TAX ID|NPI|NAME|CPTNO|CPT|MODIFIER|FULLAMT|PROFAMT|TECHAMT|ANESUNITS|BEGIN DATEDT
20-4114498|1750446506|SH 70003|Q9995|"Q9995 - INJ.| EMICIZUMAB-KXWH 0.5 MG"||61.845|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9993|"Q9993 - INJ.| TRIAMCINOLONE EXT REL"||23.6013|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9992|"Q9992 - INJ| BUPRENORPHINE XR OVER 100 MG"||2093.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9991|"Q9991 - INJ|BUPRENORPHINE XR 100 MG OR LESS"||2093.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9989|"Q9989 - USTEKINUMAB| IV INJECT|1 MG"||16.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9967|"Q9967 - LOCM 300-399MG/ML IODINE|1ML"||0.1525|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9966|"Q9966 - LOCM 200-299MG/ML IODINE|1ML"||0.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9965|"Q9965 - LOCM 100-199MG/ML IODINE|1ML"||1.1187|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9963|"Q9963 - HOCM 350-399MG/ML IODINE|1ML"||0.2587|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9961|"Q9961 - HOCM 250-299MG/ML IODINE|1ML"||0.3325|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9960|"Q9960 - HOCM 200-249MG/ML IODINE|1ML"||0.3013|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9958|"Q9958 - HOCM <=149 MG/ML IODINE| 1ML"||0.0988|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9957|"Q9957 - INJ PERFLUTREN LIP MICROS|ML"||61.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9956|"Q9956 - INJ OCTAFLUOROPROPANE MIC|ML"||41.3263|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q9950|Q9950 - INJ SULF HEXA LIPID MICROSPH||26.0813|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q5106|Q5106 - INJ RETACRIT NON-ESRD USE 1000 UN||14.615|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q5105|Q5105 - INJ RETACRIT ESRD ON DIALYSI 100 UN||1.4612|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q5104|"Q5104 - INJECTION| RENFLEXIS| 10 MG"||86.5275|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q5103|"Q5103 - INJECTION| INFLECTRA| 10 MG"||81.2237|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q5102|"Q5102 - INJ.| INFLIXIMAB BIOSIMILAR"||100.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q5101|"Q5101 - INJECTION| ZARXIO| 1 MCG"||0.8163|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4172|Q4172 - PURAPLY OR PURAPLY AM||109.5825|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4133|Q4133 - GRAFIX STRAVIX PRIME PL SQCM||165.6075|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4132|"Q4132 - GRAFIX CORE| GRAFIXPL CORE"||167.3775|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4131|Q4131 - EPIFIX OR EPICORD||200.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4123|Q4123 - ALLOSKIN||39.5187|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4121|Q4121 - THERASKIN||56.1425|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4116|Q4116 - ALLODERM||39.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4115|Q4115 - ALLOSKIN||12.5925|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4113|Q4113 - GRAFTJACKET XPRESS||1215.6875|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4112|Q4112 - CYMETRA INJECTABLE||1215.6875|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4111|Q4111 - GAMMAGRAFT||9.6975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4110|Q4110 - PRIMATRIX||60.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4108|Q4108 - INTEGRA MATRIX||45.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4107|Q4107 - GRAFTJACKET||114.1025|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4106|Q4106 - DERMAGRAFT||41.3125|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4105|Q4105 - INTEGRA DRT OR OMNIGRAFT||37.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4104|Q4104 - INTEGRA BMWD||48.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4102|Q4102 - OASIS WOUND MATRIX||14.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4101|Q4101 - APLIGRAF||38.5025|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4081|"Q4081 - EPOETIN ALFA| 100 UNITS ESRD"||1.6362|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q4074|Q4074 - ILOPROST NON-COMP UNIT DOSE||177.2912|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q3027|Q3027 - INJ BETA INTERFERON IM 1 MCG||67.7188|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q2050|Q2050 - DOXORUBICIN INJ 10MG||465.615|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q2043|Q2043 - SIPULEUCEL-T AUTO CD54+||51915.7937|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q2038|"Q2038 - FLUZONE VACC| 3 YRS & >| IM"||15.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q2037|"Q2037 - FLUVIRIN VACC| 3 YRS & >| IM"||22.1062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q2035|"Q2035 - AFLURIA VACC| 3 YRS & >| IM"||22.1062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q0180|Q0180 - DOLASETRON MESYLATE ORAL||119.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q0169|Q0169 - PROMETHAZINE HCL 12.5MG ORAL||0.0262|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q0167|Q0167 - DRONABINOL 2.5MG ORAL||4.0012|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q0166|Q0166 - GRANISETRON HCL 1 MG ORAL||1.8413|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q0164|Q0164 - PROCHLORPERAZINE MALEATE 5MG||0.0387|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q0163|Q0163 - DIPHENHYDRAMINE HCL 50MG||0.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q0162|Q0162 - ONDANSETRON ORAL||0.0525|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q0139|"Q0139 - FERUMOXYTOL| ESRD USE"||1.2012|0||0|10/01/2018
20-4114498|1750446506|SH 70003|Q0138|"Q0138 - FERUMOXYTOL| NON-ESRD"||1.2012|0||0|10/01/2018
20-4114498|1750446506|SH 70003|P9047|"P9047 - ALBUMIN (HUMAN)| 25%| 50ML"||66.7975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|P9046|"P9046 - ALBUMIN (HUMAN)| 25%| 20 ML"||28.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|P9045|"P9045 - ALBUMIN (HUMAN)| 5%| 250 ML"||68.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|P9041|"P9041 - ALBUMIN (HUMAN)|5%| 50ML"||14.7487|0||0|10/01/2018
20-4114498|1750446506|SH 70003|L8694|L8694 - AOI TRANSDUCER/ACTUATOR REPL||1108.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|L8625|L8625 - CHARGER COCH IMPL/AOI BATTRY REP EA||221.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|L7700|L7700 - PROS SOC INSERT GASKET/SEAL||130.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|L3761|"L3761 - EO| ADJ LOCK JOINT PREFAB OT"||532.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|K0554|K0554 - THER CGM RECEIVER/MONITOR||298.76|29.88||0|10/01/2018
20-4114498|1750446506|SH 70003|K0553|K0553 - THER CGM SUPPLY ALLOWANCE||301.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9400|"J9400 - INJ| ZIV-AFLIBERCEPT| 1 MG"||10.1062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9395|"J9395 - INJECTION| FULVESTRANT"||121.5525|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9390|J9390 - VINORELBINE TARTRATE INJ||21.5413|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9371|"J9371 - INJ| VINCRISTINE SUL LIP 1 MG"||3508.9313|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9370|J9370 - VINCRISTINE SULFATE 1 MG INJ||6.5187|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9360|J9360 - VINBLASTINE SULFATE INJ||4.7613|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9357|J9357 - VALRUBICIN INJECTION||1561.4675|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9355|J9355 - TRASTUZUMAB INJECTION||129.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9354|"J9354 - INJ| ADO-TRASTUZUMAB EMT 1 MG"||38.365|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9352|J9352 - INJECTION TRABECTEDIN 0.1MG||370.5238|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9351|J9351 - TOPOTECAN INJECTION||1.295|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9330|J9330 - TEMSIROLIMUS INJECTION||92.2113|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9328|J9328 - TEMOZOLOMIDE INJECTION||13.2012|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9325|J9325 - INJ TALIMOGENE LAHERPAREPVEC||62.125|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9320|J9320 - STREPTOZOCIN INJECTION||429.9837|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9315|J9315 - ROMIDEPSIN INJECTION||411.3025|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9310|J9310 - RITUXIMAB INJECTION||1144.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9308|"J9308 - INJECTION| RAMUCIRUMAB"||72.0825|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9307|J9307 - PRALATREXATE INJECTION||333.8462|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9306|"J9306 - INJECTION| PERTUZUMAB| 1 MG"||14.7587|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9305|J9305 - PEMETREXED INJECTION||84.3238|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9303|J9303 - PANITUMUMAB INJECTION||142.545|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9302|J9302 - OFATUMUMAB INJECTION||73.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9301|J9301 - OBINUTUZUMAB INJ||78.5537|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9299|"J9299 - INJECTION| NIVOLUMAB"||33.9438|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9295|"J9295 - INJECTION| NECITUMUMAB| 1 MG"||6.8812|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9293|J9293 - MITOXANTRONE HYDROCHL / 5 MG||37.3462|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9285|"J9285 - INJ| OLARATUMAB| 10 MG"||63.795|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9280|J9280 - MITOMYCIN INJECTION||180.095|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9271|J9271 - INJ PEMBROLIZUMAB||60.7175|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9268|J9268 - PENTOSTATIN INJECTION||2506.5087|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9267|J9267 - PACLITAXEL INJECTION||0.1613|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9266|J9266 - PEGASPARGASE INJECTION||18787.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9264|J9264 - PACLITAXEL PROTEIN BOUND||14.035|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9263|J9263 - OXALIPLATIN||0.2562|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9261|J9261 - NELARABINE INJECTION||190.1375|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9260|J9260 - METHOTREXATE SODIUM INJ||3.0725|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9250|J9250 - METHOTREXATE SODIUM INJ||0.3063|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9245|J9245 - INJ MELPHALAN HYDROCHL 50 MG||1319.895|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9230|J9230 - MECHLORETHAMINE HCL INJ||403.3238|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9228|J9228 - IPILIMUMAB INJECTION||185.7887|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9226|J9226 - SUPPRELIN LA IMPLANT||38052.3725|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9225|J9225 - VANTAS IMPLANT||4315.4125|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9218|J9218 - LEUPROLIDE ACETATE INJECITON||41.495|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9217|J9217 - LEUPROLIDE ACETATE SUSPNSION||272.7175|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9214|J9214 - INTERFERON ALFA-2B INJ||42.975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9211|J9211 - IDARUBICIN HCL INJECTION||44.3062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9209|J9209 - MESNA INJECTION||3.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9208|J9208 - IFOSFAMIDE INJECTION||32.8413|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9207|J9207 - IXABEPILONE INJECTION||88.2412|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9206|J9206 - IRINOTECAN INJECTION||3.8312|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9205|J9205 - INJ IRINOTECAN LIPOSOME 1 MG||57.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9203|J9203 - GEMTUZUMAB OZOGAMICIN 0.1 MG||241.445|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9202|J9202 - GOSERELIN ACETATE IMPLANT||584.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9201|J9201 - GEMCITABINE HCL INJECTION||8.1237|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9200|J9200 - FLOXURIDINE INJECTION||111.5125|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9190|J9190 - FLUOROURACIL INJECTION||2.1725|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9185|J9185 - FLUDARABINE PHOSPHATE INJ||92.8462|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9181|J9181 - ETOPOSIDE INJECTION||1.6887|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9179|J9179 - ERIBULIN MESYLATE INJECTION||141.2337|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9178|"J9178 - INJ| EPIRUBICIN HCL| 2 MG"||1.6113|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9176|"J9176 - INJECTION| ELOTUZUMAB| 1 MG"||8.0237|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9171|J9171 - DOCETAXEL INJECTION||2.2662|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9155|J9155 - DEGARELIX INJECTION||4.5687|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9150|J9150 - DAUNORUBICIN INJECTION||52.8775|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9145|"J9145 - INJECTION| DARATUMUMAB 10 MG"||63.6863|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9130|J9130 - DACARBAZINE 100 MG INJ||4.9138|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9120|J9120 - DACTINOMYCIN INJECTION||1967.5812|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9100|J9100 - CYTARABINE HCL 100 MG INJ||0.7462|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9098|J9098 - CYTARABINE LIPOSOME INJ||785.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9070|J9070 - CYCLOPHOSPHAMIDE 100 MG INJ||52.2837|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9065|J9065 - INJ CLADRIBINE PER 1 MG||27.8412|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9060|J9060 - CISPLATIN 10 MG INJECTION||2.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9055|J9055 - CETUXIMAB INJECTION||75.9737|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9050|J9050 - CARMUSTINE INJECTION||4901.8825|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9047|"J9047 - INJECTION| CARFILZOMIB| 1 MG"||43.9925|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9045|J9045 - CARBOPLATIN INJECTION||4.0525|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9043|J9043 - CABAZITAXEL INJECTION||204.4825|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9042|J9042 - BRENTUXIMAB VEDOTIN INJ||188.5238|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9041|"J9041 - INJ.| VELCADE 0.1 MG"||58.4312|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9040|J9040 - BLEOMYCIN SULFATE INJECTION||34.7725|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9039|"J9039 - INJECTION| BLINATUMOMAB"||137.4038|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9035|J9035 - BEVACIZUMAB INJECTION||98.5662|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9034|"J9034 - INJ.| BENDEKA 1 MG"||29.3062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9033|"J9033 - INJ.| TREANDA 1 MG"||38.4338|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9032|"J9032 - INJECTION| BELINOSTAT| 10MG"||46.5688|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9031|J9031 - BCG LIVE INTRAVESICAL VAC||172.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9027|J9027 - CLOFARABINE INJECTION||150.2975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9025|J9025 - AZACITIDINE INJECTION||1.8862|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9023|"J9023 - INJECTION| AVELUMAB| 10 MG"||100.7375|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9022|"J9022 - INJ| ATEZOLIZUMAB|10 MG"||96.1188|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9019|J9019 - ERWINAZE INJECTION||518.5312|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9017|J9017 - ARSENIC TRIOXIDE INJECTION||96.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J9000|J9000 - DOXORUBICIN HCL INJECTION||3.8388|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8705|J8705 - TOPOTECAN ORAL||129.8237|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8700|J8700 - TEMOZOLOMIDE||1.1538|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8670|"J8670 - ROLAPITANT| ORAL| 1 MG"||2.7812|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8655|"J8655 - ORAL NETUPITANT| PALONOSETRO"||425.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8610|J8610 - METHOTREXATE ORAL 2.5 MG||1.4238|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8600|J8600 - MELPHALAN ORAL 2 MG||14.5962|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8560|J8560 - ETOPOSIDE ORAL 50 MG||94.7362|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8540|J8540 - ORAL DEXAMETHASONE||0.1062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8530|J8530 - CYCLOPHOSPHAMIDE ORAL 25 MG||5.0575|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8521|"J8521 - CAPECITABINE| ORAL| 500 MG"||6.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8520|"J8520 - CAPECITABINE| ORAL| 150 MG"||2.2725|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8510|J8510 - ORAL BUSULFAN||30.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J8501|J8501 - ORAL APREPITANT||9.3637|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7686|"J7686 - TREPROSTINIL| NON-COMP UNIT"||730.4062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7682|J7682 - TOBRAMYCIN NON-COMP UNIT||60.8137|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7674|"J7674 - METHACHOLINE CHLORIDE| NEB"||0.6725|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7644|J7644 - IPRATROPIUM BROMIDE NON-COMP||0.2712|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7639|J7639 - DORNASE ALFA NON-COMP UNIT||59.6562|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7631|J7631 - CROMOLYN SODIUM NONCOMP UNIT||9.6188|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7626|J7626 - BUDESONIDE NON-COMP UNIT||4.4062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7620|J7620 - ALBUTEROL IPRATROP NON-COMP||0.1775|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7614|J7614 - LEVALBUTEROL NON-COMP UNIT||0.075|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7613|J7613 - ALBUTEROL NON-COMP UNIT||0.0575|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7612|J7612 - LEVALBUTEROL NON-COMP CON||0.2512|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7611|J7611 - ALBUTEROL NON-COMP CON||0.1988|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7608|J7608 - ACETYLCYSTEINE NON-COMP UNIT||5.4737|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7606|"J7606 - FORMOTEROL FUMARATE| INH"||13.5262|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7605|J7605 - ARFORMOTEROL NON-COMP UNIT||12.3375|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7527|J7527 - ORAL EVEROLIMUS||10.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7525|J7525 - TACROLIMUS INJECTION||257.8975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7520|"J7520 - SIROLIMUS| ORAL"||9.1438|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7518|J7518 - MYCOPHENOLIC ACID||3.8525|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7517|J7517 - MYCOPHENOLATE MOFETIL ORAL||1.9112|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7516|J7516 - CYCLOSPORIN PARENTERAL 250MG||55.2463|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7515|J7515 - CYCLOSPORINE ORAL 25 MG||0.895|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7512|J7512 - PREDNISONE IR OR DR ORAL 1 MG||0.0187|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7511|J7511 - ANTITHYMOCYTE GLOBULN RABBIT||907.1137|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7510|J7510 - PREDNISOLONE ORAL PER 5 MG||0.0813|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7509|J7509 - METHYLPREDNISOLONE ORAL||0.3325|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7508|J7508 - TACROL ASTAGRAF EX REL ORAL||0.5913|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7507|J7507 - TACROLIMUS IMME REL ORAL 1MG||0.6663|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7504|J7504 - LYMPHOCYTE IMMUNE GLOBULIN||2633.135|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7503|J7503 - TACROL ENVARSUS EX REL ORAL||1.5675|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7502|J7502 - CYCLOSPORINE ORAL 100 MG||3.0288|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7500|J7500 - AZATHIOPRINE ORAL 50MG||0.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7336|J7336 - CAPSAICIN 8% PATCH||3.9375|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7327|J7327 - MONOVISC INJ PER DOSE||995.7025|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7326|J7326 - GEL-ONE||636.685|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7325|J7325 - SYNVISC OR SYNVISC-ONE||14.6237|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7324|J7324 - ORTHOVISC INJ PER DOSE||175.4263|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7323|J7323 - EUFLEXXA INJ PER DOSE||179.6675|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7321|J7321 - HYALGAN SUPARTZ VISCO-3 DOSE||103.9688|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7320|"J7320 - GENVISC 850| INJ| 1 MG"||7.815|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7316|"J7316 - INJ| OCRIPLASMIN| 0.125 MG"||1273.3688|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7313|J7313 - FLUOCINOL ACET INTRAVIT IMP||612.7475|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7312|J7312 - DEXAMETHASONE INTRA IMPLANT||250.245|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7311|J7311 - FLUOCINOLONE ACETONIDE IMPLT||25494.1175|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7308|J7308 - AMINOLEVULINIC ACID HCL TOP||505.7387|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7205|J7205 - FACTOR VIII FC FUSION RECOMB||2.5112|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7201|J7201 - FACTOR IX ALPROLIX RECOMB||3.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7200|J7200 - FACTOR IX RECOMBINAN RIXUBIS||1.685|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7198|J7198 - ANTI-INHIBITOR||2.6387|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7197|J7197 - ANTITHROMBIN III INJECTION||4.605|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7195|J7195 - FACTOR IX RECOMBINANT NOS||1.8887|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7194|J7194 - FACTOR IX COMPLEX||1.7825|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7193|J7193 - FACTOR IX NON-RECOMBINANT||1.4212|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7192|J7192 - FACTOR VIII RECOMBINANT NOS||1.6925|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7190|J7190 - FACTOR VIII||1.3838|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7189|J7189 - FACTOR VIIA||2.5863|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7187|"J7187 - HUMATE-P| INJ"||1.405|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7186|J7186 - ANTIHEMOPHILIC VIII/VWF COMP||1.2425|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7185|J7185 - XYNTHA INJ||1.5637|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7183|J7183 - WILATE INJECTION||1.285|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7182|J7182 - FACTOR VIII RECOMB NOVOEIGHT||1.6625|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7180|J7180 - FACTOR XIII ANTI-HEM FACTOR||10.2688|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7120|J7120 - RINGERS LACTATE INFUSION||3.3413|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7070|J7070 - D5W INFUSION||5.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7060|J7060 - 5% DEXTROSE/WATER||2.8487|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7050|J7050 - NORMAL SALINE SOLUTION INFUS||0.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7042|J7042 - 5% DEXTROSE/NORMAL SALINE||1.2575|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7040|J7040 - NORMAL SALINE SOLUTION INFUS||1.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J7030|J7030 - NORMAL SALINE SOLUTION INFUS||3.1212|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3489|J3489 - ZOLEDRONIC ACID 1MG||18.395|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3486|J3486 - ZIPRASIDONE MESYLATE||22.5888|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3485|J3485 - ZIDOVUDINE||1.8925|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3480|J3480 - INJ POTASSIUM CHLORIDE||0.1512|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3475|J3475 - INJ MAGNESIUM SULFATE||0.6325|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3473|J3473 - HYALURONIDASE RECOMBINANT||0.4475|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3471|"J3471 - OVINE| UP TO 999 USP UNITS"||0.5062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3465|"J3465 - INJECTION| VORICONAZOLE"||2.425|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3430|J3430 - VITAMIN K PHYTONADIONE INJ||5.3425|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3420|J3420 - VITAMIN B12 INJECTION||2.385|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3415|J3415 - PYRIDOXINE HCL 100 MG||11.9038|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3411|J3411 - THIAMINE HCL 100 MG||3.6425|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3410|J3410 - HYDROXYZINE HCL INJECTION||9.0813|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3396|J3396 - VERTEPORFIN INJECTION||13.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3385|J3385 - VELAGLUCERASE ALFA||431.5625|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3380|"J3380 - INJECTION| VEDOLIZUMAB"||24.5275|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3370|J3370 - VANCOMYCIN HCL INJECTION||4.8913|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3360|J3360 - DIAZEPAM INJECTION||8.6937|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3358|"J3358 - USTEKINUMAB| IV INJECT| 1 MG"||15.6862|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3357|"J3357 - USTEKINUMAB SUB CU INJ| 1 MG"||244.4338|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3315|J3315 - TRIPTORELIN PAMOATE||327.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3303|J3303 - TRIAMCINOLONE HEXACETONL INJ||2.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3301|J3301 - TRIAMCINOLONE ACET INJ NOS||2.2075|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3300|J3300 - TRIAMCINOLONE A INJ PRS-FREE||4.8213|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3285|J3285 - TREPROSTINIL INJECTION||76.5463|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3262|J3262 - TOCILIZUMAB INJECTION||5.8987|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3260|J3260 - TOBRAMYCIN SULFATE INJECTION||3.7538|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3250|J3250 - TRIMETHOBENZAMIDE HCL INJ||40.2963|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3243|J3243 - TIGECYCLINE INJECTION||2.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3240|J3240 - THYROTROPIN INJECTION||2010.8937|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3230|J3230 - CHLORPROMAZINE HCL INJECTION||36.6812|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3121|J3121 - INJ TESTOSTERO ENANTHATE 1MG||0.0475|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3105|J3105 - TERBUTALINE SULFATE INJ||3.6187|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3101|J3101 - TENECTEPLASE INJECTION||151.2812|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3095|J3095 - TELAVANCIN INJECTION||6.8587|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3090|J3090 - INJ TEDIZOLID PHOSPHATE||1.7962|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3070|J3070 - PENTAZOCINE INJECTION||135.4812|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3060|"J3060 - INJ| TALIGLUCERASE ALFA 10 U"||50.4875|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3010|J3010 - FENTANYL CITRATE INJECTION||0.7438|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J3000|J3000 - STREPTOMYCIN INJECTION||20.5738|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2997|J2997 - ALTEPLASE RECOMBINANT||109.525|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2930|J2930 - METHYLPREDNISOLONE INJECTION||8.7063|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2920|J2920 - METHYLPREDNISOLONE INJECTION||6.0062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2916|J2916 - NA FERRIC GLUCONATE COMPLEX||2.7237|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2850|J2850 - INJ SECRETIN SYNTHETIC HUMAN||43.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2820|J2820 - SARGRAMOSTIM INJECTION||44.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2810|J2810 - INJ THEOPHYLLINE PER 40 MG||0.3837|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2805|J2805 - SINCALIDE INJECTION||133.3113|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2800|J2800 - METHOCARBAMOL INJECTION||30.1588|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2796|J2796 - ROMIPLOSTIM INJECTION||88.185|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2795|J2795 - ROPIVACAINE HCL INJECTION||0.0988|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2794|"J2794 - RISPERIDONE| LONG ACTING"||11.7525|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2792|"J2792 - RHO(D) IMMUNE GLOBULIN H| SD"||34.145|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2791|J2791 - RHOPHYLAC INJECTION||6.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2790|J2790 - RHO D IMMUNE GLOBULIN INJ||103.0512|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2788|J2788 - RHO D IMMUNE GLOBULIN 50 MCG||31.7188|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2785|J2785 - REGADENOSON INJECTION||70.6225|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2783|J2783 - RASBURICASE||339.5562|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2780|J2780 - RANITIDINE HYDROCHLORIDE INJ||6.8137|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2778|J2778 - RANIBIZUMAB INJECTION||466.875|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2770|J2770 - QUINUPRISTIN/DALFOPRISTIN||523.2387|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2765|J2765 - METOCLOPRAMIDE HCL INJECTION||1.0662|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2724|J2724 - PROTEIN C CONCENTRATE||19.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2720|J2720 - INJ PROTAMINE SULFATE/10 MG||1.4312|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2704|"J2704 - INJ| PROPOFOL| 10 MG"||0.1475|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2700|J2700 - OXACILLIN SODIUM INJECITON||2.8325|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2690|J2690 - PROCAINAMIDE HCL INJECTION||86.5425|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2680|J2680 - FLUPHENAZINE DECANOATE 25 MG||17.4225|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2675|J2675 - INJ PROGESTERONE PER 50 MG||1.3775|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2597|J2597 - INJ DESMOPRESSIN ACETATE||16.1288|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2562|J2562 - PLERIXAFOR INJECTION||412.2663|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2560|J2560 - PHENOBARBITAL SODIUM INJ||47.7088|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2550|J2550 - PROMETHAZINE HCL INJECTION||2.4062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2545|J2545 - PENTAMIDINE NON-COMP UNIT||144.345|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2543|J2543 - PIPERACILLIN/TAZOBACTAM||3.4075|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2540|J2540 - PENICILLIN G POTASSIUM INJ||1.3562|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2515|J2515 - PENTOBARBITAL SODIUM INJ||61.5012|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2510|J2510 - PENICILLIN G PROCAINE INJ||36.6187|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2507|J2507 - PEGLOTICASE INJECTION||2902.5788|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2505|"J2505 - INJECTION| PEGFILGRASTIM 6MG"||5901.0538|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2504|"J2504 - PEGADEMASE BOVINE| 25 IU"||459.9513|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2503|J2503 - PEGAPTANIB SODIUM INJECTION||897.3312|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2501|J2501 - PARICALCITOL||0.9313|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2469|J2469 - PALONOSETRON HCL||28.255|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2430|J2430 - PAMIDRONATE DISODIUM /30 MG||12.5612|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2426|J2426 - PALIPERIDONE PALMITATE INJ||13.5962|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2425|J2425 - PALIFERMIN INJECTION||25.4225|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2410|J2410 - OXYMORPHONE HCL INJECTION||3.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2407|"J2407 - INJECTION| ORITAVANCIN"||32.0213|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2405|J2405 - ONDANSETRON HCL INJECTION||0.0988|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2400|J2400 - CHLOROPROCAINE HCL INJECTION||23.485|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2360|J2360 - ORPHENADRINE INJECTION||7.985|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2358|J2358 - OLANZAPINE LONG-ACTING INJ||3.6463|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2357|J2357 - OMALIZUMAB INJECTION||45.4175|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2355|J2355 - OPRELVEKIN INJECTION||533.6437|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2354|"J2354 - OCTREOTIDE INJ| NON-DEPOT"||1.1612|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2353|"J2353 - OCTREOTIDE INJECTION| DEPOT"||248.7887|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2350|"J2350 - INJECTION| OCRELIZUMAB| 1 MG"||71.4675|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2323|J2323 - NATALIZUMAB INJECTION||24.8762|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2315|"J2315 - NALTREXONE| DEPOT FORM"||4.0788|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2310|J2310 - INJ NALOXONE HYDROCHLORIDE||29.8337|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2300|J2300 - INJ NALBUPHINE HYDROCHLORIDE||3.6288|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2280|"J2280 - INJ| MOXIFLOXACIN 100 MG"||12.1625|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2278|J2278 - ZICONOTIDE INJECTION||9.4738|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2274|J2274 - INJ MORPHINE PF EPID ITHC||14.2812|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2270|J2270 - MORPHINE SULFATE INJECTION||3.0412|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2260|J2260 - INJ MILRINONE LACTATE / 5 MG||2.0713|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2250|J2250 - INJ MIDAZOLAM HYDROCHLORIDE||0.155|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2248|J2248 - MICAFUNGIN SODIUM INJECTION||1.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2210|J2210 - METHYLERGONOVIN MALEATE INJ||18.5075|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2185|J2185 - MEROPENEM||1.0175|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2175|J2175 - MEPERIDINE HYDROCHL /100 MG||4.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2150|J2150 - MANNITOL INJECTION||2.9038|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2060|J2060 - LORAZEPAM INJECTION||0.955|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2020|J2020 - LINEZOLID INJECTION||14.8963|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2010|J2010 - LINCOMYCIN INJECTION||16.2825|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J2001|J2001 - LIDOCAINE INJECTION||0.0275|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1980|J1980 - HYOSCYAMINE SULFATE INJ||37.9213|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1956|J1956 - LEVOFLOXACIN INJECTION||1.5675|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1955|J1955 - INJ LEVOCARNITINE PER 1 GM||40.095|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1953|J1953 - LEVETIRACETAM INJECTION||0.1487|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1950|J1950 - LEUPROLIDE ACETATE /3.75 MG||1496.1388|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1942|J1942 - ARIPIPRAZOLE LAUROXIL 1MG||3.0725|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1940|J1940 - FUROSEMIDE INJECTION||1.0938|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1931|J1931 - LARONIDASE INJECTION||38.2687|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1930|J1930 - LANREOTIDE INJECTION||73.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1885|J1885 - KETOROLAC TROMETHAMINE INJ||0.7075|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1817|J1817 - INSULIN FOR INSULIN PUMP USE||13.9962|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1815|J1815 - INSULIN INJECTION||1.1725|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1800|J1800 - PROPRANOLOL INJECTION||5.6675|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1786|J1786 - IMUGLUCERASE INJECTION||51.6662|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1756|J1756 - IRON SUCROSE INJECTION||0.2925|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1750|J1750 - INJ IRON DEXTRAN||17.0862|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1745|J1745 - INFLIXIMAB NOT BIOSIMIL 10MG||104.8738|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1743|J1743 - IDURSULFASE INJECTION||678.6463|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1742|J1742 - IBUTILIDE FUMARATE INJECTION||373.3138|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1740|J1740 - IBANDRONATE SODIUM INJECTION||97.6363|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1720|J1720 - HYDROCORTISONE SODIUM SUCC I||16.4713|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1670|J1670 - TETANUS IMMUNE GLOBULIN INJ||346.985|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1652|J1652 - FONDAPARINUX SODIUM||2.8537|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1650|J1650 - INJ ENOXAPARIN SODIUM||1.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1645|J1645 - DALTEPARIN SODIUM||18.7275|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1644|J1644 - INJ HEPARIN SODIUM PER 1000U||0.2487|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1642|J1642 - INJ HEPARIN SODIUM PER 10 U||0.225|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1640|"J1640 - HEMIN| 1 MG"||28.805|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1631|J1631 - HALOPERIDOL DECANOATE INJ||22.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1630|J1630 - HALOPERIDOL INJECTION||1.235|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1627|"J1627 - INJ| GRANISETRON| XR| 0.1 MG"||4.8563|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1626|J1626 - GRANISETRON HCL INJECTION||0.3987|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1610|J1610 - GLUCAGON HYDROCHLORIDE/1 MG||246.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1602|J1602 - GOLIMUMAB FOR IV USE 1MG||30.3762|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1580|J1580 - GARAMYCIN GENTAMICIN INJ||1.6987|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1575|J1575 - HYQVIA 100MG IMMUNEGLOBULIN||17.9288|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1572|J1572 - FLEBOGAMMA INJECTION||43.9513|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1571|J1571 - HEPAGAM B IM INJECTION||84.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1570|J1570 - GANCICLOVIR SODIUM INJECTION||85.6612|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1569|J1569 - GAMMAGARD LIQUID INJECTION||57.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1568|J1568 - OCTAGAM INJECTION||41.4487|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1566|"J1566 - IMMUNE GLOBULIN| POWDER"||50.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1561|J1561 - GAMUNEX-C/GAMMAKED||50.295|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1560|J1560 - GAMMA GLOBULIN > 10 CC INJ||481.0125|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1559|J1559 - HIZENTRA INJECTION||12.3125|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1557|J1557 - GAMMAPLEX INJECTION||69.715|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1556|"J1556 - INJ| IMM GLOB BIVIGAM| 500 MG"||88.145|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1555|"J1555 - INJ CUVITRU| 100 MG"||16.7462|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1460|J1460 - GAMMA GLOBULIN 1 CC INJ||48.1013|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1459|J1459 - INJ IVIG PRIVIGEN 500 MG||49.5875|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1458|J1458 - GALSULFASE INJECTION||479.0163|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1453|J1453 - FOSAPREPITANT INJECTION||2.5975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1450|J1450 - FLUCONAZOLE||5.6113|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1447|J1447 - INJ TBO FILGRASTIM 1 MICROG||0.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1442|J1442 - INJ FILGRASTIM EXCL BIOSIMIL||1.2788|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1439|J1439 - INJ FERRIC CARBOXYMALTOS 1 MG||1.3362|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1438|J1438 - ETANERCEPT INJECTION||514.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1430|J1430 - ETHANOLAMINE OLEATE 100 MG||555.1237|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1410|J1410 - INJ ESTROGEN CONJUGATE 25 MG||387.9912|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1380|J1380 - ESTRADIOL VALERATE 10 MG INJ||19.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1364|J1364 - ERYTHRO LACTOBIONATE /500 MG||98.5837|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1335|J1335 - ERTAPENEM INJECTION||78.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1325|J1325 - EPOPROSTENOL INJECTION||20.0975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1300|J1300 - ECULIZUMAB INJECTION||288.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1290|J1290 - ECALLANTIDE INJECTION||596.0838|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1270|"J1270 - INJECTION| DOXERCALCIFEROL"||0.5875|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1267|J1267 - DORIPENEM INJECTION||1.1062|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1265|J1265 - DOPAMINE INJECTION||0.7538|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1260|J1260 - DOLASETRON MESYLATE||7.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1250|J1250 - INJ DOBUTAMINE HCL/250 MG||6.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1245|J1245 - DIPYRIDAMOLE INJECTION||1.0037|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1240|J1240 - DIMENHYDRINATE INJECTION||8.8125|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1230|J1230 - METHADONE INJECTION||22.485|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1212|J1212 - DIMETHYL SULFOXIDE 50% 50 ML||664.4412|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1205|J1205 - CHLOROTHIAZIDE SODIUM INJ||94.1412|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1200|J1200 - DIPHENHYDRAMINE HCL INJECTIO||0.7338|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1190|J1190 - DEXRAZOXANE HCL INJECTION||295.6162|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1170|J1170 - HYDROMORPHONE INJECTION||1.7175|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1165|J1165 - PHENYTOIN SODIUM INJECTION||0.7462|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1162|J1162 - DIGOXIN IMMUNE FAB (OVINE)||4390.2288|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1160|J1160 - DIGOXIN INJECTION||8.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1120|J1120 - ACETAZOLAMID SODIUM INJECTIO||18.9675|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1110|J1110 - INJ DIHYDROERGOTAMINE MESYLT||115.235|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1100|J1100 - DEXAMETHASONE SODIUM PHOS||0.1512|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1071|J1071 - INJ TESTOSTERONE CYPIONATE||0.0312|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1050|J1050 - MEDROXYPROGESTERONE ACETATE||0.7037|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1040|J1040 - METHYLPREDNISOLONE 80 MG INJ||16.8875|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1030|J1030 - METHYLPREDNISOLONE 40 MG INJ||8.7513|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1020|J1020 - METHYLPREDNISOLONE 20 MG INJ||5.2213|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J1000|J1000 - DEPO-ESTRADIOL CYPIONATE INJ||27.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0897|J0897 - DENOSUMAB INJECTION||22.9725|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0895|J0895 - DEFEROXAMINE MESYLATE INJ||25.2013|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0894|J0894 - DECITABINE INJECTION||18.1187|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0888|J0888 - EPOETIN BETA NON ESRD||2.2338|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0887|J0887 - EPOETIN BETA ESRD USE||2.2338|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0885|"J0885 - EPOETIN ALFA| NON-ESRD"||16.3625|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0882|"J0882 - DARBEPOETIN ALFA| ESRD USE"||4.7975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0881|"J0881 - DARBEPOETIN ALFA| NON-ESRD"||4.7975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0878|J0878 - DAPTOMYCIN INJECTION||0.445|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0875|"J0875 - INJECTION| DALBAVANCIN"||18.3225|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0850|J0850 - CYTOMEGALOVIRUS IMM IV /VIAL||1411.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0840|J0840 - CROTALIDAE POLY IMMUNE FAB||4039.9225|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0834|"J0834 - INJ.| COSYNTROPIN| 0.25 MG"||41.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0800|J0800 - CORTICOTROPIN INJECTION||4987.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0795|J0795 - CORTICORELIN OVINE TRIFLUTAL||10.755|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0780|J0780 - PROCHLORPERAZINE INJECTION||12.565|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0775|"J0775 - COLLAGENASE| CLOST HIST INJ"||54.3775|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0770|J0770 - COLISTIMETHATE SODIUM INJ||20.1487|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0744|J0744 - CIPROFLOXACIN IV||4.0213|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0743|J0743 - CILASTATIN SODIUM INJECTION||8.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0740|J0740 - CIDOFOVIR INJECTION||583.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0735|J0735 - CLONIDINE HYDROCHLORIDE||15.2562|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0725|J0725 - CHORIONIC GONADOTROPIN/1000U||30.1412|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0720|J0720 - CHLORAMPHENICOL SODIUM INJEC||49.6613|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0717|J0717 - CERTOLIZUMAB PEGOL INJ 1MG||10.0288|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0713|J0713 - INJ CEFTAZIDIME PER 500 MG||2.8988|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0712|J0712 - CEFTAROLINE FOSAMIL INJ||3.6225|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0702|J0702 - BETAMETHASONE ACET&SOD PHOSP||8.7375|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0698|J0698 - CEFOTAXIME SODIUM INJECTION||0.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0697|J0697 - STERILE CEFUROXIME INJECTION||2.4875|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0696|J0696 - CEFTRIAXONE SODIUM INJECTION||0.7388|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0694|J0694 - CEFOXITIN SODIUM INJECTION||4.7825|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0692|J0692 - CEFEPIME HCL FOR INJECTION||3.1187|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0690|J0690 - CEFAZOLIN SODIUM INJECTION||0.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0670|J0670 - INJ MEPIVACAINE HCL/10 ML||3.1787|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0641|J0641 - LEVOLEUCOVORIN INJECTION||0.2913|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0640|J0640 - LEUCOVORIN CALCIUM INJECTION||3.9162|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0638|J0638 - CANAKINUMAB INJECTION||138.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0637|J0637 - CASPOFUNGIN ACETATE||17.0012|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0636|J0636 - INJ CALCITRIOL PER 0.1 MCG||0.6937|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0630|J0630 - CALCITONIN SALMON INJECTION||3257.665|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0610|J0610 - CALCIUM GLUCONATE INJECTION||5.2012|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0600|J0600 - EDETATE CALCIUM DISODIUM INJ||6993.0275|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0598|"J0598 - C-1 ESTERASE| CINRYZE"||69.9262|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0597|"J0597 - C-1 ESTERASE| BERINERT"||61.1688|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0596|"J0596 - INJECTION| RUCONEST"||34.645|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0595|J0595 - BUTORPHANOL TARTRATE 1 MG||2.9925|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0594|J0594 - BUSULFAN INJECTION||25.3388|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0592|J0592 - BUPRENORPHINE HYDROCHLORIDE||4.8937|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0588|J0588 - INCOBOTULINUMTOXIN A||6.3525|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0587|"J0587 - INJ| RIMABOTULINUMTOXINB"||15.0188|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0586|J0586 - ABOBOTULINUMTOXINA||10.5312|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0585|"J0585 - INJECTION|ONABOTULINUMTOXINA"||7.6975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0583|J0583 - BIVALIRUDIN||1.2025|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0570|J0570 - BUPRENORPHINE IMPLANT 74.2MG||1563.655|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0561|J0561 - PENICILLIN G BENZATHINE INJ||17.4213|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0558|J0558 - PENG BENZATHINE/PROCAINE INJ||13.6562|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0515|J0515 - INJ BENZTROPINE MESYLATE||20.8463|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0500|J0500 - DICYCLOMINE INJECTION||96.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0490|J0490 - BELIMUMAB INJECTION||54.5237|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0485|J0485 - BELATACEPT INJECTION||4.7862|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0480|J0480 - BASILIXIMAB||4570.0087|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0476|J0476 - BACLOFEN INTRATHECAL TRIAL||74.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0475|J0475 - BACLOFEN 10 MG INJECTION||216.6375|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0470|J0470 - DIMECAPROL INJECTION||63.055|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0461|J0461 - ATROPINE SULFATE INJECTION||0.0825|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0456|J0456 - AZITHROMYCIN||3.8112|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0401|J0401 - INJ ARIPIPRAZOLE EXT REL 1MG||6.5462|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0400|J0400 - ARIPIPRAZOLE INJECTION||0.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0360|J0360 - HYDRALAZINE HCL INJECTION||3.5537|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0348|J0348 - ANIDULAFUNGIN INJECTION||0.7025|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0295|J0295 - AMPICILLIN SULBACTAM 1.5 GM||2.9888|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0290|J0290 - AMPICILLIN 500 MG INJ||1.395|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0289|J0289 - AMPHOTERICIN B LIPOSOME INJ||60.0838|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0287|J0287 - AMPHOTERICIN B LIPID COMPLEX||24.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0285|J0285 - AMPHOTERICIN B||42.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0280|J0280 - AMINOPHYLLIN 250 MG INJ||8.5337|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0278|J0278 - AMIKACIN SULFATE INJECTION||1.3987|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0257|J0257 - GLASSIA INJECTION||5.8963|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0256|J0256 - ALPHA 1 PROTEINASE INHIBITOR||5.6387|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0221|J0221 - LUMIZYME INJECTION||203.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0220|J0220 - ALGLUCOSIDASE ALFA INJECTION||258.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0207|J0207 - AMIFOSTINE||1220.6975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0202|"J0202 - INJECTION| ALEMTUZUMAB"||2304.095|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0180|J0180 - AGALSIDASE BETA INJECTION||218.3375|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0178|J0178 - AFLIBERCEPT INJECTION||1209.5912|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0171|J0171 - ADRENALIN EPINEPHRINE INJECT||0.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0153|J0153 - ADENOSINE INJ 1MG||0.9625|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0135|J0135 - ADALIMUMAB INJECTION||1061.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0133|J0133 - ACYCLOVIR INJECTION||0.065|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0132|J0132 - ACETYLCYSTEINE INJECTION||1.535|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0130|J0130 - ABCIXIMAB INJECTION||1607.0463|0||0|10/01/2018
20-4114498|1750446506|SH 70003|J0129|J0129 - ABATACEPT INJECTION||64.535|0||0|10/01/2018
20-4114498|1750446506|SH 70003|E0954|"E0954 - FOOT BOX| ANY TYPE EACH FOOT"||60.82|6.11||0|10/01/2018
20-4114498|1750446506|SH 70003|E0953|E0953 - W/C LATERAL THIGH/KNEE SUP EACH||87.48|8.75||0|10/01/2018
20-4114498|1750446506|SH 70003|CMMT|||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A9606|A9606 - RADIUM RA223 DICHLORIDE THER||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A9585|A9585 - GADOBUTROL INJECTION||0.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A9583|A9583 - GADOFOSVESET TRISODIUM INJ||22.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A9581|A9581 - GADOXETATE DISODIUM INJ||18.4975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A9579|"A9579 - GAD-BASE MR CONTRAST NOS|1ML"||2.2225|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A9578|A9578 - INJ MULTIHANCE MULTIPACK||2.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A9577|A9577 - INJ MULTIHANCE||2.535|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A9576|A9576 - INJ PROHANCE MULTIPACK||2.0187|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A9575|A9575 - INJ GADOTERATE MEGLUMI 0.1ML||0.2487|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A4590|A4590 - SPECIAL CASTING MATERIAL||36.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|A4580|A4580 - CAST SUPPLIES (PLASTER)||16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99602|99602 - HOME NFS/SPECTY DRUG ADMN PR VST </2 HR EA HR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99601|99601 - HOME NFS/SPECTY DRUG ADMN PR VST </2 HR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99600|99600 - UNLISTED HOME VISIT SERVICE/PROCEDURE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99512|99512 - HOME VISIT HEMODIALYSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99511|99511 - HOME VISIT FECAL IMPACTION MGMT&ENEMA ADMN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99510|99510 - HOME VISIT INDIV FAM/MARRIAGE COUNSELING||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99509|99509 - HOME VISIT ASSISTANCE DAILY LIV&PRSONAL CARE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99507|99507 - HOME VISIT CARE&MAINT CATH||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99506|99506 - HOME VISIT INTRAMUSCULAR INJECTIONS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99505|99505 - HOME VISIT STOMA CARE&MAINT CLST&CSTOST||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99504|99504 - HOME VISIT MECHANICAL VENTILATION CARE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99503|99503 - HOME VISIT RESPIRATORY THERAPY CARE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99502|99502 - HOME VISIT NEWBORN CARE & ASSESSMENT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99501|99501 - HOME VISIT POSTNATAL ASSMT&F-UP CARE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99500|99500 - HOME VISIT PRENATAL MONITORING & ASSESSMENT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99498|99498 - ADVANCE CARE PLANNING EA ADDL 30 MINS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99497|99497 - ADVANCE CARE PLANNING FIRST 30 MINS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99496|99496 - TRANSITIONAL CARE MANAGE SRVC 7 DAY DISCHARGE||329.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99495|99495 - TRANSITIONAL CARE MANAGE SRVC 14 DAY DISCHARGE||232.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99494|99494 - 1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS||94.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99493|99493 - SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS||183.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99492|99492 - 1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS||227.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99490|99490 - CHRON CARE MANAGEMENT SRVC 20 MIN PER MONTH||67.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99489|99489 - CMPLX CHRON CARE MGMT EA ADDL 30 MIN PER MONTH||58.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99488|99488 - CMPLX CHRON CARE W/ PT VSIT||263.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99487|99487 - CMPLX CHRON CARE MGMT W/O PT VST 1ST HR PER MO||75.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99486|99486 - SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN||97.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99485|99485 - SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN||112.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99484|99484 - CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS||69.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99483|99483 - ASSMT & CARE PLANNING PT W/COGNITIVE IMPAIRMENT||346.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99480|99480 - SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS||175.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99479|99479 - SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS||182.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99478|99478 - SUBSEQUENT INTENSIVE CARE INFANT < 1500 GRAMS||201.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99477|99477 - INITIAL HOSP NEONATE 28 D/< NOT CRITICALLY ILL||508.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99476|99476 - SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS||509.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99475|99475 - INITIAL PED CRITICAL CARE 2 THRU 5 YEARS||842.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99472|99472 - SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO||588.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99471|99471 - INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS||1243.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99469|99469 - SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS/<||579.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99468|99468 - 1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS/<||1365.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99467|99467 - CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN||179.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99466|99466 - CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN||383.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99465|99465 - DELIVERY/BIRTHING ROOM RESUSCITATION||216.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99464|99464 - ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN||104.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99463|99463 - 1ST HOSP/BIRTHING CENTER NB ADMIT & DSCHG SM DAT||166.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99462|99462 - SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN||61.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99461|99461 - 1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER||139.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99460|99460 - 1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB||138.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99456|99456 - WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99455|99455 - WORK RELATED/MED DBLT XM TREATING PHYS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99450|99450 - BASIC LIFE AND/OR DISABILITY EXAMINATION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99449|99449 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99448|99448 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99447|99447 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99446|99446 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99444|99444 - PHYS/QHP ONLINE EVALUATION & MANAGEMENT SERVICE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99443|99443 - PHYS/QHP TELEPHONE EVALUATION 21-30 MIN||58.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99442|99442 - PHYS/QHP TELEPHONE EVALUATION 11-20 MIN||39.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99441|99441 - PHYS/QHP TELEPHONE EVALUATION 5-10 MIN||20.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99429|99429 - UNLISTED PREVENTIVE MEDICINE SERVICE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99412|99412 - PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 60 M||30.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99411|99411 - PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 30 M||23.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99409|99409 - ALCOHOL/SUBSTANCE SCREEN & INTERVENTION >30 MIN||100.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99408|99408 - ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN||51.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99407|99407 - TOBACCO USE CESSATION INTENSIVE >10 MINUTES||39.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99406|99406 - TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES||20.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99404|99404 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 60 MIN||161.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99403|99403 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 45 MIN||125.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99402|99402 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 30 MIN||89.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99401|99401 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 15 MIN||51.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99397|99397 - PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER||195.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99396|99396 - PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS||181.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99395|99395 - PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS||169.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99394|99394 - PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS||166.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99393|99393 - PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS||151.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99392|99392 - PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS||152.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99391|99391 - PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y||142.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99387|99387 - INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>||237.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99386|99386 - INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS||219.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99385|99385 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS||189.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99384|99384 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR||195.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99383|99383 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS||172.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99382|99382 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS||164.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99381|99381 - INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR||157.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99380|99380 - SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN/>||152.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99379|99379 - SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN||101.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99378|99378 - SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES/>||152.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99377|99377 - SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN||101.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99375|99375 - SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN/>||152.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99374|99374 - SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES||101.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99368|99368 - TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN||54.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99367|99367 - TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN||82.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99366|99366 - TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN||62.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99364|99364 - ANTICOAGULANT MGMT OUTPATIENT EA SBSQ 90 DAYS||61.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99363|99363 - ANTICOAGULANT MGMT OUTPATIENT INIT 90 DAYS||181.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99359|99359 - PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES||77.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99358|99358 - PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR||160.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99357|99357 - PROLONGED SVC I/P REQ UNIT/FLOOR TIME EA 30 MIN||133.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99356|99356 - PROLONGED SERVICE I/P REQ UNIT/FLOOR TIME 1ST HR||134.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99355|99355 - PROLNG E&M/PSYCTX SVC OFFICE O/P DIR CON ADDL 30||142.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99354|99354 - PROLNG E&M/PSYCTX SVC OFFICE O/P DIR CON 1ST HR||144.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99350|99350 - HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS||258.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99349|99349 - HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES||185.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99348|99348 - HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES||122.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99347|99347 - HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES||80.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99345|99345 - HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN||320|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99344|99344 - HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES||265.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99343|99343 - HOME VST NEW PATIENT MOD-HI SEVERITY 45 MINUTES||190.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99342|99342 - HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES||116.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99341|99341 - HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES||80.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99340|99340 - INDIV PHYS SUPVJ HOME/DOM/R-HOME MO 30 MIN/>||157.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99339|99339 - INDIV PHYS SUPVJ HOME/DOM/R-HOME MO 15-29 MIN||112.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99337|99337 - DOM/R-HOME E/M EST PT SIGNIF NEW PROB 60 MINUTES||280.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99336|99336 - DOM/R-HOME E/M EST PT MOD HI SEVERITY 40 MINUTES||194.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99335|99335 - DOM/R-HOME E/M EST PT LW MOD SEVERITY 25 MINUTES||137.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99334|99334 - DOM/R-HOME E/M EST PT SELF-LMTD/MINOR 15 MINUTES||87.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99328|99328 - DOM/R-HOME E/M NEW PT SIGNIF NEW PROB 75 MINUTES||314.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99327|99327 - DOMICIL/REST HOME NEW PT VISIT HI SEVER 60 MIN||271.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99326|99326 - DOMICIL/REST HOME NEW PT HI-MOD SEVER 45 MINUTES||203.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99325|99325 - DOMICIL/REST HOME NEW PT VISIT MOD SEVER 30 MIN||118|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99324|99324 - DOMICIL/REST HOME NEW PT VISIT LOW SEVER 20 MIN||80.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99318|99318 - E/M ANNUAL NURSING FACILITY ASSESS STABLE 30 MIN||139.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99316|99316 - NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES||152.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99315|99315 - NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES||106.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99310|99310 - SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN||195.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99309|99309 - SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN||131.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99308|99308 - SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN||99.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99307|99307 - SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN||64.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99306|99306 - INITIAL NURSING FACILITY CARE/DAY 45 MINUTES||244.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99305|99305 - INITIAL NURSING FACILITY CARE/DAY 35 MINUTES||192.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99304|99304 - INITIAL NURSING FACILITY CARE/DAY 25 MINUTES||135.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99292|99292 - CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN||178.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99291|99291 - CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN||395.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99288|99288 - PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99285|99285 - EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ||255.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99284|99284 - EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY||173.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99283|99283 - EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY||90.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99282|99282 - EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY||60.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99281|99281 - EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB||30.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99255|99255 - INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN||295.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99254|99254 - INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN||244.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99253|99253 - INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN||169.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99252|99252 - INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN||111.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99251|99251 - INITIAL INPATIENT CONSULT NEW/ESTAB PT 20 MIN||72.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99245|99245 - OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN||327.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99244|99244 - OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN||267.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99243|99243 - OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN||179.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99242|99242 - OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN||131.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99241|99241 - OFFICE CONSULTATION NEW/ESTAB PATIENT 15 MIN||69.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99239|99239 - HOSPITAL DISCHARGE DAY MANAGEMENT > 30 MIN||155.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99238|99238 - HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN/<||105.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99236|99236 - OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES||318.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99235|99235 - OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES||246.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99234|99234 - OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES||197.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99233|99233 - SBSQ HOSPITAL CARE/DAY 35 MINUTES||151.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99232|99232 - SBSQ HOSPITAL CARE/DAY 25 MINUTES||105.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99231|99231 - SBSQ HOSPITAL CARE/DAY 15 MINUTES||57.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99226|99226 - SBSQ OBSERVATION CARE/DAY 35 MINUTES||152.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99225|99225 - SBSQ OBSERVATION CARE/DAY 25 MINUTES||105.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99224|99224 - SBSQ OBSERVATION CARE/DAY 15 MINUTES||58.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99223|99223 - INITIAL HOSPITAL CARE/DAY 70 MINUTES||296.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99222|99222 - INITIAL HOSPITAL CARE/DAY 50 MINUTES||201.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99221|99221 - INITIAL HOSPITAL CARE/DAY 30 MINUTES||148.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99220|99220 - INITIAL OBSERVATION CARE/DAY 70 MINUTES||270.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99219|99219 - INITIAL OBSERVATION CARE/DAY 50 MINUTES||197.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99218|99218 - INITIAL OBSERVATION CARE/DAY 30 MINUTES||144.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99217|99217 - OBSERVATION CARE DISCHARGE MANAGEMENT||105.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99215|99215 - OFFICE OUTPATIENT VISIT 40 MINUTES||206.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99214|99214 - OFFICE OUTPATIENT VISIT 25 MINUTES||153.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99213|99213 - OFFICE OUTPATIENT VISIT 15 MINUTES||103.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99212|99212 - OFFICE OUTPATIENT VISIT 10 MINUTES||61.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99211|99211 - OFFICE OUTPATIENT VISIT 5 MINUTES||28.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99205|99205 - OFFICE OUTPATIENT NEW 60 MINUTES||296.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99204|99204 - OFFICE OUTPATIENT NEW 45 MINUTES||237.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99203|99203 - OFFICE OUTPATIENT NEW 30 MINUTES||153.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99202|99202 - OFFICE OUTPATIENT NEW 20 MINUTES||105.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99201|99201 - OFFICE OUTPATIENT NEW 10 MINUTES||61.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99195|99195 - PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE||146.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99188|99188 - APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99184|99184 - INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE||378.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99183|99183 - PHYS/QHP ATTN&SUPVJ HYPRBARIC OXYGEN TX/SESSION||333.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99175|99175 - IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED||24.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99174|99174 - INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT||11.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99173|99173 - SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT||4.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99172|99172 - VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99170|99170 - ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG||269.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99157|99157 - MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS||96.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99156|99156 - MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS||127.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99155|99155 - MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS||155.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99153|99153 - MOD SED SAME PHYS/QHP EACH ADDL 15 MINS||18.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99152|99152 - MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS||85.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99151|99151 - MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS||129.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99140|99140 - ANES COMPLICJ EMERGENCY CONDITIONS SPECIFY||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99135|99135 - ANES COMPLICJ UTILIZATION CONTROLLED HYPOTENSION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99116|99116 - ANES COMPLICJ UTILIZATION TOTAL BODY HYPOTHERMIA||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99100|99100 - ANESTHESIA EXTREME AGE PATIENT UNDER 1 YR/<||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99091|99091 - COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D||91.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99090|99090 - ANALYSIS CLINICAL DATA STORED IN COMPUTERS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99080|99080 - SPEC REPORTS > USUAL MED COMUNICAJ/STAND RPRTG||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99078|99078 - PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99075|99075 - MEDICAL TESTIMONY||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99071|99071 - EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99070|99070 - SUPPLIES&MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99060|99060 - SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99058|99058 - SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99056|99056 - SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99053|99053 - SERVICES PROVIDED BTW 10 PM&8 AM AT 24-HR FACI||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99051|99051 - SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99050|99050 - SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99027|99027 - HOSPITAL MANDATED CALL SVC OUT-OF-HOSPITAL EA HR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99026|99026 - HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99024|99024 - POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99002|99002 - HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99001|99001 - HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|99000|99000 - HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98969|98969 - NONPHYSICIAN ONLINE ASSESSMENT AND MANAGEMENT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98968|98968 - NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN||64.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98967|98967 - NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN||43.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98966|98966 - NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN||22.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98962|98962 - EDUCATION&TRAINING SELF-MGMT NONPHYS 5-8 PTS||14.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98961|98961 - EDUCATION&TRAINING SELF-MGMT NONPHYS 2-4 PTS||19.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98960|98960 - EDUCATION&TRAINING SELF-MGMT NONPHYS 1 PT||40.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98943|98943 - CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION||43.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98942|98942 - CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS||85.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98941|98941 - CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS||65.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98940|98940 - CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS||44.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98929|98929 - OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS||139.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98928|98928 - OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS||116.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98927|98927 - OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS||93.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98926|98926 - OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS||71.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|98925|98925 - OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS||49.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97814|97814 - ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ||50.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97813|97813 - ACUPUNCTURE 1/> NDLS W/ELEC STIMJ 1ST 15 MIN||62.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97811|97811 - ACUPUNCTURE 1/> NDLS W/O ELEC STIMJ EA 15 MIN||43.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97810|97810 - ACUPUNCTURE 1/> NDLES W/O ELEC STIMJ INIT 15 MIN||57.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97804|97804 - MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI||25.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97803|97803 - MEDICAL NUTRITION RE-ASSMT&IVNTJ INDIV EA 15 M||48.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97802|97802 - MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI||56.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97763|97763 - ORTHOTICS/PROSTH MGMT &/TRAING SBSQ ENCTR 15 MIN||76.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97762|97762 - CHECKOUT ORTHOTIC/PROSTHETIC ESTAB PT EA 15 MIN||72.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97761|97761 - PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS||52.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97760|97760 - ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS||60.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97755|97755 - ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN||57.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97750|97750 - PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN||52.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97610|97610 - LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY||184.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97606|97606 - NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM||71.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97605|97605 - NEGATIVE PRESSURE WOUND THERAPY DME </= 50 SQ CM||67.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97602|97602 - RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97598|97598 - DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM||39.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97597|97597 - DEBRIDEMENT OPEN WOUND 20 SQ CM/<||117.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97546|97546 - WORK HARDENING/CONDITIONING EACH HOUR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97545|97545 - WORK HARDENING/CONDITIONING 1ST 2 HR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97542|97542 - WHEELCHAIR MGMT EA 15 MIN||48.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97537|97537 - COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN||47.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97535|97535 - SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES||54.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97533|97533 - SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES||46.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97532|97532 - DEVELOPMENT OF COGNITIVE SKILLS EACH 15 MINUTES||42.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97530|97530 - THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN||54.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97168|97168 - OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS||86.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97167|97167 - OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS||130.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97166|97166 - OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS||130.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97165|97165 - OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS||130.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97164|97164 - PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS||91.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97163|97163 - PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS||135.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97162|97162 - PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS||135.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97161|97161 - PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS||135.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97150|97150 - THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS||27.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97140|97140 - MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES||47.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97124|97124 - THER PX 1/> AREAS EACH 15 MINUTES MASSAGE||41.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97116|97116 - THER PX 1/> AREAS EA 15 MIN GAIT TRAING W/STAIR||44.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97113|97113 - THER PX 1/> AREAS EACH 15 MIN AQUA THER W/XERSS||66.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97112|97112 - THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA||52.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97110|97110 - THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES||50.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97036|97036 - APPL MODALITY 1/> AREAS HUBBARD TANK EA 15 MIN||50.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97035|97035 - APPL MODALITY 1/> AREAS ULTRASOUND EA 15 MIN||20.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97034|97034 - APPL MODALITY 1/> AREAS CONTRAST BATHS EA 15 MIN||28.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97033|97033 - APPL MODALITY 1/> AREAS IONTOPHORESIS EA 15 MIN||49.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97032|97032 - APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN||30.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97028|97028 - APPL MODALITY 1/> AREAS ULTRAVIOLET||11.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97026|97026 - APPLICATION MODALITY 1/> AREAS INFRARED||9.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97024|97024 - APPLICATION MODALITY 1/> AREAS DIATHERMY||9.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97022|97022 - APPLICATION MODALITY 1/> AREAS WHIRLPOOL||36.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97018|97018 - APPL MODALITY 1/> AREAS PARAFFIN BATH||16.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97016|97016 - APPL MODALITY 1/> AREAS VASOPNEUMATIC DEVICES||29.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97014|97014 - APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED||25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97012|97012 - APPL MODALITY 1/> AREAS TRACTION MECHANICAL||25.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|97010|97010 - APPLICATION MODALITY 1/> AREAS HOT/COLD PACKS||9.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96922|96922 - LASER SKIN DISEASE PSORIASIS >500 SQ CM||360.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96921|96921 - LASER SKIN DISEASE PSORIASIS 250-500 SQ CM||258.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96920|96920 - LASER SKIN DISEASE PSORIASIS TOT AREA <250 SQ CM||234.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96913|96913 - PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION||187.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96912|96912 - PHOTOCHEMOTX PSORALENS&ULTRAVIOLET PUVA||132.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96910|96910 - PHOTOCHEMOTX TAR&UVB/PETROLATUM/UVB||103.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96904|96904 - WHOLE BODY INTEGUMENTARY PHOTOGRAPHY||99.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96902|96902 - MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM||35.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96900|96900 - ACTINOTHERAPY ULTRAVIOLET LIGHT||30.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96574|96574 - DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT||376.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96573|96573 - PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP||289.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96571|96571 - PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN||43.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96570|96570 - PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN||92.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96567|96567 - PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY||196.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96542|96542 - CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT||180.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96523|96523 - IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST||36.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96522|96522 - REFILL&MAINTENANCE PUMP DRUG DLVR SYSTEMIC||166.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96521|96521 - REFILLING & MAINTENANCE PORTABLE PUMP||201.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96450|96450 - CHEMOTX ADMN CNS REQ SPINAL PUNCTURE||279.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96446|96446 - CHEMOTX ADMN PRTL CAVITY PORT/CATH||289.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96440|96440 - CHEMOTX ADMN PLEURAL CAVITY REQ&W/THORACNTS||1282.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96425|96425 - CHEMOTX ADMN IA NFS >8 HR PRTBLE IMPLTBL PMP||268.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96423|96423 - CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR||115.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96422|96422 - CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS </1 HR||249.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96420|96420 - CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ||155.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96417|96417 - CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR||93.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96416|96416 - CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP||207.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96415|96415 - CHEMOTHERAPY ADMN IV INFUSION TQ EA HR||42.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96413|96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG||199.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96411|96411 - CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG||92.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96409|96409 - CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG||163.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96406|96406 - CHEMOTHERAPY ADMINISTRATION INTRALESIONAL >7||173.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96405|96405 - CHEMOTHERAPY ADMINISTRATION INTRALESIONAL </7||123.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96402|96402 - CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO||48.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96401|96401 - CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO||110.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96375|96375 - THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG||33.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96374|96374 - THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG||84.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96373|96373 - THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL||29.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96372|96372 - THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM||38.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96371|96371 - SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE||134.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96370|96370 - SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR||23.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96369|96369 - SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP||290.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96368|96368 - IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS||31.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96367|96367 - IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR||45.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96366|96366 - IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR||28.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96365|96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR||103.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96361|96361 - IV INFUSION HYDRATION EACH ADDITIONAL HOUR||22.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96360|96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR||85.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96161|96161 - CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM||7.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96160|96160 - PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM||7.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96155|96155 - HLTH&BEHAVIOR IVNTJ EA 15 MIN FAM W/O PT||36.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96154|96154 - HLTH&BEHAVIOR IVNTJ EA 15 MIN FAM W/PT||31.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96153|96153 - HLTH&BEHAVIOR IVNTJ EA 15 MIN GRP 2/>PTS||7.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96152|96152 - HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV||31.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96151|96151 - HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT||33.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96150|96150 - HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT||34.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96127|96127 - BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT||7.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96125|96125 - STANDARDIZED COGNITIVE PERFORMANCE TESTING||180.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96120|96120 - NEUROPSYCHOLOG TESTING COMPUTER W/PROF I&R||74.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96119|96119 - NEUROPSYC TSTG W/PROF I&R ADMN BY TECH PR HR||123.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96118|96118 - NUROPSYC TESTING PR HR W/PT & INTERPJ TIME||158.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96116|96116 - NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR||152.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96111|96111 - DEVELOPMENTAL TESTING W/INTERP & REPORT||208.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96110|96110 - DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM||12.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96105|96105 - ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR||161.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96103|96103 - PSYCHOLOGICAL TESTING COMPUTER W/PROF I&R||44.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96102|96102 - PSYCHOLOGICAL TESTING ADMN BY TECH PR HR||101.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96101|96101 - PSYCHOLOGICAL TESTING PR HR WITH PATIENT||131.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96040|96040 - MEDICAL GENETICS COUNSELING EACH 30 MINUTES||69.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96020|96020 - TEST SELECT & ADMN FUNCTL BRAIN MAP PHYS/QHP||0|277.43||0|10/01/2018
20-4114498|1750446506|SH 70003|96004|96004 - PHYS/QHP R&I CPTR MTN ALYS WALK/FUNCJL ACTV REPR||188.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96003|96003 - DYN FINE WIRE EMG WALKG/FUNCJAL ACTV 1 MUSC||32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96002|96002 - DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC||34.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96001|96001 - COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG||161.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|96000|96000 - COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS||153.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95992|95992 - CANALITH REPOSITIONING PROCEDURE||69.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95991|95991 - RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP||185.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95990|95990 - REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN||137.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95982|95982 - ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG||80.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95981|95981 - ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG||49.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95980|95980 - ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG||72.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95979|95979 - ELEC ALYS NSTIM PLS GEN CPLX DP BRN EA 30 MIN||171.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95978|95978 - ELEC ALYS NSTIM PLS GEN CPLX DP BRN 1ST HR||395.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95975|95975 - ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV EA 30 MIN||176.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95974|95974 - ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV 1ST HR||328.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95973|95973 - ANALYZE NEUROSTIM COMPLEX||100.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95972|95972 - ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG||172.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95971|95971 - ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG||95.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95970|95970 - ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING||105.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95967|95967 - MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL||0|308.06||0|10/01/2018
20-4114498|1750446506|SH 70003|95966|95966 - MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY||0|350.92||0|10/01/2018
20-4114498|1750446506|SH 70003|95965|95965 - MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY||0|691.81||0|10/01/2018
20-4114498|1750446506|SH 70003|95962|95962 - FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR||394.99|273.82||0|10/01/2018
20-4114498|1750446506|SH 70003|95961|95961 - FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR||444.04|253.79||0|10/01/2018
20-4114498|1750446506|SH 70003|95958|95958 - WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG||867.8|362.95||0|10/01/2018
20-4114498|1750446506|SH 70003|95957|95957 - DIGITAL ANALYSIS ELECTROENCEPHALOGRAM||668.71|170.8||0|10/01/2018
20-4114498|1750446506|SH 70003|95956|95956 - MNTR SEIZURE CMPTR 16CHAN EEG ATND EA 24 HR||2498.07|309.71||0|10/01/2018
20-4114498|1750446506|SH 70003|95955|95955 - EEG NONINTRACRANIAL SURGERY||346.69|86.84||0|10/01/2018
20-4114498|1750446506|SH 70003|95954|95954 - RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE||668.37|199.12||0|10/01/2018
20-4114498|1750446506|SH 70003|95953|95953 - LOCALIZE CEREBRAL SEIZURE CPTR PORTABLE EEG||662.59|264.56||0|10/01/2018
20-4114498|1750446506|SH 70003|95951|95951 - LOCALIZE CEREBRAL SEIZURE CABLE/RADIO EEG/VIDEO||0|527.21||0|10/01/2018
20-4114498|1750446506|SH 70003|95950|95950 - MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG||506.48|130.24||0|10/01/2018
20-4114498|1750446506|SH 70003|95941|95941 - IONM REMOTE/NEARBY/>1 PATIENT IN OR PER HOUR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95940|95940 - IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES||51.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95939|95939 - CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LI||747.42|194.21||0|10/01/2018
20-4114498|1750446506|SH 70003|95938|95938 - SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB||507.36|74.25||0|10/01/2018
20-4114498|1750446506|SH 70003|95937|95937 - NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH||125.08|56.53||0|10/01/2018
20-4114498|1750446506|SH 70003|95933|95933 - ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST||127.37|50.84||0|10/01/2018
20-4114498|1750446506|SH 70003|95930|95930 - VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R||200.84|29.73||0|10/01/2018
20-4114498|1750446506|SH 70003|95929|95929 - CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS||376.24|128.59||0|10/01/2018
20-4114498|1750446506|SH 70003|95928|95928 - CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS||385.8|129.65||0|10/01/2018
20-4114498|1750446506|SH 70003|95927|95927 - SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD||244.49|44.68||0|10/01/2018
20-4114498|1750446506|SH 70003|95926|95926 - SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS||219.53|45.23||0|10/01/2018
20-4114498|1750446506|SH 70003|95925|95925 - SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS||262.02|45.21||0|10/01/2018
20-4114498|1750446506|SH 70003|95924|95924 - TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT||227.75|143.25||0|10/01/2018
20-4114498|1750446506|SH 70003|95923|95923 - TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION||313.09|75.55||0|10/01/2018
20-4114498|1750446506|SH 70003|95922|95922 - TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ||165.73|80.16||0|10/01/2018
20-4114498|1750446506|SH 70003|95921|95921 - TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP||138.8|74.49||0|10/01/2018
20-4114498|1750446506|SH 70003|95913|95913 - NERVE CONDUCTION STUDIES 13/> STUDIES||477.92|304.05||0|10/01/2018
20-4114498|1750446506|SH 70003|95912|95912 - NERVE CONDUCTION STUDIES 11-12 STUDIES||412.37|256.59||0|10/01/2018
20-4114498|1750446506|SH 70003|95911|95911 - NERVE CONDUCTION STUDIES 9-10 STUDIES||350.37|213.73||0|10/01/2018
20-4114498|1750446506|SH 70003|95910|95910 - NERVE CONDUCTION STUDIES 7-8 STUDIES||287.85|170.88||0|10/01/2018
20-4114498|1750446506|SH 70003|95909|95909 - NERVE CONDUCTION STUDIES 5-6 STUDIES||218.94|128.02||0|10/01/2018
20-4114498|1750446506|SH 70003|95908|95908 - NERVE CONDUCTION STUDIES 3-4 STUDIES||181.82|106.87||0|10/01/2018
20-4114498|1750446506|SH 70003|95907|95907 - NERVE CONDUCTION STUDIES 1-2 STUDIES||147.38|85.71||0|10/01/2018
20-4114498|1750446506|SH 70003|95905|95905 - MOTOR &/SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB||101.81|4.56||0|10/01/2018
20-4114498|1750446506|SH 70003|95887|95887 - NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION||132.86|61.12||0|10/01/2018
20-4114498|1750446506|SH 70003|95886|95886 - NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE||141.74|74.77||0|10/01/2018
20-4114498|1750446506|SH 70003|95885|95885 - NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED||89.26|30.26||0|10/01/2018
20-4114498|1750446506|SH 70003|95875|95875 - ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB||195.8|94.83||0|10/01/2018
20-4114498|1750446506|SH 70003|95874|95874 - NEEDLE EMG GUID W/CHEMODENERVATION||109.57|31.98||0|10/01/2018
20-4114498|1750446506|SH 70003|95873|95873 - ELECTRICAL STIMULATION GUID W/CHEMODENERVATION||113.29|33.04||0|10/01/2018
20-4114498|1750446506|SH 70003|95872|95872 - NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER||321.79|249.52||0|10/01/2018
20-4114498|1750446506|SH 70003|95870|95870 - NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI||132.95|31.98||0|10/01/2018
20-4114498|1750446506|SH 70003|95869|95869 - NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12||114.35|31.44||0|10/01/2018
20-4114498|1750446506|SH 70003|95868|95868 - NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI||201.05|101.14||0|10/01/2018
20-4114498|1750446506|SH 70003|95867|95867 - NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI||143.98|67.98||0|10/01/2018
20-4114498|1750446506|SH 70003|95866|95866 - NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM||204.13|109.01||0|10/01/2018
20-4114498|1750446506|SH 70003|95865|95865 - NEEDLE ELECTROMYOGRAPHY LARYNX||212.94|133.22||0|10/01/2018
20-4114498|1750446506|SH 70003|95864|95864 - NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS||362.67|171.36||0|10/01/2018
20-4114498|1750446506|SH 70003|95863|95863 - NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS||315.72|161.08||0|10/01/2018
20-4114498|1750446506|SH 70003|95861|95861 - NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS||259.53|133.05||0|10/01/2018
20-4114498|1750446506|SH 70003|95860|95860 - NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS||186.44|83.34||0|10/01/2018
20-4114498|1750446506|SH 70003|95857|95857 - CHOLINESTERASE INHIBITOR CHALLENGE TEST||85.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95852|95852 - ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID||25.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95851|95851 - ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPI||27.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95834|95834 - MUSC TSTG MNL W/REPRT TOTAL EVAL BODY W/HANDS||80.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95833|95833 - MUSC TSTG MNL W/REPRT TOTAL EVAL BODY EX HANDS||58.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95832|95832 - MUSC TSTG MNL W/REPRT HAND W/WO CMPRSN NRML SIDE||39.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95831|95831 - MUSC TSTG MNL W/REPRT XTR EX HAND/TRNK||42.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95830|95830 - INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP||386.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95829|95829 - ELECTROCORTICOGRAM SURGERY SPX||2792.94|526.03||0|10/01/2018
20-4114498|1750446506|SH 70003|95827|95827 - ELECTROENCEPHALOGRAM ALL NIGHT RECORDING||1162.86|93.11||0|10/01/2018
20-4114498|1750446506|SH 70003|95824|95824 - ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY||0|65.04||0|10/01/2018
20-4114498|1750446506|SH 70003|95822|95822 - ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY||541.61|92.57||0|10/01/2018
20-4114498|1750446506|SH 70003|95819|95819 - ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP||606.97|92.57||0|10/01/2018
20-4114498|1750446506|SH 70003|95816|95816 - ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY||532.59|93.11||0|10/01/2018
20-4114498|1750446506|SH 70003|95813|95813 - EEG EXTENDED MONITORING 61-119 MINUTES||763.4|148.56||0|10/01/2018
20-4114498|1750446506|SH 70003|95812|95812 - ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN||650.02|92.57||0|10/01/2018
20-4114498|1750446506|SH 70003|95811|95811 - POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND||982.32|206.93||0|10/01/2018
20-4114498|1750446506|SH 70003|95810|95810 - POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND||936.54|198.88||0|10/01/2018
20-4114498|1750446506|SH 70003|95808|95808 - POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND||958|141.71||0|10/01/2018
20-4114498|1750446506|SH 70003|95807|95807 - SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN||714.52|101.21||0|10/01/2018
20-4114498|1750446506|SH 70003|95806|95806 - SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT||264.2|99.97||0|10/01/2018
20-4114498|1750446506|SH 70003|95805|95805 - MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG||634.8|96.48||0|10/01/2018
20-4114498|1750446506|SH 70003|95803|95803 - ACTIGRAPHY TESTING RECORDING ANALYSIS I&R||229.66|70.77||0|10/01/2018
20-4114498|1750446506|SH 70003|95801|95801 - SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL||147.37|79.34||0|10/01/2018
20-4114498|1750446506|SH 70003|95800|95800 - SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME||272.54|84.42||0|10/01/2018
20-4114498|1750446506|SH 70003|95783|95783 - POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM||1640.03|231.15||0|10/01/2018
20-4114498|1750446506|SH 70003|95782|95782 - POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND||1538.2|212.23||0|10/01/2018
20-4114498|1750446506|SH 70003|95251|95251 - CONTINUOUS GLUCOSE MONITORING ANALYSIS I&R||70.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95250|95250 - CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT||233.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95249|95249 - CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT||83.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95180|95180 - RAPID DESENSITIZATION PROCEDURE EACH HOUR||212.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95170|95170 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE||14.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95165|95165 - PREPJ& ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN||19.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95149|95149 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT||104.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95148|95148 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT||78.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95147|95147 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT||52.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95146|95146 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT||58.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95145|95145 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT||32.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95144|95144 - PREPJ& ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO||18.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95134|95134 - PROF SVCS ALLG IMMNTX W/PRV XTRC 5 STING INSECT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95133|95133 - PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95132|95132 - PROF SVCS ALLG IMMNTX W/PRV XTRC 3 STING INSECT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95131|95131 - PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95130|95130 - PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95125|95125 - PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2/> NJX||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95120|95120 - PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95117|95117 - PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS||15.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95115|95115 - PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX||13.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95079|95079 - INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES||133.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95076|95076 - INGESTION CHALLENGE TEST INITIAL 120 MINUTES||183.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95071|95071 - INHLJ BRNCL CHALLENGE TSTG W/AGS/GASES||52.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95070|95070 - INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL||43.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95065|95065 - DIRECT NASAL MUCOUS MEMBRANE TEST||39.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95060|95060 - OPHTHALMIC MUCOUS MEMBRANE TESTS||49.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95056|95056 - PHOTO TESTS||64.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95052|95052 - PHOTO PATCH TEST SPECIFY NUMBER TSTS||9.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95044|95044 - PATCH/APPLICATION TEST SPECIFY NUMBER TESTS||7.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95028|95028 - IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING||20.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95027|95027 - INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE||6.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95024|95024 - INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS||11.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95018|95018 - ALLG TEST PERQ & IC DRUG/BIOL IMMED REACT W/I&R||30.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95017|95017 - ALLG TSTG PERQ & IC VENOMS IMMED REACT W/I&R||12.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95012|95012 - NITRIC OXIDE EXPIRED GAS DETERMINATION||28.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|95004|95004 - PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS||9.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94781|94781 - CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN||31.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94780|94780 - CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN||79.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94770|94770 - CARBON DIOXIDE EXP GAS DETER INFRARED ANALYZER||13.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94762|94762 - NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR||36.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94761|94761 - NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER||7.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94760|94760 - NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER||4.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94750|94750 - PULMONARY COMPLIANCE STUDY||122.55|18.39||0|10/01/2018
20-4114498|1750446506|SH 70003|94729|94729 - CO DIFFUSING CAPACITY||81.92|14.96||0|10/01/2018
20-4114498|1750446506|SH 70003|94728|94728 - AIRWAY RESISTANCE BY OSCILLOMETRY||61.62|20.69||0|10/01/2018
20-4114498|1750446506|SH 70003|94727|94727 - GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&V||64.27|20.16||0|10/01/2018
20-4114498|1750446506|SH 70003|94726|94726 - PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST||80.76|20.16||0|10/01/2018
20-4114498|1750446506|SH 70003|94690|94690 - O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX||73.24|6.27||0|10/01/2018
20-4114498|1750446506|SH 70003|94681|94681 - O2 UPTK EXP GAS ALYS W/CO2 OUTPUT % O2 XTRC||77.2|16.08||0|10/01/2018
20-4114498|1750446506|SH 70003|94680|94680 - O2 UPTK EXP GAS ANALYSIS REST&XERS DIRECT SIMP||87.66|20.69||0|10/01/2018
20-4114498|1750446506|SH 70003|94669|94669 - MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION||52.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94668|94668 - MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ||43.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94667|94667 - MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL||37.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94664|94664 - DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP||25.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94662|94662 - CONTINUOUS NEGATIVE PRESSURE VENTJ INITIAT&MGM||65.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94660|94660 - CPAP VENTILATION CPAP INITIATION&MGMT||98.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94645|94645 - CONTINUOUS INHALATION TREATMENT EA ADDL HR||21.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94644|94644 - CONTINUOUS INHALATION TREATMENT 1ST HR||65.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94640|94640 - PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT||27.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94621|94621 - CARDIOPULMONARY EXERCISE TESTING||252.97|112.68||0|10/01/2018
20-4114498|1750446506|SH 70003|94620|94620 - PULMONARY STRESS TESTING SIMPLE||87.29|50.08||0|10/01/2018
20-4114498|1750446506|SH 70003|94618|94618 - PULMONARY STRESS TESTING||54.99|37.8||0|10/01/2018
20-4114498|1750446506|SH 70003|94617|94617 - EXERCISE TEST FOR BRONCHOSPASM||148.9|55.24||0|10/01/2018
20-4114498|1750446506|SH 70003|94610|94610 - INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP||96.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94453|94453 - HIGH ALTITUDE SIMULATJ W/PHYS I&R W/O2 TITRATION||121.97|30.56||0|10/01/2018
20-4114498|1750446506|SH 70003|94452|94452 - HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP&REPORT||87.95|23.65||0|10/01/2018
20-4114498|1750446506|SH 70003|94450|94450 - BREATHING RESPONSE TO HYPOXIA||103.9|32.16||0|10/01/2018
20-4114498|1750446506|SH 70003|94400|94400 - BREATHING RESPONSE TO CO2||85.83|31.62||0|10/01/2018
20-4114498|1750446506|SH 70003|94375|94375 - RESPIRATORY FLOW VOLUME LOOP||60.32|24.18||0|10/01/2018
20-4114498|1750446506|SH 70003|94250|94250 - EXPIRED GAS COLLECTION QUANT 1 PROCEDURE SPX||40|9.17||0|10/01/2018
20-4114498|1750446506|SH 70003|94200|94200 - MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ||37.34|9.17||0|10/01/2018
20-4114498|1750446506|SH 70003|94150|94150 - VITAL CAPACITY TOTAL SEPARATE PROCEDURE||38.17|6.27||0|10/01/2018
20-4114498|1750446506|SH 70003|94070|94070 - BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT||92.89|47.19||0|10/01/2018
20-4114498|1750446506|SH 70003|94060|94060 - BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN||91.97|21.28||0|10/01/2018
20-4114498|1750446506|SH 70003|94016|94016 - PATIENT-INITIATED SPIROMETRIC PHYS/QHP R&I ONLY||40.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94015|94015 - PATIENT-INITIATED SPIROMETRIC RECORDING||39.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94014|94014 - PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R&I||80.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94013|94013 - MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS||51.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94012|94012 - MEAS SPIRO FRCD EXP FLO PRE&POST BRONCH INF/2YRS||259.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94011|94011 - MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT&/2 Y||166.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94010|94010 - SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ||54.7|13.78||0|10/01/2018
20-4114498|1750446506|SH 70003|94005|94005 - HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN/>||148.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94004|94004 - VENTILATION ASSIST & MGMT NURSING FAC PR DAY||80.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94003|94003 - VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DA||109.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|94002|94002 - VENTILATION ASSIST & MGMT INPATIENT 1ST DAY||152.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93990|93990 - DUPLEX SCAN HEMODIALYSIS ACCESS||220.47|20.66||0|10/01/2018
20-4114498|1750446506|SH 70003|93982|93982 - IMPLANT WIRELESS PRESS SENSOR STUDY ANEURYSM SAC||66.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93981|93981 - DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD||113.72|35.6||0|10/01/2018
20-4114498|1750446506|SH 70003|93980|93980 - DUP-SCAN ARTL INFL&VEN O/F PEN VSL COMPL||190.87|101.06||0|10/01/2018
20-4114498|1750446506|SH 70003|93979|93979 - DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD||234.89|35.08||0|10/01/2018
20-4114498|1750446506|SH 70003|93978|93978 - DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE||336.07|52.84||0|10/01/2018
20-4114498|1750446506|SH 70003|93976|93976 - DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT||324.01|98.7||0|10/01/2018
20-4114498|1750446506|SH 70003|93975|93975 - DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM||429.08|145.85||0|10/01/2018
20-4114498|1750446506|SH 70003|93971|93971 - DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY||172.78|36.73||0|10/01/2018
20-4114498|1750446506|SH 70003|93970|93970 - DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY||284.3|57.39||0|10/01/2018
20-4114498|1750446506|SH 70003|93931|93931 - DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY||225.08|25.26||0|10/01/2018
20-4114498|1750446506|SH 70003|93930|93930 - DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY||320.56|37.33||0|10/01/2018
20-4114498|1750446506|SH 70003|93926|93926 - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY||214.01|40.77||0|10/01/2018
20-4114498|1750446506|SH 70003|93925|93925 - DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY||348.13|64.88||0|10/01/2018
20-4114498|1750446506|SH 70003|93924|93924 - N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI||263.94|40.22||0|10/01/2018
20-4114498|1750446506|SH 70003|93923|93923 - NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS||210.51|36.2||0|10/01/2018
20-4114498|1750446506|SH 70003|93922|93922 - NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL||133.83|19.57||0|10/01/2018
20-4114498|1750446506|SH 70003|93895|93895 - CAROTID INTIMA MEDIA & CAROTID ATHEROMA EVAL BI||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93893|93893 - TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ||295.47|96.19||0|10/01/2018
20-4114498|1750446506|SH 70003|93892|93892 - TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT||294.94|95.66||0|10/01/2018
20-4114498|1750446506|SH 70003|93890|93890 - TRANSCRANIAL DOPPLER INTRACRAN ART VASOREAC STDY||282.33|82.53||0|10/01/2018
20-4114498|1750446506|SH 70003|93888|93888 - TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD||250.85|51.03||0|10/01/2018
20-4114498|1750446506|SH 70003|93886|93886 - TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL||361.68|78.45||0|10/01/2018
20-4114498|1750446506|SH 70003|93882|93882 - DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY||186.84|33.26||0|10/01/2018
20-4114498|1750446506|SH 70003|93880|93880 - DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY||288.45|48.79||0|10/01/2018
20-4114498|1750446506|SH 70003|93798|93798 - OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING||38.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93797|93797 - OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR||25.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93793|93793 - ANTICOAGULANT MGMT FOR PT TAKING WARFARIN||19.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93792|93792 - PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR||81.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93790|93790 - AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R||30.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93788|93788 - AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R||7.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93786|93786 - AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY||44.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93784|93784 - AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R||82.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93770|93770 - DERMINATION OF VENOUS PRESSUE||14.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93750|93750 - INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS||86.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93740|93740 - TEMPRATURE GRADIENT STUDY||14.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93724|93724 - ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM||435.29|393.83||0|10/01/2018
20-4114498|1750446506|SH 70003|93702|93702 - BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT||169.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93701|93701 - BIOMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS||35.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93668|93668 - PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION||28.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93662|93662 - INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S&I||0|235.3||0|10/01/2018
20-4114498|1750446506|SH 70003|93660|93660 - CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR||245.7|153.23||0|10/01/2018
20-4114498|1750446506|SH 70003|93657|93657 - ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN||688.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93656|93656 - EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN||1834.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93655|93655 - ICAR CATHETER ABLATION ARRHYTHMIA ADD ON||687.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93654|93654 - EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA||1832.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93653|93653 - EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA||1375.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93650|93650 - ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION||978.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93644|93644 - EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR||470.21|311.41||0|10/01/2018
20-4114498|1750446506|SH 70003|93642|93642 - EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS||622.88|400.21||0|10/01/2018
20-4114498|1750446506|SH 70003|93641|93641 - EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN||0|538.73||0|10/01/2018
20-4114498|1750446506|SH 70003|93640|93640 - EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE||0|316.07||0|10/01/2018
20-4114498|1750446506|SH 70003|93631|93631 - INTRAOP EPICAR& ENDOCAR PACG& MAPG||0|668.76||0|10/01/2018
20-4114498|1750446506|SH 70003|93624|93624 - ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT||0|430.32||0|10/01/2018
20-4114498|1750446506|SH 70003|93623|93623 - PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS||0|261.52||0|10/01/2018
20-4114498|1750446506|SH 70003|93622|93622 - COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC||0|282.18||0|10/01/2018
20-4114498|1750446506|SH 70003|93621|93621 - COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC||0|192.04||0|10/01/2018
20-4114498|1750446506|SH 70003|93620|93620 - COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION||0|1059.86||0|10/01/2018
20-4114498|1750446506|SH 70003|93619|93619 - COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION||0|666.88||0|10/01/2018
20-4114498|1750446506|SH 70003|93618|93618 - INDUCTION ARRHYTHMIA ELECTRICAL PACING||0|390.77||0|10/01/2018
20-4114498|1750446506|SH 70003|93616|93616 - ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG||0|107.84||0|10/01/2018
20-4114498|1750446506|SH 70003|93615|93615 - ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS||0|85.67||0|10/01/2018
20-4114498|1750446506|SH 70003|93613|93613 - INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING||640.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93612|93612 - INTRAVENTRICULAR PACING||0|271.06||0|10/01/2018
20-4114498|1750446506|SH 70003|93610|93610 - INTRA-ATRIAL PACING||0|273.18||0|10/01/2018
20-4114498|1750446506|SH 70003|93609|93609 - INTRA-VENTRIC&/ATRIAL MAPG TACHYCARD W/CATH MA||0|455.94||0|10/01/2018
20-4114498|1750446506|SH 70003|93603|93603 - RIGHT VENTRICULAR RECORDING||0|191.63||0|10/01/2018
20-4114498|1750446506|SH 70003|93602|93602 - INTRA-ATRIAL RECORDING||0|192.69||0|10/01/2018
20-4114498|1750446506|SH 70003|93600|93600 - BUNDLE OF HIS RECORDING||0|194.82||0|10/01/2018
20-4114498|1750446506|SH 70003|93592|93592 - PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV||751.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93591|93591 - PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE||1705.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93590|93590 - PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE||2054.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93583|93583 - PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER||1238.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93582|93582 - PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS||1112.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93581|93581 - PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT||2176.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93580|93580 - PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT||1611.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93572|93572 - IV DOP VEL&/OR PRESS C/FLO RSRV MEAS ADDL VSL||0|117.64||0|10/01/2018
20-4114498|1750446506|SH 70003|93571|93571 - IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL||0|145.29||0|10/01/2018
20-4114498|1750446506|SH 70003|93568|93568 - NJX PULMONARY ANGIO HRT CATH W/S&I||234.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93567|93567 - NJX SUPRAVALV AORTOG HRT CATH W/S&I||216.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93566|93566 - NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S&I||261.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93565|93565 - NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S&I||71.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93564|93564 - NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S&I||93.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93563|93563 - NJX SEL HRT ART CONGENITAL HRT CATH W/S&I||91.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93562|93562 - INDIC DIL STD ARTL&/OR VEN CATHJ SBSQ OUTP MEA||0|12.66||0|10/01/2018
20-4114498|1750446506|SH 70003|93561|93561 - INDIC DIL STD ARTL&/OR VEN CATHJ W/OUTP MEAS||0|39.69||0|10/01/2018
20-4114498|1750446506|SH 70003|93533|93533 - CMBN R HRT T-SEPTAL L HRT CATHJ SEPTAL OPNG CGEN||0|593.46||0|10/01/2018
20-4114498|1750446506|SH 70003|93532|93532 - CMBN R HRT T-SEPTAL L HRT CATHJ NTC SEPTUM CGEN||0|885.36||0|10/01/2018
20-4114498|1750446506|SH 70003|93531|93531 - CMBN R HRT & RETROGRADE L HRT CATHJ CGEN ANOMA||0|738.61||0|10/01/2018
20-4114498|1750446506|SH 70003|93530|93530 - R HRT CATHETERIZATION CONGENITAL CARDIAC ANOMALY||0|374.65||0|10/01/2018
20-4114498|1750446506|SH 70003|93505|93505 - ENDOMYOCARDIAL BIOPSY||1160.87|381.31||0|10/01/2018
20-4114498|1750446506|SH 70003|93503|93503 - INSERTION FLOW DIRECTED CATHETER FOR MONITORING||215.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93464|93464 - PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU||433|157.21||0|10/01/2018
20-4114498|1750446506|SH 70003|93463|93463 - MEDICATION ADMIN & HEMODYNAMIC MEASURMENT||174.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93462|93462 - LEFT HEART CATH BY TRANSEPTAL PUNCTURE||341.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93461|93461 - R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I||2228.22|718.53||0|10/01/2018
20-4114498|1750446506|SH 70003|93460|93460 - R & L HRT CATH WINJX HRT ART& L VENTR IMG||1949.37|651.18||0|10/01/2018
20-4114498|1750446506|SH 70003|93459|93459 - CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I||1816.15|584.91||0|10/01/2018
20-4114498|1750446506|SH 70003|93458|93458 - CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I||1643.62|519.18||0|10/01/2018
20-4114498|1750446506|SH 70003|93457|93457 - CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I||1940.69|610.61||0|10/01/2018
20-4114498|1750446506|SH 70003|93456|93456 - CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I||1717.18|544.39||0|10/01/2018
20-4114498|1750446506|SH 70003|93455|93455 - CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I||1594.4|491.22||0|10/01/2018
20-4114498|1750446506|SH 70003|93454|93454 - CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I||1369.77|425.49||0|10/01/2018
20-4114498|1750446506|SH 70003|93453|93453 - R & L HRT CATH W/NJX L VENTRICULOG IMG S&I||1742.74|554||0|10/01/2018
20-4114498|1750446506|SH 70003|93452|93452 - L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I||1344.56|422.59||0|10/01/2018
20-4114498|1750446506|SH 70003|93451|93451 - RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT||1187.99|241.04||0|10/01/2018
20-4114498|1750446506|SH 70003|93355|93355 - ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN||369.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93352|93352 - USE OF ECHO CONTRAST AGENT DURING STRESS ECHO||51.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93351|93351 - ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG||428.19|138.56||0|10/01/2018
20-4114498|1750446506|SH 70003|93350|93350 - ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST||367.99|116.1||0|10/01/2018
20-4114498|1750446506|SH 70003|93325|93325 - DOP ECHOCARD COLOR FLOW VELOCITY MAPPING||39.23|5.74||0|10/01/2018
20-4114498|1750446506|SH 70003|93321|93321 - DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD||47.15|12.06||0|10/01/2018
20-4114498|1750446506|SH 70003|93320|93320 - DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY||83.59|29.91||0|10/01/2018
20-4114498|1750446506|SH 70003|93318|93318 - ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ||0|182.41||0|10/01/2018
20-4114498|1750446506|SH 70003|93317|93317 - ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT||0|152.49||0|10/01/2018
20-4114498|1750446506|SH 70003|93316|93316 - ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY||70.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93315|93315 - ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R||0|225.12||0|10/01/2018
20-4114498|1750446506|SH 70003|93314|93314 - ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I&R ONLY||466.11|97.31||0|10/01/2018
20-4114498|1750446506|SH 70003|93313|93313 - ECHO R-T 2D W/PROBE PLACEMENT ONLY||68.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93312|93312 - ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R||507.95|170.49||0|10/01/2018
20-4114498|1750446506|SH 70003|93308|93308 - ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD||186.51|41.43||0|10/01/2018
20-4114498|1750446506|SH 70003|93307|93307 - ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP||202.14|73.54||0|10/01/2018
20-4114498|1750446506|SH 70003|93306|93306 - ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D||347.89|103.45||0|10/01/2018
20-4114498|1750446506|SH 70003|93304|93304 - F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY||239.92|59.77||0|10/01/2018
20-4114498|1750446506|SH 70003|93303|93303 - COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY||362.77|103.45||0|10/01/2018
20-4114498|1750446506|SH 70003|93298|93298 - REM INTERROG SCRMS <30 D PHYS/QHP||42.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93297|93297 - REM INTERROG ICPMS <30 D PHYS/QHP||42.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93296|93296 - REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW||38.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93295|93295 - INTERROGATION EVAL REMOTE </90 D 1/2/MLT LD DFB||108.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93294|93294 - REM INTERROG PM/LDLS PM <90 D PHYS/QHP||54.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93293|93293 - TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL||81.64|25.83||0|10/01/2018
20-4114498|1750446506|SH 70003|93292|93292 - INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR||49.88|33.93||0|10/01/2018
20-4114498|1750446506|SH 70003|93291|93291 - INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON||56.26|34.46||0|10/01/2018
20-4114498|1750446506|SH 70003|93290|93290 - INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON||48.29|34.46||0|10/01/2018
20-4114498|1750446506|SH 70003|93289|93289 - INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB||102.77|74.07||0|10/01/2018
20-4114498|1750446506|SH 70003|93288|93288 - INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON||57.32|33.93||0|10/01/2018
20-4114498|1750446506|SH 70003|93287|93287 - PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB||55.84|36.7||0|10/01/2018
20-4114498|1750446506|SH 70003|93286|93286 - PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON||42.2|24.65||0|10/01/2018
20-4114498|1750446506|SH 70003|93285|93285 - PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON||65.3|41.9||0|10/01/2018
20-4114498|1750446506|SH 70003|93284|93284 - PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB||141.42|101.56||0|10/01/2018
20-4114498|1750446506|SH 70003|93283|93283 - PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB||128.6|93.52||0|10/01/2018
20-4114498|1750446506|SH 70003|93282|93282 - PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB||98.64|68.87||0|10/01/2018
20-4114498|1750446506|SH 70003|93281|93281 - PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER||106.91|72.89||0|10/01/2018
20-4114498|1750446506|SH 70003|93280|93280 - PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER||91.78|62.55||0|10/01/2018
20-4114498|1750446506|SH 70003|93279|93279 - PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP||78.31|52.8||0|10/01/2018
20-4114498|1750446506|SH 70003|93278|93278 - SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG||46.68|20.1||0|10/01/2018
20-4114498|1750446506|SH 70003|93272|93272 - XTRNL PT ACTIVTD ECG DWNLD W/R&I </30 DAYS||40.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93271|93271 - XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS||252.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93270|93270 - XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS||13.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93268|93268 - XTRNL PT ACTIV ECG TRANSMIS W/R&I </30 DAYS||307.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93261|93261 - INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB||96.31|62.85||0|10/01/2018
20-4114498|1750446506|SH 70003|93260|93260 - PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM||105.46|72||0|10/01/2018
20-4114498|1750446506|SH 70003|93229|93229 - XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT||992.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93228|93228 - XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS||42.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93227|93227 - XTRNL ECG CONTINUOUS RHYTHM W/I&R UP TO 48 HRS||42.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93226|93226 - EXTERNAL ECG SCANNING ANALYSIS REPORT||56.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93225|93225 - XTRNL ECG & 48 HR RECORDING||39.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93224|93224 - XTRNL ECG & 48 HR RECORD SCAN STOR W/R&I||139.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93042|93042 - RHYTHM ECG 1-3 LEADS INTERPRETATION & REPRT ON||11.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93041|93041 - RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I&R||8.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93040|93040 - RHYTHM ECG 1-3 LEADS W/INTERPRETATION & REPORT||20.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93025|93025 - MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS||248.42|60.3||0|10/01/2018
20-4114498|1750446506|SH 70003|93024|93024 - ERGONOVINE PROVOCATION TST||173.36|93.11||0|10/01/2018
20-4114498|1750446506|SH 70003|93018|93018 - CV STRS TST XERS&/OR RX CONT ECG I&R ONLY||23.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93017|93017 - CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY||57.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93016|93016 - CV STRS TST XERS&/OR RX CONT ECG W/O I&R||35.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93015|93015 - CV STRS TST XERS&/OR RX CONT ECG W/SI&R||117.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93010|93010 - ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY||13.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93005|93005 - ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R||12.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|93000|93000 - ECG ROUTINE ECG W/LEAST 12 LDS W/I&R||26.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92998|92998 - PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL||530.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92997|92997 - PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL||1070.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92990|92990 - PRQ BALLOON VALVULOPLASTY PULMONARY VALVE||1763.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92987|92987 - PRQ BALLOON VALVULOPLASTY MITRAL VALVE||2245.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92986|92986 - PRQ BALLOON VALVULOPLASTY AORTIC VALVE||2174.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92979|92979 - ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL||0|117.1||0|10/01/2018
20-4114498|1750446506|SH 70003|92978|92978 - ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL||0|145.29||0|10/01/2018
20-4114498|1750446506|SH 70003|92977|92977 - THROMBOLYSIS CORONARY INTRAVENOUS INFUSION||188.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92975|92975 - THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH||641.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92974|92974 - TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX||265.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92973|92973 - PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY||290.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92971|92971 - CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL||150.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92970|92970 - CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL||286.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92961|92961 - CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX||395.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92960|92960 - CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL||319.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92953|92953 - TEMPORARY TRANSCUTANEOUS PACING||17.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92950|92950 - CARDIOPULMONARY RESUSCITATION||476.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92944|92944 - PRQ TRLUML CORONRY CHRNIC OCCLUS REVASC ADDL VSL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92943|92943 - PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL||1114.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92941|92941 - PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL||1114.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92938|92938 - PRQ TRLUML CORONARY BYP GRFT REVASC ADDL VESSEL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92937|92937 - PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL||993.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92934|92934 - PRQ TRLUML CORONARY STENT/ATH/ANGIO ADDL BRANCH||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92933|92933 - PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH||1112.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92929|92929 - PRQ TRLUML CORONARY STENT W/ANGIO ADDL ART/BRNCH||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92928|92928 - PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH||993.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92925|92925 - PRQ TRLUML CORONARY ANGIO/ATHEREC ADDL ART/BRNCH||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92924|92924 - PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH||1064.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92921|92921 - PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92920|92920 - PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH||895.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92640|92640 - ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR||196.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92633|92633 - AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92630|92630 - AUDITORY REHABILITATION PRELINGUAL HEARING LOSS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92627|92627 - EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15||34.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92626|92626 - EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR||143.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92625|92625 - ASSESSMENT TINNITUS||111.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92621|92621 - EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN||35.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92620|92620 - EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN||149.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92618|92618 - EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN||54.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92617|92617 - FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V I&R||67.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92616|92616 - FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V REC||328.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92615|92615 - FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I&R||54.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92614|92614 - FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC||232.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92613|92613 - FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I&R||61.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92612|92612 - FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC||273.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92611|92611 - MOTION FLUOR EVAL SWLNG FUNCJ C/V REC||144.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92610|92610 - EVAL ORAL&PHARYNGEAL SWLNG FUNCJ||135.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92609|92609 - THER SP-GENRATJ DEV PRGRMG&MODIFICAJ||175.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92608|92608 - RX SP-GENRATJ AUGMNT&COMUNICAJ DEV EA 30 MIN||83.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92607|92607 - RX SP-GENRATJ AUGMNT&COMUNICAJ DEV 1ST HR||204.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92606|92606 - THER SVC N-SP-GENRATJ DEV PRGRMG&MODIFICAJ||132.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92605|92605 - EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR||150.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92604|92604 - ANALYSIS COCHLEAR IMPLT 7 YR/> SBSQ REPRGRMG||140.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92603|92603 - ANALYSIS COCHLEAR IMPLT 7 YR/> PRGRMG||234.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92602|92602 - ANALYSIS COCHLEAR IMPLT PT <7 YR SBSQ REPRGRMG||131.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92601|92601 - ANALYSIS COCHLEAR IMPLT PT <7 YR PRGRMG||222.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92597|92597 - EVAL&/FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC||116.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92596|92596 - EAR PROTECTOR ATTENUATION MEASUREMENTS||63.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92595|92595 - ELECTROACOUS EVAL HEARING AID BINAURAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92594|92594 - ELECTROACOUS EVAL HEARING AID MONAURAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92593|92593 - HEARING AID CHECK BINAURAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92592|92592 - HEARING AID CHECK MONAURAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92591|92591 - HEARING AID EXAMINATION & SELECTION BINAURAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92590|92590 - HEARING AID EXAMINATION & SELECTION MONAURAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92588|92588 - DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL||53.26|47.41||0|10/01/2018
20-4114498|1750446506|SH 70003|92587|92587 - DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD||35.08|30.81||0|10/01/2018
20-4114498|1750446506|SH 70003|92586|92586 - AUDITORY EVOKED POTENTIALS LIMITED||124.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92585|92585 - AUDITORY EVOKED POTENTIALS COMPREHENSIVE||198.02|42.85||0|10/01/2018
20-4114498|1750446506|SH 70003|92584|92584 - ELECTROCOCHLEOGRAPHY||104.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92583|92583 - SELECT PICTURE AUDIOMETRY||77.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92582|92582 - CONDITIONING PLAY AUDIOMETRY||101.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92579|92579 - VISUAL REINFORCEMENT AUDIOMETRY||67.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92577|92577 - STENGER TEST SPEECH||28.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92576|92576 - SYNTHETIC SENTENCE IDENTIFICATION TEST||51.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92575|92575 - SENSORINEURAL ACUITY LEVEL||111.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92572|92572 - STAGGERED SPONDAIC WORD||76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92571|92571 - FILTERED SPEECH TEST||39.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92570|92570 - ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY||51.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92568|92568 - ACOUSTIC REFLEX THRESHOLD||25.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92567|92567 - TYMPANOMETRY||22.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92565|92565 - STENGER TEST PURE TONE||24.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92564|92564 - SHORT INCREMENT SENSITIVITY INDEX||41.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92563|92563 - TONE DECAY TEST||45.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92562|92562 - LOUDNESS BALANCE BINAURAL/MONAURAL||68.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92561|92561 - BEKESY AUDIOMETRY DIAGNOSTIC||55.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92560|92560 - BEKESY AUDIOMETRY SCREENING||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92559|92559 - AUDIOMETRIC TESTING GROUPS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92557|92557 - COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ||59.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92556|92556 - SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ||54.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92555|92555 - SPEECH AUDIOMETRY THRESHOLD||34.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92553|92553 - PURE TONE AUDIOMETRY AIR & BONE||54.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92552|92552 - PURE TONE AUDIOMETRY AIR ONLY||45.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92551|92551 - SCREENING TEST PURE TONE AIR ONLY||17.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92550|92550 - TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS||33.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92548|92548 - CDP-SOT 6 CONDITIONS W/INTERPRETATION & REPORT||158.17|41.79||0|10/01/2018
20-4114498|1750446506|SH 70003|92547|92547 - USE VERTICAL ELECTRODES||9.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92546|92546 - SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING||155.32|24.59||0|10/01/2018
20-4114498|1750446506|SH 70003|92545|92545 - OSCILLATING TRACKING TEST W/RECORDING||32.21|19.45||0|10/01/2018
20-4114498|1750446506|SH 70003|92544|92544 - OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC||37.17|22.29||0|10/01/2018
20-4114498|1750446506|SH 70003|92543|92543 - CALORIC VESTIBULAR TEST||24.53|9.11||0|10/01/2018
20-4114498|1750446506|SH 70003|92542|92542 - POSITIONAL NYSTAGMUS TEST||41.31|28.02||0|10/01/2018
20-4114498|1750446506|SH 70003|92541|92541 - SPONTANEOUS NYSTAGMUS TEST||48.11|33.75||0|10/01/2018
20-4114498|1750446506|SH 70003|92540|92540 - VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRK||160.98|128.55||0|10/01/2018
20-4114498|1750446506|SH 70003|92534|92534 - OPTOKINETIC NYSTAGMUS TEST||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92533|92533 - CALORIC VESTIBULAR TEST EACH IRRIGATION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92532|92532 - POSITIONAL NYSTAGMUS TEST||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92531|92531 - SPONTANEOUS NYSTAGMUS W/GAZE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92526|92526 - TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING||138.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92524|92524 - BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE||152.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92523|92523 - EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION||303.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92522|92522 - EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE||146.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92521|92521 - EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)||180|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92520|92520 - LARYNGEAL FUNCTION STUDIES||116.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92516|92516 - FACIAL NERVE FUNCTION STUDIES||107.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92512|92512 - NASAL FUNCTION STUDIES||94.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92511|92511 - NASOPHARYNGOSCOPY W/ENDOSCOPE SPX||208.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92508|92508 - TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2/>INDIV||37.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92507|92507 - TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND||127.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92504|92504 - BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE||46.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92502|92502 - OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA||155.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92371|92371 - RPR&REFITG SPECTACLE PROSTHESIS APHAKIA||17.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92370|92370 - RPR&REFITG SPECTACLES EXCEPT APHAKIA||48.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92358|92358 - PROSTHESIS SERVICE APHAKIA TEMPORARY||17.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92355|92355 - FITTING SPECTACLE MOUNTED LW VIS AID TLSCP||30.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92354|92354 - FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT||20.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92353|92353 - FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL||73.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92352|92352 - FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL||62.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92342|92342 - FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL||68.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92341|92341 - FITTING SPECTACLES XCPT APHAKIA BIFOCAL||63.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92340|92340 - FITTING SPECTACLES XCPT APHAKIA MONOFOCAL||55.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92326|92326 - REPLACEMENT CONTACT LENS||53.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92325|92325 - MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION||61.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92317|92317 - RX CONTACT CORNEOSCLERAL LENS||115.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92316|92316 - RX CONTACT CORNEAL LENS APHAKIA BOTH EYES||141.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92315|92315 - RX CONTACT CORNEAL LENS APHAKIA 1 EYE||112.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92314|92314 - RX&FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA||122.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92313|92313 - RX&FITG CORNEOSCLERAL LENS||152.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92312|92312 - RX&FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES||180.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92311|92311 - RX&FITG CONTACT CORNEAL LENS APHAKIA 1 EYE||160.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92310|92310 - RX&FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK||150.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92287|92287 - ANT SGM IMAGING W/FLUOROSCEIN ANGIO & I&R||191.38|76.6||0|10/01/2018
20-4114498|1750446506|SH 70003|92286|92286 - ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY||59.8|35.87||0|10/01/2018
20-4114498|1750446506|SH 70003|92285|92285 - XTRNL OCULAR PHOTOG W/I&R DOCMT MEDICAL PROGRE||31.14|5.09||0|10/01/2018
20-4114498|1750446506|SH 70003|92284|92284 - DARK ADAPTATION XM W/INTERPRETATION & REPORT||91.79|20.04||0|10/01/2018
20-4114498|1750446506|SH 70003|92283|92283 - COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV||83.4|15.37||0|10/01/2018
20-4114498|1750446506|SH 70003|92275|92275 - ELECTRORETINOGRAPY W/INTERPRETATION & REPORT||244.14|95.34||0|10/01/2018
20-4114498|1750446506|SH 70003|92270|92270 - ELECTRO-OCULOGRAPY W/INTERPRETATION & REPORT||139.85|67.04||0|10/01/2018
20-4114498|1750446506|SH 70003|92265|92265 - NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I&R||119.63|67.55||0|10/01/2018
20-4114498|1750446506|SH 70003|92260|92260 - OPHTHALMODYNAMOMETRY||29.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92250|92250 - FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT||120.08|38.77||0|10/01/2018
20-4114498|1750446506|SH 70003|92242|92242 - FLUORESCEIN ICG ANGRPH W/MULTIFRAME I&R UNI/BI||378.98|286.01||0|10/01/2018
20-4114498|1750446506|SH 70003|92240|92240 - INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I&R UNI/BI||373.79|103.84||0|10/01/2018
20-4114498|1750446506|SH 70003|92235|92235 - FLUORESCEIN ANGRPH W/MULTIFRAME I&R UNI/BI||169.07|76.6||0|10/01/2018
20-4114498|1750446506|SH 70003|92230|92230 - FLUORESCEIN ANGIOSCOPY INTERPRETATION & REPORT||92.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92228|92228 - REMOTE IMAGING MGT RETINAL DISEASE W/I&R UNI/B||54.84|34.63||0|10/01/2018
20-4114498|1750446506|SH 70003|92227|92227 - REMOTE IMG DX RETINL DIS W/ALYS & REPORT UNI/B||21.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92226|92226 - OPHTHALMOSCPY EXTENDED RETINAL DRAWING I&R SBS||39.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92225|92225 - OPHTHALMOSCPY EXTENDED RETINAL DRAWING I&R 1ST||43.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92145|92145 - CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI||24.39|14.29||0|10/01/2018
20-4114498|1750446506|SH 70003|92136|92136 - OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL||137.68|50.53||0|10/01/2018
20-4114498|1750446506|SH 70003|92134|92134 - COMPUTERIZED OPHTHALMIC IMAGING RETINA||71.57|47.65||0|10/01/2018
20-4114498|1750446506|SH 70003|92133|92133 - COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE||69.98|46.06||0|10/01/2018
20-4114498|1750446506|SH 70003|92132|92132 - CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I&R UNI/BI||55.8|32.41||0|10/01/2018
20-4114498|1750446506|SH 70003|92100|92100 - SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES||123.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92083|92083 - VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM||99.74|46.06||0|10/01/2018
20-4114498|1750446506|SH 70003|92082|92082 - VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM||76.3|36.97||0|10/01/2018
20-4114498|1750446506|SH 70003|92081|92081 - VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM||53.37|27.33||0|10/01/2018
20-4114498|1750446506|SH 70003|92072|92072 - FITTING CONTACT LENS FOR MNGT OF KERATOCONUS||219.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92071|92071 - FIT CONTACT LENS TX OCULAR SURFACE DISEASE||61.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92065|92065 - ORTHOPTIC &/PLEOPTIC TRAINING W/MEDICAL DIRECTJ||81.94|29.32||0|10/01/2018
20-4114498|1750446506|SH 70003|92060|92060 - SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX||102.46|63.13||0|10/01/2018
20-4114498|1750446506|SH 70003|92025|92025 - COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI||58.97|32.39||0|10/01/2018
20-4114498|1750446506|SH 70003|92020|92020 - GONIOSCOPY SEPARATE PROCEDURE||43.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92019|92019 - OPHTH XM&EVAL ANES W/WO MANJ GLOBE LMTD||116.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92018|92018 - OPHTH XM&EVAL ANES W/WO MANJ GLOBE COMPL||238.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92015|92015 - DETERMINATION REFRACTIVE STATE||32.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92014|92014 - OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>||195.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92012|92012 - OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT||134.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92004|92004 - OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST||235.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|92002|92002 - OPHTH MEDICAL XM&EVAL INTERMEDIATE NEW PT||128.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|91200|91200 - LIVER ELASTOGRAPHY W/O IMAG W/I&R||55.44|23.57||0|10/01/2018
20-4114498|1750446506|SH 70003|91133|91133 - ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG||271.8|57.65||0|10/01/2018
20-4114498|1750446506|SH 70003|91132|91132 - ELECTROGASTROGRAPHY DX TRANSCUTANEOUS||232.17|45.11||0|10/01/2018
20-4114498|1750446506|SH 70003|91122|91122 - ANORECTAL MANOMETRY||342.79|146.17||0|10/01/2018
20-4114498|1750446506|SH 70003|91120|91120 - RECTAL SESATION TONE & COMPLIANCE TEST||603.68|82.92||0|10/01/2018
20-4114498|1750446506|SH 70003|91117|91117 - COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R||239.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|91112|91112 - GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP||1618.46|180.54||0|10/01/2018
20-4114498|1750446506|SH 70003|91111|91111 - GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I&R||1098|85.72||0|10/01/2018
20-4114498|1750446506|SH 70003|91110|91110 - GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R||1356.71|312.54||0|10/01/2018
20-4114498|1750446506|SH 70003|91065|91065 - BREATH HYDROGEN/METHANE TEST||124.49|17.15||0|10/01/2018
20-4114498|1750446506|SH 70003|91040|91040 - ESOPHGL BALO DISTENSION DX STD W/PROVOCATION||604.16|80.75||0|10/01/2018
20-4114498|1750446506|SH 70003|91038|91038 - ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG||683.07|94.29||0|10/01/2018
20-4114498|1750446506|SH 70003|91037|91037 - GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD||248.18|84.5||0|10/01/2018
20-4114498|1750446506|SH 70003|91035|91035 - GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD||731.18|135.5||0|10/01/2018
20-4114498|1750446506|SH 70003|91034|91034 - GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT||289.6|82.88||0|10/01/2018
20-4114498|1750446506|SH 70003|91030|91030 - ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS||211.66|78.27||0|10/01/2018
20-4114498|1750446506|SH 70003|91022|91022 - DUODENAL MOTILITY MANOMETRIC STUDY||261.59|122.89||0|10/01/2018
20-4114498|1750446506|SH 70003|91020|91020 - GASTRIC MOTILITY MANOMETRIC STUDIES||359.39|123.98||0|10/01/2018
20-4114498|1750446506|SH 70003|91013|91013 - ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION||36.7|15.43||0|10/01/2018
20-4114498|1750446506|SH 70003|91010|91010 - ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT||271.82|110.27||0|10/01/2018
20-4114498|1750446506|SH 70003|90997|90997 - HEMOPERFUSION||149.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90970|90970 - ESRD RELATED SVC <FULL MONTH 20/>YR OLD||12.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90969|90969 - ESRD RELATED SVC <FULL MONTH 12-19 YR OLD||24.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90968|90968 - ESRD RELATED SVC <FULL MONTH 2-11 YR OLD||24.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90967|90967 - ESRD RELATED SVC <FULL MONTH <2 YR OLD||28.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90966|90966 - ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD||383.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90965|90965 - ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD||728.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90964|90964 - ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD||768.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90963|90963 - ESRD SVC HOME DIALYSIS FULL MONTH <2YR OLD||881.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90962|90962 - ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT||295.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90961|90961 - ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS||383.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90960|90960 - ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS||456.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90959|90959 - ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT||475.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90958|90958 - ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS||703.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90957|90957 - ESRD RELATED SVC MONTHLY 12-19 YR OLD 4/> VISITS||1040.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90956|90956 - ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT||512.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90955|90955 - ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS||737.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90954|90954 - ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS||1309.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90951|90951 - ESRD RELATED SVC MONTHLY & <2 YR OLD 4/> VISITS||1509.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90947|90947 - DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS||201.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90945|90945 - DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL||137.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90937|90937 - HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX||168.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90935|90935 - HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION||117.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90911|90911 - BIOFDBK TRNG PERINL MUSC ANORECT/URO SPHX W/EMG||132.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90901|90901 - BIOFEEDBACK TRAINING ANY MODALITY||61.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90889|90889 - PREP REPORT PT PSYCH STATUS AGENCY/PAYER||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90887|90887 - INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY||141.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90885|90885 - PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES||80.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90882|90882 - ENVIRONMENTAL IVNTJ MGMT PURPOSES PSYC PT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90880|90880 - HYPNOTHERAPY||164.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90876|90876 - INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN||172.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90875|90875 - INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN||100.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90870|90870 - ELECTROCONVULSIVE THERAPY||279.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90865|90865 - NARCOSYNTHESIS PSYC DX&THER PURPOSES||268.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90863|90863 - PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90853|90853 - GROUP PSYCHOTHERAPY||42.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90849|90849 - MULTIPLE FAMILY GROUP PSYCHOTHERAPY||54.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90847|90847 - FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS||174.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90846|90846 - FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS||169.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90845|90845 - PSYCHOANALYSIS||150.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90840|90840 - PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES||104.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90839|90839 - PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES||218.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90838|90838 - PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN||179.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90837|90837 - PSYCHOTHERAPY W/PATIENT 60 MINUTES||208.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90836|90836 - PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN||135.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90834|90834 - PSYCHOTHERAPY W/PATIENT 45 MINUTES||139.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90833|90833 - PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN||107.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90832|90832 - PSYCHOTHERAPY W/PATIENT 30 MINUTES||105.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90792|90792 - PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES||233.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90791|90791 - PSYCHIATRIC DIAGNOSTIC EVALUATION||216.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90785|90785 - PSYCHOTHERAPY COMPLEX INTERACTIVE||23.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90756|90756 - CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE||28.4913|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90749|90749 - UNLISTED VACCINE/TOXOID||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90748|90748 - HIB-HEPB VACCINE FOR INTRAMUSCULAR USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90747|90747 - HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM||162.8063|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90746|90746 - HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE||81.4038|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90744|90744 - HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM||32.6688|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90743|90743 - HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM||32.6688|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90740|90740 - HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM||162.8063|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90739|90739 - HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE||163.875|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90738|90738 - JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90736|90736 - ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90735|90735 - ENCEPHALITIS VACCINE SC||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90734|90734 - MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90733|90733 - MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90732|90732 - PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE||134.6825|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90727|90727 - PLAGUE VACCINE IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90725|90725 - CHOLERA VACCINE INJECTABLE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90723|90723 - DTAP-HEPB-IPV VACCINE INTRAMUSCULAR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90721|90721 - DTAP/HIB VACCINE IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90720|90720 - DTWP-HIB VACCINE IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90719|90719 - DIPHTHERIA VACCINE IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90717|90717 - YELLOW FEVER VACCINE LIVE SUBQ||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90716|90716 - VAR VACCINE LIVE FOR SUBCUTANEOUS USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90715|90715 - TDAP VACCINE 7 YRS/> IM||38.6925|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90714|90714 - TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE||29.6475|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90713|90713 - POLIOVIRUS VACCINE INACTIVATED SUBQ/IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90712|90712 - ORAL POLIOVIRUS VACCINE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90710|90710 - MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90708|90708 - MEASLES-RUBELLA VACCINE SC||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90707|90707 - MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90706|90706 - RUBELLA VACCINE SC||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90705|90705 - MEASLES VACCINE SC||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90704|90704 - MUMPS VACCINE SC||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90703|90703 - TETANUS VACCINE IM||51.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90702|90702 - DT VACCINE YOUNGER THAN 7 YRS FOR IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90700|90700 - DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90698|90698 - DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90697|90697 - DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90696|90696 - DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90693|90693 - TYPHOID VACCINE AKD SC||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90692|90692 - TYPHOID VACCINE H-P SC/ID||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90691|90691 - TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM||139.4038|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90690|90690 - TYPHOID VACCINE LIVE ORAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90688|90688 - IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE||22.2937|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90687|90687 - IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE||11.7538|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90686|90686 - IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90685|90685 - IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE||26.4975|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90682|90682 - RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM||57.8912|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90681|90681 - RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90680|90680 - RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90676|90676 - RABIES VACCINE INTRADERMAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90675|90675 - RABIES VACCINE INTRAMUSCULAR||361.1963|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90674|90674 - CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE||30.0587|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90673|90673 - RIV3 VACCINE PRESERVATIVE FREE FOR IM USE||50.7662|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90672|90672 - LAIV4 VACCINE FOR INTRANASAL USE||33.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90670|90670 - PCV13 VACCINE FOR INTRAMUSCULAR USE||256.3913|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90662|90662 - IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM||61.2812|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90661|90661 - CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE||27.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90658|90658 - IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90657|90657 - IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE||7.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90656|90656 - IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE||24.0587|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90654|90654 - INFLUENZA VACC IIV3 SPLIT VIRUS PRSRV FREE ID||23.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90653|90653 - IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE||62.7713|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90650|90650 - 2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90649|90649 - 4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90648|90648 - HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90647|90647 - HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90646|90646 - HIB VACCINE PRP-D IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90645|90645 - HIB VACCINE HBOC IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90636|90636 - HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90634|90634 - HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90633|90633 - HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90632|90632 - HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE||70.8675|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90630|90630 - INFLUENZA VACC IIV4 SPLIT VIRUS PRSRV FREE ID||25.4288|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90621|90621 - MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90620|90620 - MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90586|90586 - BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL||172.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90585|90585 - BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ||172.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90581|90581 - ANTHRAX VACCINE SUBCUTANEOUS/IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90477|90477 - ADENOVIRUS VACCINE TYPE 7 LIVE FOR ORAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90476|90476 - ADENOVIRUS VACCINE TYPE 4 LIVE ORAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90474|90474 - IM ADM INTRANSL/ORAL EA VACCINE||19.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90473|90473 - IM ADM INTRANSL/ORAL 1 VACCINE||38.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90472|90472 - IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE||19.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90471|90471 - IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE||38.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90461|90461 - IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT||19.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90460|90460 - IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX||38.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90399|90399 - UNLISTED IMMUNE GLOBULIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90396|90396 - VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90393|90393 - VACCINIA IMMUNE GLOBULIN HUMAN IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90389|90389 - TETANUS IMMUNE GLOBULIN TIG HUMAN IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90386|90386 - RHO(D) IMMUNE GLOBULIN HUMAN IV||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90385|90385 - RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM||43.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90384|90384 - RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90376|90376 - RABIES IG HEAT-TREATED HUMAN IM/SUBQ||381.8012|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90375|90375 - RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ||369.7775|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90371|90371 - HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM||146.395|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90296|90296 - DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90291|90291 - CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90288|90288 - BOTULISM IMMUNE GLOBULIN HUMAN INTRAVENOUS USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90287|90287 - BOTULINUM ANTITOXIN EQUINE ANY ROUTE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90283|90283 - IMMUNE GLOBULIN IGIV HUMAN IV USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|90281|90281 - IMMUNE GLOBULIN IG HUMAN IM USE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89331|89331 - SPERM EVALUATION RETROGRADE EJACULATION URINE||35.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89330|89330 - SPERM EVALUATION CERVICAL MUCOUS PENETRATION||22.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89329|89329 - SPERM EVALUATION HAMSTER PENETRATION TEST||47.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89325|89325 - SPERM ANTIBODIES||24.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89322|89322 - SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA||25.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89321|89321 - SEMEN ANALYSIS SPERM PRESENCE&/MOTILITY SPRM||12.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89320|89320 - SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT||12.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89310|89310 - SEMEN ALYS MOTILITY&CNT X W/HUHNER TST||19.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89300|89300 - SEMEN ALYS PRESENCE&/MOTILITY SPRM HUHNER||20.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89230|89230 - SWEAT COLLECTION IONTOPHORESIS||7.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89220|89220 - SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX||25.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89190|89190 - NASAL SMEAR EOSINOPHILS||10.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89160|89160 - MEAT FIBERS FECES||8.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89125|89125 - FAT STAIN FECES URINE/RESPIR SECRETIONS||9.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89060|89060 - CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID||16.1|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|89055|89055 - LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE||5.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89051|89051 - CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT||3.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89050|89050 - CELL COUNT MISCELLANEOUS BODY FLUIDS||10.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|89049|89049 - CAFFEINE HALOTHANE CONTRACTURE TEST||392.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88741|88741 - HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN||11.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88740|88740 - HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN||11.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88738|88738 - HGB QUANTITATIVE TRANSCUTANEOUS||11.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88720|88720 - BILIRUBIN TOTAL TRANSCUTANEOUS||11.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88388|88388 - MACR EXM DISS&PRP NONMICR IMPRNT/CONSLT/FRZ SE||51.59|38.3||0|10/01/2018
20-4114498|1750446506|SH 70003|88387|88387 - MACRO EXAM DISSECT&PREP TISS NONMICRO STD EA||56.86|47.28||0|10/01/2018
20-4114498|1750446506|SH 70003|88381|88381 - MICRODISSECTION PREP IDENTIFIED TARGET MANUAL||245.67|88.91||0|10/01/2018
20-4114498|1750446506|SH 70003|88380|88380 - MICRODISSECTION PREP IDENTIFIED TARGET LASER||292.06|128.38||0|10/01/2018
20-4114498|1750446506|SH 70003|88377|88377 - M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB||325.96|105.55||0|10/01/2018
20-4114498|1750446506|SH 70003|88375|88375 - OPTICAL ENDOMICROSCOPIC IMAGE INTERP & REPORT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88374|88374 - M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB||309.35|72.47||0|10/01/2018
20-4114498|1750446506|SH 70003|88373|88373 - M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH||92.33|33.9||0|10/01/2018
20-4114498|1750446506|SH 70003|88372|88372 - PROTEIN ALYS WSTRN BLOT I&R IMMUNOLOGICAL EA||51.2|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|88371|88371 - PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP&REPO||50.03|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|88369|88369 - M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH||112.58|40.34||0|10/01/2018
20-4114498|1750446506|SH 70003|88368|88368 - M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL||353.27|104.58||0|10/01/2018
20-4114498|1750446506|SH 70003|88367|88367 - M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN||387.22|100.8||0|10/01/2018
20-4114498|1750446506|SH 70003|88366|88366 - IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN||354.22|100.88||0|10/01/2018
20-4114498|1750446506|SH 70003|88365|88365 - IN SITU HYBRIDIZATION 1ST PROBE STAIN||270.24|96.47||0|10/01/2018
20-4114498|1750446506|SH 70003|88364|88364 - IN SITU HYBRIDIZATION EA ADDL PROBE STAIN||147.63|43.53||0|10/01/2018
20-4114498|1750446506|SH 70003|88363|88363 - EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSI||35.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88362|88362 - NERVE TEASING PREPARATIONS||470.08|181.5||0|10/01/2018
20-4114498|1750446506|SH 70003|88361|88361 - M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST||241.43|95.29||0|10/01/2018
20-4114498|1750446506|SH 70003|88360|88360 - M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL||199.5|87.9||0|10/01/2018
20-4114498|1750446506|SH 70003|88358|88358 - MORPHOMETRIC ANALYSIS TUMOR||129.52|73.19||0|10/01/2018
20-4114498|1750446506|SH 70003|88356|88356 - MORPHOMETRIC ANALYSIS NERVE||433.21|216.89||0|10/01/2018
20-4114498|1750446506|SH 70003|88355|88355 - MORPHOMETRIC ANALYSIS SKELETAL MUSCLE||272.54|136.5||0|10/01/2018
20-4114498|1750446506|SH 70003|88349|88349 - SCANNING ELECTRON MICROSCOPY||610.91|65.68||0|10/01/2018
20-4114498|1750446506|SH 70003|88348|88348 - ELECTRON MICROSCOPY DIAGNOSTIC||1051.17|122.77||0|10/01/2018
20-4114498|1750446506|SH 70003|88347|88347 - IMMUNOFLUORESCENT STUDY||136.94|67.32||0|10/01/2018
20-4114498|1750446506|SH 70003|88346|88346 - IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN||162.97|68.91||0|10/01/2018
20-4114498|1750446506|SH 70003|88344|88344 - IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE||178.27|64.08||0|10/01/2018
20-4114498|1750446506|SH 70003|88343|88343 - IMMUNOHISTO ANTIBOD ADD SLID||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88342|88342 - IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE||0|58.35||0|10/01/2018
20-4114498|1750446506|SH 70003|88341|88341 - IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE||102.89|34.91||0|10/01/2018
20-4114498|1750446506|SH 70003|88334|88334 - PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE||101.11|62.84||0|10/01/2018
20-4114498|1750446506|SH 70003|88333|88333 - PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE||162.38|101.79||0|10/01/2018
20-4114498|1750446506|SH 70003|88332|88332 - PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION||68.37|49.76||0|10/01/2018
20-4114498|1750446506|SH 70003|88331|88331 - PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC||153.78|100.11||0|10/01/2018
20-4114498|1750446506|SH 70003|88329|88329 - PATHOLOGY CONSULTATION DURING SURGERY||89.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88325|88325 - CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL||330.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88323|88323 - CONSLTJ&REPRT MATERIAL REQUIRING PREPJ SLIDES||229.9|141.68||0|10/01/2018
20-4114498|1750446506|SH 70003|88321|88321 - CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE||151.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88319|88319 - SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS||130.73|45.17||0|10/01/2018
20-4114498|1750446506|SH 70003|88314|88314 - SPECIAL STAIN I&R HISTOCHEMICAL W/FROZEN TISSU||118.55|36.7||0|10/01/2018
20-4114498|1750446506|SH 70003|88313|88313 - SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT||99.23|19.51||0|10/01/2018
20-4114498|1750446506|SH 70003|88312|88312 - SPECIAL STAIN GROUP 1 MICROORGANISMS I&R||143.53|44.15||0|10/01/2018
20-4114498|1750446506|SH 70003|88311|88311 - DECALCIFICATION PROCEDURE||31.74|20.04||0|10/01/2018
20-4114498|1750446506|SH 70003|88309|88309 - LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM||667.76|237.85||0|10/01/2018
20-4114498|1750446506|SH 70003|88307|88307 - LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM||437.3|134.41||0|10/01/2018
20-4114498|1750446506|SH 70003|88305|88305 - LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM||109.18|61.34||0|10/01/2018
20-4114498|1750446506|SH 70003|88304|88304 - LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM||65.63|18.33||0|10/01/2018
20-4114498|1750446506|SH 70003|88302|88302 - LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM||45.43|11.41||0|10/01/2018
20-4114498|1750446506|SH 70003|88300|88300 - LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY||22.28|7.4||0|10/01/2018
20-4114498|1750446506|SH 70003|88291|88291 - CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP||49.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88289|88289 - CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY||77.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88285|88285 - CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY||42.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88283|88283 - CHRMSM ANALYSIS ADDL SPECIALIZED BANDING||80.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88280|88280 - CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY||56.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88275|88275 - MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL||90.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88274|88274 - MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL||78.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88273|88273 - MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL||72.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88272|88272 - MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS||60.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88271|88271 - MOLECULAR CYTOGENETICS DNA PROBE EACH||48.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88269|88269 - CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP||374.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88267|88267 - CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE||404.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88264|88264 - CHRMSM ANALYZE 20-25 CELLS||280.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88263|88263 - CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE||338.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88262|88262 - CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING||280.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88261|88261 - CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING||397.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88249|88249 - CHRMSM BREAKAGE SYNDS SCORE 100 CLL||389.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88248|88248 - CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL||389.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88245|88245 - CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL||335.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88241|88241 - THAWING&EXPANSION FROZEN CELLS EACH ALIQUOT||18.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88240|88240 - CRYOPRSRV FRZING&STORAGE CELLS EA CELL LINE||18.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88239|88239 - TISS CUL NEO DISORDERS SOLID TUMOR||332.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88237|88237 - TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS||198.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88235|88235 - TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS||331.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88233|88233 - TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX||316.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88230|88230 - TISS CUL NON-NEO DISORDERS LYMPHOCYTE||262.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88189|88189 - FLOW CYTOMETRY INTERPRETATION 16/> MARKERS||177.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88188|88188 - FLOW CYTOMETRY INTERPJ 9-15 MARKERS||144.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88187|88187 - FLOW CYTOMETRY INTERPJ 2-8 MARKERS||114.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88185|88185 - FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA||79.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88184|88184 - FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST||130.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88182|88182 - FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS||167.79|59.36||0|10/01/2018
20-4114498|1750446506|SH 70003|88177|88177 - CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL||46.63|35.46||0|10/01/2018
20-4114498|1750446506|SH 70003|88175|88175 - CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS||59.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88174|88174 - CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS||48.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88173|88173 - CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT||226.21|115.15||0|10/01/2018
20-4114498|1750446506|SH 70003|88172|88172 - CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST||84.91|57.8||0|10/01/2018
20-4114498|1750446506|SH 70003|88167|88167 - CYTP SLIDES C/V MNL SCR&CPTR RESCR CELL S&I||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88166|88166 - CYTP SLIDES C/V MNL SCR&CPTR RESCR PHYS SUPV||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88165|88165 - CYTP SLIDES C/V MNL SCR&RESCR PHYS SUPV||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88164|88164 - CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88162|88162 - CYTP SMRS ANY OTH SRC EXTND STD > 5 SLIDES||147.52|64.61||0|10/01/2018
20-4114498|1750446506|SH 70003|88161|88161 - CYTP SMRS ANY OTH SRC PREPJ SCR&INTERPJ||90.15|40.72||0|10/01/2018
20-4114498|1750446506|SH 70003|88160|88160 - CYTP SMRS ANY OTH SRC SCR&INTERPJ||98.65|42.32||0|10/01/2018
20-4114498|1750446506|SH 70003|88155|88155 - CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL||13.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88154|88154 - CYTP SLIDES C/V MNL SCR&CPTR-RESCR CELL S&I||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88153|88153 - CYTP SLIDES C/V MNL SCR&RESCR PHYS||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88152|88152 - CYTP SLIDES C/V MNL SCR&CPTR RESCR PHYS||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88150|88150 - CYTP SLIDES C/V MNL SCR UNDER PHYS||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88148|88148 - CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88147|88147 - CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV||23.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88143|88143 - CYTP C/V FLU AUTO THIN MNL SCR&RESCR PHYS||45.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88142|88142 - CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN||45.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88141|88141 - CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN||49.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88140|88140 - SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR||18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88130|88130 - SEX CHROMATIN IDENTIFICATION BARR BODIES||33.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88125|88125 - CYTOPATHOLOGY FORENSIC||34.52|21.22||0|10/01/2018
20-4114498|1750446506|SH 70003|88121|88121 - CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA||799.89|81.46||0|10/01/2018
20-4114498|1750446506|SH 70003|88120|88120 - CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL||924.91|94.87||0|10/01/2018
20-4114498|1750446506|SH 70003|88112|88112 - CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V||96.89|45.33||0|10/01/2018
20-4114498|1750446506|SH 70003|88108|88108 - CYTP CONCENTRATION SMEARS & INTERPRETATION||119.55|36.64||0|10/01/2018
20-4114498|1750446506|SH 70003|88106|88106 - CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ||127.63|31.44||0|10/01/2018
20-4114498|1750446506|SH 70003|88104|88104 - CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ||113.36|46.93||0|10/01/2018
20-4114498|1750446506|SH 70003|88099|88099 - UNLISTED NECROPSY PROCEDURE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88045|88045 - NECROPSY CORONER CALL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88040|88040 - NECROPSY FORENSIC EXAMINATION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88037|88037 - NECROPSY LIMITD GROSS&/MCRSCP SINGLE ORGAN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88036|88036 - NECROPSY LIMITED GROSS&/MCRSCP REGIONAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88029|88029 - NECROPSY GROSS&MCRSCP STILLBORN/NEWBORN BRAIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88028|88028 - NECROPSY GROSS & MICROSCOPIC INFANT W/BRAIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88027|88027 - NECROPSY GROSS&MCRSCP BRAIN & SPINAL CORD||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88025|88025 - NECROPSY GROSS & MICROSCOPIC W/BRAIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88020|88020 - NECROPSY GROSS & MICROSCOPIC W/O CNS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88016|88016 - NECROPSY GROSS EXAM MACERATED STILLBORN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88014|88014 - NECROPSY GROSS EXAM STILLBORN/NEWBORN W/BRAIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88012|88012 - NECROPSY GROSS EXAMINATION INFANT W/BRAIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88007|88007 - NECROPSY GROSS EXAMINATION W/BRAIN&SPINAL CORD||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88005|88005 - NECROPSY GROSS EXAMINATION W/BRAIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|88000|88000 - NECROPSY GROSS EXAMINATION ONLY W/O CNS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87912|87912 - NFCT AGENT GENOTYPE HEPATITIS B VIRUS||196.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87910|87910 - NFCT AGT GENOTYPE NUCLEIC ACID CYTOMEGALOVIRUS||196.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87906|87906 - NFCT GEXYP DNA/RNA HIV 1 OTHER REGION||98.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87905|87905 - INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS||27.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87904|87904 - NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG||49.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87903|87903 - NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS||761.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87902|87902 - NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS||196.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87901|87901 - NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR&PROTEAS||196.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87900|87900 - NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION||248.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87899|87899 - IAADIADOO NOT OTHERWISE SPECIFIED||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87880|87880 - IAADIADOO STREPTOCOCCUS GROUP A||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87850|87850 - IAADIADOO NEISSERIA GONORRHOEAE||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87810|87810 - CHLAMYDIA TRACHOMATIS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87809|87809 - INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87808|87808 - IAADIADOO TRICHOMONAS VAGINALIS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87807|87807 - IAADIADOO RESPIRATORY SYNCTIAL VIRUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87806|87806 - IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES||54.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87804|87804 - IAADIADOO INFLUENZA||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87803|87803 - IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87802|87802 - IAADIADOO STREPTOCOCCUS GROUP B||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87801|87801 - IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ||88.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87800|87800 - IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ||88.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87799|87799 - IADNA NOS QUANTIFICATION EACH ORGANISM||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87798|87798 - IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87797|87797 - IADNA NOS DIRECT PROBE TQ EACH ORGANISM||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87662|87662 - IADNA DNA/RNA ZIKA VIRUS AMPLIFIED PROBE TQ||104.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87661|87661 - IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87660|87660 - IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87653|87653 - IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87652|87652 - IADNA STREPTOCOCCUS GROUP A QUANTIFICATION||93.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87651|87651 - IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87650|87650 - IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87641|87641 - IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87640|87640 - IADNA S AUREUS AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87634|87634 - IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE||142.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87633|87633 - IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET||396.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87632|87632 - IADNA RESPIRATRY PROBE & REV TRNSCR 6-11 TARGETS||221.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87631|87631 - IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS||151.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87625|87625 - IADNA HUMAN PAPILLOMAVIRUS TYPES 16 & 18 ONLY||44.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87624|87624 - IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES||44.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87623|87623 - IADNA HUMAN PAPILLOMAVIRUS LOW-RISK TYPES||44.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87622|87622 - HPV DNA QUANT||93.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87621|87621 - HPV DNA AMP PROBE||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87620|87620 - HPV DNA DIR PROBE||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87592|87592 - IADNA NEISSERIA GONORRHOEAE QUANTIFICATION||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87591|87591 - IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87590|87590 - IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87582|87582 - IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION||93.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87581|87581 - IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87580|87580 - IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87562|87562 - IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87561|87561 - IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87560|87560 - IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87557|87557 - IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87556|87556 - IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87555|87555 - IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87552|87552 - IADNA MYCOBACTERIA SPECIES QUANTIFICATION||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87551|87551 - IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87550|87550 - IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87542|87542 - IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION||93.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87541|87541 - IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87540|87540 - IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87539|87539 - IADNA HIV-2 QUANT & REVERSE TRANSCRIPTION||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87538|87538 - IADNA HIV-2 AMPLIFIED PROBE & REVERSE TRANSCRIPJ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87537|87537 - IADNA HIV-2 DIRECT PROBE TECHNIQUE||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87536|87536 - IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION||116.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87535|87535 - IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87534|87534 - IADNA HIV-1 DIRECT PROBE TECHNIQUE||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87533|87533 - IADNA HERPES VIRUS-6 QUANTIFICATION||93.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87532|87532 - IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87531|87531 - IADNA HERPES VIRUS-6 DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87530|87530 - IADNA HERPES SOMPLX VIRUS QUANTIFICATION||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87529|87529 - IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87528|87528 - IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87527|87527 - IADNA HEPATITIS G QUANTIFICATION||93.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87526|87526 - IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87525|87525 - IADNA HEPATITIS G DIRECT PROBE TECHNIQUE||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87522|87522 - IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87521|87521 - IADNA HEPATITIS C AMPLIFIED PROBE&REVRSE TRANSCR||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87520|87520 - IADNA HEPATITIS C DIRECT PROBE TECHNIQUE||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87517|87517 - IADNA HEPATITIS B VIRUS QUANTIFICATION||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87516|87516 - IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87515|87515 - IADNA HEPATITIS B VIRUS DIRECT PROBE TECHNIQUE||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87512|87512 - IADNA GARDNERELLA VAGINALIS QUANTIFICATION||93.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87511|87511 - IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87510|87510 - IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87507|87507 - IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25||395.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87506|87506 - IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11||221.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87505|87505 - NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN||151.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87503|87503 - NFCT AGENT DNA/RNA INFLUENZA >2 TYPES EA ADDL||17.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87502|87502 - INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES||116.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87501|87501 - INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE||72.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87500|87500 - INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87498|87498 - IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87497|87497 - IADNA CYTOMEGALOVIRUS QUANTIFICATION||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87496|87496 - IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87495|87495 - IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87493|87493 - INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87492|87492 - IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION||78.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87491|87491 - IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87490|87490 - IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87487|87487 - IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87486|87486 - IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87485|87485 - IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87483|87483 - CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25||314.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87482|87482 - IADNA CANDIDA SPECIES QUANTIFICATION||93.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87481|87481 - IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87480|87480 - IADNA CANDIDA SPECIES DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87477|87477 - IADNA BORRELIA BURGDORFERI QUANTIFICATION||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87476|87476 - IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87475|87475 - IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87472|87472 - IADNA BARTONELLA HENSELAE&QUINTANA QUANTJ||96.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87471|87471 - IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87470|87470 - IADNA BARTONELLA DIRECT PROBE TECHNIQUE||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87451|87451 - IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM||21.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87450|87450 - IAAD IA SINGLE STEP METHOD NOS EA ORGANISM||21.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87449|87449 - IAAD IA MULT STEP METHOD NOS EACH ORGANISM||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87430|87430 - IAAD IA STREPTOCOCCUS GROUP A||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87427|87427 - IAAD IA SHIGA-LIKE TOXIN||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87425|87425 - IAAD IA ROTAVIRUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87420|87420 - IAAD IA RESPIRATORY SYNCTIAL VIRUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87400|87400 - IAAD IA INFLUENZA A/B EACH||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87391|87391 - IAAD IA HIV-2||39.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87390|87390 - IAAD IA HIV-1||39.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87389|87389 - IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE||54.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87385|87385 - IAAD IA HISTOPLASM CAPSULATUM||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87380|87380 - IAAD IA HEPATITIS DELTA ANTIGEN||36.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87350|87350 - IAAD IA HEPATITIS BE ANTIGEN||25.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87341|87341 - IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION||23.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87340|87340 - IAAD IA HEPATITIS B SURFACE ANTIGEN||23.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87339|87339 - IAAD IA HPYLORI||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87338|87338 - IAAD IA HPYLORI STOOL||32.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87337|87337 - IAAD IA ENTAMOEBA HISTOLYTICA GRP||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87336|87336 - IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87335|87335 - IAAD IA ESCHERICHIA COLI 0157||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87332|87332 - IAAD IA CYTOMEGALOVIRUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87329|87329 - IAAD IA GIARDIA||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87328|87328 - IAAD IA CRYPTOSPORIDIUM||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87327|87327 - IAAD IA CRYPTOCOCCUS NEOFORMANS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87324|87324 - IAAD IA CLOSTRIDIUM DIFFICILE TOXIN||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87320|87320 - IAAD IA CHLAMYDIA TRACHOMATIS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87305|87305 - IAAD IA QUAL/SEMIQUAN MULTIPLE STEP ASPERGILLUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87301|87301 - IAAD IA ADENOVIRUS ENTERIC TYP 40/41||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87300|87300 - IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87299|87299 - IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87290|87290 - IAADI VARICELLA ZOSTER VIRUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87285|87285 - IAADI TREPONEMA PALLIDUM||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87283|87283 - IAADI RUBEOLA||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87281|87281 - IAADI PNEUMOCUSTIS CARINII||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87280|87280 - IAADI RESPIRATORY SYNCTIAL VIRUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87279|87279 - IAADI PARAINFLUENZA VIRUS EACH TYPE||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87278|87278 - IAADI LEGIONELLA PNEUMOPHILA||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87277|87277 - IAADI LEGIONELLA MICDADEI||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87276|87276 - IAADI INFFLUENZA A VIRUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87275|87275 - IAADI INFLUENZA B VIRUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87274|87274 - IAADI HERPES SMPLX VIRUS TYPE 1||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87273|87273 - IAADI HERPES SMPLX VIRUS TYPE 2||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87272|87272 - IAADI CRYPTOSPORIDIUM||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87271|87271 - IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87270|87270 - IAADI CHLAMYDIA TRACHOMATIS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87269|87269 - IAADI GIARDIA||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87267|87267 - IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87265|87265 - IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87260|87260 - IAADI ADENOVIRUS||26.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87255|87255 - VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC||68.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87254|87254 - VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA||44.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87253|87253 - VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE||36.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87252|87252 - VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT||49.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87250|87250 - VIRUS INOCULATION EGGS/SM ANIMAL OBS&DSJ||44.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87230|87230 - TOXIN/ANTITOXIN ASSAY TISSUE CULTURE||44.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87220|87220 - TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT||9.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87210|87210 - SMR PRIM SRC WET MOUNT NFCT AGT||9.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87209|87209 - SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS||40.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87207|87207 - SMR PRIM SRC SPEC STAIN BODIES/PARASITS||13.5|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|87206|87206 - SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT||12.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87205|87205 - SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL||5.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87197|87197 - SERUM BACTERICIDAL TITER||33.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87190|87190 - SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD||12.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87188|87188 - SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT||14.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87187|87187 - SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA||23.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87186|87186 - SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ||19.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87185|87185 - SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ||10.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87184|87184 - SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD||15.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87181|87181 - SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ||10.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87177|87177 - OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID||20.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87176|87176 - HOMOGENIZATION TISSUE CULTURE||13.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87172|87172 - PINWORM EXAMINATION||9.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87169|87169 - MACROSCOPIC EXAMINATION PARASITE||9.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87168|87168 - MACROSCOPIC EXAMINATION ARTHROPOD||9.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87166|87166 - DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT||25.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87164|87164 - DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION||19.68|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|87158|87158 - CULTURE TYPING OTHER METHODS||11.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87153|87153 - CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE||159.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87152|87152 - CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING||11.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87150|87150 - CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM||44.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87149|87149 - CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM||44.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87147|87147 - CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES||10.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87143|87143 - CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY||28.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87140|87140 - CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM||12.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87118|87118 - CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL||24.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87116|87116 - CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL||16.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87110|87110 - CULTURE CHLAMYDIA ANY SOURCE||44.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87109|87109 - CULTURE MYCOPLASMA ANY SOURCE||34.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87107|87107 - CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD||23.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87106|87106 - CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST||23.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87103|87103 - CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD||20.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87102|87102 - CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD||18.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87101|87101 - CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL||17.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87088|87088 - CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE||18.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87086|87086 - CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE||18.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87084|87084 - CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART||19.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87081|87081 - CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ||14.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87077|87077 - CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL||18.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87076|87076 - CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL||18.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87075|87075 - CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO&ID||21.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87073|87073 - CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL||21.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87071|87071 - CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL||21.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87070|87070 - CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL||19.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87046|87046 - CUL BACT STOOL AEROBIC ADDL PATHOGENS&ID EA||21.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87045|87045 - CUL BACT STOOL AEROBIC ISOL SALMONELLA&SHIGELL||21.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87040|87040 - CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES||23.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87015|87015 - CONCENTRATION INFECTIOUS AGENTS||15.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87003|87003 - ANIMAL INOCULATION SMALL ANIMAL W/OBS&DSJ||37.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|87001|87001 - SMALL ANIMAL INOCULATION||29.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86941|86941 - HEMOLYSINS&AGGLUTININS INCUBATED||27.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86940|86940 - HEMOLYSINS&AGGLUTININS AUTO SCREEN EACH||18.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86911|86911 - BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86910|86910 - BLOOD TYPING PATERNITY PR INDIV ABO RH&MN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86906|86906 - BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE||17.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86905|86905 - BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH||8.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86904|86904 - BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT||21.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86902|86902 - BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH||8.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86901|86901 - BLOOD TYPING SEROLOGIC RH (D)||6.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86900|86900 - BLOOD TYPING SEROLOGIC ABO||6.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86886|86886 - ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER||10.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86885|86885 - ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL||12.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86880|86880 - ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM||12.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86835|86835 - ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL||673.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86834|86834 - ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL||745.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86833|86833 - ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL||240.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86832|86832 - ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL||264.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86831|86831 - ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL||144.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86830|86830 - ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE||168.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86829|86829 - ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL||66.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86828|86828 - ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL||89.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86826|86826 - HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION||58.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86825|86825 - HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION||176.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86822|86822 - HLA TYPING LYMPHOCYTE CULTURE PRIMED||82.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86821|86821 - HLA TYPING LYMPHOCYTE CULTURE MIXED||127.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86817|86817 - HLA TYPING DR/DQ MULTIPLE ANTIGENS||144.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86816|86816 - HLA TYPING DR/DQ SINGLE ANTIGEN||62.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86813|86813 - HLA TYPING A/B/C MULTIPLE ANTIGENS||130.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86812|86812 - HLA TYPING A/B/C SINGLE ANTIGEN||58.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86808|86808 - SERUM SCREENING % REACTIVE ANTIBODY QUICK METH||66.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86807|86807 - SERUM SCREENING % REACTIVE ANTIBODY STANDRD METH||89.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86806|86806 - LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT||107.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86805|86805 - LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ||117.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86804|86804 - HEPATITIS C ANTIBODY CONFIRMATORY TEST||34.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86803|86803 - HEPATITIS C ANTIBODY||32.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86800|86800 - THYROGLOBULIN ANTIBODY||35.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86794|86794 - ZIKA VIRUS IGM ANTIBODY||34.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86793|86793 - ANTIBODY YERSINIA||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86790|86790 - ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED||29.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86789|86789 - ANTIBODY WEST NILE VIRUS||26.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86788|86788 - ANTIBODY WEST NILE VIRUS IGM||37.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86787|86787 - ANTIBODY VARICELLA-ZOSTER||29.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86784|86784 - ANTIBODY TRICHINELLA||28.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86780|86780 - ANTIBODY TREPONEMA PALLIDUM||29.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86778|86778 - ANTIBODY TOXOPLASMA IGM||32.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86777|86777 - ANTIBODY TOXOPLASMA||26.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86774|86774 - ANTIBODY TETANUS||33.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86771|86771 - ANTIBODY SHIGELLA||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86768|86768 - ANTIBODY SALMONELLA||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86765|86765 - ANTIBODY RUBEOLA||29.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86762|86762 - ANTIBODY RUBELLA||26.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86759|86759 - ANTIBODY ROTAVIRUS||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86757|86757 - ANTIBODY RICKETTSIA||43.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86756|86756 - ANTIBODY RESPIRATORY SYNCTIAL VIRUS||29.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86753|86753 - ANTIBODY PROTOZOA NES||27.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86750|86750 - ANTIBODY PLASMODIUM MALARIA||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86747|86747 - ANTIBODY PARVOVIRUS||33.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86744|86744 - ANTIBODY NOCARDIA||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86741|86741 - ANTIBODY NEISSERIA MENINGITIDIS||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86738|86738 - ANTIBODY MYCOPLSM||29.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86735|86735 - ANTIBODY MUMPS||29.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86732|86732 - ANTIBODY MUCORMYCOSIS||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86729|86729 - ANTIBODY LYMPHOGRANULOMA VENEREUM||26.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86727|86727 - ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS||28.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86723|86723 - ANTIBODY LISTERIA MONOCYTOGENES||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86720|86720 - ANTIBODY LEPTOSPIRA||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86717|86717 - ANTIBODY LEISHMANIA||27.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86713|86713 - ANTIBODY LEGIONELLA||34.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86711|86711 - ANTIBODY JOHN CUNNINGHAM VIRUS||26.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86710|86710 - ANTIBODY INFLUENZA VIRUS||30.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86709|86709 - HEPATITIS ANTIBODY HAAB IGM ANTIBODY||25.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86708|86708 - HEPATITIS A ANTIBODY HAAB||27.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86707|86707 - HEPATITIS BE ANTIBODY HBEAB||26.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86706|86706 - HEPATITIS B SURF ANTIBODY HBSAB||24.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86705|86705 - HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY||26.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86704|86704 - HEPATITIS B CORE ANTIBODY HBCAB TOTAL||27.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86703|86703 - ANTIBODY HIV-1&HIV-2 SINGLE RESULT||30.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86702|86702 - ANTIBODY HIV-2||30.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86701|86701 - ANTIBODY HIV-1||20|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86698|86698 - ANTIBODY HISTOPLASMA||28.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86696|86696 - ANTIBODY HERPES SMPLX TYPE 2||43.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86695|86695 - ANTIBODY HERPES SMPLX TYPE 1||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86694|86694 - ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST||26.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86692|86692 - ANTIBODY HEP DELTA AGENT||38.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86689|86689 - ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST||43.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86688|86688 - ANTIBODY HTLV-II||31.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86687|86687 - ANTIBODY HTLV-I||18.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86684|86684 - ANTIBODY HAEMOPHILUS INFLUENZA||35.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86682|86682 - ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED||29.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86677|86677 - ANTIBODY HELICOBACTER PYLORI||32.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86674|86674 - ANTIBODY GIARDIA LAMBLIA||33.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86671|86671 - ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED||27.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86668|86668 - ANTIBODY FRANCISELLA TULARENSIS||23.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86666|86666 - ANTIBODY EHRLICHIA||22.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86665|86665 - ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA||40.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86664|86664 - ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA||34.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86663|86663 - ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA||29.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86658|86658 - ANTIBODY ENTEROVIRUS||29.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86654|86654 - ANTIBODY ENCEPHALITIS WESTRN EQUINE||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86653|86653 - ANTIBODY ENCEPHALITIS ST. LOUIS||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86652|86652 - ANTIBODY ENCEPHALITIS EASTERN EQUINE||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86651|86651 - ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86648|86648 - ANTIBODY DIPHTHERIA||34.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86645|86645 - ANTIBODY CYTOMEGALOVIRUS CMV IGM||37.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86644|86644 - ANTIBODY CYTOMEGALOVIRUS CMV||26.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86641|86641 - ANTIBODY CRYPTOCOCCUS||32.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86638|86638 - ANTIBODY COXIELLA BURNETII Q FEVER||27.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86635|86635 - ANTIBODY COCCIDIOIDES||25.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86632|86632 - ANTIBODY CHLAMYDIA IGM||28.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86631|86631 - ANTIBODY CHLAMYDIA||26.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86628|86628 - ANTIBODY CANDIDA||27.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86625|86625 - ANTIBODY CAMPYLOBACTER||29.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86622|86622 - ANTIBODY BRUCELLA||20.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86619|86619 - ANTIBODY BORRELIA RELAPSING FEVER||30.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86618|86618 - ANTIBODY BORRELIA BURGDORFERI LYME DISEASE||38.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86617|86617 - ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST||34.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86615|86615 - ANTIBODY BORDETELLA||29.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86612|86612 - ANTIBODY BLASTOMYCES||29.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86611|86611 - ANTIBODY BARTONELLA||22.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86609|86609 - ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED||29.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86606|86606 - ANTIBODY ASPERGILLUS||33.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86603|86603 - ANTIBODY ADENOVIRUS||28.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86602|86602 - ANTIBODY ACTINOMYCES||22.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86593|86593 - SYPHILIS TEST QUANTITATIVE||9.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86592|86592 - SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL||9.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86590|86590 - STREPTOKINASE ANTIBODY||24.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86580|86580 - SKIN TEST TUBERCULOSIS INTRADERMAL||11.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86510|86510 - SKIN TEST HISTOPLASMOSIS||9.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86490|86490 - SKIN TEST COCCIDIOIDOMYCOSIS||7.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86486|86486 - SKIN TEST UNLISTED ANTIGEN EACH||7.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86481|86481 - TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP||168.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86480|86480 - TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON||139.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86431|86431 - RHEUMATOID FACTOR QUANTITATIVE||12.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86430|86430 - RHEUMATOID FACTOR QUALITATIVE||12.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86406|86406 - PARTICLE AGGLUTINATION TITER EACH ANTIBODY||23.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86403|86403 - PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY||22.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86386|86386 - NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE||35.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86384|86384 - NITROBLUE TETRAZOLIUM DYE TEST NTD||25.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86382|86382 - NEUTRALIZATION TEST VIRAL||38.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86378|86378 - MIGRATION INHIBITORY FACTOR TEST MIF||44.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86376|86376 - MICROSOMAL ANTIBODIES EACH||32.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86367|86367 - STEM CELLS TOTAL COUNT||53.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86361|86361 - T CELLS ABSOLUTE CD4 COUNT||58.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86360|86360 - T CELLS ABSOLUTE CD4&CD8 COUNT RATIO||105.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86359|86359 - T CELLS TOTAL COUNT||53.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86357|86357 - NATURAL KILLER CELLS TOTAL COUNT||53.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86356|86356 - MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA||58.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86355|86355 - B CELLS TOTAL COUNT||53.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86353|86353 - LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS||110.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86352|86352 - CELLULAR FUNCTION ASSAY STIMUL&DETECT BIOMARKE||305.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86344|86344 - LEUKOCYTE PHAGOCYTOSIS||17.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86343|86343 - LEUKOCYTE HISTAMINE RELEASE TEST LHR||28.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86341|86341 - ISLET CELL ANTIBODY||44.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86340|86340 - INTRINSIC FACTOR ANTIBODIES||33.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86337|86337 - INSULIN ANTIBODIES||48.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86336|86336 - INHIBIN A||29.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86335|86335 - IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS||66.07|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|86334|86334 - IMMUNOFIXJ ELECTROPHORESIS SERUM||50.29|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|86332|86332 - IMMUNE COMPLEX ASSAY||54.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86331|86331 - IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY||26.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86329|86329 - IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED||31.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86327|86327 - IMMUNOELECTROPHORESIS CROSSED||51.07|34.95||0|10/01/2018
20-4114498|1750446506|SH 70003|86325|86325 - IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION||50.34|29.85||0|10/01/2018
20-4114498|1750446506|SH 70003|86320|86320 - IMMUNOELECTROPHORESIS SERUM||50.46|29.85||0|10/01/2018
20-4114498|1750446506|SH 70003|86318|86318 - IMMUNOASSAY NFCT AGT ANTB QUAL/SEMIQUAN 1 STEP||29.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86317|86317 - IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS||27.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86316|86316 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE||46.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86310|86310 - HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION||16.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86309|86309 - HETEROPHILE ANTIBODIES TITER||14.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86308|86308 - HETEROPHILE ANTIBODIES SCREEN||11.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86305|86305 - HUMAN EPIDIDYMIS PROTEIN 4 (HE4)||46.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86304|86304 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125||46.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86301|86301 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9||46.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86300|86300 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3||46.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86294|86294 - IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE||26.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86280|86280 - HEMAGGLUTINATION INHIBITION TEST HAI||18.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86277|86277 - GROWTH HORMONE HUMAN ANTIBODY||35.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86256|86256 - FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY||27.13|29.85||0|10/01/2018
20-4114498|1750446506|SH 70003|86255|86255 - FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY||27.13|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|86243|86243 - FC RECEPTOR||46.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86235|86235 - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD||40.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86226|86226 - DNA ANTIBODY SINGLE STRANDED||27.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86225|86225 - DNA ANTIBODY NATIVE/DOUBLE STRANDED||30.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86215|86215 - DEOXYRIBONUCLEASE ANTIBODY||29.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86200|86200 - CYCLIC CITRULLINATED PEPTIDE ANTIBODY||29.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86185|86185 - CNTERIMMUNOELECTROPHORESIS EACH ANTIGEN||20.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86171|86171 - COMPLEMENT FIXATION TESTS EACH ANTIGEN||15.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86162|86162 - COMPLEMENT TOTAL HEMOLYTIC||45.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86161|86161 - COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT||27.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86160|86160 - COMPLEMENT ANTIGEN EACH COMPONENT||27.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86157|86157 - COLD AGGLUTININ TITER||18.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86156|86156 - COLD AGGLUTININ SCREEN||15.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86155|86155 - CHEMOTAXIS ASSAY SPECIFY METHOD||35.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86153|86153 - CELL ENUMERATION IMMUNE SELECTJ & ID PHYS INTERP||0|56.21||0|10/01/2018
20-4114498|1750446506|SH 70003|86152|86152 - CELL ENUMERATION IMMUNE SELECTJ & ID FLUID SPEC||551.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86148|86148 - ANTI-PHOSPHATIDYLSERINE ANTIBODY||36.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86147|86147 - CARDIOLIPIN ANTIBODY EACH IG CLASS||57.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86146|86146 - BETA 2 GLYCOPROTEIN I ANTIBODY EACH||57.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86141|86141 - C-REACTIVE PROTEIN HIGH SENSITIVITY||29.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86140|86140 - C-REACTIVE PROTEIN||11.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86079|86079 - BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT||86.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86078|86078 - BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT||86.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86077|86077 - BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REP||86.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86063|86063 - ANTISTREPTOLYSIN O SCREEN||12.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86060|86060 - ANTISTREPTOLYSIN O TITER||15.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86039|86039 - ANTINUCLEAR ANTIBODIES ANA TITER||25.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86038|86038 - ANTINUCLEAR ANTIBODIES ANA||27.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86023|86023 - ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY||28.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86022|86022 - ANTIBODY IDENTIFICATION PLATELET ANTIBODIES||41.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86021|86021 - ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES||33.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86008|86008 - ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA||36.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86005|86005 - ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN||12.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86003|86003 - ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH||11.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86001|86001 - ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN||11.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|86000|86000 - AGGLUTININS FEBRILE EACH ANTIGEN||15.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85810|85810 - VISCOSITY||26.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85732|85732 - THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA||14.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85730|85730 - THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85705|85705 - THROMBOPLASTIN INHIBITION TISSUE||21.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85675|85675 - THROMBIN TIME TITER||13.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85670|85670 - THROMBIN TIME PLASMA||12.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85660|85660 - SICKLING RBC REDUCTION||12.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85652|85652 - SEDIMENTATION RATE RBC AUTOMATED||6.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85651|85651 - SEDIMENTATION RATE RBC NON-AUTOMATED||7.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85635|85635 - REPTILASE TEST||22.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85613|85613 - RUSSELL VIPER VENOM TIME DILUTED||21.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85612|85612 - RUSSELL VIPER VENON TIME UNDILUTED||21.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85611|85611 - PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH||8.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85610|85610 - PROTHROMBIN TIME||8.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85598|85598 - PHOSPHOLIPID NEUTRALIZATION HEXAGONAL||40.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85597|85597 - PHOSPHOLIPID NEUTRALIZATION PLATELET||40.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85576|85576 - PLATELET AGGREGATION IN VITRO EACH AGENT||48.36|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|85557|85557 - OSMOTIC FRAGILITY RBC INCUBATED||30.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85555|85555 - OSMOTIC FRAGILITY RBC UNINCUBATED||15.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85549|85549 - MURAMIDASE||42.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85547|85547 - MECHANICAL FRAGILITY RBC||13.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85540|85540 - WBC ALKALINE PHOSPHATASE COUNT||13.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85536|85536 - IRON STAIN PERIPHERAL BLOOD||14.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85530|85530 - HEPARIN-PROTAMINE TOLERANCE TST||31.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85525|85525 - HEPARIN NEUTRALIZATION||26.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85520|85520 - HEPARIN ASSAY||29.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85475|85475 - HEMOLYSIN ACID||11.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85461|85461 - HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE||14.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85460|85460 - HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS||5.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85445|85445 - HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE||15.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85441|85441 - HEINZ BODIES DIRECT||9.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85421|85421 - FBRNLYC FACTORS&INHIBITORS PLSMNG AGIC ASSAY||22.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85420|85420 - FBRNLYC FACTORS&INHIBITRS PLSMNG XCPT AGIC ASS||14.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85415|85415 - FBRNLYC FACTORS&INHIBITORS PLSMNG ACTIVATOR||38.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85410|85410 - FBRNLYC FACTORS&INHIBITORS ALPHA-2 ANTIPLASMIN||17.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85400|85400 - FIBRINOLYTIC FACTORS & INHIBITORS PLASMIN||19.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85397|85397 - COAGJ&FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL||51.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85396|85396 - COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY||32.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85390|85390 - FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP&REPOR||11.63|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|85385|85385 - FIBRINOGEN ANTIGEN||19.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85384|85384 - FIBRINOGEN ACTIVITY||19.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85380|85380 - FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE||22.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85379|85379 - FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE||22.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85378|85378 - FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN||16.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85370|85370 - FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE||25.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85366|85366 - FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ||19.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85362|85362 - FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN||15.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85360|85360 - EUGLOBULIN LYSIS||18.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85348|85348 - COAGULATION TIME OTHER METHODS||7.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85347|85347 - COAGULATION TIME ACTIVATED||9.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85345|85345 - COAGULATION TIME LEE AND WHITE||7.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85337|85337 - THROMBOMODULIN||23.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85335|85335 - FACTOR INHIBITOR TEST||28.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85307|85307 - ACTIVATED PROTEIN C APC RESISTANCE ASSAY||34.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85306|85306 - CLOTTING INHIBITORS PROTEIN S FREE||34.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85305|85305 - CLOTTING INHIBITORS PROTEIN S TOTAL||26.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85303|85303 - CLOTTING INHIBITORS PROTEIN C ACTIVITY||31.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85302|85302 - CLOTTING INHIBITORS PROTEIN C ANTIGEN||27.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85301|85301 - CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY||24.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85300|85300 - CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY||26.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85293|85293 - CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY||42.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85292|85292 - CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY||42.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85291|85291 - CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB||20.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85290|85290 - CLOTTING FACTOR XIII FIBRIN STABILIZING||36.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85280|85280 - CLOTTING FACTOR XII HAGEMAN||43.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85270|85270 - CLOTTING FACTOR XI PTA||40.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85260|85260 - CLOTTING FACTOR X STUART-PROWER||40.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85250|85250 - CLOTTING FACTOR IX PTC/CHRISTMAS||42.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85247|85247 - CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS||51.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85246|85246 - CLOTTING FACTOR VIII VW FACTOR ANTIGEN||51.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85245|85245 - CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT||51.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85244|85244 - CLOTTING FACTOR VIII RELATED ANTIGEN||45.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85240|85240 - CLOTTING FACTOR VIII AHG 1 STAGE||40.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85230|85230 - CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR||40.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85220|85220 - CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR||39.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85210|85210 - CLOTTING FACTOR II PROTHROMBIN SPECIFIC||29.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85175|85175 - CLOT LYSIS TIME WHOLE BLOOD DILUTION||10.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85170|85170 - BLOOD CLOT RETRACTION||8.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85130|85130 - CHROMOGENIC SUBSTRATE ASSAY||26.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85097|85097 - BONE MARROW SMEAR INTERPRETATION||133.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85060|85060 - BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT||39.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85055|85055 - RETICULATED PLATELET ASSAY||58.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85049|85049 - BLOOD COUNT PLATELET AUTOMATED||10.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85048|85048 - BLOOD COUNT LEUKOCYTE WBC AUTOMATED||5.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85046|85046 - BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS||12.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85045|85045 - BLOOD COUNT RETICULOCYTE AUTOMATED||8.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85044|85044 - BLOOD COUNT RETICULOCYTE AUTOMATED||9.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85041|85041 - BLOOD COUNT RED BLOOD CELL AUTOMATED||6.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85032|85032 - BLOOD COUNT MANUAL CELL COUNT EACH||9.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85027|85027 - BLOOD COUNT COMPLETE AUTOMATED||14.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85025|85025 - BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC||17.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85018|85018 - BLOOD COUNT HEMOGLOBIN||5.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85014|85014 - BLOOD COUNT HEMATOCRIT||5.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85013|85013 - BLOOD COUNT SPUN MICROHEMATOCRIT||5.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85009|85009 - BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT||8.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85008|85008 - BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT||7.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85007|85007 - BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT||7.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85004|85004 - BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT||14.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|85002|85002 - BLEEDING TIME TEST||10.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84830|84830 - OVULATION TEST VISUAL COLOR COMPARISON HLH||22.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84704|84704 - GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN||14.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84703|84703 - GONADOTROPIN CHORIONIC QUALITATIVE||14.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84702|84702 - GONADOTROPIN CHORIONIC QUANTITATIVE||14.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84681|84681 - ASSAY OF C-PEPTIDE||35.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84630|84630 - ASSAY OF ZINC||25.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84620|84620 - XYLOSE ABSORPTION TEST BLOOD &/URINE||26.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84600|84600 - ASSAY OF VOLATILES||36.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84597|84597 - ASSAY OF VITAMIN K||30.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84591|84591 - ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED||26.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84590|84590 - ASSAY OF VITAMIN A||26.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84588|84588 - ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE||76.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84586|84586 - ASSAY OF VASOACTIVE INTESTINAL PEPTIDE||79.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84585|84585 - ASSAY OF VANILLYLMANDELIC ACID URINE||34.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84583|84583 - ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE||11.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84580|84580 - UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN||15.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84578|84578 - ASSAY OF UROBILINOGEN URINE QUALITATIVE||7.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84577|84577 - ASSAY OF UROBILINOGEN FECES QUANTITATIVE||15.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84560|84560 - ASSAY OF URIC ACID OTHER SOURCE||10.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84550|84550 - ASSAY OF BLOOD/URIC ACID||10.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84545|84545 - UREA NITROGEN CLEARANCE||14.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84540|84540 - ASSAY OF UREA NITROGEN URINE||10.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84525|84525 - ASSAY OF UREA NITROGEN SEMIQUANTITATIVE||5.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84520|84520 - ASSAY OF UREA NITROGEN QUANTITATIVE||8.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84512|84512 - ASSAY OF TROPONIN QUALITATIVE||16.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84510|84510 - ASSAY OF TYROSINE||23.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84490|84490 - TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION||17.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84488|84488 - ASSAY OF TRYPSIN FECES QUALITATIVE||16.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84485|84485 - ASSAY OF TRYPSIN DUODENAL FLUID||16.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84484|84484 - ASSAY OF TROPONIN QUANTITATIVE||22.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84482|84482 - TRIIODOTHYRONINE T3 REVERSE||35.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84481|84481 - ASSAY OF TRIIODOTHYRONINE T3 FREE||38.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84480|84480 - ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3||28.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84479|84479 - THYROID HORM UPTK/THYROID HORMONE BINDING RATIO||14.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84478|84478 - ASSAY OF TRIGLYCERIDES||12.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84466|84466 - ASSAY OF L7383TRANSFERRIN||28.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84460|84460 - TRANSFERASE ALANINE AMINO ALT SGPT||11.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84450|84450 - TRANSFERASE ASPARTATE AMINO AST SGOT||11.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84449|84449 - ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN||40.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84446|84446 - ASSAY OF TOCOPHEROL ALPHA VITAMIN E||31.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84445|84445 - THYROID STIMULATING IMMUNE GLOBULINS TSI||19.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84443|84443 - ASSAY OF THYROID STIMULATING HORMONE TSH||37.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84442|84442 - ASSAY OF THYROXINE BINDING GLOBULIN||26.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84439|84439 - ASSAY OF FREE THYROXINE||20.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84437|84437 - ASSAY OF THYROXINE REQUIRING ELUTION||14.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84436|84436 - ASSAY OF THYROXINE TOTAL||15.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84432|84432 - ASSAY OF THYROGLOBULIN||36.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84431|84431 - THROMBOXANE METABOLITE W/WO THROMBOXANE URINE||37.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84430|84430 - ASSAY OF THIOCYANATE||12.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84425|84425 - ASSAY OF THIAMINE-VITAMIN B-1||47.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84410|84410 - ASSAY BIOVLBL TESTOSTERONE DIRECT MEASUREMENT||94.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84403|84403 - ASSAY OF TESTOSTERONE TOTAL||58.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84402|84402 - ASSAY OF TESTOSTERONE FREE||57.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84392|84392 - ASSAY OF SULFATE URINE||10.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84379|84379 - SUGARS MONO DI&OLIGOS MLT QUANTITATIVE EA SPEC||25.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84378|84378 - SUGARS MONO DI&OLIGOS 1 QUANTITATIVE EACH SPEC||25.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84377|84377 - SUGARS MONO DI&OLIGOS MLT QUALITATIVE EACH SPE||12.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84376|84376 - SUGARS MONO DI&OLIGOS 1 QUALITATAIVE EACH SPEC||12.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84375|84375 - SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY||44.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84315|84315 - SPECIFIC GRAVITY EXCEPT URINE||5.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84311|84311 - SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED||15.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84307|84307 - ASSAY OF SOMATOSTATIN||41.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84305|84305 - ASSAY OF SOMATOMEDIN||47.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84302|84302 - ASSAY OF SODIUM OTHER SOURCE||7.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84300|84300 - ASSAY OF URINE SODIUM||7.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84295|84295 - SODIUM SERUM PLASMA OR WHOLE BLOOD||10.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84285|84285 - ASSAY OF SILICA||53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84275|84275 - ASSAY OF SIALIC ACID||30.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84270|84270 - ASSAY OF SEX HORMONE BINDING GLOBULIN||48.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84260|84260 - ASSAY OF SEROTONIN||69.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84255|84255 - ASSAY OF SELENIUM||57.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84252|84252 - ASSAY OF RIBOFLAVIN-VITAMIN B-2||45.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84244|84244 - ASSAY OF RENIN||49.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84238|84238 - RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR||82.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84235|84235 - RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST||117.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84234|84234 - ASSAY OF RECEPTOR ASSAY PROGESTERONE||146.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84233|84233 - ASSAY OF RECEPTOR ASSAY ESTROGEN||145|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84228|84228 - ASSAY OF QUININE||26.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84220|84220 - ASSAY OF PYRUVATE KINASE||21.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84210|84210 - ASSAY OF PYRUVATE||24.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84207|84207 - ASSAY OF PYRIDOXAL PHOSPHATE||63.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84206|84206 - ASSAY OF PROINSULIN||40.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84203|84203 - PROTOPORPHYRIN RBC SCREEN||19.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84202|84202 - PROTOPORPHYRIN RBC QUANTITATIVE||32.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84182|84182 - PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL||40.51|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|84181|84181 - PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID||38.35|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|84166|84166 - PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATI||40.14|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|84165|84165 - PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM||24.17|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|84163|84163 - PREGNANCY-ASSOCIATED PLASMA PROTEIN-A||14.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84160|84160 - PROTEIN TOTAL REFRACTOMETRY ANY SRC||11.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84157|84157 - PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC||8.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84156|84156 - PROTEIN TOTAL XCPT REFRACTOMETRY URINE||8.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84155|84155 - PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD||8.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84154|84154 - ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE||41.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84153|84153 - ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL||41.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84152|84152 - ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED||41.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84150|84150 - ASSAY OF PROSTAGLNDIN EACH||56.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84146|84146 - ASSAY OF PROLACTIN||43.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84145|84145 - PROCALCITONIN (PCT)||60.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84144|84144 - ASSAY OF PROGESTERONE||45.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84143|84143 - 17-HYDROXYPREGNENOLONE||51.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84140|84140 - PREGNENOLONE||46.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84138|84138 - PREGNANETRIOL||42.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84135|84135 - PREGNANEDIOL||43.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84134|84134 - PREALBUMIN||32.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84133|84133 - POTASSIUM URINE||9.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84132|84132 - POTASSIUM SERUM PLASMA/WHOLE BLOOD||10.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84127|84127 - ASSAY OF FECES PORPHYRINS||26.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84126|84126 - PORPHYRINS FECES QUANTITATIVE||57.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84120|84120 - PORPHYRINS URINE QUANTITATION & FRACTIONATION||33.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84119|84119 - PORPHYRINS URINE QUALITATAIVE||19.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84112|84112 - EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN||145|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84110|84110 - ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE||18.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84106|84106 - PORPHOBILINOGEN URINE QUALITATIVE||9.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84105|84105 - ASSAY OF PHOSPHORUS INORGANIC URINE||11.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84100|84100 - ASSAY OF PHOSPHORUS INORGANIC||10.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84087|84087 - ASSAY OF PHOSPHOHEXOSE ISOMERASE||23.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84085|84085 - PHOSPHOGLUCONATE 6-DEHYD RBC||15.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84081|84081 - PHOSPHATIDYLGLYCEROL||37.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84080|84080 - ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES||33.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84078|84078 - ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE||16.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84075|84075 - ASSAY OF PHOSPHATASE ALKALINE||11.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84066|84066 - ASSAY OF PHOSPHATASE ACID PROSTATIC||21.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84061|84061 - PHOSPHATASE ACID FORENSIC EXAMINATION||17.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84060|84060 - ASSAY OF PHOSPHATASE ACID TOTAL||16.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84035|84035 - ASSAY OF PHENYLKETONES QUALITATIVE||8.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84030|84030 - ASSAY OF PHENYLALANINE BLOOD||12.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|84022|84022 - ASSAY OF PHENOTHIAZINE||35.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83993|83993 - ASSAY OF CALPROTECTIN FECAL||44.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83992|83992 - ASSAY OF PHENCYCLIDINE||33.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83987|83987 - PH EXHALED BREATH CONDENSATE||35.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83986|83986 - PH BODY FLUID NOT ELSEWHERE SPECIFIED||8.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83970|83970 - ASSAY OF PARATHORMONE||92.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83951|83951 - ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP||145|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83950|83950 - ONCOPROTEIN HER-2/NEU||145|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83945|83945 - ASSAY OF OXALATE||28.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83937|83937 - ASSAY OF OSTEOCALCIN||67.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83935|83935 - ASSAY OF OSMOLALITY URINE||15.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83930|83930 - ASSAY OF OSMOLALITY BLOOD||14.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83925|83925 - ASSAY OF OPIATES||43.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83921|83921 - ORGANIC ACID 1 QUANTITATIVE||37.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83919|83919 - ORGANIC ACIDS QUALITATIVE EACH SPECIMEN||37.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83918|83918 - ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN||37.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83916|83916 - OLIGOCLONAL IMMUNE||45.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83915|83915 - ASSAY OF NUCLEOTIDASE 5'-||25.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83887|83887 - ASSAY OF NICOTINE||53.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83885|83885 - ASSAY OF NICKEL||55.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83883|83883 - ASSAY OF NEPHELOMETRY EACH ANALYTE NES||30.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83880|83880 - NATRIURETIC PEPTIDE||76.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83876|83876 - MYELOPEROXIDASE MPO||76.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83874|83874 - MYOGLOBIN||29.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83873|83873 - MYELIN BASIC PROTEIN CEREBROSPINAL FLUID||38.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83872|83872 - MUCIN SYNOVIAL FLUID ROPES TEST||13.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83866|83866 - MUCOPOLYSACCHARIDES SCREEN||22.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83864|83864 - MUCOPOLYSACCHARIDES ACID QUANTITATIVE||44.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83861|83861 - MICROFLUIDIC ANALYSIS TEAR OSMOLARITY||37.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83858|83858 - ASSAY OF METHSUXIMIDE||33.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83857|83857 - METHEMALBUMIN||24.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83840|83840 - ASSAY OF METHADONE||36.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83835|83835 - METANEPHRINES||38.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83825|83825 - ASSAY OF MERCURY QUANTITATIVE||36.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83805|83805 - ASSAY OF MEPROBAMATE||39.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83789|83789 - MASS SPECT&TANDEM MASS SPECT NONDRG ANAL NES EA||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83788|83788 - MASS SPECTROMETRY QUAL||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83785|83785 - ASSAY OF MANGANESE||55.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83775|83775 - ASSAY OF MALATE DEHYDROGENASE||16.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83735|83735 - ASSAY OF MAGNESIUM||15.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83727|83727 - LUTEINIZING RELEASING FACTOR||38.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83721|83721 - LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL||21.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83719|83719 - LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL||26.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83718|83718 - LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL||18.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83704|83704 - LIPOPROTEIN BLOOD QUAN NUMBERS & SUBCLASSES||71.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83701|83701 - LIPOPROTEIN BLOOD HIGH RESOLTJ&QUANTJ SUBCLASS||55.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83700|83700 - LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP&QUAN||19.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83698|83698 - LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2||76.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83695|83695 - LIPOPROTEIN (A)||29.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83690|83690 - ASSAY OF LIPASE||15.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83670|83670 - LEUCINE AMINOPEPTIDASE LAP||20.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83664|83664 - FETAL LUNG MATURITY LAMELLAR BODY DENSITY||42.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83663|83663 - FETAL LUNG MATURITY FLUORESCENCE POLARIZATION||42.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83662|83662 - FETAL LUNG MATURITY FOAM STABILITY TEST||42.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83661|83661 - FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO||49.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83655|83655 - ASSAY OF LEAD||27.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83634|83634 - ASSAY OF URINE FOR LACTOSE||25.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83633|83633 - LACTOSE URINE QUALITATIVE||12.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83632|83632 - LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN||45.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83631|83631 - LACTOFERRIN FECAL QUANTITATIVE||44.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83630|83630 - LACTOFERRIN FECAL QUALITATIVE||44.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83625|83625 - LACTATE DEHYDROGENASE ISOENZYMES SEP&QUAN||26.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83615|83615 - LACTATE DEHYDROGENASE LDH||13.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83605|83605 - ASSAY OF LACTATE||24.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83593|83593 - KETOSTEROIDS 17- FRACTIONATION||59.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83586|83586 - ASSAY OF KETOSTEROIDS 17- TOTAL||28.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83582|83582 - ASSAY OF KETOGENIC STEROIDS FRACTIONATION||31.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83570|83570 - ISOCITRIC DEHYDROGENASE||19.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83550|83550 - IRON BINDING CAPACITY||19.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83540|83540 - ASSAY OF IRON||14.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83528|83528 - ASSAY OF INTRINSIC FACTOR||35.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83527|83527 - ASSAY OF INSULIN FREE||29.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83525|83525 - ASSAY OF INSULIN TOTAL||25.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83520|83520 - IMMUNOASSAY ANALYTE QUANTITATIVE NOS||29.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83519|83519 - IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY||30.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83518|83518 - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP||19.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83516|83516 - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP||24.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83505|83505 - ASSAY OF HYDROXYPROLINE TOTAL||54.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83500|83500 - ASSAY OF HYDROXYPROLINE FREE||50.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83499|83499 - ASSAY OF HYDROXYPROGESTERONE 20-||56.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83498|83498 - ASSAY OF HYDROXYPROGESTERONE 17-D||61.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83497|83497 - ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA||29.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83491|83491 - HYDROXYCORTICOSTEROIDS 17||39.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83150|83150 - ASSAY OF HOMOVANILLIC ACID||43.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83090|83090 - ASSAY OF HOMOCYSTEINE||37.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83088|83088 - ASSAY OF HISTAMINE||66.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83080|83080 - ASSAY OF B-HEXOSAMINIDASE EACH ASSAY||37.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83071|83071 - ASSAY OF HEMOSIDERIN QUANT||15.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83070|83070 - ASSAY OF HEMOSIDERIN QUALITATIVE||10.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83069|83069 - ASSAY OF HEMOGLOBIN URINE||8.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83068|83068 - HEMOGLOBIN UNSTABLE SCREEN||19.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83065|83065 - HEMOGLOBIN THERMOLABILE||15.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83060|83060 - HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE||18.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83055|83055 - BLOOD SULFHEMOGLOBIN TEST||5.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83051|83051 - ASSAY OF HEMOGLOBIN PLASMA||16.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83050|83050 - HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE||16.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83045|83045 - HEMOGLOBIN METHEMOGLOBIN QUALITATIVE||9.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83037|83037 - HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE||21.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83036|83036 - HEMOGLOBIN GLYCOSYLATED A1C||21.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83033|83033 - HEMOGLOBIN F FETAL QUALITATIVE||13.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83030|83030 - HEMOGLOBIN F FETAL CHEMICAL||18.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83026|83026 - HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED||5.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83021|83021 - HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83020|83020 - HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS||22.01|30.93||0|10/01/2018
20-4114498|1750446506|SH 70003|83018|83018 - HEAVY METAL QUANTIATIVE EACH NES||49.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83015|83015 - HEAVY METAL QUALITATIVE ANY ANALYTES||42.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83014|83014 - HPYLORI DRUG ADMINISTRATION||17.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83013|83013 - HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE||30.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83012|83012 - ASSAY OF HAPTOGLOBIN PHENOTYPES||38.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83010|83010 - ASSAY OF HAPTOGLOBIN QUANTITATIVE||8.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83009|83009 - HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE||30.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83008|83008 - ASSAY OF GUANOSINE||37.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83006|83006 - GROWTH STIMULATION EXPRESSED GENE 2||49.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83003|83003 - ASSAY OF GROWTH HORMONE HUMAN||32.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83002|83002 - GONADOTROPIN LUTEINIZING HORMONE||41.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|83001|83001 - GONADOTROPIN FOLLICLE STIMULATING HORMONE||41.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82985|82985 - ASSAY OF GLYCATED PROTEIN||33.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82980|82980 - ASSAY OF GLUTETHIMIDE||41.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82979|82979 - ASSAY OF GLUTATHIONE REDUCTASE RBC||15.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82978|82978 - ASSAY OF GLUTATHIONE||32.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82977|82977 - ASSAY OF GLUTAMYLTRASE GAMMA||16.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82975|82975 - ASSAY OF GLUTAMINE||35.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82965|82965 - ASSAY OF GLUTAMATE DEHYDROGENASE||17.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82963|82963 - ASSAY OF GLUCOSIDASE BETA||48.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82962|82962 - GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE||5.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82960|82960 - GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN||13.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82955|82955 - GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE||17.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82953|82953 - GLUCOSE-TOLBUTAMIDE TEST||34.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82952|82952 - GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS||8.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82951|82951 - GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS||28.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82950|82950 - GLUCOSE POST GLUCOSE DOSE||10.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82948|82948 - GLUCOSE BLOOD REAGENT STRIP||7.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82947|82947 - GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP||8.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82946|82946 - GLUCOSE TOLERANCE TEST||33.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82945|82945 - GLUCOSE BODY FLUID OTHER THAN BLOOD||8.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82943|82943 - ASSAY OF GLUCAGON||32.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82941|82941 - ASSAY OF GASTRIN||39.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82938|82938 - GASTRIN AFTER SECRETIN STIMULATION||39.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82930|82930 - GASTRIC ACID ANALYIS W/PH EACH SPECIMEN||12.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82820|82820 - HGB-O2 AFFINITY PO2 50% SATURATION OXYGEN||22.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82810|82810 - GASES BLOOD O2 SATURATION ONLY DIRECT MEAS||19.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82805|82805 - GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY||63.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82803|82803 - BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3||43.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82800|82800 - GASES BLOOD PH ONLY||19.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82787|82787 - GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES||18.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82785|82785 - ASSAY OF GAMMAGLOBULIN IGE||37.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82784|82784 - ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH||20.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82777|82777 - GALECTIN-3||49.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82776|82776 - GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN||18.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82775|82775 - GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN||47.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82760|82760 - ASSAY OF GALACTOSE||25.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82759|82759 - ASSAY OF GALACTOKINASE RBC||48.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82757|82757 - ASSAY OF FRUCTOSE SEMEN||39.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82747|82747 - ASSAY OF FOLIC ACID RBC||38.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82746|82746 - ASSAY OF FOLIC ACID SERUM||33.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82742|82742 - ASSAY OF FLURAZEPAM||44.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82735|82735 - ASSAY OF FLUORIDE||41.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82731|82731 - FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN||145|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82728|82728 - ASSAY OF FERRITIN||30.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82726|82726 - VERY LONG CHAIN FATTY ACIDS||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82725|82725 - FATTY ACIDS NONESTERIFIED||29.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82715|82715 - FAT DIFFIAL FECES QUANTITATIVE||38.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82710|82710 - FAT/LIPIDS FECES QUANTITATIVE||37.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82705|82705 - FAT/LIPIDS FECES QUALITATIVE||11.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82696|82696 - ASSAY OF ETIOCHOLANOLONE||53.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82693|82693 - ASSAY OF ETHYLENE GLYCOL||33.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82690|82690 - ASSAY OF ETHCHLORVYNOL||38.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82679|82679 - ASSAY OF ESTRONE||56.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82677|82677 - ASSAY OF ESTRIOL||54.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82672|82672 - ASSAY OF ESTROGENS TOTAL||37.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82671|82671 - ASSAY OF ESTROGENS FRACTIONATED||72.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82670|82670 - ASSAY OF ESTRADIOL||62.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82668|82668 - ASSAY OF ERYTHROPOIETIN||42.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82666|82666 - ASSAY OF EPIANDROSTERONE||48.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82664|82664 - ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED||77.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82658|82658 - NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82657|82657 - NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82656|82656 - ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN||24.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82654|82654 - ASSAY OF DIMETHADIONE||31.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82652|82652 - 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED||86.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82651|82651 - ASSAY OF DIHYDROTESTOSTERONE||58.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82649|82649 - ASSAY OF DIHYDROMORPHINONE||57.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82646|82646 - ASSAY OF DIHYDROCODEINONE||46.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82638|82638 - ASSAY OF DIBUCAINE NUMBER||27.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82634|82634 - DEOXYCORTISOL 11-||65.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82633|82633 - DESOXYCORTICOSTERONE 11-||69.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82627|82627 - DEHYDROEPIANDROSTERONE-SULFATE||50.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82626|82626 - DEHYDROEPIANDROSTERONE||56.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82615|82615 - CSTINE&HOMOCSTINE URINE QUALITATIVE||18.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82610|82610 - CYSTATIN C||30.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82608|82608 - CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY||32.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82607|82607 - CYANOCOBALAMIN VITAMIN B-12||33.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82600|82600 - ASSAY OF CYANIDE||43.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82595|82595 - CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE||14.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82585|82585 - ASSAY OF CRYOFIBRN||19.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82575|82575 - CREATININE CLEARANCE||21.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82570|82570 - CREATININE OTHER SOURCE||11.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82565|82565 - CREATININE BLOOD||11.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82554|82554 - CREATINE KINASE ISOFORMS||26.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82553|82553 - CREATINE KINASE MB FRACTION ONLY||25.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82552|82552 - CREATINE KINASE ISOENZYMES||30.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82550|82550 - CREATINE KINASE TOTAL||14.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82544|82544 - COLUMN CHROMOTOGRAPH/ISOTOPE||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82543|82543 - COLUMN CHROMOTOGRAPH/ISOTOPE||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82542|82542 - COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82541|82541 - COLUMN CHROMOTOGRAPHY QUAL||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82540|82540 - ASSAY OF CREATINE||10.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82533|82533 - CORTISOL TOTAL||36.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82530|82530 - CORTISOL FREE||37.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82528|82528 - CORTICOSTERONE||50.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82525|82525 - ASSAY OF COPPER||27.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82523|82523 - COLLAGEN CROSS LINKS ANY METHOD||42.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82520|82520 - ASSAY OF COCAINE||21.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82507|82507 - ASSAY OF CITRATE||62.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82495|82495 - ASSAY OF CHROMIUM||45.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82492|82492 - CHROMOTOGRAPHY QUANT MULT||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82491|82491 - CHROMOTOGRAPHY QUANT SING||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82489|82489 - THIN LAYER CHROMATOGRAPHY||41.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82488|82488 - PAPER CHROMATOGRAPHY||48.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82487|82487 - PAPER CHROMATOGRAPHY||35.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82486|82486 - GAS/LIQUID CHROMATOGRAPHY||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82485|82485 - CHONDROITIN B SULFATE QUANTITATIVE||46.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82482|82482 - CHOLINESTERASE RBC||17.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82480|82480 - CHOLINESTERASE SERUM||17.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82465|82465 - CHOLESTEROL SERUM/WHOLE BLOOD TOTAL||9.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82441|82441 - CHLORINATED HYDROCARBONS SCREEN||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82438|82438 - CHLORIDE OTHER SOURCE||11.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82436|82436 - CHLORIDE URINE||11.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82435|82435 - CHLORIDE BLD||10.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82415|82415 - CHLORAMPHENICOL||28.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82397|82397 - CHEMILUMINESCENT ASSAY||31.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82390|82390 - CERULOPLASMIN||24.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82387|82387 - CATHEPSIN-D||46.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82384|82384 - CATECHOLAMINES FRACTIONATED||56.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82383|82383 - CATECHOLAMINES BLOOD||56.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82382|82382 - CATECHOLAMINES TOTAL URINE||38.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82380|82380 - CAROTENE||20.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82379|82379 - CARNITINE QUANTITATIVE EACH SPECIMEN||37.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82378|82378 - CARCINOEMBRYONIC ANTIGEN CEA||42.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82376|82376 - CARBOXYHEMOGLOBIN QUALITATIVE||13.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82375|82375 - CARBOXYHEMOGLOBIN QUANTITATIVE||6.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82374|82374 - CARBON DIOXIDE BICARBONATE||11.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82373|82373 - CARBOHYDRATE DEFICIENT TRANSFERRIN||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82370|82370 - CALCULUS XRAY DIFFRACTION||28.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82365|82365 - CALCULUS INFRARED SPECTROSCOPY||29.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82360|82360 - CALCULUS QUANTITATIVE CHEMICAL||28.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82355|82355 - CALCULUS QUALITATIVE ANALYSIS||26.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82340|82340 - CALCIUM URINE QUANTITATIVE TIMED SPECIMEN||13.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82331|82331 - CALCIUM AFTER CALCIUM INFUSION TEST||11.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82330|82330 - CALCIUM IONIZED||30.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82310|82310 - CALCIUM TOTAL||11.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82308|82308 - CALCITONIN||60.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82306|82306 - 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED||66.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82300|82300 - CADMIUM||52.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82286|82286 - BRADYKININ||15.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82274|82274 - BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3||35.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82272|82272 - BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC||7.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82271|82271 - BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES||7.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82270|82270 - BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER||7.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82261|82261 - BIOTINIDASE EACH SPECIMEN||37.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82252|82252 - BILIRUBIN FECES QUALITATIVE||10.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82248|82248 - BILIRUBIN DIRECT||11.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82247|82247 - BILIRUBIN TOTAL||11.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82240|82240 - BILE ACIDS CHOLYLGLYCINE||59.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82239|82239 - BILE ACIDS TOTAL||38.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82232|82232 - BETA-2 MICROGLOBULIN||36.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82205|82205 - ASSAY OF BARBITURATES||25.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82190|82190 - ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE||33.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82180|82180 - ASSAY OF ASCORBIC ACID BLOOD||19.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82175|82175 - ASSAY OF ARSENIC||42.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82172|82172 - APOLIPOPROTEIN EACH||34.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82164|82164 - ANGIOTENSIN I-CONVERTING ENZYME||32.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82163|82163 - ANGIOTENSIN II||46.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82160|82160 - ANDROSTERONE||56.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82157|82157 - ANDROSTENEDIONE||65.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82154|82154 - ANDROSTANEDIOL GLUCURONIDE||64.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82150|82150 - ASSAY OF AMYLASE||14.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82145|82145 - ASSAY OF AMPHETAMINES||34.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82143|82143 - AMNIOTIC FLU SCAN||15.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82140|82140 - ASSAY OF AMMONIA||22.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82139|82139 - AMINO ACIDS 6/> AMINO ACIDS QUANTITATIVE EA SPE||37.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82136|82136 - AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC||37.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82135|82135 - AMINOLEVULINIC ACID DELTA||37.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82131|82131 - AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN||37.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82128|82128 - AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN||31.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82127|82127 - AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN||31.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82120|82120 - AMINES VAGINAL FLUID QUALITATIVE||5.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82108|82108 - ASSAY OF ALUMINUM||37.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82107|82107 - AFP-L3 FRACTION ISOFORM & TOTAL AFP W/RATIO||145|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82106|82106 - ALPHA-FETOPROTEIN AMNIOTIC FLUID||37.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82105|82105 - ALPHA-FETOPROTEIN SERUM||37.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82104|82104 - ALPHA-1-ANTITRYPSIN PHENOTYPE||32.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82103|82103 - ALPHA-1-ANTITRYPSIN TOTAL||30.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82101|82101 - ASSAY OF URINE ALKALOIDS||67.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82088|82088 - ASSAY OF ALDOSTERONE||91.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82085|82085 - ASSAY OF ALDOLASE||21.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82075|82075 - ASSAY OF ALCOHOL BREATH||27.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82055|82055 - ASSAY OF ETHANOL||24.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82045|82045 - ALBUMIN ISCHEMIA MODIFIED||76.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82044|82044 - URINE ALBUMIN SEMIQUANTITATIVE||10.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82043|82043 - URINE ALBUMIN QUANTITATIVE||13.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82042|82042 - OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN||11.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82040|82040 - ALBUMIN SERUM PLASMA/WHOLE BLOOD||6.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82030|82030 - ADENOSINE 5-MONOPHOSPHATE CYCLIC||58.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82024|82024 - ADRENOCORTICOTROPIC HORMONE ACTH||86.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82017|82017 - ACYLCARNITINES QUANTIATIVE EACH SPECIMEN||37.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82016|82016 - ACYLCARNITINES QUALITATIVE EACH SPECIMEN||31.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82013|82013 - ASSAY OF ACETYLCHOLINESTERASE||25.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82010|82010 - KETONE BODIES SERUM QUANTITATIVE||18.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82009|82009 - KETONE BODIES SERUM QUALITATIVE||7.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82003|82003 - ASSAY OF ACETAMINOPHEN||45.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|82000|82000 - ASSAY OF BLOOD ACETALDEHYDE||27.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81599|81599 - UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81541|81541 - ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES||6390.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81539|81539 - ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS||782.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81521|81521 - ONC BREAST MRNA MICRORA GENE XPRSN PRFL 70 GENES||6390.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81520|81520 - ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES||5113.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81512|81512 - FETAL CONGENITAL ABNOR ASSAY FIVE ANAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81511|81511 - FETAL CONGENITAL ABNOR ASSAY FOUR ANAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81510|81510 - FETAL CONGENITAL ABNOR ASSAY THREE ANAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81509|81509 - FETAL CONGENITAL ABNOR ASSAY 3 PROTEINS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81508|81508 - FETAL CONGENITAL ABNOR ASSAY TWO PROTEINS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81506|81506 - ENDOCRINOLOGY BIOCHEMICAL ASSAY SEVEN ANAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81503|81503 - ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81500|81500 - ONCO (OVARIAN) BIOCHEMICAL ASSAY TWO PROTEINS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81471|81471 - X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81470|81470 - X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81465|81465 - WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81460|81460 - WHOLE MITOCHONDRIAL GENOME||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81455|81455 - GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51/> GEN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81450|81450 - GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81448|81448 - HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL||1191.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81445|81445 - GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81440|81440 - NUCLEAR MITOCHONDRIAL 100 GENE GENOMIC SEQ||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81439|81439 - HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN||1043.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81436|81436 - HEREDITARY COLON CA DSRDRS DUP/DEL ANALYS 5 GEN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81435|81435 - HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81431|81431 - HEARING LOSS DUP/DEL ANALYSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81430|81430 - HEARING LOSS GENOMIC SEQUENCE ANALYSIS 60 GENES||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81427|81427 - GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81426|81426 - GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81425|81425 - GENOME SEQUENCE ANALYSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81422|81422 - FETAL CHROMOSOMAL MICRODELTJ GENOMIC SEQ ANALYS||1043.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81420|81420 - FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81417|81417 - EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81416|81416 - EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81415|81415 - EXOME SEQUENCE ANALYSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81414|81414 - CAR ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GENES||1043.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81413|81413 - CAR ION CHNNLPATH GENOMIC SEQ ALYS INC 10 GNS||1043.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81411|81411 - AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81410|81410 - AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81383|81383 - HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP||245.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81382|81382 - HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA||278.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81381|81381 - HLA I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GRP||212.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81380|81380 - HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS EA||398.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81379|81379 - HLA CLASS I TYPING HIGH RESOLUTION COMPLETE||754.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81378|81378 - HLA I&II HIGH RESOLUTION HLA-A -B -C AND -DRB1||777.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81377|81377 - HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA||206.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81376|81376 - HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA||275.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81375|81375 - HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1||496.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81374|81374 - HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH||163.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81373|81373 - HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS EACH||250.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81372|81372 - HLA CLASS I TYPING LOW RESOLUTION COMPLETE||497.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81371|81371 - HLA I&LI LOW RESOLUTION HLA-A -B&-DRB1||541.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81370|81370 - HLA CLASS I&II LOW HLA-A -B -C -DRB1/3/4/5&DQB||905.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81364|81364 - HBB FULL GENE SEQUENCE||535.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81363|81363 - HBB DUPLICATION/DELETION VARIANTS||333.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81362|81362 - HBB KNOWN FAMILIAL VARIANTS||619.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81361|81361 - HBB COMMON VARIANTS||288.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81346|81346 - TYMS GENE ANALYSIS COMMON VARIANTS||288.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81342|81342 - TRG@ GENE REARRANGEMENT ANALYSIS||453.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81341|81341 - TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY||111.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81340|81340 - TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD||470.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81335|81335 - TPMT GENE ANALAYSIS COMMON VARIANTS||288.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81334|81334 - RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS||543.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81332|81332 - SERPINA1 GENE ANALYSIS COMMON VARIANTS||98.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81328|81328 - SLCO1B1 GENE ANALYSIS COMMON VARIANTS||288.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81327|81327 - SEPT9 GENE PROMOTER METHYLATION ANALYSIS||108.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81323|81323 - PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT||144.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81322|81322 - PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT||96.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81321|81321 - PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS||991.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81319|81319 - PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS||365.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81318|81318 - PMS2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS||304.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81317|81317 - PMS2 GENE ANALYSIS FULL SEQUENCE||1289.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81316|81316 - PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN||711.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81315|81315 - PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT||466.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81313|81313 - PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81310|81310 - NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS||407.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81301|81301 - MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF||651.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81300|81300 - MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA||266.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81299|81299 - MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS||266.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81298|81298 - MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS||474.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81297|81297 - MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS||250.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81296|81296 - MSH2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS||213.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81295|81295 - MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS||250.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81294|81294 - MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS||314.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81293|81293 - MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS||427.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81292|81292 - MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS||1066.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81291|81291 - MTHFR GENE ANALYSIS COMMON VARIANTS||98.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81288|81288 - MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81287|81287 - MGMT GENE PROMOTER METHYLATION ANALYSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81283|81283 - IFNL3 GENE ANALYSIS RS12979860 VARIANT||124.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81275|81275 - KRAS GENE ANALYSIS VARIANTS IN EXON 2||325.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81270|81270 - JAK2 GENE ANALYSIS P.VAL617PHE VARIANT||206.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81269|81269 - HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS||333.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81268|81268 - CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA||587.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81267|81267 - CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION||467|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81265|81265 - COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC||484.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81264|81264 - IGK@ GENE REARRANGE DETECT ABNORMAL CLONAL POP||336.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81263|81263 - IGH@ VARIABLE REGION SOMATIC MUTATION ANALYSIS||662.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81262|81262 - IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE||98.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81261|81261 - IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED||445.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81259|81259 - HBA1/HBA2 GENE ANALYSIS FULL GENE SEQUENCE||990|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81258|81258 - HBA1/HBA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT||619.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81256|81256 - HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS||147.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81249|81249 - G6PD GENE ANALYSIS FULL GENE SEQUENCE||990|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81248|81248 - G6PD GENE ANALYSIS KNOWN FAMILIAL VARIANTS||619.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81247|81247 - G6PD GENE ANALYSIS COMMON VARIANTS||288.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81246|81246 - FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81245|81245 - FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS||273.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81241|81241 - F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT||137.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81240|81240 - F2 GENE ANALYSIS 20210G >A VARIANT||110.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81238|81238 - F9 FULL GENE SEQUENCE||990|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81235|81235 - EGFR GENE ANALYSIS COMMON VARIANTS||544.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81232|81232 - DYPD GENE ANALYSIS COMMON VARIANTS||288.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81231|81231 - CYP3A5 GENE ANALYSIS COMMON VARIANTS||288.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81230|81230 - CYP3A4 GENE ANALYSIS COMMON VARIANTS||288.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81227|81227 - CYP2C9 GENE ANALYSIS COMMON VARIANTS||288.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81226|81226 - CYP2D6 GENE ANALYSIS COMMON VARIANTS||745.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81225|81225 - CYP2C19 GENE ANALYSIS COMMON VARIANTS||481.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81217|81217 - BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT||153.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81215|81215 - BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT||153.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81214|81214 - BRCA1 FULL SEQ ANAL&COMMON DUP/DEL VARIANTS||2372.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81213|81213 - BRCA1&BRCA2 ANAL UNCOMMON DUP/DEL VARIANTS||961.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81212|81212 - BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT||291.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81211|81211 - BRCA1&BRCA2 FULL SEQ ANALYS/COMM DUP/DEL BRCA||2372.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81210|81210 - BRAF GENE ANALYSIS V600 VARIANT(S)||295.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81208|81208 - BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE||362.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81207|81207 - BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE||326.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81206|81206 - BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE||369.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81176|81176 - ASXL1 GENE ANALYSIS TARGETED SEQ ANALYSIS||492.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81175|81175 - ASXL1 GENE ANALYSIS FULL GENE SEQUENCE||1166.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81161|81161 - DMD DUPLICATION/DELETION ANALYSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81121|81121 - IDH2 COMMON VARIANTS||488.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81120|81120 - IDH1 COMMON VARIANTS||318.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81112|81112 - HPA-15 GENOTYPING GENE ANALYSIS COMMON VARIANT||248.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81111|81111 - HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT||248.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81110|81110 - HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT||248.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81109|81109 - HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT||248.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81108|81108 - HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT||248.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81107|81107 - HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT||248.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81106|81106 - HPA-2 GENOTYPING GENE ANALYSIS COMMON VARIANT||248.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81105|81105 - HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT||248.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81050|81050 - VOLUME MEASUREMENT TIMED COLLECTION EACH||6.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81025|81025 - URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS||14.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81020|81020 - URINALYSIS 2/3 GLASS TEST||8.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81015|81015 - URINALYSIS MICROSCOPIC ONLY||6.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81007|81007 - URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK||5.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81005|81005 - URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS||4.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81003|81003 - URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY||5.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81002|81002 - URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP||5.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81001|81001 - URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY||7.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|81000|81000 - URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY||7.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80502|80502 - CLINICAL PATHOLOGY CONSULTATION COMPREHENSIVE||109.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80500|80500 - CLINICAL PATHOLOGY CONSULTATION LIMITED||33.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80440|80440 - TRH STIMULATION PANEL||130.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80439|80439 - THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR||151.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80438|80438 - THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR||113.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80436|80436 - METYRAPONE PANEL||205.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80435|80435 - INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY||204.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80434|80434 - INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY||227.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80432|80432 - INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL||248.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80430|80430 - GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN||154.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80428|80428 - GROWTH HORMONE STIMULATION PANEL||128.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80426|80426 - GONADOTROPIN RELEASING HORMONE STIMJ PANEL||334.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80424|80424 - GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA||113.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80422|80422 - GLUCOSE TOLERANCE PANEL INSULINOMA||103.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80420|80420 - DEXMETHASONE SUPPRESSION PANEL 48 HR||162.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80418|80418 - COMBINED RAPID ANT PITUITARY EVALUATION PANEL||1282.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80417|80417 - PERIPHERAL VEIN RENIN STIMULATION PANEL||99.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80416|80416 - RENAL VEIN RENIN STIMULATION PANEL||297.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80415|80415 - CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE||125.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80414|80414 - CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE||116.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80412|80412 - CORTICOTROPIC RELEASING HORM STIMJ PANEL||741.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80410|80410 - CALCITONIN STIMULATION PANEL||180.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80408|80408 - ALDOSTERONE SUPPRESSION EVALUATION PANEL||282.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80406|80406 - ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY||176.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80402|80402 - ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY||195.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80400|80400 - ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY||73.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80377|80377 - DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80376|80376 - DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80375|80375 - DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80374|80374 - DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80373|80373 - DRUG SCREENING TRAMADOL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80372|80372 - DRUG SCREENING TAPENTADOL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80371|80371 - DRUG SCREENING STIMULANTS SYNTHETIC||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80370|80370 - DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80369|80369 - DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80368|80368 - DRUG SCREENING SEDATIVE HYPNOTICS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80367|80367 - DRUG SCREENING PROPOXYPHENE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80366|80366 - DRUG SCREENING PREGABALIN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80365|80365 - DRUG SCREENING OXYCODONE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80364|80364 - DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80363|80363 - DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80362|80362 - DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80361|80361 - DRUG SCREENING OPIATES 1 OR MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80360|80360 - DRUG SCREENING METHYLPHENIDATE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80359|80359 - DRUG SCREENING METHYLENEDIOXYAMPHETAMINES||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80358|80358 - DRUG SCREENING METHADONE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80357|80357 - DRUG SCREENING KETAMINE AND NORKETAMINE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80356|80356 - DRUG SCREENING HEROIN METABOLITE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80355|80355 - DRUG SCREENING GABAPENTIN NON-BLOOD||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80354|80354 - DRUG SCREENING FENTANYL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80353|80353 - DRUG SCREENING COCAINE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80352|80352 - DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80351|80351 - DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80350|80350 - DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80349|80349 - DRUG SCREENING CANNABINOIDS NATURAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80348|80348 - DRUG SCREENING BUPRENORPHINE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80347|80347 - DRUG SCREENING BENZODIAZEPINES 13 OR MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80346|80346 - DRUG SCREENING BENZODIAZEPINES 1-12||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80345|80345 - DRUG SCREENING BARBITURATES||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80344|80344 - ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80343|80343 - ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80342|80342 - ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80341|80341 - ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80340|80340 - ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80339|80339 - ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80338|80338 - ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80337|80337 - ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80336|80336 - ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80335|80335 - ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80334|80334 - ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80333|80333 - ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80332|80332 - ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80331|80331 - DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80330|80330 - DRUG SCREEN ANALGESICS NON-OPIOID 3-5||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80329|80329 - DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80328|80328 - DRUG SCREEN QUANT ANABOLIC STEROID 3 OR MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80327|80327 - DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80326|80326 - DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80325|80325 - DRUG SCREEN QUANT AMPHETAMINES 3 OR 4||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80324|80324 - DRUG SCREEN QUANT AMPHETAMINES 1 OR 2||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80323|80323 - ALKALOIDS NOT OTHERWISE SPECIFIED||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80322|80322 - DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80321|80321 - DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80320|80320 - DRUG SCREEN QUANTITATIVE ALCOHOLS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80307|80307 - DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE||99.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80306|80306 - DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS||24.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80305|80305 - DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE||18.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80303|80303 - DRUG SCREEN ONE/MULT CLASS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80299|80299 - QUANTITATION DRUG NOT ELSEWHERE SPECIFIED||27.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80203|80203 - DRUG SCREEN QUANTITATIVE ZONISAMIDE||29.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80202|80202 - DRUG SCREEN QUANTITATIVE VANCOMYCIN||25.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80201|80201 - DRUG SCREEN QUANTITATIVE TOPIRAMATE||26.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80200|80200 - DRUG SCREEN QUANTITATIVE TOBRAMYCIN||33.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80199|80199 - DRUG SCREEN QUANTITATIVE TIAGABINE||13.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80198|80198 - DRUG SCREEN QUANTITATIVE THEOPHYLLINE||31.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80197|80197 - DRUG SCREEN QUANTITATIVE TACROLIMUS||30.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80196|80196 - ASSAY OF SALICYLATE||15.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80195|80195 - DRUG SCREEN QUANTITATIVE SIROLIMUS||30.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80194|80194 - DRUG SCREEN QUANTITATIVE QUINIDINE||32.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80192|80192 - DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE||37.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80190|80190 - DRUG SCREEN QUANTITATIVE PROCAINAMIDE||37.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80188|80188 - DRUG SCREEN QUANTITATIVE PRIMIDONE||37.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80186|80186 - DRUG SCREEN QUANTITATIVE PHENYTOIN FREE||30.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80185|80185 - DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL||29.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80184|80184 - DRUG SCREEN QUANTITATIVE PHENOBARBITAL||25.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80183|80183 - DRUG SCREEN QUANTITATIVE OXCARBAZEPINE||29.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80182|80182 - ASSAY OF NORTRIPTYLINE||25.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80180|80180 - DRUG SCREEN QUANTITATIVE MYCOPHENOLATE||13.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80178|80178 - DRUG SCREEN QUANTITATIVE LITHIUM||14.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80177|80177 - DRUG SCREEN QUANTITATIVE LEVETIRACETAM||29.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80176|80176 - DRUG SCREEN QUANTITATIVE LIDOCAINE||33.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80175|80175 - DRUG SCREEN QUANTITATIVE LAMOTRIGINE||29.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80174|80174 - ASSAY OF IMIPRAMINE||38.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80173|80173 - DRUG SCREEN QUANTITATIVE HALOPRIDOL||32.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80172|80172 - ASSAY OF GOLD||32.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80171|80171 - DRUG SCREEN QUANTITATIVE GABAPENTIN||29.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80170|80170 - DRUG SCREEN QUANTITATIVE GENTAMICIN||36.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80169|80169 - DRUG ASSAY EVEROLIMUS||30.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80168|80168 - DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE||36.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80166|80166 - ASSAY OF DOXEPIN||34.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80165|80165 - DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE||25.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80164|80164 - DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL||25.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80163|80163 - DRUG SCREEN QUANTITATIVE DIGOXIN FREE||29.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80162|80162 - DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL||29.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80160|80160 - ASSAY OF DESIPRAMINE||38.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80159|80159 - DRUG ASSAY CLOZAPINE||41.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80158|80158 - DRUG ASSAY CYCLOSPORINE||13.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80157|80157 - DRUG ASSAY CARBAMAZEPINE FREE||29.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80156|80156 - DRUG ASSAY CARBAMAZEPINE TOTAL||32.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80155|80155 - DRUG ASSAY CAFFEINE||31.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80154|80154 - ASSAY OF BENZODIAZEPINES||41.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80152|80152 - ASSAY OF AMITRIPTYLINE||40.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80150|80150 - DRUG SCREEN QUANTITATIVE AMIKACIN||33.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80104|80104 - DRUG SCRN 1+ CLASS NONCHROMO||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80102|80102 - DRUG CONFIRMATION||29.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80101|80101 - DRUG SCREEN SINGLE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80100|80100 - DRUG SCREEN QUALITATE/MULTI||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80076|80076 - HEPATIC FUNCTION PANEL||18.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80074|80074 - ACUTE HEPATITIS PANEL||107.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80069|80069 - RENAL FUNCTION PANEL||19.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80061|80061 - LIPID PANEL||30.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80055|80055 - OBSTETRIC PANEL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80053|80053 - COMPREHENSIVE METABOLIC PANEL||23.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80051|80051 - ELECTROLYTE PANEL||15.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80050|80050 - GENERAL HEALTH PANEL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80048|80048 - BASIC METABOLIC PANEL CALCIUM TOTAL||19.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|80047|80047 - BASIC METABOLIC PANEL CALCIUM IONIZED||19.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|79445|79445 - RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN||0|190.94||0|10/01/2018
20-4114498|1750446506|SH 70003|79440|79440 - RP THERAPY INTRA-ARTICULAR ADMINISTRATION||230.34|159.65||0|10/01/2018
20-4114498|1750446506|SH 70003|79403|79403 - RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS||303.7|183.05||0|10/01/2018
20-4114498|1750446506|SH 70003|79300|79300 - RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN||0|132.96||0|10/01/2018
20-4114498|1750446506|SH 70003|79200|79200 - RP THERAPY INRACAVITARY ADMINISTRATION||248.99|166.09||0|10/01/2018
20-4114498|1750446506|SH 70003|79101|79101 - RP THERAPY INTRAVENOUS ADMINISTRATION||227.52|154.18||0|10/01/2018
20-4114498|1750446506|SH 70003|79005|79005 - RP THERAPY ORAL ADMINISTRATION||214.88|142.6||0|10/01/2018
20-4114498|1750446506|SH 70003|78816|78816 - PET IMAGING FOR CT ATTENUATION WHOLE BODY||0|201.12||0|10/01/2018
20-4114498|1750446506|SH 70003|78815|78815 - PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH||0|199.17||0|10/01/2018
20-4114498|1750446506|SH 70003|78814|78814 - PET IMAGING CT FOR ATTENUATION LIMITED AREA||0|180.71||0|10/01/2018
20-4114498|1750446506|SH 70003|78813|78813 - PET IMAGING WHOLE BODY||0|164.08||0|10/01/2018
20-4114498|1750446506|SH 70003|78812|78812 - PET IMAGING SKULL BASE TO MID-THIGH||0|156.21||0|10/01/2018
20-4114498|1750446506|SH 70003|78811|78811 - PET IMAGING LIMITED AREA CHEST HEAD/NECK||0|129.46||0|10/01/2018
20-4114498|1750446506|SH 70003|78808|78808 - NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS||71.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|78807|78807 - RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT||518.83|84.13||0|10/01/2018
20-4114498|1750446506|SH 70003|78806|78806 - RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY||505.76|67.88||0|10/01/2018
20-4114498|1750446506|SH 70003|78805|78805 - RP LOCLZJ INFLAMMATORY PROCESS LIMITED AREA||281.28|58.6||0|10/01/2018
20-4114498|1750446506|SH 70003|78804|78804 - RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING||865.73|84.55||0|10/01/2018
20-4114498|1750446506|SH 70003|78803|78803 - RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING||520.96|84.67||0|10/01/2018
20-4114498|1750446506|SH 70003|78802|78802 - RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING||493.01|67.88||0|10/01/2018
20-4114498|1750446506|SH 70003|78801|78801 - RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D||384.19|63.74||0|10/01/2018
20-4114498|1750446506|SH 70003|78800|78800 - RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING||292.55|53.93||0|10/01/2018
20-4114498|1750446506|SH 70003|78761|78761 - TESTICULAR IMAGING WITH VASCULAR FLOW||323.14|57.95||0|10/01/2018
20-4114498|1750446506|SH 70003|78740|78740 - URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM||336.64|45.41||0|10/01/2018
20-4114498|1750446506|SH 70003|78730|78730 - URINARY BLADDER RESIDUAL STUDY||115.69|12.6||0|10/01/2018
20-4114498|1750446506|SH 70003|78725|78725 - KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY||167.04|29.38||0|10/01/2018
20-4114498|1750446506|SH 70003|78710|78710 - KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC||305.27|48.59||0|10/01/2018
20-4114498|1750446506|SH 70003|78709|78709 - KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE||562.74|111.58||0|10/01/2018
20-4114498|1750446506|SH 70003|78708|78708 - KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX||269.27|96.01||0|10/01/2018
20-4114498|1750446506|SH 70003|78707|78707 - KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX||356.51|75.91||0|10/01/2018
20-4114498|1750446506|SH 70003|78701|78701 - KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW||327.13|39.62||0|10/01/2018
20-4114498|1750446506|SH 70003|78700|78700 - KIDNEY IMAGING MORPHOLOGY||266.31|36.19||0|10/01/2018
20-4114498|1750446506|SH 70003|78660|78660 - RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY||285.38|44.11||0|10/01/2018
20-4114498|1750446506|SH 70003|78650|78650 - CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATIO||512.77|49.38||0|10/01/2018
20-4114498|1750446506|SH 70003|78647|78647 - CEREBROSPINAL FLUID FLOW W/O MATL TOMOG SPECT||536.3|73.44||0|10/01/2018
20-4114498|1750446506|SH 70003|78645|78645 - CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ||492.86|44.88||0|10/01/2018
20-4114498|1750446506|SH 70003|78635|78635 - CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY||516.99|48.82||0|10/01/2018
20-4114498|1750446506|SH 70003|78630|78630 - CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY||515.84|54.57||0|10/01/2018
20-4114498|1750446506|SH 70003|78610|78610 - BRAIN IMAGING VASCULAR FLOW ONLY||265.93|24.12||0|10/01/2018
20-4114498|1750446506|SH 70003|78609|78609 - BRAIN IMAGING PET PERFUSION EVALUATION||124.9|124.9||0|10/01/2018
20-4114498|1750446506|SH 70003|78608|78608 - BRAIN IMAGING PET METABOLIC EVALUATION||0|119.59||0|10/01/2018
20-4114498|1750446506|SH 70003|78607|78607 - BRAIN IMAGING TOMOGRAPHIC SPECT||535.61|95.6||0|10/01/2018
20-4114498|1750446506|SH 70003|78606|78606 - BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW||502.82|50.06||0|10/01/2018
20-4114498|1750446506|SH 70003|78605|78605 - BRAIN IMAGING MINIMUM 4 STATIC VIEWS||303.45|43.58||0|10/01/2018
20-4114498|1750446506|SH 70003|78601|78601 - BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW||330.96|41.33||0|10/01/2018
20-4114498|1750446506|SH 70003|78600|78600 - BRAIN IMAGING <4 STATIC VIEWS||276.33|35.05||0|10/01/2018
20-4114498|1750446506|SH 70003|78598|78598 - QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGIN||470.62|66.74||0|10/01/2018
20-4114498|1750446506|SH 70003|78597|78597 - QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING||310.59|57.64||0|10/01/2018
20-4114498|1750446506|SH 70003|78582|78582 - PULMONARY VENTILATION & PERFUSION IMAGING||515|85.61||0|10/01/2018
20-4114498|1750446506|SH 70003|78580|78580 - PULMONARY PERFUSION IMAGING PARTICULATE||366.88|59.18||0|10/01/2018
20-4114498|1750446506|SH 70003|78579|78579 - PULMONARY VENTILATION IMAGING||285.67|39.09||0|10/01/2018
20-4114498|1750446506|SH 70003|78496|78496 - CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT||70.49|39.66||0|10/01/2018
20-4114498|1750446506|SH 70003|78494|78494 - CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT||350.98|94.29||0|10/01/2018
20-4114498|1750446506|SH 70003|78492|78492 - MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST&STRESS||0|148.37||0|10/01/2018
20-4114498|1750446506|SH 70003|78491|78491 - MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS||0|119.58||0|10/01/2018
20-4114498|1750446506|SH 70003|78483|78483 - CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT||373.38|116.7||0|10/01/2018
20-4114498|1750446506|SH 70003|78481|78481 - CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT||273.17|77.09||0|10/01/2018
20-4114498|1750446506|SH 70003|78473|78473 - CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT||448.84|116.16||0|10/01/2018
20-4114498|1750446506|SH 70003|78472|78472 - CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS||353.97|77.63||0|10/01/2018
20-4114498|1750446506|SH 70003|78469|78469 - MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ||347.23|74.07||0|10/01/2018
20-4114498|1750446506|SH 70003|78468|78468 - MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ||302.94|63.79||0|10/01/2018
20-4114498|1750446506|SH 70003|78466|78466 - MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN||281.03|56.22||0|10/01/2018
20-4114498|1750446506|SH 70003|78459|78459 - MYOCRD IMG PET METAB EVAL SINGLE STUDY||0|118.52||0|10/01/2018
20-4114498|1750446506|SH 70003|78458|78458 - VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL||251.48|63.34||0|10/01/2018
20-4114498|1750446506|SH 70003|78457|78457 - VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL||299.58|61.49||0|10/01/2018
20-4114498|1750446506|SH 70003|78456|78456 - ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE||491.18|79.33||0|10/01/2018
20-4114498|1750446506|SH 70003|78454|78454 - MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES||669.12|107.42||0|10/01/2018
20-4114498|1750446506|SH 70003|78453|78453 - MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS||470.47|80.94||0|10/01/2018
20-4114498|1750446506|SH 70003|78452|78452 - MYOCARDIAL SPECT MULTIPLE STUDIES||731.37|128.22||0|10/01/2018
20-4114498|1750446506|SH 70003|78451|78451 - MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS||528.54|109.25||0|10/01/2018
20-4114498|1750446506|SH 70003|78445|78445 - NONCARDIAC VASCULAR FLOW IMAGING||262.81|36.94||0|10/01/2018
20-4114498|1750446506|SH 70003|78428|78428 - CARDIAC SHUNT DETECTION||281.56|61.54||0|10/01/2018
20-4114498|1750446506|SH 70003|78414|78414 - CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM||0|36.72||0|10/01/2018
20-4114498|1750446506|SH 70003|78351|78351 - BONE DENSTY 1/> SITES DUAL PHOTON ABSORPTIOMETR||24.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|78350|78350 - BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY||50.22|17.8||0|10/01/2018
20-4114498|1750446506|SH 70003|78320|78320 - BONE &/JOINT IMAGING TOMOGRAPHIC SPECT||351.15|81.71||0|10/01/2018
20-4114498|1750446506|SH 70003|78315|78315 - BONE &/JOINT IMAGING 3 PHASE STUDY||533.83|81.6||0|10/01/2018
20-4114498|1750446506|SH 70003|78306|78306 - BONE &/JOINT IMAGING WHOLE BODY||385.67|68.94||0|10/01/2018
20-4114498|1750446506|SH 70003|78305|78305 - BONE &/JOINT IMAGING MULTIPLE AREAS||354.67|66.63||0|10/01/2018
20-4114498|1750446506|SH 70003|78300|78300 - BONE &/JOINT IMAGING LIMITED AREA||277.95|50.49||0|10/01/2018
20-4114498|1750446506|SH 70003|78291|78291 - PERITONEAL-VENOUS SHUNT PATENCY TEST||385.8|69.6||0|10/01/2018
20-4114498|1750446506|SH 70003|78290|78290 - INTESTINE IMAGING||510.53|55.11||0|10/01/2018
20-4114498|1750446506|SH 70003|78282|78282 - GASTROINTESTINAL PROTEIN LOSS||0|31.52||0|10/01/2018
20-4114498|1750446506|SH 70003|78278|78278 - ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING||534.71|79.29||0|10/01/2018
20-4114498|1750446506|SH 70003|78272|78272 - VITAMIN B-12 ABSRPJ STDY W/WO INTRINSIC FACT||156.28|22.35||0|10/01/2018
20-4114498|1750446506|SH 70003|78271|78271 - VITAMIN B-12 ABSRPJ STUDY W/INTRINSIC FACTOR||137.25|16.61||0|10/01/2018
20-4114498|1750446506|SH 70003|78270|78270 - VITAMIN B-12 ABSRPJ STUDY W/O INTRINSIC FACTOR||137.25|16.61||0|10/01/2018
20-4114498|1750446506|SH 70003|78268|78268 - UREA BREATH TEST C-14 ISOTOPIC ANALYSIS||30.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|78267|78267 - UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS||17.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|78264|78264 - GASTRIC EMPTYING IMAGING STUDY||441.11|64.33||0|10/01/2018
20-4114498|1750446506|SH 70003|78262|78262 - GASTROESOPHAGEAL REFLUX STUDY||373.41|52.96||0|10/01/2018
20-4114498|1750446506|SH 70003|78261|78261 - GASTRIC MUCOSA IMAGING||387.31|56.77||0|10/01/2018
20-4114498|1750446506|SH 70003|78258|78258 - ESOPHAGEAL MOTILITY||339.25|58.65||0|10/01/2018
20-4114498|1750446506|SH 70003|78232|78232 - SALIVARY GLAND FUNCTION STUDY||153.25|33.66||0|10/01/2018
20-4114498|1750446506|SH 70003|78231|78231 - SALIVARY GLAND IMAGING SERIAL IMAGES||198.69|41.37||0|10/01/2018
20-4114498|1750446506|SH 70003|78230|78230 - SALIVARY GLAND IMAGING||209.98|31.94||0|10/01/2018
20-4114498|1750446506|SH 70003|78227|78227 - HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ||625.04|72.37||0|10/01/2018
20-4114498|1750446506|SH 70003|78226|78226 - HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER||506.64|59.72||0|10/01/2018
20-4114498|1750446506|SH 70003|78216|78216 - LIVER & SPLEEN IMAGING W/VASCULAR FLOW||189.45|44.35||0|10/01/2018
20-4114498|1750446506|SH 70003|78215|78215 - LIVER & SPLEEN IMAGING STATIC ONLY||297.9|39.62||0|10/01/2018
20-4114498|1750446506|SH 70003|78206|78206 - LIVER IMAGING SPECT W/VASCULAR FLOW||519.64|75.38||0|10/01/2018
20-4114498|1750446506|SH 70003|78205|78205 - LIVER IMAGING SPECT||327.39|55.82||0|10/01/2018
20-4114498|1750446506|SH 70003|78202|78202 - LIVER IMAGING W/VASCULAR FLOW||310.22|38.66||0|10/01/2018
20-4114498|1750446506|SH 70003|78201|78201 - LIVER IMAGING STATIC ONLY||285.92|35.08||0|10/01/2018
20-4114498|1750446506|SH 70003|78195|78195 - LYMPHATICS & LYMPH NODES IMAGING||547.68|95.97||0|10/01/2018
20-4114498|1750446506|SH 70003|78191|78191 - PLATELET SURVIVAL STUDY||261.44|50.44||0|10/01/2018
20-4114498|1750446506|SH 70003|78190|78190 - KINETICS PLATELET W/WO DIFFRNTL ORGAN/TIS LOCLZJ||470.46|88.91||0|10/01/2018
20-4114498|1750446506|SH 70003|78185|78185 - SPLEEN IMAGING ONLY W/WO VASCULAR FLOW||321.25|32.16||0|10/01/2018
20-4114498|1750446506|SH 70003|78140|78140 - LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE||209.36|50.44||0|10/01/2018
20-4114498|1750446506|SH 70003|78135|78135 - RBC SURVIVAL STUDY DIFFERNTL ORGAN/TISS KINETICS||534.21|52.75||0|10/01/2018
20-4114498|1750446506|SH 70003|78130|78130 - RED CELL SURVIVAL STUDY||261.44|50.44||0|10/01/2018
20-4114498|1750446506|SH 70003|78122|78122 - WHOLE BLOOD VOLUME DETERM PLASMA&RED CELL VOLU||151.51|34.58||0|10/01/2018
20-4114498|1750446506|SH 70003|78121|78121 - RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS||153.92|25.83||0|10/01/2018
20-4114498|1750446506|SH 70003|78120|78120 - RED CELL VOLUME DETERMINATION SPX 1 SAMPLING||145.42|18.92||0|10/01/2018
20-4114498|1750446506|SH 70003|78111|78111 - PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES||150.67|17.8||0|10/01/2018
20-4114498|1750446506|SH 70003|78110|78110 - PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE||143.58|15.49||0|10/01/2018
20-4114498|1750446506|SH 70003|78104|78104 - BONE MARROW IMAGING WHOLE BODY||372.56|62.2||0|10/01/2018
20-4114498|1750446506|SH 70003|78103|78103 - BONE MARROW IMAGING MULTIPLE AREAS||344.63|59.78||0|10/01/2018
20-4114498|1750446506|SH 70003|78102|78102 - BONE MARROW IMAGING LIMITED AREA||259.47|43.17||0|10/01/2018
20-4114498|1750446506|SH 70003|78075|78075 - ADRENAL IMAGING CORTEX &/MEDULLA||648.53|57.6||0|10/01/2018
20-4114498|1750446506|SH 70003|78072|78072 - PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT||671.72|128.62||0|10/01/2018
20-4114498|1750446506|SH 70003|78071|78071 - PARATHYROID PLANAR IMAGING W/WO SUBTRACTION||537.04|95.43||0|10/01/2018
20-4114498|1750446506|SH 70003|78070|78070 - PARATHYROID PLANAR IMAGING||455.99|63.8||0|10/01/2018
20-4114498|1750446506|SH 70003|78020|78020 - THYROID CARCINOMA METASTASES UPTAKE||129.03|45.59||0|10/01/2018
20-4114498|1750446506|SH 70003|78018|78018 - THYROID CARCINOMA METASTASES IMG WHOLE BODY||479.19|67.35||0|10/01/2018
20-4114498|1750446506|SH 70003|78016|78016 - THYROID CARCINOMA METASTASES IMG ADDL STUDY||430.06|57.53||0|10/01/2018
20-4114498|1750446506|SH 70003|78015|78015 - THYROID CARCINOMA METASTASES IMG LMTD AREA||334.06|53.99||0|10/01/2018
20-4114498|1750446506|SH 70003|78014|78014 - THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS||358.54|40.21||0|10/01/2018
20-4114498|1750446506|SH 70003|78013|78013 - THYROID IMAGING WITH VASCULAR FLOW||295.57|29.32||0|10/01/2018
20-4114498|1750446506|SH 70003|78012|78012 - THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT||117.53|14.96||0|10/01/2018
20-4114498|1750446506|SH 70003|77790|77790 - SUPERVISION HANDLING LOADING RADIATION SOURCE||148.73|86.02||0|10/01/2018
20-4114498|1750446506|SH 70003|77789|77789 - SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE||182.22|94.53||0|10/01/2018
20-4114498|1750446506|SH 70003|77787|77787 - HDR BRACHYTX OVER 12 CHAN||1174.64|406.72||0|10/01/2018
20-4114498|1750446506|SH 70003|77786|77786 - HDR BRACHYTX 2-12 CHANNEL||738.56|269.83||0|10/01/2018
20-4114498|1750446506|SH 70003|77785|77785 - HDR BRACHYTX 1 CHANNEL||360.88|118.01||0|10/01/2018
20-4114498|1750446506|SH 70003|77778|77778 - INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX||1361.07|938.55||0|10/01/2018
20-4114498|1750446506|SH 70003|77777|77777 - APPLY INTERSTIT RADIAT INTER||915.81|629.88||0|10/01/2018
20-4114498|1750446506|SH 70003|77776|77776 - APPLY INTERSTIT RADIAT SIMPL||673.5|393.95||0|10/01/2018
20-4114498|1750446506|SH 70003|77763|77763 - INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX||1130.89|719||0|10/01/2018
20-4114498|1750446506|SH 70003|77762|77762 - INTRACAVITARY RADIATION SOURCE APPLIC INTERMED||795.13|476.78||0|10/01/2018
20-4114498|1750446506|SH 70003|77761|77761 - INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE||597.63|317.03||0|10/01/2018
20-4114498|1750446506|SH 70003|77750|77750 - NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE||577.45|414.82||0|10/01/2018
20-4114498|1750446506|SH 70003|77620|77620 - HYPERTHERMIA INTRACAVITARY PROBES||551.4|127.85||0|10/01/2018
20-4114498|1750446506|SH 70003|77615|77615 - HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS||1493.07|173.58||0|10/01/2018
20-4114498|1750446506|SH 70003|77610|77610 - HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS||1489.3|126.29||0|10/01/2018
20-4114498|1750446506|SH 70003|77605|77605 - HYPERTHERMIA EXTERNAL GENERATED DEEP||1084.66|186.6||0|10/01/2018
20-4114498|1750446506|SH 70003|77600|77600 - HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL||599.77|129.47||0|10/01/2018
20-4114498|1750446506|SH 70003|77470|77470 - SPECIAL TREATMENT PROCEDURE||242.67|173.58||0|10/01/2018
20-4114498|1750446506|SH 70003|77469|77469 - INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT||499.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77435|77435 - STEREOTACTIC BODY RADIATION MANAGEMENT||1011.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77432|77432 - STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION||670.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77431|77431 - RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY||162.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77427|77427 - RADIATION TREATMENT MANAGEMENT 5 TREATMENTS||296.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77423|77423 - HIGH ENERGY NEUTRON RADJ TX DLVR 1/> ISOCENTER||73.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77422|77422 - HIGH ENERGY NEUTRON RADJ TX DLVR 1 TX AREA||62.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77421|77421 - STEREOSCOPIC X-RAY GUIDANCE||112.34|32.1||0|10/01/2018
20-4114498|1750446506|SH 70003|77418|77418 - RADIATION TX DELIVERY IMRT||586.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77417|77417 - THERAPEUTIC RADIOLOGY PORT IMAGES(S)||20.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77416|77416 - RADIATION TREATMENT DELIVERY||374.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77414|77414 - RADIATION TREATMENT DELIVERY||374.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77413|77413 - RADIATION TREATMENT DELIVERY||332.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77412|77412 - RADIATION TREATMENT DELIVERY 1 MEV >= COMPLEX||358.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77411|77411 - RADIATION TREATMENT DELIVERY||279.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77409|77409 - RADIATION TREATMENT DELIVERY||281.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77408|77408 - RADIATION TREATMENT DELIVERY||252.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77407|77407 - RADIATION TX DELIVERY 1 MEV >= INTERMEDIATE||377.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77406|77406 - RADIATION TREATMENT DELIVERY||204.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77404|77404 - RADIATION TREATMENT DELIVERY||205.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77403|77403 - RADIATION TREATMENT DELIVERY||183.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77402|77402 - RADIATION TREATMENT DELIVERY 1 MEV >= SIMPLE||207.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77401|77401 - RADIATION TX DELIVERY SUPERFICIAL&/ORTHO VOLTA||29.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77387|77387 - GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77386|77386 - INTENSITY MODULATED RADIATION TX DLVR COMPLEX||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77385|77385 - INTENSITY MODULATED RADIATION TX DLVR SIMPLE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77373|77373 - STEREOTACTIC BODY RADIATION DELIVERY||1856.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77372|77372 - RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR||1550.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77370|77370 - SPEC MEDICAL RADJ PHYSICS CONSLTJ||170.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77338|77338 - MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN||770.33|356.88||0|10/01/2018
20-4114498|1750446506|SH 70003|77336|77336 - CONTINUING MEDICAL PHYSICS CONSLTJ PR WK||111.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77334|77334 - TX DEVICES DESIGN & CONSTRUCTION COMPLEX||230.64|102.57||0|10/01/2018
20-4114498|1750446506|SH 70003|77333|77333 - TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE||83.71|69.88||0|10/01/2018
20-4114498|1750446506|SH 70003|77332|77332 - TX DEVICES DESIGN & CONSTRUCTION SIMPLE||122.82|45.23||0|10/01/2018
20-4114498|1750446506|SH 70003|77331|77331 - SPEC DOSIM ONLY PRESCRIBED TREATING PHYS||99.83|72.19||0|10/01/2018
20-4114498|1750446506|SH 70003|77328|77328 - BRACHYTX ISODOSE PLAN COMPL||417|173.58||0|10/01/2018
20-4114498|1750446506|SH 70003|77327|77327 - BRACHYTX ISODOSE CALC INTERM||310.75|115.71||0|10/01/2018
20-4114498|1750446506|SH 70003|77326|77326 - BRACHYTX ISODOSE CALC SIMP||220.83|76.8||0|10/01/2018
20-4114498|1750446506|SH 70003|77321|77321 - SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY||141.75|78.51||0|10/01/2018
20-4114498|1750446506|SH 70003|77318|77318 - BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL||541.56|240.94||0|10/01/2018
20-4114498|1750446506|SH 70003|77317|77317 - BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL||373.7|152.22||0|10/01/2018
20-4114498|1750446506|SH 70003|77316|77316 - BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL||285.62|115.65||0|10/01/2018
20-4114498|1750446506|SH 70003|77315|77315 - TELETX ISODOSE PLAN COMPLEX||211.32|129.47||0|10/01/2018
20-4114498|1750446506|SH 70003|77310|77310 - TELETX ISODOSE PLAN INTERMED||134.39|87.09||0|10/01/2018
20-4114498|1750446506|SH 70003|77307|77307 - TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY||440.64|240.94||0|10/01/2018
20-4114498|1750446506|SH 70003|77306|77306 - TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION||224.53|115.65||0|10/01/2018
20-4114498|1750446506|SH 70003|77305|77305 - TELETX ISODOSE PLAN SIMPLE||92.96|57.88||0|10/01/2018
20-4114498|1750446506|SH 70003|77301|77301 - NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS||2955.47|663.43||0|10/01/2018
20-4114498|1750446506|SH 70003|77300|77300 - BASIC RADIATION DOSIMETRY CALCULATION||103.64|51.56||0|10/01/2018
20-4114498|1750446506|SH 70003|77295|77295 - 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS||745.35|356.34||0|10/01/2018
20-4114498|1750446506|SH 70003|77293|77293 - RESPIRATORY MOTION MANAGEMENT SIMULATION||693.81|166.14||0|10/01/2018
20-4114498|1750446506|SH 70003|77290|77290 - THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX||761.82|129.47||0|10/01/2018
20-4114498|1750446506|SH 70003|77285|77285 - THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED||633.89|87.09||0|10/01/2018
20-4114498|1750446506|SH 70003|77280|77280 - THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE||407|57.88||0|10/01/2018
20-4114498|1750446506|SH 70003|77263|77263 - THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX||266.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77262|77262 - THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE||180.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77261|77261 - THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE||119.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77086|77086 - VERTEBRAL FRACTURE ASSESSMENT VIA DXA||54.13|14.29||0|10/01/2018
20-4114498|1750446506|SH 70003|77085|77085 - DXA BONE DENSITY STUDY AXIAL SKELETON||85.71|24.63||0|10/01/2018
20-4114498|1750446506|SH 70003|77084|77084 - BONE MARROW BLOOD SUPPLY||568.67|131.34||0|10/01/2018
20-4114498|1750446506|SH 70003|77082|77082 - DXA BONE DENSITY VERT FX||42.48|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|77081|77081 - DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL||42.78|17.8||0|10/01/2018
20-4114498|1750446506|SH 70003|77080|77080 - DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL||74.54|16.61||0|10/01/2018
20-4114498|1750446506|SH 70003|77078|77078 - CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE||154.01|20.1||0|10/01/2018
20-4114498|1750446506|SH 70003|77077|77077 - JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS||62.48|27.4||0|10/01/2018
20-4114498|1750446506|SH 70003|77076|77076 - RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT||165.77|57.36||0|10/01/2018
20-4114498|1750446506|SH 70003|77075|77075 - RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL||163.74|44.17||0|10/01/2018
20-4114498|1750446506|SH 70003|77074|77074 - RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED||110.06|37.26||0|10/01/2018
20-4114498|1750446506|SH 70003|77073|77073 - BONE LENGTH STUDIES||59.05|24.5||0|10/01/2018
20-4114498|1750446506|SH 70003|77072|77072 - BONE AGE STUDIES||36.76|15.49||0|10/01/2018
20-4114498|1750446506|SH 70003|77071|77071 - MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS||79.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77067|77067 - SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD||227.98|62.17||0|10/01/2018
20-4114498|1750446506|SH 70003|77066|77066 - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI||282.46|81.72||0|10/01/2018
20-4114498|1750446506|SH 70003|77065|77065 - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI||222.67|65.74||0|10/01/2018
20-4114498|1750446506|SH 70003|77063|77063 - SCREENING DIGITAL BREAST TOMOSYNTHESIS BI||86.98|48.73||0|10/01/2018
20-4114498|1750446506|SH 70003|77062|77062 - DIGITAL BREAST TOMOSYNTHESIS BILATERAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77061|77061 - DIGITAL BREAST TOMOSYNTHESIS UNILATERAL||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|77059|77059 - MRI BREAST BILATERAL||828.16|133.11||0|10/01/2018
20-4114498|1750446506|SH 70003|77058|77058 - MRI BREAST UNILATERAL||831.35|133.11||0|10/01/2018
20-4114498|1750446506|SH 70003|77054|77054 - MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE||123.35|37.26||0|10/01/2018
20-4114498|1750446506|SH 70003|77053|77053 - MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE||91.44|28.73||0|10/01/2018
20-4114498|1750446506|SH 70003|77022|77022 - MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION||0|347.69||0|10/01/2018
20-4114498|1750446506|SH 70003|77021|77021 - MRI GUIDANCE NEEDLE PLACEMENT RS&I||601.56|123.84||0|10/01/2018
20-4114498|1750446506|SH 70003|77014|77014 - CT GUIDANCE RADIATION THERAPY FLDS PLACEMENT||188.98|70.47||0|10/01/2018
20-4114498|1750446506|SH 70003|77013|77013 - CT GUIDANCE &MONITORING VISC TISS ABLATION||0|327.06||0|10/01/2018
20-4114498|1750446506|SH 70003|77012|77012 - CT GUIDANCE NEEDLE PLACEMENT||198.8|92.52||0|10/01/2018
20-4114498|1750446506|SH 70003|77011|77011 - CT GUIDANCE STEREOTACTIC LOCALIZATION||342.57|99.72||0|10/01/2018
20-4114498|1750446506|SH 70003|77003|77003 - FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON||138.59|49.31||0|10/01/2018
20-4114498|1750446506|SH 70003|77002|77002 - FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON||156.3|45.23||0|10/01/2018
20-4114498|1750446506|SH 70003|77001|77001 - FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT||120.81|30.99||0|10/01/2018
20-4114498|1750446506|SH 70003|76998|76998 - ULTRASONIC GUIDANCE INTRAOPERATIVE||0|105.19||0|10/01/2018
20-4114498|1750446506|SH 70003|76977|76977 - US BONE DENSITY MEAS & INTERP PERIPH ANY METHO||10.95|4.56||0|10/01/2018
20-4114498|1750446506|SH 70003|76975|76975 - GI ENDOSCOPIC US S&I||0|70.28||0|10/01/2018
20-4114498|1750446506|SH 70003|76970|76970 - US STUDY FOLLOW UP||144.32|33.25||0|10/01/2018
20-4114498|1750446506|SH 70003|76965|76965 - US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION||144.65|109.57||0|10/01/2018
20-4114498|1750446506|SH 70003|76950|76950 - ECHO GUIDANCE RADIOTHERAPY||80.02|48.13||0|10/01/2018
20-4114498|1750446506|SH 70003|76948|76948 - US GUIDANCE ASPIRATION OVA IMG S&I||51.73|32.06||0|10/01/2018
20-4114498|1750446506|SH 70003|76946|76946 - US GUIDANCE AMNIOCENTESIS IMG S&I||50.64|30.97||0|10/01/2018
20-4114498|1750446506|SH 70003|76945|76945 - US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I||0|56.12||0|10/01/2018
20-4114498|1750446506|SH 70003|76942|76942 - US GUIDANCE NEEDLE PLACEMENT IMG S&I||114.05|54.52||0|10/01/2018
20-4114498|1750446506|SH 70003|76941|76941 - US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I||0|113.32||0|10/01/2018
20-4114498|1750446506|SH 70003|76940|76940 - US &MNTR PARENCHYMAL TISSUE ABLATION||0|170.04||0|10/01/2018
20-4114498|1750446506|SH 70003|76937|76937 - US VASC ACCESS SITS VSL PATENCY NDL ENTRY||56.03|24.67||0|10/01/2018
20-4114498|1750446506|SH 70003|76936|76936 - US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL||353.25|158.76||0|10/01/2018
20-4114498|1750446506|SH 70003|76932|76932 - US ENDOMYOCARDIAL BIOPSY RS&I||0|53.99||0|10/01/2018
20-4114498|1750446506|SH 70003|76930|76930 - US GUIDANCE PERICARDIOCENTESIS RS&I||129.42|52.37||0|10/01/2018
20-4114498|1750446506|SH 70003|76886|76886 - US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ||164.2|49.41||0|10/01/2018
20-4114498|1750446506|SH 70003|76885|76885 - US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ||194.17|60.25||0|10/01/2018
20-4114498|1750446506|SH 70003|76882|76882 - US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG||56.64|40.16||0|10/01/2018
20-4114498|1750446506|SH 70003|76881|76881 - US COMPL JOINT R-T W/IMAGE DOCUMENTATION||181.82|51.63||0|10/01/2018
20-4114498|1750446506|SH 70003|76873|76873 - US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX||267.06|127.3||0|10/01/2018
20-4114498|1750446506|SH 70003|76872|76872 - US TRANSRECTAL||143.39|55.7||0|10/01/2018
20-4114498|1750446506|SH 70003|76870|76870 - US SCROTUM & CONTENTS||114.93|52.22||0|10/01/2018
20-4114498|1750446506|SH 70003|76857|76857 - US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U||83.08|30.99||0|10/01/2018
20-4114498|1750446506|SH 70003|76856|76856 - US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE||190.67|55.69||0|10/01/2018
20-4114498|1750446506|SH 70003|76831|76831 - SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER||190.32|59.06||0|10/01/2018
20-4114498|1750446506|SH 70003|76830|76830 - US TRANSVAGINAL||193.86|56.22||0|10/01/2018
20-4114498|1750446506|SH 70003|76828|76828 - DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT||82.54|45.33||0|10/01/2018
20-4114498|1750446506|SH 70003|76827|76827 - DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE||116.67|46.51||0|10/01/2018
20-4114498|1750446506|SH 70003|76826|76826 - ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD||251.02|67.16||0|10/01/2018
20-4114498|1750446506|SH 70003|76825|76825 - ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING||420.77|134.35||0|10/01/2018
20-4114498|1750446506|SH 70003|76821|76821 - DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART||145.57|57.88||0|10/01/2018
20-4114498|1750446506|SH 70003|76820|76820 - DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY||76.34|40.72||0|10/01/2018
20-4114498|1750446506|SH 70003|76819|76819 - FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING||139.08|63.08||0|10/01/2018
20-4114498|1750446506|SH 70003|76818|76818 - FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING||189.63|86.01||0|10/01/2018
20-4114498|1750446506|SH 70003|76817|76817 - US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG||157.02|61.36||0|10/01/2018
20-4114498|1750446506|SH 70003|76816|76816 - US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS||179.94|69.4||0|10/01/2018
20-4114498|1750446506|SH 70003|76815|76815 - US PREGNANT UTERUS LIMITED 1/> FETUSES||139.4|52.25||0|10/01/2018
20-4114498|1750446506|SH 70003|76814|76814 - US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION||125.51|80.86||0|10/01/2018
20-4114498|1750446506|SH 70003|76813|76813 - US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION||188.83|96.36||0|10/01/2018
20-4114498|1750446506|SH 70003|76812|76812 - US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT||325.79|145.65||0|10/01/2018
20-4114498|1750446506|SH 70003|76811|76811 - US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION||289.31|154.86||0|10/01/2018
20-4114498|1750446506|SH 70003|76810|76810 - US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO||151.49|79.74||0|10/01/2018
20-4114498|1750446506|SH 70003|76805|76805 - US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION||225.41|80.33||0|10/01/2018
20-4114498|1750446506|SH 70003|76802|76802 - US PREG UTERUS 14 WK TRANSABDL EACH GESTATION||105.96|67.69||0|10/01/2018
20-4114498|1750446506|SH 70003|76801|76801 - US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT||195.65|79.8||0|10/01/2018
20-4114498|1750446506|SH 70003|76800|76800 - ULTRASOUND SPINAL CANAL & CONTENTS||215.1|91.81||0|10/01/2018
20-4114498|1750446506|SH 70003|76776|76776 - US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN||236.8|61.97||0|10/01/2018
20-4114498|1750446506|SH 70003|76775|76775 - US RETROPERITONEAL REAL TIME W/IMAGE LIMITED||101.81|47.07||0|10/01/2018
20-4114498|1750446506|SH 70003|76770|76770 - US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE||204.27|60.25||0|10/01/2018
20-4114498|1750446506|SH 70003|76706|76706 - US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA||157.52|46.78||0|10/01/2018
20-4114498|1750446506|SH 70003|76705|76705 - US ABDOMINAL REAL TIME W/IMAGE LIMITED||166.7|47.66||0|10/01/2018
20-4114498|1750446506|SH 70003|76700|76700 - US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION||216.91|65.98||0|10/01/2018
20-4114498|1750446506|SH 70003|76645|76645 - US EXAM BREAST(S)||151.53|44.71||0|10/01/2018
20-4114498|1750446506|SH 70003|76642|76642 - US BREAST UNI REAL TIME WITH IMAGE LIMITED||137.91|56.12||0|10/01/2018
20-4114498|1750446506|SH 70003|76641|76641 - US BREAST UNI REAL TIME WITH IMAGE COMPLETE||166.89|60.14||0|10/01/2018
20-4114498|1750446506|SH 70003|76604|76604 - US CHEST REAL TIME W/IMAGE DOCUMENTATION||136.17|44.23||0|10/01/2018
20-4114498|1750446506|SH 70003|76536|76536 - US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM||186.71|45.88||0|10/01/2018
20-4114498|1750446506|SH 70003|76529|76529 - OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION||123.53|53.91||0|10/01/2018
20-4114498|1750446506|SH 70003|76519|76519 - OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL||130.26|51.61||0|10/01/2018
20-4114498|1750446506|SH 70003|76516|76516 - OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN||120.68|49.99||0|10/01/2018
20-4114498|1750446506|SH 70003|76514|76514 - OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI||23.88|15.9||0|10/01/2018
20-4114498|1750446506|SH 70003|76513|76513 - OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM||147.96|58.68||0|10/01/2018
20-4114498|1750446506|SH 70003|76512|76512 - OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN||146.48|87.48||0|10/01/2018
20-4114498|1750446506|SH 70003|76511|76511 - OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY||159.2|86.39||0|10/01/2018
20-4114498|1750446506|SH 70003|76510|76510 - OPH US DX B-SCAN&QUAN A-SCAN SM PT ENCTR||276.8|156.7||0|10/01/2018
20-4114498|1750446506|SH 70003|76506|76506 - ECHOENCEPHALOGRAPHY REAL TIME IMAGING||189.26|51.63||0|10/01/2018
20-4114498|1750446506|SH 70003|76390|76390 - MRI SPECTROSCOPY||672.64|114.15||0|10/01/2018
20-4114498|1750446506|SH 70003|76380|76380 - CT LIMITED/LOCALIZED FOLLOW UP STUDY||197.19|79.22||0|10/01/2018
20-4114498|1750446506|SH 70003|76377|76377 - 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION||129.64|64.27||0|10/01/2018
20-4114498|1750446506|SH 70003|76376|76376 - 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION||44.26|16.08||0|10/01/2018
20-4114498|1750446506|SH 70003|76140|76140 - CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|76125|76125 - CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION||0|23.43||0|10/01/2018
20-4114498|1750446506|SH 70003|76120|76120 - CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC||142.06|32.06||0|10/01/2018
20-4114498|1750446506|SH 70003|76102|76102 - RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI||305.93|58.83||0|10/01/2018
20-4114498|1750446506|SH 70003|76101|76101 - RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI||229.39|57.74||0|10/01/2018
20-4114498|1750446506|SH 70003|76100|76100 - RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY||155.5|51.34||0|10/01/2018
20-4114498|1750446506|SH 70003|76098|76098 - RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN||29.67|13.19||0|10/01/2018
20-4114498|1750446506|SH 70003|76080|76080 - RADEX ABSCESS/FISTULA/SINUS TRACT RS&I||94.66|43.11||0|10/01/2018
20-4114498|1750446506|SH 70003|76010|76010 - RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD||42.54|14.9||0|10/01/2018
20-4114498|1750446506|SH 70003|76001|76001 - FLUOROSCOPY SPX >1 HOUR PHYS/QHP TIME||0|58.28||0|10/01/2018
20-4114498|1750446506|SH 70003|76000|76000 - FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME||77.02|13.78||0|10/01/2018
20-4114498|1750446506|SH 70003|75989|75989 - RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I||195.27|94.83||0|10/01/2018
20-4114498|1750446506|SH 70003|75984|75984 - CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I||171.2|57.48||0|10/01/2018
20-4114498|1750446506|SH 70003|75982|75982 - CONTRAST XRAY EXAM BILE DUCT||0|116.58||0|10/01/2018
20-4114498|1750446506|SH 70003|75980|75980 - CONTRAST XRAY EXAM BILE DUCT||0|117.11||0|10/01/2018
20-4114498|1750446506|SH 70003|75970|75970 - TRANSCATHETER BIOPSY RS&I||0|67.2||0|10/01/2018
20-4114498|1750446506|SH 70003|75959|75959 - PLMT DSTL XTN PRSTH EVASC DESC THORAC AORTA RS&I||0|296.41||0|10/01/2018
20-4114498|1750446506|SH 70003|75958|75958 - PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I||0|333.39||0|10/01/2018
20-4114498|1750446506|SH 70003|75957|75957 - EVASC RPR DESCND THORCIC AORTA CELIAC ORIG RS&I||0|500.88||0|10/01/2018
20-4114498|1750446506|SH 70003|75956|75956 - EVASC RPR DESCND THORCIC AORTA SUBCLAV ORIG RS&I||0|585.18||0|10/01/2018
20-4114498|1750446506|SH 70003|75954|75954 - EVASC RPR ILIAC ART W/ILIO-ILIAC PROSTH RS&I||0|185.46||0|10/01/2018
20-4114498|1750446506|SH 70003|75953|75953 - PLMT XTN PROSTH EVASC RPR INFRARENAL RS&I||0|113.59||0|10/01/2018
20-4114498|1750446506|SH 70003|75952|75952 - EVASC RPR INFRARENAL AAA/DISSECTION RS&I||0|373.56||0|10/01/2018
20-4114498|1750446506|SH 70003|75946|75946 - INTRAVASCULAR US ADD-ON||0|32.75||0|10/01/2018
20-4114498|1750446506|SH 70003|75945|75945 - INTRAVASCULAR US||0|32.2||0|10/01/2018
20-4114498|1750446506|SH 70003|75902|75902 - MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I||115.03|31.59||0|10/01/2018
20-4114498|1750446506|SH 70003|75901|75901 - MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I||268.65|39.09||0|10/01/2018
20-4114498|1750446506|SH 70003|75898|75898 - ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS||0|137.57||0|10/01/2018
20-4114498|1750446506|SH 70003|75896|75896 - X-RAYS TRANSCATH THERAPY||0|107.34||0|10/01/2018
20-4114498|1750446506|SH 70003|75894|75894 - TRANSCATHETER EMBOLIZATION ANY METH RS&I||0|108.4||0|10/01/2018
20-4114498|1750446506|SH 70003|75893|75893 - VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS&||192.95|43.09||0|10/01/2018
20-4114498|1750446506|SH 70003|75891|75891 - HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I||241.22|92.43||0|10/01/2018
20-4114498|1750446506|SH 70003|75889|75889 - HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I||239.63|91.37||0|10/01/2018
20-4114498|1750446506|SH 70003|75887|75887 - PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP||260.53|113.33||0|10/01/2018
20-4114498|1750446506|SH 70003|75885|75885 - PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I||262.15|114.95||0|10/01/2018
20-4114498|1750446506|SH 70003|75880|75880 - VENOGRAPHY ORBITAL RS&I||207.75|57.36||0|10/01/2018
20-4114498|1750446506|SH 70003|75872|75872 - VENOGRAPHY EPIDURAL RS&I||232.72|84.46||0|10/01/2018
20-4114498|1750446506|SH 70003|75870|75870 - VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I||242.29|93.49||0|10/01/2018
20-4114498|1750446506|SH 70003|75860|75860 - VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I||236.98|91.38||0|10/01/2018
20-4114498|1750446506|SH 70003|75842|75842 - VENOGRAPHY ADRENAL BILATERAL SELECTIVE RS&I||301.77|121.63||0|10/01/2018
20-4114498|1750446506|SH 70003|75840|75840 - VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I||252.01|102.15||0|10/01/2018
20-4114498|1750446506|SH 70003|75833|75833 - VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I||277.86|114.19||0|10/01/2018
20-4114498|1750446506|SH 70003|75831|75831 - VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I||243.51|98.43||0|10/01/2018
20-4114498|1750446506|SH 70003|75827|75827 - VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I||228.47|89.24||0|10/01/2018
20-4114498|1750446506|SH 70003|75825|75825 - VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I||225.82|90.31||0|10/01/2018
20-4114498|1750446506|SH 70003|75822|75822 - VENOGRAPHY EXTREMITY BILATERAL RS&I||239.68|85.04||0|10/01/2018
20-4114498|1750446506|SH 70003|75820|75820 - VENOGRAPHY EXTREMITY UNILATERAL RS&I||191.27|56.29||0|10/01/2018
20-4114498|1750446506|SH 70003|75810|75810 - SPLENOPORTOGRAPY RS&I||0|95.11||0|10/01/2018
20-4114498|1750446506|SH 70003|75809|75809 - SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I||158.01|38.97||0|10/01/2018
20-4114498|1750446506|SH 70003|75807|75807 - LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I||0|97.42||0|10/01/2018
20-4114498|1750446506|SH 70003|75805|75805 - LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I||0|67.61||0|10/01/2018
20-4114498|1750446506|SH 70003|75803|75803 - LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I||0|97.42||0|10/01/2018
20-4114498|1750446506|SH 70003|75801|75801 - LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I||0|72.49||0|10/01/2018
20-4114498|1750446506|SH 70003|75774|75774 - ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I||149.38|28.75||0|10/01/2018
20-4114498|1750446506|SH 70003|75756|75756 - ANGIOGRAPHY INTERNAL MAMMARY RS&I||281.75|96.29||0|10/01/2018
20-4114498|1750446506|SH 70003|75746|75746 - ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I||258.76|92.43||0|10/01/2018
20-4114498|1750446506|SH 70003|75743|75743 - ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I||291.12|131.7||0|10/01/2018
20-4114498|1750446506|SH 70003|75741|75741 - ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I||250.75|104.61||0|10/01/2018
20-4114498|1750446506|SH 70003|75736|75736 - ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I||264.58|88.69||0|10/01/2018
20-4114498|1750446506|SH 70003|75733|75733 - ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I||311.84|103.51||0|10/01/2018
20-4114498|1750446506|SH 70003|75731|75731 - ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I||278.39|91.87||0|10/01/2018
20-4114498|1750446506|SH 70003|75726|75726 - ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I||251.86|91.38||0|10/01/2018
20-4114498|1750446506|SH 70003|75716|75716 - ANGIOGRAPHY EXTREMITY BILATERAL RS&I||321.46|104.1||0|10/01/2018
20-4114498|1750446506|SH 70003|75710|75710 - ANGIOGRAPHY EXTREMITY UNILATERAL RS&I||268.84|88.69||0|10/01/2018
20-4114498|1750446506|SH 70003|75705|75705 - ANGIOGRAPHY SPINAL SELECTIVE RS&I||383.46|175.69||0|10/01/2018
20-4114498|1750446506|SH 70003|75658|75658 - ANIOGRAPHY BRACHIAL RETROGRADE RS&I||272.01|101.42||0|10/01/2018
20-4114498|1750446506|SH 70003|75635|75635 - CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP||626.08|192.98||0|10/01/2018
20-4114498|1750446506|SH 70003|75630|75630 - AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I||282.86|140.97||0|10/01/2018
20-4114498|1750446506|SH 70003|75625|75625 - AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I||233.81|90.86||0|10/01/2018
20-4114498|1750446506|SH 70003|75605|75605 - AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I||234.32|90.3||0|10/01/2018
20-4114498|1750446506|SH 70003|75600|75600 - AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I||317.54|39.09||0|10/01/2018
20-4114498|1750446506|SH 70003|75574|75574 - CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST||520.82|191.36||0|10/01/2018
20-4114498|1750446506|SH 70003|75573|75573 - CT HRT CONTRST CARDIAC STRUCT&MORPH CONG HRT D||532.34|202.88||0|10/01/2018
20-4114498|1750446506|SH 70003|75572|75572 - CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH||441.45|139.09||0|10/01/2018
20-4114498|1750446506|SH 70003|75571|75571 - CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM||77.88|45.45||0|10/01/2018
20-4114498|1750446506|SH 70003|75565|75565 - CARDIAC MRI FOR VELOCITY FLOW MAPPING||84.94|20.1||0|10/01/2018
20-4114498|1750446506|SH 70003|75563|75563 - CARDIAC MRI W/W/O CONTRAST W/STRESS||782.68|239.07||0|10/01/2018
20-4114498|1750446506|SH 70003|75561|75561 - CARDIAC MRI W/WO CONTRAST & FURTHER SEQ||663.92|208.52||0|10/01/2018
20-4114498|1750446506|SH 70003|75559|75559 - CARDIAC MRI W/O CONTRAST W/STRESS IMAGING||671.32|233.99||0|10/01/2018
20-4114498|1750446506|SH 70003|75557|75557 - CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST||506.2|188.95||0|10/01/2018
20-4114498|1750446506|SH 70003|74775|74775 - PERINEOGRAM||0|51.04||0|10/01/2018
20-4114498|1750446506|SH 70003|74742|74742 - TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I||0|50.98||0|10/01/2018
20-4114498|1750446506|SH 70003|74740|74740 - HYSTEROSALPINGOGRAPHY RS&I||119.19|30.44||0|10/01/2018
20-4114498|1750446506|SH 70003|74710|74710 - PELVIMETRY W/WOPLACENTAL LOCALIZATION||58.38|27.55||0|10/01/2018
20-4114498|1750446506|SH 70003|74485|74485 - DILATION URETERS/URETHRA RS&I||148.86|43.11||0|10/01/2018
20-4114498|1750446506|SH 70003|74480|74480 - X-RAY CONTROL CATH INSERT||149.39|43.64||0|10/01/2018
20-4114498|1750446506|SH 70003|74475|74475 - X-RAY CONTROL CATH INSERT||149.39|43.64||0|10/01/2018
20-4114498|1750446506|SH 70003|74470|74470 - RADEX RENAL CYST STUDY TRANSLUMBAR RS&I||0|43.65||0|10/01/2018
20-4114498|1750446506|SH 70003|74455|74455 - URETHROCYSTOGRAPHY VOIDING RS&I||128.46|26.42||0|10/01/2018
20-4114498|1750446506|SH 70003|74450|74450 - URETHROCYSTOGRAPHY RETROGRADE RS&I||0|27.51||0|10/01/2018
20-4114498|1750446506|SH 70003|74445|74445 - CORPORA CAVERNOSOGRAPY RS&I||0|93.52||0|10/01/2018
20-4114498|1750446506|SH 70003|74440|74440 - VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I||126.65|30.99||0|10/01/2018
20-4114498|1750446506|SH 70003|74430|74430 - CYSTOGRAPHY MINIMUM 3 VIEWS RS&I||64.1|25.3||0|10/01/2018
20-4114498|1750446506|SH 70003|74425|74425 - UROGRAPHY ANTEGRADE RS&I||0|29.28||0|10/01/2018
20-4114498|1750446506|SH 70003|74420|74420 - X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL||0|29.81||0|10/01/2018
20-4114498|1750446506|SH 70003|74415|74415 - UROGRAPY INFUSION DRIP &/BOLUS TECHQ W/WO TOMO||212.33|40.15||0|10/01/2018
20-4114498|1750446506|SH 70003|74410|74410 - UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE||171.41|39.62||0|10/01/2018
20-4114498|1750446506|SH 70003|74400|74400 - UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY||174.6|40.15||0|10/01/2018
20-4114498|1750446506|SH 70003|74363|74363 - PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS&I||0|72.29||0|10/01/2018
20-4114498|1750446506|SH 70003|74360|74360 - INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I||0|45.77||0|10/01/2018
20-4114498|1750446506|SH 70003|74355|74355 - PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS&I||0|63.06||0|10/01/2018
20-4114498|1750446506|SH 70003|74340|74340 - INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I||0|44.71||0|10/01/2018
20-4114498|1750446506|SH 70003|74330|74330 - CMBN NDSC CATHJ BILIARY&PNCRTC DUCTAL SYS RS&I||0|75.59||0|10/01/2018
20-4114498|1750446506|SH 70003|74329|74329 - ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS&I||0|58.96||0|10/01/2018
20-4114498|1750446506|SH 70003|74328|74328 - ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS&I||0|58.43||0|10/01/2018
20-4114498|1750446506|SH 70003|74327|74327 - X-RAY BILE STONE REMOVAL||215.79|60.08||0|10/01/2018
20-4114498|1750446506|SH 70003|74320|74320 - CONTRAST X-RAY OF BILE DUCTS||150.46|43.11||0|10/01/2018
20-4114498|1750446506|SH 70003|74305|74305 - X-RAY BILE DUCTS/PANCREAS||0|34.43||0|10/01/2018
20-4114498|1750446506|SH 70003|74301|74301 - CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS||0|17.76||0|10/01/2018
20-4114498|1750446506|SH 70003|74300|74300 - CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I||0|29.81||0|10/01/2018
20-4114498|1750446506|SH 70003|74291|74291 - CONTRAST X-RAYS GALLBLADDER||103.77|16.61||0|10/01/2018
20-4114498|1750446506|SH 70003|74290|74290 - CHOLECYSTOGRAPHY ORAL CONTRST||108.21|25.83||0|10/01/2018
20-4114498|1750446506|SH 70003|74283|74283 - THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ||320.32|161.43||0|10/01/2018
20-4114498|1750446506|SH 70003|74280|74280 - RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY||304.61|80.35||0|10/01/2018
20-4114498|1750446506|SH 70003|74270|74270 - RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY||243.82|56.23||0|10/01/2018
20-4114498|1750446506|SH 70003|74263|74263 - CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING||1136|187.48||0|10/01/2018
20-4114498|1750446506|SH 70003|74262|74262 - CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST||572.48|203.16||0|10/01/2018
20-4114498|1750446506|SH 70003|74261|74261 - CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST||382.7|195.11||0|10/01/2018
20-4114498|1750446506|SH 70003|74260|74260 - DUODENOGRAPY HYPOTONIC||191.66|40.74||0|10/01/2018
20-4114498|1750446506|SH 70003|74251|74251 - RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY||280.48|56.23||0|10/01/2018
20-4114498|1750446506|SH 70003|74250|74250 - RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY||167.57|38.44||0|10/01/2018
20-4114498|1750446506|SH 70003|74249|74249 - RADEX GI UPR W/WO GLUCOSE W/SM INTEST FOLLW-THRU||297.75|74.03||0|10/01/2018
20-4114498|1750446506|SH 70003|74247|74247 - RADEX UPPER GI W/WO GLUCAGON/DELAY IMAGES W/KUB||222.03|56.23||0|10/01/2018
20-4114498|1750446506|SH 70003|74246|74246 - RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY||200.25|56.23||0|10/01/2018
20-4114498|1750446506|SH 70003|74245|74245 - RADEX GI TRACT UPR W/SM INT W/MULT SERIAL IMAGES||276.5|74.03||0|10/01/2018
20-4114498|1750446506|SH 70003|74241|74241 - RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/KUB||185.36|55.69||0|10/01/2018
20-4114498|1750446506|SH 70003|74240|74240 - RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY||178.46|56.77||0|10/01/2018
20-4114498|1750446506|SH 70003|74235|74235 - RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS&I||0|94.35||0|10/01/2018
20-4114498|1750446506|SH 70003|74230|74230 - RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY||142.43|43.58||0|10/01/2018
20-4114498|1750446506|SH 70003|74220|74220 - RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY||142.01|37.85||0|10/01/2018
20-4114498|1750446506|SH 70003|74210|74210 - RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY||121.2|28.73||0|10/01/2018
20-4114498|1750446506|SH 70003|74190|74190 - PERITONEOGRAM RS&I||0|39.04||0|10/01/2018
20-4114498|1750446506|SH 70003|74185|74185 - MRA ABDOMEN W/WO CONTRAST MATERIAL||642.13|146.35||0|10/01/2018
20-4114498|1750446506|SH 70003|74183|74183 - MRI ABDOMEN W/O & W/CONTRAST MATERIAL||792.08|183.64||0|10/01/2018
20-4114498|1750446506|SH 70003|74182|74182 - MRI ABDOMEN W/CONTRAST MATERIAL||706.01|141.15||0|10/01/2018
20-4114498|1750446506|SH 70003|74181|74181 - MRI ABDOMEN W/O CONTRAST MATERIAL||513.62|118.79||0|10/01/2018
20-4114498|1750446506|SH 70003|74178|74178 - CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE||577.51|164.08||0|10/01/2018
20-4114498|1750446506|SH 70003|74177|74177 - CT ABDOMEN & PELVIS W/CONTRAST MATERIAL||496.65|148.59||0|10/01/2018
20-4114498|1750446506|SH 70003|74176|74176 - CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL||335.17|142.27||0|10/01/2018
20-4114498|1750446506|SH 70003|74175|74175 - CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST||588.01|154.93||0|10/01/2018
20-4114498|1750446506|SH 70003|74174|74174 - CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG||757.73|179.05||0|10/01/2018
20-4114498|1750446506|SH 70003|74170|74170 - CT ABDOMEN W/O & W/CONTRAST MATERIAL||423.99|114.18||0|10/01/2018
20-4114498|1750446506|SH 70003|74160|74160 - CT ABDOMEN W/CONTRAST MATERIAL||367.4|103.83||0|10/01/2018
20-4114498|1750446506|SH 70003|74150|74150 - CT ABDOMEN W/O CONTRAST MATERIAL||238.87|97.51||0|10/01/2018
20-4114498|1750446506|SH 70003|74022|74022 - RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES||76.32|25.83||0|10/01/2018
20-4114498|1750446506|SH 70003|74021|74021 - RADIOLOGIC EXAM ABDOMEN 3+ VIEWS||60.67|22.65||0|10/01/2018
20-4114498|1750446506|SH 70003|74020|74020 - RADEX ABDOMEN COMPL W/DCBTS&/ERC VIEWS||63.27|21.81||0|10/01/2018
20-4114498|1750446506|SH 70003|74019|74019 - RADIOLOGIC EXAM ABDOMEN 2 VIEWS||51.78|19.11||0|10/01/2018
20-4114498|1750446506|SH 70003|74018|74018 - RADIOLOGIC EXAM ABDOMEN 1 VIEW||42.4|15.07||0|10/01/2018
20-4114498|1750446506|SH 70003|74010|74010 - RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS||60.38|18.92||0|10/01/2018
20-4114498|1750446506|SH 70003|74000|74000 - RADEX ABDOMEN 1 ANTEROPOSTERIOR VIEW||38.29|14.9||0|10/01/2018
20-4114498|1750446506|SH 70003|73725|73725 - MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL||642.25|147.53||0|10/01/2018
20-4114498|1750446506|SH 70003|73723|73723 - MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL||739.35|175.02||0|10/01/2018
20-4114498|1750446506|SH 70003|73722|73722 - MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL||602.28|133.59||0|10/01/2018
20-4114498|1750446506|SH 70003|73721|73721 - MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL||390.23|112.31||0|10/01/2018
20-4114498|1750446506|SH 70003|73720|73720 - MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR||785.05|174.48||0|10/01/2018
20-4114498|1750446506|SH 70003|73719|73719 - MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL||637.87|133.05||0|10/01/2018
20-4114498|1750446506|SH 70003|73718|73718 - MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL||547.5|110.16||0|10/01/2018
20-4114498|1750446506|SH 70003|73706|73706 - CT ANGIOGRAPHY LOWER EXTREMITY||569.94|154.39||0|10/01/2018
20-4114498|1750446506|SH 70003|73702|73702 - CT LOWER EXTREMITY W/O & W/CONTRAST MATRL||450|99.28||0|10/01/2018
20-4114498|1750446506|SH 70003|73701|73701 - CT LOWER EXTREMITY W/CONTRAST MATERIAL||361.43|95.2||0|10/01/2018
20-4114498|1750446506|SH 70003|73700|73700 - CT LOWER EXTREMITY W/O CONTRAST MATERIAL||270.14|82.56||0|10/01/2018
20-4114498|1750446506|SH 70003|73660|73660 - RADEX TOE MINIMUM 2 VIEWS||47.03|10.88||0|10/01/2018
20-4114498|1750446506|SH 70003|73650|73650 - RADEX CALCANEUS MINIMUM 2 VIEWS||44.02|13.19||0|10/01/2018
20-4114498|1750446506|SH 70003|73630|73630 - RADEX FOOT COMPLETE MINIMUM 3 VIEWS||48.86|13.78||0|10/01/2018
20-4114498|1750446506|SH 70003|73620|73620 - RADIOLOGIC EXAMINATION FOOT 2 VIEWS||42.42|12.66||0|10/01/2018
20-4114498|1750446506|SH 70003|73615|73615 - RADEX ANKLE ARTHROGRAPHY RS&I||159.5|46.84||0|10/01/2018
20-4114498|1750446506|SH 70003|73610|73610 - RADEX ANKLE COMPLETE MINIMUM 3 VIEWS||52.05|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|73600|73600 - RADIOLOGIC EXAMINATION ANKLE 2 VIEWS||44.55|13.72||0|10/01/2018
20-4114498|1750446506|SH 70003|73592|73592 - RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS||44.02|13.19||0|10/01/2018
20-4114498|1750446506|SH 70003|73590|73590 - RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS||43.01|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|73580|73580 - RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I||195.11|47.38||0|10/01/2018
20-4114498|1750446506|SH 70003|73565|73565 - RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST||55.26|15.92||0|10/01/2018
20-4114498|1750446506|SH 70003|73564|73564 - RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS||67.24|19.41||0|10/01/2018
20-4114498|1750446506|SH 70003|73562|73562 - RADIOLOGIC EXAMINATION KNEE 3 VIEWS||57.97|16.51||0|10/01/2018
20-4114498|1750446506|SH 70003|73560|73560 - RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS||47.82|15.39||0|10/01/2018
20-4114498|1750446506|SH 70003|73550|73550 - X-RAY EXAM OF THIGH||44.63|15.39||0|10/01/2018
20-4114498|1750446506|SH 70003|73540|73540 - X-RAY EXAM OF PELVIS & HIPS||67.12|17.7||0|10/01/2018
20-4114498|1750446506|SH 70003|73530|73530 - X-RAY EXAM OF HIP||0|24.61||0|10/01/2018
20-4114498|1750446506|SH 70003|73525|73525 - RADEX HIP ARTHROGRAPHY RS&I||159.5|46.84||0|10/01/2018
20-4114498|1750446506|SH 70003|73521|73521 - RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS||60.27|18.84||0|10/01/2018
20-4114498|1750446506|SH 70003|73520|73520 - X-RAY EXAM OF HIPS||64.83|22.84||0|10/01/2018
20-4114498|1750446506|SH 70003|73510|73510 - X-RAY EXAM OF HIP||61.34|18.82||0|10/01/2018
20-4114498|1750446506|SH 70003|73502|73502 - RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS||62.93|18.31||0|10/01/2018
20-4114498|1750446506|SH 70003|73500|73500 - X-RAY EXAM OF HIP||42.5|15.39||0|10/01/2018
20-4114498|1750446506|SH 70003|73225|73225 - MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL||649.66|139.52||0|10/01/2018
20-4114498|1750446506|SH 70003|73223|73223 - MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL||737.22|175.02||0|10/01/2018
20-4114498|1750446506|SH 70003|73222|73222 - MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL||594.3|133.05||0|10/01/2018
20-4114498|1750446506|SH 70003|73221|73221 - MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL||389.7|112.31||0|10/01/2018
20-4114498|1750446506|SH 70003|73220|73220 - MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS||780.8|175.02||0|10/01/2018
20-4114498|1750446506|SH 70003|73219|73219 - MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL||635.74|133.05||0|10/01/2018
20-4114498|1750446506|SH 70003|73218|73218 - MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL||547.49|110.15||0|10/01/2018
20-4114498|1750446506|SH 70003|73206|73206 - CT ANGIOGRAPHY UPPER EXTREMITY||513.05|145.86||0|10/01/2018
20-4114498|1750446506|SH 70003|73202|73202 - CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL||453.72|99.28||0|10/01/2018
20-4114498|1750446506|SH 70003|73201|73201 - CT UPPER EXTREMITY W/CONTRAST MATERIAL||357.18|95.2||0|10/01/2018
20-4114498|1750446506|SH 70003|73200|73200 - CT UPPER EXTREMITY W/O CONTRAST MATERIAL||270.14|82.56||0|10/01/2018
20-4114498|1750446506|SH 70003|73140|73140 - RADEX FINGR MINIMUM 2 VIEWS||51.28|11.41||0|10/01/2018
20-4114498|1750446506|SH 70003|73130|73130 - RADEX HAND MINIMUM 3 VIEWS||50.98|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|73120|73120 - RADEX HAND 2 VIEWS||42.95|13.72||0|10/01/2018
20-4114498|1750446506|SH 70003|73115|73115 - RADEX WRIST ARTHROGRAPHY RS&I||171.19|46.31||0|10/01/2018
20-4114498|1750446506|SH 70003|73110|73110 - RADEX WRIST COMPLETE MINIMUM 3 VIEWS||58.42|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|73100|73100 - RADEX WRIST 2 VIEWS||48.82|14.8||0|10/01/2018
20-4114498|1750446506|SH 70003|73092|73092 - RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS||44.02|13.19||0|10/01/2018
20-4114498|1750446506|SH 70003|73090|73090 - RADEX FOREARM 2 VIEWS||43.49|13.72||0|10/01/2018
20-4114498|1750446506|SH 70003|73085|73085 - RADEX ELBOW ARTHROGRAPHY RS&I||157.36|46.83||0|10/01/2018
20-4114498|1750446506|SH 70003|73080|73080 - RADEX ELBOW COMPLETE MINIMUM 3 VIEWS||52.05|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|73070|73070 - RADEX ELBOW 2 VIEWS||43.96|13.13||0|10/01/2018
20-4114498|1750446506|SH 70003|73060|73060 - RADEX HUMERUS MINIMUM 2 VIEWS||45.14|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|73050|73050 - RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ||61.81|18.23||0|10/01/2018
20-4114498|1750446506|SH 70003|73040|73040 - RADEX SHOULDER ARTHROGRAPHY RS&I||162.69|45.24||0|10/01/2018
20-4114498|1750446506|SH 70003|73030|73030 - RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS||48.41|16.51||0|10/01/2018
20-4114498|1750446506|SH 70003|73020|73020 - RADEX SHOULDER 1 VIEW||37.05|12.6||0|10/01/2018
20-4114498|1750446506|SH 70003|73010|73010 - RADEX SCAPULA COMPLETE||49.94|15.92||0|10/01/2018
20-4114498|1750446506|SH 70003|73000|73000 - RADEX CLAVICLE COMPLETE||45.08|13.72||0|10/01/2018
20-4114498|1750446506|SH 70003|72295|72295 - DISKOGRAPY LUMBAR RS&I||154.85|70.35||0|10/01/2018
20-4114498|1750446506|SH 70003|72292|72292 - PERQ VERTE/SACROPLSTY CT||0|120.02||0|10/01/2018
20-4114498|1750446506|SH 70003|72291|72291 - PERQ VERTE/SACROPLSTY FLUOR||0|116.96||0|10/01/2018
20-4114498|1750446506|SH 70003|72285|72285 - DISKOGRAPY CERVICAL/THORACIC RS&I||180.21|98.9||0|10/01/2018
20-4114498|1750446506|SH 70003|72275|72275 - EPIDUROGRAPY RS&I||179.94|64.62||0|10/01/2018
20-4114498|1750446506|SH 70003|72270|72270 - MYELOGRAPY 2/MORE REGIONS RS&I||304.53|108.44||0|10/01/2018
20-4114498|1750446506|SH 70003|72265|72265 - MYELOGRAPY LUMBOSACRAL RS&I||195.77|67.7||0|10/01/2018
20-4114498|1750446506|SH 70003|72255|72255 - MYELOGRAPHY THORACIC RS&I||191.46|74.55||0|10/01/2018
20-4114498|1750446506|SH 70003|72240|72240 - MYELOGRAPHY CERVICAL RS&I||201.04|74.03||0|10/01/2018
20-4114498|1750446506|SH 70003|72220|72220 - RADEX SACRUM & COCCYX MINIMUM 2 VIEWS||45.14|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|72202|72202 - RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS||54.29|15.49||0|10/01/2018
20-4114498|1750446506|SH 70003|72200|72200 - RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS||46.2|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|72198|72198 - MRA PELVIS W/WO CONTRAST MATERIAL||640.54|145.82||0|10/01/2018
20-4114498|1750446506|SH 70003|72197|72197 - MRI PELVIS W/O & W/CONTRAST MATERIAL||789.42|183.64||0|10/01/2018
20-4114498|1750446506|SH 70003|72196|72196 - MRI PELVIS W/CONTRAST MATERIAL||645.97|141.68||0|10/01/2018
20-4114498|1750446506|SH 70003|72195|72195 - MRI PELVIS W/O CONTRAST MATERIAL||557.73|120.41||0|10/01/2018
20-4114498|1750446506|SH 70003|72194|72194 - CT PELVIS W/O & W/CONTRAST MATERIAL||420.24|99.28||0|10/01/2018
20-4114498|1750446506|SH 70003|72193|72193 - CT PELVIS W/CONTRAST MATERIAL||359.84|95.2||0|10/01/2018
20-4114498|1750446506|SH 70003|72192|72192 - CT PELVIS W/O CONTRAST MATERIAL||232.93|88.39||0|10/01/2018
20-4114498|1750446506|SH 70003|72191|72191 - CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST||580.57|147.48||0|10/01/2018
20-4114498|1750446506|SH 70003|72190|72190 - RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS||66.65|18.82||0|10/01/2018
20-4114498|1750446506|SH 70003|72170|72170 - RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS||45.16|15.39||0|10/01/2018
20-4114498|1750446506|SH 70003|72159|72159 - MRA SPINAL CANAL W/WO CONTRAST MATERIAL||659.11|145.79||0|10/01/2018
20-4114498|1750446506|SH 70003|72158|72158 - MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL||602.07|188.11||0|10/01/2018
20-4114498|1750446506|SH 70003|72157|72157 - MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL||604.17|187.03||0|10/01/2018
20-4114498|1750446506|SH 70003|72156|72156 - MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL||603.64|187.03||0|10/01/2018
20-4114498|1750446506|SH 70003|72149|72149 - MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL||505.46|146.24||0|10/01/2018
20-4114498|1750446506|SH 70003|72148|72148 - MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL||374|122.12||0|10/01/2018
20-4114498|1750446506|SH 70003|72147|72147 - MRI SPINAL CANAL THORACIC W/CONTRAST MATRL||507.04|145.7||0|10/01/2018
20-4114498|1750446506|SH 70003|72146|72146 - MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL||373.46|121.58||0|10/01/2018
20-4114498|1750446506|SH 70003|72142|72142 - MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL||511.83|145.7||0|10/01/2018
20-4114498|1750446506|SH 70003|72141|72141 - MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL||373.46|121.58||0|10/01/2018
20-4114498|1750446506|SH 70003|72133|72133 - CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL||434.89|103.3||0|10/01/2018
20-4114498|1750446506|SH 70003|72132|72132 - CT LUMBAR SPINE W/CONTRAST MATERIAL||364.98|99.81||0|10/01/2018
20-4114498|1750446506|SH 70003|72131|72131 - CT LUMBAR SPINE W/O CONTRAST MATERIAL||269.07|81.48||0|10/01/2018
20-4114498|1750446506|SH 70003|72130|72130 - CT THORACIC SPINE W/O & W/CONTRAST MATERIAL||439.14|103.3||0|10/01/2018
20-4114498|1750446506|SH 70003|72129|72129 - CT THORACIC SPINE W/CONTRAST MATERIAL||366.04|99.81||0|10/01/2018
20-4114498|1750446506|SH 70003|72128|72128 - CT THORACIC SPINE W/O CONTRAST MATERIAL||269.07|81.48||0|10/01/2018
20-4114498|1750446506|SH 70003|72127|72127 - CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL||434.36|103.3||0|10/01/2018
20-4114498|1750446506|SH 70003|72126|72126 - CT CERVICAL SPINE W/CONTRAST MATERIAL||366.04|99.81||0|10/01/2018
20-4114498|1750446506|SH 70003|72125|72125 - CT CERVICAL SPINE W/O CONTRAST MATERIAL||274.26|86.68||0|10/01/2018
20-4114498|1750446506|SH 70003|72120|72120 - RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS||62.99|19.41||0|10/01/2018
20-4114498|1750446506|SH 70003|72114|72114 - RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6||99.73|27.99||0|10/01/2018
20-4114498|1750446506|SH 70003|72110|72110 - RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS||76.82|26.32||0|10/01/2018
20-4114498|1750446506|SH 70003|72100|72100 - RADEX SPINE LUMBOSACRAL 2/3 VIEWS||56.09|19.41||0|10/01/2018
20-4114498|1750446506|SH 70003|72090|72090 - X-RAY EXAM SCLOIOSIS ERECT||80.9|25.09||0|10/01/2018
20-4114498|1750446506|SH 70003|72080|72080 - RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS||56.62|19.41||0|10/01/2018
20-4114498|1750446506|SH 70003|72074|72074 - RADEX SPINE THORACIC MINIMUM 4 VIEWS||68.82|17.8||0|10/01/2018
20-4114498|1750446506|SH 70003|72072|72072 - RADEX SPINE THORACIC 3 VIEWS||58.19|17.8||0|10/01/2018
20-4114498|1750446506|SH 70003|72070|72070 - RADEX SPINE THORACIC 2 VIEWS||52.35|18.33||0|10/01/2018
20-4114498|1750446506|SH 70003|72069|72069 - X-RAY EXAM TRUNK SPINE STAND||59.81|19.41||0|10/01/2018
20-4114498|1750446506|SH 70003|72052|72052 - RADEX SPINE CERVICAL 6 OR MORE VIEWS||96.77|30.34||0|10/01/2018
20-4114498|1750446506|SH 70003|72050|72050 - RADEX SPINE CERVICAL 4 OR 5 VIEWS||75.75|26.32||0|10/01/2018
20-4114498|1750446506|SH 70003|72040|72040 - RADEX SPINE CERVICAL 2 OR 3 VIEWS||56.09|19.41||0|10/01/2018
20-4114498|1750446506|SH 70003|72020|72020 - RADEX SPINE 1 VIEW SPECIFY LEVEL||35.99|12.6||0|10/01/2018
20-4114498|1750446506|SH 70003|72010|72010 - X-RAY EXAM SPINE AP&LAT||122.82|38.32||0|10/01/2018
20-4114498|1750446506|SH 70003|71555|71555 - MRA CHEST W/O & W/CONTRAST MATERIAL||633.16|146.94||0|10/01/2018
20-4114498|1750446506|SH 70003|71552|71552 - MRI CHEST W/O & W/CONTRAST MATERIAL||901.01|183.64||0|10/01/2018
20-4114498|1750446506|SH 70003|71551|71551 - MRI CHEST W/CONTRAST MATERIAL||715.58|141.15||0|10/01/2018
20-4114498|1750446506|SH 70003|71550|71550 - MRI CHEST W/O CONTRAST MATERIAL||556.13|118.79||0|10/01/2018
20-4114498|1750446506|SH 70003|71275|71275 - CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST||571.12|156.64||0|10/01/2018
20-4114498|1750446506|SH 70003|71270|71270 - CT THORAX W/O & W/CONTRAST MATERIAL||440.86|111.93||0|10/01/2018
20-4114498|1750446506|SH 70003|71260|71260 - CT THORAX W/CONTRAST MATERIAL||366.16|101.53||0|10/01/2018
20-4114498|1750446506|SH 70003|71250|71250 - CT THORAX W/O CONTRAST MATERIAL||270.24|82.66||0|10/01/2018
20-4114498|1750446506|SH 70003|71130|71130 - RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS||58.19|18.33||0|10/01/2018
20-4114498|1750446506|SH 70003|71120|71120 - RADEX STERNUM MINIMUM 2 VIEWS||49.57|16.61||0|10/01/2018
20-4114498|1750446506|SH 70003|71111|71111 - RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS||83.23|26.36||0|10/01/2018
20-4114498|1750446506|SH 70003|71110|71110 - RADEX RIBS BILATERAL 3 VIEWS||63.8|22.35||0|10/01/2018
20-4114498|1750446506|SH 70003|71101|71101 - RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS||62.21|21.81||0|10/01/2018
20-4114498|1750446506|SH 70003|71100|71100 - RADEX RIBS UNILATERAL 2 VIEWS||51.28|18.33||0|10/01/2018
20-4114498|1750446506|SH 70003|71048|71048 - RADIOLOGIC EXAM CHEST 4+ VIEWS||65.08|26.53||0|10/01/2018
20-4114498|1750446506|SH 70003|71047|71047 - RADIOLOGIC EXAM CHEST 3 VIEWS||60.57|23.08||0|10/01/2018
20-4114498|1750446506|SH 70003|71046|71046 - RADIOLOGIC EXAM CHEST 2 VIEWS||47.45|17.98||0|10/01/2018
20-4114498|1750446506|SH 70003|71045|71045 - RADIOLOGIC EXAM CHEST SINGLE VIEW||31.19|15.07||0|10/01/2018
20-4114498|1750446506|SH 70003|71035|71035 - RADEX CHEST SPECIAL VIEWS||56.36|14.9||0|10/01/2018
20-4114498|1750446506|SH 70003|71034|71034 - RADEX CHEST COMPLETE MINIMUM 4 VIEWS W/FLUORO||134.55|36.76||0|10/01/2018
20-4114498|1750446506|SH 70003|71030|71030 - RADEX CHEST COMPLETE MINIMUM 4 VIEWS||72.01|24.71||0|10/01/2018
20-4114498|1750446506|SH 70003|71023|71023 - RADEX CH 2 VIEWS FRONTAL & LATERAL W/FLUORO||102.19|30.44||0|10/01/2018
20-4114498|1750446506|SH 70003|71022|71022 - RADEX CH 2 VIEWS FRONTAL & LATERAL OBLIQUE PRJCJ||72.54|26.84||0|10/01/2018
20-4114498|1750446506|SH 70003|71021|71021 - RADEX CH 2 VIEWS FRNT & LAT APICAL LORDOTIC PX||58.49|22.35||0|10/01/2018
20-4114498|1750446506|SH 70003|71020|71020 - RADIOLOGIC EXAM CHEST 2 VIEWS FRONTAL&LATERAL||47.56|17.8||0|10/01/2018
20-4114498|1750446506|SH 70003|71015|71015 - RADIOLOGIC EXAMINATION CHEST STERO FRONTAL||46.97|17.21||0|10/01/2018
20-4114498|1750446506|SH 70003|71010|71010 - RADIOLOGIC EXAMINATION CHEST SINGLE VIEW FRONTAL||36.7|14.9||0|10/01/2018
20-4114498|1750446506|SH 70003|70559|70559 - MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST||0|268.08||0|10/01/2018
20-4114498|1750446506|SH 70003|70558|70558 - MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL||0|267.55||0|10/01/2018
20-4114498|1750446506|SH 70003|70557|70557 - MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL||0|282.41||0|10/01/2018
20-4114498|1750446506|SH 70003|70555|70555 - MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION||0|212||0|10/01/2018
20-4114498|1750446506|SH 70003|70554|70554 - MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION||690.75|172.12||0|10/01/2018
20-4114498|1750446506|SH 70003|70553|70553 - MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL||603.11|187.03||0|10/01/2018
20-4114498|1750446506|SH 70003|70552|70552 - MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL||510.24|146.24||0|10/01/2018
20-4114498|1750446506|SH 70003|70551|70551 - MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL||376.11|120.51||0|10/01/2018
20-4114498|1750446506|SH 70003|70549|70549 - MRA NECK W/O &W/CONTRAST MATERIAL||878.06|146.88||0|10/01/2018
20-4114498|1750446506|SH 70003|70548|70548 - MRA NECK W/CONTRAST MATERIAL||645.96|98.1||0|10/01/2018
20-4114498|1750446506|SH 70003|70547|70547 - MRA NECK W/O CONTRST MATERIAL||535.44|98.1||0|10/01/2018
20-4114498|1750446506|SH 70003|70546|70546 - MRA HEAD W/O & W/CONTRAST MATERIAL||878.61|147.42||0|10/01/2018
20-4114498|1750446506|SH 70003|70545|70545 - MRA HEAD W/CONTRAST MATERIAL||605.58|98.1||0|10/01/2018
20-4114498|1750446506|SH 70003|70544|70544 - MRA HEAD W/O CONTRST MATERIAL||535.44|98.1||0|10/01/2018
20-4114498|1750446506|SH 70003|70543|70543 - MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL||770.17|174.48||0|10/01/2018
20-4114498|1750446506|SH 70003|70542|70542 - MRI ORBIT FACE & NECK W/CONTRAST MATERIAL||628.31|132.52||0|10/01/2018
20-4114498|1750446506|SH 70003|70540|70540 - MRI ORBIT FACE &/NECK W/O CONTRAST||547.5|110.16||0|10/01/2018
20-4114498|1750446506|SH 70003|70498|70498 - CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST||575.4|142.33||0|10/01/2018
20-4114498|1750446506|SH 70003|70496|70496 - CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST||575.95|142.86||0|10/01/2018
20-4114498|1750446506|SH 70003|70492|70492 - CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL||445.54|118.2||0|10/01/2018
20-4114498|1750446506|SH 70003|70491|70491 - CT SOFT TISSUE NECK W/CONTRAST MATERIAL||376.03|112.46||0|10/01/2018
20-4114498|1750446506|SH 70003|70490|70490 - CT SOFT TISSUE NECK W/O CONTRAST MATERIAL||292.02|104.42||0|10/01/2018
20-4114498|1750446506|SH 70003|70488|70488 - CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL||457.58|115.9||0|10/01/2018
20-4114498|1750446506|SH 70003|70487|70487 - CT MAXILLOFACIAL W/CONTRAST MATERIAL||382.99|106.14||0|10/01/2018
20-4114498|1750446506|SH 70003|70486|70486 - CT MAXILLOFACIAL W/O CONTRAST MATERIAL||280.53|92.94||0|10/01/2018
20-4114498|1750446506|SH 70003|70482|70482 - CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR||493.36|118.2||0|10/01/2018
20-4114498|1750446506|SH 70003|70481|70481 - CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL||446.72|113||0|10/01/2018
20-4114498|1750446506|SH 70003|70480|70480 - CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL||292.02|104.42||0|10/01/2018
20-4114498|1750446506|SH 70003|70470|70470 - CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL||312.14|103.83||0|10/01/2018
20-4114498|1750446506|SH 70003|70460|70460 - CT HEAD/BRAIN W/CONTRAST MATERIAL||260.27|91.82||0|10/01/2018
20-4114498|1750446506|SH 70003|70450|70450 - CT HEAD/BRAIN W/O CONTRAST MATERIAL||190.58|68.88||0|10/01/2018
20-4114498|1750446506|SH 70003|70390|70390 - SIALOGRAPHY RS&I||155.35|31.52||0|10/01/2018
20-4114498|1750446506|SH 70003|70380|70380 - RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS||58.96|14.84||0|10/01/2018
20-4114498|1750446506|SH 70003|70373|70373 - CONTRAST X-RAY OF LARYNX||133.9|36.11||0|10/01/2018
20-4114498|1750446506|SH 70003|70371|70371 - CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC||144.81|69.34||0|10/01/2018
20-4114498|1750446506|SH 70003|70370|70370 - RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ||123.62|25.3||0|10/01/2018
20-4114498|1750446506|SH 70003|70360|70360 - RADIOLOGIC EXAMINATION NECK SOFT TISSUE||45.14|13.78||0|10/01/2018
20-4114498|1750446506|SH 70003|70355|70355 - ORTHOPANTOGRAM||32.57|17.68||0|10/01/2018
20-4114498|1750446506|SH 70003|70350|70350 - CEPHALOGRAM ORTHODONTIC||33.45|15.9||0|10/01/2018
20-4114498|1750446506|SH 70003|70336|70336 - MRI TEMPOROMANDIBULAR JOINT||494.6|119.97||0|10/01/2018
20-4114498|1750446506|SH 70003|70332|70332 - TEMPOROMANDBLE JT ARTHROGRAPHY RS&I||129.2|50.02||0|10/01/2018
20-4114498|1750446506|SH 70003|70330|70330 - RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT||75.85|20.57||0|10/01/2018
20-4114498|1750446506|SH 70003|70328|70328 - RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT||49.45|15.43||0|10/01/2018
20-4114498|1750446506|SH 70003|70320|70320 - RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH||81.57|19.39||0|10/01/2018
20-4114498|1750446506|SH 70003|70310|70310 - RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH||58.9|13.19||0|10/01/2018
20-4114498|1750446506|SH 70003|70300|70300 - RADIOLOGIC EXAMINATION TEETH 1 VIEW||23.47|9.64||0|10/01/2018
20-4114498|1750446506|SH 70003|70260|70260 - RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS||74.32|28.08||0|10/01/2018
20-4114498|1750446506|SH 70003|70250|70250 - RADIOLOGIC EXAMINATION SKULL 4/> VIEWS||58.31|20.57||0|10/01/2018
20-4114498|1750446506|SH 70003|70240|70240 - RADIOLOGIC EXAMINATION SELLA TURCICA||47.92|16.02||0|10/01/2018
20-4114498|1750446506|SH 70003|70220|70220 - RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS||60.5|20.63||0|10/01/2018
20-4114498|1750446506|SH 70003|70210|70210 - RADEX SINUSES PARANASAL <3 VIEWS||47.8|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|70200|70200 - RADEX ORBITS COMPLETE MINIMUM 4 VIEWS||68.11|22.94||0|10/01/2018
20-4114498|1750446506|SH 70003|70190|70190 - RADEX OPTIC FORAMINA||56.54|17.74||0|10/01/2018
20-4114498|1750446506|SH 70003|70170|70170 - DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I||0|25.2||0|10/01/2018
20-4114498|1750446506|SH 70003|70160|70160 - RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS||52.58|14.31||0|10/01/2018
20-4114498|1750446506|SH 70003|70150|70150 - RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS||66.4|21.22||0|10/01/2018
20-4114498|1750446506|SH 70003|70140|70140 - RADEX FACIAL BONES < 3 VIEWS||46.85|16.55||0|10/01/2018
20-4114498|1750446506|SH 70003|70134|70134 - RADEX INTERNAL AUDITORY MEATI COMPLETE||86.01|29.14||0|10/01/2018
20-4114498|1750446506|SH 70003|70130|70130 - RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE||89.73|27.55||0|10/01/2018
20-4114498|1750446506|SH 70003|70120|70120 - RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE||55.83|14.9||0|10/01/2018
20-4114498|1750446506|SH 70003|70110|70110 - RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS||62.09|20.63||0|10/01/2018
20-4114498|1750446506|SH 70003|70100|70100 - RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS||53.7|14.9||0|10/01/2018
20-4114498|1750446506|SH 70003|70030|70030 - RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY||45.67|13.78||0|10/01/2018
20-4114498|1750446506|SH 70003|70015|70015 - CISTERNOGRAPHY POSITIVE CONTRAST RS&I||236.74|97.51||0|10/01/2018
20-4114498|1750446506|SH 70003|70010|70010 - MYELOGRAPY POST FOSSA RS&I||105.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69990|69990 - MICROSURG TQS REQ USE OPERATING MICROSCOPE||426.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69970|69970 - REMOVAL TUMOR TEMPORAL BONE||4221.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69960|69960 - DECOMPRESSION INTERNAL AUDITORY CANAL||3793.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69955|69955 - TOTAL FACIAL NERVE DECOMPRESSION &/REPAIR||3893.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69950|69950 - VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH||3516|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69930|69930 - COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY||2405.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69915|69915 - VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR||3029.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69910|69910 - LABYRINTHECTOMY W/MASTOIDECTOMY||1993.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69905|69905 - LABYRINTHECTOMY TRANSCANAL||1788.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69840|69840 - REVISION FENESTRATION OPERATION||1720.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69820|69820 - FENESTRATION SEMICIRCULAR CANAL||1669.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69806|69806 - ENDOLYMPHATIC SAC SHUNT||1852.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69805|69805 - ENDOLYMPHATIC SAC W/O SHUNT||2067.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69801|69801 - LABYRINTHOTOMY TRANSCANAL||377.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69745|69745 - SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE||2432.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69740|69740 - SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE||2288.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69725|69725 - DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE||3697.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69720|69720 - DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION||2324.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69718|69718 - RPLMCT OSSEOINTEGRATE IMPLNT W/MASTOIDECTOMY||2635.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69717|69717 - RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY||2211.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69715|69715 - IMPLJ OSSEOINTEGRATED TEMPORAL BONE W/O MASTOID||2607.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69714|69714 - IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID||2104.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69711|69711 - RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE||1679.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69710|69710 - IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69700|69700 - CLOSURE POSTAURICULAR FISTULA MASTOID SPX||1335.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69676|69676 - TYMPANIC NEURECTOMY||1615.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69670|69670 - MASTOID OBLITERATION SEPARATE PROCEDURE||1839.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69667|69667 - REPAIR ROUND WINDOW FISTULA||1577.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69666|69666 - REPAIR OVAL WINDOW FISTULA||1574.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69662|69662 - REVISION STAPEDECTOMY/STAPEDOTOMY||2260.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69661|69661 - STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT||2358.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69660|69660 - STAPEDECTOMY/STAPEDOTOMY||1809.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69650|69650 - STAPES MOBILIZATION||1564.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69646|69646 - TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR||2985.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69645|69645 - TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR||2808.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69644|69644 - TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR||2857.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69643|69643 - TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR||2388.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69642|69642 - TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ||2608.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69641|69641 - TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ||2029.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69637|69637 - TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP||2652.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69636|69636 - TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ||2661.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69635|69635 - TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ||2376.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69633|69633 - TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP||2027.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69632|69632 - TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ||2098.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69631|69631 - TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ||1715.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69620|69620 - MYRINGOPLASTY||1319.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69610|69610 - TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH||744.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69605|69605 - REVJ MASTOIDECTOMY W/APICECTOMY||3019.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69604|69604 - REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY||2170.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69603|69603 - REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY||2431.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69602|69602 - REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC||2122.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69601|69601 - REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY||2042.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69554|69554 - EXCISION AURAL GLOMUS TUMOR EXTENDED||4932.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69552|69552 - EXCISION AURAL GLOMUS TUMOR TRANSMASTOID||3047.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69550|69550 - EXCISION AURAL GLOMUS TUMOR TRANSCANAL||2004.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69540|69540 - EXCISION AURAL POLYP||395.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69535|69535 - RESCJ TEMPORAL BONE EXTERNAL APPROACH||5244.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69530|69530 - PETROUS APICECTOMY RADICAL MASTOIDECTOMY||3204.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69511|69511 - MASTOIDECTOMY RADICAL||2378.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69505|69505 - MASTOIDECTOMY MODIFIED RADICAL||2320.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69502|69502 - MASTOIDECTOMY COMPLETE||1898.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69501|69501 - TRANSMASTOID ANTROTOMY||1427.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69450|69450 - TYMPANOLYSIS TRANSCANAL||1051.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69440|69440 - MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC||1337.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69436|69436 - TYMPANOSTOMY GENERAL ANESTHESIA||312.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69433|69433 - TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA||386.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69424|69424 - VENTILATING TUBE RMVL REQUIRING GENERAL ANES||241.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69421|69421 - MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES||288.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69420|69420 - MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ||363.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69405|69405 - CATHETERIZE MIDDLE EAR CANAL||503.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69401|69401 - INFLATE MIDDLE EAR CANAL||167.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69400|69400 - INFLATE MIDDLE EAR CANAL||279.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69320|69320 - RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG||2946.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69310|69310 - RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX||2093.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69300|69300 - OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ||1401.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69222|69222 - DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX||416.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69220|69220 - DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE||259.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69210|69210 - REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT||94.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69205|69205 - RMVL FB XTRNL AUDITORY CANAL ANES||197.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69200|69200 - RMVL FB XTRNL AUDITORY CANAL W/O ANES||231.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69155|69155 - RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ||3264.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69150|69150 - RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ||2042.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69145|69145 - EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL||753.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69140|69140 - EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL||1677.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69120|69120 - EXCISION EXTERNAL EAR COMPLETE AMPUTATION||781.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69110|69110 - EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR||862.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69105|69105 - BIOPSY EXTERNAL AUDITORY CANAL||264.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69100|69100 - BIOPSY EXTERNAL EAR||185.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69090|69090 - EAR PIERCING||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69020|69020 - DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS||440.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69005|69005 - DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX||412.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|69000|69000 - DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE||356.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68850|68850 - INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY||115.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68840|68840 - PROBE LACRIMAL CANALICULI W/WO IRRIGATION||251.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68816|68816 - PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION||1378.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68815|68815 - PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT||855.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68811|68811 - PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES||411.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68810|68810 - PROBE NASOLACRIMAL DUCT W/WO IRRIGATION||468.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68801|68801 - DILATION LACRIMAL PUNCTUM W/WO IRRGATION||238|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68770|68770 - CLOSURE LACRIMAL FISTULA SPX||1270.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68761|68761 - CLSR LACRIMAL PUNCTUM PLUG EACH||285.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68760|68760 - CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER||390.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68750|68750 - CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT||1581.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68745|68745 - CONJUNCTIVORHINOSTOMY W/O TUBE||1534.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68720|68720 - DACRYOCSTORHINOSTOMY||1509.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68705|68705 - CORRECTION EVERTED PUNCTUM CAUTERY||458.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68700|68700 - PLASTIC REPAIR CANALICULI||1218.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68550|68550 - EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY||2238.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68540|68540 - EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH||1825.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68530|68530 - RMVL FB/DACRYOLITH LACRIMAL PASSAGES||828.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68525|68525 - BIOPSY LACRIMAL SAC||548.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68520|68520 - EXCISION LACRIMAL SAC||1345.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68510|68510 - BIOPSY LACRIMAL GLAND||879.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68505|68505 - EXCISION LACRIMAL GLAND XCPT TUMOR PRTL||1959.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68500|68500 - EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL||2000.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68440|68440 - SNIP INCISION LACRIMAL PUNCTUM||199.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68420|68420 - INCISION DRAINAGE LACRIMAL SAC||604.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68400|68400 - INCISION DRAINAGE LACRIMAL GLAND||537.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68371|68371 - HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR||787.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68362|68362 - CONJUNCTIVAL FLAP TOTAL||1327.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68360|68360 - CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX||1040.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68340|68340 - RPR & DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE||1061.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68335|68335 - RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB||1308.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68330|68330 - RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT||1180.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68328|68328 - CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT||1431.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68326|68326 - CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT||1302.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68325|68325 - CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT||1328.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68320|68320 - CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT||1409.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68200|68200 - SUBCONJUNCTIVAL INJECTION||81.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68135|68135 - DESTRUCTION LESION CONJUNCTIVA||306.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68130|68130 - EXCISION LESION CONJUNCTIVA ADJACENT SCLERA||1011.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68115|68115 - EXCISION LESION CONJUNCTIVA > 1 CM||588.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68110|68110 - EXCISION LESION CONJUNCTIVA </1 CM||434.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68100|68100 - BIOPSY CONJUNCTIVA||322.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68040|68040 - EXPRESSION CONJUNCTIVAL FOLLICLES||129.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|68020|68020 - INCISION CONJUNCTIVA DRAINAGE OF CYST||233.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67975|67975 - RCNSTJ EYELID FULL THICKNESS SECOND STAGE||1386.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67974|67974 - RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG||1891.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67973|67973 - RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG||1893.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67971|67971 - RCNSTJ EYELID FULL THICKNESS </TWO-THIRDS 1 STG||1467.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67966|67966 - EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN||1523.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67961|67961 - EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN||1125.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67950|67950 - CANTHOPLASTY||1118.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67938|67938 - REMOVAL EMBEDDED FOREIGN BODY EYELID||453.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67935|67935 - SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK||1167.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67930|67930 - SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK||709.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67924|67924 - REPAIR ENTROPION EXTENSIVE||1227.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67923|67923 - REPAIR ENTROPION EXCISION TARSAL WEDGE||1149.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67922|67922 - REPAIR ENTROPION THERMOCAUTERIZATION||546.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67921|67921 - REPAIR ENTROPION SUTURE||883.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67917|67917 - REPAIR ECTROPION EXTENSIVE||1175.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67916|67916 - REPAIR ECTROPION EXCISION TARSAL WEDGE||1144.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67915|67915 - REPAIR ECTROPION THERMOCAUTERIZATION||550.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67914|67914 - REPAIR ECTROPION SUTURE||900.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67912|67912 - CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD||1664.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67911|67911 - CORRECTION LID RETRACTION||1132.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67909|67909 - REDUCTION OVERCORRECTION PTOSIS||1050.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67908|67908 - RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ||975.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67906|67906 - RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING||976.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67904|67904 - RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL||1442.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67903|67903 - RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL||1171.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67902|67902 - RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING||1463.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67901|67901 - RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL||1482.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67900|67900 - REPAIR BROW PTOSIS||1250.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67882|67882 - CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS||1112.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67880|67880 - CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY||894.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67875|67875 - TEMPORARY CLOSURE EYELIDS SUTURE||327.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67850|67850 - DESTRUCTION LESION LID MARGIN </ 1 CM||401.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67840|67840 - EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE||523.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67835|67835 - CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF||886.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67830|67830 - CORRECTION TRICHIASIS INCCISION LID MARGIN||505.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67825|67825 - CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS||254.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67820|67820 - CORRECTION TRICHIASIS EPILATION FORCEPS ONLY||100.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67810|67810 - INCISIONAL BIOPSY EYELID SKIN & LID MARGIN||317.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67808|67808 - EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT||738.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67805|67805 - EXCISION CHALAZION MULTIPLE DIFFERENT LIDS||399.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67801|67801 - EXCISION CHALAZION MULTIPLE SAME LID||322.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67800|67800 - EXCISION CHALAZION SINGLE||249.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67715|67715 - CANTHOTOMY SEPARATE PROCEDURE||446.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67710|67710 - SEVERING TARSORRHAPHY||419.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67700|67700 - BLEPHAROTOMY DRAINAGE ABSCESS EYELID||499.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67570|67570 - OPTIC NERVE DECOMPRESSION||2436.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67560|67560 - ORBITAL IMPLANT REMOVAL/REVISION||1926.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67550|67550 - ORBITAL IMPLANT INSERTION||1920.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67515|67515 - INJECTION MEDICATION/OTHER SUBST TENON CAPSULE||197.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67505|67505 - RETROBULBAR INJECTION ALCOHOL||182.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67500|67500 - RETROBULBAR INJECTION MEDICATION SPX||154.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67450|67450 - ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX||2434.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67445|67445 - ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN||2835.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67440|67440 - ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG||2354.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67430|67430 - ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB||2379.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67420|67420 - ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION||3259.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67415|67415 - FINE NEEDLE ASPIRATION ORBITAL CONTENTS||211.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67414|67414 - ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN||2605.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67413|67413 - ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY||1702.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67412|67412 - ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION||1690.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67405|67405 - ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY||1536.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67400|67400 - ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY||1850.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67346|67346 - BIOPSY EXTRAOCULAR MUSCLE||400.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67345|67345 - CHEMODENERVATION EXTRAOCULAR MUSCLE||489.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67343|67343 - RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX||1317.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67340|67340 - STRABISMUS EXPL&/RPR DETACHED EXTROCULAR MUSC||700.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67335|67335 - PLACEMENT ADJUSTABLE SUTURE STRABISMUS||305.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67334|67334 - STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION||588.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67332|67332 - STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY||682.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67331|67331 - STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC||628.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67320|67320 - TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC||628.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67318|67318 - STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE||1350.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67316|67316 - STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC||1625.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67314|67314 - STRABISMUS RECESSION/RESCJ 1 VER MUSC||1343.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67312|67312 - STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC||1445.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67311|67311 - STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC||1193.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67255|67255 - SCLERAL REINFORCEMENT SPX W/GRAFT||1684.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67250|67250 - SCLERAL REINFORCEMENT SPX W/O GRAFT||1549.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67229|67229 - EXTENSIVE RETINOPATHY 1/> SESS PRETERM INFANT||2142.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67228|67228 - TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION||1992.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67227|67227 - DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY||1164.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67225|67225 - DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION||57.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67221|67221 - DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY||561.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67220|67220 - DSTRJ LESION CHOROID PC 1/> SESS||1060.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67218|67218 - DSTRJ LESION RETINA 1/> SESS RADJ IMPLTJ||2672.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67210|67210 - DSTRJ LOCLZD LESION RETINA 1/> SESS PC||1019.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67208|67208 - DSTRJ LOCLZD LESION RETINA 1/> SESS CRTX DTHRM||1145.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67145|67145 - PROPH RTA DTCHMNT W/O DRG 1/> SESS||1029.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67141|67141 - PROPH RTA DTCHMNT W/O DRG 1/> SESS CRTX DTHRM||1037.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67121|67121 - RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR||1825.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67120|67120 - RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR||1301.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67115|67115 - RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT||975.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67113|67113 - RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL||3471.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67112|67112 - REREPAIR DETACHED RETINA||2631.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67110|67110 - RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS||1689.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67108|67108 - RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH||3187.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67107|67107 - REPAIR RETINAL DETACHMENT SCLERAL BUCKLING||2446.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67105|67105 - RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC||1405.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67101|67101 - RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX||1544.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67043|67043 - VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE||3224.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67042|67042 - VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA||3016.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67041|67041 - VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE||2635.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67040|67040 - VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC||2810.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67039|67039 - VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC||2481.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67036|67036 - VITRECTOMY MECHANICAL PARS PLANA||1899.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67031|67031 - SEVERING VITREOUS STRANS LASER 1/> STAGES||755.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67030|67030 - DISCISSION VITREOUS STRANS PARS PLANA APPROACH||1011.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67028|67028 - INTRAVITREAL NJX PHARMACOLOGIC AGT SPX||201.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67027|67027 - IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS||1713.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67025|67025 - INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX||1432.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67015|67015 - ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL||1138.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67010|67010 - RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT||1069.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|67005|67005 - RMVL VITREOUS ANT APPR PARTIAL REMOVAL||955.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66990|66990 - USE OPHTHALMIC ENDOSCOPE||176.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66986|66986 - EXCHANGE INTRAOCULAR LENS||1788.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66985|66985 - INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL||1512.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66984|66984 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP||1273.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66983|66983 - ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG||1441.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66982|66982 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP||1588.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66940|66940 - REMOVAL LENS MATERIAL EXTRACAPSULAR||1563.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66930|66930 - REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS||1645.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66920|66920 - RMVL LENS MATERIAL INTRACAPSULAR||1447.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66852|66852 - RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY||1697.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66850|66850 - RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR||1565.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66840|66840 - RMVL LENS MATERIAL ASPIR TQ 1/> STAGES||1408.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66830|66830 - RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ||1367.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66825|66825 - REPOSITIONING IO LENS PROSTHESIS REQ INC SPX||1480.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66821|66821 - POST-CATARACT LASER SURGERY||641.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66820|66820 - DISCISSION SECONDARY MEMBRANOUS CATARACT||767.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66770|66770 - DSTRJ CYST/LESION IRIS/CILIARY BODY||1003.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66762|66762 - IRIDOPLASTY PHOTOCOAGULATION 1/> SESSIONS||919.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66761|66761 - IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION||574.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66740|66740 - CILIARY BODY DESTRUCTION CYCLODIALYSIS||831.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66720|66720 - CILIARY BODY DESTRUCTION CRYOTHERAPY||911.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66711|66711 - ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS||1227.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66710|66710 - CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL||878.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66700|66700 - CILIARY BODY DESTRUCTION DIATHERMY||862.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66682|66682 - SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE||1271.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66680|66680 - REPAIR IRIS CILIARY BODY||1044.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66635|66635 - IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX||1100.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66630|66630 - IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX||1134.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66625|66625 - IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX||841.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66605|66605 - IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY||2028.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66600|66600 - IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES||1590.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66505|66505 - IRIDOTOMY STAB INC SPX TRANSFIXION||735.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66500|66500 - IRIDOTOMY STAB INC SPX XCP TRANSFIXION||670.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66250|66250 - REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT||1465.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66225|66225 - REPAIR SCLERAL STAPHYLOMA W/GRAFT||1889.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66220|66220 - REPAIR SCLERAL STAPHYLOMA W/O GRAFT||1460.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66185|66185 - REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT||1497.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66184|66184 - REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT||1503.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66183|66183 - INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR||2057.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66180|66180 - AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT||2303.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66179|66179 - AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT||2071.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66175|66175 - TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT||2152.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66174|66174 - TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT||1904.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66172|66172 - FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING||2960.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66170|66170 - FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO||2348.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66165|66165 - GLAUCOMA SURGERY||1401.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66160|66160 - FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT||1887.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66155|66155 - FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC||1668.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66150|66150 - FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY||1669.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66130|66130 - EXCISION LESION SCLERA||1390.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66030|66030 - INJX ANTERIOR CHAMBER EYE MEDICATION SPX||314.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|66020|66020 - INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX||349.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65930|65930 - RMVL BLOOD CLOT ANTERIOR SEGMENT EYE||1277.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65920|65920 - RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE||1544.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65900|65900 - RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE||1844.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65880|65880 - SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL||1268.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65875|65875 - SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE||1235.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65870|65870 - SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE||1177.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65865|65865 - SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE||900.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65860|65860 - SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX||654.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65855|65855 - TRABECULOPLASTY BY LASER SURGERY||664.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65850|65850 - TRABECULOTOMY AB EXTERNO||1687.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65820|65820 - GONIOTOMY||1427.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65815|65815 - PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/AIR IN||1239.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65810|65810 - PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX||915.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65800|65800 - PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX||234.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65782|65782 - OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT||2332.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65781|65781 - OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT||2561.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65780|65780 - OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE||1735.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65779|65779 - PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED||2254.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65778|65778 - PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES||2505.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65775|65775 - CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM||1054.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65772|65772 - CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM||874.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65771|65771 - RADIAL KERATOTOMY||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65770|65770 - KERATOPROSTHESIS||3063.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65767|65767 - EPIKERATOPLASTY||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65765|65765 - KERATOPHAKIA||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65760|65760 - KERATOMILEUSIS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65756|65756 - KERATOPLASTY ENDOTHELIAL||2282.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65755|65755 - KERATOPLASTY PENETRATING PSEUDOPHAKIA||2427.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65750|65750 - KERATOPLASTY PENETRAING APHAKIA||2432.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65730|65730 - KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA||2420.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65710|65710 - KERATOPLASTY ANTERIOR LAMELLAR||2178.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65600|65600 - MULTIPLE PUNCTURES ANTERIOR CORNEA||764.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65450|65450 - DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION||629.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65436|65436 - RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT||770.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65435|65435 - RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION||157.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65430|65430 - CORNEA SCRAPING DIAGNOSTIC SMEAR &/CULTURE||226.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65426|65426 - EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG||1250.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65420|65420 - EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT||971.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65410|65410 - BIOPSY CORNEA||282.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65400|65400 - EXCISION LESION CORNEA XCP PTERYGIUM||1320.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65290|65290 - RPR WND EXTRAOCULAR MUSCLE TENDON&/TENON CAPSU||991.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65286|65286 - RPR LAC APPL TISSUE GLUE WOUND CORNEA&/SCLERA||1351.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65285|65285 - RPR LAC CORN&/SCLRA PERF W/REPOS/RESCJ UVEAL T||2234.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65280|65280 - RPR LAC CORNEA&/SCLERA PERFOR X INVG UVEAL TIS||1362.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65275|65275 - RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY||1120.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65273|65273 - RPR LAC CJNC MOBLJ & REARGMT W/HOSPIZATION||731.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65272|65272 - RPR LAC CJNC MOBLJ& REARGMT W/O HOSPITALIZATION||943.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65270|65270 - RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR||503.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65265|65265 - RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ||2200.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65260|65260 - RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE||1834.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65235|65235 - RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS||1391.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65222|65222 - RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP||132.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65220|65220 - RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP||112.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65210|65210 - RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR||134.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65205|65205 - REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL||110.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65175|65175 - REMOVAL OCULAR IMPLANT||1273.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65155|65155 - REINSERTION OCULAR IMPLT RNFCMT &/ ATTACH MUSCLE||1688.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65150|65150 - REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT||1094.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65140|65140 - INSJ OC IMPLT AFTER ENCL MUSC ATTACHED||1569.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65135|65135 - INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED||1477.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65130|65130 - INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL||1456.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65125|65125 - MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX||874.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65114|65114 - EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP||2915.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65112|65112 - EXENTERATION ORBIT RMVL ORBIT CONTENTS & BONE||2776.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65110|65110 - EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY||2390.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65105|65105 - ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT||1691.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65103|65103 - ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT||1530.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65101|65101 - ENUCLEATION OF EYE W/O IMPLANT||1463.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65093|65093 - EVISCERATION OCULAR CONTENTS W/IMPLANT||1246.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|65091|65091 - EVISCERATION OCULAR CONTENTS W/O IMPLANT||1263.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64913|64913 - NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND||321.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64912|64912 - NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND||1558.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64911|64911 - NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE||2004.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64910|64910 - NERVE REPAIR W/CONDUIT EACH NERVE||1600.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64907|64907 - NERVE PEDICAL TRANSFER SECOND STAGE||2393.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64905|64905 - NERVE PEDICLE TRANSFER FIRST STAGE||2031.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64902|64902 - NERVE GRAFT EACH NERVE MULTIPLE STRANDS||1344.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64901|64901 - NERVE GRAFT EACH NERVE 1 STRAND||1162.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64898|64898 - NERVE GRAFT MLT STRANDS ARM/LEG >4 CM||2691.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64897|64897 - NERVE GRAFT MLT STRANDS ARM/LEG </4 CM||2558.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64896|64896 - NERVE GRAFT MLT STRANDS HAND/FOOT > 4 CM||3087.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64895|64895 - NERVE GRAFT MLT STRANDS HAND/FOOT </4 CM||2655.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64893|64893 - NERVE GRAFT 1 STRAND ARM/LEG >4 CM||2253.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64892|64892 - NERVE GRAFT 1 STRAND ARM/LEG <4 CM||2109.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64891|64891 - NRV GRF 1 STRAND HAND/FOOT >4 CM||2311.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64890|64890 - NERVE GRAFT 1 STRAND HAND/FOOT </4 CM||2168.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64886|64886 - NERVE GRAFT HEAD/NECK >4 CM||2557.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64885|64885 - NERVE GRAFT HEAD/NECK </ 4 CM||2240.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64876|64876 - SUTURE NERVE REQ SHORTENING BONE EXTREMITY||365.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64874|64874 - SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE||333.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64872|64872 - SUTURE NERVE REQ SECONDARY/DELAYED SUTURE||234.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64870|64870 - FUSION OF FACIAL/OTHER NERVE||2043.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64868|64868 - ANASTOMOSIS FACIAL HYPOGLOSSAL||1997.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64866|64866 - ANASTOMOSIS FACIAL-SPINAL ACCESSORY||2261.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64865|64865 - SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT||2178.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64864|64864 - SUTURE FACIAL NERVE EXTRACRANIAL||1713.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64862|64862 - SUTURE LUMBAR PLEXUS||2668.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64861|64861 - SUTURE BRACHIAL PLEXUS||2682.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64859|64859 - SUTURE EACH ADDITIONAL PERIPHERAL NERVE||508.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64858|64858 - SUTURE SCIATIC NERVE||2107.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64857|64857 - SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS||2065.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64856|64856 - SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS||1972.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64840|64840 - SUTURE POSTERIOR TIBIAL NERVE||1810.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64837|64837 - SUTURE EACH ADDITIONAL NERVE HAND/FOOT||720.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64836|64836 - SUTURE 1 NERVE ULNAR MOTOR||1584.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64835|64835 - SUTURE 1 NERVE MEDIAN MOTOR THENAR||1584.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64834|64834 - SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE||1445.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64832|64832 - SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV||667.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64831|64831 - SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE||1325.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64823|64823 - SYMPATHECTOMY SUPERFICIAL PALMAR ARCH||1546.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64822|64822 - SYMPATHECTOMY ULNAR ARTERY||1353.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64821|64821 - SYMPATHECTOMY RADIAL ARTERY||1353.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64820|64820 - SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT||1418.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64818|64818 - SYMPATHECTOMY LUMBAR||1274.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64809|64809 - SYMPATHECTOMY THORACOLUMBAR||1430.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64804|64804 - SYMPATHECTOMY CERVICOTHORACIC||2014.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64802|64802 - SYMPATHECTOMY CERVICAL||1322.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64795|64795 - BIOPSY NERVE||380.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64792|64792 - EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV||2306.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64790|64790 - EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV||1609.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64788|64788 - EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV||768.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64787|64787 - IMPLANTATION NERVE END BONE/MUSCLE||480.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64786|64786 - EXCISION NEUROMA SCIATIC NERVE||2112.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64784|64784 - EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC||1434.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64783|64783 - EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT||427.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64782|64782 - EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE||880.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64778|64778 - EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT||309.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64776|64776 - EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT||761.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64774|64774 - EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE||809.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64772|64772 - TRANSECTION/AVULSION OTH SPINAL NRV XDRL||1086.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64771|64771 - TRANSECTION/AVULSION OTH CRANIAL NRV XDRL||1136.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64766|64766 - TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY||1103.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64763|64763 - TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY||985.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64761|64761 - INCISION OF PELVIS NERVE||899.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64760|64760 - TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL||994.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64755|64755 - TRANSECTION/AVULSION VAGUS NERVES||1793.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64752|64752 - INCISION OF VAGUS NERVE||967.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64746|64746 - TRANSECTION/AVULSION PHRENIC NERVE||847.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64744|64744 - TRANSECTION/AVULSION GREATER OCCIPITAL NERVE||946.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64742|64742 - TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL||978.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64740|64740 - TRANSECTION/AVULSION LINGUAL NERVE||892.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64738|64738 - TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO||935.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64736|64736 - TRANSECTION/AVULSION MENTAL NERVE||841.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64734|64734 - TRANSECTION/AVULSION INFRAORBITAL NERVE||755.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64732|64732 - TRANSECTION/AVULSION SUPRAORBITAL NERVE||794.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64727|64727 - INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE||361.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64726|64726 - DECOMPRESSION PLANTAR DIGITAL NERVE||531.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64722|64722 - DECOMPRESSION UNSPECIFIED NERVE||710.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64721|64721 - NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE||820.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64719|64719 - NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST||766.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64718|64718 - NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW||1140.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64716|64716 - NEUROPLASTY &/TRANSPOSITION CRANIAL NERVE||1045.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64714|64714 - NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS||1246.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64713|64713 - NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS||1421.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64712|64712 - NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV||1093.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64708|64708 - NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC||956.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64704|64704 - NEUROPLASTY NERVE HAND/FOOT||620.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64702|64702 - NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT||956.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64681|64681 - DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS||647.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64680|64680 - DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS||590.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64653|64653 - CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY||181.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64650|64650 - CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE||143.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64647|64647 - CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES||332.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64646|64646 - CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES||287.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64645|64645 - CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES||215.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64644|64644 - CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES||304.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64643|64643 - CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE||176.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64642|64642 - CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE||266.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64640|64640 - DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE||252.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64636|64636 - DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL||333.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64635|64635 - DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL||809.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64634|64634 - DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA||369.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64633|64633 - DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA||820.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64632|64632 - DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE||166.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64630|64630 - DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE||438.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64620|64620 - DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE||398.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64617|64617 - CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG||361.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64616|64616 - CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA||235.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64615|64615 - CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE||276.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64612|64612 - CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL||261.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64611|64611 - CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS||213.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64610|64610 - DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR||1402.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64605|64605 - DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH||1388.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64600|64600 - DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH||727.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64595|64595 - REVISION/RMVL PERIPHERAL/GASTRIC NPGR||456.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64590|64590 - INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR||496.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64585|64585 - REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE||461.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64581|64581 - INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE||1320.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64580|64580 - INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR||578.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64575|64575 - INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD||598.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64570|64570 - REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO||1343.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64569|64569 - REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV||1519.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64568|64568 - INC IMPLTJ CRNL NRV NSTIM ELTRDS & PULSE GENER||1195.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64566|64566 - POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE||221.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64565|64565 - PRQ IMPLTJ NSTIM ELTRD NEUROMUSCULAR||351.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64561|64561 - PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING||1505.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64555|64555 - PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV||386.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64553|64553 - PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE||399.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64550|64550 - APPLICATION OF SURFACE NEUROSTIMULATOR||30.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64530|64530 - INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG||360.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64520|64520 - INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC||347.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64517|64517 - INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS||336.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64510|64510 - NJX ANES STELLATE GANGLION CRV SYMPATHETIC||240.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64508|64508 - INJECTION ANESTHETIC AGENT CAROTID SINUS SPX||128.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64505|64505 - INJECTION ANES AGENT SPHENOPALATINE GANGLION||199.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64495|64495 - NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL||167.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64494|64494 - NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL||166.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64493|64493 - NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL||329.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64492|64492 - NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL||183.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64491|64491 - NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL||181.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64490|64490 - NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL||366.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64489|64489 - TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S)||402.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64488|64488 - TAP BLOCK BILATERAL BY INJECTION(S)||292.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64487|64487 - TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S)||289.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64486|64486 - TAP BLOCK UNILATERAL BY INJECTION(S)||237.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64484|64484 - NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV||168.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64483|64483 - NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL||419.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64480|64480 - NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV||219.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64479|64479 - NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL||456.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64455|64455 - NJX ANES&/STEROID PLANTAR COMMON DIGITAL NERVE||93.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64450|64450 - INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH||151.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64449|64449 - INJECTION AA&/STRD LUMBAR PLEXUS CONT NFS CATH||165.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64448|64448 - INJECTION AA&/STRD FEMORAL NERVE CONT NFS CATH||142.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64447|64447 - INJECTION AA&/STRD FEMORAL NERVE||226.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64446|64446 - INJECTION AA&/STRD SCIATIC NERVE CONT NFS CATH||159.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64445|64445 - INJECTION AA&/STRD SCIATIC NERVE||256.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64435|64435 - INJECTION AA&/STRD PARACERVICAL NERVE||258.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64430|64430 - INJECTION AA&/STRD PUDENDAL NERVE||261.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64425|64425 - INJECTION AA&/STRD ILIOINGUINAL IH NERVES||257.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64421|64421 - INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL||291.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64420|64420 - INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL||214.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64418|64418 - INJECTION AA&/STRD SUPRASCAPULAR NERVE||269.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64417|64417 - INJECTION AA&/STRD AXILLARY NERVE||246.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64416|64416 - INJECTION AA&/STRD BRACHIAL PLEXUS CONT NFS CATH||158.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64415|64415 - INJECTION AA&/STRD BRACHIAL PLEXUS||226.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64413|64413 - INJECTION ANESTHETIC AGENT CERVICAL PLEXUS||237.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64412|64412 - N BLOCK INJ SPINAL ACCESSOR||260.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64410|64410 - INJECTION ANESTHETIC AGENT PHRENIC NERVE||244.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64408|64408 - INJECTION AA&/STRD VAGUS NERVE||192.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64405|64405 - INJECTION AA&/STRD GREATER OCCIPITAL NERVE||190.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64402|64402 - INJECTION ANESTHETIC AGENT FACIAL NERVE||233.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|64400|64400 - INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH||234.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63746|63746 - RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT||1158.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63744|63744 - RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT||1326.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63741|63741 - CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM||1269.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63740|63740 - CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM||1835.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63710|63710 - DURAL GRAFT SPINAL||2155.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63709|63709 - RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM||2152.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63707|63707 - RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM||1784.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63706|63706 - REPAIR MYELOMENINGOCELE > 5 CM DIAMETER||3510.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63704|63704 - REPAIR MYELOMENINGOCELE < 5 CM DIAMETER||3204.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63702|63702 - REPAIR MENINGOCELE > 5 CM DIAMETER||2709.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63700|63700 - REPAIR MENINGOCELE < 5 CM DIAMETER||2462.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63688|63688 - REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR||717.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63685|63685 - INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING||709.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63664|63664 - REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR||1558.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63663|63663 - REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR||1516.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63662|63662 - RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR||1504.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63661|63661 - RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR||1088.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63655|63655 - LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL||1606.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63650|63650 - PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL||2478.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63621|63621 - STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION||491.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63620|63620 - STEREOTACTIC RADIOSURGERY 1 SPINAL LESION||2155.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63615|63615 - STRTCTC BX ASPIRAT/EXC LESION SPINAL CORD||2408.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63610|63610 - STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG||787.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63600|63600 - CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ||1798.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63308|63308 - VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG||632.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63307|63307 - VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR||4698.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63306|63306 - VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR||4270.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63305|63305 - VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC||4882.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63304|63304 - VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL||4583.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63303|63303 - VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR||4515.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63302|63302 - VCRPEC LES 1 SEG XDRL THRC THORACOLMBR||4246.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63301|63301 - VCRPEC LES 1 SGM XDRL THORACIC TTHRC||4300.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63300|63300 - VCRPEC LES 1 SGM XDRL CERVICAL||3594.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63295|63295 - OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX||654|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63290|63290 - LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL||5444.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63287|63287 - LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR||5361.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63286|63286 - LAM BX/EXC ISPI NEO IDRL IMED THORACIC||5030.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63285|63285 - LAM BX/EXC ISPI NEO IDRL IMED CERVICAL||5107.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63283|63283 - LAM BX/EXC ISPI NEO IDRL SACRAL||3700.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63282|63282 - LAM BX/EXC ISPI NEO IDRL XMED LUMBAR||3856.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63281|63281 - LAM BX/EXC ISPI NEO IDRL XMED THORACIC||4081.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63280|63280 - LAM BX/EXC ISPI NEO IDRL XMED CERVICAL||4132.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63278|63278 - LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL||3092.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63277|63277 - LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR||3035.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63276|63276 - LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC||3488.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63275|63275 - LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL||3520.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63273|63273 - LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL||3634.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63272|63272 - LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR||3722.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63271|63271 - LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC||4047.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63270|63270 - LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL||4049.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63268|63268 - LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL||2830.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63267|63267 - LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR||2688.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63266|63266 - LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC||3367.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63265|63265 - LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL||3261.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63252|63252 - LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR||5927.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63251|63251 - LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC||5929.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63250|63250 - LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL||5801.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63200|63200 - LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR||2999.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63199|63199 - LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES THORACIC||3343.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63198|63198 - LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES CERVICAL||3185.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63197|63197 - LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC||3025.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63196|63196 - LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACTS CRV||2704.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63195|63195 - LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT THORACIC||2993.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63194|63194 - LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT CERVICAL||2480.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63191|63191 - LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE||2488.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63190|63190 - LAMINECTOMY W/RHIZOTOMY > 2 SEGMENTS||2479.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63185|63185 - LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS||2334.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63182|63182 - LAM&SCTJ DENTATE LIG W/WO DURAL GRF CRV >2 SEG||2874.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63180|63180 - LAM&SCTJ DENTATE LIG W/WO DURAL GRF CRV 1/2 SEG||2890.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63173|63173 - LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL||3363.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63172|63172 - LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID||2747.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63170|63170 - LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR||3099.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63103|63103 - VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG||576.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63102|63102 - VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG||4399.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63101|63101 - VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG||4539.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63091|63091 - VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG||353.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63090|63090 - VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG||3868.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63088|63088 - VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG||508.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63087|63087 - VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG||4701.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63086|63086 - VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG||376.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63085|63085 - VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG||3732.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63082|63082 - VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG||529.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63081|63081 - VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG||3468.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63078|63078 - DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC||385.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63077|63077 - DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC||2936.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63076|63076 - DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC||491.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63075|63075 - DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC||2673.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63066|63066 - COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG||406.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63064|63064 - COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG||3470.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63057|63057 - TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR||634.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63056|63056 - TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR||2900.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63055|63055 - TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC||3180.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63051|63051 - LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ||3360.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63050|63050 - LAMOP CERVICAL W/DCMPRN SPI CORD 2/> VERT SEG||3043.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63048|63048 - LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR||421.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63047|63047 - LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR||2151.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63046|63046 - LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT THORACIC||2366.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63045|63045 - LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL||2484.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63042|63042 - LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR||2543.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63040|63040 - LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL||2751.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63035|63035 - LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR||380|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63030|63030 - LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR||1890.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63020|63020 - LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC||2282.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63017|63017 - LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR||2435.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63016|63016 - LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC||2965.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63015|63015 - LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL||2894.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63012|63012 - LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR||2327.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63011|63011 - LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL||2135.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63005|63005 - LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR||2306.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63003|63003 - LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC||2414.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|63001|63001 - LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV||2415.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62370|62370 - ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP||236.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62369|62369 - ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFIL||223.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62368|62368 - ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG||107.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62367|62367 - ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL||79.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62365|62365 - RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS||569.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62362|62362 - IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP||755.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62361|62361 - IMPLTJ/RPLCMT FS NON-PRGRBL PUMP||682.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62360|62360 - IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR||608.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62355|62355 - RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH||517.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62351|62351 - IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM||1705|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62350|62350 - IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM||788.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62327|62327 - NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN||457.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62326|62326 - NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN||312.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62325|62325 - NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN||449.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62324|62324 - NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN||297.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62323|62323 - NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN||497.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62322|62322 - NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN||317.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62321|62321 - NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN||506.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62320|62320 - NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN||340.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62305|62305 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS||501.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62304|62304 - MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL||459.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62303|62303 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC||483.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62302|62302 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL||465.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62294|62294 - NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL||1421.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62292|62292 - INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR||1147.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62291|62291 - INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC||611.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62290|62290 - INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR||634.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62287|62287 - DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR||1106.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62284|62284 - INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR||364.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62282|62282 - INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL||542.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62281|62281 - INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC||464.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62280|62280 - INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID||603.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62273|62273 - INJECTION EPIDURAL BLOOD/CLOT PATCH||333.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62272|62272 - THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF||379.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62270|62270 - DIAGNOSTIC LUMBAR SPINAL PUNCTURE||301.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62269|62269 - BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE||534.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62268|62268 - PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX||519.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62267|62267 - PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS||477.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62264|62264 - PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY||804.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62263|62263 - PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS||1297.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62258|62258 - RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT||2193.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62256|62256 - RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT||1159.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62252|62252 - REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT||160.87|90.66||0|10/01/2018
20-4114498|1750446506|SH 70003|62230|62230 - RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS||1638.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62225|62225 - RPLCMT/IRRIGATION VENTRICULAR CATHETER||1008.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62223|62223 - CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS||2046.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62220|62220 - CRTJ SHUNT VENTRICULO-ATR-JUG-AUR||1985.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62201|62201 - VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC||2333.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62200|62200 - VENTRICULOCISTERNOSTOMY 3RD VENTRICLE||2679.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62194|62194 - RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER||835.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62192|62192 - CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH||1896.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62190|62190 - CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR||1792.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62180|62180 - VENTRICULOCISTERNOSTOMY||3118.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62165|62165 - NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID||3033.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62164|62164 - NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY||4069.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62163|62163 - NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY||2376.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62162|62162 - NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG||3682.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62161|62161 - NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS||2955.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62160|62160 - NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS||373.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62148|62148 - INCISE&RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT||249.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62147|62147 - CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER||2838.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62146|62146 - CRANIOPLASTY W/AUTOGRAFT </ 5 CM DIAMETER||2429.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62145|62145 - CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG||2773.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62143|62143 - RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL||2026.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62142|62142 - RMVL BONE FLAP/PROSTHETIC PLATE SKULL||1725.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62141|62141 - CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER||2227.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62140|62140 - CRANIOPLASTY SKULL DEFECT </5 CM DIAMETER||2023.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62121|62121 - CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE||3317.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62120|62120 - RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY||3276.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62117|62117 - RDCTJ CRANIOMEGALIC CRANIO&RECNSTJ W/WO GRAFT||3104.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62116|62116 - REDUCTION OF SKULL DEFECT||3292.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62115|62115 - RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY||2501.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62100|62100 - CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA||3145.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62010|62010 - ELVTN DEPRS SKL FX W/RPR DURA&/DBRDMT BRN||2981.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62005|62005 - ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL||2472.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|62000|62000 - ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL||2002.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61888|61888 - REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR||759.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61886|61886 - INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2/> ELTRDS||1630.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61885|61885 - INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR||998.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61880|61880 - REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS||1104.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61875|61875 - IMPLANT NEUROELECTRODES||1788.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61870|61870 - CRNEC IMPLTJ NSTIM ELTRD CEREBELLAR CORTICAL||2302.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61868|61868 - STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY||984.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61867|61867 - STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY||4452.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61864|61864 - STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY||559.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61863|61863 - STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY||2924.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61860|61860 - CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL||3049.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61850|61850 - TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL||1908.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61800|61800 - APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY||297.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61799|61799 - STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX||590.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61798|61798 - STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES||2674.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61797|61797 - STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE||428.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61796|61796 - STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES||1952.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61791|61791 - CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC||2165.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61790|61790 - CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN||1696.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61783|61783 - STEREOTACTIC COMPUTER ASSISTED PX SPINAL||462.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61782|61782 - STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL||378.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61781|61781 - STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL||460.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61770|61770 - STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC||3156.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61760|61760 - STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING||3078.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61751|61751 - STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT&I/MR||2673.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61750|61750 - STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES||2739.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61735|61735 - CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN||3095.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61720|61720 - CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS||2471|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61711|61711 - ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES||5094.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61710|61710 - ARYSM VASC MALFRMJ IA EMBOLIZATION||3904.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61708|61708 - ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS||3890.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61705|61705 - ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART||5083.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61703|61703 - ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART||2643.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61702|61702 - SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ||7876.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61700|61700 - SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION||6682.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61698|61698 - CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ||9071.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61697|61697 - COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION||8265.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61692|61692 - INTRACRANIAL ARVEN MALFRMJ DURAL CMPL||7160.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61690|61690 - INTRACRANIAL ARVEN MALFRMJ DURAL SMPL||4263.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61686|61686 - INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL||8806.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61684|61684 - INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL||5555.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61682|61682 - INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL||8188.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61680|61680 - INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL||4397.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61642|61642 - PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER||872.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61641|61641 - PERQ BALO DILA IC VSPSM EA VSL SM VASC TER||436.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61640|61640 - BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL||1241.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61635|61635 - TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD||2752.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61630|61630 - BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS||2520.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61626|61626 - TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS||1712.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61624|61624 - TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS||2197.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61623|61623 - EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK||1099.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61619|61619 - SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP||2899.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61618|61618 - SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT||2545.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61616|61616 - RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL||6484.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61615|61615 - RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL||4455.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61613|61613 - OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ||6383.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61612|61612 - TRNSXJ/LIG CRTD ART PETROUS CANAL RPR ANAST/GRF||2804.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61611|61611 - TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR||785.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61610|61610 - TRNSXJ/LIG CAROTID ARTERY SINUS W/RPR ANAST/GRFT||3478.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61609|61609 - TRANSECT ARTERY SINUS||1159.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61608|61608 - RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL||6318.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61607|61607 - RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL||5634.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61606|61606 - RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR||5851.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61605|61605 - RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL||4288.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61601|61601 - RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF||4675.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61600|61600 - RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL||4183.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61598|61598 - TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM||5493.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61597|61597 - TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL||5561.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61596|61596 - TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART||4846.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61595|61595 - TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV||4629.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61592|61592 - ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE||6177.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61591|61591 - INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR&/MOBI||6087.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61590|61590 - INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN||5996.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61586|61586 - BICORONAL TRANSZYGMTC&/LEFORT I W/O BONE GRFT||4704.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61585|61585 - ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ||6279.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61584|61584 - ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ||5541.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61583|61583 - CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE||5639|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61582|61582 - CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT||5683.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61581|61581 - CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ||5256.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61580|61580 - CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ||4842.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61576|61576 - TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE||6759.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61575|61575 - TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES||4725.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61571|61571 - CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN||3876.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61570|61570 - CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN||3638.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61567|61567 - CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG||5000.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61566|61566 - CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY||4384.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61564|61564 - EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN||4694.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61563|61563 - EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN||3861.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61559|61559 - XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT||3495.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61558|61558 - XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS||3322.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61557|61557 - CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP||3270.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61556|61556 - CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP||3319.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61552|61552 - CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES||2220.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61550|61550 - CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE||1743.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61548|61548 - HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL||3045.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61546|61546 - CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR||4502.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61545|61545 - CRANIOTOMY EXCISION CRANIOPHARYNGIOMA||6216.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61544|61544 - CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS||3710.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61543|61543 - CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY||4236.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61542|61542 - REMOVAL OF BRAIN TISSUE||4100.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61541|61541 - CRANIOTOMY TRANSECTION CORPUS CALLOSUM||4190.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61540|61540 - CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG||4257.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61539|61539 - CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG||4607.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61538|61538 - CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY||5217.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61537|61537 - CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY||4818.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61536|61536 - CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY||5036.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61535|61535 - CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX||1938.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61534|61534 - CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY||3202.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61533|61533 - CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING||2966.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61531|61531 - SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING||2373.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61530|61530 - CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA||6014.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61526|61526 - CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM||7133.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61524|61524 - CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST||4061.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61522|61522 - CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS||4266.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61521|61521 - CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL||6220.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61520|61520 - CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM||7337.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61519|61519 - CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA||5769.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61518|61518 - CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA||5393.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61517|61517 - IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT||171.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61516|61516 - CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR||3628.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61514|61514 - CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR||3722.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61512|61512 - CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR||4983.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61510|61510 - CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR||4264.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61501|61501 - CRANIECTOMY OSTEOMYELITIS||2253.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61500|61500 - CRANIECTOMY W/EXCISION TUMOR/LESION SKULL||2604.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61490|61490 - INCISE SKULL FOR SURGERY||3693.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61480|61480 - CRNEC SUBOCPTL MESENCEPHAL TRCOTOMY/PEDUNCULOTMY||2967.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61470|61470 - INCISE SKULL FOR SURGERY||3742.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61460|61460 - CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NR||4103.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61458|61458 - CRNEC SOPL EXPL/DCMPRN CRNL NRV||3917.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61450|61450 - CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION||3751.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61440|61440 - INCISE SKULL FOR SURGERY||3906.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61345|61345 - OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA||3977.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61343|61343 - CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD||4295.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61340|61340 - SUBTEMPORAL CRANIAL DECOMPRESSION||2814.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61334|61334 - EXPLORE ORBIT/REMOVE OBJECT||2748.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61333|61333 - EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION||4127.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61332|61332 - EXPLORATION ORBIT TRANSCRANIAL APPROACH W/BIOPSY||4035.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61330|61330 - DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH||3612.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61323|61323 - CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY||4659|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61322|61322 - CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY||4636.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61321|61321 - CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL||4153.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61320|61320 - CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL||3716.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61316|61316 - INCISION & SUBCUTANEOUS PLMT CRANIAL BONE GRAF||172.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61315|61315 - CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL||4041.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61314|61314 - CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL||3569.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61313|61313 - CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL||3868.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61312|61312 - CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL||4064.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61305|61305 - CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL||3917.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61304|61304 - CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL||3198.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61253|61253 - BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI||1618.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61250|61250 - BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG||1682.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61215|61215 - INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH||971.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61210|61210 - BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE||724.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61156|61156 - BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL||2421.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61154|61154 - BURR HOLE W/EVAC&/DRG HEMATOMA XDRL/SDRL||2470.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61151|61151 - BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST||1932.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61150|61150 - BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST||2636.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61140|61140 - BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION||2453.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61120|61120 - BURR HOLE VENTRICULAR PUNCTURE||1448.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61108|61108 - TWIST DRILL HOLE EVAC&/DRG SUBDURAL HEMATOMA||1758.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61107|61107 - TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE||620.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61105|61105 - TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE||891.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61070|61070 - PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX||116.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61055|61055 - CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION||233.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61050|61050 - CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX||169.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61026|61026 - VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ||210.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61020|61020 - VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX||206.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61001|61001 - SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ||210.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|61000|61000 - SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT||175.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60650|60650 - LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL||2341.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60605|60605 - EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY||3166.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60600|60600 - EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY||2827.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60545|60545 - ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR||2389.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60540|60540 - ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX||2075.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60522|60522 - THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX||2711.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60521|60521 - THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX||2236.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60520|60520 - THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX||2045.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60512|60512 - PARATHYROID AUTOTRANSPLANTATION ADD-ON||481.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60505|60505 - PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC||2728.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60502|60502 - PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR||2528.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60500|60500 - PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS||1895.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60300|60300 - ASPIRATION AND/OR INJECTION THYROID CYST||221.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60281|60281 - EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT||1157.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60280|60280 - EXCISION THYROGLOSSAL DUCT CYST/SINUS||864.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60271|60271 - THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH||2081.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60270|60270 - THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC||2697.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60260|60260 - THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL||2156.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60254|60254 - THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT||3290.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60252|60252 - THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT||2597.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60240|60240 - THYROIDECTOMY TOTAL/COMPLETE||1809.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60225|60225 - TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC||1827.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60220|60220 - TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY||1392.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60212|60212 - PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC||1980.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60210|60210 - PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY||1386.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60200|60200 - EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS||1292.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60100|60100 - BIOPSY THYROID PERCUTANEOUS CORE NEEDLE||218.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|60000|60000 - I&D THYROGLOSSAL DUCT CYST INFECTED||330.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59871|59871 - REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA||267.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59870|59870 - UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE||931.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59866|59866 - MULTIFETAL PREGNANCY REDUCTION||429.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59857|59857 - INDUCED ABORT 1/> VAG SUPPOS DLVR FETUS HYSTOT||1018.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59856|59856 - INDUCED ABORT 1/> VAG SUPP DLVR FETUS D&C &/EVAC||974.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59855|59855 - INDUCED ABORT 1/> VAG SUPPOSITORIES DLVR FETUS||828.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59852|59852 - INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS HYSTOTM||987.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59851|59851 - INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS D&C||791.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59850|59850 - INDUCED ABORTION 1/> AMNIOTIC INJX W/D&C/EVACJ||676.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59841|59841 - INDUCED ABORTION DILATION & EVACUATION||757.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59840|59840 - INDUCED ABORTION DILATION AND CURETTAGE||423.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59830|59830 - TX SEPTIC ABORTION SURGICAL||867.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59821|59821 - TX MISSED ABORTION SECOND TRIMESTER SURGICAL||751.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59820|59820 - TX MISSED ABORTION FIRST TRIMESTER SURGICAL||742.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59812|59812 - TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL||626.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59622|59622 - CESAREAN DLVRY & POSTPARTUM CARE ATTEMPTED VBA||2610.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59620|59620 - CESAREAN DELIVERY ATTEMPTED VBAC||1919.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59618|59618 - ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC||4674.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59614|59614 - VAGINAL DELIVERY & POSTPARTUM CARE VBAC||2301.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59612|59612 - VAGINAL DELIVERY AFTER CESAREAN DELIVERY||1853.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59610|59610 - ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB||4373.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59525|59525 - STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY||981.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59515|59515 - CESAREAN DELIVERY ONLY W/POSTPARTUM CARE||2541.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59514|59514 - CESAREAN DELIVERY ONLY||1857.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59510|59510 - OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM||4611.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59430|59430 - POSTPARTUM CARE ONLY SEPARATE PROCEDURE||362.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59426|59426 - ANTEPARTUM CARE ONLY 7/> VISITS||1606.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59425|59425 - ANTEPARTUM CARE ONLY 4-6 VISITS||898.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59414|59414 - DELIVERY PLACENTA SEPARATE PROCEDURE||185.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59412|59412 - EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS||208.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59410|59410 - VAGINAL DELIVERY ONLY W/POSTPARTUM CARE||2101.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59409|59409 - VAGINAL DELIVERY ONLY||1651.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59400|59400 - OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM||4169.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59350|59350 - HYSTERORRHAPHY RUPTURED UTERUS||566.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59325|59325 - CERCLAGE CERVIX PREGNANCY ABDOMINAL||433.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59320|59320 - CERCLAGE CERVIX PREGNANCY VAGINAL||305.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59300|59300 - EPISIOTOMY/VAG RPR OTH/THN ATTENDING||376.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59200|59200 - INSERTION CERVICAL DILATOR SEPARATE PROCEDURE||139.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59160|59160 - CURETTAGE POSTPARTUM||400.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59151|59151 - LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY||1499.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59150|59150 - LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY||1540.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59140|59140 - TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION||741.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59136|59136 - TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER||1768.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59135|59135 - TX ECTOPIC PREGNANCY NTRSTL REQ TOT HYST||1642.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59130|59130 - TX ECTOPIC PREGNANCY ABDL PREGNANCY||1656.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59121|59121 - TX ECTOPIC PREGNANCY W/O SALPING&/OOPHORECTOMY||1591.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59120|59120 - TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR||1590.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59100|59100 - HYSTEROTOMY ABDOMINAL||1669.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59076|59076 - FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE||1059.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59074|59074 - FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE||766.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59072|59072 - FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE||1055.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59070|59070 - TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE||803.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59051|59051 - FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY||85.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59050|59050 - FETAL MONITORING LABOR PHYS WRITTEN REPORT||102.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59030|59030 - FETAL SCALP BLOOD SAMPLING||199.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59025|59025 - FETAL NONSTRESS TEST||91.58|58.72||0|10/01/2018
20-4114498|1750446506|SH 70003|59020|59020 - FETAL CONTRACTION STRESS TEST||134.43|73.88||0|10/01/2018
20-4114498|1750446506|SH 70003|59015|59015 - CHORIONIC VILLUS SAMPLING||307.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59012|59012 - CORDOCENTESIS INTRAUTERINE||409.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59001|59001 - AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID||361.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|59000|59000 - AMNIOCENTESIS DIAGNOSIC||241.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58976|58976 - GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH||472.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58970|58970 - FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD||419.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58960|58960 - LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK||1873.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58958|58958 - RESECTION RECRT MAL W/OMENTECTOMY PEL LMPHADEC||3374.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58957|58957 - RESECJ RECUR OVARIAN/TUBAL/PERITONEAL MALIGNANCY||3073.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58956|58956 - BSO W/TOT OMENTECTOMY & HYSTERECTOMY MALIGNANC||2677.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58954|58954 - BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY||4259.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58953|58953 - BSO W/OMENTECTOMY TAH&RAD DEBULKING DISSECTION||3926.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58952|58952 - RESCJ PRIM PRTL MAL W/BSO & OMNTC RAD DEBULKING||3172.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58951|58951 - RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD||2810.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58950|58950 - RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO||2184.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58943|58943 - OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY||2285.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58940|58940 - OOPHORECTOMY PARTIAL/TOTAL UNI/BI||1029.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58925|58925 - OVARIAN CYSTECTOMY UNI/BI||1474.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58920|58920 - WEDGE RESCJ/BISCTJ OVARY UNI/BI||1424.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58900|58900 - BIOPSY OVARY UNI/BI SEPARATE PROCEDURE||878.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58825|58825 - TRANSPOSITION OVARY||1384.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58822|58822 - DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH||1464.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58820|58820 - DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN||615.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58805|58805 - DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL||801.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58800|58800 - DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR||623.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58770|58770 - SALPINGOSTOMY||1725.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58760|58760 - FIMBRIOPLASTY||1617.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58752|58752 - TUBOUTERINE IMPLANTATION||1706.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58750|58750 - TUBOTUBAL ANASTATOMOSIS||1825.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58740|58740 - LYSIS OF ADHESIONS SALPINX/OVARY||1744.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58720|58720 - SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX||1445.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58700|58700 - SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX||1542.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58674|58674 - LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN||1667.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58673|58673 - LAPAROSCOPY SALPINGOSTOMY||1599.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58672|58672 - LAPAROSCOPY FIMBRIOPLASTY||1471.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58671|58671 - LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS||726.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58670|58670 - LAPAROSCOPY FULGURATION OVIDUCTS||725.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58662|58662 - LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE||1408.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58661|58661 - LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES||1289.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58660|58660 - LAPAROSCOPY W/LYSIS OF ADHESIONS||1342.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58615|58615 - OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR||484.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58611|58611 - LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG||156.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58605|58605 - LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX||653.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58600|58600 - LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI||724.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58575|58575 - LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC||3770.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58573|58573 - LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR||2666.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58572|58572 - LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM||2314.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58571|58571 - LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY||2076.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58570|58570 - LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<||1855.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58565|58565 - HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS||3423.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58563|58563 - HYSTEROSCOPY ENDOMETRIAL ABLATION||3041.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58562|58562 - HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY||793.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58561|58561 - HYSTEROSCOPY REMOVAL LEIOMYOMATA||1099.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58560|58560 - HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM||776.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58559|58559 - HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS||686.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58558|58558 - HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C||763.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58555|58555 - HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE||580.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58554|58554 - LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR||2638.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58553|58553 - LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS||2273.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58552|58552 - LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES||1960.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58550|58550 - LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/<||1763.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58548|58548 - LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY||3663.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58546|58546 - LAPS MYOMECTOMY EXC 5/> MYOMAS >250 GRAMS||2256.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58545|58545 - LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/<||1791.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58544|58544 - LAPS SUPRACRV HYSTEREC >250 G RMVL TUBE/OVARY||2126.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58543|58543 - LAPS SUPRACERVICAL HYSTERECTOMY >250||1957.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58542|58542 - LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVAR||1927.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58541|58541 - LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<||1722.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58540|58540 - HYSTEROPLASTY RPR UTERINE ANOMALY||1815.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58520|58520 - HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL||1639.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58410|58410 - UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY||1605.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58400|58400 - UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX||868.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58356|58356 - ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CR||3444.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58353|58353 - ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID||1841.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58350|58350 - CHROMOTUBATION OVIDUCT W/MATERIALS||185|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58346|58346 - INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY||866.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58345|58345 - TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING||555.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58340|58340 - CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI||220.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58323|58323 - SPERM WASHING ARTIFICIAL INSEMINATION||30.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58322|58322 - ARTIFICIAL INSEMINATION INTRA-UTERINE||166.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58321|58321 - ARTIFICIAL INSEMINATION INTRA-CERVICAL||141.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58301|58301 - REMOVAL INTRAUTERINE DEVICE IUD||185.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58300|58300 - INSERTION INTRAUTERINE DEVICE IUD||134.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58294|58294 - VAGINAL HYSTERECTOMY >250 GM RPR ENTEROCELE||2441.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58293|58293 - VAG HYST >250 GM COLPOURTCSTOPEXY W/WO NDSC CTR||2740.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58292|58292 - VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR ENTRCLE||2633.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58291|58291 - VAG HYST > 250 GM RMVL TUBE&/OVARY||2496.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58290|58290 - VAGINAL HYSTERECTOMY UTERUS > 250 GM||2304.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58285|58285 - VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION||2627.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58280|58280 - VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE||2103.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58275|58275 - VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY||1966.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58270|58270 - VAGINAL HYSTERECTOMY 250 GM/< W/RPR ENTEROCELE||1762.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58267|58267 - VAG HYST 250 GM/< W/COLPO-URTCSTOPEXY||2109.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58263|58263 - VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL||1980.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58262|58262 - VAG HYST 250 GM/< W/RMVL TUBE&/OVARY||1843.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58260|58260 - VAGINAL HYSTERECTOMY UTERUS 250 GM/<||1650.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58240|58240 - PEL EXNTJ GYNECOLOGIC MAL||5661.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58210|58210 - RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY||3563|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58200|58200 - TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM||2655.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58180|58180 - SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY||1916.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58152|58152 - TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY||2492.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58150|58150 - TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY||2001.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58146|58146 - MYOMECTOMY 5/> MYOMAS &/>250 GM ABDOMINA||2310.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58145|58145 - MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL APPR||1081.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58140|58140 - MYOMECTOMY 1-4 MYOMAS W/250 GM/< ABDOMINAL APPR||1836.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58120|58120 - DILATION & CURETTAGE DX&/THER NONOBSTETRIC||503.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58110|58110 - ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY||94.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|58100|58100 - ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX||213.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57800|57800 - DILATION CERVICAL CANAL INSTRUMENTAL SPX||116.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57720|57720 - TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG||605.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57700|57700 - CERCLAGE UTERINE CERVIX NONOBSTETRICAL||608.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57558|57558 - DILATION & CURETTAGE CERVICAL STUMP||244.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57556|57556 - EXC CRV STUMP VAG APPR W/RPR NTRCL||1124.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57555|57555 - EXC CRV STUMP VAG APPR W/ANT &/POST REPAIR||1195.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57550|57550 - EXCISION CERVICAL STUMP VAGINAL APPROACH||807.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57545|57545 - EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR||1640.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57540|57540 - EXCISION CERVICAL STUMP ABDOMINAL APPROACH||1554.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57531|57531 - RAD TRACHELECTOMY W/BI PEL LMPHADEC||3506.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57530|57530 - TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX||680.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57522|57522 - CONIZATION CERVIX W/WO D&C RPR ELTRD EXC||514.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57520|57520 - CONIZATION CERVIX W/WO D&C RPR KNIFE/LASER||594.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57513|57513 - CAUTERY CERVIX LASER ABLATION||281.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57511|57511 - CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT||283.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57510|57510 - CAUTERY CERVIX ELECTRO/THERMAL||257.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57505|57505 - ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D&C||196.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57500|57500 - BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX||242.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57461|57461 - COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX||613.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57460|57460 - COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX||540.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57456|57456 - COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE||263.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57455|57455 - COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX||278.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57454|57454 - COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE||301.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57452|57452 - COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA||212.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57426|57426 - REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC||1687.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57425|57425 - LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX||1934.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57423|57423 - PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH||1834.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57421|57421 - COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX||304.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57420|57420 - COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT||227.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57415|57415 - REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL||314.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57410|57410 - PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL||213.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57400|57400 - DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL||266.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57335|57335 - VAGINOPLASTY INTERSEX STATE||2248.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57330|57330 - CLSR VESICOVAG FSTL TRANSVESICAL&VAG APPR||1445.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57320|57320 - CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH||1041.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57311|57311 - CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL||1020.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57310|57310 - CLOSURE URETHROVAGINAL FISTULA||894.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57308|57308 - CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ||1317.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57307|57307 - CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST||2087.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57305|57305 - CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH||1838.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57300|57300 - CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR||1101.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57296|57296 - REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR||1899.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57295|57295 - REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP||945.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57292|57292 - CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT||1631.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57291|57291 - CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT||1222.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57289|57289 - PEREYRA PX W/ANTERIOR COLPORRHAPHY||1424.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57288|57288 - SLING OPERATION STRESS INCONTINENCE||1406.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57287|57287 - RMVL/REVJ SLING STRESS INCONTINENCE||1333.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57285|57285 - PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH||1338.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57284|57284 - PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR||1624.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57283|57283 - COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH||1373.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57282|57282 - COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH||988.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57280|57280 - COLPOPEXY ABDOMINAL APPROACH||1901.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57270|57270 - REPAIR ENTEROCELE ABDOMINAL APPROACH SPX||1593.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57268|57268 - REPAIR ENTEROCELE VAGINAL APPROACH SPX||953.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57267|57267 - INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE||514.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57265|57265 - CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR||1821.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57260|57260 - CMBND ANTERPOST COLPORRAPHY W/CYSTO||1662.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57250|57250 - POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY||1347.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57240|57240 - ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO||1325.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57230|57230 - PLASTIC REPAIR URETHROCELE||783.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57220|57220 - PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH||629.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57210|57210 - COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU||723.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57200|57200 - COLPORRHAPHY SUTURE INJURY VAGINA||588.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57180|57180 - INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX||270.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57170|57170 - DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS||118.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57160|57160 - FIT&INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI||147.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57156|57156 - INSERTION VAGINAL RADIATION DEVICE||376.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57155|57155 - INSERTION UTERINE TANDEM&/VAGINAL OVOIDS||813.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57150|57150 - IRRIGATION VAGINA&/APPL MEDICAMENT TX DISEASE||87.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57135|57135 - EXCISION VAGINAL CYST/TUMOR||373.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57130|57130 - EXCISION VAGINAL SEPTUM||346.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57120|57120 - COLPOCLEISIS LE FORT TYPE||1012.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57112|57112 - VAGNC COMPL RMVL VAG WALL TOT PEL LMPHADEC BX||3383.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57111|57111 - VAGINECTOMY COMPL RMVL VAG WALL & PARAVAG TISS||3215.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57110|57110 - VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL||1790.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57109|57109 - VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC||3320.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57107|57107 - VAGINECTOMY PRTL RMVL VAG WALL & PARAVAGINAL T||2833.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57106|57106 - VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL||957.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57105|57105 - BIOPSY VAGINAL MUCOSA EXTENSIVE||262.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57100|57100 - BIOPSY VAGINAL MUCOSA SIMPLE||171.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57065|57065 - DESTRUCTION VAGINAL LESIONS EXTENSIVE||375.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57061|57061 - DESTRUCTION VAGINAL LESIONS SIMPLE||218.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57023|57023 - I&D VAGINAL HEMATOMA NON-OBSTETRICAL||618.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57022|57022 - I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM||342.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57020|57020 - COLPOCENTESIS SEPARATE PROCEDURE||185.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57010|57010 - COLPOTOMY W/DRAINAGE PELVIC ABSCESS||861.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|57000|57000 - COLPOTOMY W/EXPLORATION||374.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56821|56821 - COLPOSCOPY VULVA W/BIOPSY||287.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56820|56820 - COLPOSCOPY VULVA||217.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56810|56810 - PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX||514.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56805|56805 - CLITOROPLASTY INTERSEX STATE||2291.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56800|56800 - PLASTIC REPAIR INTROITUS||475.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56740|56740 - EXC BARTHOLINS GLAND/CYST||592.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56700|56700 - PRTL HYMENECTOMY/REVJ HYMENAL RING||369.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56640|56640 - VULVECTOMY RAD COMPL ILIAC & PELVIC LMPHADECTOMY||2902.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56637|56637 - VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY||2898.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56634|56634 - VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY||2478.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56633|56633 - VULVECTOMY RADICAL COMPLETE||2333.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56632|56632 - VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY||2640.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56631|56631 - VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY||2276.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56630|56630 - VULVECTOMY RADICAL PARTIAL||1788.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56625|56625 - VULVECTOMY SIMPLE COMPLETE||1209.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56620|56620 - VULVECTOMY SIMPLE PARTIAL||1002.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56606|56606 - BIOPSY VULVA/PERINEUM EACH ADDL LESION||73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56605|56605 - BIOPSY VULVA/PERINEUM 1 LESION SPX||160.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56515|56515 - DESTRUCTION LESIONS VULVA EXTENSIVE||437.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56501|56501 - DESTRUCTION LESIONS VULVA SIMPLE||252.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56442|56442 - HYMENOTOMY SIMPLE INCISION||94.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56441|56441 - LYSIS LABIAL ADHESIONS||279.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56440|56440 - MARSUPIALIZATION BARTHOLINS GLAND CYST||361.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56420|56420 - I&D OF BARTHOLINS GLAND ABSCESS||234.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|56405|56405 - I&D VULVA/PERINEAL ABSCESS||213.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55920|55920 - PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL||881.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55876|55876 - PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT||256.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55875|55875 - TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ||1492.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55874|55874 - TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX||6854.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55873|55873 - CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI||12380.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55870|55870 - ELECTROEJACULATION||337.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55866|55866 - LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT||3409.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55865|55865 - EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH||2618.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55862|55862 - EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX||2150.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55860|55860 - EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST||1713.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55845|55845 - PROSTECT RETROPUB RAD W/WO NRV SPAR & BI PLV LYM||3215.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55842|55842 - PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX||2812.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55840|55840 - PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING||2625.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55831|55831 - PROSTATECTOMY RETROPUBIC SUBTOTAL||1853.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55821|55821 - PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES||1712.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55815|55815 - PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC||3465.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55812|55812 - PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX||3160.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55810|55810 - PROSTATECTOMY PERINEAL RADICAL||2586.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55801|55801 - PROSTATECTOMY PERINEAL SUBTOTAL||2142.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55725|55725 - PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED||1156.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55720|55720 - PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE||880.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55706|55706 - BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID||716.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55705|55705 - BIOPSY PROSTATE INCISIONAL ANY APPROACH||518.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55700|55700 - PROSTATE NEEDLE BIOPSY ANY APPROACH||411.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55680|55680 - EXCISION MULLERIAN DUCT CYST||672.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55650|55650 - VESICULECTOMY ANY APPROACH||1403.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55605|55605 - VESICULOTOMY COMPLICATED||1052.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55600|55600 - VESICULOTOMY||820.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55550|55550 - LAPS LIGATION SPERMATIC VEINS VARICOCELE||834.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55540|55540 - EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR||1053.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55535|55535 - EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL||837.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55530|55530 - EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX||687.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55520|55520 - EXC LESION SPERMATIC CORD SEPARATE PROCEDURE||879.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55500|55500 - EXC HYDROCELE SPRMATIC CORD UNI SPX||773.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55450|55450 - LIGATION PRQ VAS DEFERENS UNI/BI SPX||679.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55400|55400 - VASOVASOSTOMY VASOVASORRHAPHY||1031.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55300|55300 - VASOTOMY VASOGRAMS UNI/BI||369.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55250|55250 - VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS||715.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55200|55200 - VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX||825.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55180|55180 - SCROTOPLASTY COMPLICATED||1357.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55175|55175 - SCROTOPLASTY SIMPLE||705.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55150|55150 - RESECTION SCROTUM||959.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55120|55120 - REMOVAL FOREIGN BODY SCROTUM||697.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55110|55110 - SCROTAL EXPLORATION||755.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55100|55100 - DRAINAGE SCROTAL WALL ABSCESS||410.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55060|55060 - RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE||741.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55041|55041 - EXCISION HYDROCELE BILATERAL||994.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55040|55040 - EXCISION HYDROCELE UNILATERAL||659.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|55000|55000 - PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED||221.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54901|54901 - EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI||2108.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54900|54900 - EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI||1543.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54865|54865 - EXPLORATION EPIDIDYMIS W/WO BIOPSY||696.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54861|54861 - EPIDIDYMECTOMY BILATERAL||1103.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54860|54860 - EPIDIDYMECTOMY UNILATERAL||814.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54840|54840 - EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY||624.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54830|54830 - EXCISION LOCAL LESION EPIDIDYMIS||724.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54800|54800 - BIOPSY EPIDIDYMIS NEEDLE||254.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54700|54700 - I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE||415.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54692|54692 - LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS||1555.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54690|54690 - LAPAROSCOPY SURGICAL ORCHIECTOMY||1437.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54680|54680 - TRANSPLANTATION TESTIS TO THIGH||1540.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54670|54670 - SUTURE/REPAIR TESTICULAR INJURY||787.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54660|54660 - INSJ TESTICULAR PROSTH SEPARATE PROCEDURE||692.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54650|54650 - ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS||1390.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54640|54640 - ORCHIOPEXY INGUINAL OR SCROTAL APPROACH||930.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54620|54620 - FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE||585.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54600|54600 - RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS||882.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54560|54560 - EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL||1342.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54550|54550 - EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA||959.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54535|54535 - ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL||1455.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54530|54530 - ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH||985.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54522|54522 - ORCHIECTOMY PARTIAL||1175.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54520|54520 - ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH||635.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54512|54512 - EXC XTRPARENCHYMAL LESION TESTIS||1054.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54505|54505 - BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE||408.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54500|54500 - BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE||145.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54450|54450 - FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING||135.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54435|54435 - CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM||809.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54430|54430 - CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI||1249.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54420|54420 - CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI||1377.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54417|54417 - RMVL & RPLCMT PENILE PROSTHESIS INFECTED FIELD||1760.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54416|54416 - RMVL & RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI||1384.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54415|54415 - RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT||1028.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54411|54411 - RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL||2007.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54410|54410 - RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS||1681.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54408|54408 - RPR COMPONENT INFLATABLE PENILE PROSTHESIS||1545.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54406|54406 - RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH||1427.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54405|54405 - INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH||1583.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54401|54401 - INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED||1272.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54400|54400 - INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID||1032.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54390|54390 - PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER||2515.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54385|54385 - PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT||1929.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54380|54380 - PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR||1563.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54360|54360 - PLASTIC RPR PENIS CORRECT ANGULATION||1410.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54352|54352 - RPR HYPOSPADIAS CRIPPLE W/DSJ & EXC & GRFS/FLAP||2781.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54348|54348 - RPR HYPOSPADIAS COMPLCTJS DSJ & URTP FLAP/GRF||1955.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54344|54344 - RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS & URTP||1946.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54340|54340 - RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE||1110.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54336|54336 - 1 STG PERINEAL HYPOSPADIAS RPR W/GRF&/FLAP||2332.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54332|54332 - 1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR||1986.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54328|54328 - 1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ||1839.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54326|54326 - 1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS||1852.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54324|54324 - 1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS||1898.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54322|54322 - 1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT||1528.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54318|54318 - URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS||1367.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54316|54316 - URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF||1954.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54312|54312 - URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR > 3 CM||1600.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54308|54308 - URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR <3 CM||1398.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54304|54304 - PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR||1465.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54300|54300 - PENIS STRAIGHTENING CHORDEE||1251.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54250|54250 - NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST||235.23|215.89||0|10/01/2018
20-4114498|1750446506|SH 70003|54240|54240 - PENILE PLETHYSMOGRAPHY||189.94|127.45||0|10/01/2018
20-4114498|1750446506|SH 70003|54235|54235 - NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT||172.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54231|54231 - DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS||269.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54230|54230 - INJECTION CORPORA CAVERNOSOGRAPY||184.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54220|54220 - IRRIGATION CORPORA CAVERNOSA PRIAPISM||385.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54205|54205 - NJX PEYRONIE W/SURG EXPOS PLAQUE||1035.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54200|54200 - INJECTION PEYRONIE DISEASE||200.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54164|54164 - FRENULOTOMY PENIS||373.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54163|54163 - REPAIR INCOMPLETE CIRCUMCISION||422.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54162|54162 - LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS||490.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54161|54161 - CIRCUMCISION AGE >28 DAYS||383.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54160|54160 - CIRCUMCISION NEONATE||414.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54150|54150 - CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK||294.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54135|54135 - AMPUTATION PENIS RADICAL W/LYMPH NODES||2970.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54130|54130 - AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE||2340.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54125|54125 - AMPUTATION PENIS COMPLETE||1591.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54120|54120 - AMPUTATION PENIS PARTIAL||1234.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54115|54115 - REMOVAL FOREIGN BODY DEEP PENILE TISSUE||871.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54112|54112 - EXC PENILE PLAQUE GRAFT > 5 CM LENGTH||1836.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54111|54111 - EXC PENILE PLAQUE GRAFT &/5 CM LENGTH||1568.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54110|54110 - EXCISION OF PENILE PLAQUE||1219.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54105|54105 - BIOPSY PENIS DEEP STRUCTURES||504.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54100|54100 - BIOPSY PENIS SEPARATE PROCEDURE||368.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54065|54065 - DSTRJ LESION PENIS EXTENSIVE||415|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54060|54060 - DSTRJ LESION PENIS SIMPLE SURG EXCISION||337.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54057|54057 - DSTRJ LESION PENIS SIMPLE LASER||252.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54056|54056 - DSTRJ LESION PENIS SIMPLE CRYOSURGERY||264.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54055|54055 - DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION||220.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54050|54050 - DSTRJ LESION PENIS SIMPLE CHEMICAL||245.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54015|54015 - I&D PENIS DEEP||604.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54001|54001 - SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN||350.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|54000|54000 - SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN||277.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53860|53860 - TRURL RF FEMALE BLADDER NECK STRS URIN INCONT||2810.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53855|53855 - INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT||1396.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53852|53852 - TRURL DSTRJ PRSTATE TISS RF THERMOTH||3494.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53850|53850 - TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH||3783.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53665|53665 - DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES||77.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53661|53661 - DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ||130.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53660|53660 - DILAT FEMALE URETHRA W/SUPPOSITORY&/INSTLJ INI||132.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53621|53621 - DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE SBSQ||206.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53620|53620 - DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST||221.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53605|53605 - DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES||127.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53601|53601 - DILAT URETHRAL STRIX DILATOR MALE SBSQ||152.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53600|53600 - DILAT URETHRAL STRIX DILATOR MALE 1ST||159.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53520|53520 - CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX||1084.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53515|53515 - URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS||1556.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53510|53510 - URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL||1231.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53505|53505 - URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE||947.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53502|53502 - URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE||948.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53500|53500 - URETHROLSS TRVG SEC OPN W/CSTO||1472.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53460|53460 - URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM||891.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53450|53450 - URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT||794.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53449|53449 - RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER||1193.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53448|53448 - RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD||2510.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53447|53447 - RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC||1581.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53446|53446 - REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER||1252.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53445|53445 - INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER||1470.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53444|53444 - INSERTION TANDEM CUFF||1551.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53442|53442 - RMVL/REVJ SLING MALE URINARY INCONTINENCE||1526.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53440|53440 - SLING OPRATION CORRJ MALE URINARY INCONTINENCE||1472.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53431|53431 - URTP W/TUBULARIZATION POST URT&/LWR BLDR||2263.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53430|53430 - URETHROPLASTY RCNSTJ FEMALE URETHRA||1905.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53425|53425 - URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE||1836.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53420|53420 - URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE||1647.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53415|53415 - URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT||2217.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53410|53410 - URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA||1919.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53405|53405 - URETHROPLASTY 2ND STAGE W/URINARY DIVERSION||1709.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53400|53400 - URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX||1567.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53275|53275 - EXCISION/FULGURATION URETHRAL PROLAPSE||512.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53270|53270 - EXCISION OR FULGURATION SKENES GLANDS||410.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53265|53265 - EXC/FULGURATION URETHRAL CARUNCLE||420.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53260|53260 - EXC/FULGURATION URETHRAL POLYP DSTL URETHRA||390.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53250|53250 - EXCISION OF BULBOURETHRAL GLAND||818.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53240|53240 - MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE||826.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53235|53235 - EXC URETHRAL DIVERTICULUM SPX MALE||1234.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53230|53230 - EXC URETHRAL DIVERTICULUM SPX FEMALE||1189.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53220|53220 - EXC/FULGURATION CARCINOMA URETHRA||882.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53215|53215 - URETHRECTOMY TOT W/CYSTOST MALE||1819.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53210|53210 - URETHRECTOMY TOT W/CYSTOST FEMALE||1505.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53200|53200 - BIOPSY URETHRA||303.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53085|53085 - DRG PERINEAL URINARY XTRVASATION COMPLIC||1289.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53080|53080 - DRG PERINEAL URINARY XTRVASATION UNCOMP SPX||816.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53060|53060 - DRG OF SKENE'S GLAND ABSCESS OR CYST||363.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53040|53040 - DRAINAGE DEEP PERIURETHRAL ABSCESS||764.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53025|53025 - MEATOTOMY CUTTING MEATUS SPX INFANT||131.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53020|53020 - MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT||190.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53010|53010 - URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA||567.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|53000|53000 - URTT/URTS XTRNL SPX PENDULOUS URETHRA||287.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52700|52700 - TRURL DRAINAGE PROSTATIC ABSCESS||858.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52649|52649 - LASER ENUCLEATION PROSTATE W/MORCELLATION||1608.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52648|52648 - LASER VAPORIZATION OF PROSTATE FOR URINE FLOW||3369.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52647|52647 - LASER COAGULATION OF PROSTATE FOR URINE FLOW||3266.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52640|52640 - TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE||608.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52630|52630 - TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS||777.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52601|52601 - TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE||1656.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52500|52500 - TRANSURETHRAL RESECTION BLADDER NECK||949.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52450|52450 - TRANSURETHRAL INCISION PROSTATE||913.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52442|52442 - CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL||1733.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52441|52441 - CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE||2287.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52402|52402 - CSTO W/TRURL RESCJ/INC EJACULATORY DUXS||526.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52400|52400 - CYSTO INC FULG/RESCJ URTL VALVES/FOLDS||937.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52356|52356 - CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT||820.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52355|52355 - CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR||922.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52354|52354 - CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION||822.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52353|52353 - CYSTO W/URETEROSCOPY W/LITHOTRIPSY||772.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52352|52352 - CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES||698.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52351|52351 - CYSTO W/URTROSCOPY&/PYELOSCOPY DX||596.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52346|52346 - CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE||881.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52345|52345 - CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX||777.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52344|52344 - CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE||728.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52343|52343 - CYSTO W/TX INTRA-RENAL STRICTURE||678.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52342|52342 - CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE||608.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52341|52341 - CYSTO W/TX URETERAL STRICTURE||559.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52334|52334 - CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR||504.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52332|52332 - CYSTO W/INSERT URETERAL STENT||895.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52330|52330 - CYSTO MANJ W/O RMVL URETERAL STONE||921.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52327|52327 - CYSTO W/SUBURTRIC NJX IMPLT MATRL||518.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52325|52325 - CYSTO FRAGMENTATION URETERAL STONE||631.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52320|52320 - CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS||485.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52318|52318 - LITHOLAPAXY COMP/LG > 2.5 CM||934.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52317|52317 - LITHOLAPAXY SMPL/SM <2.5 CM||1487.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52315|52315 - CYSTO W/COMPLEX REMOVAL STONE & STENT||778.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52310|52310 - CYSTO W/SIMPLE REMOVAL STONE & STENT||456.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52305|52305 - CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT||549.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52301|52301 - CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI||571.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52300|52300 - CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI||556.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52290|52290 - CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI||480.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52287|52287 - CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER||581.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52285|52285 - CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME||528.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52283|52283 - CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE||524.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52282|52282 - CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT||664.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52281|52281 - CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS||507.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52277|52277 - CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER||637.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52276|52276 - CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE||521.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52275|52275 - CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE||893.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52270|52270 - CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE||660.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52265|52265 - CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA||678.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52260|52260 - CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH||414.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52250|52250 - CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG||472.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52240|52240 - CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE||773.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52235|52235 - CYSTOURETHROSCOPY W/DEST &/RMVL MED BLADDER TUM||568.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52234|52234 - CYSTO W/REMOVAL OF TUMORS SMALL||483.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52224|52224 - CYSTO W/REMOVAL OF LESIONS SMALL||1262.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52214|52214 - CYSTO W/DESTRUCTION OF LESIONS||1202.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52204|52204 - CYSTOURETHROSCOPY WITH BIOPSY||677.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52010|52010 - CYSTO W/EJACULATORY DUCT CATHETERIZATION||677.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52007|52007 - CYSTO W/URTRL CATHJ BRUSH BX URTR&/RENAL PELVIS||814.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52005|52005 - CYSTO BLADDER W/URETERAL CATHETERIZATION||491.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52001|52001 - CYSTO W/IRRIG & EVAC MULTPLE OBSTRUCTING CLOTS||709.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|52000|52000 - CYSTOURETHROSCOPY||381.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51992|51992 - LAPAROSCOPY SLING OPERATION STRESS INCONT||1688.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51990|51990 - LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT||1497.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51980|51980 - CUTANEOUS VESICOSTOMY||1394.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51960|51960 - ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS||2733.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51940|51940 - CLOSURE EXSTROPHY BLADDER||3204.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51925|51925 - CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY||2061.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51920|51920 - CLOSURE VESICOUTERINE FISTULA||1574.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51900|51900 - CLSR VESICOVAGINAL FISTUL AABDL APPROACH||1624.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51880|51880 - CLOSURE CYSTOSTOMY SEPARATE PROCEDURE||919.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51865|51865 - CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED||1757.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51860|51860 - CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE||1467.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51845|51845 - ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL||1158.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51841|51841 - ANT VESICOURETHROPEXY/URETHROPEXY COMP||1547.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51840|51840 - ANT VESICOURETHROPEXY/URETHROPEXY SMPL||1301.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51820|51820 - CSTOURTP W/UNI/BI URTRONEOCSTOST||2121.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51800|51800 - CSTOPLASTY/CSTOURTP PLSTC ANY||2045.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51798|51798 - MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP||34.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51797|51797 - VOID PRESSURE STUDIES INTRAABDOMINAL||206.18|78.63||0|10/01/2018
20-4114498|1750446506|SH 70003|51792|51792 - STIMULUS EVOKED RESPONSE||386.82|110.49||0|10/01/2018
20-4114498|1750446506|SH 70003|51785|51785 - NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ||473.03|157.41||0|10/01/2018
20-4114498|1750446506|SH 70003|51784|51784 - EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL||356.45|152.26||0|10/01/2018
20-4114498|1750446506|SH 70003|51741|51741 - COMPLEX UROFLOMETRY||29.59|16.7||0|10/01/2018
20-4114498|1750446506|SH 70003|51736|51736 - SIMPLE UROFLOMETRY||28.95|16.7||0|10/01/2018
20-4114498|1750446506|SH 70003|51729|51729 - COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL||632.28|253.54||0|10/01/2018
20-4114498|1750446506|SH 70003|51728|51728 - COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES||581|209.35||0|10/01/2018
20-4114498|1750446506|SH 70003|51727|51727 - COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE||579.76|215.19||0|10/01/2018
20-4114498|1750446506|SH 70003|51726|51726 - BLADDER PRESSURE MEASUREMENT DURING FILLING||485.98|169.69||0|10/01/2018
20-4114498|1750446506|SH 70003|51725|51725 - SIMPLE CYSTOMETROGRAM||347.29|150.83||0|10/01/2018
20-4114498|1750446506|SH 70003|51720|51720 - BLADDER INSTILLATION ANTICARCINOGENIC AGENT||207.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51715|51715 - NDSC NJX IMPLT MATRL URT&/BLDR NCK||550.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51710|51710 - CHANGE CYSTOSTOMY TUBE COMPLICATED||240.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51705|51705 - CHANGE CYSTOSTOMY TUBE SIMPLE||170.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51703|51703 - INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED||243.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51702|51702 - INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE||130.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51701|51701 - INSJ NON-NDWELLG BLADDER CATHETER||102.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51700|51700 - BLDR IRRIGATION SMPL LAVAGE &/INSTLJ||155.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51610|51610 - NJX RETROGRADE URETHROCSTOGRAPY||200.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51605|51605 - NJX & PLACEMENT CHAIN CONTRAST&/URETHROCSTOGRAPY||74.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51600|51600 - NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY||335.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51597|51597 - PELVIC EXENTERATION COMPLETE MALIGNANCY||4522|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51596|51596 - CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR||4625.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51595|51595 - CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC||4308.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51590|51590 - CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST||3803.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51585|51585 - CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES||4149.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51580|51580 - CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES||3725.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51575|51575 - CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY||3578.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51570|51570 - CYSTECTOMY COMPLETE SEPARATE PROCEDURE||2905.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51565|51565 - CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST||2537.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51555|51555 - CYSTECTOMY PARTIAL COMPLICATED||2492.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51550|51550 - CYSTECTOMY PARTIAL SIMPLE||1896.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51535|51535 - CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE||1523.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51530|51530 - CYSTOTOMY EXCISION BLADDER TUMOR||1550.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51525|51525 - CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE||1685|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51520|51520 - CYSTOTOMY SIMPLE EXCISION VESICAL NECK||1158.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51500|51500 - EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR||1242.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51102|51102 - ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER||432.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51101|51101 - ASPIRATION BLADDER TROCAR/INTRACATHETER||231.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51100|51100 - ASPIRATION BLADDER NEEDLE||116.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51080|51080 - DRG PRIVESICAL/PREVESICAL SPACE ABSC||793.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51065|51065 - CYSTOTOMY W/CALCULUS BASKET XTRJ&/FRAGMENTATIO||1128.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51060|51060 - TRANSVESICAL URETROLITHOTOMY||1133.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51050|51050 - CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS||920.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51045|51045 - CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX||954.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51040|51040 - CYSTOSTOMY CYSTOTOMY W/DRAINAGE||559.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51030|51030 - CSTOTOMY/CSTOST CRYOSURG DSTRJ INTRAVESICAL LES||915.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|51020|51020 - CYSTOTOMY/CYSTOSTOMY FULG&/INSJ RADACT MATRL||913.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50980|50980 - NDSC URETEROTOMY RMVL FB/CALCULUS||702.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50976|50976 - URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX||920.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50974|50974 - URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX||933.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50972|50972 - NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER||706.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50970|50970 - URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING||731.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50961|50961 - URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE||743.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50957|50957 - URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY||827.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50955|50955 - URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY||819.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50953|50953 - URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER||765.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50951|50951 - URETERAL ENDOSCOPY VIA URETEROSTOMY||723.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50948|50948 - LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT||2505.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50947|50947 - LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT||2724.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50945|50945 - LAPAROSCOPY URTROLITHOTOMY||1910.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50940|50940 - DELIGATION URETER||1737.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50930|50930 - CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR||2399.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50920|50920 - CLOSURE URETEROCUTANEOUS FISTULA||1725.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50900|50900 - URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE||1664.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50860|50860 - URETEROSTOMY TRANSPLANTATION URETER SKIN||1851.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50845|50845 - CUTANANEOUS APPENDICO-VESICOSTOMY||2445.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50840|50840 - RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST||2409.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50830|50830 - URINARY UNIDIVERSION||3544.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50825|50825 - CONTINENT DVRJ W/INT ANAST ANY SGM SM&/LG INTSTN||3254.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50820|50820 - URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS||2587.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50815|50815 - URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS||2397.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50810|50810 - URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER & COLOSTO||2612.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50800|50800 - URETEROENTEROSTOMY ANAST URETER INTESTINE||1812.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50785|50785 - URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP||2375.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50783|50783 - URETERONEOCYSTOSTOMY W/URETERAL TAILORING||2211.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50782|50782 - URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR||2065.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50780|50780 - URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER||2172.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50770|50770 - TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR||2262.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50760|50760 - URETEROURETEROSTOMY||2214.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50750|50750 - URETEROCALYCOSTOMY ANAST URETER RENAL CALYX||2262.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50740|50740 - EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR||2387.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50728|50728 - REVJ UR-CUTAN ANAST RPR FSCAL DFCT & HERNIA||1364.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50727|50727 - REVJ URINARY-CUTANEOUS ANASTAMOSIS||983.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50725|50725 - URTROLSS RETROCAVAL URTR W/REANAST||2161.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50722|50722 - URETEROLYSIS FOR OVARIAN VEIN SYNDROME||2077.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50715|50715 - URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS||2359.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50700|50700 - URETEROPLASTY PLASTIC OPERATION URETER||1819.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50690|50690 - NJX VISUALIZATION ILEAL CONDUIT&/URETEROPYELOG||187.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50688|50688 - CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL||156.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50686|50686 - MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH||289.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50684|50684 - INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH||196.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50660|50660 - URETERECTOMY TOT ECTOPIC URETER CMBN APPR||2243.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50650|50650 - URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE||2030.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50630|50630 - URTROLITHOTOMY LOWER ONE-THIRD URETER||1749.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50620|50620 - URTROLITHOTOMY MIDDLE ONE-THIRD URETER||1772.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50610|50610 - URTROLITHOTOMY UPPER ONE-THIRD URETER||1853.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50605|50605 - URETEROTOMY INSERTION INDWELLING STENT ALL TYPES||1910.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50600|50600 - URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE||1841.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50593|50593 - ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY||8393.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50592|50592 - ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY||5724.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50590|50590 - LITHOTRIPSY XTRCORP SHOCK WAVE||1374.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50580|50580 - RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS||1202.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50576|50576 - RNL NDSC NFROT FULGURATION &/INCISION W/WO BX||1113.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50575|50575 - RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY||1412.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50574|50574 - RENAL NDSC NEPHROTOMY W/BIOPSY||1117.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50572|50572 - RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER||1051.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50570|50570 - RENAL NDSC NEPHROTOMY W/WO IRRIGATION||969.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50562|50562 - RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR||1144.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50561|50561 - RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS||918.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50557|50557 - RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BI||807.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50555|50555 - RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY||794.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50553|50553 - RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA||743.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50551|50551 - RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION||692.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50548|50548 - LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY||2650.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50547|50547 - LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR||3134.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50546|50546 - LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT||2357.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50545|50545 - LAPAROSCOPY RADICAL NEPHRECTOMY||2638.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50544|50544 - LAPAROSCOPY SURG PYELOPLASTY||2449.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50543|50543 - LAPAROSCOPY SURG PARTIAL NEPHRECTOMY||2922.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50542|50542 - LAPS ABLTJ RENAL MASS LESION W/INTRAOP US||2288.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50541|50541 - LAPAROSCOPY SURG ABLATION RENAL CYSTS||1806.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50540|50540 - SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI||2250.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50526|50526 - CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR||2828.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50525|50525 - CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR||2882.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50520|50520 - CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA||2121.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50500|50500 - NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY||2511.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50405|50405 - PYELOPLASTY COMPLICATED||2740.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50400|50400 - PYELOPLASTY SIMPLE||2270.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50398|50398 - CHANGE KIDNEY TUBE||914.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50396|50396 - MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH||234.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50395|50395 - INTRO GUIDE PELVIS&/URETER W/DILAT NFROS TRACT||358.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50394|50394 - INJECTION FOR KIDNEY X-RAY||191.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50393|50393 - INSERT URETERAL TUBE||434.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50392|50392 - INSERT KIDNEY DRAIN||357.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50391|50391 - INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUB||237.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50390|50390 - ASPIR &/NJX RENAL CYST/PELVIS NEEDLE PRQ||194.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50389|50389 - RMVL NFROS TUBE REQ FLUORO GUIDANCE||556.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50387|50387 - RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH||1016.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50386|50386 - REMOVE INT DWELL URETERAL STENT TRANSURETHRAL||1362.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50385|50385 - REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL||2101.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50384|50384 - REMOVAL INDWELLING URETERAL STENT PRQ||1766.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50382|50382 - RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ||2205.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50380|50380 - RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY||3883.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50370|50370 - RMVL TRNSPLED RENAL ALLOGRAFT||2332.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50365|50365 - RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY||5536.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50360|50360 - RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY||4719.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50340|50340 - RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE||1838.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50329|50329 - BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA||345.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50328|50328 - BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA||373.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50327|50327 - BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA||425.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50320|50320 - DONOR NEPHRECTOMY OPEN LIVING DONOR||2776.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50290|50290 - EXCISION PERINEPHRIC CYST||1759.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50280|50280 - EXCISION/UNROOFING CYST KIDNEY||1870.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50250|50250 - OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND||2386.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50240|50240 - NEPHRECTOMY PARTIAL||2597.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50236|50236 - NEPHRECTOMY TOT URETEREC&BLDR CUFF SEPAR INCISN||2876.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50234|50234 - NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC||2554.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50230|50230 - NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD||2517.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50225|50225 - NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL||2352.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50220|50220 - NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ||2048.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50205|50205 - RENAL BIOPSY SURG EXPOSURE KIDNEY||1472.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50200|50200 - RENAL BIOPSY PRQ TROCAR/NEEDLE||1086.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50135|50135 - PYELOTOMY COMPLICATED||2200.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50130|50130 - PYELOTOMY W/REMOVAL CALCULUS||2024.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50125|50125 - PYELOTOMY W/DRAINAGE PYELOSTOMY||1924.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50120|50120 - PYELOTOMY W/EXPLORATION||1859.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50100|50100 - TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX||2104.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50081|50081 - PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY > 2 CM||2506.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50080|50080 - PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY </2 CM||1705.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50075|50075 - NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1||2863.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50070|50070 - NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY||2326.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50065|50065 - NEPHROLITHOTOMY SECONDARY FOR CALCULUS||2373.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50060|50060 - NEPHROLITHOTOMY REMOVAL STAGE 1||2235|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50045|50045 - NEPHROTOMY W/EXPLORATION||1825.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50040|50040 - NEPHROSTOMY/NEPHROTOMY W/DRAINAGE||1815.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50020|50020 - DRAINAGE PERIRENAL/RENAL ABSCESS OPEN||2021.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|50010|50010 - RNL EXPL X NECESSITATING OTH SPEC PX||1448.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49905|49905 - OMENTAL FLAP INTRA-ABDOMINAL||698.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49904|49904 - OMENTAL FLAP EXTRA-ABDOMINAL||2827.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49900|49900 - SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN||1587.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49657|49657 - LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED||2391.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49656|49656 - LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE||1663.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49655|49655 - LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED||1869.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49654|49654 - LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE||1530.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49653|49653 - LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED||1681.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49652|49652 - LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE||1345.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49651|49651 - LAPS SURG RPR RECURRENT INGUINAL HERNIA||1081.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49650|49650 - LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA||830.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49611|49611 - RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG||1091.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49610|49610 - RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG||1337.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49606|49606 - RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH||2214.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49605|49605 - RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH||9697.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49600|49600 - RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE||1420.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49590|49590 - RPR SPIGELIAN HERNIA||1115.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49587|49587 - RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED||922.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49585|49585 - RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE||861.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49582|49582 - RPR UMBILICAL HERNIA < 5 YRS INCARCERATED||935.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49580|49580 - RPR UMBILICAL HERNIA < 5 YRS REDUCIBLE||640.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49572|49572 - RPR EPIGASTRIC HERNIA INCARCERATED||1001.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49570|49570 - RPR EPIGASTRIC HERNIA REDUCIBLE SPX||807.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49568|49568 - IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT CLOSURE||527.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49566|49566 - RPR RECRT INCAL/VNT HERNIA INCARCERATED||1838.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49565|49565 - RPR RECRT INCAL/VNT HERNIA REDUCIBLE||1501.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49561|49561 - RPR 1ST INCAL/VNT HERNIA INCARCERATED||1818.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49560|49560 - REPAIR FIRST ABDOMINAL WALL HERNIA||1438.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49557|49557 - RPR RECRT FEM HRNA INCARCERATED||1409.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49555|49555 - RPR RECRT FEM HERNIA REDUCIBLE||1158.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49553|49553 - RPR 1ST FEM HERNIA ANY AGE INCARCERATED||1229.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49550|49550 - RPR 1ST FEM HRNA ANY AGE REDUCIBLE||1118.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49540|49540 - REPAIR LUMBAR HERNIA||1311.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49525|49525 - RPR INGUN HERNIA SLIDING ANY AGE||1114.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49521|49521 - RPR RECRT INGUN HERNIA ANY AGE INCARCERATED||1394.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49520|49520 - RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE||1229.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49507|49507 - RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED||1139.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49505|49505 - RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE||1010.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49501|49501 - RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED||1175.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49500|49500 - RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE||739.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49496|49496 - RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER||1187.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49495|49495 - RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC||776.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49492|49492 - RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED||1843.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49491|49491 - RPR 1ST INGUN HRNA PRETERM INFT RDC||1544.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49465|49465 - CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE||310.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49460|49460 - OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE||1353.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49452|49452 - REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS||1667.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49451|49451 - REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ||1348.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49450|49450 - REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS||1227.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49446|49446 - CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ||1851.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49442|49442 - INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS||1774.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49441|49441 - INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ||2189.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49440|49440 - INSERT GASTROSTOMY TUBE PERCUTANEOUS||1941.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49436|49436 - DELAYED CREATION EXIT SITE EMBEDDED CATHETER||362.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49435|49435 - INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER||237.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49429|49429 - RMVL PERITONEAL-VENOUS SHUNT||896.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49428|49428 - LIGATION PERITONEAL-VENOUS SHUNT||842.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49427|49427 - INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT||90.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49426|49426 - REVIS PERITONEAL-VENOUS SHUNT||1213.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49425|49425 - INSERTION PERITONEAL-VENOUS SHUNT||1471.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49424|49424 - CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX||272.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49423|49423 - EXCHNG ABSC/CST DRG CATH RAD GID SPX||1009.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49422|49422 - REMOVAL TUNNELED INTRAPERITONEAL CATHETER||746.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49421|49421 - INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN||453.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49419|49419 - INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT||868.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49418|49418 - INSJ INTRAPERITONEAL CATHETER W/IMG GUID||2643|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49412|49412 - PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT||161.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49411|49411 - INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT||992.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49407|49407 - IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL||1379.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49406|49406 - IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ||1624.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49405|49405 - IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ||1624.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49402|49402 - REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY||1673.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49400|49400 - INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX||263.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49327|49327 - LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT||256.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49326|49326 - LAPAROSCOPY W/OMENTOPEXY||373.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49325|49325 - LAPS W/REVISION INTRAPERITONEAL CATHETER||821.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49324|49324 - LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER||766.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49323|49323 - LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY||1262.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49322|49322 - LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE||726.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49321|49321 - LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE||678.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49320|49320 - LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX||640.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49255|49255 - OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX||1549.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49250|49250 - UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX||1136.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49220|49220 - STAGING LAPAROTOMY HODGKINS DISEASE/LYMPHOMA||1870.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49215|49215 - EXC PRESAC/SACROCOCCYGEAL TUMOR||4367.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49205|49205 - EXC/DESTRUCTION OPEN ABDOMINAL TUMORS >10.0 CM||3453.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49204|49204 - EXC/DESTRUCTION OPEN ABDMNL TUMORS 5.1-10.0 CM||3003.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49203|49203 - EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<||2349.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49180|49180 - BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE||310.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49084|49084 - PERITONEAL LAVAGE W/WO IMAGING GUIDANCE||201.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49083|49083 - ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE||553.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49082|49082 - ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE||356.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49062|49062 - DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN||1438.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49060|49060 - DRAINAGE OF RETROPERITONEAL ABSCESS OPEN||2160.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49040|49040 - DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN||1958.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49020|49020 - DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN||3117.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49010|49010 - EXPL RETROPERITONEUM W/WO BX SPX||1839.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49002|49002 - REOPENING RECENT LAPAROTOMY||2053.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|49000|49000 - EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX||1508.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48556|48556 - RMVL TRANSPLANTED PANCREATIC ALLOGRAFT||2477.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48554|48554 - TRANSPLANTATION PANCREATIC ALLOGRAFT||4977.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48552|48552 - BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA||464.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48548|48548 - PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST||3261.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48547|48547 - DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ||3511.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48545|48545 - PANCREATORRHAPHY INJURY||2630.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48540|48540 - INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y||2564.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48520|48520 - INT ANAST PANCREATIC CYST GI TRACT DIRECT||2137.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48510|48510 - EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN||2125.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48500|48500 - MARSUPIALIZATION PANCREATIC CYST||2242.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48400|48400 - INJECTION INTRAOPERATIVE PANCREATOGRAPHY||216.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48160|48160 - PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48155|48155 - PANCREATECTOMY TOTAL||3549.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48154|48154 - PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY||5677.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48153|48153 - PNCRTECT W/PANCREATOJEJUNOSTOMY||6073.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48152|48152 - PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY||5652.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48150|48150 - PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY||6093.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48148|48148 - EXCISION AMPULLA VATER||2438.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48146|48146 - PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX||3670.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48145|48145 - PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY||3196.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48140|48140 - PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY||3061.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48120|48120 - EXCISION LESION PANCREAS||2169.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48105|48105 - RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS||5592.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48102|48102 - BIOPSY PANCREA PERCUTANEOUS NEEDLE||1005.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48100|48100 - BIOPSY PANCREAS OPEN||1734.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48020|48020 - REMOVAL PANCREATIC CALCULUS||2298.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48001|48001 - PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY||4529.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|48000|48000 - PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS||3640.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47900|47900 - SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY||2681.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47802|47802 - U-TUBE HEPATICOENTEROSTOMY||2981.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47801|47801 - PLACEMENT CHOLEDOCHAL STENT||1994.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47800|47800 - RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST||3094.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47785|47785 - ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS & GI||6381.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47780|47780 - ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS & GI||4853.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47765|47765 - ANAST INTRAHEPATC DUCTS & GI TRACT||5959.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47760|47760 - ANAST XTRHEPATC BILIARY DUCTS & GI TRACT||4421.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47741|47741 - CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM||2883.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47740|47740 - CHOLECYSTOENTEROSTOMY ROUX-EN-Y||2562|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47721|47721 - CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY||2645|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47720|47720 - CHOLECYSTOENTEROSTOMY DIRECT||2247.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47715|47715 - EXCISION CHOLEDOCHAL CYST||2597.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47712|47712 - EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC||3914.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47711|47711 - EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC||3053.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47701|47701 - PORTOENETEROSTOMY||3390.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47700|47700 - EXPL CONGENITAL ATRESIA BILE DUCTS||2049.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47630|47630 - REMOVE BILE DUCT STONE||1079.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47620|47620 - CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP||2698.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47612|47612 - CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY||2485.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47610|47610 - CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT||2454.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47605|47605 - CHOLECYSTECTOMY W/CHOLANGIOGRAPHY||2198.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47600|47600 - CHOLECYSTECTOMY||2088.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47570|47570 - LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY||1512.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47564|47564 - LAPS SURG CHOLECSTC W/EXPL COMMON DUCT||2174.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47563|47563 - LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY||1393.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47562|47562 - LAPAROSCOPY SURG CHOLECYSTECTOMY||1282.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47561|47561 - LAPARO W/CHOLANGIO/BIOPSY||577.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47560|47560 - LAPAROSCOPY W/CHOLANGIO||527.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47556|47556 - BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT||849.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47555|47555 - BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT||747.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47554|47554 - BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS||972.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47553|47553 - BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE||630.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47552|47552 - BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH||631.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47550|47550 - BILIARY NDSC INTRAOPERATIVE||325.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47530|47530 - REVISE/REINSERT BILE TUBE||2551.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47525|47525 - CHANGE BILE DUCT CATHETER||949.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47511|47511 - INSERT BILE DUCT DRAIN||1154.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47510|47510 - INSERT CATHETER BILE DUCT||935.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47505|47505 - INJECTION FOR LIVER X-RAYS||75.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47500|47500 - INJECTION FOR LIVER X-RAYS||195.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47490|47490 - CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT||651.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47480|47480 - CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX||1701.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47460|47460 - TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS||2475.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47425|47425 - CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP||2669.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47420|47420 - CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP||2625.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47400|47400 - HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1||4217.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47383|47383 - ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION||13990.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47382|47382 - ABLTJ 1/> LVR TUM PRQ RF||9206.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47381|47381 - ABLTJ OPN 1/> LVR TUM CRYOSURG||2850.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47380|47380 - ABLTJ OPN 1/> LVR TUM RF||2825.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47371|47371 - LAPS SURG ABLTJ 1 > LVR TUM CRYOSURG||2406.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47370|47370 - LAPS SURG ABLTJ 1/> LVR TUM RF||2427.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47362|47362 - MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING||2825.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47361|47361 - MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR||5919.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47360|47360 - MGMT LVR HEMRRG CPLX SUTR WND/INJ||3652.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47350|47350 - MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ||2680.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47300|47300 - MARSUPIALIZATION CST/ABSC LVR||2201.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47147|47147 - BKBENCH RCNSTJ LVR GRF ARTL ANAST EA||757.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47146|47146 - BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA||649.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47142|47142 - DONOR HEPATECTOMY LIVING DONOR SEG V VI VII &VI||9203.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47141|47141 - DONOR HEPATECTOMY LIVING DONOR SEG II III & IV||7706.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47140|47140 - DONOR HEPATECTOMY LIVING DONOR SEG II & III||6978.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47136|47136 - TRANSPLANTATION OF LIVER||8214.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47135|47135 - LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE||9596.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47130|47130 - HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY||6477.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47125|47125 - HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY||6028.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47122|47122 - HEPATECTOMY RESCJ TRISEGMENTECTOMY||6731.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47120|47120 - HEPATECTOMY RESCJ PARTIAL LOBECTOMY||4557.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47100|47100 - BIOPSY LIVER WEDGE||1641.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47015|47015 - LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS||2243.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47010|47010 - HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES||2352.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47001|47001 - BX LVR NDL DONE PURPOSE TM OTH MAJOR PX||203.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|47000|47000 - BIOPSY LIVER NEEDLE PERCUTANEOUS||673.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46947|46947 - HEMORRHOIDOPEXY STAPLING||743.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46946|46946 - INT HRHC BY LIGATION 2+ HROID W/O IMG GDN||585.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46945|46945 - INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN||569.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46942|46942 - CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ||414.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46940|46940 - CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST||436.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46930|46930 - DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY||384.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46924|46924 - DSTRJ LESION ANUS EXTENSIVE||996.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46922|46922 - DSTRJ LESION ANUS SIMPLE SURG EXCISION||499.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46917|46917 - DSTRJ LESION ANUS SIMPLE LASER SURG||825.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46916|46916 - DSTRJ LESION ANUS SIMPLE CRYOSURGERY||427.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46910|46910 - DSTRJ LESION ANUS SMPL ELTRDSICCATION||479.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46900|46900 - DSTRJ LESION ANUS SIMPLE CHEMICAL||454.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46762|46762 - SPHNCTROP ANAL IMPLTJ ARTIF SPHNCTR||1824.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46761|46761 - SPHNCTROP ANAL LEVATOR MUSC IMBRCJ||1835.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46760|46760 - SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT||2160.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46754|46754 - RMVL THIERSCH WIRE/SUTURE ANAL CANAL||553.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46753|46753 - GRAFT THIERSCH RCT INCONTINENCE &/PROLAPSE||1152.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46751|46751 - SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD||1185.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46750|46750 - SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT||1499.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46748|46748 - RPR CLOACAL ANOMALY CMBN ABDL & SACROPRNL W/GRF||7589.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46746|46746 - RPR CLOACAL ANOMALY CMBN ABDL&SACROPRNL||6986.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46744|46744 - RPR CLOACAL ANOMALY SACROPERINEAL||6621.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46742|46742 - RPR HI IMPRF ANUS W/FSTL TABDL & SACROPRNL||4786.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46740|46740 - RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR||4180.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46735|46735 - RPR HI IMPRF ANUS W/O FISTULA CMBN APPR||4024.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46730|46730 - RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR||3471.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46716|46716 - RPR LW IMPERFORATE ANUS W/TRPOS FISTULA||2103.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46715|46715 - RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK||972.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46712|46712 - RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR||4042.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46710|46710 - RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR||2150.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46707|46707 - REPAIR ANORECTAL FISTULA PLUG||896.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46706|46706 - REPAIR ANAL FISTULA W/FIBRIN GLUE||331.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46705|46705 - ANOPLASTY PLASTIC OPERATION STRICTURE INFANT||944.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46700|46700 - ANOPLASTY PLASTIC OPERATION STRICTURE ADULT||1279.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46615|46615 - ANOSCOPY ABLATION LESION||275.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46614|46614 - ANOSCOPY CONTROL BLEEDING||241.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46612|46612 - ANOSC RMVL MULT TUMORS CAUTERY/SNARE||509.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46611|46611 - ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ||330.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46610|46610 - ANOSCOPY W/RMVL LESION CAUTERY||422.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46608|46608 - ANOSCOPY W/RMVL FOREIGN BODY||422.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46607|46607 - ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46606|46606 - ANOSCOPY W/BX SINGLE/MULTIPLE||422.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46604|46604 - ANOSCOPY W/DILATION||1136.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46601|46601 - ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46600|46600 - ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD||165.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46505|46505 - CHEMODENERVATION INTERNAL ANAL SPHINCTER||549.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46500|46500 - INJECTION SCLEROSING SOLUTION HEMORRHOIDS||447.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46320|46320 - EXC THROMBOSED HEMORRHOID XTRNL||347.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46288|46288 - CLSR ANAL FSTL W/RCT ADVMNT FLAP||1069.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46285|46285 - SURG TX ANAL FISTULA 2ND STAGE||1016.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46280|46280 - TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON||911.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46275|46275 - SURG TX ANAL FISTULA INTERSPHINCTERIC||1020.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46270|46270 - SURG TX ANAL FISTULA SUBQ||959.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46262|46262 - HRHC 2/> COL/GRP W/FSTULECTMY INCL FSSRECTMY||1074.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46261|46261 - HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSU||1022.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46260|46260 - HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO||920.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46258|46258 - HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY||898.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46257|46257 - HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTO||813.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46255|46255 - HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP||955.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46250|46250 - HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP||870.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46230|46230 - EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS||521.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46221|46221 - HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS||507.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46220|46220 - EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS||388.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46200|46200 - FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED||832.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46083|46083 - INCISION THROMBOSED HEMORRHOID EXTERNAL||330.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46080|46080 - SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX||472.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46070|46070 - INCISION ANAL SEPTUM INFANT||460.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46060|46060 - I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON||920.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46050|46050 - I&D PERIANAL ABSCESS SUPERFICIAL||376.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46045|46045 - I&D INTRAMURAL IM/ABSC TRANSANAL ANES||836.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46040|46040 - I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX||1008.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46030|46030 - REMOVAL ANAL SETON OTHER MARKER||263.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|46020|46020 - PLACEMENT SETON||527.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45990|45990 - ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX||211.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45915|45915 - RMVL FECAL IMPACTION/FB SPX UNDER ANES||625.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45910|45910 - DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL||381.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45905|45905 - DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL||327.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45900|45900 - RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE||397.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45825|45825 - CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY||2727.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45820|45820 - CLOSURE RECTOURETHRAL FISTULA||2319.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45805|45805 - CLSR RECTOVESICAL FISTULA W/COLOSTOMY||2848.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45800|45800 - CLOSURE RECTOVESICAL FISTULA||2362.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45563|45563 - EXPL RPR & PRESACRAL DRG RECTAL INJ W/COLOSTOMY||3212.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45562|45562 - EXPL RPR & PRESACRAL DRG RECTAL INJURY||2191.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45560|45560 - REPAIR RECTOCELE SEPARATE PROCEDURE||1375.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45550|45550 - PROCTOPEXY W/SIGMOID RESCJ ABDL APPR||2900.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45541|45541 - PROCTOPEXY PERINEAL APPROACH||1823.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45540|45540 - PROCTOPEXY ABDOMINAL APPROACH||2094.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45520|45520 - PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE||291.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45505|45505 - PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE||1153.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45500|45500 - PROCTOPLASTY STENOSIS||1035.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45402|45402 - LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ||3036.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45400|45400 - LAPAROSCOPY PROCTOPEXY PROLAPSE||2280|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45399|45399 - UNLISTED PROCEDURE COLON||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45398|45398 - COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S)||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45397|45397 - LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR||4261.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45395|45395 - LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY||3922.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45393|45393 - COLONOSCOPY FLEXIBLE WITH DECOMPRESSION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45392|45392 - COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL||745.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45391|45391 - COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX||579.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45390|45390 - COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45389|45389 - COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45388|45388 - COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45387|45387 - COLONOSCOPY W/STENT||679.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45386|45386 - COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT||1249.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45385|45385 - COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ||993.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45384|45384 - COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS||881.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45383|45383 - LESION REMOVAL COLONOSCOPY||1071.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45382|45382 - COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD||1140.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45381|45381 - COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST||879.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45380|45380 - COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE||878.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45379|45379 - COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)||947.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45378|45378 - COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD||255.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45355|45355 - SURGICAL COLONOSCOPY||405.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45350|45350 - SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S)||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45349|45349 - SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45347|45347 - SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45346|45346 - SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45345|45345 - SIGMOIDOSCOPY W/STENT||342.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45342|45342 - SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX||467.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45341|45341 - SIGMOIDOSCOPY FLX NDSC US XM||307.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45340|45340 - SIGMOIDOSCOPY FLX TNDSC BALO DILAT||902.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45339|45339 - SIGMOIDOSCOPY W/ABLATE TUMR||647.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45338|45338 - SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ||598.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45337|45337 - SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE||280.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45335|45335 - SGMDSC FLX DIRED SBMCSL NJX ANY SBST||511.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45334|45334 - SIGMOIDOSCOPY FLX CONTROL BLEEDING||320.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45333|45333 - SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS||554.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45332|45332 - SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY||545.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45331|45331 - SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE||306.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45330|45330 - SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD||255.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45327|45327 - PROCTOSGMDSC RIGID TNDSC STENT PLMT||239.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45321|45321 - PROCTOSGMDSC RIGID DCMPRN VOLVULUS||212.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45320|45320 - PROCTOSGMDSC RIGID ABLATION LESION||454.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45317|45317 - PROCTOSGMDSC RIGID CONTROL BLEEDING||462.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45315|45315 - PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE||434.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45309|45309 - PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ||419.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45308|45308 - PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY||408.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45307|45307 - PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY||433.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45305|45305 - PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE||367.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45303|45303 - PROCTOSGMDSC RIGID W/DILATION||1725.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45300|45300 - PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX||230.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45190|45190 - DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH||1359.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45172|45172 - EXC RCT TUM INCL MUSCULARIS PROPRIA||1591.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45171|45171 - EXC RCT TUM NOT INCL MUSCULARIS PROPRIA||1166.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45160|45160 - EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL||1993.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45150|45150 - DIVISION STRICTURE RECTUM||771.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45136|45136 - EXC ILEOANAL RSVR W/ILEOSTOMY||3611.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45135|45135 - EXC RCT PROCIDENTIA W/ANAST ABDL & PRNL APPROACH||2688.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45130|45130 - EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH||2163.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45126|45126 - PELVIC EXENTERATION COLORECTAL MALIGNANCY||5670.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45123|45123 - PRCTECT PRTL W/O ANAST PRNL APPR||2214.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45121|45121 - PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS||3400.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45120|45120 - PRCTECT COMPL W/PULL-THRU PX & ANASTOMOSIS||3125.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45119|45119 - PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM||3866.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45116|45116 - PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY||3104.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45114|45114 - PRCTECT PRTL W/ANAST ABDL & TRANSSAC APPROACH||3560.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45113|45113 - PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR||3934.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45112|45112 - PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX||3737.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45111|45111 - PRCTECT PRTL RESCJ RECTUM TABDL APPR||2145.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45110|45110 - PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST||3653.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45108|45108 - ANORECTAL MYOMECTOMY||712.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45100|45100 - BX ANORECTAL WALL ANAL APPROACH||582.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45020|45020 - I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC||1111.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45005|45005 - I&D SUBMUCOSAL ABSCESS RECTUM||501.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|45000|45000 - TRANSRECTAL DRAINAGE OF PELVIC ABSCESS||830.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44970|44970 - LAPAROSCOPIC APPENDECTOMY||1169.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44960|44960 - APPENDEC RPTD APPENDIX ABSC/PRITONITIS||1711.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44955|44955 - APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX||166.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44950|44950 - APPENDECTOMY||1256.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44900|44900 - INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN||1514.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44850|44850 - SUTURE MESENTERY SEPARATE PROCEDURE||1467.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44820|44820 - EXCISION LESION MESENTERY SEPARATE PROCEDURE||1647.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44800|44800 - EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT||1490.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44799|44799 - UNLISTED PROCEDURE SMALL INTESTINE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44721|44721 - BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA||767.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44720|44720 - BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA||502.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44705|44705 - PREPARE FECAL MICROBIOTA FOR INSTILLATION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44701|44701 - INTRAOPERATIVE COLONIC LAVAGE||331.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44700|44700 - EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS||2014.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44680|44680 - INTESTINAL PLICATION SEPARATE PROCEDURE||2100.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44661|44661 - CLSR ENTEROVES FSTL W/INTESTINE&/BLADDER RESCJ||3066.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44660|44660 - CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ||2632.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44650|44650 - CLSR ENTEROENTERIC/ENTEROCOLIC FSTL||2859.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44640|44640 - CLOSURE INTESTINAL CUTANEOUS FISTULA||2764.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44626|44626 - CLSR NTRSTM LG/SM RESCJ & COLORECTAL ANASTOMOSIS||3164.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44625|44625 - CLSR NTRSTM LG/SM RESCJ & ANAST OTH/THN CLRCT||2011.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44620|44620 - CLOSURE ENTEROSTOMY LG/SMALL INTESTINE||1707.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44615|44615 - INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ||2115.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44605|44605 - SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY||2567.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44604|44604 - SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY||2078.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44603|44603 - ENTERORRHAPHY MULTIPLE PERFORATIONS||3184.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44602|44602 - ENTERORRHAPHY SINGLE PERFORATION||2779.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44500|44500 - INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE||49.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44408|44408 - COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44407|44407 - COLONOSCOPY STOMA W/US GID NDL ASPIR/BX||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44406|44406 - COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44405|44405 - COLONOSCOPY STOMA W/BALLOON DILATION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44404|44404 - COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44403|44403 - COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44402|44402 - COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44401|44401 - COLONOSCOPY STOMA ABLATION LESION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44397|44397 - COLONOSCOPY W/STENT||539.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44394|44394 - COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE||938.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44393|44393 - COLONOSCOPY LESION REMOVAL||954.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44392|44392 - COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS||830.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44391|44391 - COLONOSCOPY STOMA CONTROL BLEEDING||938.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44390|44390 - COLONOSCOPY STOMA W/RMVL FOREIGN BODY||872.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44389|44389 - COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE||745.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44388|44388 - COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX||663.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44386|44386 - NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE||658.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44385|44385 - NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX||493.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44384|44384 - ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44383|44383 - ILEOSCOPY W/STENT||323.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44382|44382 - ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE||160.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44381|44381 - ILEOSCOPY STOMA W/BALLOON DILATION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44380|44380 - ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD||132.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44379|44379 - ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT||857.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44378|44378 - ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING||807.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44377|44377 - ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE||628.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44376|44376 - ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX||597.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44373|44373 - ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE||403.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44372|44372 - ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE||504.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44370|44370 - ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT||559.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44369|44369 - ENTEROSCOPY > 2ND PRTN ABLTJ LESION||519.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44366|44366 - ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING||506.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44365|44365 - ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY||383.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44364|44364 - ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE||431.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44363|44363 - ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY||404.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44361|44361 - ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY||337.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44360|44360 - ENDOSCOPY UPPER SMALL INTESTINE||307.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44346|44346 - REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX||2326.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44345|44345 - REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX||2068.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44340|44340 - REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX||1217.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44322|44322 - COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX||1932.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44320|44320 - COLOSTOMY/SKIN LEVEL CECOSTOMY||2362.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44316|44316 - CONTINENT ILEOSTOMY KOCK PROCEDURE SPX||2767.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44314|44314 - REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX||1982.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44312|44312 - REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX||1154.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44310|44310 - ILEOSTOMY/JEJUNOSTOMY NON-TUBE||2055.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44300|44300 - PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN||1649.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44227|44227 - LAPS CLSR NTRSTM LG/SM INT W/RESCJ & ANASTOMOSIS||3288.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44213|44213 - LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY||375.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44212|44212 - LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY||4087.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44211|44211 - LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS||4420.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44210|44210 - LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS||3551.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44208|44208 - LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST||3929.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44207|44207 - LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST||3615.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44206|44206 - LAPS COLECTOMY PRTL W/END CLST & CLSR DSTL SGM||3461.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44205|44205 - LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM||2642.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44204|44204 - LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS||3037.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44203|44203 - LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS||478.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44202|44202 - LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ & ANA||2724.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44188|44188 - LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY||2405.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44187|44187 - LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE||2176.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44186|44186 - LAPAROSCOPY SURGICAL JEJUNOSTOMY||1273.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44180|44180 - LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE||1801.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44160|44160 - COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS||2439.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44158|44158 - COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR||4411.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44157|44157 - COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST||4279.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44156|44156 - COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST||4520.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44155|44155 - COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY||4103.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44151|44151 - COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST||4211.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44150|44150 - COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS||3672.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44147|44147 - COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH||3834.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44146|44146 - COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY||4168.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44145|44145 - COLECTOMY PRTL W/COLOPROCTOSTOMY||3270.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44144|44144 - COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA||3481.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44143|44143 - COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT||3268.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44141|44141 - COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY||3581.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44140|44140 - COLECTOMY PARTIAL W/ANASTOMOSIS||2633.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44139|44139 - MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT||239.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44136|44136 - INTESTINAL ALLOTRANSPLANTATION LIVING DONOR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44135|44135 - INTESTINAL ALLOTRANSPLANTATION CADAVER DONOR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44133|44133 - DONOR ENTERECTOMY OPEN LIVING DONOR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44132|44132 - DONOR ENTERECTOMY OPEN CADAVER DONOR||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44130|44130 - ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX||2579.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44128|44128 - ENTRC RESCJ ATRESIA EA RESCJ & ANASTOMOSIS||480.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44127|44127 - ENTRC RESCJ ATRESIA RESCJ & ANAST SGM W/TAPRING||5595.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44126|44126 - ENTRC RESCJ ATRESIA RESCJ & ANAST W/O TAPRING||4836.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44125|44125 - ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY||2322.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44121|44121 - ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ & ANA||478.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44120|44120 - ENTRC RESCJ SMALL INTESTINE 1 RESCJ & ANAST||2402.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44111|44111 - EXC 1/> SM/LG LESIONS INTESTNE MULT ENTEROTOMIE||1934.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44110|44110 - EXC 1/> SMALL/LARGE LESIONS INTESTINE ENTEROTOM||1670.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44100|44100 - BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS||222.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44055|44055 - CORRJ MALROTATION BANDS&/RDCTJ VOLVULUS||2938.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44050|44050 - RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT||1832.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44025|44025 - COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL||1941.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44021|44021 - ENTEROTOMY SM INT OTH/THN DUO DCMPRN||1923.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44020|44020 - ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL||1904.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44015|44015 - TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD||282.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44010|44010 - DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL||1707.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|44005|44005 - ENTEROLSS FRING INTSTINAL ADHESION SPX||2145.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43888|43888 - GSTR RSTCV OPN RMVL & RPLCMT SUBQ PORT||890.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43887|43887 - GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY||629.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43886|43886 - GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY||699.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43880|43880 - CLOSURE GASTROCOLIC FISTULA||3137.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43870|43870 - CLOSURE GASTROSTOMY SURG||1389.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43865|43865 - REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY||3349.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43860|43860 - REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY||3211.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43855|43855 - REVJ GASTRODUOL ANAST W/RCNSTJ W/VGTMY||3309.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43850|43850 - REVJ GASTRODUOL ANAST W/RCNSTJ W/O VAGOTOMY||3189.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43848|43848 - REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE||3778.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43847|43847 - GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ||3528.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43846|43846 - GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/<||3162.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43845|43845 - GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM||3843.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43843|43843 - GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP||2503.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43842|43842 - GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY||2280.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43840|43840 - GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ||2663.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43832|43832 - GASTROSTOMY OPN W/CONSTJ GSTR TUBE||2042.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43831|43831 - GASTROSTOMY OPN NEONATAL FEEDING||1151.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43830|43830 - GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX||1362.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43825|43825 - GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE||2560.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43820|43820 - GASTROJEJUNOSTOMY W/O VAGOTOMY||2629.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43810|43810 - GASTRODUODENOSTOMY||1989.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43800|43800 - PYLOROPLASTY||1823.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43774|43774 - LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT||1880.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43773|43773 - LAPS GASTRIC RESTRICTIVE PX REMOVE&RPLCMT DEVICE||2485.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43772|43772 - LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE||1867.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43771|43771 - LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE||2496.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43770|43770 - LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE||2182.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43761|43761 - REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO||231.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43760|43760 - CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GDNCE||892.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43757|43757 - DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN||549.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43756|43756 - DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN||390.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43755|43755 - GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPEC||258.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43754|43754 - GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN||168.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43753|43753 - GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE||41.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43752|43752 - NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDNCE||81.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43653|43653 - LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX||1112.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43652|43652 - LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV||1490.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43651|43651 - LAPS SURG TRNSXJ VAGUS NRV TRUNCAL||1273.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43645|43645 - LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ||3634.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43644|43644 - LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM||3399.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43641|43641 - VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL||2349.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43640|43640 - VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV||2312.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43635|43635 - VAGOTOMY PFRMD W/PRTL DSTL GSTRCT||220.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43634|43634 - GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH||4171|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43633|43633 - GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ||3769.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43632|43632 - GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY||3989.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43631|43631 - GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY||2844.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43622|43622 - GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE||4539.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43621|43621 - GSTRCT TOT W/ROUX-EN-Y RCNSTJ||4457.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43620|43620 - GSTRCT TOT W/ESOPHAGOENTEROSTOMY||3859.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43611|43611 - EXC LOCAL MALIGNANT TUMOR STOMACH||2393.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43610|43610 - EXC LOCAL ULCER/BENIGN TUMOR STOMACH||1922.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43605|43605 - BIOPSY STOMACH LAPAROTOMY||1627.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43520|43520 - PYLOROMYOTOMY CUTTING PYLORIC MUSC||1347.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43510|43510 - GSTRT W/ESOPHGL DILAT&INSJ PRM INTRAL TUBE||1779.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43502|43502 - GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC||2985.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43501|43501 - GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER||2641.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43500|43500 - GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL||1541.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43460|43460 - ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE||438.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43453|43453 - DILATION ESOPHAGUS GUIDE WIRE||1793.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43450|43450 - DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS||399.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43425|43425 - CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR||2850.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43420|43420 - CLSR ESOPHAGOSTOMY/FSTL CRV APPR||2023.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43415|43415 - SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR||5129.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43410|43410 - SUTR ESOPHGL WND/INJ CRV APPR||2073.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43405|43405 - LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J||2869.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43401|43401 - TRNSXJ ESOPH W/RPR ESOPHAGEAL VARICES||3067.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43400|43400 - LIGATION DIRECT ESOPHAGEAL VARICES||3025.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43361|43361 - GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT||5042.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43360|43360 - GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH||4720.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43352|43352 - ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR||2122.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43351|43351 - ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR||2618.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43350|43350 - SURGICAL OPENING ESOPHAGUS||2359.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43341|43341 - ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR||2783.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43340|43340 - ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR||2697.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43338|43338 - ESOPHAGUS LENGTHENING||232.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43337|43337 - RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH||3230.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43336|43336 - RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH||2993.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43335|43335 - RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH||2649.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43334|43334 - RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH||2470.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43333|43333 - LAPT RPR PARAESOPH HIATAL HERNIA W/MESH||2483.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43332|43332 - RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH||2282.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43331|43331 - ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH||2674.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43330|43330 - ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH||2613.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43328|43328 - ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY||2294.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43327|43327 - ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY||1607.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43325|43325 - ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH||2637.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43320|43320 - EGST W/WO VAGOTOMY&PYLOROPLASTY TABDL/TTHRC AP||2732.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43314|43314 - ESPHGP CGEN DFCT THRC APPR W/RPR FSTL||5807.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43313|43313 - ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL||5720.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43312|43312 - ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL||3203.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43310|43310 - ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL||2965.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43305|43305 - ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL||2169.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43300|43300 - ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL||1217.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43288|43288 - ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ||7666.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43287|43287 - ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ||7350.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43286|43286 - ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ||6428.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43285|43285 - REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE||1364.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43284|43284 - LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL||1348.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43283|43283 - LAPS ESOPHAGEAL LENGTHENING ADDL||311.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43282|43282 - LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH||3414.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43281|43281 - LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH||3035.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43280|43280 - LAPS SURG ESOPG/GSTR FUNDOPLASTY||2121.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43279|43279 - LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED||2537.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43278|43278 - ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE||904.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43277|43277 - ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA||795.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43276|43276 - ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE||997.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43275|43275 - ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT||790.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43274|43274 - ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT||958.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43273|43273 - ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC||247.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43270|43270 - EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE||1355.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43266|43266 - EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION||462.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43265|43265 - ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD||908.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43264|43264 - ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT||764.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43263|43263 - ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI||750.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43262|43262 - ERCP W/SPHINCTEROTOMY/PAPILLOTOMY||750.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43261|43261 - ERCP W/BIOPSY SINGLE/MULTIPLE||710.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43260|43260 - ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING||677.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43259|43259 - EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM||477.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43257|43257 - EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD||475.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43255|43255 - EGD TRANSORAL CONTROL BLEEDING ANY METHOD||820.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43254|43254 - EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION||559.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43253|43253 - EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER||538.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43252|43252 - EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY||698.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43251|43251 - EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH||948.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43250|43250 - EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS||860.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43249|43249 - EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM||1938.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43248|43248 - EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS||776.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43247|43247 - EGD FLEXIBLE FOREIGN BODY REMOVAL||768.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43246|43246 - EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE||424.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43245|43245 - EGD DILATION GASTRIC/DUODENAL STRICTURE||1150.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43244|43244 - EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES||517.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43243|43243 - EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES||499.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43242|43242 - EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY||538.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43241|43241 - EGD INTRALUMINAL TUBE/CATHETER INSERTION||302.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43240|43240 - EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST||822.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43239|43239 - EGD TRANSORAL BIOPSY SINGLE/MULTIPLE||747.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43238|43238 - EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS||472.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43237|43237 - ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS||413.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43236|43236 - ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION||730.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43235|43235 - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC||587.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43233|43233 - EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER||464.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43232|43232 - ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX||902.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43231|43231 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM||764.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43229|43229 - ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION||1354.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43227|43227 - ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL||746.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43226|43226 - ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION||715.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43220|43220 - ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM||1850.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43217|43217 - ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE||841.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43216|43216 - ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS||784.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43215|43215 - ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY||761.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43214|43214 - ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM||390.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43213|43213 - ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER||2287.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43212|43212 - ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT||383.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43211|43211 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN||485.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43206|43206 - ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY||623.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43205|43205 - ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES||298.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43204|43204 - ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES||288.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43202|43202 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY||674.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43201|43201 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ||517.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43200|43200 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC||505.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43198|43198 - ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY||389.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43197|43197 - ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC||348.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43196|43196 - ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION||390.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43195|43195 - ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION||355.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43194|43194 - ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY||324.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43193|43193 - ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY||355.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43192|43192 - ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL||297.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43191|43191 - ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH||249.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43180|43180 - ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH||1111.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43135|43135 - DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR||2977.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43130|43130 - DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR||1564.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43124|43124 - TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY||7635.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43123|43123 - PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ||9354.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43122|43122 - PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL||5074.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43121|43121 - PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY||5725.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43118|43118 - PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ||7204.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43117|43117 - PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY||4910.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43116|43116 - PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF||10435.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43113|43113 - TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ||9023.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43112|43112 - TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY||5350.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43108|43108 - TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ||9238.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43107|43107 - TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY||5051.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43101|43101 - EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR||2004.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43100|43100 - EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR||1241.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43045|43045 - ESOPHAGOTOMY THORACIC APPR W/RMVL FB||2589.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43030|43030 - CRICOPHARYNGEAL MYOTOMY||1027.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|43020|43020 - ESOPHAGOTOMY CERVICAL APPR W/RMVL FB||981.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42972|42972 - CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ||1012.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42971|42971 - CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION||902.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42970|42970 - CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS||810.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42962|42962 - CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ||1021.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42961|42961 - CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ||830.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42960|42960 - CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE||335.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42955|42955 - PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING||1458.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42953|42953 - PHARYNGOESOPHAGEAL REPAIR||1835.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42950|42950 - PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX||1537.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42900|42900 - SUTURE PHARYNX WOUND/INJURY||672.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42894|42894 - RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS||4647.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42892|42892 - RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR||3689.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42890|42890 - LIMITED PHARYNGECTOMY||2773.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42870|42870 - EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX||1117.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42860|42860 - EXCISION TONSIL TAGS||369.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42845|42845 - RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP||4365.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42844|42844 - RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP||2672.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42842|42842 - RADICAL RESECTION TONSIL W/O CLOSURE||1941.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42836|42836 - ADENOIDECTOMY SECONDARY AGE 12/>||473.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42835|42835 - ADENOIDECTOMY SECONDARY<AGE 12||350.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42831|42831 - ADENOIDECTOMY PRIMARY AGE 12/>||438.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42830|42830 - ADENOIDECTOMY PRIMARY <AGE 12||407.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42826|42826 - TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>||495.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42825|42825 - TONSILLECTOMY PRIMARY/SECONDARY <AGE 12||514.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42821|42821 - TONSILLECTOMY & ADENOIDECTOMY AGE 12/>||595.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42820|42820 - TONSILLECTOMY & ADENOIDECTOMY <AGE 12||572.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42815|42815 - EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRYNX||1097.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42810|42810 - EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TIS||750.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42809|42809 - REMOVAL FOREIGN BODY PHARYNX||335.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42808|42808 - EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD||441.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42806|42806 - BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION||422.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42804|42804 - BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE||374.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42800|42800 - BIOPSY OROPHARYNX||307.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42725|42725 - I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR||1606.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42720|42720 - I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL||892.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42700|42700 - I&D ABSCESS PERITONSILLAR||367.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42665|42665 - LIGATION SALIVARY DUCT INTRAORAL||606.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42660|42660 - DILAT&CATHJ SALIVARY DUCT W/WO INJECTION||235.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42650|42650 - DILATION SALIVARY DUCT||162.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42600|42600 - CLOSURE SALIVARY FISTULA||931.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42550|42550 - INJECTION PROCEDURE SIALOGRAPHY||253.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42510|42510 - PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS||1235.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42509|42509 - PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS||1716.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42508|42508 - PAROTID DUCT DIVERSION||1400.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42507|42507 - PAROTID DUCT DIVERSION BILATERAL WILKE PX||1005.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42505|42505 - PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP||1086.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42500|42500 - PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM||844.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42450|42450 - EXISION OF SUBLINGUAL GLAND||880.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42440|42440 - EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND||814.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42426|42426 - EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ||2687.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42425|42425 - EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL||1659.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42420|42420 - EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FACIAL NR||2356.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42415|42415 - EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FACIAL NR||2097.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42410|42410 - EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ||1232.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42409|42409 - MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA||644.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42408|42408 - EXC SUBLINGUAL SALIVARY CYST RANULA||879.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42405|42405 - BIOPSY SALIVARY GLAND INCISIONAL||580.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42400|42400 - BIOPSY SALIVARY GLAND NEEDLE||202.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42340|42340 - SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL||902.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42335|42335 - SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL||725.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42330|42330 - SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL||450.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42320|42320 - DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL||485.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42310|42310 - DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL||313.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42305|42305 - DRAINAGE ABSCESS PAROTID COMPLICATED||850.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42300|42300 - DRAINAGE ABSCESS PAROTID SIMPLE||406.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42281|42281 - INSJ PIN-RETAINED PALATAL PROSTHESIS||398.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42280|42280 - MAXILLARY IMPRESJ PALATAL PROSTHESIS||326.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42260|42260 - REPAIR NASOLABIAL FISTULA||1589.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42235|42235 - REPAIR ANTERIOR PALATE W/VOMER FLAP||1424|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42227|42227 - LENGTHENING PALATE W/ISLAND FLAP||1631.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42226|42226 - LENGTHENING PALATE & PHARYNGEAL FLAP||1736.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42225|42225 - PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP||1704.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42220|42220 - PALATOPLASTY CLEFT PALATE SEC LNGTH PX||1019.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42215|42215 - PALATOPLASTY CLEFT PALATE MAJOR REVJ||1310.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42210|42210 - PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE||2021.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42205|42205 - PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE||1759.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42200|42200 - PALATOP CL PALATE SOFT&/HARD PALATE ONLY||1680.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42182|42182 - REPAIR LACERATION PALATE >2 CM/COMPLEX||626.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42180|42180 - REPAIR LACERATION PALATE </2 CM||475.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42160|42160 - DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM||447.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42145|42145 - PALATOPHARYNGOPLASTY||1387.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42140|42140 - UVULECTOMY EXCISION UVULA||485.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42120|42120 - RESCJ PALATE/EXTENSIVE RESCJ LESION||1936.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42107|42107 - EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE||893.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42106|42106 - EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE||526.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42104|42104 - EXC LESION PALATE UVULA W/O CLOSURE||416.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42100|42100 - BIOPSY PALATE UVULA||290.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|42000|42000 - DRAINAGE ABSCESS PALATE UVULA||303.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41874|41874 - ALVEOLOPLASTY EACH QUADRANT SPECIFY||721.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41872|41872 - GINGIVOPLASTY EACH QUADRANT SPECIFY||703.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41870|41870 - PERIODONTAL MUCOSAL GRAFTING||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41850|41850 - DESTRUCTION LESION DENTOALVEOLAR STRUCTURES||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41830|41830 - ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY||759.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41828|41828 - EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC||594.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41827|41827 - EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR||848.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41826|41826 - EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR||603.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41825|41825 - EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR||405.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41823|41823 - EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS||827.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41822|41822 - EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS||561.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41821|41821 - OPRCULECTOMY EXC PRICORONAL TISSUE||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41820|41820 - GINGIVECTOMY EXC GINGIVA EACH QUADRANT||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41806|41806 - RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE||693.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41805|41805 - RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS||494.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41800|41800 - DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS||510.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41530|41530 - SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION||6014.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41520|41520 - FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY||678.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41512|41512 - TONGUE BASE SUSPENSION PERMANENT SUTURE TQ||1208.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41510|41510 - SUTURE TONGUE LIP MICROGNATHIA||845.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41500|41500 - FIXJ TONGUE MECHANICAL OTHER/THAN SUTURE||723.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41252|41252 - RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX||610.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41251|41251 - RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE||553.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41250|41250 - RPR LAC 2.5 CM/< MOUTH&/ANT TWO-THIRDS TONG||511.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41155|41155 - GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ & RAD NECK||5896.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41153|41153 - GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ||4664.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41150|41150 - GLSSC COMPOSIT W/RESCJ FLOOR & MANDIBULAR RESCJ||4282.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41145|41145 - GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ||5391.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41140|41140 - GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ||4256.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41135|41135 - GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ||4230.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41130|41130 - GLOSSECTOMY HEMIGLOSSECTOMY||2529.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41120|41120 - GLOSSECTOMY <ONE-HALF TONGUE||2028.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41116|41116 - EXCISION LESION FLOOR MOUTH||640.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41115|41115 - EXCISION LINGUAL FRENUM FRENECTOMY||475.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41114|41114 - EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP||1252.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41113|41113 - EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD||705.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41112|41112 - EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS||645.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41110|41110 - EXCISION LESION TONGUE W/O CLOSURE||410.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41108|41108 - BIOPSY FLOOR MOUTH||283.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41105|41105 - BIOPSY TONGUE POSTERIOR ONE-THIRD||329.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41100|41100 - BIOPSY TONGUE ANTERIOR TWO-THIRDS||324.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41019|41019 - PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT||926.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41018|41018 - XTRORAL I&D FLOOR MASTICATOR SPACE||973.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41017|41017 - XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB||856.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41016|41016 - XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMENT||848.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41015|41015 - XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL||864.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41010|41010 - INCISION LINGUAL FRENUM FRENOTOMY||388.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41009|41009 - INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE||774.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41008|41008 - INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE||728.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41007|41007 - INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE||679.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41006|41006 - INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD||691.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41005|41005 - INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC||436.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|41000|41000 - INTRAORAL I&D TONGUE/FLOOR LINGUAL||313.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40845|40845 - VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG||2851.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40844|40844 - VESTIBULOPLASTY ENTIRE ARCH||2597.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40843|40843 - VESTIBULOPLASTY POSTERIOR BILATERAL||2158.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40842|40842 - VESTIBULOPLASTY POSTERIOR UNILATERAL||1521.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40840|40840 - VESTIBULOPLASTY ANTERIOR||1565.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40831|40831 - CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL||651.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40830|40830 - CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<||510.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40820|40820 - DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS||502.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40819|40819 - EXC FRENUM LABIAL/BUCCAL||598.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40818|40818 - EXC MUCOSA VESTIBULE MOUTH AS DON GRF||688.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40816|40816 - EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC||781.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40814|40814 - EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR||744.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40812|40812 - EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR||554.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40810|40810 - EXC LES MUCOSA & SBMCSL VESTIBULE MOUTH W/O RPR||395.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40808|40808 - BIOPSY VESTIBULE MOUTH||354.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40806|40806 - INCISION LABIAL FRENUM FRENOTOMY||247.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40805|40805 - RMVL EMBEDDED FB VESTIBULE MOUTH COMP||741.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40804|40804 - RMVL EMBEDDED FB VESTIBULE MOUTH SMPL||417.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40801|40801 - DRG ABSC CST HMTMA VESTIBULE MOUTH COMP||606.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40800|40800 - DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL||405.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40761|40761 - PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP||2154.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40720|40720 - PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT & RECL||2038.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40702|40702 - PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS||1757.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40701|40701 - PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX||2003.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40700|40700 - PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI||1788.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40654|40654 - RPR LIP FULL THKNS >ONE-HALF VERT HEIGHT/COMPLE||1087.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40652|40652 - RPR LIP FULL THICKNESS HALF/< VERTICAL HEIGHT||929.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40650|40650 - RPR LIP FULL THICKNESS VERMILION ONLY||838.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40530|40530 - RESCJ LIP > ONE-FOURTH W/O RCNSTJ||1036.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40527|40527 - EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP||1221.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40525|40525 - EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP||1088.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40520|40520 - EXC LIP V-EXC W/PRIM DIR LINR CLSR||941.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40510|40510 - EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR||932.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40500|40500 - VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT||965.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|40490|40490 - BIOPSY OF LIP||242.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39561|39561 - RESCJ DIAPHRAGM W/COMPLEX REPAIR||2447.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39560|39560 - RESCJ DIAPHRAGM W/SIMPLE REPAIR||1570.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39545|39545 - IMBRICATION DIAPHRAGM EVENTRATION||1772.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39541|39541 - RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC||1855.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39540|39540 - RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT||1703.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39503|39503 - RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ||12088.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39501|39501 - REPAIR LACERATION DIAPHRAGM ANY APPROACH||1672.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39400|39400 - MEDIASTINOSCOPY INCL BIOPSY||1003.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39220|39220 - RESECTION MEDIASTINAL TUMOR||2279.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39200|39200 - RESECTION OF MEDIASTINAL CYST||1744.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39010|39010 - MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR||1570.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|39000|39000 - MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR||981|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38900|38900 - INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION||271.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38794|38794 - CANNULATION THORACIC DUCT||585.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38792|38792 - INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE||78.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38790|38790 - INJECTION PROCEDURE LYMPHANGIOGRAPHY||164.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38780|38780 - RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC&RNL||2017.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38770|38770 - PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR&OBTURATOR||1574.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38765|38765 - INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC||2531.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38760|38760 - INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX||1648.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38747|38747 - ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC||526.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38746|38746 - THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC||434.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38745|38745 - AXILLARY LYMPHADENECTOMY COMPLETE||1708.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38740|38740 - AXILLARY LYMPHADENECTOMY SUPERFICIAL||1349.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38724|38724 - CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ||2882.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38720|38720 - CERVICAL LYMPHADENECTOMY||2665.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38700|38700 - SUPRAHYOID LYMPHADENECTOMY||1592.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38573|38573 - LAPS W/BI TOT PEL LMPHADEC & OMNTC LYMPH BX||2363.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38572|38572 - LAPS BI TOT PEL LMPHADEC & PRI-AORTIC LYMPH BX 1||1890.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38571|38571 - LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY||1557.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38570|38570 - LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT||1049.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38564|38564 - LMTD LMPHADEC STAGING SPX RPR AORTIC&/SPLENIC||1371.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38562|38562 - LMTD LMPHADEC STAGING SPX PEL&PARA-AORTIC||1367.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38555|38555 - EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ||1956.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38550|38550 - EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ||980.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38542|38542 - DISSECTION DEEP JUGULAR NODE||1021.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38530|38530 - BX/EXC LYMPH NODE OPEN INT MAMMARY NODE||1076.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38525|38525 - BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE||845.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38520|38520 - BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD||910.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38510|38510 - BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE||1005.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38505|38505 - BX/EXC LYMPH NODE NEEDLE SUPERFICIAL||239.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38500|38500 - BX/EXC LYMPH NODE OPEN SUPERFICIAL||631.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38382|38382 - SUTR&/LIG THORACIC DUCT ABDOMINAL APPROACH||1188.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38381|38381 - SUTR&/LIG THORACIC DUCT THORACIC APPROACH||1589.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38380|38380 - SUTR&/LIG THORACIC DUCT CERVICAL APPROACH||1122.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38308|38308 - LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS||873.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38305|38305 - DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV||924.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38300|38300 - DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL||518.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38243|38243 - TRNSPLJ HEMATOPOIETIC CELL BOOST||233.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38242|38242 - ALLOGENEIC LYMPHOCYTE INFUSIONS||231.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38241|38241 - TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR||331.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38240|38240 - TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR||444.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38232|38232 - BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS||411.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38230|38230 - BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC||414.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38222|38222 - DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS||325|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38221|38221 - DIAGNOSTIC BONE MARROW BIOPSIES||311.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38220|38220 - DIAGNOSTIC BONE MARROW ASPIRATIONS||299.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38215|38215 - TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM||93.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38214|38214 - TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ||81.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38213|38213 - TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ||23.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38212|38212 - TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL||93.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38211|38211 - TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ||143.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38210|38210 - TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL||157.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38209|38209 - TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR||23.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38208|38208 - TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR||56.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38207|38207 - TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR||88.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38206|38206 - BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL||162.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38205|38205 - BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC||160.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38204|38204 - MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ||201.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38200|38200 - INJECTION PROCEDURE SPLENOPORTOGRAPY||265.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38120|38120 - LAPAROSCOPIC SURGICAL SPLENECTOMY||2058.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38115|38115 - RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT||2493.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38102|38102 - SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX||518.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38101|38101 - SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE||2278.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|38100|38100 - SPLENECTOMY TOTAL SEPARATE PROCEDURE||2262.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37790|37790 - PENILE VENOUS OCCLUSIVE PROCEDURE||951.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37788|37788 - PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT||2650.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37785|37785 - LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG||687.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37780|37780 - LIGJ & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX||510.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37766|37766 - STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS||1529.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37765|37765 - STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS||1273.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37761|37761 - LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG||1105.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37760|37760 - LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG||1238.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37735|37735 - LIGJ & DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS||1363.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37722|37722 - LIGJ DIVJ&STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW||968.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37718|37718 - LIGJ DIVJ & STRIPPING SHORT SAPHENOUS VEIN||873.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37700|37700 - LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ||500.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37660|37660 - LIGATION OF COMMON ILIAC VEIN||2293.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37650|37650 - LIGATION OF FEMORAL VEIN||1022.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37619|37619 - INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I||3303.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37618|37618 - LIGATION MAJOR ARTERY EXTREMITY||771.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37617|37617 - LIGATION MAJOR ARTERY ABDOMEN||2669.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37616|37616 - LIGATION MAJOR ARTERY CHEST||2178.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37615|37615 - LIGATION MAJOR ARTERY NECK||1046.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37609|37609 - LIGATION/BIOPSY TEMPORAL ARTERY||594.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37607|37607 - LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA||757.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37606|37606 - LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION||1131.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37605|37605 - LIGATION INTERNAL/COMMON CAROTID ARTERY||1615.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37600|37600 - LIGATION EXTERNAL CAROTID ARTERY||1428.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37565|37565 - LIGATION INTERNAL JUGULAR VEIN||1458.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37500|37500 - VASC ENDOSCOPY SURG W/LIG PERFORATOR VEINS SPX||1513.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37251|37251 - IV US EACH ADD VESSEL ADD-ON||162.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37250|37250 - IV US FIRST VESSEL ADD-ON||217.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37249|37249 - TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN||1291.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37248|37248 - TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN||3013.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37247|37247 - TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART||1759.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37246|37246 - TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART||4349.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37244|37244 - VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE||12507.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37243|37243 - VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT||17804.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37242|37242 - VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I||14108.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37241|37241 - VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I||8398.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37239|37239 - OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL||3763.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37238|37238 - OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST||7573.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37237|37237 - OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL||2267.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37236|37236 - OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL||5214.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37235|37235 - REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP EA VSL||7281.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37234|37234 - REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL||7116.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37233|37233 - REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP UNI EA VSL||2720.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37232|37232 - REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL||2255.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37231|37231 - REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL||24318.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37230|37230 - REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL||15266.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37229|37229 - REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL||19920.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37228|37228 - REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI||10095.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37227|37227 - REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL||27194.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37226|37226 - REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL||16597.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37225|37225 - REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL||20208.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37224|37224 - REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI||7113.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37223|37223 - REVSC OPN/PRQ ILIAC ART W/STNT & ANGIOP IPSILATL||4775.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37222|37222 - REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL||1666.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37221|37221 - REVSC OPN/PRQ ILIAC ART W/STNT PLMT & ANGIOPLSTY||8615.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37220|37220 - REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL||5878.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37218|37218 - TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE||1664.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37217|37217 - TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE||2245.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37216|37216 - TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ||2025.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37215|37215 - TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ||2174.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37214|37214 - CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL||294.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37213|37213 - THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX||500.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37212|37212 - THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX||717.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37211|37211 - THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX||813.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37202|37202 - TRANSCATHETER THERAPY INFUSE||607.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37200|37200 - TRANSCATHETER BIOPSY||448.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37197|37197 - PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING||2817.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37193|37193 - RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I||2999.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37192|37192 - REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I||2849.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37191|37191 - INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I||4859.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37188|37188 - PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX||3298.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37187|37187 - PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN||3839.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37186|37186 - SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL||2576.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37185|37185 - PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ||1348.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37184|37184 - PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST||4191.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37183|37183 - REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT||10767.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37182|37182 - INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT||1698.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37181|37181 - VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL||4545.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37180|37180 - VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL||4165.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37160|37160 - VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC||4330.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37145|37145 - VENOUS ANASTOMOSIS OPEN RENOPORTAL||4226.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|37140|37140 - VENOUS ANASTOMOSIS OPEN PORTOCAVAL||4545.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36909|36909 - DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I||3970.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36908|36908 - STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR||5443.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36907|36907 - TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I||1477.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36906|36906 - PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT||13734.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36905|36905 - PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP||4608.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36904|36904 - PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH||3601.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36903|36903 - INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT||11326.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36902|36902 - INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP||2469.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36901|36901 - INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I||1161.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36861|36861 - XTRNL CANNULA DECLTNG SPX W/BALO CATH||263.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36860|36860 - XTRNL CANNULA DECLTNG SPX W/O BALO CATH||401.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36838|36838 - DSTL REVSC&INTERVAL LIG UXTR HEMO ACCESS||2341.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36835|36835 - INSERTION THOMAS SHUNT SEPARATE PROCEDURE||995.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36833|36833 - REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF||1329.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36832|36832 - REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF||1171.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36831|36831 - THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF||916.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36830|36830 - CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF||1330.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36825|36825 - CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF||1608.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36823|36823 - INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL||2667.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36822|36822 - INSERTION OF CANNULA(S)||755.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36821|36821 - ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT||1398.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36820|36820 - ARVEN ANAST OPN F/ARM VEIN TRPOS||1627.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36819|36819 - ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS||1488.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36818|36818 - ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS||1354.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36815|36815 - INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR||294|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36810|36810 - INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL||435.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36800|36800 - INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN||251.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36680|36680 - PLACEMENT NEEDLE INTRAOSSEOUS INFUSION||120.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36660|36660 - CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY||137.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36640|36640 - ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN||257.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36625|36625 - ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN||213.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36620|36620 - ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ||103.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36600|36600 - ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX||59.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36598|36598 - CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT||207.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36597|36597 - RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE||240.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36596|36596 - MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN||250.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36595|36595 - MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS||1089.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36593|36593 - DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH||55.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36592|36592 - COLLECT BLOOD FROM CATHETER VENOUS NOS||47.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36591|36591 - COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE||41.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36590|36590 - RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ||565.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36589|36589 - RMVL TUN CVC W/O SUBQ PORT/PMP||321.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36585|36585 - RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT||2146.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36584|36584 - COMPLETE REPLACEMENT PICC RS&I||381.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36583|36583 - RPLCMT COMPL TUN CTR VAD W/SUBQ PMP||2516.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36582|36582 - RPLCMT COMPL TUN CTR VAD W/SUBQ PORT||2069.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36581|36581 - RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP||1429.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36580|36580 - RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP||401.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36578|36578 - RPLCMT CATH CTR VAD SUBQ PORT/PMP||984.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36576|36576 - RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT||736.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36575|36575 - RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP||308.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36571|36571 - INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>||2420.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36570|36570 - INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR||2201.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36569|36569 - INSERTION PICC W/O IMG GDN 5 YR/>||467.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36568|36568 - INSERTION PICC W/O IMG GDN < 5 YR||558.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36566|36566 - INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT||9807.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36565|36565 - INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP||1845.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36563|36563 - INSJ TUNNELED CTR VAD W/SUBQ PUMP||2454.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36561|36561 - INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>||2199.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36560|36560 - INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR||2496.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36558|36558 - INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>||1468.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36557|36557 - INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR||1882.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36556|36556 - INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>||445.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36555|36555 - INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y||487.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36522|36522 - PHOTOPHERESIS EXTRACORPOREAL||2454.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36516|36516 - THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION||3681.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36515|36515 - THER APHERESIS W/XTRCORP IMMUNODSPTJ& PLSM RENFJ||3766.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36514|36514 - THERAPEUTIC APHERESIS PLASMA PHERESIS||957.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36513|36513 - THERAPEUTIC APHERESIS PLATELETS||197.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36512|36512 - THERAPEUTIC APHERESIS RED BLOOD CELLS||186.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36511|36511 - THERAPEUTIC APHERESIS WHITE BLOOD CELLS||189.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36510|36510 - CATHJ UMBILICAL VEIN DX/THER NB||189.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36500|36500 - VEN CATHJ SLCTV ORGAN BLD SAMPLING||362.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36483|36483 - ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN||281.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36482|36482 - ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN||3921.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36481|36481 - PRQ PORTAL VEIN CATHETERIZATION ANY METHOD||3778.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36479|36479 - ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS||736.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36478|36478 - ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN||2485.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36476|36476 - ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS||720.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36475|36475 - ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN||3105.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36474|36474 - ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS||557.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36473|36473 - ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN||3044.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36471|36471 - INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS||332.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36470|36470 - INJECTION SCLEROSANT SINGLE INCMPTNT VEIN||285.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36469|36469 - INJECTION(S) SPIDER VEINS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36468|36468 - INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36466|36466 - NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS||3080.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36465|36465 - NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN||2943.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36460|36460 - TRANSFUSION INTRAUTERINE FETAL||727.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36456|36456 - PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN||221.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36455|36455 - EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN||227.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36450|36450 - EXCHNG TRANSFUSION BLOOD NEWBORN||215.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36440|36440 - PUSH TRANSFUSION BLOOD 2 YR/UNDER||114.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36430|36430 - TRANSFUSION BLOOD/BLOOD COMPONENTS||61.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36425|36425 - VENIPUNCTURE CUTDOWN AGE 1 YR/>||80.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36420|36420 - VENIPUNCTURE CUTDOWN UNDER AGE 1 YR||97.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36416|36416 - COLLECTION CAPILLARY BLOOD SPECIMEN||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36410|36410 - VNPNXR 3 YEARS/> PHYS/QHP SKILL||32.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36406|36406 - VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN||36.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36405|36405 - VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN||51.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36400|36400 - VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN||58.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36262|36262 - REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP||591.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36261|36261 - REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP||710.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36260|36260 - INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM||1221.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36254|36254 - SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I||4036.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36253|36253 - SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I||4204.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36252|36252 - SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL||2859.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36251|36251 - SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN||2621.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36248|36248 - SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH||288.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36247|36247 - SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH||2936.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36246|36246 - SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH||1669.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36245|36245 - SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH||2525.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36228|36228 - SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT||2170.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36227|36227 - SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC||469.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36226|36226 - SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY||3193.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36225|36225 - SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY||2821.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36224|36224 - SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART||3131.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36223|36223 - SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART||2849.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36222|36222 - SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART||2616.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36221|36221 - NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART||2067.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36218|36218 - SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH||373.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36217|36217 - SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH||3952.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36216|36216 - SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH||2311.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36215|36215 - SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH||2049.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36200|36200 - INTRODUCTION CATHETER AORTA||1163.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36160|36160 - INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR||953.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36140|36140 - INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY||816.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36120|36120 - INTRO NEEDLE/INTRACATH RETROGRADE BRACHIAL ART||796.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36100|36100 - INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY||949.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36015|36015 - SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART||1615.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36014|36014 - SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY||1506.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36013|36013 - INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY||1455.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36012|36012 - SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC||1606.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36011|36011 - SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH||1549.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36010|36010 - INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA||936.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36005|36005 - NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH||594.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36002|36002 - INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM||313.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|36000|36000 - INTRODUCTION NEEDLE/INTRACATHETER VEIN||48.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35907|35907 - EXCISION INFECTED GRAFT ABDOMEN||3927.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35905|35905 - EXCISION INFECTED GRAFT THORAX||3478.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35903|35903 - EXCISION INFECTED GRAFT EXTREMITY||1145.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35901|35901 - EXCISION INFECTED NECK GRAFT||962.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35884|35884 - REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT||2567.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35883|35883 - REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT||2487.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35881|35881 - REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS||2098.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35879|35879 - REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP||1901.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35876|35876 - THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF||1939.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35875|35875 - THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL||1212.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35870|35870 - RPR GRF-ENTERIC FSTL||2573.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35860|35860 - EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR||1716.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35840|35840 - EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD||2371.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35820|35820 - EXPL PO HEMRRG THROMBOSIS/INFCTJ CH||4062.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35800|35800 - EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK||1440.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35761|35761 - EXPL N/FLWD SURG RPR W/WO LYSIS OTHER ARTERY||779.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35741|35741 - EXPL N/FLWD SURG RPR W/WO LYSIS POPLITEAL ARTERY||1039.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35721|35721 - EXPL N/FLWD SURG RPR W/WO LYSIS FEMORAL ARTERY||917.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35701|35701 - EXPLORATION N/FLWD SURG NECK ARTERY||1141.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35700|35700 - ROPRTJ > 1 MO AFTER ORIGINAL OPRATION||315.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35697|35697 - RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART||305.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35695|35695 - TRPOS&/RIMPLTJ CAROTID SUBCLAVIAN ART||2117.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35694|35694 - TRPOS&/RIMPLTJ SUBCLAVIAN CAROTID ART||2039.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35693|35693 - TRPOS&/RIMPLTJ VERTEBRAL SUBCLAVIAN ART||1720.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35691|35691 - TRPOS&/RIMPLTJ VERTEBRAL CAROTID ART||1952.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35686|35686 - CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO||332.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35685|35685 - PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT||412.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35683|35683 - BYP AUTOG COMPOSIT 3/> SEG FROM 2/> LOCATION||849.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35682|35682 - BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS||731.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35681|35681 - BYPASS COMPOSITE GRAFT PROSTHETIC & VEIN||164.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35671|35671 - BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART||2303.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35666|35666 - BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL||2610.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35665|35665 - BYP OTH/THN VEIN ILIOFEMORAL||2419.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35663|35663 - BYP OTH/THN VEIN ILIOILIAC||2583.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35661|35661 - BYP OTH/THN VEIN FEMORAL-FEMORAL||2229.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35656|35656 - BYP OTH/THN VEIN FEMORAL-POPLITEAL||2229.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35654|35654 - BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL||2823.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35650|35650 - BYP OTH/THN VEIN AXILLARY-AXILLARY||2207.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35647|35647 - BYP OTH/THN VEIN AORTOFEMORAL||3204.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35646|35646 - BYP OTH/THN VEIN AORTOBIFEMORAL||3534.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35645|35645 - BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL||2123.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35642|35642 - BYP OTH/THN VEIN CAROTID-VERTEBRAL||2035.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35638|35638 - BYP OTH/THN VEIN AORTOBI-ILIAC||3630.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35637|35637 - BYP OTH/THN VEIN AORTOILIAC||3560.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35636|35636 - BYP OTH/THN VEIN SPLENORENAL||3301.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35634|35634 - BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL||3292.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35633|35633 - BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC||3749.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35632|35632 - BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC||3365.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35631|35631 - BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL||3814.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35626|35626 - BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE||3223.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35623|35623 - BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL||2715.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35621|35621 - BYP OTH/THN VEIN AXILLARY-FEMORAL||2262.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35616|35616 - BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY||2248.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35612|35612 - BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN||2158.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35606|35606 - BYP OTH/THN VEIN CAROTID-SUBCLAVIAN||2417.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35601|35601 - BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID||2888.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35600|35600 - HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG||522.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35587|35587 - IN-SITU VEIN BYP POP-TIBL PRONEAL||2818.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35585|35585 - IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART||3454.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35583|35583 - IN-SITU VEIN BYPASS FEMORAL-POPLITEAL||2977.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35572|35572 - HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX||708.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35571|35571 - BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL||2739.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35570|35570 - BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL||2829.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35566|35566 - BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL||3447.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35565|35565 - BYPASS W/VEIN ILIOFEMORAL||2706.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35563|35563 - BYPASS W/VEIN ILIOILIAC||2736.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35560|35560 - BYPASS W/VEIN AORTORENAL||3529.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35558|35558 - BYPASS W/VEIN FEMORAL-FEMORAL||2537.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35556|35556 - BYPASS W/VEIN FEMORAL-POPLITEAL||2885.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35540|35540 - BYPASS W/VEIN AORTOBIFEMORAL||5044.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35539|35539 - BYPASS W/VEIN AORTOFEMORAL||4545.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35538|35538 - BYPASS W/VEIN AORTOBI-ILIAC||4838.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35537|35537 - BYPASS W/VEIN AORTOILIAC||4320.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35536|35536 - BYPASS W/VEIN SPLENORENAL||3500.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35535|35535 - BYPASS W/VEIN HEPATORENAL||3544.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35533|35533 - BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL||3118.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35531|35531 - BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC||4154.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35526|35526 - BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE||3519.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35525|35525 - BYPASS W/VEIN BRACHIAL-BRACHIAL||2333.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35523|35523 - BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL||2630.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35522|35522 - BYPASS W/VEIN AXILLARY-BRACHIAL||2492.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35521|35521 - BYPASS W/VEIN AXILLARY-FEMORAL||2537.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35518|35518 - BYPASS W/VEIN AXILLARY-AXILLARY||2365.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35516|35516 - BYPASS W/VEIN SUBCLAVIAN-AXILLARY||2526.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35515|35515 - BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL||2748.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35512|35512 - BYPASS W/VEIN SUBCLAVIAN-BRACHIAL||2497.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35511|35511 - BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN||2595.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35510|35510 - BYPASS W/VEIN CAROTID-BRACHIAL||2546.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35509|35509 - BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID||2928.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35508|35508 - BYPASS W/VEIN CAROTID-VERTEBRAL||2769.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35506|35506 - BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID||2639.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35501|35501 - BYPASS W/VEIN COMMON-IPSILATERAL CAROTID||3074.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35500|35500 - HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX||658.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35472|35472 - REPAIR ARTERIAL BLOCKAGE||3413.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35460|35460 - REPAIR VENOUS BLOCKAGE||635.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35400|35400 - ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ||305.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35390|35390 - ROPRTJ CRTD TEAEC > 1 MO AFTER ORIGINAL OPRATIO||327.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35372|35372 - TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL||2012.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35371|35371 - TEAEC W/WO PATCH GRAFT COMMON FEMORAL||1681.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35363|35363 - TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL||3558.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35361|35361 - TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC||3150.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35355|35355 - TEAEC W/WO PATCH GRAFT ILIOFEMORAL||2132.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35351|35351 - TEAEC W/WO PATCH GRAFT ILIAC||2633.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35341|35341 - TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL||2825.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35331|35331 - TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA||2977.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35321|35321 - TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL||1810.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35311|35311 - TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC||2955.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35306|35306 - TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART||951.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35305|35305 - TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL||2538.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35304|35304 - TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY||2644.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35303|35303 - TEAEC W/GRAFT POPLITEAL ARTERY||2555.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35302|35302 - TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY||2314.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35301|35301 - TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC||2317.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35286|35286 - RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY||1915.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35281|35281 - RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL||3307.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35276|35276 - RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP||2922.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35271|35271 - RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP||2788.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35266|35266 - RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY||1770.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35261|35261 - REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK||2155.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35256|35256 - REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY||2086.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35251|35251 - REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL||3419.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35246|35246 - RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP||3153.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35241|35241 - RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP||2893.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35236|35236 - REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY||1995.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35231|35231 - REPAIR BLOOD VESSEL W/VEIN GRAFT NECK||2445.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35226|35226 - RPR BLOOD VESSEL DIRECT LOWER EXTREMITY||1700.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35221|35221 - RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL||2923.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35216|35216 - RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS||4144.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35211|35211 - RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS||2791.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35207|35207 - REPAIR BLOOD VESSEL DIRECT HAND FINGER||1468.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35206|35206 - REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY||1569.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35201|35201 - REPAIR BLOOD VESSEL DIRECT NECK||1918.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35190|35190 - RPR/TRAUMATIC AV FISTULA EXTREMITIES||1535.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35189|35189 - RPR/TRAUMATIC AV FISTULA THORAX & ABDOMEN||3147.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35188|35188 - RPR/TRAUMATIC AV FISTULA HEAD & NECK||2375.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35184|35184 - RPR CONGENITAL AV FISTULA EXTREMITIES||2096.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35182|35182 - RPR CONGENITAL AV FISTULA THORAX & ABDOMEN||3519.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35180|35180 - REPAIR CONGENITAL AV FISTULA HEAD & NECK||1835.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35152|35152 - DIR RPR RUPTD ANEURYSM & GRF POPLITEAL ARTERY||2891.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35151|35151 - DIR RPR ANEURYSM & GRAFT POPLITEAL ARTERY||2550.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35142|35142 - DIR RPR RUPTD ANEURYSM & GRF COMMON FEMORAL ART||2716.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35141|35141 - DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY||2266.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35132|35132 - DIR RPR RUPTD ANEURYSM & GRAFT ILIAC ARTERY||3364.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35131|35131 - DIR RPR ANEURYSM & GRAFT ILIAC ARTERY||2842.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35122|35122 - DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN||4305.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35121|35121 - DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC||3353.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35112|35112 - DIR RPR RUPTD ANEURYSM SPLENIC ARTERY||3729.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35111|35111 - DIR RPR ANEURYSM SPLENIC ARTERY||3039.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35103|35103 - DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS||4620.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35102|35102 - DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS||3891.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35092|35092 - DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS||5367.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35091|35091 - DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS||3691.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35082|35082 - DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA||4492.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35081|35081 - DIR RPR ANEURYSM ABDOMINAL AORTA||3589.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35045|35045 - DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY||2026.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35022|35022 - DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN||2907.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35021|35021 - DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY||2523.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35013|35013 - DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS||2554.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35011|35011 - DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION||2038.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35005|35005 - DIR RPR ANEURYSM VERTEBRAL ARTERY||2319.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35002|35002 - DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY||2313.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|35001|35001 - DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY||2293.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34900|34900 - EVASC RPR ILIAC ART ILIO-ILIAC PROSTHESIS||1817.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34834|34834 - OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI||561.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34833|34833 - OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP||1251.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34832|34832 - OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH||3925.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34831|34831 - OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH||3925.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34830|34830 - OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH||3649.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34826|34826 - PLMT XTN PROSTH EVASC RPR ARYSM/DSJ EA VSL||419.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34825|34825 - PLMT XTN PROSTH EVASC RPR ARYSM/DSJ 1ST VSL||1418.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34820|34820 - OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI||1005.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34813|34813 - PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR||487.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34812|34812 - OPN FEM ART EXPOS DLVR EVASC PROSTH UNI||692.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34808|34808 - EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE||421.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34806|34806 - TCAT PLACEMENT PHYSIOLOGIC SENSOR ANEURYSMAL SAC||204.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34805|34805 - EVASC RPR AAA AORTO-UNIILIAC/AORTO-UNIFEM PROSTH||2437.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34804|34804 - EVASC RPR AAA W/UNIBDY BFRC PROSTH||2538.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34803|34803 - EVASC RPR AAA W/MDLR BFRC PROSTH 2 LIMBS||2630.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34802|34802 - EVASC RPR AAA W/MDLR BFRC PROSTH 1 LIMB||2540.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34800|34800 - EVASC RPR AAA W/AORTO-AORTIC TUBE PROSTH||2299.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34716|34716 - OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ||774.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34715|34715 - OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI||625.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34714|34714 - OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH||559.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34713|34713 - PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT||266.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34712|34712 - TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I||1403.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34711|34711 - DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL||620.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34710|34710 - DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL||1653.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34709|34709 - PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR||671.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34708|34708 - EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT||3828.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34707|34707 - EVASC RPR DPLMNT ILIO-ILIAC NDGFT||2375.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34706|34706 - EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT||4764.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34705|34705 - EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT||3162.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34704|34704 - EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT||4782.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34703|34703 - EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT||2872.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34702|34702 - EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT||3806.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34701|34701 - EVASC RPR DPLMNT AORTO-AORTIC NDGFT||2545.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34530|34530 - SAPHENOPOPLITEAL VEIN ANASTOMOSIS||2178.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34520|34520 - CROSS-OVER VEIN GRAFT VENOUS SYSTEM||2041.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34510|34510 - VENOUS VALVE TRANSPOSITION ANY VEIN DONOR||2349.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34502|34502 - RECONSTRUCTION VENA CAVA ANY METHOD||3078.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34501|34501 - VALVULOPLASTY FEMORAL VEIN||1999.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34490|34490 - THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN||1231.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34471|34471 - THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC||2196.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34451|34451 - THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL&LEG||2972.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34421|34421 - THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC||1482.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34401|34401 - THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC||2953.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34203|34203 - EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC||1958.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34201|34201 - EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART||2111.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34151|34151 - EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART||2867.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34111|34111 - EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC||1223.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34101|34101 - EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART||1224.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34051|34051 - EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY||1997.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|34001|34001 - EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART||1956.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33993|33993 - REPOSITION VAD W/IMAGING DIFFERENT SESSION||365.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33992|33992 - REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION||415.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33991|33991 - INSJ PERQ VAD TRNSPTAL W/IMAGE ART&VENOUS ACCESS||1278.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33990|33990 - INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY||877.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33989|33989 - RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS||1001.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33988|33988 - INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS||1575.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33987|33987 - ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS||423.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33986|33986 - ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER||1056.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33985|33985 - ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS||1106.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33984|33984 - ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER||578.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33983|33983 - RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS||4683|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33982|33982 - PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS||3974.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33981|33981 - RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP||1701.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33980|33980 - RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC||3611.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33979|33979 - INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC||3958.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33978|33978 - REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR||2719.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33977|33977 - REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE||2278.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33976|33976 - INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR||3270.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33975|33975 - INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE||2683.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33974|33974 - RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA||1783.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33973|33973 - INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA||1038.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33971|33971 - RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF||1418.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33970|33970 - INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN||715.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33969|33969 - ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS||587.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33968|33968 - REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ||67.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33967|33967 - INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ||519.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33966|33966 - ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER||480.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33965|33965 - ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS||398.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33964|33964 - ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS & OLDER||1038.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33963|33963 - ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS||1011.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33962|33962 - ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS & OLDER||477.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33961|33961 - EXTERNAL CIRCULATION ASSIST||1124.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33960|33960 - EXTERNAL CIRCULATION ASSIST||2012.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33959|33959 - ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS||506.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33958|33958 - ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER||386.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33957|33957 - ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS||398.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33956|33956 - ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER||1705.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33955|33955 - ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS||1796.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33954|33954 - ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN||972.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33953|33953 - ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN||996.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33952|33952 - ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ||870.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33951|33951 - ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ||893.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33949|33949 - ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL||480.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33948|33948 - ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS||493.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33947|33947 - ECMO/ECLS INITIATION VENO-ARTERIAL||690.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33946|33946 - ECMO/ECLS INITIATION VENO-VENOUS||624.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33945|33945 - HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY||9789.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33935|33935 - HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC||10101.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33927|33927 - IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY||5277.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33926|33926 - RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS||4884.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33925|33925 - RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS||3434.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33924|33924 - LIG&TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART||573.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33922|33922 - TRANSECTION PULMONARY ARTERY W/CARD BYPASS||2803.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33920|33920 - RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT||3664.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33917|33917 - RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT||2899.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33916|33916 - PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS||8506.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33915|33915 - PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS||2575.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33910|33910 - PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS||5351.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33891|33891 - BYP GRF W/DESCENDING THORACIC AORTA RPR NECK INC||2004.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33889|33889 - OPN SUBCLA CRTD ART TRPOS NCK INC ULAT||1635.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33886|33886 - PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA||1983.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33884|33884 - PLMT PROX XTN PROSTH EVASC RPR DTA EA PROX XTN||840.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33883|33883 - PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN||2282.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33881|33881 - EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN||3154.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33880|33880 - EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH||3668.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33877|33877 - RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS||7385.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33875|33875 - DESCENDING THORACIC AORTA GRAFT W/WO BYPASS||5559.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33870|33870 - TRANSVERSE ARCH GRAFT W/CARDIOPULMONARY BYPASS||5083.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33864|33864 - ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL||6495.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33863|33863 - AS-AORT GRF W/CARD BYP & AORTIC ROOT RPLCMT||6368.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33860|33860 - ASCENDING AORTA GRF W/CARD BYP & VALVE SSP||6490.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33853|33853 - RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS||3705.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33852|33852 - RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS||2823.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33851|33851 - EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET||2660.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33845|33845 - EXCISION COARCTATION AORTA W/WO PDA W/GRAFT||2674.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33840|33840 - EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS||2589.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33824|33824 - RPR PATENT DUXUS ARTERIOSUS DIV 18 YR & OLDER||2345.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33822|33822 - RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR||2063.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33820|33820 - REPAIR PATENT DUCTUS ARTERIOSUS LIGATION||1954.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33814|33814 - OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS||3059.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33813|33813 - OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/O BYPASS||2479.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33803|33803 - DIVISION ABERRANT VESSEL W/REANASTOMOSIS||2419.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33802|33802 - DIVISION ABERRANT VESSEL VASCULAR RING||2182.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33800|33800 - AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX||1847.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33788|33788 - REIMPLANTATION ANOMALOUS PULMONARY ARTERY||3101.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33786|33786 - TOTAL REPAIR TRUNCUS ARTERIOSUS||4626.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33783|33783 - A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA||7383.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33782|33782 - A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ||6633.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33781|33781 - RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ||4951.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33780|33780 - RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT||4798.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33779|33779 - RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND||4466.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33778|33778 - RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ||4991.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33777|33777 - RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC||4005.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33776|33776 - RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT||3943.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33775|33775 - RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND||3908.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33774|33774 - RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS||3635.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33771|33771 - RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT||4660.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33770|33770 - RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT||4468.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33768|33768 - ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA||895.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33767|33767 - SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS||2876.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33766|33766 - SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG||2756.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33764|33764 - SHUNT CENTRAL W/PROSTHETIC GRAFT||2602.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33762|33762 - SHUNT DESCENDING AORTA PULMONARY ARTERY||2699.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33755|33755 - SHUNT ASCENDING AORTA PULMONARY ARTERY||2704.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33750|33750 - SHUNT SUBCLAVIAN PULMONARY ARTERY||2688.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33737|33737 - ATRIAL SEPTECT/SEPTOST OPN HRT W/INFL OCCLUSION||2694.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33736|33736 - ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS||2820.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33735|33735 - ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART||2599.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33732|33732 - RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB||3483.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33730|33730 - COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN||4040.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33726|33726 - REPAIR PULMONARY VENOUS STENOSIS||4181.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33724|33724 - REPAIR ISOLATED PARTIAL PULM VENOUS RETURN||3088.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33722|33722 - CLOSURE AORTICO-LEFT VENTRICULAR TUNNEL||3290.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33720|33720 - RPR SINUS VALSALVA ANEURYSM||3098.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33710|33710 - RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT||4245.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33702|33702 - RPR SINUS VALSALVA FISTULA||3107.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33697|33697 - COMPL RPR T-FALLOT W/PULM ATRESIA||4154.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33694|33694 - COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH||3957.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33692|33692 - COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA||4170.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33690|33690 - BANDING PULMONARY ARTERY||2382.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33688|33688 - CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET||3807.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33684|33684 - CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ||3810.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33681|33681 - CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH||3687.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33677|33677 - CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND||4472.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33676|33676 - CLOSURE MULTIPLE VSD W/RESECTION||4304.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33675|33675 - CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS||3979.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33670|33670 - RPR COMPL AV CANAL W/WO PROSTC VALVE||4008.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33665|33665 - RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR||3882.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33660|33660 - RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR||3543.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33647|33647 - RPR ATRIAL & VENTRIC SEPTAL DFCT DIR/PATCH CLS||3684|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33645|33645 - DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG||3488.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33641|33641 - RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH||3297.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33622|33622 - RECONSTRUCTION COMPLEX CARDIAC ANOMALY||6948.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33621|33621 - TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT||1765.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33620|33620 - APPLICATION RIGHT & LEFT PULMONARY ARTERY BAND||2970.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33619|33619 - RPR 1 VNTRC W/O/F OBSTRCJ&AORTIC ARCH HYPOPLAS||5704.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33617|33617 - RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX||4321.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33615|33615 - RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX||4044.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33612|33612 - RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ||3989.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33611|33611 - RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR||3938.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33610|33610 - RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT||3538.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33608|33608 - RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT||3587.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33606|33606 - ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX||3520.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33602|33602 - CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH||3300.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33600|33600 - CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH||3422.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33572|33572 - CORONARY ENDARTERCOMY OPEN ANY METHOD||468.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33548|33548 - SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD||6001|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33545|33545 - RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT||6243.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33542|33542 - MYOCARDIAL RESECTION||5303.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33536|33536 - CABG W/ARTERIAL GRAFT FOUR/>ARTERIAL GRAFTS||5313.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33535|33535 - CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS||4945.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33534|33534 - CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS||4434.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33533|33533 - CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT||3770.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33530|33530 - ROPRTJ CAB/VALVE PX > 1 MO AFTER ORIGINAL OPERJ||1066.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33523|33523 - CORONARY ARTERY BYP W/VEIN &ARTERY GRAFT 6 VEIN||1690.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33522|33522 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 5 VEIN||1490.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33521|33521 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 4 VEIN||1328.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33519|33519 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 3 VEIN||1105.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33518|33518 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 2 VEIN||836.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33517|33517 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 1 VEIN||380.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33516|33516 - CORONARY ARTERY BYPASS 6/+ CORONARY VENOUS GRAFT||5504.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33514|33514 - CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS||5292.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33513|33513 - CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS||5015.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33512|33512 - CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS||4873.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33511|33511 - CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS||4284.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33510|33510 - CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT||3901.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33508|33508 - NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG||32.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33507|33507 - RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ||3445.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33506|33506 - RPR ANOM CORONARY ART FROM PULM ART TO AORTA||4130.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33505|33505 - RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL||4189.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33504|33504 - RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP||2956.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33503|33503 - RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT||2626.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33502|33502 - RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION||2560.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33501|33501 - RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS||2270.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33500|33500 - RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS||3182.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33496|33496 - RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS||3349.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33478|33478 - OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ||3159.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33476|33476 - R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY||3072.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33475|33475 - REPLACEMENT PULMONARY VALVE||4729.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33474|33474 - VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS||4371.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33472|33472 - REVISION OF PULMONARY VALVE||2746.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33471|33471 - VALVOTOMY PULM VALVE CLSD HEART VIA PULM ARTERY||2771.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33470|33470 - VALVOTOMY PULMONARY VALVE CLSD HEART TRANSVENTR||2571.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33468|33468 - TRICUSPID VALVE RPSG&PLCTJ EBSTEIN ANOMALY||4950.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33465|33465 - REPLACEMENT TRICUSPID VALVE W/CARD BYPASS||5568.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33464|33464 - VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION||4938.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33463|33463 - VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION||6242.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33460|33460 - VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP||4921.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33430|33430 - REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP||5646.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33427|33427 - VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING||4937.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33426|33426 - VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING||4806.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33425|33425 - VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS||5515.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33422|33422 - VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS||3391.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33420|33420 - VALVOTOMY MITRAL VALVE CLOSED HEART||2924.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33419|33419 - TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS||878.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33418|33418 - TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS||3725.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33417|33417 - AORTOPLASTY SUPRAVALVULAR STENOSIS||3338.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33416|33416 - VENTRICULOMYOTOMY-MYECTOMY||4095.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33415|33415 - RESECTION/INCISION SUBVALVULAR TISSUE||4087.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33414|33414 - RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC||4339.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33413|33413 - REPLACEMENT AORTIC&PULMON VALVES ROSS PROCEDUR||6513.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33412|33412 - REPLACEMENT AORTIC VALVE KONNO PROCEDURE||6430.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33411|33411 - RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS||6781.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33410|33410 - RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE||5124.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33406|33406 - RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND||5807.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33405|33405 - RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT||4580.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33404|33404 - CONSTRUCTION APICAL-AORTIC CONDUIT||3518.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33391|33391 - VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX||4709.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33390|33390 - VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE||3974.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33369|33369 - REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH||1993.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33368|33368 - REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH||1510.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33367|33367 - REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH||1246.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33366|33366 - TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE||3856.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33365|33365 - REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH||3563.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33364|33364 - REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH||3230.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33363|33363 - REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH||3070.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33362|33362 - REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH||2966.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33361|33361 - REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH||2711.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33340|33340 - PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT||1666.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33335|33335 - INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS||3786.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33332|33332 - INSERT MAJOR VESSEL GRAFT||2613.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33330|33330 - INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS||2887.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33322|33322 - SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS||2786.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33321|33321 - SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS||2395.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33320|33320 - SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP||2131.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33315|33315 - CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP||3863.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33310|33310 - CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP||2326.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33305|33305 - REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS||8274.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33300|33300 - REPAIR CARDIAC WOUND W/O BYPASS||4922.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33284|33284 - RMVL IMPLANTABLE PT-ACTIVATED CAR EVENT RECORDER||408.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33282|33282 - IMPLANTATION PT-ACTIVATED CARDIAC EVENT RECORDER||463.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33273|33273 - REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB||798.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33272|33272 - RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE||722.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33271|33271 - INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE||982.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33270|33270 - INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD||1169.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33266|33266 - NDSC ABLATION & RCNSTJ ATRIA EXTEN W/O BYPASS||3718.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33265|33265 - NDSC ABLATION & RCNSTJ ATRIA LIMITED W/O BYPAS||2733.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33264|33264 - RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD||816.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33263|33263 - RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD||783.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33262|33262 - RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD||753.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33261|33261 - OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS||3307.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33259|33259 - ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTEN W/BYPASS||1692.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33258|33258 - ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTENSIV W/O BYP||1309.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33257|33257 - ATRIA ABLATE & RCNSTJ W/OTHER PROCEDURE LIMITE||1164.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33256|33256 - ABLATION & RCNSTJ ATRIA EXTNSV W/BYPASS||3941.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33255|33255 - ABLATION & RCNSTJ ATRIA EXTNSV W/O BYPASS||3332.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33254|33254 - ABLATION & RECONSTRUCTION ATRIA LIMITED||2738.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33251|33251 - ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS||3268.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33250|33250 - ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS||2951.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33249|33249 - INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR||1814.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33244|33244 - RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ||1702.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33243|33243 - RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM||2731.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33241|33241 - REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY||442.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33240|33240 - INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD||742.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33238|33238 - RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY||1868.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33237|33237 - RMVL PRM EPICAR PM&ELTRDS THORCOM DUAL LEAD SY||1668.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33236|33236 - RMVL PRM EPICAR PM&ELTRDS THORCOM 1 LEAD SYS||1565|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33235|33235 - RMVL TRANSVNS PM ELTRD DUAL LEAD SYS||1264.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33234|33234 - RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR||970.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33233|33233 - REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY||468.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33231|33231 - INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS||806.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33230|33230 - INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS||781.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33229|33229 - REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD||751.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33228|33228 - REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS||716.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33227|33227 - REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD||687.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33226|33226 - RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD||974.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33225|33225 - INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN||921.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33224|33224 - INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN||1015.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33223|33223 - RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR||822.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33222|33222 - RELOCATION OF SKIN POCKET FOR PACEMAKER||679.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33221|33221 - INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS||724.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33220|33220 - RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB||784.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33218|33218 - RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB||778.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33217|33217 - INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB||734.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33216|33216 - INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB||745.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33215|33215 - RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE||604.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33214|33214 - UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS||961.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33213|33213 - INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS||682.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33212|33212 - INS PM PLS GEN W/EXIST SINGLE LEAD||652.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33211|33211 - INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX||366.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33210|33210 - INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH||356.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33208|33208 - INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT||1044.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33207|33207 - INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR||964.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33206|33206 - INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL||903.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33203|33203 - INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC||1607.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33202|33202 - INSERTION EPICARDIAL ELECTRODE OPEN||1544.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33141|33141 - TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX||267.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33140|33140 - TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX||3171|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33130|33130 - RESECTION EXTERNAL CARDIAC TUMOR||2783.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33120|33120 - EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP||4228.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33050|33050 - RESECTION PERICARDIAL CYST/TUMOR||1992.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33031|33031 - PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS||4986.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33030|33030 - PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS||4016.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33025|33025 - CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX||1595.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33020|33020 - PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY||1747.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33015|33015 - TUBE PERICARDIOSTOMY||1005.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33011|33011 - PERICARDIOCENTESIS SUBSEQUENT||240.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|33010|33010 - PERICARDIOCENTESIS INITIAL||237.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32998|32998 - ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY||5420.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32997|32997 - TOTAL LUNG LAVAGE UNILATERAL||711.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32994|32994 - ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION||11419.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32960|32960 - PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR||289.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32940|32940 - PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX||2462.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32906|32906 - THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL||3299.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32905|32905 - THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL||2665.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32900|32900 - RESECTION RIBS EXTRAPLEURAL ALL STAGES||2795.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32854|32854 - LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS||9803.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32853|32853 - LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS||9210.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32852|32852 - LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS||7198.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32851|32851 - LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS||6594.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32820|32820 - MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC||2647.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32815|32815 - OPEN CLOSURE MAJOR BRONCHIAL FISTULA||5623.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32810|32810 - CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA||1791.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32800|32800 - REPAIR LUNG HERNIA THROUGH CHEST WALL||1874.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32701|32701 - THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE||443.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32674|32674 - THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY||434.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32673|32673 - THORACOSCOPY RESEXN THYMUS UNI/BILATERAL||2407.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32672|32672 - THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL||3050.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32671|32671 - THORACOSCOPY W/PNEUMONECTOMY||3561.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32670|32670 - THORACOSCOPY W/BILOBECTOMY||3194.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32669|32669 - THORACOSCOPY W/SEGMENTECTOMY||2685.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32668|32668 - THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN||317.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32667|32667 - THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL||317.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32666|32666 - THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT||1730.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32665|32665 - THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE||2432.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32664|32664 - THORACOSCOPY W/THORACIC SYMPATHECTOMY||1687.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32663|32663 - THORACOSCOPY W/LOBECTOMY SINGLE LOBE||2796.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32662|32662 - THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS||1777.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32661|32661 - THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS||1586.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32659|32659 - THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC||1450.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32658|32658 - THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC||1416.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32656|32656 - THORACOSCOPY W/PARIETAL PLEURECTOMY||1584.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32655|32655 - THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX||1900.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32654|32654 - THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE||2339.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32653|32653 - THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT||2104.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32652|32652 - THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS||3311.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32651|32651 - THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION||2176.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32650|32650 - THORACOSCOPY W/PLEURODESIS||1319.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32609|32609 - THORACOSCOPY WITH BIOPSYIES OF PLEURA||523.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32608|32608 - THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL||759.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32607|32607 - THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL||618.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32606|32606 - THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX||925.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32604|32604 - THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX||963.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32601|32601 - THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX||617.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32562|32562 - INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY||166.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32561|32561 - INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY||184.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32560|32560 - INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS||457.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32557|32557 - PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING||1062.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32556|32556 - PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING||992.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32555|32555 - THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING||555.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32554|32554 - THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING||374.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32553|32553 - PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT||1102.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32552|32552 - RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF||371.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32551|32551 - TUBE THORACOSTOMY INCLUDES WATER SEAL||355.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32550|32550 - INSERTION INDWELLING TUNNELED PLEURAL CATHETER||1460.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32540|32540 - EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY||3464.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32507|32507 - THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE||316.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32506|32506 - THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL||316.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32505|32505 - THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL||1852.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32504|32504 - RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ||4135.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32503|32503 - RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ||3623.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32501|32501 - RESCJ&BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY||493.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32491|32491 - RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG||2930.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32488|32488 - RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC||4801.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32486|32486 - RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY||4704.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32484|32484 - RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY||2866.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32482|32482 - RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC||3159.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32480|32480 - RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT||2951.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32445|32445 - REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL||7072.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32442|32442 - REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA||6416.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32440|32440 - REMOVAL OF LUNG PNEUMONECTOMY||3124.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32405|32405 - BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE||827.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32400|32400 - BIOPSY PLEURA PERCUTANEOUS NEEDLE||289.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32320|32320 - DECORTICATION & PARIETAL PLEURECTOMY||3180.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32310|32310 - PLEURECTOMY PARIETAL SEPARATE PROCEDURE||1824.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32225|32225 - DECORTICATION PULMONARY PARTIAL SEPARATE PROC||1978.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32220|32220 - DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE||3155.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32215|32215 - PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX||1587.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32200|32200 - PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST||2250.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32160|32160 - THORACOTOMY W/CARDIAC MASSAGE||1562.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32151|32151 - THORCOM W/RMVL IPUL FB||1991.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32150|32150 - THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP||1996.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32141|32141 - THORACOTOMY W/RESECTION BULLAE||3058.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32140|32140 - THORCOM W/REMOVAL OF CYST||1972.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32124|32124 - THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS||1845.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32120|32120 - THORACOTOMY POSTOPERATIVE COMPLICATIONS||1731.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32110|32110 - THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR||2899.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32100|32100 - THORACOTOMY WITH EXPLORATION||1622.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32098|32098 - THORACOTOMY W/BIOPSY OF PLEURA||1515.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32097|32097 - THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL||1605.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32096|32096 - THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL||1605.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32036|32036 - THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA||1537.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|32035|32035 - THORACOSTOMY W/RIB RESECTION EMPYEMA||1414.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31830|31830 - REVISION TRACHEOSTOMY SCAR||849.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31825|31825 - SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR||1165.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31820|31820 - SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR||836.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31805|31805 - SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC||1617.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31800|31800 - SUTURE TRACHEAL WOUND/INJURY CERVICAL||1371.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31786|31786 - EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC||2878.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31785|31785 - EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL||2141.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31781|31781 - EXC TRACHEAL STENOSIS&ANAST CERVICOTHORACIC||3040.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31780|31780 - EXCISION TRACHEAL STENOSIS&ANASTOMOSIS CERVICA||2334.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31775|31775 - BRONCHOPLASTY EXCISION STENOSIS & ANASTOMOSIS||2716.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31770|31770 - BRONCHOPLASTY GRAFT REPAIR||2657.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31766|31766 - CARINAL RECONSTRUCTION||3550.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31760|31760 - TRACHEOPLASTY INTRATHORACIC||2728.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31755|31755 - TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG||3295.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31750|31750 - TRACHEOPLASTY CERVICAL||2633.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31730|31730 - TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER||2227.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31725|31725 - CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX||184.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31720|31720 - CATHETER ASPIRATION NASOTRACHEAL SPX||102.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31717|31717 - CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY||493.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31661|31661 - BRONCHOSCOPIC THERMOPLASTY 2/> LOBES||446.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31660|31660 - BRONCHOSCOPIC THERMOPLASTY ONE LOBE||423.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31651|31651 - BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE||159.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31649|31649 - BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL||137.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31648|31648 - BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL||423.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31647|31647 - BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE||442.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31646|31646 - BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ||542.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31645|31645 - BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST||604.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31643|31643 - BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL||352.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31641|31641 - BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC||517.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31640|31640 - BRONCHOSCOPY W/EXCISION TUMOR||511.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31638|31638 - BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS||510.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31637|31637 - BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED||148.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31636|31636 - BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS||444.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31635|31635 - BRONCHOSCOPY W/REMOVAL FOREIGN BODY||660.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31634|31634 - BRONCHOSCOPY BALLOON OCCLUSION||3421.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31633|31633 - BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE||170.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31632|31632 - BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE||137.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31631|31631 - BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT||459.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31630|31630 - BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX||401.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31629|31629 - BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON||1108.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31628|31628 - BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE||713.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31627|31627 - BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION||2369.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31626|31626 - BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT||839.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31625|31625 - BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES||633.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31624|31624 - BRNCHSC W/BRNCL ALVEOLAR LAVAGE||587.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31623|31623 - BRNCHSC BRUSHING/PROTECTED BRUSHINGS||622.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31622|31622 - BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX||589.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31620|31620 - ENDOBRONCHIAL US ADD-ON||533.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31615|31615 - TRACHEOBRNCHSC THRU EST TRACHS INC||350.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31614|31614 - TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION||1460.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31613|31613 - TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION||872.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31612|31612 - TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR&/NJX||159.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31611|31611 - CONSTJ TRACHEOESOPHGL FSTL&INSJ SP PROSTH||1039.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31610|31610 - TRACHEOSTOMY FENESTRATION W/SKIN FLAPS||1387.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31605|31605 - TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE||368.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31603|31603 - TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL||448.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31601|31601 - TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX||513.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31600|31600 - TRACHEOSTOMY PLANNED SEPARATE PROCEDURE||788.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31595|31595 - SECTION RECURRENT LARYNGEAL NERVE THER UNI SPX||1467.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31592|31592 - CRICOTRACHEAL RESECTION||3466.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31591|31591 - LARYNGOPLASTY MEDIALIZATION UNLIATERAL||2142.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31590|31590 - LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE||1686.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31587|31587 - LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT||1963.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31584|31584 - LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS||2927.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31580|31580 - LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION||2351.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31579|31579 - LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY||407.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31578|31578 - LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER||535.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31577|31577 - LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)||463.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31576|31576 - LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)||427.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31575|31575 - LARYNGOSCOPY FLEXIBLE DIAGNOSTIC||216.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31574|31574 - LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI||2093.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31573|31573 - LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI||540.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31572|31572 - LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI||1015.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31571|31571 - LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE||497.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31570|31570 - LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC||655.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31561|31561 - LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE||684.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31560|31560 - LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY||624.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31554|31554 - LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS >||3394.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31553|31553 - LARYNGOPLASTY LARYNGEAL STEN W/STENT < 12 YRS||3223.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31552|31552 - LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS >||2956.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31551|31551 - LARYNGOPLASTY LARYNGEAL STEN W/O STENT < 12 YRS||2924.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31546|31546 - LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT||1101.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31545|31545 - LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP||724.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31541|31541 - LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP||526.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31540|31540 - LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT||481.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31536|31536 - LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE||419.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31535|31535 - LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY||376.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31531|31531 - LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE||422.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31530|31530 - LARYNGOSCOPY W/FOREIGN BODY REMOVAL||393.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31529|31529 - LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ||321.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31528|31528 - LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN||287.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31527|31527 - LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR||388.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31526|31526 - LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE||312.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31525|31525 - LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN||485.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31520|31520 - LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN||311.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31515|31515 - LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION||396.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31513|31513 - LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION||261.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31512|31512 - LARYNGOSCOPY INDIRECT W/REMOVAL LESION||395.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31511|31511 - LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY||401.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31510|31510 - LARYNGOSCOPY INDIRECT W/BIOPSY||400.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31505|31505 - LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX||157.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31502|31502 - TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT||69.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31500|31500 - INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE||222.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31420|31420 - EPIGLOTTIDECTOMY||1622.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31400|31400 - ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH||1914.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31395|31395 - PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ||5862.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31390|31390 - PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ||5598.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31382|31382 - PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL||4125.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31380|31380 - PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL||3754.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31375|31375 - PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL||3809.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31370|31370 - PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL||4014.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31368|31368 - LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ||4750.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31367|31367 - LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ||4283.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31365|31365 - LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION||5034.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31360|31360 - LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION||4057.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31320|31320 - LARYNGOTOMY THYROTOMY LARYNGOFISSURE DX||1245.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31300|31300 - LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY||2433.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31298|31298 - NASAL/SINUS NDSC SURG W/DILATION FRNT&SPHN SINUS||7150.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31297|31297 - NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS||3796.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31296|31296 - NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS||3864.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31295|31295 - NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS||3803.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31294|31294 - NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN||2444.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31293|31293 - NASAL/SINUS NDSC SURG MEDIAL&INF ORB WALL DCMPRN||2132.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31292|31292 - NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN||1964.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31291|31291 - NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID||2418.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31290|31290 - NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID||2278.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31288|31288 - NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS||532.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31287|31287 - NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY||459.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31276|31276 - NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS||1000.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31267|31267 - NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS||627.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31259|31259 - NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL||955.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31257|31257 - NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY||900.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31256|31256 - NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY||390.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31255|31255 - NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY||792.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31254|31254 - NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY||539.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31253|31253 - NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL||1012.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31241|31241 - NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY||903.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31240|31240 - NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION||318.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31239|31239 - NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY||1216.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31238|31238 - NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG||491.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31237|31237 - NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX||492.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31235|31235 - NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY||570.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31233|31233 - NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY||501.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31231|31231 - NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX||389.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31230|31230 - MAXILLECTOMY W/ORBITAL EXENTERATION||4049.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31225|31225 - MAXILLECTOMY W/O ORBITAL EXENTERATION||3643.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31205|31205 - ETHMOIDECTOMY EXTRANASAL TOTAL||1749.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31201|31201 - ETHMOIDECTOMY INTRANASAL TOTAL||1426.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31200|31200 - ETHMOIDECTOMY INTRANASAL ANTERIOR||1089.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31090|31090 - SINUSOT UNI 3/> PARANSL SINUSES||1969.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31087|31087 - SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC||2092.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31086|31086 - SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC||2163.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31085|31085 - SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC||3009.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31084|31084 - SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC||2228.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31081|31081 - SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC||2827.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31080|31080 - SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC||1985.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31075|31075 - SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL||1504.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31070|31070 - SINUSOTOMY FRONTAL EXTERNAL SIMPLE||838.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31051|31051 - SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP||1236.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31050|31050 - SINUSOTOMY SPHENOID W/WO BIOPSY||927.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31040|31040 - PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH||1477.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31032|31032 - SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS||1101.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31030|31030 - SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS||1304.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31020|31020 - SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL||904.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31002|31002 - LAVAGE CANNULATION SPHENOID SINUS||384.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|31000|31000 - LAVAGE CANNULATION MAXILLARY SINUS||343.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30930|30930 - FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC||237.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30920|30920 - LIGATION ARTERIES INT MAXILLARY TRANSANTRAL||1621.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30915|30915 - LIGATION ARTERIES ETHMOIDAL||1117.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30906|30906 - CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ||535.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30905|30905 - CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST||485.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30903|30903 - CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX||390.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30901|30901 - CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE||183.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30802|30802 - ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL||546.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30801|30801 - ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC||426.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30630|30630 - REPAIR NASAL SEPTAL PERFORATIONS||1206.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30620|30620 - SEPTAL/OTHER INTRANASAL DERMATOPLASTY||1194.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30600|30600 - REPAIR FISTULA ORONASAL||1120.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30580|30580 - REPAIR FISTULA OROMAXILLARY||1239.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30560|30560 - LYSIS INTRANASAL SYNECHIA||505.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30545|30545 - REPAIR CHOANAL ATRESIA TRANSPALATINE||1772.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30540|30540 - REPAIR CHOANAL ATRESIA INTRANASAL||1321.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30520|30520 - SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF||1199.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30465|30465 - REPAIR NASAL VESTIBULAR STENOSIS||1900.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30462|30462 - RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT||3039.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30460|30460 - RHINP DFRM W/COLUM LNGTH TIP ONLY||1460.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30450|30450 - RHINOPLASTY SECONDARY MAJOR REVISION||2897.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30435|30435 - RHINOPLASTY SECONDARY INTERMEDIATE REVISION||2137.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30430|30430 - RHINOPLASTY SECONDARY MINOR REVISION||1840.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30420|30420 - RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR||2648.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30410|30410 - RHINP PRIM COMPLETE XTRNL PARTS||2277.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30400|30400 - RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NASAL TI||1931.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30320|30320 - RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY||863.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30310|30310 - REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES||396.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30300|30300 - REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE||432.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30220|30220 - INSERTION NASAL SEPTAL PROSTHESIS BUTTON||570.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30210|30210 - DISPLACEMENT THERAPY PROETZ TYPE||284.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30200|30200 - INJECTION TURBINATE THERAPEUTIC||215.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30160|30160 - RHINECTOMY TOTAL||1496.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30150|30150 - RHINECTOMY PARTIAL||1489.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30140|30140 - SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL||834.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30130|30130 - EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE||721.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30125|30125 - EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG||1172.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30124|30124 - EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS||549.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30120|30120 - EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA||986.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30118|30118 - EXCISION/DESTRUCTION INTRANASAL LESION XTRNL||1485.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30117|30117 - EXCISION/DESTRUCTION INTRANASAL LESION INT APPR||1628.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30115|30115 - EXCISION NASAL POLYP EXTENSIVE||821.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30110|30110 - EXCISION NASAL POLYP SIMPLE||436.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30100|30100 - BIOPSY INTRANASAL||265.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30020|30020 - DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM||440.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|30000|30000 - DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH||438|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29916|29916 - ARTHROSCOPY HIP W/LABRAL REPAIR||2012.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29915|29915 - ARTHROSCOPY HIP W/ACETABULOPLASTY||2012.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29914|29914 - ARTHROSCOPY HIP W/FEMOROPLASTY||1971.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29907|29907 - ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS||1701.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29906|29906 - ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT||1405.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29905|29905 - ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY||1335.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29904|29904 - ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY||1235.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29902|29902 - ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM||1171.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29901|29901 - ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT||1025.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29900|29900 - ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY||904.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29899|29899 - ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS||2025.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29898|29898 - ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE||1106.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29897|29897 - ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED||998.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29895|29895 - ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL||928.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29894|29894 - ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY||992.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29893|29893 - ENDOSCOPIC PLANTAR FASCIOTOMY||1170.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29892|29892 - ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX||1223.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29891|29891 - ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT||1338.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29889|29889 - ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ||2379.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29888|29888 - ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ||1928.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29887|29887 - ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ||1452.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29886|29886 - ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION||1231.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29885|29885 - ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG||1458.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29884|29884 - ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX||1202.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29883|29883 - ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL||1639.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29882|29882 - ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL||1359.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29881|29881 - ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG||1048.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29880|29880 - ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING||1091.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29879|29879 - ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX||1287.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29877|29877 - ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG||1207.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29876|29876 - ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS||1273.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29875|29875 - ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX||958.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29874|29874 - ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY||1042.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29873|29873 - ARTHROSCOPY KNEE LATERAL RELEASE||1008.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29871|29871 - ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE||994.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29870|29870 - ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX||1105.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29868|29868 - ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT||3272.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29867|29867 - ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT||2490.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29866|29866 - ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST||2039.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29863|29863 - ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY||1590.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29862|29862 - ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG||1586.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29861|29861 - ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB||1410.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29860|29860 - ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX||1292.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29856|29856 - ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR||1940.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29855|29855 - ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR||1528.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29851|29851 - ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ||1812.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29850|29850 - ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ||1206.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29848|29848 - NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM||981.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29847|29847 - ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY||1053.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29846|29846 - ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT||1005.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29845|29845 - ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE||1118.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29844|29844 - ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL||961.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29843|29843 - ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE||932.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29840|29840 - ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX||871.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29838|29838 - ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE||1139.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29837|29837 - ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED||1023.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29836|29836 - ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE||1118.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29835|29835 - ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL||979.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29834|29834 - ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB||948.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29830|29830 - ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX||879.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29828|29828 - ARTHROSCOPY SHOULDER BICEPS TENODESIS||1800.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29827|29827 - ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR||2096.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29826|29826 - ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE||348.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29825|29825 - ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ||1135.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29824|29824 - ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY||1312.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29823|29823 - ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE||1215.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29822|29822 - ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED||1113.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29821|29821 - ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE||1144.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29820|29820 - ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL||1047|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29819|29819 - ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB||1134.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29807|29807 - ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION||2012.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29806|29806 - ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY||2066.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29805|29805 - ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX||910.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29804|29804 - ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL||1272.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29800|29800 - ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX||1008.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29750|29750 - WEDGING CLUBFOOT CAST||167.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29740|29740 - WEDGING CAST EXCEPT CLUBFOOT CASTS||187.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29730|29730 - WINDOWING CAST||124.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29720|29720 - REPAIR SPICA BODY CAST/JACKET||158.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29715|29715 - REMOVAL/REVISION OF CAST||146.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29710|29710 - RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET||222.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29705|29705 - REMOVAL/BIVALVING FULL ARM/FULL LEG CAST||127.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29700|29700 - REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST||117.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29584|29584 - APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FING||130.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29583|29583 - APPL MLTLAYR COMPRES SYSTEM UPPER & LOWER ARM||81.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29582|29582 - APPL MLTLAYR COMPRES THGH LEG ANKLE FT WHEN DONE||130.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29581|29581 - APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT||113.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29580|29580 - STRAPPING UNNA BOOT||100.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29550|29550 - STRAPPING TOES||58.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29540|29540 - STRAPPING ANKLE &/FOOT||70.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29530|29530 - STRAPPING KNEE||96.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29520|29520 - STRAPPING HIP||90.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29515|29515 - APPLICATION SHORT LEG SPLINT CALF FOOT||136.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29505|29505 - APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES||157.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29450|29450 - APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG||276.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29445|29445 - APPLICATION RIGID TOTAL CONTACT LEG CAST||262.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29440|29440 - ADDING WALKER PREVIOUSLY APPLIED CAST||86.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29435|29435 - APPLICATION PATELLAR TENDON BEARING CAST||220.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29425|29425 - APPLICATION SHORT LEG CAST WALKING/AMBULATORY||149.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29405|29405 - APPLICATION SHORT LEG CAST BELOW KNEE-TOE||155.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29365|29365 - APPLICATION CYLINDER CAST THIGH ANKLE||234.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29358|29358 - APPLICATION LONG LEG CAST BRACE||304.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29355|29355 - APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE||271.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29345|29345 - APPLICATION LONG LEG CAST THIGH-TOE||260.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29325|29325 - APPL HIP SPICA CAST ONE&ONE-HALF SPICA/BOTH LEGS||515.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29305|29305 - APPLICATION HIP SPICA CAST 1 LEG||465.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29280|29280 - STRAPPING HAND/FINGER||95.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29260|29260 - STRAPPING ELBOW/WRIST||96.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29240|29240 - STRAPPING SHOULDER||108.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29200|29200 - STRAPPING THORAX||100.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29131|29131 - APPLICATION FINGER SPLINT DYNAMIC||98.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29130|29130 - APPLICATION FINGER SPLINT STATIC||79.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29126|29126 - APPLICATION SHORT ARM SPLINT DYNAMIC||144.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29125|29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC||121.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29105|29105 - APPLICATION LONG ARM SPLINT SHOULDER HAND||166.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29086|29086 - APPLICATION CAST FINGER||148.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29085|29085 - APPLICATION CAST HAND & LOWER FOREARM GAUNTLET||179.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29075|29075 - APPLICATION CAST ELBOW FINGER SHORT ARM||164.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29065|29065 - APPLICATION CAST SHOULDER HAND LONG ARM||182.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29058|29058 - APPLICATION CAST PLASTER VELPEAU||233.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29055|29055 - APPLICATION CAST SHOULDER SPICA||418.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29049|29049 - APPLICATION CAST FIGURE-OF-8||186.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29046|29046 - APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS||522.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29044|29044 - APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH||499.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29040|29040 - APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA||654.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29035|29035 - APPLICATION BODY CAST SHOULDER HIPS||437.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29025|29025 - APPLICATION OF BODY CAST||551.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29020|29020 - APPLICATION OF BODY CAST||370.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29015|29015 - APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD||526.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29010|29010 - APPLICATION RISSER JACKET LOCALIZER BODY ONLY||462.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|29000|29000 - APPLICATION HALO TYPE BODY CAST||563.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28890|28890 - ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA||623.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28825|28825 - AMPUTATION TOE INTERPHALANGEAL JOINT||1042.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28820|28820 - AMPUTATION TOE METATARSOPHALANGEAL JOINT||1094.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28810|28810 - AMPUTATION METATARSAL W/TOE SINGLE||857.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28805|28805 - AMPUTATION FOOT TRANSMETARSAL||1476.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28800|28800 - AMPUTATION FOOT MIDTARSAL||1075.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28760|28760 - ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK||1512.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28755|28755 - ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT||975.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28750|28750 - ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT||1571.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28740|28740 - ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT||1642.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28737|28737 - ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFOR||1356.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28735|28735 - ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT||1536.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28730|28730 - ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS||1437.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28725|28725 - ARTHRODESIS SUBTALAR||1509.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28715|28715 - ARTHRODESIS TRIPLE||1827.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28705|28705 - ARTHRODESIS PANTALAR||2498.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28675|28675 - OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION||1086.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28666|28666 - PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ||369.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28665|28665 - CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES||297.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28660|28660 - CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES||222.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28645|28645 - OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION||1264.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28636|28636 - PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ||497.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28635|28635 - CLTX METATARSOPHLNGL JT DISLC REQ ANES||336.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28630|28630 - CLTX METATARSOPHLNGL JT DISLC W/O ANES||301.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28615|28615 - OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION||1535.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28606|28606 - PRQ SKEL FIXJ TARS JT DISLC W/MANJ||772.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28605|28605 - CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES||618|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28600|28600 - CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES||418.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28585|28585 - OPEN TREATMENT TALOTARSAL JOINT DISLOCATION||1678.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28576|28576 - PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ||758.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28575|28575 - CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES||691.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28570|28570 - CLOSED TX TALOTARSAL JOINT DISLC W/O ANES||408.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28555|28555 - OPEN TREATMENT TARSAL BONE DISLOCATION||1670.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28546|28546 - PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ||1081.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28545|28545 - CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES||558.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28540|28540 - CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES||390.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28531|28531 - OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION||668.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28530|28530 - CLOSED TREATMENT SESAMOID FRACTURE||218.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28525|28525 - OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE||1093.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28515|28515 - CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ||305.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28510|28510 - CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ||234.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28505|28505 - OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES||1276.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28496|28496 - PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ||820.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28495|28495 - CLTX FX GRT TOE PHLX/PHLG W/MANJ||337.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28490|28490 - CLTX FX GRT TOE PHLX/PHLG W/O MANJ||274.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28485|28485 - OPEN TREATMENT METATARSAL FRACTURE EACH||1022.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28476|28476 - PRQ SKEL FIXJ METAR FX W/MANJ||668.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28475|28475 - CLTX METAR FX W/MANJ||491.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28470|28470 - CLOSED TX METATARSAL FRACTURE W/O MANIPULATION||419.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28465|28465 - OPEN TX TARSAL FRACTURE XCP TALUS & CALCANEUS EA||1218.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28456|28456 - PRQ SKEL FIXJ TARSL FX XCP TALUS&CALCNS W/MANJ||603.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28455|28455 - TX TARSAL BONE FX XCP TALUS&CALCN W/MANJ||572.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28450|28450 - TX TARSAL BONE FX XCP TALUS&CALCN W/O MANJ||411.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28446|28446 - OPEN OSTEOCHONDRAL AUTOGRAFT TALUS||2385.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28445|28445 - OPEN TREATMENT TALUS FRACTURE||2074.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28436|28436 - PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ||859.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28435|28435 - CLOSED TX TALUS FRACTURE W/MANIPULATION||624.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28430|28430 - CLOSED TX TALUS FRACTURE W/O MANIPULATION||448.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28420|28420 - OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT||2436.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28415|28415 - OPEN TREATMENT CALCANEAL FRACTURE||2167.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28406|28406 - PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ||1021.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28405|28405 - CLOSED TX CALCANEAL FRACTURE W/MANIPULATION||748.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28400|28400 - CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION||473.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28360|28360 - RECONSTRUCTION CLEFT FOOT||1752.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28345|28345 - RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB||1009.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28344|28344 - RECONSTRUCTION TOE POLYDACTYLY||832.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28341|28341 - RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION||1306.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28340|28340 - RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION||1122.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28322|28322 - RPR NON/MALUNION METARSAL W/WO BONE GRAFT||1527.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28320|28320 - REPAIR NONUNION/MALUNION TARSAL BONES||1212.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28315|28315 - SESAMOIDECTOMY FIRST TOE SPX||922.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28313|28313 - RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY||1020.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28312|28312 - OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE||978.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28310|28310 - OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE||1040.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28309|28309 - OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT||1758.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28308|28308 - OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA||1078|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28307|28307 - OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE||1338|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28306|28306 - OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR||1179.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28305|28305 - OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT||1256.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28304|28304 - OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS||1568.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28302|28302 - OSTEOTOMY TALUS||1384.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28300|28300 - OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION||1282.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28299|28299 - CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT||1733.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28298|28298 - CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT||1392.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28297|28297 - CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF||1574.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28296|28296 - CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT||1377.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28295|28295 - CORRJ HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT||1945.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28292|28292 - CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL||1524.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28291|28291 - HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT||1517.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28289|28289 - HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT||1418.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28288|28288 - OSTC PRTL EXOSTC/CONDYLC METAR HEAD||1160.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28286|28286 - CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE||871.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28285|28285 - CORRECTION HAMMERTOE||1025.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28280|28280 - SYNDACTYLIZATION TOES||1001.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28272|28272 - CAPSULOTOMY IPHAL JOINT EACH JOINT SPX||755.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28270|28270 - CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX||943.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28264|28264 - CAPSULOTOMY MIDTARSAL||1851.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28262|28262 - CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL&TDN LNGTH||2813.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28261|28261 - CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING||1881.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28260|28260 - CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX||1324.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28250|28250 - DIVISION PLANTAR FASCIA & MUSCLE SPX||1113.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28240|28240 - TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC||844.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28238|28238 - RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR||1303.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28234|28234 - TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON||778.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28232|28232 - TX OPEN TENDON FLEXOR TOE 1 TENDON SPX||742.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28230|28230 - TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX||837.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28226|28226 - TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON||1118.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28225|28225 - TENOLYSIS EXTENSOR FOOT SINGLE TENDON||781.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28222|28222 - TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS||981.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28220|28220 - TENOLYSIS FLEXOR FOOT SINGLE TENDON||860|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28210|28210 - RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON||1090.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28208|28208 - REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON||906.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28202|28202 - RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON||1153.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28200|28200 - RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON||931.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28193|28193 - REMOVAL FOREIGN BODY FOOT COMPLICATED||1027.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28192|28192 - REMOVAL FOREIGN BODY FOOT DEEP||905.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28190|28190 - REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS||486.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28175|28175 - RADICAL RESECTION TUMOR PHALANX OR TOE||963.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28173|28173 - RADICAL RESECTION TUMOR METATARSAL||1534.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28171|28171 - RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS||1693.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28160|28160 - HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE||804|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28153|28153 - RESECTION CONDYLE DISTAL END PHALANX EACH TOE||789.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28150|28150 - PHALANGECTOMY TOE EACH TOE||820.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28140|28140 - METATARSECTOMY||1162.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28130|28130 - TALECTOMY ASTRAGALECTOMY||1296.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28126|28126 - RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH||759.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28124|28124 - PARTICAL EXCISION BONE PHALANX TOE||915.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28122|28122 - PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS||1155.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28120|28120 - PARTIAL EXCISION BONE TALUS/CALCANEUS||1307.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28119|28119 - OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS||1010.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28118|28118 - OSTECTOMY CALCANEUS||1131.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28116|28116 - OSTECTOMY TARSAL COALITION||1441.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28114|28114 - OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC||2069.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28113|28113 - OSTECTOMY COMPLETE 5TH METATARSAL HEAD||1138.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28112|28112 - OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4||937.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28111|28111 - OSTECTOMY COMPLETE 1ST METATARSAL HEAD||955.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28110|28110 - OSTECTOMY PRTL 5TH METAR HEAD SPX||883.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28108|28108 - EXC/CURTG CST/B9 TUM PHALANGES FOOT||845.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28107|28107 - EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT||1053.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28106|28106 - EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT||877.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28104|28104 - EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL||1004.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28103|28103 - EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT||772.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28102|28102 - EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT||1110.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28100|28100 - EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS||1159.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28092|28092 - EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA||807.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28090|28090 - EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT||901.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28088|28088 - SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR||889.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28086|28086 - SYNOVECTOMY TENDON SHEATH FOOT FLEXOR||1043.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28080|28080 - EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH||999.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28072|28072 - SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH||973.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28070|28070 - SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX||1019.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28062|28062 - FASCIOTOMY PLANTAR FASCIA RADICAL SPX||1130.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28060|28060 - FASCIECTOMY PLANTAR FASCIA PARTIAL SPX||993.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28055|28055 - NEURECTOMY INTRINSIC MUSCULATURE OF FOOT||743.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28054|28054 - ARTHRTOMY W/BX INTERPHALANGEAL JOINT||717.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28052|28052 - ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT||840.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28050|28050 - ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT||818.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28047|28047 - RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>||2026.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28046|28046 - RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM||1452.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28045|28045 - EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM||956.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28043|28043 - EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM||764.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28041|28041 - EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>||902.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28039|28039 - EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>||984.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28035|28035 - RELEASE TARSAL TUNNEL||1017.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28024|28024 - ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT||880.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28022|28022 - ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT||936.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28020|28020 - ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT||1034.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28011|28011 - TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON||629.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28010|28010 - TENOTOMY PERCUTANEOUS TOE SINGLE TENDON||450.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28008|28008 - FASCIOTOMY FOOT&/TOE||829.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28005|28005 - INCISION BONE CORTEX FOOT||1143.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28003|28003 - I&D BELOW FASCIA FOOT MULTIPLE AREAS||1382.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28002|28002 - I&D BELOW FASCIA FOOT 1 BURSAL SPACE||861.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|28001|28001 - INCISION&DRAINAGE BURSA FOOT||528.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27894|27894 - DCMPRN FASCT LEG ANT&/LAT&PST W/DBRDMT MUS||1677.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27893|27893 - DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV||1183.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27892|27892 - DCMPRN FASCT LEG ANT&/LAT W/DBRDMT MUSC&/NERVE||1082.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27889|27889 - ANKLE DISARTICULATION||1314.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27888|27888 - AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR&RESCJ NRV||1325.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27886|27886 - AMP LEG THRU TIBIA&FIBULA RE-AMPUTATION||1300.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27884|27884 - AMP LEG THRU TIBIA&FIBULA SEC CLOSURE/SCAR REV||1136.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27882|27882 - AMPUTATION LEG THRU TIBIA&FIBULA OPEN CIRCULAR||1199.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27881|27881 - AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST||1733.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27880|27880 - AMPUTATION LEG THROUGH TIBIA&FIBULA||1828.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27871|27871 - ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL||1338.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27870|27870 - ARTHRODESIS ANKLE OPEN||2025.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27860|27860 - MANIPULATION ANKLE UNDER GENERAL ANESTHESIA||344.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27848|27848 - OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ||1590.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27846|27846 - OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ||1424.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27842|27842 - CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ||955.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27840|27840 - CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA||715|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27832|27832 - OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB||1462|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27831|27831 - CLTX PROX TIBFIB JT DISLC REQ ANES||764.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27830|27830 - CLTX PROX TIBFIB JT DISLC W/O ANES||721.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27829|27829 - OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION||1326.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27828|27828 - OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA||2526.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27827|27827 - OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY||2105.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27826|27826 - OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA||1625.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27825|27825 - CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ||1047.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27824|27824 - CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ||597.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27823|27823 - OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP||1857.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27822|27822 - OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP||1633.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27818|27818 - CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION||929.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27816|27816 - CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION||604.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27814|27814 - OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE||1501.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27810|27810 - CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ||896.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27808|27808 - CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ||633.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27792|27792 - OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS||1267.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27788|27788 - CLTX DSTL FIBULAR FX LAT MALLS W/MANJ||803.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27786|27786 - CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ||600.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27784|27784 - OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE||1391.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27781|27781 - CLTX PROX FIBULA/SHFT FX W/MANJ||798.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27780|27780 - CLTX PROX FIBULA/SHFT FX W/O MANJ||579.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27769|27769 - OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE||1417.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27768|27768 - CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ||842.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27767|27767 - CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ||535.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27766|27766 - OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE||1178.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27762|27762 - CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ||914.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27760|27760 - CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION||633.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27759|27759 - TX TIBL SHFT FX IMED IMPLT W/WO SCREWS&/CERCLA||1947.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27758|27758 - OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE||1732.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27756|27756 - PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE||1110|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27752|27752 - CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ||1029.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27750|27750 - CLTX TIBIAL SHAFT FX W/O MANIPULATION||656.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27745|27745 - PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA||1470.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27742|27742 - ARRST EPIPHYSL ANY METH TIBFIB&DSTL FEMUR||1334.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27740|27740 - ARREST EPIPHYSEAL ANY METHOD TIBIA & FIBULA||1211.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27734|27734 - ARREST EPIPHYSEAL OPEN DISTAL TIBIA&FIBULA||1198.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27732|27732 - ARREST EPIPHYSEAL OPEN DISTAL FIBULA||742.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27730|27730 - ARREST EPIPHYSEAL OPEN DISTAL TIBIA||1130.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27727|27727 - REPAIR CONGENITAL PSEUDARTHROSIS TIBIA||1805.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27726|27726 - REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION||1894.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27725|27725 - RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH||2373.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27724|27724 - RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT||2485.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27722|27722 - REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT||1726.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27720|27720 - REPAIR NONUNION/MALUNION TIBIA W/O GRAFT||1704.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27715|27715 - OSTEOPLASTY TIBIA & FIBULA LENGTHENING/SHORTENIN||2084.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27712|27712 - OSTEOT MLT W/RELIGNMT IMED ROD||2150.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27709|27709 - OSTEOTOMY TIBIA & FIBULA||2284.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27707|27707 - OSTEOTOMY FIBULA||776.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27705|27705 - OSTEOTOMY TIBIA||1477.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27704|27704 - REMOVAL ANKLE IMPLANT||1119.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27703|27703 - ARTHROPLASTY ANKLE REVISION TOTAL ANKLE||2194.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27702|27702 - ARTHROPLASTY ANKLE W/IMPLANT||1899.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27700|27700 - ARTHROPLASTY ANKLE||1164.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27698|27698 - REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL||1254.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27696|27696 - RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS||1097.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27695|27695 - RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL||932.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27692|27692 - TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN||210.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27691|27691 - TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP||1465.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27690|27690 - TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC||1232.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27687|27687 - GASTROCNEMIUS RECESSION||885.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27686|27686 - LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA||1074.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27685|27685 - LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX||1271.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27681|27681 - TNOLS FLXR/XTNSR TDN LEG&/ANKLE MLT TDN||1052.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27680|27680 - TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH||832.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27676|27676 - REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT||1197.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27675|27675 - RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY||949.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27665|27665 - RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH||803.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27664|27664 - RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH||699.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27659|27659 - RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH||949.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27658|27658 - REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH||726.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27656|27656 - REPAIR FASCIAL DEFECT LEG||1189.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27654|27654 - REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT||1383.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27652|27652 - RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT||1350.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27650|27650 - REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON||1290.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27648|27648 - INJECTION ANKLE ARTHROGRAPHY||303.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27647|27647 - RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS||2078.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27646|27646 - RADICAL RESECTION TUMOR BONE FIBULA||3018.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27645|27645 - RADICAL RESECTION OF TUMOR TIBIA||3485.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27641|27641 - PARTIAL EXCISION BONE FIBULA||1305.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27640|27640 - PARTIAL EXCISION BONE TIBIA||1626|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27638|27638 - EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT||1499.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27637|27637 - EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT||1460.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27635|27635 - EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA||1144.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27634|27634 - EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>||1329.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27632|27632 - EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>||802.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27630|27630 - EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK||1066.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27626|27626 - ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY||1220.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27625|27625 - ARTHROTOMY W/SYNOVECTOMY ANKLE||1130.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27620|27620 - ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB||882.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27619|27619 - EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM||919.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27618|27618 - EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM||843.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27616|27616 - RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>||2478.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27615|27615 - RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE <5CM||2002.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27614|27614 - BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP||1102.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27613|27613 - BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL||476.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27612|27612 - ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH||1099.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27610|27610 - ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB||1271.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27607|27607 - INCISION LEG/ANKLE||1188.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27606|27606 - TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES||557.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27605|27605 - TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES||645.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27604|27604 - INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA||881.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27603|27603 - INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA||1003.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27602|27602 - DCMPRN FASCT LEG ANT&/LAT&PST CMPRT||984.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27601|27601 - DCMPRN FASCT LEG POST COMPARTMENT ONLY||859.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27600|27600 - DCMPRN FASCT LEG ANT&/LAT COMPARTMENTS ONLY||810.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27598|27598 - DISARTICULATION KNEE||1436.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27596|27596 - AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION||1433.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27594|27594 - AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION||999.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27592|27592 - AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR||1352.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27591|27591 - AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST||1889.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27590|27590 - AMPUTATION THIGH THROUGH FEMUR ANY LEVEL||1602.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27580|27580 - ARTHRODESIS KNEE ANY TECHNIQUE||2804.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27570|27570 - MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA||289.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27566|27566 - OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY||1734.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27562|27562 - CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA||928.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27560|27560 - CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA||688.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27558|27558 - OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION||2336.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27557|27557 - OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR||2047.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27556|27556 - OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR||1704.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27552|27552 - CLOSED TX KNEE DISLOCATION W/ANESTHESIA||1208.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27550|27550 - CLOSED TX KNEE DISLOCATION W/O ANESTHESIA||970.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27540|27540 - OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE||1578.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27538|27538 - CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN||902.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27536|27536 - OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ||2324.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27535|27535 - OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR||1754.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27532|27532 - CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ||1181.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27530|27530 - CLTX TIBIAL FX PROXIMAL W/O MANIPULATION||569.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27524|27524 - OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR||1459.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27520|27520 - CLOSED TX PATELLAR FRACTURE W/O MANIPULATION||611.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27519|27519 - OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION||1738.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27517|27517 - CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL||1323.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27516|27516 - CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ||967.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27514|27514 - OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE||1891.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27513|27513 - OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN||2434.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27511|27511 - OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN||1952.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27510|27510 - CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ||1332.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27509|27509 - PRQ SKELETAL FIXJ FEMORAL FX DISTAL END||1241.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27508|27508 - CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ||1008.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27507|27507 - OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE||1902.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27506|27506 - OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW||2613.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27503|27503 - CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ||1558.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27502|27502 - CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ||1502.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27501|27501 - CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ||968.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27500|27500 - CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION||993.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27499|27499 - DCMPRN FASCT THIGH&/KNEE MLT DBRDMT NV MUSC&NRVE||1353.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27498|27498 - DCMPRN FASCIOTOMY THIGH&/KNEE MLT COMPARTMENTS||1263.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27497|27497 - DCMPRN FASCT THIGH&/KNEE DBRDMT MUSCLE&/NERVE||1124.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27496|27496 - DECOMPRESSION FASCIOTOMY THIGH&/KNEE 1 COMPONENT||1044.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27495|27495 - PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR||2201.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27488|27488 - RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER||2347.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27487|27487 - REVJ TOT KNEE ARTHRP FEM&ENTIRE TIBIAL COMPONE||3456.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27486|27486 - REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT||2757.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27485|27485 - ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA||1297.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27479|27479 - ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB||1684|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27477|27477 - ARREST EPIPHYSEAL TIBIA & FIBULA PROXIMAL||1418.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27475|27475 - ARREST EPIPHYSEAL DISTAL FEMUR||1279.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27472|27472 - RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE||2470.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27470|27470 - RPR NON/MAL FEMUR DSTL H/N W/O GRF||2296|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27468|27468 - OSTPL FEMUR CMBN LNGTH&SHRT W/FEMORAL SGM TRNSFR||2366.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27466|27466 - OSTEOPLASTY FEMUR LENGTHENING||2298.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27465|27465 - OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876||2446.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27457|27457 - OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL||1865.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27455|27455 - OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL||1829.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27454|27454 - OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT||2533.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27450|27450 - OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION||1973.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27448|27448 - OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION||1571.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27447|27447 - ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS||2661.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27446|27446 - ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT||2274.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27445|27445 - ARTHROPLASTY KNEE HINGE PROSTHESIS||2449.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27443|27443 - ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL||1583.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27442|27442 - ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE||1692.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27441|27441 - ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT||1597.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27440|27440 - ARTHROPLASTY KNEE TIBIAL PLATEAU||1545.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27438|27438 - ARTHROPLASTY PATELLA W/PROSTHESIS||1637.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27437|27437 - ARTHROPLASTY PATELLA W/O PROSTHESIS||1276.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27435|27435 - CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE||1568.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27430|27430 - QUADRICEPSPLASTY||1436.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27429|27429 - LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR||2432.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27428|27428 - LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR||2162.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27427|27427 - LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR||1385.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27425|27425 - LATERAL RETINACULAR RELEASE OPEN||858.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27424|27424 - RCNSTJ DISLC PATELLA W/PATELLECTOMY||1446.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27422|27422 - RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT&/MUSC RL||1441.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27420|27420 - RCNSTJ DISLOCATING PATELLA||1425.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27418|27418 - ANTERIOR TIBIAL TUBERCLEPLASTY||1613.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27416|27416 - OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY||1907.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27415|27415 - OSTEOCHONDRAL ALLOGRAFT KNEE OPEN||2678.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27412|27412 - AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE||3231.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27409|27409 - RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE||1874.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27407|27407 - REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT||1533.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27405|27405 - RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL||1309.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27403|27403 - ARTHROTOMY W/MENISCUS REPAIR KNEE||1239.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27400|27400 - TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR||1341.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27397|27397 - TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN||1774.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27396|27396 - TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON||1188.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27395|27395 - LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL||1702.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27394|27394 - LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG||1261.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27393|27393 - LENGTHENING HAMSTRING TENDON SINGLE||981.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27392|27392 - TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI||1376.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27391|27391 - TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG||1111.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27390|27390 - TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON||860.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27386|27386 - SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ||1607.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27385|27385 - SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY||1105.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27381|27381 - SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF||1548.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27380|27380 - SUTURE INFRAPATELLAR TENDON PRIMARY||1145.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27372|27372 - REMOVAL FOREIGN BODY DEEP THIGH/KNEE||1146.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27370|27370 - INJECTION KNEE ARTHROGRAPHY||298.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27365|27365 - RADICAL RESECTION TUMOR FEMOR OR KNEE||4060.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27364|27364 - RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>||3062.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27360|27360 - PRTL EXC BONE FEMUR PROX TIBIA&/FIBULA||1650.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27358|27358 - EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION||549.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27357|27357 - EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT||1576.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27356|27356 - EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT||1429.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27355|27355 - EXCISION/CURETTAGE CYST/TUMOR FEMUR||1165.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27350|27350 - PATELLECTOMY/HEMIPATELLECTOMY||1263.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27347|27347 - EXCISION LESION MENISCUS/CAPSULE KNEE||1018.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27345|27345 - EXCISION SYNOVIAL CYST POPLITEAL SPACE||925.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27340|27340 - EXCISION PREPATELLAR BURSA||711.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27339|27339 - EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>||1458.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27337|27337 - EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>||808.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27335|27335 - ARTHRT W/SYNVCT KNE ANT&POST W/POP AREA||1482.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27334|27334 - ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR||1323.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27333|27333 - ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL&LAT||1128.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27332|27332 - ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT||1236.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27331|27331 - ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB||916.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27330|27330 - ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY||801.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27329|27329 - RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM||2027.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27328|27328 - EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM||1201.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27327|27327 - EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM||864.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27326|27326 - NEURECTOMY POPLITEAL||987.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27325|27325 - NEURECTOMY HAMSTRING MUSCLE||1073.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27324|27324 - BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP||761.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27323|27323 - BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL||510.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27310|27310 - ARTHRT KNE W/EXPL DRG/RMVL FB||1416.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27307|27307 - TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON||923.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27306|27306 - TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX||712.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27305|27305 - FASCIOTOMY ILIOTIBIAL OPEN||933.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27303|27303 - INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE||1236.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27301|27301 - I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION||1250.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27295|27295 - DISARTICULATION HIP||2479.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27290|27290 - INTERPELVIABDOMINAL AMPUTATION||3175.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27286|27286 - ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT||3233.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27284|27284 - ARTHRODESIS HIP JOINT W/OBTAINING GRAFT||3171.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27282|27282 - ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT||1655.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27280|27280 - ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT||2025.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27279|27279 - ARTHRODESIS SACROILIAC JOINT PERCUTANEOUS||1102.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27275|27275 - MANIPULATION HIP JOINT GENERAL ANESTHESIA||349.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27269|27269 - OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD||2435.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27268|27268 - CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ||1038.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27267|27267 - CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ||842.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27266|27266 - CLTX POST HIP ARTHRP DISLC REQ ANES||1123.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27265|27265 - CLTX POST HIP ARTHRP DISLC W/O ANES||771.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27259|27259 - OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT||3031.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27258|27258 - OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM||2161.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27257|27257 - TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES||703.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27256|27256 - TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES||581.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27254|27254 - OPTX HIP DISLC TRAUMTC W/ACTBLR WALL&FEM HEAD||2475.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27253|27253 - OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ||1835.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27252|27252 - CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA||1478.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27250|27250 - CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA||367.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27248|27248 - OPEN TREATMENT GREATER TROCHANTERIC FRACTURE||1449.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27246|27246 - CLTX GREATER TROCHANTERIC FX W/O MANJ||739.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27245|27245 - TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW||2404.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27244|27244 - TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT||2404.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27240|27240 - CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ||1861.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27238|27238 - CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ||884.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27236|27236 - OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT||2338.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27235|27235 - PRQ SKEL FIXJ FEMORAL FX PROX END NECK||1769.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27232|27232 - CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ||1487.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27230|27230 - CLTX FEM FX PROX END NCK W/O MANJ||912.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27228|27228 - OPTX ACTBLR FX INVG ANT&POST 2 COLUMNS FX W/INT||3711.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27227|27227 - OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT||3255.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27226|27226 - OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ||2067.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27222|27222 - CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ||1897.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27220|27220 - CLTX ACETABULUM HIP/SOCKT FX W/O MANJ||1022.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27218|27218 - OPTX POST PEL BONE FX&/DISLC INT FIXJ IF PFRMD||2282.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27217|27217 - OPTX ANT PELVIC BONE FX&/DISLC INT FIXJ IF PFR||1649.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27216|27216 - PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS||1758.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27215|27215 - OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD||1183.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27202|27202 - OPEN TREATMENT COCCYGEAL FRACTURE||1032.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27200|27200 - CLOSED TREATMENT COCCYGEAL FRACTURE||342.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27198|27198 - CLSD TX PELVIC RING FX W/MANIPULATION W/ANES||612.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27197|27197 - CLSD TX PELVIC RING FX W/O MANIPULATION||240.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27187|27187 - PROPH TX N/P/PLTWR W/WO MMA FEM NCK & PROX FEMUR||1932.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27185|27185 - EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR||1152.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27181|27181 - OPTX SLP FEM EPIPHYSIS OSTEOT&INT FIXJ||1997.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27179|27179 - OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX||1896.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27178|27178 - OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN||1782.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27177|27177 - OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT||2167.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27176|27176 - TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU||1782.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27175|27175 - TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION||1154.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27170|27170 - B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA||2300.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27165|27165 - OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL||2691.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27161|27161 - OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE||2374.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27158|27158 - OSTEOTOMY PELVIS BILATERAL||2737.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27156|27156 - OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ||3356.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27151|27151 - OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT||3111.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27147|27147 - OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ||2871.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27146|27146 - OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE||2506.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27140|27140 - OSTEOTOMY&TRANSFER GREATER TROCHANTER SPX||1737.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27138|27138 - REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT||3008.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27137|27137 - REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT||2892.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27134|27134 - REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT||3773.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27132|27132 - CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT||3290.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27130|27130 - ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT||2662.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27125|27125 - HEMIARTHROPLASTY HIP PARTIAL||2213.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27122|27122 - ACETABULOPLASTY RESECTION FEMORAL HEAD||2143.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27120|27120 - ACETABULOPLASTY||2535.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27111|27111 - TRANSFER ILIOPSOAS FEMORAL NECK||1742.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27110|27110 - TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR||1881.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27105|27105 - TR PARASPI MUSC HIP FASC/TDN XTN GRF||1678.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27100|27100 - TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF||1586.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27098|27098 - TRANSFER ADDUCTOR ISCHIUM||1341.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27097|27097 - RELEASE/RECESSION HAMSTRING PROXIMAL||1318.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27096|27096 - INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA||307.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27095|27095 - INJECTION HIP ARTHROGRAPHY W/ANESTHESIA||443.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27093|27093 - INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA||348.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27091|27091 - RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA||3133.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27090|27090 - REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE||1609.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27087|27087 - REMOVAL FOREIGN BODY PELVIS/HIP DEEP||1218.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27086|27086 - RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS||544.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27080|27080 - COCCYGECTOMY PRIMARY||989.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27078|27078 - RAD RESCT TUMOR ISCHIAL TUBEROSITY&GRT TRCHNTR||4059.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27077|27077 - RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL||5575.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27076|27076 - RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC||4958.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27075|27075 - RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL||4118.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27071|27071 - PARTIAL EXCISION DEEP PELVIS||1776.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27070|27070 - PARTIAL EXCISION SUPERFICIAL PELVIS||1648.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27067|27067 - EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC||2009.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27066|27066 - EXCISION BONE CYST/BENIGN TUMOR DEEP||1575.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27065|27065 - EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL||988.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27062|27062 - EXCISION TROCHANTERIC BURSA/CALCIFICATION||877.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27060|27060 - EXCISION ISCHIAL BURSA||894.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27059|27059 - RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/>||3543.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27057|27057 - DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI||1857.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27054|27054 - ARTHROTOMY W/SYNOVECTOMY HIP JOINT||1326.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27052|27052 - ARTHROTOMY W/BIOPSY HIP JOINT||1113.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27050|27050 - ARTHROTOMY W/BIOPSY SACROILIAC JOINT||769.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27049|27049 - RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5 CM||2672.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27048|27048 - EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM||1183.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27047|27047 - EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM||887.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27045|27045 - EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>||1456.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27043|27043 - EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>||908.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27041|27041 - BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM||1340.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27040|27040 - BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL||649.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27036|27036 - CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC||1966.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27035|27035 - DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH||2293.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27033|27033 - ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY||1896.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27030|27030 - ARTHROTOMY HIP W/DRAINAGE||1788.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27027|27027 - DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI||1652.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27025|27025 - FASCIOTOMY HIP/THIGH ANY TYPE||1781.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27006|27006 - TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX||1425.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27005|27005 - TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE||1409.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27003|27003 - TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY||1148.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27001|27001 - TENOTOMY ADDUCTOR HIP OPEN||1045.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|27000|27000 - TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX||813.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26992|26992 - INCISION BONE CORTEX PELVIS&/HIP JOINT||1869.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26991|26991 - I&D PELVIS/HIP JOINT AREA INFECTED BURSA||1335.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26990|26990 - I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA||1199.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26952|26952 - AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP||1209.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26951|26951 - AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR||1218.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26910|26910 - AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER||1350.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26863|26863 - ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT||452.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26862|26862 - ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT||1355.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26861|26861 - ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT||204.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26860|26860 - ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ||1043.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26852|26852 - ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT||1491.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26850|26850 - ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ||1294.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26844|26844 - ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT||1538.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26843|26843 - ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH||1388.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26842|26842 - ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT||1482.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26841|26841 - ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ||1364.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26820|26820 - FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT||1482.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26785|26785 - OPEN TX INTERPHALANGEAL JOINT DISLOCATION||1046.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26776|26776 - PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ||842.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26775|26775 - CLTX IPHAL JT DISLC W/MANJ REQ ANES||722.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26770|26770 - CLTX IPHAL JT DISLC W/MANJ W/O ANES||527.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26765|26765 - OPEN TX DISTAL PHALANGEAL FRACTURE EACH||958.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26756|26756 - PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA||793.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26755|26755 - CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA||596.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26750|26750 - CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA||349.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26746|26746 - OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA||1427.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26742|26742 - CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ||699.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26740|26740 - CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ||430.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26735|26735 - OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA||1144.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26727|26727 - PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T||894.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26725|26725 - CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA||638.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26720|26720 - CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA||374.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26715|26715 - OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION||1099.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26706|26706 - PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ||841.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26705|26705 - CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES||784.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26700|26700 - CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES||622.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26686|26686 - OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ||1201.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26685|26685 - OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB||1112.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26676|26676 - PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT||954.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26675|26675 - CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES||861.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26670|26670 - CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES||645.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26665|26665 - OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB||1208.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26650|26650 - PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB||910.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26645|26645 - CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ||809.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26641|26641 - CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ||706.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26615|26615 - OPEN TX METACARPAL FRACTURE SINGLE EA BONE||1102.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26608|26608 - PRQ SKELETAL FIXJ METACARPAL FX EACH BONE||910.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26607|26607 - CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE||872.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26605|26605 - CLTX METACARPAL FX W/MANIPULATION EACH BONE||606.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26600|26600 - CLTX METACARPAL FX W/O MANIPULATION EACH BONE||553.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26596|26596 - EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES||1452.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26593|26593 - RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE||1110.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26591|26591 - REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE||805.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26590|26590 - REPAIR MACRODACTYLIA EACH DIGIT||2697.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26587|26587 - RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE & BONE||1832.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26580|26580 - REPAIR CLEFT HAND||2918.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26568|26568 - OSTEOPLASTY LENGTHENING METACARPAL/PHALANX||1691.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26567|26567 - OSTEOTOMY PHALANX FINGER EACH||1274.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26565|26565 - OSTEOTOMY METACARPAL EACH||1276.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26562|26562 - REPAIR SYNDACTYLY EACH SPACE COMPLEX||2438.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26561|26561 - REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS&GRAFT||1792.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26560|26560 - REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS||1068.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26556|26556 - TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS||5382.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26555|26555 - TR FNGR AXH POS W/O MVASC ANAST||2620.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26554|26554 - TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2||6268.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26553|26553 - TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1||5972.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26551|26551 - TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND||5769.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26550|26550 - POLLICIZATION DIGIT||3148.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26548|26548 - RPR & RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL||1433.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26546|26546 - RPR NON-UNION MTCRPL/PHALANX||1864.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26545|26545 - RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT||1296.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26542|26542 - RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS||1274.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26541|26541 - RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF||1502.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26540|26540 - RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT||1229.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26536|26536 - ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA||1326.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26535|26535 - ARTHROPLASTY INTERPHALANGEAL JOINT EACH||803.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26531|26531 - ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT||1197.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26530|26530 - ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH||1030.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26525|26525 - CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH||1203.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26520|26520 - CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH||1204.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26518|26518 - CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS||1572.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26517|26517 - CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS||1556.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26516|26516 - CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT||1311.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26510|26510 - CROSS INTRINSIC TRANSFER EACH TENDON||1113.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26508|26508 - RELEASE THENAR MUSCLE||1193.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26502|26502 - RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX||1324.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26500|26500 - RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX||1164.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26499|26499 - CORRECTION CLAW FINGER OTHER METHODS||1565.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26498|26498 - TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS||2175.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26497|26497 - TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR||1634.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26496|26496 - OPPONENSPLASTY OTHER METHODS||1585.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26494|26494 - OPPONENSPLASTY HYPOTHENAR MUSC TR||1505.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26492|26492 - OPPONENSPLASTY TDN TR W/GRF EA TDN||1661.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26490|26490 - OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN||1492.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26489|26489 - TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH||1749.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26485|26485 - TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH||1503.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26483|26483 - TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT||1578.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26480|26480 - TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN||1400.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26479|26479 - SHORTENING TENDON FLEXOR HAND/FINGER EACH||1155.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26478|26478 - LENGTHENING TENDON FLEXOR HAND/FINGER EACH||1159.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26477|26477 - SHORTENING TENDON EXTENSOR HAND/FINGER EACH||1084.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26476|26476 - LENGTHENING TENDON EXTENSOR HAND/FINGER EACH||1087.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26474|26474 - TENODESIS DISTAL JOINT EACH||1120.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26471|26471 - TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH||1146.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26460|26460 - TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON||733.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26455|26455 - TENOTOMY FLEXOR FINGER OPEN EACH TENDON||751.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26450|26450 - TENOTOMY FLEXOR PALM OPEN EACH TENDON||757.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26449|26449 - TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA||1328.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26445|26445 - TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH||1062.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26442|26442 - TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO||1805.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26440|26440 - TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON||1143.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26437|26437 - REALIGNMENT EXTENSOR TENDON HAND EACH TENDON||1158.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26434|26434 - REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT||1211.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26433|26433 - REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF||985.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26432|26432 - CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING||922.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26428|26428 - RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER||1418.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26426|26426 - RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR||961.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26420|26420 - REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH||1329.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26418|26418 - REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH||1067.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26416|26416 - RMVL SYNTH ROD & INSJ XTNSR TDN GRF H/F EA ROD||1443.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26415|26415 - EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA||1497.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26412|26412 - REPAIR EXTENSOR TENDON HAND W/GRAFT EACH||1268.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26410|26410 - REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH||1046.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26392|26392 - RMVL SYNTH ROD & INSJ FLXR TDN GRF H/F EA ROD||1835.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26390|26390 - EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F||1580.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26373|26373 - RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA||1591.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26372|26372 - RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA||1662.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26370|26370 - RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN||1416.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26358|26358 - RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON||1724.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26357|26357 - RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON||1633.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26356|26356 - RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON||2047.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26352|26352 - RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON||1528.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26350|26350 - RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON||1320.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26341|26341 - MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD||183.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26340|26340 - MANIPULATION FINGER JOINT UNDER ANES EACH JOINT||626.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26320|26320 - REMOVAL IMPLANT FROM FINGER/HAND||660.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26262|26262 - RADICAL RESECTION TUMOR DISTAL PHALANX FINGER||1231.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26260|26260 - RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER||1581.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26250|26250 - RADICAL RESECTION TUMOR METACARPAL||2119.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26236|26236 - PARTIAL EXCISION DISTAL PHALANX FINGER||844.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26235|26235 - PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER||946.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26230|26230 - PARTIAL EXCISION BONE METACARPAL||958.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26215|26215 - EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT||1084.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26210|26210 - EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER||844.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26205|26205 - EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT||1160.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26200|26200 - EXCISION/CURETTAGE CYST/TUMOR METACARPAL||863.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26185|26185 - SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE||1054.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26180|26180 - EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH||846.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26170|26170 - EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH||776.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26160|26160 - EXC LESION TDN SHTH/JT CAPSL HAND/FNGR||1061.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26145|26145 - SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR EA TDN||980.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26140|26140 - SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT||966.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26135|26135 - SYNVCT MTCARPHLNGL JT W/INTRNSC RLS&XTNSR HOOD||1057.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26130|26130 - SYNOVECTOMY CARPOMETACARPAL JOINT||882.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26125|26125 - FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR||539.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26123|26123 - FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR||1602.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26121|26121 - FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT||1147.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26118|26118 - RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>||2044.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26117|26117 - RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM||1441.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26116|26116 - EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM||1011.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26115|26115 - EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM||940.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26113|26113 - EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/>||1054.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26111|26111 - EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>||801.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26110|26110 - ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH||611.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26105|26105 - ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH||637.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26100|26100 - ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH||638.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26080|26080 - ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA||743.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26075|26075 - ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA||629.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26070|26070 - ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT||600.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26060|26060 - TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT||504.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26055|26055 - TENDON SHEATH INCISION||1029.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26045|26045 - FASCIOTOMY PALMAR OPEN PARTIAL||897.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26040|26040 - FASCIOTOMY PALMAR PERCUTANEOUS||589.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26037|26037 - DECOMPRESSIVE FASCIOTOMY HAND||1094.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26035|26035 - DECOMPRESSION FINGERS&/HAND INJECTION INJURY||1670.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26034|26034 - INCISION BONE CORTEX HAND/FINGER||1026.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26030|26030 - DRAINAGE OF PALMAR BURSA MULTIPLE BURSA||947.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26025|26025 - DRAINAGE OF PALMAR BURSA SINGLE BURSA||804.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26020|26020 - DRAINAGE TENDON SHEATH DIGIT&/PALM EACH||827.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26011|26011 - DRAINAGE FINGER ABSCESS COMPLICATED||720.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|26010|26010 - DRAINAGE FINGER ABSCESS SIMPLE||489.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25931|25931 - TRANSMETACARPAL AMPUTATION RE-AMPUTATION||1287.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25929|25929 - TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ||1149.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25927|25927 - TRANSMETACARPAL AMPUTATION||1548|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25924|25924 - DISARTICULATION THRU WRIST RE-AMPUTATION||1189.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25922|25922 - DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ||959.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25920|25920 - DISARTICULATION THROUGH WRIST||1341.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25915|25915 - KRUKENBERG PROCEDURE||2044.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25909|25909 - AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION||1324.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25907|25907 - AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE||1181.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25905|25905 - AMP FOREARM THRU RADIUS & ULNA OPEN CIRCULAR||1236.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25900|25900 - AMPUTATION FOREARM THROUGH RADIUS & ULNA||1368.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25830|25830 - ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE||1817.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25825|25825 - ARTHRODESIS WRIST LIMITED W/AUTOGRAFT||1455.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25820|25820 - ARTHRODESIS WRIST LIMITED W/O BONE GRAFT||1178.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25810|25810 - ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT||1677.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25805|25805 - ARTHRODESIS WRIST W/SLIDING GRAFT||1635.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25800|25800 - ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT||1414.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25695|25695 - OPEN TREATMENT LUNATE DISLOCATION||1222.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25690|25690 - CLOSED TX LUNATE DISLOCATION W/MANIPULATION||919.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25685|25685 - OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC||1421.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25680|25680 - CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ||910.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25676|25676 - OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC||1211.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25675|25675 - CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ||831.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25671|25671 - PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION||1015.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25670|25670 - OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1/> BONES||1168.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25660|25660 - CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ||775.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25652|25652 - OPEN TREATMENT ULNAR STYLOID FRACTURE||1198.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25651|25651 - PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE||929.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25650|25650 - CLOSED TREATMENT ULNAR STYLOID FRACTURE||608.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25645|25645 - OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA||1096.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25635|25635 - CLTX CARPAL BONE FX W/MANJ EACH BONE||843.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25630|25630 - CLTX CARPAL BONE FX W/O MANJ EACH BONE||577.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25628|25628 - OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE||1389.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25624|25624 - CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ||900.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25622|25622 - CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ||573.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25609|25609 - OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG||2026.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25608|25608 - OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG||1591.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25607|25607 - OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP||1416.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25606|25606 - PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP||1272.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25605|25605 - CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF||1046.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25600|25600 - CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ||616.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25575|25575 - OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS&ULNA||1743.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25574|25574 - OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA||1298.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25565|25565 - CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ||990.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25560|25560 - CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN||526.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25545|25545 - OPEN TREATMENT OF ULNAR SHAFT FRACTURE||1199.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25535|25535 - CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION||930.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25530|25530 - CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION||492.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25526|25526 - OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE||1848.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25525|25525 - OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE||1518.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25520|25520 - CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT||1081.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25515|25515 - OPEN TREATMENT RADIAL SHAFT FRACTURE||1291.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25505|25505 - CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION||955.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25500|25500 - CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION||514|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25492|25492 - PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD&UL||1751.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25491|25491 - PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA||1429.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25490|25490 - PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS||1347.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25455|25455 - EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS&ULNA||1322.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25450|25450 - EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U||1186.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25449|25449 - REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT||2019.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25447|25447 - ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS||1595.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25446|25446 - ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS||2274.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25445|25445 - ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM||1390.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25444|25444 - ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE||1508.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25443|25443 - ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL||1510.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25442|25442 - ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA||1522.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25441|25441 - ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS||1782.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25440|25440 - RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC||1484.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25431|25431 - REPAIR NONUNION CARPAL BONE EACH BONE||1527.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25430|25430 - INSERTION VASCULAR PEDICLE CARPAL BONE||1366.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25426|25426 - REPAIR DEFECT W/AUTOGRAFT RADIUS&ULNA||2186.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25425|25425 - REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA||1868.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25420|25420 - RPR NONUNION/MALUNION RADIUS&ULNA W/AUTOGRAFT||2272.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25415|25415 - RPR NONUNION/MALUNION RADIUS&ULNA W/O AUTOGRAF||1877.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25405|25405 - RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT||2011.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25400|25400 - RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT||1553.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25394|25394 - OSTEOPLASTY CARPAL BONE SHORTENING||1517.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25393|25393 - OSTEOPLASTY RADIUS&ULNA LENGTHENING W/AUTOGRAF||2200.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25392|25392 - OSTEOPLASTY RADIUS & ULNA SHORTENING||1970.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25391|25391 - OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT||1935.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25390|25390 - OSTEOPLASTY RADIUS/ULNA SHORTENING||1485.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25375|25375 - MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS&ULNA||1740.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25370|25370 - MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA||1951.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25365|25365 - OSTEOTOMY RADIUS & ULNA||1774.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25360|25360 - OSTEOTOMY ULNA||1264.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25355|25355 - OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD||1482.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25350|25350 - OSTEOTOMY RADIUS DISTAL THIRD||1299.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25337|25337 - RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ||1706.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25335|25335 - CENTRALIZATION WRST ULNA||1723.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25332|25332 - ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ||1633.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25320|25320 - CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS||1895.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25316|25316 - FLEXOR ORIGIN SLIDE F/ARM&/WRST TENDON TRANSFE||1713.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25315|25315 - FLEXOR ORIGIN SLIDE FOREARM &/WRIST||1491.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25312|25312 - TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1/TDN GR||1383.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25310|25310 - TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN||1189.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25301|25301 - TENODESIS WRIST EXTENSORS FINGERS||1238.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25300|25300 - TENODESIS WRIST FLEXORS FINGERS||1322.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25295|25295 - TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA||1003.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25290|25290 - TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA||836.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25280|25280 - LNGTH/SHRT FLXR/XTNSR TDN F/ARM&/WRIST 1 EA TDN||1082.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25275|25275 - RPR TENDON SHEATH EXTENSOR F/ARM&/WRIST W/GRAFT||1297.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25274|25274 - RPR TDN/MUSC XTNSR F/ARM&/WRST SEC FR GRF EA TDN||1293.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25272|25272 - RPR TDN/MUSC XTNSR F/ARM&/WRIST SEC 1 EA TDN/MU||1064.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25270|25270 - RPR TDN/MUSC XTNSR F/ARM&/WRIST PRIM 1 EA TDN||944.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25265|25265 - RPR TDN/MUSC FLXR F/ARM&/WRISTSEC FR GRF EA||1444.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25263|25263 - RPR TDN/MUSC FLXR F/ARM&/WRIST SEC 1 EA TDN/MUS||1203.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25260|25260 - RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MU||1213.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25259|25259 - MANIPULATION WRIST UNDER ANESTHESIA||786.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25251|25251 - REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST||1391.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25250|25250 - REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE||1025.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25248|25248 - EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST||797.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25246|25246 - INJECTION WRIST ARTHROGRAPHY||305|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25240|25240 - EXCISION DISTAL ULNA PARTIAL/COMPLETE||819.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25230|25230 - RADICAL STYLOIDECTOMY SEPARATE PROCEDURE||823.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25215|25215 - CARPECTOMY ALL BONES PROXIMAL ROW||1185.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25210|25210 - CARPECTOMY 1 BONE||935.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25170|25170 - RADICAL RESECTION TUMOR RADIUS OR ULNA||2887.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25151|25151 - PARTIAL EXCISION BONE RADIUS||1125.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25150|25150 - PARTIAL EXCISION BONE ULNA||1086.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25145|25145 - SEQUESTRECTOMY FOREARM &/WRIST||993.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25136|25136 - EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT||946.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25135|25135 - EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT||1072.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25130|25130 - EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES||857.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25126|25126 - EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT||1149.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25125|25125 - EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT||1141.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25120|25120 - EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA||955.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25119|25119 - SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA||955.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25118|25118 - SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT||727.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25116|25116 - RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS||1151.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25115|25115 - RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS||1461.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25112|25112 - EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT||740.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25111|25111 - EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY||609.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25110|25110 - EXCISION LESION TENDON SHEATH FOREARM&/WRIST||650.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25109|25109 - EXC TENDON FOREARM&/WRIST FLEXOR/EXTENSOR EA||1035.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25107|25107 - ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE||1181.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25105|25105 - ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY||926.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25101|25101 - ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB||772.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25100|25100 - ARTHROTOMY WRIST JOINT WITH BIOPSY||661.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25085|25085 - CAPSULOTOMY WRIST||864.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25078|25078 - RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>||2281.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25077|25077 - RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM||1719.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25076|25076 - EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM||995.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25075|25075 - EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM||897.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25073|25073 - EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/>||1023.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25071|25071 - EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>||821.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25066|25066 - BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP||683.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25065|25065 - BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL||473.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25040|25040 - ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB||1083.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25035|25035 - INCISION DEEP BONE CORTEX FOREARM&/WRIST||1119.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25031|25031 - INCISION & DRAINAGE FOREARM&/WRIST BURSA||695.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25028|25028 - I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA||991.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25025|25025 - DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR DBRDMT||2363.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25024|25024 - DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR W/O DB||1504|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25023|25023 - DCMPRN FASCT F/ARM&/WRST FLXR/XTNSR W/DBRDMT||2122.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25020|25020 - DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O DBRDMT||1089.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25001|25001 - INCISION FLEXOR TENDON SHEATH WRIST||652.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|25000|25000 - INCISION EXTENSOR TENDON SHEATH WRIST||637.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24935|24935 - STUMP ELONGATION UPPER EXTREMITY||2042.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24931|24931 - AMPUTATION ARM THRU HUMERUS W/IMPLANT||1520.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24930|24930 - AMPUTATION ARM THRU HUMERUS RE-AMPUTATION||1500.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24925|24925 - AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ||1089.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24920|24920 - AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR||1417.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24900|24900 - AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE||1424.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24802|24802 - ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT||1945.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24800|24800 - ARTHRODESIS ELBOW JOINT LOCAL||1605.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24685|24685 - OPEN TREATMENT ULNAR FRACTURE PROXIMAL END||1261.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24675|24675 - CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ||864.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24670|24670 - CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ||548.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24666|24666 - OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC||1417.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24665|24665 - OPEN TX RADIAL HEAD/NECK FRACTURE||1255.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24655|24655 - CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION||833.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24650|24650 - CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION||492.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24640|24640 - CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ||263.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24635|24635 - OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW||1299.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24620|24620 - CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ||1066.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24615|24615 - OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION||1377.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24605|24605 - TREATMENT CLOSED ELBOW DISLOCATION REQ ANES||899.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24600|24600 - TREATMENT CLOSED ELBOW DISLOCATION W/O ANES||698.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24587|24587 - OPTX PRIARTICULAR FX&/DISLC ELBW W/IMPLT ARTHR||2107.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24586|24586 - OPTX PERIARTICULAR FRACTURE &/DISLOCATION ELBO||2113.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24582|24582 - PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ||1554.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24579|24579 - OPEN TREATMENT HUMERAL CONDYLAR FRACTURE||1618.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24577|24577 - CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ||1043.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24576|24576 - CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ||639.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24575|24575 - OPEN TX HUMERAL EPICONDYLAR FRACTURE||1419.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24566|24566 - PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ||1380.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24565|24565 - CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ||1013.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24560|24560 - CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ||607.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24546|24546 - OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN||2024.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24545|24545 - OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN||1807.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24538|24538 - PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX||1433.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24535|24535 - CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ||1176.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24530|24530 - CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ||717.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24516|24516 - TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE||1672.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24515|24515 - OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE||1700.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24505|24505 - CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ||949.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24500|24500 - CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION||675.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24498|24498 - PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT||1685.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24495|24495 - DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL||1253.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24470|24470 - HEMIEPIPHYSEAL ARREST||1141.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24435|24435 - REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT||2093.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24430|24430 - REPAIR NON/MALUNION HUMERUS W/O GRAFT||2060.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24420|24420 - OSTEOPLASTY HUMERUS||1925.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24410|24410 - MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT||2054.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24400|24400 - OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION||1585.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24371|24371 - REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT||3487.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24370|24370 - REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT||3017.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24366|24366 - ARTHROPLASTY RADIAL HEAD W/IMPLANT||1318.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24365|24365 - ARTHROPLASTY RADIAL HEAD||1234.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24363|24363 - ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM||2849.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24362|24362 - ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ||2062.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24361|24361 - ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT||1955.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24360|24360 - ARTHROPLASTY ELBOW W/MEMBRANE||1743.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24359|24359 - TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR||1276.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24358|24358 - TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN||1006.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24357|24357 - TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS||846.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24346|24346 - RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF||2129.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24345|24345 - REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW||1353.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24344|24344 - RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT||2129.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24343|24343 - REPAIR LATERAL COLLATERAL LIGAMENT ELBOW||1360.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24342|24342 - RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF||1507.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24341|24341 - REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA||1440.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24340|24340 - TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE||1187.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24332|24332 - TENOLYSIS TRICEPS||1179.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24331|24331 - FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT||1523.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24330|24330 - FLEXOR-PLASTY ELBOW||1387.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24320|24320 - TENOPLASTY ELBOW TO SHOULDER SINGLE||1512.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24310|24310 - TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON||916.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24305|24305 - TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON||1111.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24301|24301 - MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE||1458.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24300|24300 - MANIPULATION ELBOW UNDER ANESTHESIA||781.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24220|24220 - INJECTION ELBOW ARTHROGRAPHY||299.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24201|24201 - REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP||1053.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24200|24200 - RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS||387.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24164|24164 - PROSTHESIS REMOVAL RADIAL HEAD||1411.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24160|24160 - PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS||2456.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24155|24155 - RESECTION ELBOW JOINT ARTHRECTOMY||1656.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24152|24152 - RADICAL RESECTION TUMOR RADIAL HEAD/NECK||2681.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24150|24150 - RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS||3041.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24149|24149 - RAD RESCJ CAPSL TISS&HTRTPC BONE ELBW CONTRCT||2274.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24147|24147 - PARTIAL EXCISION BONE OLECRANON PROCESS||1196.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24145|24145 - PARTIAL EXCISION BONE RADIAL HEAD/NECK||1141.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24140|24140 - PARTIAL EXCISION BONE HUMERUS||1352.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24138|24138 - SEQUESTRECTOMY OLECRANON PROCESS||1296.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24136|24136 - SEQUESTRECTOMY RADIAL HEAD OR NECK||1229.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24134|24134 - SEQUESTRECTOMY SHAFT/DISTAL HUMERUS||1444.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24130|24130 - EXCISION RADIAL HEAD||976|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24126|24126 - EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT||1252.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24125|24125 - EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT||1195.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24120|24120 - EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN||1018.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24116|24116 - EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT||1672.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24115|24115 - EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT||1426.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24110|24110 - EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS||1132.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24105|24105 - EXCISION OLECRANON BURSA||665.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24102|24102 - ARTHROTOMY ELBOW W/SYNOVECTOMY||1190.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24101|24101 - ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB||960.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24100|24100 - ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY||801.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24079|24079 - RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM/>||2593.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24077|24077 - RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW <5CM||2022.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24076|24076 - EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM||1049.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24075|24075 - EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM||919.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24073|24073 - EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>||1341.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24071|24071 - EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>||785.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24066|24066 - BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP||1160.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24065|24065 - BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL||480.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24006|24006 - ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX||1377.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|24000|24000 - ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB||918.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23935|23935 - INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW||979.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23931|23931 - INCISION&DRAINAGE UPPER ARM/ELBOW BURSA||537.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23930|23930 - I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA||661.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23921|23921 - DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION||912.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23920|23920 - DISARTICULATION SHOULDER||2191.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23900|23900 - INTERTHORACOSCAPULAR AMPUTATION||2709.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23802|23802 - ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT||2496.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23800|23800 - ARTHRODESIS GLENOHUMERAL JOINT||1995.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23700|23700 - MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS||377.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23680|23680 - OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE||1805.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23675|23675 - CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ||1048.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23670|23670 - OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX||1705.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23665|23665 - CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ||810.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23660|23660 - OPEN TX ACUTE SHOULDER DISLOCATION||1127.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23655|23655 - CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES||764.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23650|23650 - CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES||597.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23630|23630 - OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE||1516.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23625|23625 - CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION||722.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23620|23620 - CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ||509.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23616|23616 - OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT||2424.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23615|23615 - OPEN TREATMENT PROXIMAL HUMERAL FRACTURE||1718.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23605|23605 - CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ||884.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23600|23600 - CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION||616.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23585|23585 - OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD||1910.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23575|23575 - CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION||759.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23570|23570 - CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION||438.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23552|23552 - OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF||1267.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23550|23550 - OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC||1106.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23545|23545 - CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION||645.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23540|23540 - CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION||425.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23532|23532 - OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF||1203.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23530|23530 - OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC||1103.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23525|23525 - CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION||725.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23520|23520 - CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION||436.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23515|23515 - OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION||1396.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23505|23505 - CLSD TX CLAVICULAR FRACTURE W/MANIPULATION||671.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23500|23500 - CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION||415.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23491|23491 - PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS||1971.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23490|23490 - PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE||1673.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23485|23485 - OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL||1860.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23480|23480 - OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION||1591.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23474|23474 - REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT||3452.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23473|23473 - REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT||3192.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23472|23472 - ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER||2860.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23470|23470 - ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY||2355.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23466|23466 - CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS||2180.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23465|23465 - CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK||2175.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23462|23462 - CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR||2088.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23460|23460 - CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK||2120.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23455|23455 - CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR||1953.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23450|23450 - CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON||1843.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23440|23440 - RESECTION/TRANSPLANTATION LONG TENDON BICEPS||1468.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23430|23430 - TENODESIS LONG TENDON BICEPS||1449.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23420|23420 - RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC||1881.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23415|23415 - CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY||1345.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23412|23412 - OPEN REPAIR OF ROTATOR CUFF CHRONIC||1656.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23410|23410 - OPEN REPAIR OF ROTATOR CUFF ACUTE||1594.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23406|23406 - TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION||1499.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23405|23405 - TENOTOMY SHOULDER AREA 1 TENDON||1218.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23400|23400 - SCAPULOPEXY||1886.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23397|23397 - MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE||2222.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23395|23395 - MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE||2504.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23350|23350 - INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG||243.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23335|23335 - PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT||2500.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23334|23334 - PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT||2093.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23333|23333 - REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM||882.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23330|23330 - REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS||452.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23220|23220 - RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS||3826.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23210|23210 - RADICAL RESECTION TUMOR SCAPULA||3485.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23200|23200 - RADICAL RESECTION TUMOR CLAVICLE||2960.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23195|23195 - RESECTION HUMERAL HEAD||1461.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23190|23190 - OSTECTOMY SCAPULA PARTIAL||1100.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23184|23184 - PARTIAL EXCISION BONE PROXIMAL HUMERUS||1420.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23182|23182 - PARTIAL EXCISION BONE SCAPULA||1275.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23180|23180 - PARTIAL EXCISION BONE CLAVICLE||1288.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23174|23174 - SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK||1463.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23172|23172 - SEQUESTRECTOMY SCAPULA||1092.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23170|23170 - SEQUESTRECTOMY CLAVICLE||1079.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23156|23156 - EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT||1309.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23155|23155 - EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT||1534.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23150|23150 - EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS||1276.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23146|23146 - EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT||1196.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23145|23145 - EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT||1343.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23140|23140 - EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA||1023.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23130|23130 - PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE||1172.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23125|23125 - CLAVICULECTOMY TOTAL||1370.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23120|23120 - CLAVICULECTOMY PARTIAL||1128.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23107|23107 - ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB||1279.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23106|23106 - ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX||953.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23105|23105 - ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY||1233.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23101|23101 - ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG||876.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23100|23100 - ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY||961.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23078|23078 - RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM/>||2823.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23077|23077 - RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM||2234.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23076|23076 - EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM||1042.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23075|23075 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM||881.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23073|23073 - EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>||1342.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23071|23071 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>||810.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23066|23066 - BIOPSY SOFT TISSUE SHOULDER DEEP||1039.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23065|23065 - BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL||410.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23044|23044 - ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB||1096.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23040|23040 - ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB||1391.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23035|23035 - INCISION BONE CORTEX SHOULDER AREA||1323.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23031|23031 - I&D SHOULDER INFECTED BURSA||791.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23030|23030 - I&D SHOULDER DEEP ABSCESS/HEMATOMA||826.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23020|23020 - CAPSULAR CONTRACTURE RELEASE||1334.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|23000|23000 - REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN||1091.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22905|22905 - RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>||2611.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22904|22904 - RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM||2047.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22903|22903 - EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>||839.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22902|22902 - EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM||816.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22901|22901 - EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>||1286.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22900|22900 - EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM||1092.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22870|22870 - INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL||298.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22869|22869 - INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL||1126.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22868|22868 - INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL||512.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22867|22867 - INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL||2049.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22865|22865 - RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR||4021.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22864|22864 - RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL||3880.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22862|22862 - REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC LMBR||4176.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22861|22861 - REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV||4319.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22859|22859 - INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD||709.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22858|22858 - TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL||999.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22857|22857 - TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR||3574.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22856|22856 - TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV||3241.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22855|22855 - REMOVAL ANTERIOR INSTRUMENTATION||2182.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22854|22854 - INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD||709.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22853|22853 - INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD||548.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22852|22852 - REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION||1344.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22850|22850 - REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION||1406.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22849|22849 - REINSERTION SPINAL FIXATION DEVICE||2547.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22848|22848 - PELVIC FIXATION OTHER THAN SACRUM||707.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22847|22847 - ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS||1733.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22846|22846 - ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS||1509.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22845|22845 - ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS||1454.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22844|22844 - POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SE||1934.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22843|22843 - POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG||1605.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22842|22842 - POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG||1509.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22841|22841 - INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22840|22840 - POSTERIOR NON-SEGMENTAL INSTRUMENTATION||1507.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22830|22830 - EXPLORATION SPINAL FUSION||1580.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22819|22819 - KYPHECTOMY 3 OR MORE SEGMENTS||5345.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22818|22818 - KYPHECTOMY SINGLE OR TWO SEGMENTS||4268.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22812|22812 - ARTHRODESIS ANTERIOR SPINAL DFRM 8/> VRT SEG||4399.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22810|22810 - ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG||4008.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22808|22808 - ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG||3574.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22804|22804 - ARTHRODESIS POSTERIOR SPINAL DFRM 13/> VRT SEG||4738.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22802|22802 - ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG||4114.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22800|22800 - ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG||2651.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22634|22634 - ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG||980.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22633|22633 - ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR||3614.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22632|22632 - ARTHRODESIS POSTERIOR INTERBODY EA ADDL||630.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22630|22630 - ARTHRODESIS POSTERIOR INTERBODY LUMBAR||3025|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22614|22614 - ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL||773.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22612|22612 - ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR||3119.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22610|22610 - ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC||2453.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22600|22600 - ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM||2504.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22595|22595 - ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2||2924.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22590|22590 - ARTHRODESIS POSTERIOR CRANIOCERVICAL||3072.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22586|22586 - ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5-S1||3674|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22585|22585 - ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC||662.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22558|22558 - ARTHRODESIS ANTERIOR INTERBODY LUMBAR||3019.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22556|22556 - ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC||3262.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22554|22554 - ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2||2475.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22552|22552 - ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC||778.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22551|22551 - ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2||3351.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22548|22548 - ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD||3809.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22534|22534 - ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR||716.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22533|22533 - ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR||3277.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22532|22532 - ARTHRODESIS LATERAL EXTRACAVITARY THORACIC||3497.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22527|22527 - PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL||3582.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22526|22526 - PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL||4331.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22525|22525 - PERCUT KYPHOPLASTY ADD-ON||8192.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22524|22524 - PERCUT KYPHOPLASTY LUMBAR||13405.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22523|22523 - PERCUT KYPHOPLASTY THOR||13529.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22522|22522 - PERCUT VERTEBROPLASTY ADDL||449.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22521|22521 - PERCUT VERTEBROPLASTY LUMB||4150.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22520|22520 - PERCUT VERTEBROPLASTY THOR||4149.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22515|22515 - PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH||8163.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22514|22514 - PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR||13467.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22513|22513 - PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION||13543.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22512|22512 - VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL||1829.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22511|22511 - PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL||3263.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22510|22510 - PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC||3297.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22505|22505 - MANIPULATION SPINE REQUIRING ANESTHESIA||239.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22328|22328 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM EA||557.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22327|22327 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM TH||2893.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22326|22326 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM CR||2895.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22325|22325 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM LM||2802.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22319|22319 - OPTX&/RDCTJ ODNTD FX&/DISLC ANT W/INT FIXJ||3547.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22318|22318 - OPTX&/RDCTJ ODNTD FX&/DISLC ANT FIXJ W/O GRAFT||3177.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22315|22315 - CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ||1694.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22310|22310 - CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING||591.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22305|22305 - CLOSED TX SPINE PROCESS FX||364.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22226|22226 - OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM||721.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22224|22224 - OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR||3099.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22222|22222 - OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC||3051.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22220|22220 - OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV||3151.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22216|22216 - OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM||718.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22214|22214 - OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR||2889.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22212|22212 - OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC||2868.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22210|22210 - OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV||3452.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22208|22208 - OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM||1161.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22207|22207 - OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR||4690.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22206|22206 - OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC||4629.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22116|22116 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA||276.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22114|22114 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR||1934.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22112|22112 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC||2077.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22110|22110 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV||2101.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22103|22103 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA||281.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22102|22102 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR||1586.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22101|22101 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC||1720.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22100|22100 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV||1693.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22015|22015 - I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC||1747.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|22010|22010 - I&D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR||1841.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21936|21936 - RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>||2761.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21935|21935 - RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM||2004.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21933|21933 - EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/>||1430.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21932|21932 - EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM||1282.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21931|21931 - EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>||910.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21930|21930 - EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM||896.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21925|21925 - BIOPSY SOFT TISSUE BACK/FLANK DEEP||844.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21920|21920 - BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL||486.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21825|21825 - OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION||1069.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21820|21820 - CLOSED TREATMENT STERNUM FRACTURE||271|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21813|21813 - OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS||1973.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21812|21812 - OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS||1450.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21811|21811 - OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS||1209.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21810|21810 - TREATMENT OF RIB FRACTURE(S)||995.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21805|21805 - TREATMENT OF RIB FRACTURE||524.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21800|21800 - TREATMENT OF RIB FRACTURE||212.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21750|21750 - CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX||1361.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21740|21740 - REPAIR PECTUS EXCAVATUM/CARINATUM OPEN||2015.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21725|21725 - DIVISION STERNOCLEIDOMASTOID OPEN W/CAST||919.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21720|21720 - DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST||935.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21705|21705 - DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB||1101.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21700|21700 - DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB||734.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21685|21685 - HYOID MYOTOMY & SUSPENSION||1967.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21632|21632 - RADICAL RESECTION STERNUM W/MEDSTNL LMPHADEC||2397.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21630|21630 - RADICAL RESECTION STERNUM||2392.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21627|21627 - STERNAL DEBRIDEMENT||1055.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21620|21620 - OSTECTOMY STERNUM PARTIAL||993.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21616|21616 - EXCISION 1ST &/CERVICAL RIB W/SYMPATHECTOMY||1668.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21615|21615 - EXCISION 1ST &/CERVICAL RIB||1248.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21610|21610 - COSTOTRANSVERSECTOMY SEPARATE PROCEDURE||2322.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21600|21600 - EXCISION RIB PARTIAL||1088.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21558|21558 - RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>||2641.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21557|21557 - RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM||1880.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21556|21556 - EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM||1037.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21555|21555 - EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM||786.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21554|21554 - EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>||1420.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21552|21552 - EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>||862.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21550|21550 - BIOPSY SOFT TISSUE NECK/THORAX||494.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21510|21510 - INCISION DEEP OPENING BONE CORTEX THORAX||865.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21502|21502 - I&D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI||1034.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21501|21501 - I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX||860.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21497|21497 - INTERDENTAL WIRING OTHER THAN FRACTURE||1396.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21490|21490 - OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION||1828.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21485|21485 - CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ||1331.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21480|21480 - CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ||188.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21470|21470 - OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION||2385.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21465|21465 - OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE||1918.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21462|21462 - OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION||4261.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21461|21461 - OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION||4039.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21454|21454 - OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION||1140.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21453|21453 - CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION||1738.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21452|21452 - PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ||1171.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21451|21451 - CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION||1451|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21450|21450 - CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION||1154.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21445|21445 - OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX||1468.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21440|21440 - CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX||1101.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21436|21436 - OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE||4044.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21435|21435 - OPEN TX CRANIOFACIAL SEP COMP W/INT&/XTRNL FIX||2490.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21433|21433 - OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR||3451.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21432|21432 - OPEN TX CRANIOFACIAL SEP W/WIRING&/INT FIXJ||1283.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21431|21431 - CLOSED TX CRANIOFACIAL SEPARATION||1394.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21423|21423 - OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR||1615.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21422|21422 - OPEN TREATMENT PALATAL/MAXILLARY FRACTURE||1297.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21421|21421 - CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT||1457.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21408|21408 - OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT||1774.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21407|21407 - OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT||1281.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21406|21406 - OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT||1004.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21401|21401 - CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION||933.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21400|21400 - CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION||364.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21395|21395 - OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF||1928.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21390|21390 - OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC||1578.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21387|21387 - OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR||1435.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21386|21386 - OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL||1368|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21385|21385 - OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL||1334.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21366|21366 - OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT||2341.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21365|21365 - OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG||2196.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21360|21360 - OPEN TX DEPRESSED MALAR FRACTURE||1041.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21356|21356 - OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE||954.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21355|21355 - PERCUTANEOUS TX MALAR AREA FRACTURE||825.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21348|21348 - OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT||2311.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21347|21347 - OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN||2139.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21346|21346 - OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG & FXJ||1763.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21345|21345 - CLOSED TX NASOMAXILLARY COMPLEX FRACTURE||1493.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21344|21344 - OPEN TX COMPLICATED FRONTAL SINUS FRACTURE||3042.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21343|21343 - OPEN TX DEPRESSED FRONTAL SINUS FRACTURE||2358.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21340|21340 - PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE||1472.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21339|21339 - OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION||1492.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21338|21338 - OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION||1374.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21337|21337 - CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION||769.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21336|21336 - OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION||1239.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21335|21335 - OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM||1412.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21330|21330 - OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FI||1077.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21325|21325 - OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED||897.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21320|21320 - CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION||486.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21315|21315 - CLOSED TX NASAL FRACTURE W/O STABILIZATION||523.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21310|21310 - CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION||243.28|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21296|21296 - REDUCTION MASSETER MUSCLE & BONE INTRAORAL||888.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21295|21295 - REDUCTION MASSETER MUSCLE & BONE EXTRAORAL||390.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21282|21282 - LATERAL CANTHOPEXY||746.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21280|21280 - MEDIAL CANTHOPEXY SEPARATE PROCEDURE||1139.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21275|21275 - SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ||1647.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21270|21270 - MALAR AUGMENTATION PROSTHETIC MATERIAL||1851.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21268|21268 - ORBITAL REPOSITIONING W/BONE GRAFTS ICRA & XTRC||3515.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21267|21267 - ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL||3223.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21263|21263 - PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD||3697.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21261|21261 - PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA & XTR||4277.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21260|21260 - PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL||2605.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21256|21256 - RECONSTRUCTION ORBIT W/OSTEOTOMIES & BONE GRAFTS||2404.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21255|21255 - RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG||2699.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21249|21249 - RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE||2941.72|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21248|21248 - RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL||2136.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21247|21247 - RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS||3117.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21246|21246 - RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE||1616.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21245|21245 - RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL||2148.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21244|21244 - RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE||2080.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21243|21243 - ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT||3281.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21242|21242 - ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT||1979.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21240|21240 - ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT||2159.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21235|21235 - GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR||1389.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21230|21230 - GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR||1446.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21215|21215 - GRAFT BONE MANDIBLE||7689.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21210|21210 - GRAFT BONE NASAL/MAXILLARY/MALAR AREAS||4308.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21209|21209 - OSTEOPLASTY FACIAL BONES REDUCTION||1591.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21208|21208 - OSTEOPLASTY FACIAL BONES AUGMENTATION||3592.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21206|21206 - OSTEOTOMY MAXILLA SEGMENTAL||2343.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21199|21199 - OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT||2068.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21198|21198 - OSTEOTOMY MANDIBLE SEGMENTAL||2267.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21196|21196 - RCNSTJ MNDBLR RAMI&/BDY SGTL SPLT W/INT RGD FI||2890.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21195|21195 - RCNSTJ MNDBLR RAMI&/BODY SGTL SPLT W/O INT RGD||2609.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21194|21194 - RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT||2689.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21193|21193 - RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF||2543.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21188|21188 - RCNSTJ MDFC OTH/THN LEFORT OSTEOT & BONE GRAFTS||3077.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21184|21184 - RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF>80SQ||4391.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21183|21183 - RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF>40 <80||4680.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21182|21182 - RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF<40SQCM||3792.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21181|21181 - RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC||1410.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21180|21180 - RCNSTJ FOREHEAD &/ SUPRAORBITAL RIMS W/AUTOGRAFT||3028.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21179|21179 - RCNSTJ FOREHEAD &/ SUPRAORB RIMS W/ALGRF/PROSTC||3050.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21175|21175 - RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS & LWR FHD||4214.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21172|21172 - RCNSTJ SUPERIOR-LATERAL ORBITAL RIM & LOWER FHD||3672.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21160|21160 - RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I||5190.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21159|21159 - RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I||4936.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21155|21155 - RCNSTJ MIDFACE LEFORT III W/LEFORT I||4407.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21154|21154 - RCNSTJ MIDFACE LEFORT III W/O LEFORT I||4335.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21151|21151 - RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS||3983.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21150|21150 - RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION||3521.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21147|21147 - RCNSTJ MIDFACE LEFORT I 3/> PIECE W/BONE GRAFTS||2993.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21146|21146 - RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS||3410.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21145|21145 - RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS||2969.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21143|21143 - RCNSTJ MIDFACE LEFORT I 3/> PIECE W/O BONE GRAFT||2800.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21142|21142 - RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT||2759.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21141|21141 - RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT||2681.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21139|21139 - RDCTJ FHD CNTRG & SETBACK ANT FRONTAL SINUS WALL||2089.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21138|21138 - RDCTJ FHD CNTRG & PROSTHETIC MATRL/BONE GRAFT||1782.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21137|21137 - REDUCTION FOREHEAD CONTOURING ONLY||1475.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21127|21127 - AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL||7877.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21125|21125 - AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL||5695.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21123|21123 - GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS||1697.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21122|21122 - GENIOPLASTY 2/> SLIDING OSTEOTOMIES||1340.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21121|21121 - GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE||1461.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21120|21120 - GENIOPLASTY AUGMENTATION||1261.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21116|21116 - INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY||266.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21110|21110 - APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC||1523.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21100|21100 - APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX||1336.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21087|21087 - IMPRESSION & PREPARATION NASAL PROSTHESIS||3627.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21086|21086 - IMPRESSION & PREPARATION AURICULAR PROSTHESIS||3627.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21085|21085 - IMPRESSION & PREPARATION ORAL SURGICAL SPLINT||1605.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21084|21084 - IMPRESSION & PREPARATION SPEECH AID PROSTHESIS||3487.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21083|21083 - IMPRESSION & PREPARATION PALATAL LIFT PROSTHESIS||2987.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21082|21082 - IMPRESSION & PREPJ PALATAL AUGMENTATION PROSTHES||3212.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21081|21081 - IMPRESSION & PREPJ MANDIBULAR RESECTION PROSTHES||3391.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21080|21080 - IMPRESSION & PREPJ DEFINITIVE OBTURATOR PROSTHES||3673.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21079|21079 - IMPRESSION & PREPARATION INTERIM OBTURATOR PROST||3268.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21077|21077 - IMPRESSION & PREPARATION ORBITAL PROSTHESIS||4871.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21076|21076 - IMPRESSION&PREPARATION SURG OBTURATOR PROSTHES||1939.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21073|21073 - MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA||745.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21070|21070 - CORONOIDECTOMY SEPARATE PROCEDURE||1198.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21060|21060 - MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX||1615.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21050|21050 - CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX||1685.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21049|21049 - EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT&PRTL MAXLC||2395.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21048|21048 - EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT||2219.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21047|21047 - EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT&PRTL MNDB||2564.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21046|21046 - EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT||2159.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21045|21045 - EXCISION MALIGNANT TUMOR MANDIBLE RADICAL||2404.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21044|21044 - EXCISION MALIGNANT TUMOR MANDIBLE||1726.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21040|21040 - EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL & CURT||1003.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21034|21034 - EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA||2560.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21032|21032 - EXCISION MAXILLARY TORUS PALATINUS||760.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21031|21031 - EXCISION TORUS MANDIBULARIS||747.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21030|21030 - EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL & CURTG||996.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21029|21029 - REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE||1498.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21026|21026 - EXCISION FACIAL BONE||1179.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21025|21025 - EXCISION BONE MANDIBLE||1717.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21016|21016 - RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>||2024.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21015|21015 - RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM||1384.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21014|21014 - EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2 CM/>||1002.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21013|21013 - EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM||977.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21012|21012 - EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>||646.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21011|21011 - EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM||649.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|21010|21010 - ARTHROTOMY TEMPOROMANDIBULAR JOINT||1460.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20985|20985 - CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS||291.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20983|20983 - ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD||12729.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20982|20982 - ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE||6741.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20979|20979 - LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE||101.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20975|20975 - ELECTRICAL STIMULATION BONE HEALING INVASIVE||344.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20974|20974 - ELECTRICAL STIMULATION BONE HEALING NONINVASIVE||141.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20973|20973 - FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE||5548.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20972|20972 - FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL||4390.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20970|20970 - FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST||5617|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20969|20969 - FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE||5495.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20962|20962 - BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR||4344.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20957|20957 - BONE GRAFT MICROVASCULAR ANAST METATARSAL||4545.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20956|20956 - BONE GRAFT MICROVASCULAR ANAST ILIAC CREST||5190.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20955|20955 - BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA||4953.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20950|20950 - MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME||464.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20939|20939 - BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY||136.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20938|20938 - AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC||362.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20937|20937 - AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION||331.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20936|20936 - AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20931|20931 - ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL||221.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20930|20930 - ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20926|20926 - TISSUE GRAFTS OTHER||850.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20924|20924 - TENDON GRAFT FROM A DISTANCE||976.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20922|20922 - FASCIA LATA GRAFT INCISION & AREA EXPOSURE||1174.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20920|20920 - FASCIA LATA GRAFT BY STRIPPER||769.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20912|20912 - CARTILAGE GRAFT NASAL SEPTUM||937.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20910|20910 - CARTILAGE GRAFT COSTOCHONDRAL||797.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20902|20902 - BONE GRAFT ANY DONOR AREA MAJOR/LARGE||563.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20900|20900 - BONE GRAFT ANY DONOR AREA MINOR/SMALL||787.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20838|20838 - REPLANTATION FOOT COMPLETE AMPUTATION||5118.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20827|20827 - RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION||3560.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20824|20824 - RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION||4179.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20822|20822 - RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP||3561.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20816|20816 - RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP||3899.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20808|20808 - REPLANTATION HAND COMPLETE AMPUTATION||7788.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20805|20805 - REPLANTATION FOREARM COMPLETE AMPUTATION||6024.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20802|20802 - REPLANTATION ARM COMPLETE AMPUTATION||4585.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20697|20697 - XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT||3344.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20696|20696 - XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST & SUBQ||2207.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20694|20694 - REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES||806.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20693|20693 - ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES||871.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20692|20692 - APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM||2179.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20690|20690 - APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM||1155.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20680|20680 - REMOVAL IMPLANT DEEP||1174.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20670|20670 - REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE||700.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20665|20665 - REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL||201.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20664|20664 - APPL HALO 6/> PINS THIN SKULL OSTEOLOGY||1666.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20663|20663 - APPLICATION HALO FEMORAL INCLUDING REMOVAL||869.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20662|20662 - APPLICATION HALO PELVIC INCLUDING REMOVAL||851.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20661|20661 - APPLICATION HALO CRANIAL INCLUDING REMOVAL||962.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20660|20660 - APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX||476.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20650|20650 - INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX||389.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20615|20615 - ASPIRATION & INJECTION TREATMENT BONE CYST||460.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20612|20612 - ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ||114.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20611|20611 - ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US||177.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20610|20610 - ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US||115.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20606|20606 - ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US||153.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20605|20605 - ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US||95.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20604|20604 - ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT||138.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20600|20600 - ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US||91.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20555|20555 - PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT||658.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20553|20553 - INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES||121.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20552|20552 - INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES||105.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20551|20551 - INJECTION SINGLE TENDON ORIGIN/INSERTION||115.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20550|20550 - INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS||111.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20527|20527 - INJECTION ENZYME PALMAR FASCIAL CORD||158.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20526|20526 - INJECTION THERAPEUTIC CARPAL TUNNEL||145.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20525|20525 - RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP||896.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20520|20520 - REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE||384.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20501|20501 - INJECTION SINUS TRACT DIAGNOSTIC||218.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20500|20500 - INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC||200.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20251|20251 - BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL||818.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20250|20250 - BIOPSY VERTEBRAL BODY OPEN THORACIC||751.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20245|20245 - BIOPSY BONE OPEN DEEP||1209.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20240|20240 - BIOPSY BONE OPEN SUPERFICIAL||428.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20225|20225 - BIOPSY BONE TROCAR/NEEDLE DEEP||968.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20220|20220 - BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL||314.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20206|20206 - BIOPSY MUSCLE PERCUTANEOUS NEEDLE||433.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20205|20205 - BIOPSY MUSCLE DEEP||539.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20200|20200 - BIOPSY MUSCLE SUPERFICIAL||385.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20150|20150 - EXCISION EPIPHYSEAL BAR||1791.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20103|20103 - EXPLORATION PENETRATING WOUND SPX EXTREMITY||1098.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20102|20102 - EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK||920.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20101|20101 - EXPLORATION PENETRATING WOUND SPX CHEST||840.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20100|20100 - EXPLORATION PENETRATING WOUND SPX NECK||1192.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|20005|20005 - I&D SOFT TISSUE ABSCESS SUBFASC||589.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19396|19396 - PREPARATION MOULAGE CUSTOM BREAST IMPLANT||548.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19380|19380 - REVISION RECONSTRUCTED BREAST||1510.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19371|19371 - PERIPROSTHETIC CAPSULECTOMY BREAST||1534.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19370|19370 - OPEN PERIPROSTHETIC CAPSULOTOMY BREAST||1339.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19369|19369 - BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE||4049.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19368|19368 - BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST||4366.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19367|19367 - BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE||3542.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19366|19366 - BREAST RECONSTRUCTION OTHER TECHNIQUE||2768.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19364|19364 - BREAST RECONSTRUCTION FREE FLAP||5463.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19361|19361 - BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL||3110.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19357|19357 - BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ||2924.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19355|19355 - CORRECTION INVERTED NIPPLES||1334.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19350|19350 - NIPPLE/AREOLA RECONSTRUCTION||1579.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19342|19342 - DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ||1806.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19340|19340 - IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ||1969.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19330|19330 - REMOVAL MAMMARY IMPLANT MATERIAL||1235.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19328|19328 - REMOVAL INTACT MAMMARY IMPLANT||964.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19325|19325 - MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT||1259.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19324|19324 - MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT||942.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19318|19318 - REDUCTION MAMMAPLASTY||2172.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19316|19316 - MASTOPEXY||1507.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19307|19307 - MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN||2316.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19306|19306 - MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES||2320.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19305|19305 - MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES||2192.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19304|19304 - MASTECTOMY SUBCUTANEOUS||1099.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19303|19303 - MASTECTOMY SIMPLE COMPLETE||1960.09|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19302|19302 - MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY||1741.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19301|19301 - MASTECTOMY PARTIAL||1264.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19300|19300 - MASTECTOMY GYNECOMASTIA||985.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19298|19298 - PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST||1936.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19297|19297 - PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST||185.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19296|19296 - PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST||7178.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19294|19294 - PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY||334.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19288|19288 - PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID||1261.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19287|19287 - PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID||1592|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19286|19286 - PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE||717.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19285|19285 - PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG||861.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19284|19284 - PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC||375.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19283|19283 - PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE||516.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19282|19282 - PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE||313.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19281|19281 - PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE||456.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19272|19272 - EXC CHEST TUMOR W/RCNSTJ W/MEDSTNL LMPHADEC||3514.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19271|19271 - EXC CHEST TUMOR W/RCNSTJ W/O MEDSTNL LMPHADEC||3142.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19260|19260 - EXCISION CHEST WALL TUMOR INCLUDING RIBS||2347.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19126|19126 - EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL||318.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19125|19125 - EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES||1040.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19120|19120 - EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION||937.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19112|19112 - EXCISION LACTIFEROUS DUCT FISTULA||858.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19110|19110 - NIPPLE EXPLORATION||908.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19105|19105 - ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA||3502.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19101|19101 - BIOPSY BREAST OPEN INCISIONAL||637.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19100|19100 - BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX||281.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19086|19086 - BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID||1482.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19085|19085 - BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID||1870.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19084|19084 - BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID||988.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19083|19083 - BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID||1241.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19082|19082 - BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID||1002.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19081|19081 - BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID||1251.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19030|19030 - INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM||307.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19020|19020 - MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP||878.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19001|19001 - PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST||52.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|19000|19000 - PUNCTURE ASPIRATION CYST BREAST||209.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17380|17380 - ELECTROLYSIS EPILATION EACH 30 MINUTES||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17360|17360 - CHEMICAL EXFOLIATION ACNE||243.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17340|17340 - CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE||100.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17315|17315 - MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE||148.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17314|17314 - MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE||686.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17313|17313 - MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS||1144.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17312|17312 - MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE||716.16|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17311|17311 - MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS||1225.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17286|17286 - DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM||680.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17284|17284 - DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM||525.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17283|17283 - DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM||458.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17282|17282 - DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM||381.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17281|17281 - DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM||331.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17280|17280 - DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<||260.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17276|17276 - DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM||535.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17274|17274 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM||459.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17273|17273 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM||387.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17272|17272 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM||346.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17271|17271 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM||303.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17270|17270 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/>||278.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17266|17266 - DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM||434.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17264|17264 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM||381.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17263|17263 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM||354.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17262|17262 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM||324.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17261|17261 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM||265.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17260|17260 - DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<||175.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17250|17250 - CHEMICAL CAUTERIZATION OF GRANULATION TISSUE||146.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17111|17111 - DESTRUCTION BENIGN LESIONS 15/>||240.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17110|17110 - DESTRUCTION BENIGN LESIONS UP TO 14||201.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17108|17108 - DSTRJ CUTANEOUS VASCULAR LESIONS >50.0 SQ CM||1203.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17107|17107 - DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM||823.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17106|17106 - DESTRUCTION CUTANEOUS VASC PROLIFERATIVE <10CM||636.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17004|17004 - DESTRUCTION PREMALIGNANT LESION 15/>||278.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17003|17003 - DESTRUCTION PREMALIGNANT LESION 2-14 EA||18.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|17000|17000 - DESTRUCTION PREMALIGNANT LESION 1ST||139.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|16036|16036 - ESCHAROTOMY EACH ADDITIONAL INCISION||162.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|16035|16035 - ESCHAROTOMY FIRST INCISION||394.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|16030|16030 - DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE||355.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|16025|16025 - DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM||281.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|16020|16020 - DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL||153.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|16000|16000 - INITIAL TX 1ST DEGREE BURN LOCAL TX||132.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15958|15958 - EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC||2297.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15956|15956 - EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN||2270.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15953|15953 - EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY||1945.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15952|15952 - EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE||1782.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15951|15951 - EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY||1714.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15950|15950 - EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR||1145.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15946|15946 - EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN||3213.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15945|15945 - EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY||1909.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15944|15944 - EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE||1733.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15941|15941 - EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT||1758.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15940|15940 - EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE||1363.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15937|15937 - EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC||2033.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15936|15936 - EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR||1746.57|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15935|15935 - EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY||2128.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15934|15934 - EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR||1799.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15933|15933 - EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY||1654.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15931|15931 - EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE||1330.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15922|15922 - EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR||1524.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15920|15920 - EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR||1176.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15879|15879 - SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15878|15878 - SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15877|15877 - SUCTION ASSISTED LIPECTOMY TRUNK||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15876|15876 - SUCTION ASSISTED LIPECTOMY HEAD & NECK||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15860|15860 - IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT||220.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15852|15852 - DRESSING CHANGE UNDER ANESTHESIA||92.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15851|15851 - REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON||185.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15850|15850 - REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON||162.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15845|15845 - GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR||1989.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15842|15842 - GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG||5197.38|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15841|15841 - GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT||3155.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15840|15840 - GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT||1999.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15839|15839 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA||1694.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15838|15838 - EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD||1114.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15837|15837 - EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND||1520.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15836|15836 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM||1486.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15835|15835 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK||1838.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15834|15834 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP||1740.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15833|15833 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE LEG||1706.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15832|15832 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH||1791.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15830|15830 - EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY||2292.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15829|15829 - RHYTIDECTOMY SMAS FLAP||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15828|15828 - RHYTIDECTOMY CHEEK CHIN & NECK||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15826|15826 - RHYTIDECTOMY GLABELLAR FROWN LINES||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15825|15825 - RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15824|15824 - RHYTIDECTOMY FOREHEAD||0|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15823|15823 - BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN||1197.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15822|15822 - BLEPHAROPLASTY UPPER EYELID||863.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15821|15821 - BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD||1196.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15820|15820 - BLEPHAROPLASTY LOWER EYELID||1121.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15819|15819 - CERVICOPLASTY||1435.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15793|15793 - CHEMICAL PEEL NONFACIAL DERMAL||910.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15792|15792 - CHEMICAL PEEL NONFACIAL EPIDERMAL||792.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15789|15789 - CHEMICAL PEEL FACIAL DERMAL||1008.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15788|15788 - CHEMICAL PEEL FACIAL EPIDERMAL||848.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15787|15787 - ABRASION EACH ADDITIONAL 4 LESIONS OR LESS||91.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15786|15786 - ABRASION 1 LESION||465.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15783|15783 - DERMABRASION SUPERFICIAL ANY SITE||901.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15782|15782 - DERMABRASION REGIONAL OTHER THAN FACE||1180.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15781|15781 - DERMABRASION SEGMENTAL FACE||1038.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15780|15780 - DERMABRASION TOTAL FACE||1582.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15777|15777 - IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT||421.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15776|15776 - PUNCH GRAFT HAIR TRANSPLANT >15 PUNCH GRAFTS||911.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15775|15775 - PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS||561.59|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15770|15770 - GRAFT DERMA-FAT-FASCIA||1316.92|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15760|15760 - GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA||1631.9|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15758|15758 - FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS||4548.76|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15757|15757 - FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS||4547.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15756|15756 - FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST||4604.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15750|15750 - FLAP NEUROVASCULAR PEDICLE||1781.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15740|15740 - FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY||1933.42|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15738|15738 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR||2725.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15736|15736 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR||2547.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15734|15734 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK||2896.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15733|15733 - MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL||2093.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15732|15732 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP HEAD&NC||2506.35|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15731|15731 - FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE||2179.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15730|15730 - MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES||2984.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15650|15650 - TRANSFER ANY PEDICLE FLAP ANY LOCATION||955.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15630|15630 - DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS||861.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15620|15620 - DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F||825.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15610|15610 - DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS||659.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15600|15600 - DELAY FLAP/SECTIONING FLAP TRUNK||594.67|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15576|15576 - FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL||1545.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15574|15574 - FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F||1747.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15572|15572 - FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS||1689.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15570|15570 - FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK||1744.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15278|15278 - SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM ADL 100SQ CM||157.46|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15277|15277 - SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM||604.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15276|15276 - SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM||66.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15275|15275 - SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM||291.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15274|15274 - APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM||131.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15273|15273 - APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM||563.86|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15272|15272 - APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC||50.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15271|15271 - APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25||268.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15261|15261 - FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM/<||408.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15260|15260 - FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM/<||1922.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15241|15241 - FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM/<||350.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15240|15240 - FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM/<||1770.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15221|15221 - FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM/<||257.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15220|15220 - FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM/<||1457.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15201|15201 - FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM/<||279.73|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15200|15200 - FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM/<||1578.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15157|15157 - CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA||322.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15156|15156 - CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM||314.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15155|15155 - CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM/<||1356.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15152|15152 - CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1%BODY AREA||296.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15151|15151 - CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM||232.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15150|15150 - CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM/<||1328.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15136|15136 - DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA||180.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15135|15135 - DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100||1645.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15131|15131 - DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA||198.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15130|15130 - DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM||1293.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15121|15121 - SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 %||391.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15120|15120 - SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/</1 %||1631.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15116|15116 - EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM||295.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15115|15115 - EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/<||1670.83|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15111|15111 - EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD||222.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15110|15110 - EPIDRM AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD||1661.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15101|15101 - SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD||349.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15100|15100 - SPLIT AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD||1639.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15050|15050 - PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM||1069.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15040|15040 - HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<||480.58|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15005|15005 - PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT||240.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15004|15004 - PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT||765.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15003|15003 - PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT||143.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|15002|15002 - PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT||657.74|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14350|14350 - FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE||1388.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14302|14302 - ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM||438.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14301|14301 - ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM||2049.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14061|14061 - ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM||1916.23|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14060|14060 - ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/<||1479.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14041|14041 - ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM||1783.88|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14040|14040 - ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<||1444.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14021|14021 - ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM||1646.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14020|14020 - ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/<||1315.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14001|14001 - ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM||1510.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|14000|14000 - ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM/<||1173.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13160|13160 - SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC||1579.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13153|13153 - REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/<||369.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13152|13152 - REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM||950.33|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13151|13151 - REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM||791.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13133|13133 - REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<||338.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13132|13132 - REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM||890.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13131|13131 - REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM||720.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13122|13122 - REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<||252.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13121|13121 - REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM||795.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13120|13120 - REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM||651.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13102|13102 - REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<||229.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13101|13101 - REPAIR COMPLEX TRUNK 2.6-7.5 CM||735.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|13100|13100 - REPAIR COMPLEX TRUNK 1.1-2.5 CM||622.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12057|12057 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM||1058.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12056|12056 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM||1030.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12055|12055 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM||893.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12054|12054 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM||689.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12053|12053 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM||644.43|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12052|12052 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM||548.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12051|12051 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<||481.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12047|12047 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM||985.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12046|12046 - RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM||894.53|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12045|12045 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM||752.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12044|12044 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM||670.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12042|12042 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM||537.87|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12041|12041 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<||449.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12037|12037 - REPAIR INTERMEDIATE S/A/T/E >30.0 CM||901.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12036|12036 - REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM||798.66|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12035|12035 - REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM||721.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12034|12034 - REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM||582.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12032|12032 - REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM||560.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12031|12031 - REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<||439.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12021|12021 - TX SUPERFICIAL WOUND DEHISCENCE W/PACKING||317.41|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12020|12020 - TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE||538.3|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12018|12018 - SIMPLE REPAIR F/E/E/N/L/M >30.0 CM||349.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12017|12017 - SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM||309|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12016|12016 - SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM||407.03|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12015|12015 - SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM||327.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12014|12014 - SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM||268.01|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12013|12013 - SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM||226.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12011|12011 - SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<||206.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12007|12007 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM||444.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12006|12006 - SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM||381.68|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12005|12005 - SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM||317.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12004|12004 - SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM||243.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12002|12002 - SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM||205.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|12001|12001 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<||168.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11983|11983 - RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT||417.18|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11982|11982 - REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT||295.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11981|11981 - INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT||260.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11980|11980 - SUBCUTANEOUS HORMONE PELLET IMPLANTATION||199.05|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11976|11976 - REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES||277.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11971|11971 - REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS||880.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11970|11970 - REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS||1186.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11960|11960 - INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ||1794.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11954|11954 - SUBCUTANEOUS INJECTION FILLING MATRL >10.0 CC||302.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11952|11952 - SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC||259.84|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11951|11951 - SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC||196.97|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11950|11950 - SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<||144.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11922|11922 - TATTOOING INCL MICROPIGMENTATION EA 20.0 CM||115.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11921|11921 - TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM||375.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11920|11920 - TATTOOING INCL MICROPIGMENTATION 6.0 CM/<||322.47|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11901|11901 - INJECTION INTRALESIONAL >7 LESIONS||131.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11900|11900 - INJECTION INTRALESIONAL UP TO & INCLUD 7 LESIONS||103.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11772|11772 - EXCISION PILONIDAL CYST/SINUS COMPLICATED||1310.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11771|11771 - EXCISION PILONIDAL CYST/SINUS EXTENSIVE||1079.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11770|11770 - EXCISION PILONIDAL CYST/SINUS SIMPLE||521.61|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11765|11765 - WEDGE EXCISION SKIN NAIL FOLD||309.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11762|11762 - RECONSTRUCTION NAIL BED W/GRAFT||533.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11760|11760 - REPAIR NAIL BED||432.69|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11755|11755 - BIOPSY NAIL UNIT SEPARATE PROCEDURE||251.79|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11750|11750 - EXCISION NAIL MATRIX PERMANENT REMOVAL||424.13|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11740|11740 - EVACUATION SUBUNGUAL HEMATOMA||92.24|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11732|11732 - AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL||67.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11730|11730 - AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1||187.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11721|11721 - DEBRIDEMENT NAIL ANY METHOD 6/>||85.11|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11720|11720 - DEBRIDEMENT NAIL ANY METHOD 1-5||60.96|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11719|11719 - TRIMMING NONDYSTROPHIC NAILS ANY NUMBER||26.36|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11646|11646 - EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM||981.1|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11644|11644 - EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM||745.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11643|11643 - EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM||603.78|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11642|11642 - EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM||506.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11641|11641 - EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM||443.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11640|11640 - EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<||373.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11626|11626 - EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM||773.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11624|11624 - EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM||637.49|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11623|11623 - EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM||564.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11622|11622 - EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM||477.75|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11621|11621 - EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM||427.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11620|11620 - EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<||362.56|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11606|11606 - EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM||848.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11604|11604 - EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM||589.71|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11603|11603 - EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM||527.8|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11602|11602 - EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM||461.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11601|11601 - EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM||424.99|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11600|11600 - EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<||358.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11471|11471 - EXCISION H/P/P/U COMPLEX REPAIR||966.52|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11470|11470 - EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR||777.62|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11463|11463 - EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR||927.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11462|11462 - EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR||688.4|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11451|11451 - EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR||906.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11450|11450 - EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR||706.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11446|11446 - EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM||744.82|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11444|11444 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM||533.81|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11443|11443 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM||421.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11442|11442 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM||351.94|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11441|11441 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM||314.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11440|11440 - EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<||251.25|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11426|11426 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM||632.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11424|11424 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM||438.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11423|11423 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM||379.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11422|11422 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM||328.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11421|11421 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM||293.65|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11420|11420 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<||227.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11406|11406 - EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM||590.48|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11404|11404 - EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM||406.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11403|11403 - EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM||357.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11402|11402 - EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM||307.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11401|11401 - EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM||276.15|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11400|11400 - EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<||226.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11313|11313 - SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM||345.45|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11312|11312 - SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM||296.26|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11311|11311 - SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM||206.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11310|11310 - SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<||208.17|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11308|11308 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM||280.6|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11307|11307 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM||265.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11306|11306 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM||224.14|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11305|11305 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<||182.34|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11303|11303 - SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM||287.5|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11302|11302 - SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM||258.31|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11301|11301 - SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM||219.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11300|11300 - SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<||177.06|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11201|11201 - REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10||36.93|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11200|11200 - REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15||164.51|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11101|11101 - BIOPSY SKIN SUBQ&/MUCOUS MEMBRANE EA ADDL LESN||61.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11100|11100 - BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION||190.21|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11057|11057 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4||123.27|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11056|11056 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4||108.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11055|11055 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1||88.22|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11047|11047 - DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM||242.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11046|11046 - DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM||141.63|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11045|11045 - DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM||81.04|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11044|11044 - DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<||610.19|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11043|11043 - DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<||438.08|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11042|11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<||218.07|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11012|11012 - DBRDMT FX&/DISLC SUBQ T/M/F BONE||1342.64|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11011|11011 - DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC||1013.98|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11010|11010 - DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS||914.91|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11008|11008 - REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION||542.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11006|11006 - DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL||1393.44|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11005|11005 - DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL||1546.7|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11004|11004 - DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT&PR||1149.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11001|11001 - DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10% BDY SURF||40.85|0||0|10/01/2018
20-4114498|1750446506|SH 70003|11000|11000 - DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF||102.95|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10180|10180 - INCISION & DRAINAGE COMPLEX PO WOUND INFECTION||464.2|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10160|10160 - PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST||244.32|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10140|10140 - I&D HEMATOMA SEROMA/FLUID COLLECTION||306.02|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10121|10121 - INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL||517.54|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10120|10120 - INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE||283.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10081|10081 - INCISION & DRAINAGE PILONIDAL CYST COMPLICATED||508.77|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10080|10080 - INCISION & DRAINAGE PILONIDAL CYST SIMPLE||332.39|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10061|10061 - INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE||390.37|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10060|10060 - INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE||218.29|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10040|10040 - ACNE SURGERY||191.89|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10030|10030 - IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE||1443.55|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10022|10022 - FINE NEEDLE ASPIRATION WITH IMAGING GUIDANCE||263.12|0||0|10/01/2018
20-4114498|1750446506|SH 70003|10021|10021 - FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION||279.97|0||0|10/01/2018