG SPX W/BALO CATH||299.5507|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36860|36860 - XTRNL CANNULA DECLTNG SPX W/O BALO CATH||247.4527|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36838|36838 - DSTL REVSC&INTERVAL LIG UXTR HEMO ACCESS||2629.3026|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36835|36835 - INSERTION THOMAS SHUNT SEPARATE PROCEDURE||1107.6287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36833|36833 - REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF||1859.6693|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36832|36832 - REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF||1734.1106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36831|36831 - THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF||1412.9837|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36830|36830 - CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF||1530.0876|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36825|36825 - CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF||1831.5999|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36823|36823 - INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL||3028.0875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36821|36821 - ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT||1520.327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36820|36820 - ARVEN ANAST OPN F/ARM VEIN TRPOS||1672.6372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36819|36819 - ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS||1678.7887|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36818|36818 - ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS||1586.6462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36815|36815 - INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR||330.8102|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36810|36810 - INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL||488.7765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36800|36800 - INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN||279.9199|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36680|36680 - PLACEMENT NEEDLE INTRAOSSEOUS INFUSION||132.2315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36660|36660 - CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY||145.4183|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36640|36640 - ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN||264.8383|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36625|36625 - ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN||236.027|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36620|36620 - ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ||115.8593|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36600|36600 - ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX||35.2062|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36598|36598 - CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT||83.542|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36597|36597 - RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE||138.8067|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36596|36596 - MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN||100.2928|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36595|36595 - MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS||416.8311|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36593|36593 - DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH||63.7404|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36592|36592 - COLLECT BLOOD FROM CATHETER VENOUS NOS||53.5972|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36591|36591 - COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE||47.8033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36590|36590 - RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ||458.4248|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36589|36589 - RMVL TUN CVC W/O SUBQ PORT/PMP||307.6526|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36585|36585 - RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT||637.9061|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36584|36584 - COMPLETE REPLACEMENT PICC RS&I||149.5848|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36583|36583 - RPLCMT COMPL TUN CTR VAD W/SUBQ PMP||756.9298|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36582|36582 - RPLCMT COMPL TUN CTR VAD W/SUBQ PORT||687.568|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36581|36581 - RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP||441.2962|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36580|36580 - RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP||151.2202|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36578|36578 - RPLCMT CATH CTR VAD SUBQ PORT/PMP||483.8422|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36576|36576 - RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT||443.0452|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36575|36575 - RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP||79.3593|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36571|36571 - INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>||723.9213|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36570|36570 - INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR||697.1103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36569|36569 - INSERTION PICC W/O IMG GDN 5 YR/>||206.7943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36568|36568 - INSERTION PICC W/O IMG GDN < 5 YR||219.1997|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36566|36566 - INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT||864.8798|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36565|36565 - INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP||786.952|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36563|36563 - INSJ TUNNELED CTR VAD W/SUBQ PUMP||855.9772|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36561|36561 - INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>||794.8058|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36560|36560 - INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR||871.5888|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36558|36558 - INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>||621.9287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36557|36557 - INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR||733.9502|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36556|36556 - INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>||273.2149|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36555|36555 - INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y||268.8574|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36522|36522 - PHOTOPHERESIS EXTRACORPOREAL||225.8362|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36516|36516 - THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION||155.6179|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36515|36515 - THER APHERESIS W/XTRCORP IMMUNODSPTJ& PLSM RENFJ||197.4767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36514|36514 - THERAPEUTIC APHERESIS PLASMA PHERESIS||208.3201|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36513|36513 - THERAPEUTIC APHERESIS PLATELETS||217.0431|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36512|36512 - THERAPEUTIC APHERESIS RED BLOOD CELLS||210.4726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36511|36511 - THERAPEUTIC APHERESIS WHITE BLOOD CELLS||209.0242|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36510|36510 - CATHJ UMBILICAL VEIN DX/THER NB||124.7861|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3650F|3650F - ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36500|36500 - VEN CATHJ SLCTV ORGAN BLD SAMPLING||412.6355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36481|36481 - PRQ PORTAL VEIN CATHETERIZATION ANY METHOD||791.4336|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36479|36479 - ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS||310.0154|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36478|36478 - ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN||634.5194|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36476|36476 - ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS||310.0315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36475|36475 - ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN||638.1607|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36471|36471 - INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS||224.2975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36470|36470 - INJECTION SCLEROSANT SINGLE INCMPTNT VEIN||184.2948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36468|36468 - INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36460|36460 - TRANSFUSION INTRAUTERINE FETAL||774.5072|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36455|36455 - EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN||284.3136|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36450|36450 - EXCHNG TRANSFUSION BLOOD NEWBORN||262.3273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36440|36440 - PUSH TRANSFUSION BLOOD 2 YR/UNDER||127.9191|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36430|36430 - TRANSFUSION BLOOD/BLOOD COMPONENTS||70.9827|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36425|36425 - VENIPUNCTURE CUTDOWN AGE 1 YR/>||89.5107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36420|36420 - VENIPUNCTURE CUTDOWN UNDER AGE 1 YR||117.6332|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36416|36416 - COLLECTION CAPILLARY BLOOD SPECIMEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36415|36415 - COLLECTION VENOUS BLOOD VENIPUNCTURE||6.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36410|36410 - VNPNXR 3 YEARS/> PHYS/QHP SKILL||21.0269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36406|36406 - VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN||18.8542|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36405|36405 - VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN||36.5733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36400|36400 - VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN||45.1174|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36299|36299 - UNLISTED PROCEDURE VASCULAR INJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36262|36262 - REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP||675.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36261|36261 - REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP||886.469|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36260|36260 - INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM||1401.1414|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36254|36254 - SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I||988.2561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36253|36253 - SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I||859.1883|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36252|36252 - SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL||850.5321|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36251|36251 - SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN||639.2797|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36248|36248 - SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH||113.2798|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36247|36247 - SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH||724.4369|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36246|36246 - SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH||612.5363|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36245|36245 - SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH||574.6942|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36228|36228 - SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT||526.7161|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36227|36227 - SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC||257.6355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36226|36226 - SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY||815.3791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36225|36225 - SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY||721.3974|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36224|36224 - SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART||813.1984|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36223|36223 - SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART||731.5608|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36222|36222 - SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART||669.7578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36221|36221 - NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART||489.8173|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36218|36218 - SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH||120.5503|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36217|36217 - SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH||744.0314|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36216|36216 - SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH||625.5765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36215|36215 - SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH||534.3781|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36200|36200 - INTRODUCTION CATHETER AORTA||349.2858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36160|36160 - INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR||281.3442|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36148|36148 - ACCESS AV DIAL GRFT FOR PROC||111.754|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36147|36147 - ACCESS AV DIAL GRFT FOR EVAL||423.735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36140|36140 - INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY||234.5092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36120|36120 - INTRO NEEDLE/INTRACATH RETROGRADE BRACHIAL ART||228.7033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36100|36100 - INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY||352.8909|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36015|36015 - SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART||390.824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36014|36014 - SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY||341.2145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36013|36013 - INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY||284.9815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36012|36012 - SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC||396.6702|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36011|36011 - SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH||357.436|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36010|36010 - INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA||278.4835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36005|36005 - NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH||109.9068|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36002|36002 - INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM||240.5721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|36000|36000 - INTRODUCTION NEEDLE/INTRACATHETER VEIN||21.0269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35907|35907 - EXCISION INFECTED GRAFT ABDOMEN||4410.9564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35905|35905 - EXCISION INFECTED GRAFT THORAX||3888.2965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35903|35903 - EXCISION INFECTED GRAFT EXTREMITY||1288.6261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35901|35901 - EXCISION INFECTED NECK GRAFT||1082.1573|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35884|35884 - REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT||2860.7707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35883|35883 - REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT||2786.8814|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35881|35881 - REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS||2350.7587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35879|35879 - REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP||2125.4857|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35876|35876 - THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF||2175.2127|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35875|35875 - THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL||1364.3305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35870|35870 - RPR GRF-ENTERIC FSTL||2868.9411|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35860|35860 - EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR||1924.4909|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35840|35840 - EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD||2686.7143|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35820|35820 - EXPL PO HEMRRG THROMBOSIS/INFCTJ CH||4548.9809|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35800|35800 - EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK||1614.4457|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35761|35761 - EXPL N/FLWD SURG RPR W/WO LYSIS OTHER ARTERY||878.0143|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35741|35741 - EXPL N/FLWD SURG RPR W/WO LYSIS POPLITEAL ARTERY||1173.052|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3573F|3573F - PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3572F|3572F - PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35721|35721 - EXPL N/FLWD SURG RPR W/WO LYSIS FEMORAL ARTERY||1038.3465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3570F|3570F - REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35701|35701 - EXPLORATION N/FLWD SURG NECK ARTERY||1281.329|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35700|35700 - ROPRTJ > 1 MO AFTER ORIGINAL OPRATION||353.4234|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35697|35697 - RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART||341.1767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35695|35695 - TRPOS&/RIMPLTJ CAROTID SUBCLAVIAN ART||2417.4234|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35694|35694 - TRPOS&/RIMPLTJ SUBCLAVIAN CAROTID ART||2281.3912|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35693|35693 - TRPOS&/RIMPLTJ VERTEBRAL SUBCLAVIAN ART||1877.527|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35691|35691 - TRPOS&/RIMPLTJ VERTEBRAL CAROTID ART||2209.7229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35686|35686 - CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO||373.6728|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35685|35685 - PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT||459.8185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35683|35683 - BYP AUTOG COMPOSIT 3/> SEG FROM 2/> LOCATION||954.1552|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35682|35682 - BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS||817.4326|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35681|35681 - BYPASS COMPOSITE GRAFT PROSTHETIC & VEIN||184.8063|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35671|35671 - BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART||2571.7323|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35666|35666 - BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL||2917.8158|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35665|35665 - BYP OTH/THN VEIN ILIOFEMORAL||2704.2312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35663|35663 - BYP OTH/THN VEIN ILIOILIAC||2893.1879|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35661|35661 - BYP OTH/THN VEIN FEMORAL-FEMORAL||2498.7686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35656|35656 - BYP OTH/THN VEIN FEMORAL-POPLITEAL||2499.0328|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35654|35654 - BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL||3159.5456|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35650|35650 - BYP OTH/THN VEIN AXILLARY-AXILLARY||2483.4381|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35647|35647 - BYP OTH/THN VEIN AORTOFEMORAL||3587.7267|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35646|35646 - BYP OTH/THN VEIN AORTOBIFEMORAL||3959.1785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35645|35645 - BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL||2331.6451|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35642|35642 - BYP OTH/THN VEIN CAROTID-VERTEBRAL||2272.0825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35638|35638 - BYP OTH/THN VEIN AORTOBI-ILIAC||4061.3628|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35637|35637 - BYP OTH/THN VEIN AORTOILIAC||3976.3853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35636|35636 - BYP OTH/THN VEIN SPLENORENAL||3699.9786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35634|35634 - BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL||4082.7901|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35633|35633 - BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC||4625.196|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35632|35632 - BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC||4168.2929|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35631|35631 - BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL||4269.6483|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35626|35626 - BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE||3603.8685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35623|35623 - BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL||3034.9295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35621|35621 - BYP OTH/THN VEIN AXILLARY-FEMORAL||2533.3351|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35616|35616 - BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY||2547.0939|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35612|35612 - BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN||2470.5517|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35606|35606 - BYP OTH/THN VEIN CAROTID-SUBCLAVIAN||2705.1544|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35601|35601 - BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID||3234.2784|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35600|35600 - HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG||580.1859|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35587|35587 - IN-SITU VEIN BYP POP-TIBL PRONEAL||3148.8046|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35585|35585 - IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART||3875.0791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35583|35583 - IN-SITU VEIN BYPASS FEMORAL-POPLITEAL||3338.2044|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35572|35572 - HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX||796.2148|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35571|35571 - BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL||3067.8341|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35570|35570 - BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL||3504.7503|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35566|35566 - BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL||3857.6814|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35565|35565 - BYPASS W/VEIN ILIOFEMORAL||3049.4197|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35563|35563 - BYPASS W/VEIN ILIOILIAC||3069.0747|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35560|35560 - BYPASS W/VEIN AORTORENAL||3963.449|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3555F|3555F - PT HAD INR MEASUREMENT PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35558|35558 - BYPASS W/VEIN FEMORAL-FEMORAL||2836.6584|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35556|35556 - BYPASS W/VEIN FEMORAL-POPLITEAL||3229.3071|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35540|35540 - BYPASS W/VEIN AORTOBIFEMORAL||5669.6812|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35539|35539 - BYPASS W/VEIN AORTOFEMORAL||5070.3663|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35538|35538 - BYPASS W/VEIN AORTOBI-ILIAC||5421.824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35537|35537 - BYPASS W/VEIN AORTOILIAC||5043.5553|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35536|35536 - BYPASS W/VEIN SPLENORENAL||3903.83|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35535|35535 - BYPASS W/VEIN HEPATORENAL||4423.8363|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35533|35533 - BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL||3458.1022|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35531|35531 - BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC||4659.255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3552F|3552F - HIGH RISK FOR THROMBOEMBOLISM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35526|35526 - BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE||3892.3446|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35525|35525 - BYPASS W/VEIN BRACHIAL-BRACHIAL||2632.8876|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35523|35523 - BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL||2949.1487|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35522|35522 - BYPASS W/VEIN AXILLARY-BRACHIAL||2782.5159|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35521|35521 - BYPASS W/VEIN AXILLARY-FEMORAL||2849.2853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3551F|3551F - INTERMEDIATE RISK FOR THROMBOEMBOLISM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35518|35518 - BYPASS W/VEIN AXILLARY-AXILLARY||2674.1663|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35516|35516 - BYPASS W/VEIN SUBCLAVIAN-AXILLARY||2818.7943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35515|35515 - BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL||3285.1857|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35512|35512 - BYPASS W/VEIN SUBCLAVIAN-BRACHIAL||2813.2736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35511|35511 - BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN||2587.8821|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35510|35510 - BYPASS W/VEIN CAROTID-BRACHIAL||2841.2777|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3550F|3550F - LOW RISK FOR THROMBOEMBOLISM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35509|35509 - BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID||3256.2317|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35508|35508 - BYPASS W/VEIN CAROTID-VERTEBRAL||3122.609|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35506|35506 - BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID||2943.889|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35501|35501 - BYPASS W/VEIN COMMON-IPSILATERAL CAROTID||3441.9178|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35500|35500 - HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX||735.9457|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35476|35476 - REPAIR VENOUS BLOCKAGE||611.7524|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35475|35475 - REPAIR ARTERIAL BLOCKAGE||760.1973|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35472|35472 - REPAIR ARTERIAL BLOCKAGE||812.8278|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35471|35471 - REPAIR ARTERIAL BLOCKAGE||1193.5609|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35460|35460 - REPAIR VENOUS BLOCKAGE||720.9898|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35458|35458 - REPAIR ARTERIAL BLOCKAGE||1132.5136|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35452|35452 - REPAIR ARTERIAL BLOCKAGE||786.7957|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35450|35450 - REPAIR ARTERIAL BLOCKAGE||1165.4407|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35400|35400 - ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ||344.0776|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35390|35390 - ROPRTJ CRTD TEAEC > 1 MO AFTER ORIGINAL OPRATIO||367.3626|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35372|35372 - TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL||2258.9698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35371|35371 - TEAEC W/WO PATCH GRAFT COMMON FEMORAL||1883.7059|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35363|35363 - TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL||4010.5748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35361|35361 - TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC||3545.5618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35355|35355 - TEAEC W/WO PATCH GRAFT ILIOFEMORAL||2386.1027|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35351|35351 - TEAEC W/WO PATCH GRAFT ILIAC||2948.8096|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35341|35341 - TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL||3146.648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35331|35331 - TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA||3335.7836|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35321|35321 - TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL||2044.1615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35311|35311 - TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC||3355.3886|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35306|35306 - TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART||1057.4545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35305|35305 - TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL||2831.8482|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35304|35304 - TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY||2956.6786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35303|35303 - TEAEC W/GRAFT POPLITEAL ARTERY||2865.9032|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35302|35302 - TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY||2589.5561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35301|35301 - TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC||2600.3342|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35286|35286 - RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY||2144.6943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35281|35281 - RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL||3703.4362|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35276|35276 - RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP||3295.681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35271|35271 - RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP||3106.3513|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35266|35266 - RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY||1993.7351|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35261|35261 - REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK||2419.3005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35256|35256 - REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY||2337.4994|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35251|35251 - REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL||3888.8483|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35246|35246 - RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP||3569.5509|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35241|35241 - RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP||3129.1972|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35236|35236 - REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY||2242.7209|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35231|35231 - REPAIR BLOOD VESSEL W/VEIN GRAFT NECK||2760.0147|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35226|35226 - RPR BLOOD VESSEL DIRECT LOWER EXTREMITY||1906.7959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35221|35221 - RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL||3315.9015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35216|35216 - RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS||4640.881|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35211|35211 - RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS||3117.9954|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3520F|3520F - CLOSTRIDIUM DIFFICILE TESTING PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35207|35207 - REPAIR BLOOD VESSEL DIRECT HAND FINGER||1672.9731|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35206|35206 - REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY||1769.4675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35201|35201 - REPAIR BLOOD VESSEL DIRECT NECK||2164.2333|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35190|35190 - RPR/TRAUMATIC AV FISTULA EXTREMITIES||1736.3567|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35189|35189 - RPR/TRAUMATIC AV FISTULA THORAX & ABDOMEN||3528.1649|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35188|35188 - RPR/TRAUMATIC AV FISTULA HEAD & NECK||2596.3408|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35184|35184 - RPR CONGENITAL AV FISTULA EXTREMITIES||2384.8467|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35182|35182 - RPR CONGENITAL AV FISTULA THORAX & ABDOMEN||4048.7891|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35180|35180 - REPAIR CONGENITAL AV FISTULA HEAD & NECK||2103.2456|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3517F|3517F - HBV STATUS ASSESSED W/ RESULTS IN 1 YR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3515F|3515F - PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35152|35152 - DIR RPR RUPTD ANEURYSM & GRF POPLITEAL ARTERY||3229.5616|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35151|35151 - DIR RPR ANEURYSM & GRAFT POPLITEAL ARTERY||2859.6453|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3514F|3514F - HEPATITIS C SCREENING DOCUMENTED AS PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35142|35142 - DIR RPR RUPTD ANEURYSM & GRF COMMON FEMORAL ART||3043.1377|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35141|35141 - DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY||2544.6667|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3513F|3513F - HEPATITIS B SCREENING DOCUMENTED AS PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35132|35132 - DIR RPR RUPTD ANEURYSM & GRAFT ILIAC ARTERY||3763.8125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35131|35131 - DIR RPR ANEURYSM & GRAFT ILIAC ARTERY||3193.1164|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3512F|3512F - SYPHILIS SCREENING DOCUMENTED AS DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35122|35122 - DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN||4887.5603|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35121|35121 - DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC||3779.9051|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3511F|3511F - CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35112|35112 - DIR RPR RUPTD ANEURYSM SPLENIC ARTERY||4191.1332|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35111|35111 - DIR RPR ANEURYSM SPLENIC ARTERY||3468.8891|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3510F|3510F - DOCJ TB SCREEN PERFORMED & RESULTS INTERPRET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35103|35103 - DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS||5174.4027|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35102|35102 - DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS||4354.1626|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35092|35092 - DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS||5989.4757|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35091|35091 - DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS||4135.8741|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35082|35082 - DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA||5050.2892|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35081|35081 - DIR RPR ANEURYSM ABDOMINAL AORTA||4020.2162|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35045|35045 - DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY||2272.3613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3503F|3503F - HIV RNA VIRAL LOAD NOT <LIMITS OF QUANTIF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3502F|3502F - HIV RNA VIRAL LOAD <LIMITS OF QUANTIF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35022|35022 - DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN||3176.8547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35021|35021 - DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY||2845.5006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35013|35013 - DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS||2875.9087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35011|35011 - DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION||2300.2712|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3500F|3500F - CD4+CELL CNT/CD4+CELL % DOCD AS DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35005|35005 - DIR RPR ANEURYSM VERTEBRAL ARTERY||2469.4384|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35002|35002 - DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY||2617.0954|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|35001|35001 - DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY||2569.9092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3498F|3498F - CD4+ CELL PERCENTAGE >= 15% HIV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3497F|3497F - CD4+ CELL PERCENTAGE <15% HIV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3496F|3496F - CD4+ CELL COUNT >= 500 CELLS/MM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3495F|3495F - CD4+ CELL COUNT 200-499 CELLS/MM (HIV)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3494F|3494F - CD4+ CELL COUNT <200 CELLS/MM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3493F|3493F - NO HIST NADIR CD4+ CELL CNT <350&AIDS CONDITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3492F|3492F - HISTORY OF NADIR CD4+ CELL COUNT <350 CELLS/MM3||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3491F|3491F - HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3490F|3490F - HISTORY OF AIDS-DEFINING CONDITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34900|34900 - EVASC RPR ILIAC ART ILIO-ILIAC PROSTHESIS||2056.388|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34848|34848 - VISCER AND INFRARENAL ABDOM AORTA 4+ PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34847|34847 - VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34846|34846 - VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34845|34845 - VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34844|34844 - ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34843|34843 - ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34842|34842 - ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34841|34841 - ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34839|34839 - PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34834|34834 - OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI||627.671|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34833|34833 - OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP||1401.4838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34832|34832 - OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH||4357.2134|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34831|34831 - OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH||4384.9396|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34830|34830 - OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH||4069.584|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34826|34826 - PLMT XTN PROSTH EVASC RPR ARYSM/DSJ EA VSL||473.5056|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34825|34825 - PLMT XTN PROSTH EVASC RPR ARYSM/DSJ 1ST VSL||1593.5711|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34820|34820 - OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI||1132.4684|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34813|34813 - PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR||546.3831|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34812|34812 - OPN FEM ART EXPOS DLVR EVASC PROSTH UNI||777.5273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34808|34808 - EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE||477.1469|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34806|34806 - TCAT PLACEMENT PHYSIOLOGIC SENSOR ANEURYSMAL SAC||231.3231|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34805|34805 - EVASC RPR AAA AORTO-UNIILIAC/AORTO-UNIFEM PROSTH||2740.218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34804|34804 - EVASC RPR AAA W/UNIBDY BFRC PROSTH||2860.8908|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34803|34803 - EVASC RPR AAA W/MDLR BFRC PROSTH 2 LIMBS||2962.0455|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34802|34802 - EVASC RPR AAA W/MDLR BFRC PROSTH 1 LIMB||2864.4958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34800|34800 - EVASC RPR AAA W/AORTO-AORTIC TUBE PROSTH||2596.1475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3476F|3476F - DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3475F|3475F - DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3472F|3472F - RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3471F|3471F - RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3470F|3470F - RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3455F|3455F - TB SCRNG DONE INTRPD </6 MOS START RA THXPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34530|34530 - SAPHENOPOPLITEAL VEIN ANASTOMOSIS||2473.7588|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3452F|3452F - DYSPNEA NOT SCREENED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34520|34520 - CROSS-OVER VEIN GRAFT VENOUS SYSTEM||2304.453|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3451F|3451F - DYSPNEA SCRND MOD-SEVERE DYSPNEA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34510|34510 - VENOUS VALVE TRANSPOSITION ANY VEIN DONOR||2693.6924|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3450F|3450F - DYSPNEA SCRND NO-MILD DYSPNEA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34502|34502 - RECONSTRUCTION VENA CAVA ANY METHOD||3491.3717|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34501|34501 - VALVULOPLASTY FEMORAL VEIN||2222.3176|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34490|34490 - THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN||1392.685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34471|34471 - THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC||2486.2069|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34451|34451 - THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL&LEG||3325.6274|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34421|34421 - THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC||1672.1691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34401|34401 - THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC||3306.2158|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34203|34203 - EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC||2194.3843|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34201|34201 - EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART||2369.2222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34151|34151 - EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART||3213.6551|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34111|34111 - EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC||1373.2814|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34101|34101 - EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART||1377.6389|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34051|34051 - EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY||2232.8878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|34001|34001 - EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART||2226.4132|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33999|33999 - UNLISTED CARDIAC SURGERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33993|33993 - REPOSITION VAD W/IMAGING DIFFERENT SESSION||413.4443|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33992|33992 - REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION||471.0727|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33991|33991 - INSJ PERQ VAD TRNSPTAL W/IMAGE ART&VENOUS ACCESS||1449.9259|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33990|33990 - INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY||995.5508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33989|33989 - RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS||1140.5864|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33988|33988 - INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS||1765.9583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33987|33987 - ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS||473.5668|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33986|33986 - ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER||1201.9052|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33985|33985 - ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS||1175.3278|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33984|33984 - ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER||648.2057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33983|33983 - RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS||5268.8646|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33982|33982 - PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS||4501.9002|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33981|33981 - RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP||1901.1874|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33980|33980 - RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC||4054.7594|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33979|33979 - INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC||4440.3728|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33978|33978 - REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR||3030.2401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33977|33977 - REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE||2559.4727|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33976|33976 - INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR||3642.4695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33975|33975 - INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE||2988.9549|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33974|33974 - RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA||1997.2242|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33973|33973 - INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA||1166.5645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33971|33971 - RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF||1595.635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33970|33970 - INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN||805.0401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33969|33969 - ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS||622.8681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33968|33968 - REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ||76.2344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33967|33967 - INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ||587.3469|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33966|33966 - ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER||534.5642|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33965|33965 - ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS||421.286|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33964|33964 - ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS & OLDER||1115.6846|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33963|33963 - ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS||1070.2667|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33962|33962 - ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS & OLDER||540.8261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3395F|3395F - QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33959|33959 - ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS||534.8872|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33958|33958 - ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER||415.5083|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33957|33957 - ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS||421.286|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33956|33956 - ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER||1902.4087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33955|33955 - ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS||1897.4671|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33954|33954 - ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN||1089.63|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33953|33953 - ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN||1058.1819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33952|33952 - ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ||974.5401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33951|33951 - ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ||947.4736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3394F|3394F - QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33949|33949 - ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL||533.1286|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33948|33948 - ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS||547.9548|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33947|33947 - ECMO/ECLS INITIATION VENO-ARTERIAL||767.8127|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33946|33946 - ECMO/ECLS INITIATION VENO-VENOUS||694.5605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33945|33945 - HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY||10988.0819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33944|33944 - BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33940|33940 - DONOR CARDIECTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33935|33935 - HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC||11313.6187|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33933|33933 - BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33930|33930 - DONOR CARDIECTOMY-PNEUMONECTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33926|33926 - RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS||5776.0852|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33925|33925 - RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS||3902.7352|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33924|33924 - LIG&TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART||652.1032|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33922|33922 - TRANSECTION PULMONARY ARTERY W/CARD BYPASS||3143.3958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33920|33920 - RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT||4298.4395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33917|33917 - RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT||3296.406|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33916|33916 - PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS||9533.5351|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33915|33915 - PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS||2894.2892|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33910|33910 - PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS||5943.5615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3390F|3390F - AJCC COLON CANCER STAGE IV DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33891|33891 - BYP GRF W/DESCENDING THORACIC AORTA RPR NECK INC||2235.1773|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3388F|3388F - AJCC COLON CANCER STAGE III DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33889|33889 - OPN SUBCLA CRTD ART TRPOS NCK INC ULAT||1812.6652|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33886|33886 - PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA||2207.0789|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33884|33884 - PLMT PROX XTN PROSTH EVASC RPR DTA EA PROX XTN||939.4273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33883|33883 - PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN||2557.6303|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33881|33881 - EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN||3537.1578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33880|33880 - EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH||4119.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33877|33877 - RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS||8272.4918|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33875|33875 - DESCENDING THORACIC AORTA GRAFT W/WO BYPASS||6222.1127|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33870|33870 - TRANSVERSE ARCH GRAFT W/CARDIOPULMONARY BYPASS||5689.055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3386F|3386F - AJCC COLON CANCER STAGE II||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33864|33864 - ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL||7291.3216|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33863|33863 - AS-AORT GRF W/CARD BYP & AORTIC ROOT RPLCMT||7130.0243|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33860|33860 - ASCENDING AORTA GRF W/CARD BYP & VALVE SSP||7265.1736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33853|33853 - RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS||4153.8703|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33852|33852 - RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS||3165.2364|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33851|33851 - EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET||2876.5411|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3384F|3384F - AJCC COLON CANCER STAGE I||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33845|33845 - EXCISION COARCTATION AORTA W/WO PDA W/GRAFT||3015.4493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33840|33840 - EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS||2801.0228|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3382F|3382F - AJCC COLON CANCER STAGE 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33824|33824 - RPR PATENT DUXUS ARTERIOSUS DIV 18 YR & OLDER||2665.142|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33822|33822 - RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR||2401.0545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33820|33820 - REPAIR PATENT DUCTUS ARTERIOSUS LIGATION||2191.3222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33814|33814 - OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS||3448.0894|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33813|33813 - OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/O BYPASS||2908.3718|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3380F|3380F - AJCC BREAST CANCER STAGE IV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33803|33803 - DIVISION ABERRANT VESSEL W/REANASTOMOSIS||2605.6898|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33802|33802 - DIVISION ABERRANT VESSEL VASCULAR RING||2447.7703|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33800|33800 - AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX||2236.0119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3378F|3378F - AJCC BREAST CANCER STAGE III||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33788|33788 - REIMPLANTATION ANOMALOUS PULMONARY ARTERY||3629.6258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33786|33786 - TOTAL REPAIR TRUNCUS ARTERIOSUS||5173.8758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33783|33783 - A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA||8353.8595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33782|33782 - A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ||7349.4696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33781|33781 - RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ||5539.7811|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33780|33780 - RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT||5389.754|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33779|33779 - RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND||5563.8475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33778|33778 - RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ||5588.1387|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33777|33777 - RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC||4491.2696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33776|33776 - RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT||4631.4764|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33775|33775 - RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND||4384.5086|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33774|33774 - RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS||4076.4766|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33771|33771 - RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT||5215.8144|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33770|33770 - RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT||5055.9534|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3376F|3376F - AJCC BREAST CANCER STAGE II||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33768|33768 - ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA||950.8724|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33767|33767 - SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS||3223.2587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33766|33766 - SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG||3017.8202|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33764|33764 - SHUNT CENTRAL W/PROSTHETIC GRAFT||2975.7963|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33762|33762 - SHUNT DESCENDING AORTA PULMONARY ARTERY||3024.3198|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33755|33755 - SHUNT ASCENDING AORTA PULMONARY ARTERY||2975.7963|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33750|33750 - SHUNT SUBCLAVIAN PULMONARY ARTERY||2858.2395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3374F|3374F - AJCC BREAST CANCER STAGE I T1C||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33737|33737 - ATRIAL SEPTECT/SEPTOST OPN HRT W/INFL OCCLUSION||3048.598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33736|33736 - ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS||3180.4291|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33735|33735 - ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART||2928.3232|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33732|33732 - RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB||3732.1098|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33730|33730 - COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN||4550.9417|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3372F|3372F - AJCC BREAST CANCER STAGE I T1MIC T1A/T1B||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33726|33726 - REPAIR PULMONARY VENOUS STENOSIS||4621.2921|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33724|33724 - REPAIR ISOLATED PARTIAL PULM VENOUS RETURN||3493.0264|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33722|33722 - CLOSURE AORTICO-LEFT VENTRICULAR TUNNEL||3688.5415|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33720|33720 - RPR SINUS VALSALVA ANEURYSM||3503.7401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33710|33710 - RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT||4888.0405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3370F|3370F - AJCC BREAST CANCER STAGE 0 DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33702|33702 - RPR SINUS VALSALVA FISTULA||3502.1289|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33697|33697 - COMPL RPR T-FALLOT W/PULM ATRESIA||4672.0729|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33694|33694 - COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH||4645.4672|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33692|33692 - COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA||4674.8667|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33690|33690 - BANDING PULMONARY ARTERY||2709.6658|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33688|33688 - CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET||4286.018|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33684|33684 - CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ||4495.0897|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33681|33681 - CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH||4165.5072|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33677|33677 - CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND||5009.5671|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33676|33676 - CLOSURE MULTIPLE VSD W/RESECTION||4821.2291|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33675|33675 - CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS||4482.0221|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33670|33670 - RPR COMPL AV CANAL W/WO PROSTC VALVE||4490.5163|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33665|33665 - RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR||4349.1236|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33660|33660 - RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR||3990.3906|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33647|33647 - RPR ATRIAL & VENTRIC SEPTAL DFCT DIR/PATCH CLS||4129.6605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33645|33645 - DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG||3928.8075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33641|33641 - RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH||3722.002|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33622|33622 - RECONSTRUCTION COMPLEX CARDIAC ANOMALY||8218.2268|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33621|33621 - TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT||2107.4588|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33620|33620 - APPLICATION RIGHT & LEFT PULMONARY ARTERY BAND||3747.9108|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33619|33619 - RPR 1 VNTRC W/O/F OBSTRCJ&AORTIC ARCH HYPOPLAS||6182.9655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33617|33617 - RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX||4910.5456|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33615|33615 - RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX||4530.0534|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33612|33612 - RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ||4553.0322|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33611|33611 - RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR||4645.4672|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33610|33610 - RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT||4022.3389|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33608|33608 - RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT||4079.1577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33606|33606 - ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX||4201.5697|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33602|33602 - CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH||3777.2434|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33600|33600 - CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH||3892.4147|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33572|33572 - CORONARY ENDARTERCOMY OPEN ANY METHOD||523.2166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3354F|3354F - CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33548|33548 - SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD||6689.7777|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33545|33545 - RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT||7005.0923|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33542|33542 - MYOCARDIAL RESECTION||5935.6191|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3353F|3353F - MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33536|33536 - CABG W/ARTERIAL GRAFT FOUR/>ARTERIAL GRAFTS||5969.231|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33535|33535 - CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS||5535.5775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33534|33534 - CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS||4962.4913|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33533|33533 - CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT||4216.064|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33530|33530 - ROPRTJ CAB/VALVE PX > 1 MO AFTER ORIGINAL OPERJ||1194.3286|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3352F|3352F - NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33523|33523 - CORONARY ARTERY BYP W/VEIN &ARTERY GRAFT 6 VEIN||1890.7195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33522|33522 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 5 VEIN||1662.5696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33521|33521 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 4 VEIN||1481.7994|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3351F|3351F - NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33519|33519 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 3 VEIN||1235.6662|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33518|33518 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 2 VEIN||934.3255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33517|33517 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 1 VEIN||425.1335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33516|33516 - CORONARY ARTERY BYPASS 6/+ CORONARY VENOUS GRAFT||6163.6457|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33514|33514 - CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS||5905.4955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33513|33513 - CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS||5608.0522|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33512|33512 - CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS||5449.5986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33511|33511 - CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS||4792.1164|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33510|33510 - CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT||4360.1595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3350F|3350F - MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33508|33508 - NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG||36.5894|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33507|33507 - RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ||3915.8769|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33506|33506 - RPR ANOM CORONARY ART FROM PULM ART TO AORTA||4671.4823|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33505|33505 - RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL||4694.8398|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33504|33504 - RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP||3315.8298|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33503|33503 - RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT||2995.3344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33502|33502 - RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION||2883.4378|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33501|33501 - RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS||2548.4119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33500|33500 - RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS||3531.5791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33496|33496 - RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS||3768.2553|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33478|33478 - OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ||3559.6396|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33477|33477 - TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH||2925.8654|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33476|33476 - R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY||3444.4683|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33475|33475 - REPLACEMENT PULMONARY VALVE||5260.5935|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33474|33474 - VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS||4944.2421|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33471|33471 - VALVOTOMY PULM VALVE CLSD HEART VIA PULM ARTERY||3109.8435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33470|33470 - VALVOTOMY PULMONARY VALVE CLSD HEART TRANSVENTR||2909.8565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33468|33468 - TRICUSPID VALVE RPSG&PLCTJ EBSTEIN ANOMALY||5572.9701|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33465|33465 - REPLACEMENT TRICUSPID VALVE W/CARD BYPASS||6229.2745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33464|33464 - VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION||5513.4687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33463|33463 - VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION||6985.5477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33460|33460 - VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP||5516.5622|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3345F|3345F - MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3344F|3344F - MAMMO ASSESSMENT CAT SUSPICIOUS DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3343F|3343F - MAMMO ASSESSMENT CAT PROB BENIGN DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33430|33430 - REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP||6316.4787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3342F|3342F - MAMMO ASSESSMENT CAT BENIGN DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33427|33427 - VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING||5521.0357|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33426|33426 - VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING||5376.477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33425|33425 - VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS||6175.2632|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33422|33422 - VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS||3770.1686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33420|33420 - VALVOTOMY MITRAL VALVE CLOSED HEART||3287.385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3341F|3341F - MAMMO ASSESSMENT CAT NEGATIVE DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33419|33419 - TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS||955.9759|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33418|33418 - TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS||4050.02|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33417|33417 - AORTOPLASTY SUPRAVALVULAR STENOSIS||3774.9853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33416|33416 - VENTRICULOMYOTOMY-MYECTOMY||4584.6922|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33415|33415 - RESECTION/INCISION SUBVALVULAR TISSUE||4574.3588|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33414|33414 - RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC||4886.0555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33413|33413 - REPLACEMENT AORTIC&PULMON VALVES ROSS PROCEDUR||7351.3177|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33412|33412 - REPLACEMENT AORTIC VALVE KONNO PROCEDURE||7178.3093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33411|33411 - RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS||7586.4512|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33410|33410 - RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE||5723.7085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3340F|3340F - MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33406|33406 - RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND||6498.9286|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33405|33405 - RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT||5123.5365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33404|33404 - CONSTRUCTION APICAL-AORTIC CONDUIT||3967.7453|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33403|33403 - VALVULOPLASTY W/CP BYPASS||3335.152|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33401|33401 - VALVULOPLASTY OPEN||3245.2635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33400|33400 - REPAIR OF AORTIC VALVE||5140.1818|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33369|33369 - REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH||2242.1933|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33368|33368 - REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH||1696.5545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33367|33367 - REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH||1416.5629|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33366|33366 - TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE||4358.9849|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33365|33365 - REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH||4027.7235|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33364|33364 - REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH||3657.3174|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33363|33363 - REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH||3487.7892|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33362|33362 - REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH||3358.0761|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33361|33361 - REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH||3071.8709|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33335|33335 - INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS||4220.154|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33330|33330 - INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS||3210.0163|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33322|33322 - SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS||3127.5812|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33321|33321 - SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS||2763.3717|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33320|33320 - SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP||2390.4505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3331F|3331F - IMAGING STUDY NOT ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33315|33315 - CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP||4316.1401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33310|33310 - CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP||2643.5818|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3330F|3330F - IMAGING STUDY ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33305|33305 - REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS||9281.8328|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33300|33300 - REPAIR CARDIAC WOUND W/O BYPASS||5533.8471|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3328F|3328F - PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33284|33284 - RMVL IMPLANTABLE PT-ACTIVATED CAR EVENT RECORDER||467.197|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33282|33282 - IMPLANTATION PT-ACTIVATED CARDIAC EVENT RECORDER||529.2481|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33273|33273 - REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB||899.1845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33272|33272 - RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE||781.8872|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33271|33271 - INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE||1106.807|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33270|33270 - INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD||1316.2452|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33266|33266 - NDSC ABLATION & RCNSTJ ATRIA EXTEN W/O BYPASS||4163.1959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33265|33265 - NDSC ABLATION & RCNSTJ ATRIA LIMITED W/O BYPAS||3058.6752|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33264|33264 - RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD||929.9172|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33263|33263 - RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD||892.2048|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33262|33262 - RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD||858.1176|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33261|33261 - OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS||3691.8791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3325F|3325F - PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33259|33259 - ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTEN W/BYPASS||1892.8833|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33258|33258 - ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTENSIV W/O BYP||1465.8083|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33257|33257 - ATRIA ABLATE & RCNSTJ W/OTHER PROCEDURE LIMITE||1304.6365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33256|33256 - ABLATION & RCNSTJ ATRIA EXTNSV W/BYPASS||4404.5156|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33255|33255 - ABLATION & RCNSTJ ATRIA EXTNSV W/O BYPASS||3647.8081|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33254|33254 - ABLATION & RECONSTRUCTION ATRIA LIMITED||3084.124|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33251|33251 - ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS||3657.7597|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33250|33250 - ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS||3299.8798|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3324F|3324F - MRI CT SCAN ORDERED REVIEWED/REQUESTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33249|33249 - INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR||2071.5872|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33244|33244 - RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ||1940.2065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33243|33243 - RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM||3072.053|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33241|33241 - REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY||505.7963|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33240|33240 - INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD||843.5476|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3323F|3323F - CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33238|33238 - RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY||2087.9191|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33237|33237 - RMVL PRM EPICAR PM&ELTRDS THORCOM DUAL LEAD SY||1883.9283|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33236|33236 - RMVL PRM EPICAR PM&ELTRDS THORCOM 1 LEAD SYS||1751.6928|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33235|33235 - RMVL TRANSVNS PM ELTRD DUAL LEAD SYS||1442.1946|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33234|33234 - RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR||1107.2702|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33233|33233 - REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY||536.3115|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33231|33231 - INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS||921.1451|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33230|33230 - INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS||884.8892|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3322F|3322F - MELANOMA THAN AJCC STAGE 0||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33229|33229 - REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD||858.6791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33228|33228 - REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS||815.1729|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33227|33227 - REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD||781.0857|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33226|33226 - RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD||1109.9786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33225|33225 - INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN||1052.7893|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33224|33224 - INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN||1157.8544|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33223|33223 - RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR||935.2962|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33222|33222 - RELOCATION OF SKIN POCKET FOR PACEMAKER||773.4454|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33221|33221 - INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS||830.6299|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33220|33220 - RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB||892.8969|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3321F|3321F - AJCC CANCER STAGE 0 OR IA MELANOMA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33218|33218 - RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB||890.7934|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33217|33217 - INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB||836.0249|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33216|33216 - INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB||851.4819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33215|33215 - RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE||690.8548|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33214|33214 - UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS||1092.1918|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33213|33213 - INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS||775.5359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33212|33212 - INS PM PLS GEN W/EXIST SINGLE LEAD||743.6214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33211|33211 - INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX||413.1801|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33210|33210 - INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH||403.749|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3320F|3320F - 0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33208|33208 - INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT||1191.8409|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33207|33207 - INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR||1100.4548|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33206|33206 - INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL||1029.8314|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33203|33203 - INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC||1811.8709|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33202|33202 - INSERTION EPICARDIAL ELECTRODE OPEN||1741.8049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3319F|3319F - 1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3318F|3318F - PATH REPRT MALIGNANCY DOCD & RVWD INITIA RAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3317F|3317F - PATH REPRT MALIGNANCY DOCD & RVWD INITIATE CHE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3316F|3316F - ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3315F|3315F - ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33141|33141 - TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX||299.0053|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33140|33140 - TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX||3545.9267|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33130|33130 - RESECTION EXTERNAL CARDIAC TUMOR||3103.0515|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33120|33120 - EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP||4737.091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33050|33050 - RESECTION PERICARDIAL CYST/TUMOR||2239.8868|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33031|33031 - PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS||5577.4967|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33030|33030 - PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS||4514.9267|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33025|33025 - CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX||1792.232|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33020|33020 - PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY||1972.7099|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3301F|3301F - CANCER STAGE DOCD METASTATIC & REVIEWED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33015|33015 - TUBE PERICARDIOSTOMY||1139.7059|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33011|33011 - PERICARDIOCENTESIS SUBSEQUENT||272.6325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|33010|33010 - PERICARDIOCENTESIS INITIAL||271.18|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3300F|3300F - AJCC STAGE DOCUMENTED & REVIEWED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32999|32999 - UNLISTED PROCEDURE LUNGS & PLEURA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32998|32998 - ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY||643.1876|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32997|32997 - TOTAL LUNG LAVAGE UNILATERAL||777.425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32960|32960 - PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR||224.4111|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3294F|3294F - GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32940|32940 - PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX||2773.498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3293F|3293F - ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3292F|3292F - HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3291F|3291F - PATIENT IS D (RH) POSITIVE OR SENSITIZED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3290F|3290F - PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32906|32906 - THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL||3730.5268|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32905|32905 - THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL||3015.4896|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32900|32900 - RESECTION RIBS EXTRAPLEURAL ALL STAGES||3147.133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3288F|3288F - FALLS RISK ASSESSMENT DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3285F|3285F - IOP REDUCED <15% PRE-INTERVENTION LEVEL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32856|32856 - BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32855|32855 - BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32854|32854 - LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS||11028.4705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32853|32853 - LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS||10371.8302|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32852|32852 - LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS||8137.1467|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32851|32851 - LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS||7436.3218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32850|32850 - DONOR PNEUMONECTOMY FROM CADAVER DONOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3284F|3284F - INTRAOCULAR PRESS REDUCED >/EQUAL 15%||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32820|32820 - MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC||2994.5578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3281F|3281F - HEMOGLOBIN LEVEL <11 G/DL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32815|32815 - OPEN CLOSURE MAJOR BRONCHIAL FISTULA||6303.3177|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32810|32810 - CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA||2019.8373|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3280F|3280F - HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32800|32800 - REPAIR LUNG HERNIA THROUGH CHEST WALL||2118.075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3279F|3279F - HEMOGLOBIN LEVEL>/EQUAL 13 G/DL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3278F|3278F - SERUM LEVELS CALCUM PHOSPH PARATHYR & LIPID PR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3274F|3274F - PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3273F|3273F - HIGH RISK OF RECURRENCE PROSTATE CANCER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3272F|3272F - INTERMED RISK OF RECURRENCE PROSTATE CANCER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3271F|3271F - LOW RISK OF RECURRENCE PROSTATE CANCER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3270F|3270F - BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32701|32701 - THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE||492.0996|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3269F|3269F - BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3268F|3268F - PSA & TUMOR STAGE&GLEASON SCORE PRIOR INIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3267F|3267F - PATH RPRT INCLUDES PT & PN CAT GLEASON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32674|32674 - THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY||489.4508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32673|32673 - THORACOSCOPY RESEXN THYMUS UNI/BILATERAL||2739.1103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32672|32672 - THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL||3429.1047|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32671|32671 - THORACOSCOPY W/PNEUMONECTOMY||3992.4626|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32670|32670 - THORACOSCOPY W/BILOBECTOMY||3606.0017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3266F|3266F - HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32669|32669 - THORACOSCOPY W/SEGMENTECTOMY||3029.0381|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32668|32668 - THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN||355.6653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32667|32667 - THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL||356.3896|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32666|32666 - THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT||1951.6427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32665|32665 - THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE||2754.6849|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32664|32664 - THORACOSCOPY W/THORACIC SYMPATHECTOMY||1909.9998|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32663|32663 - THORACOSCOPY W/LOBECTOMY SINGLE LOBE||3152.5828|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32662|32662 - THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS||2000.5722|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32661|32661 - THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS||1795.0275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3265F|3265F - RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32659|32659 - THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC||1636.5335|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32658|32658 - THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC||1597.7223|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32656|32656 - THORACOSCOPY W/PARIETAL PLEURECTOMY||1798.0428|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32655|32655 - THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX||2144.269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32654|32654 - THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE||2661.736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32653|32653 - THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT||2377.2564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32652|32652 - THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS||3738.5103|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32651|32651 - THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION||2460.5172|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32650|32650 - THORACOSCOPY W/PLEURODESIS||1488.3247|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3260F|3260F - TUMOR/NODES/HISTO GRADE DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32609|32609 - THORACOSCOPY WITH BIOPSYIES OF PLEURA||583.0144|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32608|32608 - THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL||853.657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32607|32607 - THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL||695.6143|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32606|32606 - THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX||1043.1342|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32604|32604 - THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX||1088.2798|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32601|32601 - THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX||694.882|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32562|32562 - INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY||139.7952|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32561|32561 - INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY||154.7721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32560|32560 - INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS||176.3073|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32557|32557 - PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING||347.7858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32556|32556 - PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING||278.9886|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32555|32555 - THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING||253.9257|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32554|32554 - THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING||202.4569|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32553|32553 - PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT||438.0738|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32552|32552 - RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF||354.6132|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32551|32551 - TUBE THORACOSTOMY INCLUDES WATER SEAL||383.3045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32550|32550 - INSERTION INDWELLING TUNNELED PLEURAL CATHETER||499.8639|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32540|32540 - EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY||3902.815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3250F|3250F - NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32507|32507 - THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE||354.9371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32506|32506 - THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL||355.6653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32505|32505 - THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL||2090.1111|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32504|32504 - RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ||4641.7679|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32503|32503 - RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ||4065.618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32501|32501 - RESCJ&BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY||555.6193|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32491|32491 - RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG||3308.9097|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32488|32488 - RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC||5390.0505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32486|32486 - RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY||5306.6736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32484|32484 - RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY||3232.548|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32482|32482 - RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC||3552.179|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32480|32480 - RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT||3320.8833|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32445|32445 - REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL||7989.1819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32442|32442 - REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA||7209.7558|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32440|32440 - REMOVAL OF LUNG PNEUMONECTOMY||3518.3069|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32405|32405 - BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE||233.0414|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32400|32400 - BIOPSY PLEURA PERCUTANEOUS NEEDLE||196.8911|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32320|32320 - DECORTICATION & PARIETAL PLEURECTOMY||3583.2235|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32310|32310 - PLEURECTOMY PARIETAL SEPARATE PROCEDURE||2039.8394|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3230F|3230F - HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32225|32225 - DECORTICATION PULMONARY PARTIAL SEPARATE PROC||2228.6979|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32220|32220 - DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE||3548.6037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32215|32215 - PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX||1781.7287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3220F|3220F - HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32200|32200 - PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST||2541.4813|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3218F|3218F - HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3216F|3216F - DOCUMENTED IMMUNITY HEPATITIS B||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32160|32160 - THORACOTOMY W/CARDIAC MASSAGE||1764.8023|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3215F|3215F - DOCUMENTED IMMUNITY HEPATITIS A||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32151|32151 - THORCOM W/RMVL IPUL FB||2247.6012|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32150|32150 - THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP||2250.2903|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32141|32141 - THORACOTOMY W/RESECTION BULLAE||3432.0137|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32140|32140 - THORCOM W/REMOVAL OF CYST||2233.0796|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32124|32124 - THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS||2073.1573|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32120|32120 - THORACOTOMY POSTOPERATIVE COMPLICATIONS||1947.8226|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32110|32110 - THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR||3280.9337|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3210F|3210F - GROUP A STREP TEST PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32100|32100 - THORACOTOMY WITH EXPLORATION||1813.6537|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32098|32098 - THORACOTOMY W/BIOPSY OF PLEURA||1711.8641|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32097|32097 - THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL||1805.675|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32096|32096 - THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL||1806.4073|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32036|32036 - THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA||1730.732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|32035|32035 - THORACOSTOMY W/RIB RESECTION EMPYEMA||1601.4748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3200F|3200F - BARIUM SWALLOW TEST NOT ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31899|31899 - UNLISTED PROCEDURE TRACHEA BRONCHI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31830|31830 - REVISION TRACHEOSTOMY SCAR||755.6143|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31825|31825 - SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR||1058.8361|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31820|31820 - SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR||723.8867|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31805|31805 - SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC||1845.7156|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31800|31800 - SUTURE TRACHEAL WOUND/INJURY CERVICAL||1602.427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31786|31786 - EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC||3232.1009|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31785|31785 - EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL||2426.7611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31781|31781 - EXC TRACHEAL STENOSIS&ANAST CERVICOTHORACIC||3235.3563|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31780|31780 - EXCISION TRACHEAL STENOSIS&ANASTOMOSIS CERVICA||2639.0222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31775|31775 - BRONCHOPLASTY EXCISION STENOSIS & ANASTOMOSIS||2919.0605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31770|31770 - BRONCHOPLASTY GRAFT REPAIR||3011.7823|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31766|31766 - CARINAL RECONSTRUCTION||4016.5934|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31760|31760 - TRACHEOPLASTY INTRATHORACIC||3120.6611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31755|31755 - TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG||3834.4536|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31750|31750 - TRACHEOPLASTY CERVICAL||3072.4139|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31730|31730 - TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER||334.0898|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31725|31725 - CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX||202.8718|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31720|31720 - CATHETER ASPIRATION NASOTRACHEAL SPX||115.8472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31717|31717 - CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY||243.2741|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3170F|3170F - FLOW CYTOMETRY W/DIAG/PRIOR INITIATING TREATMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31661|31661 - BRONCHOSCOPIC THERMOPLASTY 2/> LOBES||496.6383|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31660|31660 - BRONCHOSCOPIC THERMOPLASTY ONE LOBE||472.8732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31654|31654 - BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES||152.6686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31653|31653 - BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX||582.1371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31652|31652 - BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX||527.3525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31651|31651 - BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE||178.7933|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31649|31649 - BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL||157.3475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31648|31648 - BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL||462.3392|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31647|31647 - BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE||498.7498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31646|31646 - BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ||313.3691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31645|31645 - BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST||362.5918|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31643|31643 - BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL||397.8794|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31641|31641 - BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC||580.6234|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31640|31640 - BRONCHOSCOPY W/EXCISION TUMOR||572.6649|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31638|31638 - BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS||569.3692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31637|31637 - BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED||167.8896|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31636|31636 - BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS||498.7087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31635|31635 - BRONCHOSCOPY W/REMOVAL FOREIGN BODY||424.0041|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31634|31634 - BRONCHOSCOPY BALLOON OCCLUSION||464.3895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31633|31633 - BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE||143.3189|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31632|31632 - BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE||111.2537|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31631|31631 - BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT||517.3309|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31630|31630 - BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX||449.7953|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31629|31629 - BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON||449.1242|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31628|31628 - BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE||424.2973|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31627|31627 - BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION||219.8667|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31626|31626 - BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT||475.8185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31625|31625 - BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES||380.8886|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31624|31624 - BRNCHSC W/BRNCL ALVEOLAR LAVAGE||332.0565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31623|31623 - BRNCHSC BRUSHING/PROTECTED BRUSHINGS||329.1596|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31622|31622 - BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX||324.0247|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31615|31615 - TRACHEOBRNCHSC THRU EST TRACHS INC||285.808|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31614|31614 - TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION||1644.5049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31613|31613 - TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION||985.932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31612|31612 - TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR&/NJX||109.5813|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31611|31611 - CONSTJ TRACHEOESOPHGL FSTL&INSJ SP PROSTH||1173.9011|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31610|31610 - TRACHEOSTOMY FENESTRATION W/SKIN FLAPS||1568.0973|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3160F|3160F - DOC IRON STORES PRIOR START EPO THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31605|31605 - TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE||414.6004|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31603|31603 - TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL||503.2772|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31601|31601 - TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX||565.7327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31600|31600 - TRACHEOSTOMY PLANNED SEPARATE PROCEDURE||892.4812|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31599|31599 - UNLISTED PROCEDURE LARYNX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31595|31595 - SECTION RECURRENT LARYNGEAL NERVE THER UNI SPX||1665.0275|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31590|31590 - LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE||1927.8027|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31588|31588 - REVISION OF LARYNX||2496.8674|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31587|31587 - LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT||2213.1024|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31584|31584 - LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS||3321.1072|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31582|31582 - REVISION OF LARYNX||4138.7896|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31580|31580 - LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION||2664.3606|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31579|31579 - LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY||314.0039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31578|31578 - LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER||384.6644|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31577|31577 - LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)||334.5547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31576|31576 - LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)||275.4126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31575|31575 - LARYNGOSCOPY FLEXIBLE DIAGNOSTIC||169.0658|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31571|31571 - LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE||561.4276|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31570|31570 - LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC||515.4353|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31561|31561 - LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE||771.8712|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31560|31560 - LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY||704.4331|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3155F|3155F - CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31546|31546 - LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT||1241.4238|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31545|31545 - LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP||814.9626|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31541|31541 - LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP||593.2487|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31540|31540 - LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT||542.8989|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31536|31536 - LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE||473.044|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31535|31535 - LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY||424.9483|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31531|31531 - LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE||476.9133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31530|31530 - LARYNGOSCOPY W/FOREIGN BODY REMOVAL||444.1319|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31529|31529 - LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ||362.3518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31528|31528 - LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN||323.5977|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31527|31527 - LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR||435.2663|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31526|31526 - LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE||352.0337|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31525|31525 - LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN||358.3198|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31520|31520 - LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN||349.0473|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31515|31515 - LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION||234.1644|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31513|31513 - LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION||293.864|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31512|31512 - LARYNGOSCOPY INDIRECT W/REMOVAL LESION||287.822|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31511|31511 - LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY||290.0148|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31510|31510 - LARYNGOSCOPY INDIRECT W/BIOPSY||269.9402|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3150F|3150F - FORCEPS ESOPHAGEAL BIOPSY PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31505|31505 - LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX||107.8364|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31502|31502 - TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT||78.4683|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31500|31500 - INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE||247.928|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3142F|3142F - BARIUM SWALLOW TEST ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31420|31420 - EPIGLOTTIDECTOMY||1831.0964|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3141F|3141F - UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3140F|3140F - UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31400|31400 - ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH||2143.183|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31395|31395 - PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ||6787.2082|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31390|31390 - PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ||6430.461|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31382|31382 - PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL||4774.3393|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31380|31380 - PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL||4331.8629|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31375|31375 - PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL||4378.7414|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31370|31370 - PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL||4638.6776|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31368|31368 - LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ||5505.5239|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31367|31367 - LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ||4933.3746|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31365|31365 - LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION||5771.5255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31360|31360 - LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION||4664.3802|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3132F|3132F - DOC REFERAL FOR UPPER GI ENDOSCOPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31320|31320 - LARYNGOTOMY THYROTOMY LARYNGOFISSURE DX||1486.7288|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3130F|3130F - UPPER GI ENDOSCOPY PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31300|31300 - LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY||2855.7059|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31299|31299 - UNLISTED PROCEDURE ACCESSORY SINUSES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31297|31297 - NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS||357.6769|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31296|31296 - NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS||438.326|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31295|31295 - NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS||365.4114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31294|31294 - NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN||2755.5606|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31293|31293 - NASAL/SINUS NDSC SURG MEDIAL&INF ORB WALL DCMPRN||2408.5522|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31292|31292 - NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN||2218.2687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31291|31291 - NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID||2735.1991|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31290|31290 - NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID||2565.7362|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31288|31288 - NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS||599.4534|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31287|31287 - NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY||517.2745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31276|31276 - NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS||1128.372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3126F|3126F - ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31267|31267 - NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS||708.7825|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31256|31256 - NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY||440.4947|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31255|31255 - NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY||893.439|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31254|31254 - NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY||608.7178|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31240|31240 - NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION||358.157|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31239|31239 - NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY||1350.0368|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31238|31238 - NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG||375.8761|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31237|31237 - NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX||358.7959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31235|31235 - NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY||359.8456|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31233|31233 - NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY||303.2097|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31231|31231 - NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX||144.4419|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31230|31230 - MAXILLECTOMY W/ORBITAL EXENTERATION||4580.6521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31225|31225 - MAXILLECTOMY W/O ORBITAL EXENTERATION||4116.6501|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3120F|3120F - 12-LEAD ECG PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31205|31205 - ETHMOIDECTOMY EXTRANASAL TOTAL||1933.9776|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31201|31201 - ETHMOIDECTOMY INTRANASAL TOTAL||1605.1161|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31200|31200 - ETHMOIDECTOMY INTRANASAL ANTERIOR||1216.7024|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3119F|3119F - NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3118F|3118F - NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3117F|3117F - HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3115F|3115F - QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3112F|3112F - CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3111F|3111F - CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3110F|3110F - CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31090|31090 - SINUSOT UNI 3/> PARANSL SINUSES||2216.4166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31087|31087 - SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC||2367.4861|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31086|31086 - SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC||2457.6259|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31085|31085 - SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC||3402.5869|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31084|31084 - SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC||2525.483|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31081|31081 - SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC||3186.2818|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31080|31080 - SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC||2254.6236|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31075|31075 - SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL||1708.2155|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31070|31070 - SINUSOTOMY FRONTAL EXTERNAL SIMPLE||947.8659|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31051|31051 - SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP||1397.7925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31050|31050 - SINUSOTOMY SPHENOID W/WO BIOPSY||1054.3223|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31040|31040 - PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH||1661.7995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31032|31032 - SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS||1247.6414|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31030|31030 - SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS||1149.3787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31020|31020 - SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL||771.1148|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3100F|3100F - CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31002|31002 - LAVAGE CANNULATION SPHENOID SINUS||417.2725|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|31000|31000 - LAVAGE CANNULATION MAXILLARY SINUS||229.9987|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30999|30999 - UNLISTED PROCEDURE NOSE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3096F|3096F - CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3095F|3095F - CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3093F|3093F - DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30930|30930 - FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC||266.3851|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3092F|3092F - MAJOR DEPRESSIVE DISORDER REMISSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30920|30920 - LIGATION ARTERIES INT MAXILLARY TRANSANTRAL||1825.1076|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3091F|3091F - MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30915|30915 - LIGATION ARTERIES ETHMOIDAL||1255.9487|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3090F|3090F - MDD SEVERE WITHOUT PSYCHOTIC FEATURES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30906|30906 - CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ||306.8711|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30905|30905 - CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST||239.2091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30903|30903 - CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX||180.6406|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30901|30901 - CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE||127.0644|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3089F|3089F - MAJOR DEPRESSIVE DISORDER MODERATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3088F|3088F - MAJOR DEPRESSIVE DISORDER MILD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3085F|3085F - SUICIDE RISK ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3084F|3084F - KT/V >/= 1.7||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3083F|3083F - KT/V EQUAL/>1.2 & <1.7||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3082F|3082F - KT/V <1.2 (CLEARANCE OF UREA (KT)/VOLUME (V))||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3080F|3080F - MOST RECENT DIASTOL BLOOD PRES >/EQUAL 90 MM HG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30802|30802 - ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL||411.751|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30801|30801 - ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC||292.5106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3079F|3079F - MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3078F|3078F - MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3077F|3077F - MOST RECENT SYSTOLIC BLOOD PRES>/EQUAL 140 MM HG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3075F|3075F - MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3074F|3074F - MOST RECENT SYSTOLIC BLOOD PRESSURE <130 MM HG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3073F|3073F - DOCUMENTED LENGTH CORNEAL POWER & LENS POWER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3072F|3072F - LOW RISK FOR RETINOPATHY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3066F|3066F - DOCUMENTATION OF TREATMENT FOR NEPHROPATHY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30630|30630 - REPAIR NASAL SEPTAL PERFORATIONS||1350.3227|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3062F|3062F - POSITIVE MACROALBUMINURIA TEST RESULT DOC&REV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30620|30620 - SEPTAL/OTHER INTRANASAL DERMATOPLASTY||1344.6973|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3061F|3061F - NEGATIVE MICROALBUMINURIA TEST RESULT DOC&REV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3060F|3060F - POSITIVE MICROALBUMINURIA TEST RESULT DOC&REV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30600|30600 - REPAIR FISTULA ORONASAL||978.9805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30580|30580 - REPAIR FISTULA OROMAXILLARY||1124.6799|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3056F|3056F - LVEF GREATER THAN 35%||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30560|30560 - LYSIS INTRANASAL SYNECHIA||296.0826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3055F|3055F - LVEF LESS THAN OR EQUAL TO 35%||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30545|30545 - REPAIR CHOANAL ATRESIA TRANSPALATINE||1919.526|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30540|30540 - REPAIR CHOANAL ATRESIA INTRANASAL||1502.508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30520|30520 - SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF||1350.1971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3050F|3050F - MOST RECENT LDL-C >/EQUAL 130 MG/DL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3049F|3049F - MOST RECENT LDL-C 100-129 MG/DL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3048F|3048F - MOST RECENT LDL-C <100 MG/DL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3046F|3046F - MOST RECENT HEMOGLOBIN A1C LEVEL >9.0%||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30465|30465 - REPAIR NASAL VESTIBULAR STENOSIS||2134.9506|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30462|30462 - RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT||3397.9273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30460|30460 - RHINP DFRM W/COLUM LNGTH TIP ONLY||1562.6772|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3045F|3045F - MOST RECENT HEMOGLOBIN A1C LEVEL GT 7.0-9.0 %||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30450|30450 - RHINOPLASTY SECONDARY MAJOR REVISION||3262.9834|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3044F|3044F - MOST RECENT HEMOGLOBIN A1C LEVEL < 7.0%||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30435|30435 - RHINOPLASTY SECONDARY INTERMEDIATE REVISION||2406.651|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30430|30430 - RHINOPLASTY SECONDARY MINOR REVISION||2059.2374|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3042F|3042F - FUNCTJL EXPIR VOLUME >/EQUAL 40% PREDICTED VALUE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30420|30420 - RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR||2981.1349|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30410|30410 - RHINP PRIM COMPLETE XTRNL PARTS||2566.9728|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3040F|3040F - FUNCTIONAL EXPIRATORY VOLUME < 40%||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30400|30400 - RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NASAL TI||2184.929|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3038F|3038F - PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3037F|3037F - OXYGEN SATURATION >88%/PAO2 >55 MM HG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3035F|3035F - OXYGEN SATUR </EQUAL 88%/PAO2 </EQUAL 55 MM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30320|30320 - RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY||958.5216|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30310|30310 - REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES||444.488|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30300|30300 - REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE||228.3673|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3028F|3028F - OXYGEN SATURATION RESULTS DOCUMENTED & REVIEWE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3027F|3027F - SPIROMETRY TEST RESULTS FEV/FVC >/=70% W/O COPD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3025F|3025F - SPIROMETRY TEST RESULTS FEV/FVC <70% W/COPD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3023F|3023F - SPIROMETRY RESULTS DOCUMENTED AND REVIEWED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3022F|3022F - LEFT VENTRICULAR EJECTION FRACTION >/EQUAL 40%||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30220|30220 - INSERTION NASAL SEPTAL PROSTHESIS BUTTON||273.0288|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3021F|3021F - LEFT VENTRICULAR EJECTION FRACTION <40%||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30210|30210 - DISPLACEMENT THERAPY PROETZ TYPE||215.6647|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3020F|3020F - LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30200|30200 - INJECTION TURBINATE THERAPEUTIC||130.2344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3019F|3019F - LVEF ASSESSMENT PLANNED POST DISCHARGE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3018F|3018F - PRE-PRX RISK ASSESS DEPTH&QUAL BOWEL PREP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3017F|3017F - COLORECTAL CANCER SCREENING RESULTS DOC&REV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3016F|3016F - PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30160|30160 - RHINECTOMY TOTAL||1683.8841|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3015F|3015F - CERVICAL CANCER SCREENING RESULTS DOCD & RVWD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30150|30150 - RHINECTOMY PARTIAL||1675.9586|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3014F|3014F - SCREENING MAMMOGRAPHY RESULTS DOC&REV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30140|30140 - SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL||943.237|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30130|30130 - EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE||817.8394|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30125|30125 - EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG||1321.4429|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30124|30124 - EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS||619.3678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30120|30120 - EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA||953.829|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3011F|3011F - LIPID PANEL RESULTS DOCUMENTED & REVIEWED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30118|30118 - EXCISION/DESTRUCTION INTRANASAL LESION XTRNL||1677.5086|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30117|30117 - EXCISION/DESTRUCTION INTRANASAL LESION INT APPR||734.2885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30115|30115 - EXCISION NASAL POLYP EXTENSIVE||933.7068|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30110|30110 - EXCISION NASAL POLYP SIMPLE||284.6286|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30100|30100 - BIOPSY INTRANASAL||151.0985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3008F|3008F - BODY MASS INDEX DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|3006F|3006F - CHEST X-RAY RESULTS DOCUMENTED & REVIEWED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30020|30020 - DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM||259.8178|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|30000|30000 - DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH||257.6411|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29999|29999 - UNLISTED PROCEDURE ARTHROSCOPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29916|29916 - ARTHROSCOPY HIP W/LABRAL REPAIR||2237.1027|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29915|29915 - ARTHROSCOPY HIP W/ACETABULOPLASTY||2234.2058|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29914|29914 - ARTHROSCOPY HIP W/FEMOROPLASTY||2196.0374|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29907|29907 - ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS||1929.5226|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29906|29906 - ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT||1582.0833|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29905|29905 - ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY||1505.0755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29904|29904 - ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY||1402.2354|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29902|29902 - ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM||1225.4536|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29901|29901 - ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT||1163.6861|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29900|29900 - ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY||993.9187|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29899|29899 - ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS||2287.6185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29898|29898 - ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE||1249.3557|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29897|29897 - ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED||1116.6844|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29895|29895 - ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL||1052.7901|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29894|29894 - ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY||1104.6004|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29893|29893 - ENDOSCOPIC PLANTAR FASCIOTOMY||941.6886|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29892|29892 - ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX||1297.6722|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29891|29891 - ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT||1490.1075|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29889|29889 - ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ||2693.8261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29888|29888 - ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ||2175.7541|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29887|29887 - ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ||1640.5986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29886|29886 - ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION||1398.7488|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29885|29885 - ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG||1651.1366|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29884|29884 - ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX||1349.1321|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29883|29883 - ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL||1852.2506|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29882|29882 - ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL||1540.4033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29881|29881 - ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG||1186.8366|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29880|29880 - ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING||1232.5195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29879|29879 - ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX||1454.9738|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29877|29877 - ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG||1365.2923|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29876|29876 - ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS||1445.3227|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29875|29875 - ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX||1085.026|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29874|29874 - ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY||1178.7314|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29873|29873 - ARTHROSCOPY KNEE LATERAL RELEASE||1144.1528|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29871|29871 - ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE||1127.572|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29870|29870 - ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX||901.59|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29868|29868 - ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT||3560.7642|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29867|29867 - ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT||2789.5044|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29866|29866 - ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST||2295.4102|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29863|29863 - ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY||1773.336|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29862|29862 - ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG||1773.3279|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29861|29861 - ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB||1582.0712|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29860|29860 - ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX||1450.7057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29856|29856 - ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR||2198.0909|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29855|29855 - ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR||1718.648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29851|29851 - ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ||1953.4464|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29850|29850 - ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ||1354.1687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29848|29848 - NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM||1114.2031|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29847|29847 - ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY||1168.0114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29846|29846 - ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT||1137.1014|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29845|29845 - ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE||1259.5199|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29844|29844 - ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL||1083.2731|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29843|29843 - ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE||1058.6774|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29840|29840 - ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX||988.9119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29838|29838 - ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE||1285.7542|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29837|29837 - ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED||1146.0564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29836|29836 - ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE||1247.4521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29835|29835 - ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL||1107.4402|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29834|29834 - ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB||1063.7027|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29830|29830 - ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX||991.2272|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29828|29828 - ARTHROSCOPY SHOULDER BICEPS TENODESIS||2008.3744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29827|29827 - ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR||2330.2837|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29826|29826 - ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE||393.2811|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29825|29825 - ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ||1266.8678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29824|29824 - ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY||1462.7502|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29823|29823 - ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE||1356.9971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29822|29822 - ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED||1242.8545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29821|29821 - ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE||1280.0095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29820|29820 - ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL||1171.5955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29819|29819 - ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB||1285.0742|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29807|29807 - ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION||2282.4022|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29806|29806 - ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY||2339.8517|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29805|29805 - ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX||1033.065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29804|29804 - ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL||1419.8619|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29800|29800 - ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX||1118.5767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29799|29799 - UNLISTED PROCEDURE CASTING/STRAPPING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29750|29750 - WEDGING CLUBFOOT CAST||150.0891|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29740|29740 - WEDGING CAST EXCEPT CLUBFOOT CASTS||156.2245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29730|29730 - WINDOWING CAST||100.3008|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29720|29720 - REPAIR SPICA BODY CAST/JACKET||98.2909|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29710|29710 - RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET||184.099|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29705|29705 - REMOVAL/BIVALVING FULL ARM/FULL LEG CAST||104.7316|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29700|29700 - REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST||74.2003|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29584|29584 - APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FING||35.4422|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29583|29583 - APPL MLTLAYR COMPRES SYSTEM UPPER & LOWER ARM||25.2136|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29582|29582 - APPL MLTLAYR COMPRES THGH LEG ANKLE FT WHEN DONE||35.4422|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29581|29581 - APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT||28.1105|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29580|29580 - STRAPPING UNNA BOOT||78.3749|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29550|29550 - STRAPPING TOES||25.9418|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29540|29540 - STRAPPING ANKLE &/FOOT||40.8454|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29530|29530 - STRAPPING KNEE||41.5696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29520|29520 - STRAPPING HIP||41.5656|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29515|29515 - APPLICATION SHORT LEG SPLINT CALF FOOT||108.8168|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29505|29505 - APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES||109.2196|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29450|29450 - APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG||250.9273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29445|29445 - APPLICATION RIGID TOTAL CONTACT LEG CAST||231.1088|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29440|29440 - ADDING WALKER PREVIOUSLY APPLIED CAST||64.7651|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29435|29435 - APPLICATION PATELLAR TENDON BEARING CAST||182.0488|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29425|29425 - APPLICATION SHORT LEG CAST WALKING/AMBULATORY||124.6033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29405|29405 - APPLICATION SHORT LEG CAST BELOW KNEE-TOE||131.1254|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29365|29365 - APPLICATION CYLINDER CAST THIGH ANKLE||192.1961|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29358|29358 - APPLICATION LONG LEG CAST BRACE||229.0215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29355|29355 - APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE||234.1765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29345|29345 - APPLICATION LONG LEG CAST THIGH-TOE||221.523|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29325|29325 - APPL HIP SPICA CAST ONE&ONE-HALF SPICA/BOTH LEGS||390.6049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29305|29305 - APPLICATION HIP SPICA CAST 1 LEG||349.1045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29280|29280 - STRAPPING HAND/FINGER||45.1948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29260|29260 - STRAPPING ELBOW/WRIST||43.7463|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29240|29240 - STRAPPING SHOULDER||41.5656|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29200|29200 - STRAPPING THORAX||40.8413|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29131|29131 - APPLICATION FINGER SPLINT DYNAMIC||72.581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29130|29130 - APPLICATION FINGER SPLINT STATIC||63.4834|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29126|29126 - APPLICATION SHORT ARM SPLINT DYNAMIC||107.35|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29125|29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC||85.9346|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29105|29105 - APPLICATION LONG ARM SPLINT SHOULDER HAND||136.95|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29086|29086 - APPLICATION CAST FINGER||111.5389|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29085|29085 - APPLICATION CAST HAND & LOWER FOREARM GAUNTLET||147.6401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29075|29075 - APPLICATION CAST ELBOW FINGER SHORT ARM||135.959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29065|29065 - APPLICATION CAST SHOULDER HAND LONG ARM||149.8168|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29058|29058 - APPLICATION CAST PLASTER VELPEAU||204.1213|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29055|29055 - APPLICATION CAST SHOULDER SPICA||304.3246|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29049|29049 - APPLICATION CAST FIGURE-OF-8||136.9394|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29046|29046 - APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS||349.2673|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29044|29044 - APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH||332.3949|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29040|29040 - APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA||321.6369|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29035|29035 - APPLICATION BODY CAST SHOULDER HIPS||264.3582|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29015|29015 - APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD||392.0211|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29010|29010 - APPLICATION RISSER JACKET LOCALIZER BODY ONLY||323.9764|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|29000|29000 - APPLICATION HALO TYPE BODY CAST||383.6099|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28899|28899 - UNLISTED PROCEDURE FOOT/TOES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28890|28890 - ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA||494.5969|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28825|28825 - AMPUTATION TOE INTERPHALANGEAL JOINT||821.0755|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28820|28820 - AMPUTATION TOE METATARSOPHALANGEAL JOINT||876.9138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28810|28810 - AMPUTATION METATARSAL W/TOE SINGLE||960.4913|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28805|28805 - AMPUTATION FOOT TRANSMETARSAL||1640.2594|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28800|28800 - AMPUTATION FOOT MIDTARSAL||1206.8621|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28760|28760 - ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK||1278.4313|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28755|28755 - ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT||729.3841|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28750|28750 - ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT||1303.5715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28740|28740 - ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT||1375.3631|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28737|28737 - ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFOR||1528.6013|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28735|28735 - ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT||1730.4355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28730|28730 - ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS||1615.8418|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28725|28725 - ARTHRODESIS SUBTALAR||1714.3034|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28715|28715 - ARTHRODESIS TRIPLE||2066.2598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28705|28705 - ARTHRODESIS PANTALAR||2783.3247|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28675|28675 - OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION||904.2316|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28666|28666 - PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ||412.157|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28665|28665 - CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES||288.4206|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28660|28660 - CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES||195.1623|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28645|28645 - OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION||1072.6134|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28636|28636 - PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ||402.1201|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28635|28635 - CLTX METATARSOPHLNGL JT DISLC REQ ANES||289.0634|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28630|28630 - CLTX METATARSOPHLNGL JT DISLC W/O ANES||242.4605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28615|28615 - OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION||1733.2277|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28606|28606 - PRQ SKEL FIXJ TARS JT DISLC W/MANJ||864.4843|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28605|28605 - CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES||632.8309|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28600|28600 - CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES||406.9093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28585|28585 - OPEN TREATMENT TALOTARSAL JOINT DISLOCATION||1488.0331|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28576|28576 - PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ||848.9338|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28575|28575 - CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES||715.2579|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28570|28570 - CLOSED TX TALOTARSAL JOINT DISLC W/O ANES||406.2665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28555|28555 - OPEN TREATMENT TARSAL BONE DISLOCATION||1474.7278|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28546|28546 - PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ||713.045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28545|28545 - CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES||559.4604|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28540|28540 - CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES||406.0957|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28531|28531 - OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION||404.1059|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28530|28530 - CLOSED TREATMENT SESAMOID FRACTURE||221.9999|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28525|28525 - OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE||876.6786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28515|28515 - CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ||308.9681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28510|28510 - CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ||260.1602|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28505|28505 - OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES||1101.6229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28496|28496 - PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ||507.0071|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28495|28495 - CLTX FX GRT TOE PHLX/PHLG W/MANJ||324.4372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28490|28490 - CLTX FX GRT TOE PHLX/PHLG W/O MANJ||269.5793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28485|28485 - OPEN TREATMENT METATARSAL FRACTURE EACH||1154.4918|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28476|28476 - PRQ SKEL FIXJ METAR FX W/MANJ||761.7272|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28475|28475 - CLTX METAR FX W/MANJ||498.2874|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28470|28470 - CLOSED TX METATARSAL FRACTURE W/O MANIPULATION||441.7619|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28465|28465 - OPEN TX TARSAL FRACTURE XCP TALUS & CALCANEUS EA||1370.6802|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28456|28456 - PRQ SKEL FIXJ TARSL FX XCP TALUS&CALCNS W/MANJ||686.9042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28455|28455 - TX TARSAL BONE FX XCP TALUS&CALCN W/MANJ||567.5123|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28450|28450 - TX TARSAL BONE FX XCP TALUS&CALCN W/O MANJ||416.4097|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28446|28446 - OPEN OSTEOCHONDRAL AUTOGRAFT TALUS||2672.3634|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28445|28445 - OPEN TREATMENT TALUS FRACTURE||2345.4796|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28436|28436 - PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ||973.8062|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28435|28435 - CLOSED TX TALUS FRACTURE W/MANIPULATION||619.2534|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28430|28430 - CLOSED TX TALUS FRACTURE W/O MANIPULATION||455.6399|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28420|28420 - OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT||2762.8351|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28415|28415 - OPEN TREATMENT CALCANEAL FRACTURE||2439.5194|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28406|28406 - PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ||1141.6385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28405|28405 - CLOSED TX CALCANEAL FRACTURE W/MANIPULATION||781.1783|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28400|28400 - CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION||491.1393|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28360|28360 - RECONSTRUCTION CLEFT FOOT||2042.1563|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28345|28345 - RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB||809.4394|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28344|28344 - RECONSTRUCTION TOE POLYDACTYLY||688.6072|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28341|28341 - RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION||1095.9797|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28340|28340 - RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION||918.7605|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28322|28322 - RPR NON/MALUNION METARSAL W/WO BONE GRAFT||1277.21|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28320|28320 - REPAIR NONUNION/MALUNION TARSAL BONES||1349.2336|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28315|28315 - SESAMOIDECTOMY FIRST TOE SPX||718.7526|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28313|28313 - RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY||790.292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28312|28312 - OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE||703.9224|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28310|28310 - OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE||792.2246|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28309|28309 - OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT||2005.5911|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28308|28308 - OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA||830.6129|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28307|28307 - OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE||991.858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28306|28306 - OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR||891.4065|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28305|28305 - OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT||1477.226|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28304|28304 - OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS||1341.5804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28302|28302 - OSTEOTOMY TALUS||1570.5278|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28300|28300 - OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION||1439.8834|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28299|28299 - CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT||1505.3896|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28298|28298 - CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT||1120.9734|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28297|28297 - CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF||1290.2462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28296|28296 - CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT||1153.1288|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28294|28294 - CORRECTION OF BUNION||1212.9822|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28293|28293 - CORRECTION OF BUNION||1571.9142|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28292|28292 - CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL||1326.1581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28290|28290 - CORRECTION OF BUNION||872.6095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28289|28289 - HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT||1207.2133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28288|28288 - OSTC PRTL EXOSTC/CONDYLC METAR HEAD||945.11|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28286|28286 - CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE||662.6742|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28285|28285 - CORRECTION HAMMERTOE||832.4521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28280|28280 - SYNDACTYLIZATION TOES||773.6146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28272|28272 - CAPSULOTOMY IPHAL JOINT EACH JOINT SPX||562.1494|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28270|28270 - CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX||735.5646|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28264|28264 - CAPSULOTOMY MIDTARSAL||1679.3768|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28262|28262 - CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL&TDN LNGTH||2612.5293|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28261|28261 - CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING||1724.4427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28260|28260 - CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX||1130.9088|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28250|28250 - DIVISION PLANTAR FASCIA & MUSCLE SPX||896.2401|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28240|28240 - TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC||641.342|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28238|28238 - RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR||1080.4656|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28234|28234 - TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON||577.8997|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28232|28232 - TX OPEN TENDON FLEXOR TOE 1 TENDON SPX||534.9179|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28230|28230 - TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX||625.1487|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28226|28226 - TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON||854.5891|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28225|28225 - TENOLYSIS EXTENSOR FOOT SINGLE TENDON||571.1737|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28222|28222 - TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS||773.4478|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28220|28220 - TENOLYSIS FLEXOR FOOT SINGLE TENDON||666.0593|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28210|28210 - RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON||904.2719|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28208|28208 - REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON||685.7965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28202|28202 - RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON||946.403|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28200|28200 - RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON||708.6786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28193|28193 - REMOVAL FOREIGN BODY FOOT COMPLICATED||815.8963|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28192|28192 - REMOVAL FOREIGN BODY FOOT DEEP||694.5074|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28190|28190 - REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS||295.256|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28175|28175 - RADICAL RESECTION TUMOR PHALANX OR TOE||1086.7194|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28173|28173 - RADICAL RESECTION TUMOR METATARSAL||1706.8291|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28171|28171 - RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS||1900.3761|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28160|28160 - HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE||594.4426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28153|28153 - RESECTION CONDYLE DISTAL END PHALANX EACH TOE||580.0192|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28150|28150 - PHALANGECTOMY TOE EACH TOE||620.4819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28140|28140 - METATARSECTOMY||978.9555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28130|28130 - TALECTOMY ASTRAGALECTOMY||1414.0318|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28126|28126 - RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH||547.5714|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28124|28124 - PARTICAL EXCISION BONE PHALANX TOE||728.1354|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28122|28122 - PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS||972.8781|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28120|28120 - PARTIAL EXCISION BONE TALUS/CALCANEUS||1099.1328|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28119|28119 - OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS||797.921|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28118|28118 - OSTECTOMY CALCANEUS||911.2862|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28116|28116 - OSTECTOMY TARSAL COALITION||1263.9467|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28114|28114 - OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC||1844.4009|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28113|28113 - OSTECTOMY COMPLETE 5TH METATARSAL HEAD||935.6789|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28112|28112 - OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4||691.1263|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28111|28111 - OSTECTOMY COMPLETE 1ST METATARSAL HEAD||722.9063|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28110|28110 - OSTECTOMY PRTL 5TH METAR HEAD SPX||637.7821|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28108|28108 - EXC/CURTG CST/B9 TUM PHALANGES FOOT||635.524|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28107|28107 - EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT||826.1169|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28106|28106 - EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT||1026.2263|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28104|28104 - EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL||778.8509|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28103|28103 - EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT||870.6688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28102|28102 - EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT||1324.5203|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28100|28100 - EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS||908.1371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28092|28092 - EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA||590.732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28090|28090 - EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT||679.5958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28088|28088 - SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR||621.3648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28086|28086 - SYNOVECTOMY TENDON SHEATH FOOT FLEXOR||794.2427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28080|28080 - EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH||803.0688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28072|28072 - SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH||730.2751|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28070|28070 - SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX||784.4901|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28062|28062 - FASCIOTOMY PLANTAR FASCIA RADICAL SPX||903.4623|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28060|28060 - FASCIECTOMY PLANTAR FASCIA PARTIAL SPX||787.9405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28055|28055 - NEURECTOMY INTRINSIC MUSCULATURE OF FOOT||832.8219|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28054|28054 - ARTHRTOMY W/BX INTERPHALANGEAL JOINT||538.2989|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28052|28052 - ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT||628.5379|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28050|28050 - ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT||618.1223|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28047|28047 - RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>||2380.2613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28046|28046 - RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM||1625.0772|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28045|28045 - EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM||768.7649|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28043|28043 - EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM||579.1564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28041|28041 - EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>||1020.8554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28039|28039 - EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>||776.5598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28035|28035 - RELEASE TARSAL TUNNEL||781.5078|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28024|28024 - ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT||672.1013|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28022|28022 - ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT||717.2188|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28020|28020 - ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT||796.8222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28011|28011 - TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON||633.9289|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28010|28010 - TENOTOMY PERCUTANEOUS TOE SINGLE TENDON||458.801|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28008|28008 - FASCIOTOMY FOOT&/TOE||647.3026|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28005|28005 - INCISION BONE CORTEX FOOT||1282.3006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28003|28003 - I&D BELOW FASCIA FOOT MULTIPLE AREAS||1256.7736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28002|28002 - I&D BELOW FASCIA FOOT 1 BURSAL SPACE||707.0465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|28001|28001 - INCISION&DRAINAGE BURSA FOOT||375.4089|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27899|27899 - UNLISTED PROCEDURE LEG/ANKLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27894|27894 - DCMPRN FASCT LEG ANT&/LAT&PST W/DBRDMT MUS||1890.0959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27893|27893 - DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV||1322.9292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27892|27892 - DCMPRN FASCT LEG ANT&/LAT W/DBRDMT MUSC&/NERVE||1219.6493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27889|27889 - ANKLE DISARTICULATION||1464.653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27888|27888 - AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR&RESCJ NRV||1519.1758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27886|27886 - AMP LEG THRU TIBIA&FIBULA RE-AMPUTATION||1472.9507|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27884|27884 - AMP LEG THRU TIBIA&FIBULA SEC CLOSURE/SCAR REV||1289.4986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27882|27882 - AMPUTATION LEG THRU TIBIA&FIBULA OPEN CIRCULAR||1352.2932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27881|27881 - AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST||1945.2374|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27880|27880 - AMPUTATION LEG THROUGH TIBIA&FIBULA||2066.6602|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27871|27871 - ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL||1502.8947|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27870|27870 - ARTHRODESIS ANKLE OPEN||2276.7308|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27860|27860 - MANIPULATION ANKLE UNDER GENERAL ANESTHESIA||383.8959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27848|27848 - OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ||1786.9973|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27846|27846 - OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ||1596.6001|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27842|27842 - CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ||1082.9146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27840|27840 - CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA||801.0048|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27832|27832 - OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB||1659.5221|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27831|27831 - CLTX PROX TIBFIB JT DISLC REQ ANES||852.1884|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27830|27830 - CLTX PROX TIBFIB JT DISLC W/O ANES||766.9176|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27829|27829 - OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION||1495.393|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27828|27828 - OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA||2852.0735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27827|27827 - OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY||2373.143|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27826|27826 - OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA||1822.8068|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27825|27825 - CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ||1079.7244|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27824|27824 - CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ||657.255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27823|27823 - OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP||2097.5677|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27822|27822 - OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP||1843.2763|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27818|27818 - CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION||944.7346|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27816|27816 - CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION||618.3382|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27814|27814 - OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE||1695.7618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27810|27810 - CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ||920.7052|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27808|27808 - CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ||644.8133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27792|27792 - OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS||1431.2578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27788|27788 - CLTX DSTL FIBULAR FX LAT MALLS W/MANJ||834.0142|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27786|27786 - CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ||615.7547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27784|27784 - OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE||1570.6422|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27781|27781 - CLTX PROX FIBULA/SHFT FX W/MANJ||847.3798|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27780|27780 - CLTX PROX FIBULA/SHFT FX W/O MANJ||598.9958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27769|27769 - OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE||1604.2082|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27768|27768 - CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ||954.7723|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27767|27767 - CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ||605.4003|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27766|27766 - OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE||1335.8478|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27762|27762 - CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ||941.484|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27760|27760 - CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION||654.9687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27759|27759 - TX TIBL SHFT FX IMED IMPLT W/WO SCREWS&/CERCLA||2202.3549|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27758|27758 - OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE||1959.2443|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27756|27756 - PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE||1251.8297|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27752|27752 - CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ||1080.6444|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27750|27750 - CLTX TIBIAL SHAFT FX W/O MANIPULATION||684.5518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27745|27745 - PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA||1659.2127|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27742|27742 - ARRST EPIPHYSL ANY METH TIBFIB&DSTL FEMUR||1696.4184|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27740|27740 - ARREST EPIPHYSEAL ANY METHOD TIBIA & FIBULA||1553.5249|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27734|27734 - ARREST EPIPHYSEAL OPEN DISTAL TIBIA&FIBULA||1438.4792|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27732|27732 - ARREST EPIPHYSEAL OPEN DISTAL FIBULA||888.5337|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27730|27730 - ARREST EPIPHYSEAL OPEN DISTAL TIBIA||1250.2789|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27727|27727 - REPAIR CONGENITAL PSEUDARTHROSIS TIBIA||2285.2581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27726|27726 - REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION||2136.2468|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27725|27725 - RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH||2660.4551|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27724|27724 - RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT||2799.9232|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27722|27722 - REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT||1933.8801|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27720|27720 - REPAIR NONUNION/MALUNION TIBIA W/O GRAFT||1925.1571|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27715|27715 - OSTEOPLASTY TIBIA & FIBULA LENGTHENING/SHORTENIN||2361.6472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27712|27712 - OSTEOT MLT W/RELIGNMT IMED ROD||2427.6497|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27709|27709 - OSTEOTOMY TIBIA & FIBULA||2579.8865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27707|27707 - OSTEOTOMY FIBULA||878.6434|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27705|27705 - OSTEOTOMY TIBIA||1671.6181|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27704|27704 - REMOVAL ANKLE IMPLANT||1264.8981|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27703|27703 - ARTHROPLASTY ANKLE REVISION TOTAL ANKLE||2453.6729|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27702|27702 - ARTHROPLASTY ANKLE W/IMPLANT||2133.9122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27700|27700 - ARTHROPLASTY ANKLE||1317.4858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27698|27698 - REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL||1414.9872|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27696|27696 - RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS||1228.3006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27695|27695 - RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL||1044.2056|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27692|27692 - TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN||234.7863|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27691|27691 - TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP||1646.0597|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27690|27690 - TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC||1385.9704|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27687|27687 - GASTROCNEMIUS RECESSION||997.6518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27686|27686 - LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA||1225.2692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27685|27685 - LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX||1021.6409|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27681|27681 - TNOLS FLXR/XTNSR TDN LEG&/ANKLE MLT TDN||1190.6406|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27680|27680 - TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH||942.6553|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27676|27676 - REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT||1327.4092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27675|27675 - RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY||1073.386|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27665|27665 - RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH||902.4166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27664|27664 - RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH||789.8038|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27659|27659 - RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH||1061.2207|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27658|27658 - REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH||818.3292|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27656|27656 - REPAIR FASCIAL DEFECT LEG||862.8892|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27654|27654 - REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT||1560.0808|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27652|27652 - RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT||1512.1228|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27650|27650 - REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON||1447.2078|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27648|27648 - INJECTION ANKLE ARTHROGRAPHY||117.9466|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27647|27647 - RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS||2297.5434|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27646|27646 - RADICAL RESECTION TUMOR BONE FIBULA||3405.674|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27645|27645 - RADICAL RESECTION OF TUMOR TIBIA||3933.132|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27641|27641 - PARTIAL EXCISION BONE FIBULA||1474.1494|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27640|27640 - PARTIAL EXCISION BONE TIBIA||1839.3691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27638|27638 - EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT||1680.6343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27637|27637 - EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT||1644.6475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27635|27635 - EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA||1289.1554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27634|27634 - EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>||1516.4988|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27632|27632 - EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>||914.043|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27630|27630 - EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK||803.1203|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27626|27626 - ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY||1361.5697|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27625|27625 - ARTHROTOMY W/SYNOVECTOMY ANKLE||1289.2206|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27620|27620 - ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB||995.5645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27619|27619 - EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM||1033.6547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27618|27618 - EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM||672.0312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27616|27616 - RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>||2817.8445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27615|27615 - RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE <5CM||2266.3982|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27614|27614 - BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP||890.5719|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27613|27613 - BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL||356.4|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27612|27612 - ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH||1225.5382|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27610|27610 - ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB||1431.4367|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27607|27607 - INCISION LEG/ANKLE||1336.0097|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27606|27606 - TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES||624.5373|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27605|27605 - TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES||407.7182|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27604|27604 - INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA||758.9954|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27603|27603 - INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA||853.388|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27602|27602 - DCMPRN FASCT LEG ANT&/LAT&PST CMPRT||1099.2593|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27601|27601 - DCMPRN FASCT LEG POST COMPARTMENT ONLY||974.5731|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27600|27600 - DCMPRN FASCT LEG ANT&/LAT COMPARTMENTS ONLY||910.678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27599|27599 - UNLISTED PROCEDURE FEMUR/KNEE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27598|27598 - DISARTICULATION KNEE||1613.8971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27596|27596 - AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION||1617.3877|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27594|27594 - AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION||1126.0366|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27592|27592 - AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR||1529.3698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27591|27591 - AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST||2125.758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27590|27590 - AMPUTATION THIGH THROUGH FEMUR ANY LEVEL||1806.2575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27580|27580 - ARTHRODESIS KNEE ANY TECHNIQUE||3171.6868|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27570|27570 - MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA||329.0299|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27566|27566 - OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY||1962.8163|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27562|27562 - CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA||1021.7585|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27560|27560 - CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA||721.4788|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27558|27558 - OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION||2637.3796|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27557|27557 - OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR||2320.78|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27556|27556 - OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR||1931.8814|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27552|27552 - CLOSED TX KNEE DISLOCATION W/ANESTHESIA||1367.2089|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27550|27550 - CLOSED TX KNEE DISLOCATION W/O ANESTHESIA||1018.8334|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27540|27540 - OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE||1778.8479|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27538|27538 - CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN||957.9665|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27536|27536 - OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ||2627.0099|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27535|27535 - OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR||1983.0529|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27532|27532 - CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ||1260.6461|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27530|27530 - CLTX TIBIAL FX PROXIMAL W/O MANIPULATION||601.1524|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27524|27524 - OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR||1651.7223|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27520|27520 - CLOSED TX PATELLAR FRACTURE W/O MANIPULATION||633.3151|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27519|27519 - OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION||1970.1835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27517|27517 - CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL||1479.2754|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27516|27516 - CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ||1035.9708|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27514|27514 - OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE||2138.3986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27513|27513 - OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN||2750.9276|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27511|27511 - OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN||2205.5966|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27510|27510 - CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ||1500.7051|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27509|27509 - PRQ SKELETAL FIXJ FEMORAL FX DISTAL END||1400.8981|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27508|27508 - CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ||1075.7133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27507|27507 - OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE||2148.9978|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27506|27506 - OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW||2954.1023|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27503|27503 - CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ||1764.1352|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27502|27502 - CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ||1685.878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27501|27501 - CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ||1090.1037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27500|27500 - CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION||1048.2981|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27499|27499 - DCMPRN FASCT THIGH&/KNEE MLT DBRDMT NV MUSC&NRVE||1528.8365|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27498|27498 - DCMPRN FASCIOTOMY THIGH&/KNEE MLT COMPARTMENTS||1414.6287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27497|27497 - DCMPRN FASCT THIGH&/KNEE DBRDMT MUSCLE&/NERVE||1267.6524|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27496|27496 - DECOMPRESSION FASCIOTOMY THIGH&/KNEE 1 COMPONENT||1181.1813|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27495|27495 - PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR||2488.9435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27488|27488 - RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER||2650.4455|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27487|27487 - REVJ TOT KNEE ARTHRP FEM&ENTIRE TIBIAL COMPONE||3897.4747|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27486|27486 - REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT||3111.7222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27485|27485 - ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA||1470.6378|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27479|27479 - ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB||1751.083|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27477|27477 - ARREST EPIPHYSEAL TIBIA & FIBULA PROXIMAL||1605.6566|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27475|27475 - ARREST EPIPHYSEAL DISTAL FEMUR||1450.8886|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27472|27472 - RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE||2789.2925|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27470|27470 - RPR NON/MAL FEMUR DSTL H/N W/O GRF||2593.0733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27468|27468 - OSTPL FEMUR CMBN LNGTH&SHRT W/FEMORAL SGM TRNSFR||2734.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27466|27466 - OSTEOPLASTY FEMUR LENGTHENING||2599.9983|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27465|27465 - OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876||2731.7858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27457|27457 - OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL||2088.0254|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27455|27455 - OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL||2071.7346|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27454|27454 - OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT||2873.4363|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27450|27450 - OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION||2226.0918|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27448|27448 - OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION||1710.2054|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27447|27447 - ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS||3002.6975|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27446|27446 - ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT||2564.7139|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27445|27445 - ARTHROPLASTY KNEE HINGE PROSTHESIS||2758.3746|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27443|27443 - ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL||1773.9611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27442|27442 - ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE||1912.2104|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27441|27441 - ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT||1809.09|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27440|27440 - ARTHROPLASTY KNEE TIBIAL PLATEAU||1753.992|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27438|27438 - ARTHROPLASTY PATELLA W/PROSTHESIS||1848.1493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27437|27437 - ARTHROPLASTY PATELLA W/O PROSTHESIS||1447.9877|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27435|27435 - CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE||1767.4237|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27430|27430 - QUADRICEPSPLASTY||1621.7363|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27429|27429 - LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR||2739.7298|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27428|27428 - LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR||2449.1817|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27427|27427 - LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR||1561.4753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27425|27425 - LATERAL RETINACULAR RELEASE OPEN||974.9404|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27424|27424 - RCNSTJ DISLC PATELLA W/PATELLECTOMY||1641.9899|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27422|27422 - RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT&/MUSC RL||1627.2208|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27420|27420 - RCNSTJ DISLOCATING PATELLA||1632.7094|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27418|27418 - ANTERIOR TIBIAL TUBERCLEPLASTY||1820.4174|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27416|27416 - OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY||2156.5172|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27415|27415 - OSTEOCHONDRAL ALLOGRAFT KNEE OPEN||3025.8004|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27412|27412 - AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE||3657.9039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27409|27409 - RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE||2098.474|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27407|27407 - REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT||1706.3603|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27405|27405 - RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL||1476.7088|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27403|27403 - ARTHROTOMY W/MENISCUS REPAIR KNEE||1401.9631|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27400|27400 - TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR||1521.529|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27397|27397 - TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN||1985.6091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27396|27396 - TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON||1348.1549|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27395|27395 - LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL||1930.7391|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27394|27394 - LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG||1395.2146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27393|27393 - LENGTHENING HAMSTRING TENDON SINGLE||1106.4396|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27392|27392 - TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI||1555.7958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27391|27391 - TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG||1260.8902|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27390|27390 - TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON||975.3553|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27386|27386 - SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ||1815.8368|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27385|27385 - SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY||1250.4714|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27381|27381 - SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF||1744.7163|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27380|27380 - SUTURE INFRAPATELLAR TENDON PRIMARY||1294.5795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27372|27372 - REMOVAL FOREIGN BODY DEEP THIGH/KNEE||881.4662|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27370|27370 - INJECTION KNEE ARTHROGRAPHY||113.5932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27365|27365 - RADICAL RESECTION TUMOR FEMOR OR KNEE||4594.8717|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27364|27364 - RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>||3469.0865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27360|27360 - PRTL EXC BONE FEMUR PROX TIBIA&/FIBULA||1864.1847|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27358|27358 - EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION||621.1385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27357|27357 - EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT||1785.6914|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27356|27356 - EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT||1614.6527|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27355|27355 - EXCISION/CURETTAGE CYST/TUMOR FEMUR||1316.4804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27350|27350 - PATELLECTOMY/HEMIPATELLECTOMY||1424.7397|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27347|27347 - EXCISION LESION MENISCUS/CAPSULE KNEE||1156.1345|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27345|27345 - EXCISION SYNOVIAL CYST POPLITEAL SPACE||1048.754|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27340|27340 - EXCISION PREPATELLAR BURSA||807.539|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27339|27339 - EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>||1665.2933|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27337|27337 - EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>||922.0498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27335|27335 - ARTHRT W/SYNVCT KNE ANT&POST W/POP AREA||1674.9178|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27334|27334 - ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR||1496.4499|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27333|27333 - ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL&LAT||1280.2165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27332|27332 - ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT||1401.3815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27331|27331 - ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB||1035.8685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27330|27330 - ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY||911.0784|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27329|27329 - RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM||2293.2592|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27328|27328 - EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM||1366.9793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27327|27327 - EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM||686.5481|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27326|27326 - NEURECTOMY POPLITEAL||1130.8798|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27325|27325 - NEURECTOMY HAMSTRING MUSCLE||1195.4661|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27324|27324 - BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP||870.7083|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27323|27323 - BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL||389.9298|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27310|27310 - ARTHRT KNE W/EXPL DRG/RMVL FB||1603.7812|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27307|27307 - TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON||1007.9248|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27306|27306 - TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX||776.0926|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27305|27305 - FASCIOTOMY ILIOTIBIAL OPEN||1050.1985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27303|27303 - INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE||1396.2546|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27301|27301 - I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION||1099.3592|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27299|27299 - UNLISTED PROCEDURE PELVIS/HIP JOINT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27295|27295 - DISARTICULATION HIP||2794.1809|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27290|27290 - INTERPELVIABDOMINAL AMPUTATION||3565.8491|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27286|27286 - ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT||3622.8491|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27284|27284 - ARTHRODESIS HIP JOINT W/OBTAINING GRAFT||3462.6272|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27282|27282 - ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT||1815.8932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27280|27280 - ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT||3022.7674|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27279|27279 - ARTHRODESIS SACROILIAC JOINT PERCUTANEOUS||1525.8317|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27275|27275 - MANIPULATION HIP JOINT GENERAL ANESTHESIA||396.3786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27269|27269 - OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD||2746.5137|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27268|27268 - CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ||1165.1136|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27267|27267 - CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ||947.5743|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27266|27266 - CLTX POST HIP ARTHRP DISLC REQ ANES||1273.4052|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27265|27265 - CLTX POST HIP ARTHRP DISLC W/O ANES||867.8734|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27259|27259 - OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT||3438.643|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27258|27258 - OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM||2450.527|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27257|27257 - TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES||802.492|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27256|27256 - TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES||522.502|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27254|27254 - OPTX HIP DISLC TRAUMTC W/ACTBLR WALL&FEM HEAD||2801.2339|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27253|27253 - OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ||2072.0843|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27252|27252 - CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA||1670.8931|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27250|27250 - CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA||408.6478|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27248|27248 - OPEN TREATMENT GREATER TROCHANTERIC FRACTURE||1636.9807|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27246|27246 - CLTX GREATER TROCHANTERIC FX W/O MANJ||842.8588|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27245|27245 - TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW||2719.6858|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27244|27244 - TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT||2720.414|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27240|27240 - CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ||2108.0107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27238|27238 - CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ||1001.7773|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27236|27236 - OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT||2642.5765|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27235|27235 - PRQ SKEL FIXJ FEMORAL FX PROX END NECK||2003.6085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27232|27232 - CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ||1664.2114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27230|27230 - CLTX FEM FX PROX END NCK W/O MANJ||1025.4409|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27228|27228 - OPTX ACTBLR FX INVG ANT&POST 2 COLUMNS FX W/INT||4195.3207|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27227|27227 - OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT||3676.4237|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27226|27226 - OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ||2332.491|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27222|27222 - CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ||2151.0287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27220|27220 - CLTX ACETABULUM HIP/SOCKT FX W/O MANJ||1148.2614|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27218|27218 - OPTX POST PEL BONE FX&/DISLC INT FIXJ IF PFRMD||2670.0481|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27217|27217 - OPTX ANT PELVIC BONE FX&/DISLC INT FIXJ IF PFR||1927.6875|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27216|27216 - PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS||2055.3093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27215|27215 - OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD||1385.5982|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27202|27202 - OPEN TREATMENT COCCYGEAL FRACTURE||1162.3222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27200|27200 - CLOSED TREATMENT COCCYGEAL FRACTURE||404.6714|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27194|27194 - TREAT PELVIC RING FRACTURE||1554.6761|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27193|27193 - TREAT PELVIC RING FRACTURE||1040.0592|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27187|27187 - PROPH TX N/P/PLTWR W/WO MMA FEM NCK & PROX FEMUR||2183.8874|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27185|27185 - EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR||1346.8772|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27181|27181 - OPTX SLP FEM EPIPHYSIS OSTEOT&INT FIXJ||2141.5573|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27179|27179 - OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX||2150.642|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27178|27178 - OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN||2020.3392|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27177|27177 - OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT||2457.7613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27176|27176 - TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU||1981.1783|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27175|27175 - TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION||1467.6225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27170|27170 - B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA||2599.1185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27165|27165 - OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL||3035.3742|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27161|27161 - OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE||2681.7945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27158|27158 - OSTEOTOMY PELVIS BILATERAL||3149.7737|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27156|27156 - OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ||3805.6157|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27151|27151 - OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT||3517.3554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27147|27147 - OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ||3256.4927|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27146|27146 - OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE||2842.4249|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27140|27140 - OSTEOTOMY&TRANSFER GREATER TROCHANTER SPX||1967.7152|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27138|27138 - REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT||3393.6391|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27137|27137 - REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT||3265.2077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27134|27134 - REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT||4256.6637|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27132|27132 - CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT||3710.548|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27130|27130 - ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT||3003.4218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27125|27125 - HEMIARTHROPLASTY HIP PARTIAL||2502.8014|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27122|27122 - ACETABULOPLASTY RESECTION FEMORAL HEAD||2425.1225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27120|27120 - ACETABULOPLASTY||2873.367|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27111|27111 - TRANSFER ILIOPSOAS FEMORAL NECK||1978.6028|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27110|27110 - TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR||2128.696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27105|27105 - TR PARASPI MUSC HIP FASC/TDN XTN GRF||1904.4718|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27100|27100 - TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF||1795.8919|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27098|27098 - TRANSFER ADDUCTOR ISCHIUM||1467.0376|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27097|27097 - RELEASE/RECESSION HAMSTRING PROXIMAL||1476.1022|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27096|27096 - INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA||188.0827|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27095|27095 - INJECTION HIP ARTHROGRAPHY W/ANESTHESIA||184.6484|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27093|27093 - INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA||156.9286|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27091|27091 - RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA||3538.0488|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27090|27090 - REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE||1824.791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27087|27087 - REMOVAL FOREIGN BODY PELVIS/HIP DEEP||1376.1631|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27086|27086 - RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS||360.5134|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27080|27080 - COCCYGECTOMY PRIMARY||1124.9184|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27078|27078 - RAD RESCT TUMOR ISCHIAL TUBEROSITY&GRT TRCHNTR||4581.1153|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27077|27077 - RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL||6318.9994|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27076|27076 - RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC||5620.2312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27075|27075 - RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL||4651.8733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27071|27071 - PARTIAL EXCISION DEEP PELVIS||2009.4403|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27070|27070 - PARTIAL EXCISION SUPERFICIAL PELVIS||1857.752|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27067|27067 - EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC||2255.2157|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27066|27066 - EXCISION BONE CYST/BENIGN TUMOR DEEP||1778.7463|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27065|27065 - EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL||1116.2534|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27062|27062 - EXCISION TROCHANTERIC BURSA/CALCIFICATION||996.0036|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27060|27060 - EXCISION ISCHIAL BURSA||1010.0201|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27059|27059 - RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/>||4046.3884|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27057|27057 - DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI||2237.3162|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27054|27054 - ARTHROTOMY W/SYNOVECTOMY HIP JOINT||1499.5056|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27052|27052 - ARTHROTOMY W/BIOPSY HIP JOINT||1259.5844|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27050|27050 - ARTHROTOMY W/BIOPSY SACROILIAC JOINT||835.5601|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27049|27049 - RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5 CM||2995.8838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27048|27048 - EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM||1348.1654|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27047|27047 - EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM||795.2787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27045|27045 - EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>||1655.8622|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27043|27043 - EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>||1038.6817|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27041|27041 - BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM||1519.022|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27040|27040 - BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL||440.3811|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27036|27036 - CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC||2221.3154|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27035|27035 - DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH||2536.9418|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27033|27033 - ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY||2141.6137|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27030|27030 - ARTHROTOMY HIP W/DRAINAGE||2062.5106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27027|27027 - DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI||1982.9152|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27025|27025 - FASCIOTOMY HIP/THIGH ANY TYPE||2010.6116|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27006|27006 - TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX||1611.8984|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27005|27005 - TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE||1587.6733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27003|27003 - TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY||1301.8943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27001|27001 - TENOTOMY ADDUCTOR HIP OPEN||1173.2469|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|27000|27000 - TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX||911.8147|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26992|26992 - INCISION BONE CORTEX PELVIS&/HIP JOINT||2105.9733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26991|26991 - I&D PELVIS/HIP JOINT AREA INFECTED BURSA||1141.446|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26990|26990 - I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA||1363.1768|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26989|26989 - UNLISTED PROCEDURE HANDS/FINGERS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26952|26952 - AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP||1368.4044|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26951|26951 - AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR||1382.922|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26910|26910 - AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER||1534.9019|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26863|26863 - ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT||513.5873|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26862|26862 - ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT||1542.3891|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26861|26861 - ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT||230.1074|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26860|26860 - ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ||1189.4241|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26852|26852 - ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT||1693.772|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26850|26850 - ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ||1467.9568|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26844|26844 - ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT||1729.2674|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26843|26843 - ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH||1575.4178|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26842|26842 - ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT||1673.1681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26841|26841 - ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ||1540.6804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26820|26820 - FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT||1678.6727|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26785|26785 - OPEN TX INTERPHALANGEAL JOINT DISLOCATION||1188.347|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26776|26776 - PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ||955.6843|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26775|26775 - CLTX IPHAL JT DISLC W/MANJ REQ ANES||745.3744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26770|26770 - CLTX IPHAL JT DISLC W/MANJ W/O ANES||549.4307|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26765|26765 - OPEN TX DISTAL PHALANGEAL FRACTURE EACH||1085.2186|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26756|26756 - PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA||900.1633|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26755|26755 - CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA||587.7698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26750|26750 - CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA||393.5316|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26746|26746 - OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA||1618.7387|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26742|26742 - CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ||722.2191|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26740|26740 - CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ||461.6698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26735|26735 - OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA||1297.2001|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26727|26727 - PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T||1014.2568|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26725|26725 - CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA||654.2968|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26720|26720 - CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA||427.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26715|26715 - OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION||1242.5581|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26706|26706 - PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ||953.9587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26705|26705 - CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES||823.9241|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26700|26700 - CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES||654.2356|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26686|26686 - OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ||1362.8022|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26685|26685 - OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB||1252.3146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26676|26676 - PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT||1082.0655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26675|26675 - CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES||896.46|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26670|26670 - CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES||665.1111|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26665|26665 - OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB||1377.5721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26650|26650 - PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB||1031.793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26645|26645 - CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ||837.8955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26641|26641 - CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ||725.5067|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26615|26615 - OPEN TX METACARPAL FRACTURE SINGLE EA BONE||1252.3227|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26608|26608 - PRQ SKELETAL FIXJ METACARPAL FX EACH BONE||1031.2557|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26607|26607 - CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE||985.7757|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26605|26605 - CLTX METACARPAL FX W/MANIPULATION EACH BONE||628.8843|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26600|26600 - CLTX METACARPAL FX W/O MANIPULATION EACH BONE||591.3064|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26596|26596 - EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES||1616.1084|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26593|26593 - RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE||1265.4717|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26591|26591 - REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE||913.4742|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26590|26590 - REPAIR MACRODACTYLIA EACH DIGIT||2938.8822|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26587|26587 - RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE & BONE||2010.5504|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26580|26580 - REPAIR CLEFT HAND||3177.7376|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26568|26568 - OSTEOPLASTY LENGTHENING METACARPAL/PHALANX||1917.8955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26567|26567 - OSTEOTOMY PHALANX FINGER EACH||1445.0013|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26565|26565 - OSTEOTOMY METACARPAL EACH||1436.3838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26562|26562 - REPAIR SYNDACTYLY EACH SPACE COMPLEX||2902.9429|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26561|26561 - REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS&GRAFT||1995.0853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26560|26560 - REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS||1187.4013|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26556|26556 - TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS||7482.4978|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26555|26555 - TR FNGR AXH POS W/O MVASC ANAST||2900.9869|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26554|26554 - TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2||7334.1721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26553|26553 - TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1||7203.7162|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26551|26551 - TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND||6301.0644|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26550|26550 - POLLICIZATION DIGIT||3359.3465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26548|26548 - RPR & RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL||1617.3217|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26546|26546 - RPR NON-UNION MTCRPL/PHALANX||2117.4804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26545|26545 - RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT||1464.0835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26542|26542 - RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS||1437.4255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26541|26541 - RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF||1707.642|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26540|26540 - RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT||1392.5562|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26536|26536 - ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA||1505.1907|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26535|26535 - ARTHROPLASTY INTERPHALANGEAL JOINT EACH||915.6195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26531|26531 - ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT||1359.4953|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26530|26530 - ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH||1167.4539|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26525|26525 - CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH||1370.5013|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26520|26520 - CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH||1368.8047|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26518|26518 - CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS||1759.1357|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26517|26517 - CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS||1760.6116|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26516|26516 - CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT||1486.0747|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26510|26510 - CROSS INTRINSIC TRANSFER EACH TENDON||1254.6815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26508|26508 - RELEASE THENAR MUSCLE||1361.6422|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26502|26502 - RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX||1479.439|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26500|26500 - RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX||1319.1776|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26499|26499 - CORRECTION CLAW FINGER OTHER METHODS||1776.5849|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26498|26498 - TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS||2466.9233|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26497|26497 - TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR||1856.0377|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26496|26496 - OPPONENSPLASTY OTHER METHODS||1832.1759|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26494|26494 - OPPONENSPLASTY HYPOTHENAR MUSC TR||1683.234|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26492|26492 - OPPONENSPLASTY TDN TR W/GRF EA TDN||1861.5971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26490|26490 - OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN||1675.4753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26489|26489 - TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH||1939.9527|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26485|26485 - TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH||1710.9514|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26483|26483 - TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT||1789.6759|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26480|26480 - TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN||1586.1902|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26479|26479 - SHORTENING TENDON FLEXOR HAND/FINGER EACH||1295.5921|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26478|26478 - LENGTHENING TENDON FLEXOR HAND/FINGER EACH||1312.79|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26477|26477 - SHORTENING TENDON EXTENSOR HAND/FINGER EACH||1225.6148|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26476|26476 - LENGTHENING TENDON EXTENSOR HAND/FINGER EACH||1221.4772|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26474|26474 - TENODESIS DISTAL JOINT EACH||1271.9648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26471|26471 - TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH||1298.4439|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26460|26460 - TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON||832.5673|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26455|26455 - TENOTOMY FLEXOR FINGER OPEN EACH TENDON||849.961|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26450|26450 - TENOTOMY FLEXOR PALM OPEN EACH TENDON||863.2614|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26449|26449 - TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA||1508.1085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26445|26445 - TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH||1209.0686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26442|26442 - TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO||2047.785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26440|26440 - TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON||1301.7976|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26437|26437 - REALIGNMENT EXTENSOR TENDON HAND EACH TENDON||1318.0385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26434|26434 - REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT||1371.7081|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26433|26433 - REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF||1120.5939|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26432|26432 - CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING||1049.5306|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26428|26428 - RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER||1600.5024|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26426|26426 - RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR||1088.9936|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26420|26420 - REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH||1498.9159|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26418|26418 - REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH||1212.1323|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26416|26416 - RMVL SYNTH ROD & INSJ XTNSR TDN GRF H/F EA ROD||1559.475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26415|26415 - EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA||1640.7283|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26412|26412 - REPAIR EXTENSOR TENDON HAND W/GRAFT EACH||1442.2881|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26410|26410 - REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH||1191.426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26392|26392 - RMVL SYNTH ROD & INSJ FLXR TDN GRF H/F EA ROD||2066.3242|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26390|26390 - EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F||1793.2133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26373|26373 - RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA||1795.6727|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26372|26372 - RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA||1871.5575|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26370|26370 - RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN||1603.1029|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26358|26358 - RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON||2079.7398|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26357|26357 - RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON||1868.145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26356|26356 - RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON||1889.793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26352|26352 - RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON||1737.6657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26350|26350 - RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON||1500.9025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26341|26341 - MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD||162.4583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26340|26340 - MANIPULATION FINGER JOINT UNDER ANES EACH JOINT||711.7359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26320|26320 - REMOVAL IMPLANT FROM FINGER/HAND||751.3753|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26262|26262 - RADICAL RESECTION TUMOR DISTAL PHALANX FINGER||1365.066|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26260|26260 - RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER||1755.1327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26250|26250 - RADICAL RESECTION TUMOR METACARPAL||2364.8518|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26236|26236 - PARTIAL EXCISION DISTAL PHALANX FINGER||958.8124|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26235|26235 - PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER||1073.854|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26230|26230 - PARTIAL EXCISION BONE METACARPAL||1085.8647|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26215|26215 - EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT||1229.3906|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26210|26210 - EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER||958.3854|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26205|26205 - EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT||1317.3795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26200|26200 - EXCISION/CURETTAGE CYST/TUMOR METACARPAL||978.4722|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26185|26185 - SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE||1178.1965|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26180|26180 - EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH||959.3336|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26170|26170 - EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH||877.5083|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26160|26160 - EXC LESION TDN SHTH/JT CAPSL HAND/FNGR||719.5099|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26145|26145 - SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR EA TDN||1112.8481|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26140|26140 - SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT||1095.6704|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26135|26135 - SYNVCT MTCARPHLNGL JT W/INTRNSC RLS&XTNSR HOOD||1196.2926|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26130|26130 - SYNOVECTOMY CARPOMETACARPAL JOINT||1004.8249|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26125|26125 - FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR||610.6375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26123|26123 - FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR||1818.8038|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26121|26121 - FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT||1301.191|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26118|26118 - RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>||2307.3604|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26117|26117 - RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM||1638.8376|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26116|26116 - EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM||1148.209|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26115|26115 - EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM||721.9871|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26113|26113 - EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/>||1195.5845|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26111|26111 - EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>||911.4159|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26110|26110 - ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH||694.0885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26105|26105 - ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH||720.193|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26100|26100 - ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH||721.3362|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26080|26080 - ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA||844.2227|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26075|26075 - ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA||720.1197|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26070|26070 - ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT||680.1694|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26060|26060 - TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT||571.4098|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26055|26055 - TENDON SHEATH INCISION||666.4871|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26045|26045 - FASCIOTOMY PALMAR OPEN PARTIAL||1018.2719|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26040|26040 - FASCIOTOMY PALMAR PERCUTANEOUS||672.2439|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26037|26037 - DECOMPRESSIVE FASCIOTOMY HAND||1238.3134|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26035|26035 - DECOMPRESSION FINGERS&/HAND INJECTION INJURY||1865.4841|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26034|26034 - INCISION BONE CORTEX HAND/FINGER||1167.6005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26030|26030 - DRAINAGE OF PALMAR BURSA MULTIPLE BURSA||1070.3062|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26025|26025 - DRAINAGE OF PALMAR BURSA SINGLE BURSA||916.5919|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26020|26020 - DRAINAGE TENDON SHEATH DIGIT&/PALM EACH||939.7673|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26011|26011 - DRAINAGE FINGER ABSCESS COMPLICATED||401.5054|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|26010|26010 - DRAINAGE FINGER ABSCESS SIMPLE||296.9285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25999|25999 - UNLISTED PROCEDURE FOREARM/WRIST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25931|25931 - TRANSMETACARPAL AMPUTATION RE-AMPUTATION||1442.9672|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25929|25929 - TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ||1291.8646|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25927|25927 - TRANSMETACARPAL AMPUTATION||1759.2888|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25924|25924 - DISARTICULATION THRU WRIST RE-AMPUTATION||1336.8556|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25922|25922 - DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ||1253.5214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25920|25920 - DISARTICULATION THROUGH WRIST||1516.1709|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25915|25915 - KRUKENBERG PROCEDURE||2600.4744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25909|25909 - AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION||1501.0878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25907|25907 - AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE||1275.2153|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25905|25905 - AMP FOREARM THRU RADIUS & ULNA OPEN CIRCULAR||1426.7586|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25900|25900 - AMPUTATION FOREARM THROUGH RADIUS & ULNA||1550.5836|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25830|25830 - ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE||2047.6489|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25825|25825 - ARTHRODESIS WRIST LIMITED W/AUTOGRAFT||1648.9534|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25820|25820 - ARTHRODESIS WRIST LIMITED W/O BONE GRAFT||1336.6502|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25810|25810 - ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT||1899.2652|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25805|25805 - ARTHRODESIS WRIST W/SLIDING GRAFT||1854.118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25800|25800 - ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT||1602.1176|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25695|25695 - OPEN TREATMENT LUNATE DISLOCATION||1386.5955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25690|25690 - CLOSED TX LUNATE DISLOCATION W/MANIPULATION||1032.6711|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25685|25685 - OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC||1605.974|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25680|25680 - CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ||1029.5301|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25676|25676 - OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC||1368.8039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25675|25675 - CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ||856.3107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25671|25671 - PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION||1152.469|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25670|25670 - OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1/> BONES||1324.4309|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25660|25660 - CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ||883.8677|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25652|25652 - OPEN TREATMENT ULNAR STYLOID FRACTURE||1361.1387|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25651|25651 - PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE||1050.8381|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25650|25650 - CLOSED TREATMENT ULNAR STYLOID FRACTURE||644.9962|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25645|25645 - OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA||1238.5736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25635|25635 - CLTX CARPAL BONE FX W/MANJ EACH BONE||823.5986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25630|25630 - CLTX CARPAL BONE FX W/O MANJ EACH BONE||602.8039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25628|25628 - OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE||1575.6715|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25624|25624 - CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ||934.34|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25622|25622 - CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ||593.5887|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25609|25609 - OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG||2294.4265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25608|25608 - OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG||1802.2923|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25607|25607 - OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP||1604.4901|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25606|25606 - PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP||1444.3351|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25605|25605 - CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF||1112.3156|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25600|25600 - CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ||661.5931|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25575|25575 - OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS&ULNA||1974.5636|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25574|25574 - OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA||1468.6166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25565|25565 - CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ||1019.2241|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25560|25560 - CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN||538.3521|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25545|25545 - OPEN TREATMENT OF ULNAR SHAFT FRACTURE||1357.9775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25535|25535 - CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION||979.7297|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25530|25530 - CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION||507.9714|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25526|25526 - OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE||2086.6309|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25525|25525 - OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE||1716.9112|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25520|25520 - CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT||1151.342|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25515|25515 - OPEN TREATMENT RADIAL SHAFT FRACTURE||1462.0985|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25505|25505 - CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION||996.383|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25500|25500 - CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION||538.4375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25492|25492 - PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD&UL||1987.0616|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25491|25491 - PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA||1622.4195|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25490|25490 - PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS||1575.516|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25455|25455 - EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS&ULNA||1354.1888|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25450|25450 - EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U||1142.2315|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25449|25449 - REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT||2269.9936|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25447|25447 - ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS||1808.6114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25446|25446 - ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS||2576.1566|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25445|25445 - ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM||1580.3093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25444|25444 - ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE||1813.1912|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25443|25443 - ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL||1713.5212|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25442|25442 - ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA||1764.2504|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25441|25441 - ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS||2049.2045|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25440|25440 - RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC||1678.8201|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25431|25431 - REPAIR NONUNION CARPAL BONE EACH BONE||1724.0592|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25430|25430 - INSERTION VASCULAR PEDICLE CARPAL BONE||1600.6974|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25426|25426 - REPAIR DEFECT W/AUTOGRAFT RADIUS&ULNA||2478.8244|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25425|25425 - REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA||2118.8943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25420|25420 - RPR NONUNION/MALUNION RADIUS&ULNA W/AUTOGRAFT||2570.5448|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25415|25415 - RPR NONUNION/MALUNION RADIUS&ULNA W/O AUTOGRAF||2117.3524|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25405|25405 - RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT||2280.0265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25400|25400 - RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT||1762.7198|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25394|25394 - OSTEOPLASTY CARPAL BONE SHORTENING||1709.9854|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25393|25393 - OSTEOPLASTY RADIUS&ULNA LENGTHENING W/AUTOGRAF||2491.8018|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25392|25392 - OSTEOPLASTY RADIUS & ULNA SHORTENING||1928.5624|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25391|25391 - OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT||2192.297|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25390|25390 - OSTEOPLASTY RADIUS/ULNA SHORTENING||1685.505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25375|25375 - MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS&ULNA||2095.768|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25370|25370 - MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA||2210.3222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25365|25365 - OSTEOTOMY RADIUS & ULNA||2003.5562|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25360|25360 - OSTEOTOMY ULNA||1428.2594|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25355|25355 - OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD||1650.1191|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25350|25350 - OSTEOTOMY RADIUS DISTAL THIRD||1472.3964|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25337|25337 - RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ||1940.9251|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25335|25335 - CENTRALIZATION WRST ULNA||1788.4538|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25332|25332 - ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ||1843.9594|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25320|25320 - CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS||2152.0897|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25316|25316 - FLEXOR ORIGIN SLIDE F/ARM&/WRST TENDON TRANSFE||2009.313|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25315|25315 - FLEXOR ORIGIN SLIDE FOREARM &/WRIST||1690.4924|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25312|25312 - TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1/TDN GR||1564.5639|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25310|25310 - TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN||1351.1219|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25301|25301 - TENODESIS WRIST EXTENSORS FINGERS||1404.5757|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25300|25300 - TENODESIS WRIST FLEXORS FINGERS||1487.7519|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25295|25295 - TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA||1139.3515|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25290|25290 - TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA||948.425|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25280|25280 - LNGTH/SHRT FLXR/XTNSR TDN F/ARM&/WRIST 1 EA TDN||1227.3855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25275|25275 - RPR TENDON SHEATH EXTENSOR F/ARM&/WRIST W/GRAFT||1466.9893|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25274|25274 - RPR TDN/MUSC XTNSR F/ARM&/WRST SEC FR GRF EA TDN||1450.1652|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25272|25272 - RPR TDN/MUSC XTNSR F/ARM&/WRIST SEC 1 EA TDN/MU||1204.9423|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25270|25270 - RPR TDN/MUSC XTNSR F/ARM&/WRIST PRIM 1 EA TDN||1063.8453|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25265|25265 - RPR TDN/MUSC FLXR F/ARM&/WRISTSEC FR GRF EA||1636.4731|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25263|25263 - RPR TDN/MUSC FLXR F/ARM&/WRIST SEC 1 EA TDN/MUS||1353.6893|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25260|25260 - RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MU||1371.8072|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25259|25259 - MANIPULATION WRIST UNDER ANESTHESIA||891.392|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25251|25251 - REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST||1571.915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25250|25250 - REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE||1140.4221|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25248|25248 - EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST||906.1997|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25246|25246 - INJECTION WRIST ARTHROGRAPHY||169.0126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25240|25240 - EXCISION DISTAL ULNA PARTIAL/COMPLETE||928.5864|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25230|25230 - RADICAL STYLOIDECTOMY SEPARATE PROCEDURE||939.9703|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25215|25215 - CARPECTOMY ALL BONES PROXIMAL ROW||1346.5445|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25210|25210 - CARPECTOMY 1 BONE||1059.081|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25170|25170 - RADICAL RESECTION TUMOR RADIUS OR ULNA||3273.577|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25151|25151 - PARTIAL EXCISION BONE RADIUS||1274.0239|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25150|25150 - PARTIAL EXCISION BONE ULNA||1235.3351|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25145|25145 - SEQUESTRECTOMY FOREARM &/WRIST||1127.0637|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25136|25136 - EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT||1065.8383|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25135|25135 - EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT||1206.0895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25130|25130 - EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES||967.9632|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25126|25126 - EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT||1296.9793|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25125|25125 - EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT||1268.1487|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25120|25120 - EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA||1081.3404|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25119|25119 - SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA||1075.0463|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25118|25118 - SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT||826.4464|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25116|25116 - RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS||1304.1129|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25115|25115 - RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS||1655.8735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25112|25112 - EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT||838.6359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25111|25111 - EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY||691.6717|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25110|25110 - EXCISION LESION TENDON SHEATH FOREARM&/WRIST||742.2124|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25109|25109 - EXC TENDON FOREARM&/WRIST FLEXOR/EXTENSOR EA||1170.831|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25107|25107 - ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE||1338.5908|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25105|25105 - ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY||1048.1362|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25101|25101 - ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB||873.9726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25100|25100 - ARTHROTOMY WRIST JOINT WITH BIOPSY||747.8516|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25085|25085 - CAPSULOTOMY WRIST||977.6787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25078|25078 - RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>||2573.0454|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25077|25077 - RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM||1950.9225|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25076|25076 - EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM||1127.9507|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25075|25075 - EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM||690.8774|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25073|25073 - EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/>||1164.4909|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25071|25071 - EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>||935.782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25066|25066 - BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP||779.5953|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25065|25065 - BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL||356.3879|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25040|25040 - ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB||1228.3167|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25035|25035 - INCISION DEEP BONE CORTEX FOREARM&/WRIST||1263.6003|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25031|25031 - INCISION & DRAINAGE FOREARM&/WRIST BURSA||778.7857|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25028|25028 - I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA||1127.017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25025|25025 - DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR DBRDMT||2658.2453|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25024|25024 - DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR W/O DB||1695.7369|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25023|25023 - DCMPRN FASCT F/ARM&/WRST FLXR/XTNSR W/DBRDMT||2397.1095|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25020|25020 - DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O DBRDMT||1238.2223|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25001|25001 - INCISION FLEXOR TENDON SHEATH WRIST||738.6936|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|25000|25000 - INCISION EXTENSOR TENDON SHEATH WRIST||725.8693|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24999|24999 - UNLISTED PROCEDURE HUMERUS/ELBOW||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24940|24940 - CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24935|24935 - STUMP ELONGATION UPPER EXTREMITY||2449.98|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24931|24931 - AMPUTATION ARM THRU HUMERUS W/IMPLANT||1778.7254|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24930|24930 - AMPUTATION ARM THRU HUMERUS RE-AMPUTATION||1689.5805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24925|24925 - AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ||1200.6775|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24920|24920 - AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR||1604.851|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24900|24900 - AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE||1605.9982|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24802|24802 - ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT||2156.3102|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24800|24800 - ARTHRODESIS ELBOW JOINT LOCAL||1821.0764|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24685|24685 - OPEN TREATMENT ULNAR FRACTURE PROXIMAL END||1427.4256|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24675|24675 - CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ||895.6343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24670|24670 - CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ||563.8098|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24666|24666 - OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC||1604.7826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24665|24665 - OPEN TX RADIAL HEAD/NECK FRACTURE||1422.2625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24655|24655 - CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION||855.5784|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24650|24650 - CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION||513.6106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24640|24640 - CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ||200.7241|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24635|24635 - OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW||1470.7893|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24620|24620 - CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ||1197.7653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24615|24615 - OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION||1561.8088|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24605|24605 - TREATMENT CLOSED ELBOW DISLOCATION REQ ANES||1020.4325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24600|24600 - TREATMENT CLOSED ELBOW DISLOCATION W/O ANES||723.1302|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24587|24587 - OPTX PRIARTICULAR FX&/DISLC ELBW W/IMPLT ARTHR||2381.3077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24586|24586 - OPTX PERIARTICULAR FRACTURE &/DISLOCATION ELBO||2386.3322|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24582|24582 - PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ||1757.0049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24579|24579 - OPEN TREATMENT HUMERAL CONDYLAR FRACTURE||1832.8679|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24577|24577 - CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ||1082.138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24576|24576 - CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ||654.4805|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24575|24575 - OPEN TX HUMERAL EPICONDYLAR FRACTURE||1597.7561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24566|24566 - PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ||1565.6628|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24565|24565 - CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ||1054.1902|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24560|24560 - CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ||615.4252|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24546|24546 - OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN||2287.2237|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24545|24545 - OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN||2043.1851|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24538|24538 - PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX||1625.8094|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24535|24535 - CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ||1232.3939|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24530|24530 - CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ||741.5011|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24516|24516 - TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE||1891.9158|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24515|24515 - OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE||1923.1923|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24505|24505 - CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ||977.8092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24500|24500 - CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION||700.8104|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24498|24498 - PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT||1904.2317|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24495|24495 - DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL||1424.9307|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24470|24470 - HEMIEPIPHYSEAL ARREST||1250.751|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24435|24435 - REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT||2366.0997|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24430|24430 - REPAIR NON/MALUNION HUMERUS W/O GRAFT||2326.2218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24420|24420 - OSTEOPLASTY HUMERUS||2154.322|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24410|24410 - MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT||2328.7603|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24400|24400 - OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION||1792.1362|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24371|24371 - REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT||3946.9584|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24370|24370 - REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT||3437.3895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24366|24366 - ARTHROPLASTY RADIAL HEAD W/IMPLANT||1489.8545|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24365|24365 - ARTHROPLASTY RADIAL HEAD||1394.0086|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24363|24363 - ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM||3216.6657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24362|24362 - ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ||2337.0031|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24361|24361 - ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT||2196.9759|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24360|24360 - ARTHROPLASTY ELBOW W/MEMBRANE||1947.9821|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24359|24359 - TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR||1443.2685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24358|24358 - TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN||1138.1471|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24357|24357 - TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS||934.7057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24346|24346 - RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF||2403.3932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24345|24345 - REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW||1536.7427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24344|24344 - RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT||2407.7909|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24343|24343 - REPAIR LATERAL COLLATERAL LIGAMENT ELBOW||1541.8042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24342|24342 - RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF||1702.7923|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24341|24341 - REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA||1629.2687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24340|24340 - TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE||1338.8543|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24332|24332 - TENOLYSIS TRICEPS||1336.771|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24331|24331 - FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT||1727.4927|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24330|24330 - FLEXOR-PLASTY ELBOW||1574.5598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24320|24320 - TENOPLASTY ELBOW TO SHOULDER SINGLE||1715.8889|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24310|24310 - TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON||1028.6754|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24305|24305 - TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON||1258.9826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24301|24301 - MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE||1643.8008|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24300|24300 - MANIPULATION ELBOW UNDER ANESTHESIA||897.9141|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24220|24220 - INJECTION ELBOW ARTHROGRAPHY||154.8333|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24201|24201 - REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP||789.6685|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24200|24200 - RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS||305.2648|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24164|24164 - PROSTHESIS REMOVAL RADIAL HEAD||1603.0811|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24160|24160 - PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS||2789.9846|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24155|24155 - RESECTION ELBOW JOINT ARTHRECTOMY||1857.0632|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24152|24152 - RADICAL RESECTION TUMOR RADIAL HEAD/NECK||2925.4408|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24150|24150 - RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS||3447.5287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24149|24149 - RAD RESCJ CAPSL TISS&HTRTPC BONE ELBW CONTRCT||2578.2206|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24147|24147 - PARTIAL EXCISION BONE OLECRANON PROCESS||1355.0033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24145|24145 - PARTIAL EXCISION BONE RADIAL HEAD/NECK||1295.3883|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24140|24140 - PARTIAL EXCISION BONE HUMERUS||1534.1583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24138|24138 - SEQUESTRECTOMY OLECRANON PROCESS||1466.9039|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24136|24136 - SEQUESTRECTOMY RADIAL HEAD OR NECK||1368.8821|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24134|24134 - SEQUESTRECTOMY SHAFT/DISTAL HUMERUS||1637.4656|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24130|24130 - EXCISION RADIAL HEAD||1107.2251|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24126|24126 - EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT||1421.5456|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24125|24125 - EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT||1341.4628|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24120|24120 - EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN||1153.9537|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24116|24116 - EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT||1897.3431|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24115|24115 - EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT||1618.5542|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24110|24110 - EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS||1267.3882|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24105|24105 - EXCISION OLECRANON BURSA||757.4664|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24102|24102 - ARTHROTOMY ELBOW W/SYNOVECTOMY||1348.2894|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24101|24101 - ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB||1090.3035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24100|24100 - ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY||909.3044|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24079|24079 - RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM/>||2933.1214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24077|24077 - RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW <5CM||2291.839|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24076|24076 - EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM||1192.1736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24075|24075 - EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM||722.1611|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24073|24073 - EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>||1527.4147|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24071|24071 - EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>||894.2406|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24066|24066 - BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP||909.4583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24065|24065 - BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL||366.5473|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24006|24006 - ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX||1548.0081|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|24000|24000 - ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB||1039.2416|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23935|23935 - INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW||1103.2704|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23931|23931 - INCISION&DRAINAGE UPPER ARM/ELBOW BURSA||346.8062|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23930|23930 - I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA||473.6055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23929|23929 - UNLISTED PROCEDURE SHOULDER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23921|23921 - DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION||1019.6591|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23920|23920 - DISARTICULATION SHOULDER||2477.0223|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23900|23900 - INTERTHORACOSCAPULAR AMPUTATION||3068.659|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23802|23802 - ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT||2784.6144|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23800|23800 - ARTHRODESIS GLENOHUMERAL JOINT||2260.4553|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23700|23700 - MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS||429.5869|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23680|23680 - OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE||2041.0084|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23675|23675 - CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ||1090.0514|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23670|23670 - OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX||1924.5102|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23665|23665 - CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ||855.932|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23660|23660 - OPEN TX ACUTE SHOULDER DISLOCATION||1270.9441|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23655|23655 - CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES||869.7939|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23650|23650 - CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES||622.085|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23630|23630 - OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE||1712.7406|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23625|23625 - CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION||762.2508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23620|23620 - CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ||549.6305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23616|23616 - OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT||2741.5062|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23615|23615 - OPEN TREATMENT PROXIMAL HUMERAL FRACTURE||1942.7787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23605|23605 - CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ||920.0543|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23600|23600 - CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION||659.0619|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23585|23585 - OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD||2160.6838|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23575|23575 - CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION||808.9674|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23570|23570 - CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION||512.5851|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23552|23552 - OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF||1434.0122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23550|23550 - OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC||1234.1307|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23545|23545 - CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION||665.4495|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23540|23540 - CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION||490.1138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23532|23532 - OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF||1355.7396|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23530|23530 - OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC||1206.4512|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23525|23525 - CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION||749.5731|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23520|23520 - CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION||488.8361|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23515|23515 - OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION||1578.0472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23505|23505 - CLSD TX CLAVICULAR FRACTURE W/MANIPULATION||720.9253|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23500|23500 - CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION||476.5773|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23491|23491 - PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS||2229.916|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23490|23490 - PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE||1853.2109|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23485|23485 - OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL||2103.0224|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23480|23480 - OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION||1804.7607|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23474|23474 - REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT||3893.9308|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23473|23473 - REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT||3602.7447|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23472|23472 - ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER||3223.5616|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23470|23470 - ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY||2657.1626|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23466|23466 - CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS||2460.3505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23465|23465 - CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK||2452.1431|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23462|23462 - CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR||2338.7771|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23460|23460 - CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK||2404.1198|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23455|23455 - CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR||2203.4046|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23450|23450 - CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON||2081.0272|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23440|23440 - RESECTION/TRANSPLANTATION LONG TENDON BICEPS||1659.721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23430|23430 - TENODESIS LONG TENDON BICEPS||1635.5741|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23420|23420 - RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC||2129.6893|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23415|23415 - CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY||1525.0486|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23412|23412 - OPEN REPAIR OF ROTATOR CUFF CHRONIC||1873.1107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23410|23410 - OPEN REPAIR OF ROTATOR CUFF ACUTE||1804.9484|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23406|23406 - TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION||1689.4919|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23405|23405 - TENOTOMY SHOULDER AREA 1 TENDON||1369.4218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23400|23400 - SCAPULOPEXY||2138.2326|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23397|23397 - MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE||2516.1139|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23395|23395 - MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE||2831.9739|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23350|23350 - INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG||114.6348|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23335|23335 - PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT||2827.8267|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23334|23334 - PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT||2372.4945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23333|23333 - REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM||990.0268|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23330|23330 - REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS||328.4523|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23220|23220 - RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS||4303.1772|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23210|23210 - RADICAL RESECTION TUMOR SCAPULA||3928.7906|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23200|23200 - RADICAL RESECTION TUMOR CLAVICLE||3293.7113|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23195|23195 - RESECTION HUMERAL HEAD||1650.9288|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23190|23190 - OSTECTOMY SCAPULA PARTIAL||1242.6056|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23184|23184 - PARTIAL EXCISION BONE PROXIMAL HUMERUS||1609.4776|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23182|23182 - PARTIAL EXCISION BONE SCAPULA||1425.0491|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23180|23180 - PARTIAL EXCISION BONE CLAVICLE||1460.8119|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23174|23174 - SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK||1642.5683|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23172|23172 - SEQUESTRECTOMY SCAPULA||1236.218|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23170|23170 - SEQUESTRECTOMY CLAVICLE||1212.9693|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23156|23156 - EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT||1480.5861|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23155|23155 - EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT||1740.5127|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23150|23150 - EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS||1438.3576|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23146|23146 - EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT||1355.5277|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23145|23145 - EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT||1523.555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23140|23140 - EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA||1168.771|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23130|23130 - PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE||1331.9906|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23125|23125 - CLAVICULECTOMY TOTAL||1555.2214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23120|23120 - CLAVICULECTOMY PARTIAL||1274.529|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23107|23107 - ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB||1443.1098|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23106|23106 - ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX||1072.2751|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23105|23105 - ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY||1395.7423|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23101|23101 - ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG||991.4181|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23100|23100 - ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY||1085.8848|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23078|23078 - RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM/>||3185.9152|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23077|23077 - RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM||2538.8229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23076|23076 - EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM||1187.1241|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23075|23075 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM||714.6787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23073|23073 - EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>||1531.056|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23071|23071 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>||924.9507|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23066|23066 - BIOPSY SOFT TISSUE SHOULDER DEEP||776.9626|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23065|23065 - BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL||367.9426|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23044|23044 - ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB||1245.7869|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23040|23040 - ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB||1577.1071|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23035|23035 - INCISION BONE CORTEX SHOULDER AREA||1483.1656|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23031|23031 - I&D SHOULDER INFECTED BURSA||479.1843|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23030|23030 - I&D SHOULDER DEEP ABSCESS/HEMATOMA||561.5541|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23020|23020 - CAPSULAR CONTRACTURE RELEASE||1509.4289|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|23000|23000 - REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN||808.1126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22999|22999 - UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22905|22905 - RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>||2960.0291|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22904|22904 - RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM||2330.9982|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22903|22903 - EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>||969.4696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22902|22902 - EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM||727.2871|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22901|22901 - EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>||1472.995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22900|22900 - EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM||1248.2343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22899|22899 - UNLISTED PROCEDURE SPINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22865|22865 - RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR||4557.8384|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22864|22864 - RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL||4608.7368|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22862|22862 - REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC LMBR||4463.785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22861|22861 - REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV||4510.2317|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22858|22858 - TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL||1135.4749|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22857|22857 - TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR||4366.8653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22856|22856 - TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV||3620.5733|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22855|22855 - REMOVAL ANTERIOR INSTRUMENTATION||2467.3696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22852|22852 - REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION||1534.4483|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22851|22851 - APPLY SPINE PROSTH DEVICE||920.785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22850|22850 - REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION||1601.1904|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22849|22849 - REINSERTION SPINAL FIXATION DEVICE||2897.2159|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22848|22848 - PELVIC FIXATION OTHER THAN SACRUM||810.5375|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22847|22847 - ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS||1866.2438|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22846|22846 - ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS||1716.796|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22845|22845 - ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS||1652.8855|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22844|22844 - POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SE||2218.2115|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22843|22843 - POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG||1841.1269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22842|22842 - POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG||1723.0748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22841|22841 - INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22840|22840 - POSTERIOR NON-SEGMENTAL INSTRUMENTATION||1717.6797|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22830|22830 - EXPLORATION SPINAL FUSION||1801.0106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22819|22819 - KYPHECTOMY 3 OR MORE SEGMENTS||6194.7498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22818|22818 - KYPHECTOMY SINGLE OR TWO SEGMENTS||4839.0594|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22812|22812 - ARTHRODESIS ANTERIOR SPINAL DFRM 8/> VRT SEG||5357.9547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22810|22810 - ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG||4531.8934|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22808|22808 - ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG||4095.8142|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22804|22804 - ARTHRODESIS POSTERIOR SPINAL DFRM 13/> VRT SEG||5411.1491|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22802|22802 - ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG||4675.7762|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22800|22800 - ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG||3001.1323|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22634|22634 - ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG||1121.866|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22633|22633 - ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR||4139.2093|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22632|22632 - ARTHRODESIS POSTERIOR INTERBODY EA ADDL||725.3835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22630|22630 - ARTHRODESIS POSTERIOR INTERBODY LUMBAR||3492.4303|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22614|22614 - ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL||883.7888|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22612|22612 - ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR||3541.4726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22610|22610 - ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC||2804.3008|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22600|22600 - ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM||2862.6727|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22595|22595 - ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2||3358.2372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22590|22590 - ARTHRODESIS POSTERIOR CRANIOCERVICAL||3521.8007|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22586|22586 - ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5-S1||4047.8997|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22585|22585 - ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC||743.6971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22558|22558 - ARTHRODESIS ANTERIOR INTERBODY LUMBAR||3435.5616|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22556|22556 - ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC||3716.387|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22554|22554 - ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2||2793.9368|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22552|22552 - ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC||902.5366|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22551|22551 - ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2||3827.8735|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22548|22548 - ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD||4412.2244|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22534|22534 - ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR||812.0141|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22533|22533 - ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR||3677.5032|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22532|22532 - ARTHRODESIS LATERAL EXTRACAVITARY THORACIC||3966.1453|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22527|22527 - PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL||357.9653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22526|22526 - PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL||782.1652|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22515|22515 - PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH||510.153|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22514|22514 - PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR||1121.4382|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22513|22513 - PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION||1203.6332|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22512|22512 - VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL||473.8407|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22511|22511 - PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL||952.134|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22510|22510 - PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC||1014.7305|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22505|22505 - MANIPULATION SPINE REQUIRING ANESTHESIA||281.8815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22328|22328 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM EA||636.9555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22327|22327 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM TH||3335.8094|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22326|22326 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM CR||3316.9898|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22325|22325 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM LM||3189.2166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22319|22319 - OPTX&/RDCTJ ODNTD FX&/DISLC ANT W/INT FIXJ||4068.9121|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22318|22318 - OPTX&/RDCTJ ODNTD FX&/DISLC ANT FIXJ W/O GRAFT||3661.7764|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22315|22315 - CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ||1697.6115|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22310|22310 - CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING||621.5058|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22305|22305 - CLOSED TX SPINE PROCESS FX||376.7107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22226|22226 - OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM||815.9527|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22224|22224 - OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR||3510.0213|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22222|22222 - OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC||3447.4071|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22220|22220 - OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV||3546.0025|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22216|22216 - OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM||817.3971|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22214|22214 - OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR||3294.7151|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22212|22212 - OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC||3282.8591|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22210|22210 - OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV||3967.6236|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22208|22208 - OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM||1310.8477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22207|22207 - OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR||5340.1695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22206|22206 - OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC||5448.0607|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22116|22116 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA||318.9946|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22114|22114 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR||2193.4692|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22112|22112 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC||2184.7905|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22110|22110 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV||2315.1787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22103|22103 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA||314.0474|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22102|22102 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR||1742.3229|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22101|22101 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC||1874.4472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22100|22100 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV||1921.0607|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22015|22015 - I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC||2036.4406|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|22010|22010 - I&D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR||2101.1808|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21936|21936 - RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>||3138.1643|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21935|21935 - RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM||2273.7493|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21933|21933 - EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/>||1632.7472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21932|21932 - EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM||1464.8133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21931|21931 - EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>||1038.6736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21930|21930 - EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM||801.7887|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21925|21925 - BIOPSY SOFT TISSUE BACK/FLANK DEEP||776.7789|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21920|21920 - BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL||351.8959|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21899|21899 - UNLISTED PROCEDURE NECK/THORAX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21825|21825 - OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION||1195.8222|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21820|21820 - CLOSED TREATMENT STERNUM FRACTURE||309.5457|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21813|21813 - OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS||2151.7006|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21812|21812 - OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS||1645.9832|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21811|21811 - OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS||1372.1343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21750|21750 - CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX||1529.2385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21743|21743 - REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21742|21742 - REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21740|21740 - REPAIR PECTUS EXCAVATUM/CARINATUM OPEN||2288.9227|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21725|21725 - DIVISION STERNOCLEIDOMASTOID OPEN W/CAST||1166.629|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21720|21720 - DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST||993.5296|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21705|21705 - DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB||1241.8516|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21700|21700 - DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB||830.4462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21685|21685 - HYOID MYOTOMY & SUSPENSION||2221.7077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21632|21632 - RADICAL RESECTION STERNUM W/MEDSTNL LMPHADEC||2697.4457|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21630|21630 - RADICAL RESECTION STERNUM||2692.4759|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21627|21627 - STERNAL DEBRIDEMENT||1189.118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21620|21620 - OSTECTOMY STERNUM PARTIAL||1114.3554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21616|21616 - EXCISION 1ST &/CERVICAL RIB W/SYMPATHECTOMY||1680.9678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21615|21615 - EXCISION 1ST &/CERVICAL RIB||1384.5405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21610|21610 - COSTOTRANSVERSECTOMY SEPARATE PROCEDURE||2645.8174|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21600|21600 - EXCISION RIB PARTIAL||1224.9799|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21558|21558 - RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>||2998.2482|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21557|21557 - RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM||2125.8707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21556|21556 - EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM||1170.2678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21555|21555 - EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM||671.3231|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21554|21554 - EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>||1622.5355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21552|21552 - EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>||986.9285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21550|21550 - BIOPSY SOFT TISSUE NECK/THORAX||346.8223|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21510|21510 - INCISION DEEP OPENING BONE CORTEX THORAX||986.7618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21502|21502 - I&D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI||1174.5754|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21501|21501 - I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX||704.0642|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21499|21499 - UNLISTED MUSCULOSKELETAL PROCEDURE HEAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21497|21497 - INTERDENTAL WIRING OTHER THAN FRACTURE||1321.4099|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21495|21495 - TREAT HYOID BONE FRACTURE||1532.3497|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21490|21490 - OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION||2025.4716|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21485|21485 - CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ||1271.7795|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21480|21480 - CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ||71.6288|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21470|21470 - OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION||2672.8951|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21465|21465 - OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE||2117.3878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21462|21462 - OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION||2289.8032|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21461|21461 - OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION||2050.6143|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21454|21454 - OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION||1303.1696|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21453|21453 - CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION||1697.7508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21452|21452 - PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ||757.6726|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21451|21451 - CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION||1389.8034|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21450|21450 - CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION||1071.1569|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21445|21445 - OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX||1368.7427|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21440|21440 - CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX||1011.7296|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21436|21436 - OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE||4608.1077|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21435|21435 - OPEN TX CRANIOFACIAL SEP COMP W/INT&/XTRNL FIX||2806.5742|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21433|21433 - OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR||3836.0987|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21432|21432 - OPEN TX CRANIOFACIAL SEP W/WIRING&/INT FIXJ||1443.2741|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21431|21431 - CLOSED TX CRANIOFACIAL SEPARATION||1611.7526|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21423|21423 - OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR||1798.1967|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21422|21422 - OPEN TREATMENT PALATAL/MAXILLARY FRACTURE||1480.9543|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21421|21421 - CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT||1383.4312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21408|21408 - OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT||1930.6183|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21407|21407 - OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT||1419.5291|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21406|21406 - OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT||1144.2624|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21401|21401 - CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION||627.663|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21400|21400 - CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION||337.4814|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21395|21395 - OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF||2211.4299|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21390|21390 - OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC||1746.8463|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21387|21387 - OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR||1570.4239|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21386|21386 - OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL||1525.5255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21385|21385 - OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL||1501.5091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21366|21366 - OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT||2571.3722|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21365|21365 - OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG||2463.7565|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21360|21360 - OPEN TX DEPRESSED MALAR FRACTURE||1184.4125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21356|21356 - OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE||830.4744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21355|21355 - PERCUTANEOUS TX MALAR AREA FRACTURE||707.1037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21348|21348 - OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT||2661.9092|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21347|21347 - OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN||2482.1515|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21346|21346 - OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG & FXJ||1994.1992|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21345|21345 - CLOSED TX NASOMAXILLARY COMPLEX FRACTURE||1440.1613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21344|21344 - OPEN TX COMPLICATED FRONTAL SINUS FRACTURE||3093.97|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21343|21343 - OPEN TX DEPRESSED FRONTAL SINUS FRACTURE||2629.1206|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21340|21340 - PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE||1668.5681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21339|21339 - OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION||1675.257|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21338|21338 - OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION||1561.3383|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21337|21337 - CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION||643.3931|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21336|21336 - OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION||1398.9405|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21335|21335 - OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM||1591.9164|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21330|21330 - OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FI||1229.4188|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21325|21325 - OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED||1020.6798|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21320|21320 - CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION||297.8597|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21315|21315 - CLOSED TX NASAL FRACTURE W/O STABILIZATION||331.4878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21310|21310 - CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION||279.97|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21299|21299 - UNLISTED CRANIOFACIAL & MAXILLOFACIAL PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21296|21296 - REDUCTION MASSETER MUSCLE & BONE INTRAORAL||939.4023|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21295|21295 - REDUCTION MASSETER MUSCLE & BONE EXTRAORAL||390.7201|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21282|21282 - LATERAL CANTHOPEXY||822.192|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21280|21280 - MEDIAL CANTHOPEXY SEPARATE PROCEDURE||1232.2746|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21275|21275 - SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ||1838.9961|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21270|21270 - MALAR AUGMENTATION PROSTHETIC MATERIAL||1585.3814|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21268|21268 - ORBITAL REPOSITIONING W/BONE GRAFTS ICRA & XTRC||3857.3882|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21267|21267 - ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL||3435.2853|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21263|21263 - PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD||4323.4782|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21261|21261 - PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA & XTR||4685.3128|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21260|21260 - PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL||3055.3417|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21256|21256 - RECONSTRUCTION ORBIT W/OSTEOTOMIES & BONE GRAFTS||2651.7135|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21255|21255 - RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG||3063.5596|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21249|21249 - RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE||2871.3281|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21248|21248 - RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL||2015.7722|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21247|21247 - RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS||3453.7214|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21246|21246 - RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE||1932.4776|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21245|21245 - RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL||1964.4501|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21244|21244 - RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE||2349.5608|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21243|21243 - ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT||3773.9106|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21242|21242 - ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT||2279.3732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21240|21240 - ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT||2489.9554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21235|21235 - GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR||1247.046|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21230|21230 - GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR||1582.7261|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21215|21215 - GRAFT BONE MANDIBLE||1998.5583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21210|21210 - GRAFT BONE NASAL/MAXILLARY/MALAR AREAS||1921.7011|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21209|21209 - OSTEOPLASTY FACIAL BONES REDUCTION||1356.84|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21208|21208 - OSTEOPLASTY FACIAL BONES AUGMENTATION||1849.1491|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21206|21206 - OSTEOTOMY MAXILLA SEGMENTAL||2596.0484|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21199|21199 - OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT||2383.8421|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21198|21198 - OSTEOTOMY MANDIBLE SEGMENTAL||2583.9846|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21196|21196 - RCNSTJ MNDBLR RAMI&/BDY SGTL SPLT W/INT RGD FI||3285.7327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21195|21195 - RCNSTJ MNDBLR RAMI&/BODY SGTL SPLT W/O INT RGD||2966.2894|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21194|21194 - RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT||3192.472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21193|21193 - RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF||2701.3907|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21188|21188 - RCNSTJ MDFC OTH/THN LEFORT OSTEOT & BONE GRAFTS||3572.0804|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21184|21184 - RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF>80SQ||4783.4192|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21183|21183 - RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF>40 <80||5125.0035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21182|21182 - RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF<40SQCM||4332.998|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21181|21181 - RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC||1624.7928|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21180|21180 - RCNSTJ FOREHEAD &/ SUPRAORBITAL RIMS W/AUTOGRAFT||3440.3348|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21179|21179 - RCNSTJ FOREHEAD &/ SUPRAORB RIMS W/ALGRF/PROSTC||3216.7108|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21175|21175 - RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS & LWR FHD||4766.3929|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21172|21172 - RCNSTJ SUPERIOR-LATERAL ORBITAL RIM & LOWER FHD||4014.3893|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21160|21160 - RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I||7039.2835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21159|21159 - RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I||5593.9253|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21155|21155 - RCNSTJ MIDFACE LEFORT III W/LEFORT I||4818.1791|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21154|21154 - RCNSTJ MIDFACE LEFORT III W/O LEFORT I||4629.1257|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21151|21151 - RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS||4479.5731|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21150|21150 - RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION||3735.3966|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21147|21147 - RCNSTJ MIDFACE LEFORT I 3/> PIECE W/BONE GRAFTS||3883.9181|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21146|21146 - RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS||3447.6343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21145|21145 - RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS||3509.1754|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21143|21143 - RCNSTJ MIDFACE LEFORT I 3/> PIECE W/O BONE GRAFT||3141.2562|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21142|21142 - RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT||3116.2013|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21141|21141 - RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT||2974.1762|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21139|21139 - RDCTJ FHD CNTRG & SETBACK ANT FRONTAL SINUS WALL||2109.6033|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21138|21138 - RDCTJ FHD CNTRG & PROSTHETIC MATRL/BONE GRAFT||1960.0499|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21137|21137 - REDUCTION FOREHEAD CONTOURING ONLY||1663.1094|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21127|21127 - AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL||1980.7328|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21125|21125 - AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL||1735.4818|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21123|21123 - GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS||2051.3716|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21122|21122 - GENIOPLASTY 2/> SLIDING OSTEOTOMIES||1448.1125|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21121|21121 - GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE||1481.403|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21120|21120 - GENIOPLASTY AUGMENTATION||1132.5393|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21116|21116 - INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY||98.6083|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21110|21110 - APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC||1465.7454|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21100|21100 - APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX||1086.3166|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21089|21089 - UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21088|21088 - IMPRESSION & PREPARATION FACIAL PROSTHESIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21087|21087 - IMPRESSION & PREPARATION NASAL PROSTHESIS||3493.604|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21086|21086 - IMPRESSION & PREPARATION AURICULAR PROSTHESIS||3500.8504|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21085|21085 - IMPRESSION & PREPARATION ORAL SURGICAL SPLINT||1273.8112|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21084|21084 - IMPRESSION & PREPARATION SPEECH AID PROSTHESIS||3247.2308|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21083|21083 - IMPRESSION & PREPARATION PALATAL LIFT PROSTHESIS||2798.66|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21082|21082 - IMPRESSION & PREPJ PALATAL AUGMENTATION PROSTHES||3015.7764|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21081|21081 - IMPRESSION & PREPJ MANDIBULAR RESECTION PROSTHES||3219.8397|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21080|21080 - IMPRESSION & PREPJ DEFINITIVE OBTURATOR PROSTHES||3501.5666|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21079|21079 - IMPRESSION & PREPARATION INTERIM OBTURATOR PROST||3144.4391|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21077|21077 - IMPRESSION & PREPARATION ORBITAL PROSTHESIS||4726.1872|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21076|21076 - IMPRESSION&PREPARATION SURG OBTURATOR PROSTHES||1881.418|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21073|21073 - MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA||560.6148|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21070|21070 - CORONOIDECTOMY SEPARATE PROCEDURE||1349.6291|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21060|21060 - MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX||1759.3895|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21050|21050 - CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX||1858.4658|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21049|21049 - EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT&PRTL MAXLC||2702.5668|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21048|21048 - EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT||2534.5508|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21047|21047 - EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT&PRTL MNDB||2942.049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21046|21046 - EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT||2471.0673|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21045|21045 - EXCISION MALIGNANT TUMOR MANDIBLE RADICAL||2727.4316|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21044|21044 - EXCISION MALIGNANT TUMOR MANDIBLE||1943.0325|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21040|21040 - EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL & CURT||921.6744|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21034|21034 - EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA||2571.5687|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21032|21032 - EXCISION MAXILLARY TORUS PALATINUS||643.7266|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21031|21031 - EXCISION TORUS MANDIBULARIS||649.1909|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21030|21030 - EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL & CURTG||920.2259|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21029|21029 - REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE||1401.3831|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21026|21026 - EXCISION FACIAL BONE||1093.9915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21025|21025 - EXCISION BONE MANDIBLE||1665.4561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21016|21016 - RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>||2261.762|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21015|21015 - RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM||1561.5285|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21014|21014 - EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2 CM/>||1144.9004|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21013|21013 - EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM||880.2498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21012|21012 - EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>||742.6998|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21011|21011 - EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM||564.1022|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|21010|21010 - ARTHROTOMY TEMPOROMANDIBULAR JOINT||1640.3432|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20999|20999 - UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20985|20985 - CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS||329.0653|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20983|20983 - ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD||910.1447|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20982|20982 - ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE||859.0344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20979|20979 - LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE||72.4304|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20975|20975 - ELECTRICAL STIMULATION BONE HEALING INVASIVE||394.396|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20974|20974 - ELECTRICAL STIMULATION BONE HEALING NONINVASIVE||110.1146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20973|20973 - FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE||5902.9667|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20972|20972 - FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL||5307.5131|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20970|20970 - FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST||6489.7738|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20969|20969 - FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE||6166.342|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20962|20962 - BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR||4741.9688|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20957|20957 - BONE GRAFT MICROVASCULAR ANAST METATARSAL||5475.7756|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20956|20956 - BONE GRAFT MICROVASCULAR ANAST ILIAC CREST||5891.9453|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20955|20955 - BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA||5574.3831|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20950|20950 - MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME||200.8175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20938|20938 - AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC||416.0279|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20937|20937 - AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION||377.1441|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20936|20936 - AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20931|20931 - ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL||253.245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20930|20930 - ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20926|20926 - TISSUE GRAFTS OTHER||943.4118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20924|20924 - TENDON GRAFT FROM A DISTANCE||1107.1598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20922|20922 - FASCIA LATA GRAFT INCISION & AREA EXPOSURE||1102.1047|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20920|20920 - FASCIA LATA GRAFT BY STRIPPER||865.7047|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20912|20912 - CARTILAGE GRAFT NASAL SEPTUM||1054.5036|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20910|20910 - CARTILAGE GRAFT COSTOCHONDRAL||900.6386|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20902|20902 - BONE GRAFT ANY DONOR AREA MAJOR/LARGE||635.835|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20900|20900 - BONE GRAFT ANY DONOR AREA MINOR/SMALL||421.51|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20838|20838 - REPLANTATION FOOT COMPLETE AMPUTATION||5419.4306|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20827|20827 - RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION||4040.3464|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20824|20824 - RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION||4513.0344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20822|20822 - RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP||3953.5297|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20816|20816 - RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP||4586.9704|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20808|20808 - REPLANTATION HAND COMPLETE AMPUTATION||8914.8182|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20805|20805 - REPLANTATION FOREARM COMPLETE AMPUTATION||7318.9343|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20802|20802 - REPLANTATION ARM COMPLETE AMPUTATION||5365.8786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20697|20697 - XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT||4073.8101|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20696|20696 - XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST & SUBQ||2653.6848|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20694|20694 - REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES||739.0955|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20693|20693 - ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES||977.4547|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20692|20692 - APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM||2464.1021|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20690|20690 - APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM||1310.5633|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20680|20680 - REMOVAL IMPLANT DEEP||931.0185|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20670|20670 - REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE||320.3029|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20665|20665 - REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL||198.6819|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20664|20664 - APPL HALO 6/> PINS THIN SKULL OSTEOLOGY||1923.8134|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20663|20663 - APPLICATION HALO FEMORAL INCLUDING REMOVAL||1021.9945|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20662|20662 - APPLICATION HALO PELVIC INCLUDING REMOVAL||950.8475|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20661|20661 - APPLICATION HALO CRANIAL INCLUDING REMOVAL||1100.2051|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20660|20660 - APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX||549.4347|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20650|20650 - INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX||343.8561|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20615|20615 - ASPIRATION & INJECTION TREATMENT BONE CYST||358.7435|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20612|20612 - ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ||92.6396|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20611|20611 - ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US||137.2036|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20610|20610 - ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US||102.0747|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2060F|2060F - PT INTRVWD BY EVAL CLINICIAN </DATE DIAG MDD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20606|20606 - ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US||117.5438|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20605|20605 - ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US||83.0578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20604|20604 - ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT||102.8803|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20600|20600 - ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US||79.2699|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20555|20555 - PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT||732.0997|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20553|20553 - INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES||95.9393|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20552|20552 - INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES||84.3395|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20551|20551 - INJECTION SINGLE TENDON ORIGIN/INSERTION||94.4909|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20550|20550 - INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS||93.0464|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20527|20527 - INJECTION ENZYME PALMAR FASCIAL CORD||146.5372|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20526|20526 - INJECTION THERAPEUTIC CARPAL TUNNEL||127.211|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20525|20525 - RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP||546.8906|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20520|20520 - REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE||319.0211|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2050F|2050F - WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20501|20501 - INJECTION SINUS TRACT DIAGNOSTIC||85.8774|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20500|20500 - INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC||185.7271|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2044F|2044F - DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2040F|2040F - PHYS EXAM ON DATE OF INIT VST FOR LBP DONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2035F|2035F - TYMPANIC MEMBRANE MOBILITY ASSESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2031F|2031F - HYDRATION STATUS DOCUMENTED DEHYDRATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2030F|2030F - HYDRATION STATUS DOCD NORMALLY HYDRATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2029F|2029F - COMPLETE PHYSICAL SKIN EXAM PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2028F|2028F - FOOT EXAMINATION PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2027F|2027F - OPTIC NERVE HEAD EVALUATION PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2026F|2026F - EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20251|20251 - BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL||933.6165|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20250|20250 - BIOPSY VERTEBRAL BODY OPEN THORACIC||859.0054|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2024F|2024F - 7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20245|20245 - BIOPSY BONE OPEN DEEP||1154.7118|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20240|20240 - BIOPSY BONE OPEN SUPERFICIAL||343.6724|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2022F|2022F - DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20225|20225 - BIOPSY BONE TROCAR/NEEDLE DEEP||242.7005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20220|20220 - BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL||162.4703|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2021F|2021F - DILATED MACULAR OR FUNDUS EXAM PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2020F|2020F - DILATED FUNDUS EVALUATION PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20206|20206 - BIOPSY MUSCLE PERCUTANEOUS NEEDLE||131.939|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20205|20205 - BIOPSY MUSCLE DEEP||346.007|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20200|20200 - BIOPSY MUSCLE SUPERFICIAL||211.9163|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2019F|2019F - DILATED MACULAR EXAM PERFORMED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2018F|2018F - HYDRATION STATUS ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2016F|2016F - ASTHMA RISK ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2015F|2015F - ASTHMA IMPAIRMENT ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20150|20150 - EXCISION EPIPHYSEAL BAR||2001.7613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2014F|2014F - MENTAL STATUS ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2010F|2010F - VITAL SIGNS RECORDED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20103|20103 - EXPLORATION PENETRATING WOUND SPX EXTREMITY||769.5076|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20102|20102 - EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK||567.957|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20101|20101 - EXPLORATION PENETRATING WOUND SPX CHEST||462.5785|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20100|20100 - EXPLORATION PENETRATING WOUND SPX NECK||1356.3454|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2004F|2004F - INITIAL EXAMINATION INVOLVED JOINTS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2002F|2002F - CLINICAL SIGNS VOLUME OVERLOAD ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2001F|2001F - WEIGHT RECORDED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|2000F|2000F - BLOOD PRESSURE MEASURED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|20005|20005 - I&D SOFT TISSUE ABSCESS SUBFASC||516.0419|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19499|19499 - UNLISTED PROCEDURE BREAST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19396|19396 - PREPARATION MOULAGE CUSTOM BREAST IMPLANT||309.6625|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19380|19380 - REVISION RECONSTRUCTED BREAST||1690.3232|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19371|19371 - PERIPROSTHETIC CAPSULECTOMY BREAST||1715.2234|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19370|19370 - OPEN PERIPROSTHETIC CAPSULOTOMY BREAST||1499.0915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19369|19369 - BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE||4516.1754|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19368|19368 - BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST||4863.27|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19367|19367 - BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE||3945.3505|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19366|19366 - BREAST RECONSTRUCTION OTHER TECHNIQUE||3111.0463|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19364|19364 - BREAST RECONSTRUCTION FREE FLAP||6088.204|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19361|19361 - BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL||3468.1037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19357|19357 - BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ||3276.8655|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19355|19355 - CORRECTION INVERTED NIPPLES||1262.9703|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19350|19350 - NIPPLE/AREOLA RECONSTRUCTION||1472.5269|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19342|19342 - DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ||2019.2146|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19340|19340 - IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ||2199.8632|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19330|19330 - REMOVAL MAMMARY IMPLANT MATERIAL||1387.4712|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19328|19328 - REMOVAL INTACT MAMMARY IMPLANT||1081.5966|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19325|19325 - MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT||1399.8404|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19324|19324 - MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT||1075.6988|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19318|19318 - REDUCTION MAMMAPLASTY||2422.2764|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19316|19316 - MASTOPEXY||1690.8751|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19307|19307 - MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN||2647.9595|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19306|19306 - MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES||2653.676|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19305|19305 - MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES||2498.1918|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19304|19304 - MASTECTOMY SUBCUTANEOUS||1261.1448|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19303|19303 - MASTECTOMY SIMPLE COMPLETE||2240.1728|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19302|19302 - MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY||1992.3874|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19301|19301 - MASTECTOMY PARTIAL||1445.6732|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19300|19300 - MASTECTOMY GYNECOMASTIA||901.9107|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19298|19298 - PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST||732.1038|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19297|19297 - PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST||213.3236|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19296|19296 - PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST||471.6551|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19288|19288 - PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID||145.8903|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19287|19287 - PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID||292.4356|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19286|19286 - PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE||98.2055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19285|19285 - PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG||194.9584|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19284|19284 - PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC||116.0954|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19283|19283 - PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE||230.0059|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19282|19282 - PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE||114.6388|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19281|19281 - PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE||228.5454|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19272|19272 - EXC CHEST TUMOR W/RCNSTJ W/MEDSTNL LMPHADEC||3925.3169|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19271|19271 - EXC CHEST TUMOR W/RCNSTJ W/O MEDSTNL LMPHADEC||3583.619|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19260|19260 - EXCISION CHEST WALL TUMOR INCLUDING RIBS||2659.4183|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19126|19126 - EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL||363.0623|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19125|19125 - EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES||1012.5159|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19120|19120 - EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION||909.8434|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19112|19112 - EXCISION LACTIFEROUS DUCT FISTULA||677.3852|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19110|19110 - NIPPLE EXPLORATION||747.7444|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19105|19105 - ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA||436.4707|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19101|19101 - BIOPSY BREAST OPEN INCISIONAL||487.9145|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19100|19100 - BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX||156.745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19086|19086 - BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID||208.2468|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19085|19085 - BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID||420.1388|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19084|19084 - BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID||179.2533|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19083|19083 - BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID||357.7824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19082|19082 - BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID||190.9385|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19081|19081 - BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID||381.7997|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19030|19030 - INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM||174.7331|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19020|19020 - MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP||666.6603|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19001|19001 - PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST||49.0641|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|19000|19000 - PUNCTURE ASPIRATION CYST BREAST||98.1322|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17999|17999 - UNLISTED PX SKIN MUC MEMBRANE & SUBQ TISSUE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17380|17380 - ELECTROLYSIS EPILATION EACH 30 MINUTES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17360|17360 - CHEMICAL EXFOLIATION ACNE||216.1972|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17340|17340 - CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE||107.6938|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17315|17315 - MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE||117.9386|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17314|17314 - MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE||414.7196|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17313|17313 - MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS||753.8758|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17312|17312 - MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE||447.1062|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17311|17311 - MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS||840.9616|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17286|17286 - DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM||622.6248|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17284|17284 - DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM||462.9338|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17283|17283 - DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM||396.472|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17282|17282 - DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM||316.962|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17281|17281 - DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM||273.7812|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17280|17280 - DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<||198.2993|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17276|17276 - DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM||467.686|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17274|17274 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM||388.8189|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17273|17273 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM||317.7636|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17272|17272 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM||281.4344|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17271|17271 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM||242.9245|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17270|17270 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/>||218.3578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17266|17266 - DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM||354.9024|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17264|17264 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM||303.1042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17263|17263 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM||283.7698|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17262|17262 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM||255.2525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17261|17261 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM||199.7477|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17260|17260 - DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<||153.438|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17250|17250 - CHEMICAL CAUTERIZATION OF GRANULATION TISSUE||80.865|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17111|17111 - DESTRUCTION BENIGN LESIONS 15/>||185.3815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17110|17110 - DESTRUCTION BENIGN LESIONS UP TO 14||149.8539|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17108|17108 - DSTRJ CUTANEOUS VASCULAR LESIONS >50.0 SQ CM||1153.5469|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17107|17107 - DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM||759.134|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17106|17106 - DESTRUCTION CUTANEOUS VASC PROLIFERATIVE <10CM||602.3761|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17004|17004 - DESTRUCTION PREMALIGNANT LESION 15/>||218.3578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17003|17003 - DESTRUCTION PREMALIGNANT LESION 2-14 EA||5.3991|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|17000|17000 - DESTRUCTION PREMALIGNANT LESION 1ST||115.0827|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|16036|16036 - ESCHAROTOMY EACH ADDITIONAL INCISION||181.0555|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|16035|16035 - ESCHAROTOMY FIRST INCISION||436.9299|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|16030|16030 - DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE||295.1658|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|16025|16025 - DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM||245.2881|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|16020|16020 - DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL||118.0691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|16000|16000 - INITIAL TX 1ST DEGREE BURN LOCAL TX||102.8844|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15999|15999 - UNLISTED PROCEDURE EXCISION PRESSURE ULCER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15958|15958 - EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC||2573.8663|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15956|15956 - EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN||2534.3913|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15953|15953 - EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY||2173.9584|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15952|15952 - EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE||1960.8289|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15951|15951 - EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY||1916.4607|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15950|15950 - EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR||1295.0419|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15946|15946 - EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN||3599.0446|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15945|15945 - EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY||2140.0444|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15944|15944 - EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE||1941.721|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15941|15941 - EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT||1969.0057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15940|15940 - EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE||1541.0002|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15937|15937 - EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC||2273.162|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15936|15936 - EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR||1961.4444|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15935|15935 - EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY||2403.0339|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15934|15934 - EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR||2041.8164|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15933|15933 - EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY||1859.5211|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15931|15931 - EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE||1511.7498|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15922|15922 - EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR||1704.5517|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15920|15920 - EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR||1323.9862|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15879|15879 - SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15878|15878 - SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15877|15877 - SUCTION ASSISTED LIPECTOMY TRUNK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15876|15876 - SUCTION ASSISTED LIPECTOMY HEAD & NECK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15860|15860 - IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT||247.037|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15852|15852 - DRESSING CHANGE UNDER ANESTHESIA||104.8251|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15851|15851 - REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON||101.908|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15850|15850 - REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON||92.5743|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15847|15847 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15845|15845 - GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR||2199.9566|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15842|15842 - GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG||5821.1076|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15841|15841 - GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT||3584.5583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15840|15840 - GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT||2223.124|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15839|15839 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA||1620.0929|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15838|15838 - EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD||1258.2583|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15837|15837 - EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND||1474.0713|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15836|15836 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM||1669.584|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15835|15835 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK||2035.2524|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15834|15834 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP||1942.3042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15833|15833 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE LEG||1885.786|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15832|15832 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH||2012.3662|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15830|15830 - EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY||2578.9843|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15829|15829 - RHYTIDECTOMY SMAS FLAP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15828|15828 - RHYTIDECTOMY CHEEK CHIN & NECK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15826|15826 - RHYTIDECTOMY GLABELLAR FROWN LINES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15825|15825 - RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15824|15824 - RHYTIDECTOMY FOREHEAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15823|15823 - BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN||1173.8487|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15822|15822 - BLEPHAROPLASTY UPPER EYELID||841.681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15821|15821 - BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD||1176.2977|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15820|15820 - BLEPHAROPLASTY LOWER EYELID||1094.843|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15819|15819 - CERVICOPLASTY||1616.1632|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15793|15793 - CHEMICAL PEEL NONFACIAL DERMAL||794.3538|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15792|15792 - CHEMICAL PEEL NONFACIAL EPIDERMAL||560.6091|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15789|15789 - CHEMICAL PEEL FACIAL DERMAL||899.2071|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15788|15788 - CHEMICAL PEEL FACIAL EPIDERMAL||529.1578|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15787|15787 - ABRASION EACH ADDITIONAL 4 LESIONS OR LESS||38.9087|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15786|15786 - ABRASION 1 LESION||298.7467|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15783|15783 - DERMABRASION SUPERFICIAL ANY SITE||785.0073|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15782|15782 - DERMABRASION REGIONAL OTHER THAN FACE||961.9679|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15781|15781 - DERMABRASION SEGMENTAL FACE||942.1277|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15780|15780 - DERMABRASION TOTAL FACE||1385.9833|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15777|15777 - IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT||476.1028|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15776|15776 - PUNCH GRAFT HAIR TRANSPLANT >15 PUNCH GRAFTS||788.4271|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15775|15775 - PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS||497.3134|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15770|15770 - GRAFT DERMA-FAT-FASCIA||1469.8177|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15760|15760 - GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA||1556.798|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15758|15758 - FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS||5105.7296|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15757|15757 - FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS||5100.4852|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15756|15756 - FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST||5157.5359|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15750|15750 - FLAP NEUROVASCULAR PEDICLE||2016.8824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15740|15740 - FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY||1874.7404|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15738|15738 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR||2723.7299|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15736|15736 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR||2513.2057|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15734|15734 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK||2913.0934|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15732|15732 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP HEAD&NC||2457.5132|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15731|15731 - FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE||2217.4606|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15650|15650 - TRANSFER ANY PEDICLE FLAP ANY LOCATION||832.8751|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15630|15630 - DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS||753.3409|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15620|15620 - DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F||707.9101|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15610|15610 - DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS||520.397|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15600|15600 - DELAY FLAP/SECTIONING FLAP TRUNK||445.2364|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15576|15576 - FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL||1473.1174|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15574|15574 - FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F||1684.6881|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15572|15572 - FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS||1634.3423|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15570|15570 - FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK||1614.8485|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15278|15278 - SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM ADL 100SQ CM||127.7153|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15277|15277 - SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM||502.8342|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15276|15276 - SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM||56.2371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15275|15275 - SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM||214.126|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15274|15274 - APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM||102.9005|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15273|15273 - APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM||451.6868|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15272|15272 - APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC||38.9168|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15271|15271 - APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25||189.0019|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15261|15261 - FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM/<||311.5992|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15260|15260 - FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM/<||1884.9739|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15241|15241 - FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM/<||248.4613|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15240|15240 - FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM/<||1753.279|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15221|15221 - FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM/<||158.9587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15220|15220 - FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM/<||1346.0772|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15201|15201 - FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM/<||175.2374|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15200|15200 - FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM/<||1473.5887|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15157|15157 - CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA||362.7949|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15156|15156 - CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM||334.7488|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15155|15155 - CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM/<||1467.0787|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15152|15152 - CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1%BODY AREA||313.1645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15151|15151 - CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM||251.8336|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15150|15150 - CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM/<||1401.9196|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15136|15136 - DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA||196.2563|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15135|15135 - DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100||1623.5763|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15131|15131 - DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA||202.0582|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15130|15130 - DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM||1235.8233|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15121|15121 - SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 %||293.8108|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15120|15120 - SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/</1 %||1538.2596|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15116|15116 - EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM||308.8231|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15115|15115 - EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/<||1582.913|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15111|15111 - EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD||233.2114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15110|15110 - EPIDRM AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD||1538.4256|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15101|15101 - SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD||246.6181|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15100|15100 - SPLIT AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD||1571.0651|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1505F|1505F - PATIENT DOES NOT HAVE RESPIRATORY INSUFFICIENCY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15050|15050 - PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM||969.7943|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1504F|1504F - PATIENT HAS RESPIRATORY INSUFFICIENCY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15040|15040 - HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<||283.6716|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1503F|1503F - PT QUERIED RE SYMP RESPIRATORY INSUFFICIENCY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1502F|1502F - PT QUERIED RE PAIN W/FUNC USING RELIABLE INSTRM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1501F|1501F - NOT INITIAL EVALUATION FOR CONDITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1500F|1500F - SYMP&SIGN DISTAL SYMM POLYNEUROPATHY REVWD&DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15005|15005 - PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT||203.6081|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15004|15004 - PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT||601.6954|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15003|15003 - PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT||102.1682|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|15002|15002 - PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT||503.6035|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1494F|1494F - COGNITION ASSESSED AND REVIEWED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1493F|1493F - DEMENTIA SEVERITY CLASSIFIED SEVERE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1491F|1491F - DEMENTIA SEVERITY CLASSIFIED MODERATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1490F|1490F - DEMENTIA SEVERITY CLASSIFIED MILD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1461F|1461F - NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1460F|1460F - QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1451F|1451F - SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1450F|1450F - SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14350|14350 - FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE||1535.2459|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14302|14302 - ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM||494.1192|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14301|14301 - ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM||1943.3169|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14061|14061 - ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM||1828.6466|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14060|14060 - ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/<||1477.7681|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14041|14041 - ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM||1709.6133|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14040|14040 - ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<||1387.1506|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14021|14021 - ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM||1575.9736|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14020|14020 - ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/<||1241.1628|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1400F|1400F - PARKINSON DISEASE DIAGNOSIS REVIEWED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14001|14001 - ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM||1433.6303|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|14000|14000 - ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM/<||1097.3428|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13160|13160 - SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC||1777.6266|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13153|13153 - REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/<||315.7287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13152|13152 - REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM||771.632|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13151|13151 - REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM||635.242|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13133|13133 - REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<||292.4397|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13132|13132 - REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM||696.7848|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13131|13131 - REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM||552.0215|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13122|13122 - REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<||190.6984|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13121|13121 - REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM||591.1743|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13120|13120 - REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM||518.9598|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13102|13102 - REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<||165.8877|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13101|13101 - REPAIR COMPLEX TRUNK 2.6-7.5 CM||557.3843|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|13100|13100 - REPAIR COMPLEX TRUNK 1.1-2.5 CM||454.0641|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1220F|1220F - PATIENT SCREENED DEPRESSION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1205F|1205F - ETIOLOGY OF EPILEPSY SYNDROME RVWD & DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12057|12057 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM||897.3574|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12056|12056 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM||830.7177|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12055|12055 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM||674.9483|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12054|12054 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM||492.1995|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12053|12053 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM||479.355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12052|12052 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM||447.9247|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12051|12051 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<||376.1492|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12047|12047 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM||759.8525|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12046|12046 - RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM||682.1326|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12045|12045 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM||593.4815|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12044|12044 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM||472.9997|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12042|12042 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM||440.0274|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12041|12041 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<||330.0796|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12037|12037 - REPAIR INTERMEDIATE S/A/T/E >30.0 CM||721.8348|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12036|12036 - REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM||616.2936|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12035|12035 - REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM||529.1635|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12034|12034 - REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM||454.5523|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12032|12032 - REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM||426.2267|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12031|12031 - REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<||334.3355|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12021|12021 - TX SUPERFICIAL WOUND DEHISCENCE W/PACKING||308.8287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12020|12020 - TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE||426.7915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12018|12018 - SIMPLE REPAIR F/E/E/N/L/M >30.0 CM||391.7182|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12017|12017 - SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM||345.4657|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12016|12016 - SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM||288.4802|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12015|12015 - SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM||211.0414|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12014|12014 - SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM||167.8485|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12013|12013 - SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM||130.2175|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12011|12011 - SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<||123.1951|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1200F|1200F - SEIZURE TYPE FREQUENCY DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12007|12007 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM||329.4109|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12006|12006 - SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM||261.4806|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12005|12005 - SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM||213.1327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12004|12004 - SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM||163.1615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12002|12002 - SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM||130.2827|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|12001|12001 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<||98.8564|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11983|11983 - RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT||388.4193|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11982|11982 - REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT||223.1866|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11981|11981 - INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT||183.7896|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11980|11980 - SUBCUTANEOUS HORMONE PELLET IMPLANTATION||125.5998|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11976|11976 - REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES||209.3859|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11971|11971 - REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS||687.75|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11970|11970 - REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS||1328.7891|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11960|11960 - INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ||2053.3163|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11954|11954 - SUBCUTANEOUS INJECTION FILLING MATRL >10.0 CC||253.4496|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11952|11952 - SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC||215.1878|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11951|11951 - SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC||158.9587|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11950|11950 - SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<||112.6007|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11922|11922 - TATTOOING INCL MICROPIGMENTATION EA 20.0 CM||65.5788|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11921|11921 - TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM||295.3857|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11920|11920 - TATTOOING INCL MICROPIGMENTATION 6.0 CM/<||249.304|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11901|11901 - INJECTION INTRALESIONAL >7 LESIONS||107.2217|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11900|11900 - INJECTION INTRALESIONAL UP TO & INCLUD 7 LESIONS||69.44|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1183F|1183F - NEUROPSYCHIATRIC SYMPTOMS ABSENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1182F|1182F - NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1181F|1181F - NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1180F|1180F - THROMBOEMBOLIC RISK ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11772|11772 - EXCISION PILONIDAL CYST/SINUS COMPLICATED||1258.3429|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11771|11771 - EXCISION PILONIDAL CYST/SINUS EXTENSIVE||953.2199|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11770|11770 - EXCISION PILONIDAL CYST/SINUS SIMPLE||407.1639|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11765|11765 - WEDGE EXCISION SKIN NAIL FOLD||204.0569|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11762|11762 - RECONSTRUCTION NAIL BED W/GRAFT||404.9759|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11760|11760 - REPAIR NAIL BED||255.2364|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1175F|1175F - FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11755|11755 - BIOPSY NAIL UNIT SEPARATE PROCEDURE||172.2028|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11752|11752 - REMOVE NAIL BED/TIP||573.5986|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11750|11750 - EXCISION NAIL MATRIX PERMANENT REMOVAL||303.3209|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11740|11740 - EVACUATION SUBUNGUAL HEMATOMA||70.3761|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11732|11732 - AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL||45.5976|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11730|11730 - AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1||117.61|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11721|11721 - DEBRIDEMENT NAIL ANY METHOD 6/>||55.8303|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11720|11720 - DEBRIDEMENT NAIL ANY METHOD 1-5||33.0295|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11719|11719 - TRIMMING NONDYSTROPHIC NAILS ANY NUMBER||17.3203|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1170F|1170F - FUNCTIONAL STATUS ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11646|11646 - EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM||877.7017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11644|11644 - EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM||630.1885|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11643|11643 - EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM||508.2099|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11642|11642 - EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM||405.3255|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11641|11641 - EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM||342.9691|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11640|11640 - EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<||272.9636|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11626|11626 - EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM||652.7122|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11624|11624 - EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM||530.8641|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11623|11623 - EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM||468.0114|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11622|11622 - EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM||376.8042|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11621|11621 - EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM||329.1966|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11620|11620 - EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<||264.0287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1160F|1160F - RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11606|11606 - EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM||708.9533|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11604|11604 - EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM||474.3015|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11603|11603 - EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM||430.1403|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11602|11602 - EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM||358.2714|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11601|11601 - EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM||326.2143|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11600|11600 - EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<||260.3181|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1159F|1159F - MEDICATION LIST DOCUMENTED IN MEDICAL RECORD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1158F|1158F - ADVNC CARE PLANNING TLK DOCD IN MED RCRD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1157F|1157F - ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1153F|1153F - DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1152F|1152F - DOC ADVANCED DISEASE DX CARE GOALS COMFORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1151F|1151F - DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1150F|1150F - DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11471|11471 - EXCISION H/P/P/U COMPLEX REPAIR||765.8301|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11470|11470 - EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR||615.1915|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11463|11463 - EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR||713.5678|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11462|11462 - EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR||524.3831|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11451|11451 - EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR||711.4072|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11450|11450 - EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR||550.1009|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11446|11446 - EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM||715.8017|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11444|11444 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM||497.6397|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11443|11443 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM||389.2748|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11442|11442 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM||315.7947|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11441|11441 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM||284.8526|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11440|11440 - EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<||221.5198|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11426|11426 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM||604.9991|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11424|11424 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM||393.327|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11423|11423 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM||342.7983|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11422|11422 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM||294.0476|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11421|11421 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM||239.4499|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11420|11420 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<||177.1749|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11406|11406 - EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM||541.6824|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11404|11404 - EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM||354.0928|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11403|11403 - EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM||320.7258|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11402|11402 - EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM||247.9901|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11401|11401 - EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM||224.8638|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11400|11400 - EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<||173.2242|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1137F|1137F - EPISODE BACK PAIN LASTING >12 WKS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1136F|1136F - EPISODE BACK PAIN LASTING 12 WEEKS/<||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1135F|1135F - EPISODE BACK PAIN LASTING >SIX WEEKS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1134F|1134F - EPISODE BACK PAIN LASTING SIX WEEKS/<||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11313|11313 - SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM||223.073|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11312|11312 - SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM||173.6061|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11311|11311 - SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM||145.8944|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11310|11310 - SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<||105.049|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1130F|1130F - BK PAIN & FXN ASSESSED CERTAIN ASPECTS OF CARE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11308|11308 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM||165.4728|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11307|11307 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM||148.8767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11306|11306 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM||115.7659|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11305|11305 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<||88.3756|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11303|11303 - SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM||165.2287|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11302|11302 - SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM||139.6897|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11301|11301 - SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM||118.9029|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11300|11300 - SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<||78.0615|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1128F|1128F - SUBS EPISODE FOR CONDITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1127F|1127F - NEW EPISODE FOR CONDITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1126F|1126F - PAIN SEVERITY QUANTIFIED NO PAIN PRESENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1125F|1125F - PAIN SEVERITY QUANTIFIED PAIN PRESENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1124F|1124F - ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1123F|1123F - ADV CARE PLN TLKD & ALT DCSN MAKER DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1121F|1121F - SUBSEQUENT EVALUATION CONDITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11201|11201 - REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10||37.1388|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11200|11200 - REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15||158.0806|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1119F|1119F - INITIAL EVALUATION FOR CONDITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1118F|1118F - GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1116F|1116F - AURICULAR/PERIAURICULAR PAIN ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1111F|1111F - DISCHRG MEDS RECONCILED W/CURRENT MED LIST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1110F|1110F - PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11101|11101 - BIOPSY SKIN SUBQ&/MUCOUS MEMBRANE EA ADDL LESN||55.5048|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11100|11100 - BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION||108.0273|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11057|11057 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4||66.8645|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11056|11056 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4||51.1554|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11055|11055 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1||36.1705|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11047|11047 - DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM||222.6371|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11046|11046 - DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM||125.0544|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11045|11045 - DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM||58.4138|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11044|11044 - DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<||515.9638|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11043|11043 - DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<||345.8612|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11042|11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<||136.4552|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1101F|1101F - PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11012|11012 - DBRDMT FX&/DISLC SUBQ T/M/F BONE||947.9948|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11011|11011 - DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC||664.8767|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11010|11010 - DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS||616.6803|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1100F|1100F - PT FALLS ASSESS DOCD 2/> FALLS/FALL W/INJURY/YR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11008|11008 - REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION||619.0826|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11006|11006 - DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL||1580.6904|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11005|11005 - DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL||1760.4424|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11004|11004 - DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT&PR||1302.5041|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11001|11001 - DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10% BDY SURF||32.1465|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|11000|11000 - DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF||64.289|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1091F|1091F - URINE INCONTINENCE CHARACTERIZED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1090F|1090F - PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1071F|1071F - ALARM SYMPTOMS ASSESSED 1/> PRESENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1070F|1070F - ALARM SYMPTOMS ASSESSED NONE PRESENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1066F|1066F - ISCHEMIC STROKE SYMP ONSET >/=3 HRS PRIOR ARRIVA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1065F|1065F - ISCHEMIC STROKE SYMP ONSET <3 HRS PRIOR ARRIVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1061F|1061F - DOC ABSENCE PERM&PERSISTENT&PAROXYSM ATRIAL FIB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1060F|1060F - DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1055F|1055F - VISUAL FUNCTIONAL STATUS ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1052F|1052F - TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1050F|1050F - HISTORY NEW OR CHANGING MOLES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1040F|1040F - DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1039F|1039F - INTERMITTENT ASTHMA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1038F|1038F - PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1036F|1036F - CURRENT TOBACCO NON-USER CAD CAP COPD PV DM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1035F|1035F - CURRENT SMOKELESS TOBACCO USER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1034F|1034F - CURRENT TOBACCO SMOKER||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1033F|1033F - TOBACCO NON-SMOKER & NO 2NDHAND SMOKE EXPOSURE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1032F|1032F - CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1031F|1031F - SMOKING & 2ND HAND SMOKE IN THE HOME ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1030F|1030F - INFLUENZA IMMUNIZATION STATUS ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1026F|1026F - CO-MORBID CONDITIONS ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1022F|1022F - PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1019F|1019F - DYSPNEA ASSESSED PRESENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1018F|1018F - DYSPNEA ASSESSED NOT PRESENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10180|10180 - INCISION & DRAINAGE COMPLEX PO WOUND INFECTION||390.4462|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10160|10160 - PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST||208.6745|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1015F|1015F - COPD SYMPTOMS ASSESSED/TOOL COMPLETED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10140|10140 - I&D HEMATOMA SEROMA/FLUID COLLECTION||257.7265|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1012F|1012F - ANGINA ABSENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10121|10121 - INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL||407.0221|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10120|10120 - INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE||223.6312|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1011F|1011F - ANGINA PRESENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1010F|1010F - SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1008F|1008F - GI&RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10081|10081 - INCISION & DRAINAGE PILONIDAL CYST COMPLICATED||371.7346|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10080|10080 - INCISION & DRAINAGE PILONIDAL CYST SIMPLE||222.1989|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1007F|1007F - ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1006F|1006F - OSTEOARTHRITIS SYMPTOMS&FUNCJAL STATUS ASSES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10061|10061 - INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE||390.8618|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10060|10060 - INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE||209.8668|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1005F|1005F - ASTHMA SYMPTOMS EVALUATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1004F|1004F - CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10040|10040 - ACNE SURGERY||191.6958|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1003F|1003F - LEVEL ACTIVITY ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10036|10036 - PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE||98.2055|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10035|10035 - PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE||194.9584|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10030|10030 - IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE||377.3923|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1002F|1002F - ANGINAL SYMPTOMS & LEVEL ACTIVITY ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10022|10022 - FINE NEEDLE ASPIRATION WITH IMAGING GUIDANCE||146.5413|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|10021|10021 - FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION||155.2482|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|1000F|1000F - TOBACCO USE ASSESSED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0584F|0584F - TRANSFER OF CARE CHECKLIST NOT USED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0583F|0583F - TRANSFER OF CARE CHECKLIST USED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0582F|0582F - PT NOT TRANSFERRED FROM ANESTHETIZING TO CC UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0581F|0581F - PT TRANSFERRED FROM ANESTHETIZING TO CC UNIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0580F|0580F - MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0575F|0575F - HIV RNA CONTROL PLAN OF CARE DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0557F|0557F - PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0556F|0556F - PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0555F|0555F - SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0551F|0551F - CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0550F|0550F - CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0545F|0545F - PLAN FOR FOLLOW-UP CARE FOR MDD DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0540F|0540F - GLUCORTICOID MANAGEMENT PLAN DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0535F|0535F - DYSPNEA MANAGEMENT PLAN DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0529F|0529F - INTRVL 3/> YRS PTS LAST COLONOSCOPY DOCD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0528F|0528F - RCMND FLLW-UP 2ND CLNSCPY 10/> YRS DOCD RPRT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0526F|0526F - SUBSEQUENT VISIT FOR EPISODE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0525F|0525F - INITIAL VISIT FOR EPISODE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0521F|0521F - PLAN OF CARE TO ADDRESS PAIN DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0520F|0520F - RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0519F|0519F - PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0518F|0518F - FALLS PLAN OF CARE DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0517F|0517F - GLAUCOMA PLAN OF CARE DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0516F|0516F - ANEMIA PLAN OF CARE DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0514F|0514F - PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0513F|0513F - ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0509F|0509F - URINARY INCONTINENCE PLAN OF CARE DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0507F|0507F - PERITONEAL DIALYSIS PLAN DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0505F|0505F - HEMODIALYSIS PLAN OF CARE DOCUMENTED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0503F|0503F - POSTPARTUM CARE VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0502F|0502F - SUBSEQUENT PRENATAL CARE VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0501F|0501F - PRENATAL FLOW SHEET||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0500F|0500F - INITIAL PRENATAL CARE VISIT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0436T|0436T - PRGRMG EVAL NSTIM PLS GEN SYS SLEEP APNEA STUDY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0435T|0435T - PRGRMG EVAL NSTIM PLS GEN SYS SLEEP APNEA 1 SESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0434T|0434T - INTERRO DEV EVAL NSTIM PLS GEN SYS SLEEP APNEA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0433T|0433T - REPOS NSTIM SYSTEM SLEEP APNEA SENSING LEAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0432T|0432T - REPOS NSTIM SYSTEM SLEEP APNEA STIMJ LEAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0431T|0431T - RMVL/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0430T|0430T - REMOVAL NSTIM SYSTEM SLEEP APNEA STIMJ LEAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0429T|0429T - REMOVAL NSTIM SYSTEM SLEEP APNEA SENSING LEAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0428T|0428T - REMOVAL NSTIM SYSTEM SLEEP APNEA PLS GENERATOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0427T|0427T - INSJ/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0426T|0426T - INSJ/RPLC NSTIM SYSTEM SLEEP APNEA STIMJ LEAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0425T|0425T - INSJ/RPLC NSTIM SYSTEM SLEEP APNEA SENSING LEAD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0424T|0424T - INSJ/RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0423T|0423T - SECRETORY TYPE II PHOSPHOLIPASE A2 (SPLA2-IIA)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0422T|0422T - TACTILE BREAST IMG COMPUTER-AIDED SENSORS UNI/BI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0421T|0421T - TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0420T|0420T - DSTRJ NEUROFIBROMA XTNSV TRNK EXTREMITIES >100||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0419T|0419T - DSTRJ NEUROFIBROMA XTNSV FACE HEAD NECK >50||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0418T|0418T - INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0417T|0417T - PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0416T|0416T - RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0415T|0415T - REPOS CARDIAC MODULJ TRANSVENOUS ELECTRODE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0414T|0414T - RMVL & RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0413T|0413T - REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0412T|0412T - REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0411T|0411T - INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0410T|0410T - INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0409T|0409T - INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0408T|0408T - INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0407T|0407T - NSL NDSC SURG ETHMD PLMT DRUG ELUTNG IMPLNT W/BX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0406T|0406T - NSL NDSC SURG ETHMD SIN PLMT DRUG ELUTNG IMPLNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0405T|0405T - OVERSIGHT CARE OF XTRCORP LIVER ASSIST SYS PAT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0404T|0404T - TRANSCERVICAL UTERINE FIBROID ABLTJ W/US GDN RF||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0403T|0403T - DIABETES PREVENTION PROG STANDARDIZED CURRICULUM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0402T|0402T - COLLAGEN CROSS-LINKING OF CORNEA MED SEPARATE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0401T|0401T - MULTI-SPECTRAL DIGITAL SKIN LES ANALYSIS 6+ LES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0400T|0400T - MULTI-SPECTRAL DIGITAL SKIN LES ANALYSIS 1-5 LES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0399T|0399T - MYOCARDIAL STRAIN IMAGING QUAN ASSMT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0398T|0398T - MRGFUS STEREOTACTIC ABLATION LESION INTRACRANIAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0397T|0397T - ERCP WITH OPTICAL ENDOMICROSCOPY ADD ON||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0396T|0396T - INTRAOP KINETIC BALANCE SENSR KNEE RPLCMT ARTHRP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0395T|0395T - HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0394T|0394T - HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0393T|0393T - ES SPH AUGMNT DEVICE REMOVAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0392T|0392T - LAP ES SPH AUGMENT DEV PLACE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0391T|0391T - INTERROG DEVICE EVAL IN PERSON LEADLESS PM SYST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0390T|0390T - PERI-PROC DEVICE EVAL IN PERS LEADLESS PM SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0389T|0389T - PROG DEVICE EVAL IN PERSON LEADLESS PM SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0388T|0388T - TRANSCATH REMOVAL LEADLESS PM VENTRICULAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0387T|0387T - TRANSCATH INSERT OR REPLACE LEADLESS PM VENTR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0386T|0386T - XTRNL HRT RATE EPI SEIZ OVER 30 DAYS R&I ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0385T|0385T - XTRNL HRT RATE EPI SEIZ OVER 30 DAYS COMPLETE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0384T|0384T - XTRNL HRT RATE EPI SEIZ 15 TO 30 DAYS R&I ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0383T|0383T - XTRNL HRT RATE EPI SEIZ 15 TO 30 DAYS COMPLETE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0382T|0382T - XTRNL HRT RATE EPI SEIZ UP TO 14 DAYS R&I ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0381T|0381T - XTRNL HRT RATE EPI SEIZ UP TO 14 DAYS COMPLETE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0380T|0380T - COMP ANIMATION RETINA IMAGE TIME SERIES ANALYSIS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0379T|0379T - VISUAL FIELD ASSESSMENT TECH SUPPORT W/INSTRUCT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0378T|0378T - VISUAL FIELD ASSESSMENT PHYS REVIEW AND REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0377T|0377T - ANOSCOPY W/BULKING AGENT INJ FOR FECAL INCONT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0376T|0376T - ANT SEGMENT INSERT DRAIN W/O RESERVOIR EA ADDL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0375T|0375T - TOTAL DISC ARTHRP ANT APPR W/DISCECTOMY CRV 3+||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0374T|0374T - EXPOSURE BEHAVIOR TREATMENT ADDL 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0373T|0373T - ADAPT BHV TX PRTCL MODIFICAJ EA 15 MIN TECH TIME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0372T|0372T - BEHAVIOR TREATMENT SOCIAL SKILLS TRAINING GROUP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0371T|0371T - MULTIPLE FAMILY GROUP BEHAV TREATMENT GUIDANCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0370T|0370T - FAMILY BEHAVIOR TREATMENT GUIDANCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0369T|0369T - BEHAVIOR TREATMENT WITH MODIFICATION ADDL 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0368T|0368T - BEHAVIOR TX WITH MODIFICATION FIRST 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0367T|0367T - GROUP BEHAVIOR TREATMENT ADDL 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0366T|0366T - GROUP BEHAVIOR TREATMENT FIRST 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0365T|0365T - ADAPTIVE BEHAVIOR TX BY PROTOCOL ADDL 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0364T|0364T - ADAPTIVE BEHAVIOR TX BY PROTOCOL FIRST 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0363T|0363T - EXPOSURE BEHAV ASSESSMENT ADDL 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0362T|0362T - BEHAVIOR ID SUPPORT ASSMT EA 15 MIN TECH TIME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0361T|0361T - OBSERVATIONAL BEHAV ASSESSMENT ADDL 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0360T|0360T - OBSERVATIONAL BEHAV ASSESSMENT FIRST 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0359T|0359T - BEHAVIORAL IDENTIFICATION ASSESSMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0358T|0358T - BIA WHOLE BODY COMPOSITION ASSESSMENT W/I&R||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0357T|0357T - CRYOPRESERVATION IMMATURE OOCYTE(S)||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0356T|0356T - INSERT DRUG IMPLANT INTO LACRIMAL CANAL FOR IOP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0355T|0355T - GI TRACT IMAGING INTRALUMINAL COLON WITH I&R||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0354T|0354T - OCT BREAST SURG CAVITY REAL TIME/REFERRED I&R||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0353T|0353T - OCT OF BREAST SURG CAVITY REAL TIME INTRAOP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0352T|0352T - OCT BREAST OR AXILL NODE SPECIMEN I&R||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0351T|0351T - INTRAOP OCT BREAST OR AXILL NODE EACH SPECIMEN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0350T|0350T - RADIOSTEREOMETRIC ANALYSIS LOWER EXTREMITY EXAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0349T|0349T - RADIOSTEREOMETRIC ANALYSIS UPPER EXTREMITY EXAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0348T|0348T - RADIOSTEREOMETRIC ANALYSIS SPINE EXAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0347T|0347T - PLACE INTERSTITIAL DEVICE(S) IN BONE FOR RSA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0346T|0346T - ULTRASOUND ELASTOGRAPHY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0345T|0345T - TRANSCATH MITRAL VALVE REPAIR VIA CORONARY SINUS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0342T|0342T - THERAPEUTIC APHERESIS W/SELECTIVE HDL DELIP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0341T|0341T - QUANT PUPILLOMETRY W/INTERP&REPORT UNILAT/BILAT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0340T|0340T - ABLATE PULM TUMORS W/PLEURA/CHEST WALL EXTSN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0339T|0339T - TRANSCATHETER RENAL SYMPATH DENERVATION BILAT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0338T|0338T - TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0337T|0337T - ENDOTHELIAL FUNCTION ASSESSMENT NON-INVASIVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0336T|0336T - LAP ABLAT UTERINE FIBROIDS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0335T|0335T - INSERTION OF SINUS TARSI IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0333T|0333T - VISUAL EVOKED POTENTIAL ACUITY SCREENING AUTO||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0332T|0332T - MYOCRD SYMP INNERVAJ IMG PLNR QUAL&QUANT W/SPECT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0331T|0331T - MYOCRD SYMPATHETIC INNERVAJ IMG PLNR QUAL&QUANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0330T|0330T - TEAR FILM IMAGING UNILATERAL OR BILATERAL W/I&R||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0329T|0329T - MNTR INTRAOCULAR PRESS 24HRS/> UNI/BI W/INTERP||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0317T|0317T - ELEC ALYS NSTIM PLS GEN VAGUS NRV W/REPRGRMG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0316T|0316T - REPLACEMENT PULSE GENERATOR VAGUS NERVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0315T|0315T - REMOVAL PULSE GENERATOR VAGUS NERVE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0314T|0314T - LAPS RMVL NSTIM ELTRD ARRAY & PLS GEN VAGUS NRV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0313T|0313T - LAPS REVJ/REPLCMT NSTIM ELTRD ARRAY VAGUS NRV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0312T|0312T - LAPS IMPLTJ NSTIM ELTRD ARRAY&PLS GEN VAGUS NRV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0310T|0310T - MOTOR FUNCTION MAPPING NAVIGATED TMS TX PLAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0309T|0309T - ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L4/L5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0308T|0308T - INSJ OC TLSCP PROSTH RMVL CRYSTALLINE/IO LENS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0307T|0307T - RMVL INTRACARDIAC ISCHEMIA MONITORING DEVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0306T|0306T - INTERROGATION EVAL ICAR ISCHM MNTRNG SYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0305T|0305T - PROGRAM EVAL ICAR ISCHM MNTRNG SYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0304T|0304T - INSJ/RMVL RPLCMT ICAR ISCHM MNTRNG SYS DEVICE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0303T|0303T - INSJ/RMVL RPLCMT ICAR ISCHM MNTRNG SYS ELTRD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0302T|0302T - INSJ/RMVL RPLCMT ICAR ISCHM MNTRNG SYS COMPL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0301T|0301T - DEST/REDUC MALIG BRST TUMR W/US THRMORX GUIDANCE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0300T|0300T - ESW HI ENERGY W/TOPCAL APP &DRESNG CARE ADL WND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0299T|0299T - ESW HI ENERGY W/TOPCAL APP &DRESNG CARE 1ST WND||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0298T|0298T - EXT ECG > 48HR TO 21 DAY REVIEW AND INTERPRETATN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0297T|0297T - EXT ECG > 48HR TO 21 DAY SCAN ANALYSIS W/REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0296T|0296T - EXT ECG > 48HR TO 21 DAY RCRD W/CONECT INTL RCRD||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0295T|0295T - EXT ECG > 48HR TO 21 DAY RCRD SCAN ANLYS REP R&I||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0294T|0294T - INS LT ATRL HEMDYN MTR PRSR SENSR LEAD W/S&I||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0293T|0293T - INS LT ATRL HEMODYN MOTR CMPLETE SYST W/S&I||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0292T|0292T - IV OCT FOR PROC ADDL VESSEL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0291T|0291T - IV OCT FOR PROC INIT VESSEL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0290T|0290T - CORNEA INCISNS RECIPIENT CORNEA W/LASR KERTPLSTY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0289T|0289T - LASER INC FOR PKP/LKP DONOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0288T|0288T - ANOSCOPY W/RF DELIVERY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0287T|0287T - NEAR IFR GUIDE OF VASC SITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0286T|0286T - NEAR IFR SPECTRSC OF WOUNDS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0285T|0285T - PERIPH FIELD STIMUL ANALYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0284T|0284T - PERIPH FIELD STIMUL REVISE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0283T|0283T - PERIPH FIELD STIMUL PERM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0282T|0282T - PERIPH FIELD STIMUL TRIAL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0281T|0281T - LAA CLOSURE W/IMPLANT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0278T|0278T - TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0275T|0275T - PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0274T|0274T - PERC LAMINO-/LAMINECTOMY IMAGE GUIDE CERV/THORAC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0273T|0273T - INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0272T|0272T - INTRGORTION DEV EVAL CARTD SINS BARREFLX W/I&R||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0271T|0271T - REV/REM CARTD SINS BARREFLX ACT DEV PLS GEN ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0270T|0270T - REV/REMVL CARTD SINS BARREFLX ACT DEV LEAD ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0269T|0269T - REV/REMVL CARTD SINS BARREFLX ACT DEV TOT SYSTEM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0268T|0268T - IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0267T|0267T - IM/REPL CARTD SINS BAROREFLX ACTIV DEV LEAD ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0266T|0266T - IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0265T|0265T - BONE MAR HARVST ONLY FOR INTMUSC AUTOLO CELL RX||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0264T|0264T - AUTO BONE MARRW CELL RX COMP W/O BONE MAR HARVST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0263T|0263T - AUTO BONE MARRW CELL RX COMPLT BONE MARRW HARVST||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0255T|0255T - EVASC ILIAC ART BIFURC W/ENDOPROSTH UNI RS&I||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0254T|0254T - EVASC RPR ILAC ART BIFUR ENDGRFT CATHJ RS&I UNI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0253T|0253T - INSERT ANT SGM DRAINAGE DEV W/O RESERVR INT APPR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0249T|0249T - LIGATION HEMORRHOID BUNDLE W/US||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0238T|0238T - TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0237T|0237T - TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0236T|0236T - TRLUML PERIPH ATHRC W/RS&I ABDOM AORTA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0235T|0235T - TRLUML PERIPHERAL ATHERECTOMY VISCERAL ARTERY EA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0234T|0234T - TRLUML PERIPHERAL ATHERECTOMY RENAL ARTERY EA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0232T|0232T - NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0231T|0231T - NJX ANES/STEROID TFRML EDRL W/US LUM/SAC EA ADDL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0230T|0230T - NJX ANES/STEROID TFRML EDRL W/US LUM/SAC 1 LVL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0229T|0229T - NJX ANES/STERD TFRML EDRL W/US CER/THOR EA ADDL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0228T|0228T - NJX ANES/STEROID TFRML EDRL W/US CER/THOR 1 LVL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0222T|0222T - PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0221T|0221T - PLMT POST FACET IMPLT UNI/BI W/IMG & GRFT LUMB||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0220T|0220T - PLMT POST FACET IMPLT UNI/BI W/IMG & GRFT THOR||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0219T|0219T - PLMT POST FACET IMPLANT UNI/BI W/IMG & GRFT CERV||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0218T|0218T - NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD&> LVL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0217T|0217T - NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0216T|0216T - NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0215T|0215T - NJX PARAVERTBRL FACET JT W/US CER/THOR 3RD&> LVL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0214T|0214T - NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0213T|0213T - NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0212T|0212T - COMPRE AUDIOM THRESHOLD EVAL & SPEECH RECOG||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0211T|0211T - SPEECH AUDIOM THRESHLD AUTO W/SPEECH RECOGNITION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0210T|0210T - SPEECH AUDIOMETRY THRESHOLD AUTOMATED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0209T|0209T - PURE TONE AUDIOMETRY AUTOMATED AIR & BONE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0208T|0208T - PURE TONE AUDIOMETRY AUTOMATED AIR ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0207T|0207T - EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0206T|0206T - CPTR DBS ALYS MLT CYCLS CAR ELEC DTA 2/> ECG LDS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0205T|0205T - IV CATH CORONARY VESSEL/GRAFT SPECTROSCPY EA VSL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0202T|0202T - POST VERT ARTHRPLSTY W/WO BONE CEMENT 1 LUMB LVL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0201T|0201T - PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0200T|0200T - PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0198T|0198T - MEAS OCULAR BLOOD FLOW REPEAT IO PRES SAMP W/I&R||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0196T|0196T - ARTHRODESIS PRESACRAL INTRBDY W/O INSTRUM L4/L5||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0195T|0195T - ARTHRODESIS PRESACRAL INTRBDY W/O INSTRUM L5/S1||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0191T|0191T - ANT SEGMENT INSERTION DRAINAGE W/O RESERVOIR INT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0190T|0190T - INTRAOCULAR RADIATION SRC APPLICATOR PLACEMENT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0189T|0189T - VIDEOCONFERENCED CRITICAL CARE EA ADDL 30 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0188T|0188T - VIDEOCONFERENCED CRITICAL CARE FIRST 30-74 MIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0184T|0184T - RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0180T|0180T - 64 LEAD ECG W/INTERPRETATION & REPORT ONLY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0179T|0179T - 64 LEAD ECG W/TRACING & GRAPHICS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0178T|0178T - 64 LEAD ECG W/INTERPRETATION & REPORT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0175T|0175T - CAD CHEST RADIOGRAPH REMOTE FROM PRIMARY INTERPJ||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0174T|0174T - CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0172T|0172T - LUMBAR SPINE PROCESS ADDL||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0171T|0171T - LUMBAR SPINE PROCES DISTRACT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0169T|0169T - PLACE STEREO CATH BRAIN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0165T|0165T - REVJ TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0164T|0164T - RMVL TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0163T|0163T - TOT DISC ARTHRP ANT APPR DSKC PREP LMBR EA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0159T|0159T - COMPUTER AIDED DETECTION BREAST MRI||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0126T|0126T - COMMON CAROTID INTIMA MEDIA THICKNESS STUDY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0111T|0111T - LONG-CHAIN OMEGA-3 FATTY ACIDS RBC MEMBS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0110T|0110T - QUANT SENSORY TEST&INTERPJ/XTR OTHER STIMULI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0109T|0109T - QUANT SENAORY TEST&INTERPJ/XTR W/HT-PN STIMULI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0108T|0108T - QUANT SENSORY TEST&INTERPJ/XTR W/COOL STIMULI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0107T|0107T - QUANT SENSORY TEST&INTERPJ/XTR W/VIBRJ STIMULI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0106T|0106T - QUANT SENSORY TEST&INTERPJ/XTR W/TOUCH STIMULI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0102T|0102T - EXTRCRPL SHOCK WAVE W/ANES LAT HUMERL EPICONDYLE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0101T|0101T - EXTRCORPL SHOCK WAVE MUSCSKELE NOS HIGH ENERGY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0100T|0100T - PLMT SCJNCL RTA PROSTH&PLS&IMPLTJ INTRA-OC RTA||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0098T|0098T - REVJ TOT DISC ARTHRP ANT APPR CRV EA NTRSPC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0095T|0095T - RMVL TOT DISC ARTHRP ANT APPR CRV EA NTRSPC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0085T|0085T - BREATH TEST HEART TRANSPLANT REJECTION||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0076T|0076T - TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0075T|0075T - TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL||0|0|0|0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0072T|0072T - US ABLATJ UTERINE LEIOMYOMAT >/EQUAL 200 CC TISS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0071T|0071T - US ABLATJ UTERINE LEIOMYOMATA < 200 CC TISSUE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0058T|0058T - CRYOPRESERVATION REPRODUCTIVE TISSUE OVARIAN||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0055T|0055T - CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0054T|0054T - CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0053T|0053T - RPLCMT/RPR IMPLTBL COMPNT TOT RPLCMT HRT EX THRC||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0052T|0052T - RPLCMT/RPR THRC UNIT TOT RPLCMT HRT SYS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0051T|0051T - IMPLTJ TOT RPLCMT HRT SYS W/RCP CARDIECTOMY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0042T|0042T - CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0019T|0019T - EXTRACORP SHOCK WV TX MS NOS||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0015F|0015F - MELANOMA FOLLOW UP COMPLETED||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0014F|0014F - COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0012F|0012F - COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0010M|0010M - ONC PROSTATE PROB SCORE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0009M|0009M - FETAL ANEUPLOIDY TRISOM RISK||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0008M|0008M - ONC BREAST RISK SCORE||7693.695|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0007M|0007M - ONC GASTRO 51 GENE NOMOGRAM||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0006M|0006M - HEP CA TUM TISS MOPATH ASSAY||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0005F|0005F - OSTEOARTHRITIS COMPOSITE||0|||0|09/14/2017
46-4319695|1013338193|1467873547| 81-1855329|1598126641|84-4004947|1962040147|1831717511|122|0001F|0001F - HRT FAILURE ASSESSED||0|||0|09/14/2017