Version 3.21 Update - Professional Services and Supplies Charge Table,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,, Item Code,Code Type,Description,Modifier,"Technical, Professional Indicator",Service Category Code,Primary/Bundled Indicator,Charge Type Indicator,Work Expense Units,Provider-Based Practice Expense Units,Non-Provider-Based Practice Expense Units,Total Expense Units, Anesthesia Base Units,Unit Charge,Base Charge,Unit Type,Facility Indicator,Outpatient Indicator,Inpatient Indicator,Skilled Nursing Facility Carveout,Freestanding Carve-out,Start Date,End Date 00100,CPT,ANESTHESIA SALIVARY GLANDS WITH BIOPSY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00102,CPT,ANESTHESIA CLEFT LIP INVOLVING PLASTIC REPAIR,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00103,CPT,ANESTHESIA EYELID RECONSTRUCTIVE PROCEDURE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00104,CPT,ANESTHESIA ELECTROCONVULSIVE THERAPY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00120,CPT,ANESTHESIA EXTERNAL MIDDLE & INNER EAR W/BX NOS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00124,CPT,ANES EXTERNAL MIDDLE & INNER EAR W/BX OTOSCOPY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00126,CPT,ANES XTRNL MID & INNER EAR W/BX TYMPANOTOMY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00140,CPT,ANESTHESIA EYE NOT OTHERWISE SPECIFIED,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00142,CPT,ANESTHESIA EYE LENS SURGERY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00144,CPT,ANESTHESIA EYE CORNEAL TRANSPLANT,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00145,CPT,ANESTHESIA EYE VITREORETINAL SURGERY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00147,CPT,ANESTHESIA EYE IRIDECTOMY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00148,CPT,ANESTHESIA EYE OPHTHALMOSCOPY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00160,CPT,ANESTHESIA NOSE & ACCESSORY SINUSES NOS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00162,CPT,ANES NOSE & ACCESSORY SINUSES RADICAL SURGERY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00164,CPT,ANES NOSE & ACCESSORY SINUSES BIOPSY SOFT TISSUE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00170,CPT,ANESTHESIA INTRAORAL WITH BIOPSY NOS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00172,CPT,ANES INTRAORAL W/BIOPSY REPAIR CLEFT PALATE,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00174,CPT,ANES INTRAORAL W/BX EXC RETROPHARYNGEAL TUMOR,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00176,CPT,ANESTHESIA INTRAORAL W/BIOPSY RADICAL SURGERY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00190,CPT,ANESTHESIA FACIAL BONES OR SKULL NOS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00192,CPT,ANES FACIAL BONES/SKULL RAD SURG W/PROGNATHISM,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00210,CPT,ANESTHESIA INTRACRANIAL PROCEDURE NOS,,,3,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00211,CPT,ANES INTRACRANIAL CRANIOTOMY/CRANIECTOMY HMTMA,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00212,CPT,ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00214,CPT,ANES INTRACRANIAL BURR HOLES W/VENTRICULOGRAPHY,,,3,,Anesth,,,,,9.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00215,CPT,ANES INTRACRANIAL/ELEVATION DEPRSD SKULL FX XDRL,,,3,,Anesth,,,,,9.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00216,CPT,ANESTHESIA INTRACRANIAL VASCULAR PROCEDURE,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00218,CPT,ANES INTRACRANIAL PROCEDURE IN SITTING POSITION,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00220,CPT,ANES INTRACRANIAL CEREBROSPINAL FLUID SHUNTING,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00222,CPT,ANES INTRACRANIAL ELECTROCOAGULATION ICRA NERVE,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00300,CPT,ANES INTEG MUSC & NRV HEAD NECK&POSTERIOR TRUNK,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00320,CPT,ANES ESOPH THYRD LARYNX TRACH & LYMPH NECK 1YR,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00322,CPT,ANES ESOPH THYRD LARX TRACH & LYMPH NCK BX THYRD,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00326,CPT,ANESTHESIA LARYNX & TRACHEA CHILDREN <1 YEAR,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00350,CPT,ANESTHESIA MAJOR VESSELS NECK NOS,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00352,CPT,ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00400,CPT,ANES INTEG EXTREMITIES ANT TRUNK & PERINEUM NOS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00402,CPT,ANESTHESIA RECONSTRUCTION BREAST,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00404,CPT,ANESTHESIA RADICAL/MODIFIED RADICAL BREAST,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00406,CPT,ANES RADICAL/MODIFIED RADICAL BREAST W/NODES,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00410,CPT,ANES INTEG SYS ELEC CONVERSION ARRHYTHMIAS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00450,CPT,ANESTHESIA CLAVICLE AND SCAPULA NOS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00454,CPT,ANESTHESIA CLAVICLE & SCAPULA BIOPSY CLAVICLE,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00470,CPT,ANESTHESIA PARTIAL RIB RESECTION NOS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00472,CPT,ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00474,CPT,ANESTHESIA PARTIAL RIB RESECTION RADICAL,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00500,CPT,ANESTHESIA ESOPHAGUS,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00520,CPT,ANESTHESIA CLOSED CHEST W/BRONCHOSCOPY NOS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00522,CPT,ANESTHESIA CLOSED CHEST NEEDLE BIOPSY PLEURA,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00524,CPT,ANESTHESIA CLOSED CHEST PNEUMOCENTESIS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00528,CPT,ANES MEDIASTINOSCOPY&THORACSCOPY W/O 1 LUNG VNTJ,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00529,CPT,ANES MEDIASTINOSCOPY&THORACOSCOPY W/1 LUNG VNT,,,3,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00530,CPT,ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00532,CPT,ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00534,CPT,ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00537,CPT,ANES CARDIAC ELECTROPHYSIOL STDY W/RF ABLATION,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00539,CPT,ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION,,,3,,Anesth,,,,,18.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00540,CPT,ANES THORACOTOMY & THORACOSCOPY NOS,,,3,,Anesth,,,,,12.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00541,CPT,ANES THORACOTOMY & THORACOSCOPY W/1 LUNG VNTJ,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00542,CPT,ANES THORACOTOMY & THORACOSCOPY DECORTICATION,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00546,CPT,ANES THORACOTOMY & THORACOSCOPY PULMONARY RESC,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00548,CPT,ANES THORACOTOMY &THORACSCOPY TRACHEA & BRONCHI,,,3,,Anesth,,,,,17.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00550,CPT,ANESTHESIA FOR STERNAL DEBRIDEMENT,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00560,CPT,ANES HRT PERICARDIAL SAC& GRT VESLS W/O PMP OXT,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00561,CPT,ANES HRT PERICARD SAC&GREAT VSLS W/PMP OXTJ <1YR,,,3,,Anesth,,,,,25.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00562,CPT,ANES HRT PERICRD SAC&GRT VSLS W/PMP OXTJ >1MO PO,,,3,,Anesth,,,,,20.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00563,CPT,ANES HRT PRCRD SAC & GREAT VSL W/PUMP OXTJ HYPTH,,,3,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00566,CPT,ANES DIRECT CABG W/O PUMP OXYGENATOR,,,3,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00567,CPT,ANES DIRECT CABG W/PUMP OXYGENATOR,,,3,,Anesth,,,,,18.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00580,CPT,ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT,,,3,,Anesth,,,,,20.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00600,CPT,ANESTHESIA CERVICAL SPINE & CORD NOS,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00604,CPT,ANES CERVICAL SPINE & CORD W/PATIENT SITTING,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00620,CPT,ANESTHESIA THORACIC SPINE & CORD NOS,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00625,CPT,ANES THRC SPINE & CORD ANT APPR W/O 1 LUNG VENTJ,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00626,CPT,ANES THORACIC SPINE & CORD ANT APPR W/1 LNG VENT,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00630,CPT,ANESTHESIA LUMBAR REGION NOS,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00632,CPT,ANESTHESIA LUMBAR REGION LUMBAR SYMPATHECTOMY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00635,CPT,ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00640,CPT,ANES MANIPULATE SPINE/CLSD CRV THORC/LUMBR SPINE,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00670,CPT,ANESTHESIA EXTENSIVE SPINE & SPINAL CORD,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00700,CPT,ANESTHESIA UPPER ANTERIOR ABDOMINAL WALL NOS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00702,CPT,ANES UPR ANT ABDL WALL PERCUTANEOUS LIVER BX,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00730,CPT,ANESTHESIA UPPER POSTERIOR ABDOMINAL WALL,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00740,CPT,ANES UPPER GI ENDOSCOPY PROXIMAL TO DUODENUM,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00750,CPT,ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00752,CPT,ANES HRNA RPR UPR ABD LMBR&VENTRAL HERNIA&DEHISC,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00754,CPT,ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00756,CPT,ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00770,CPT,ANESTHESIA MAJOR ABDOMINAL BLOOD VESSELS,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00790,CPT,ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00792,CPT,ANES LAPS PARTIAL HEPATECTOMY W/MGMT LIVER HEMOR,,,3,,Anesth,,,,,13.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00794,CPT,ANES LAPAROSCOPIC PARTIAL/TOTAL PANCREATECTOMY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00796,CPT,ANES LAPAROSCOPIC LIVER TRANSPLANT,,,3,,Anesth,,,,,30.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00797,CPT,ANES IPR UPPER ABDOMEN LAPS GASTRIC RSTCV MO,,,3,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00800,CPT,ANESTHESIA LOWER ANTERIOR ABDOMINAL WALL NOS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00802,CPT,ANES LOWER ANT ABDOMINAL WALL PANNICULECTOMY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00810,CPT,ANES LOWER INTESTINE ENDOSCOPY DISTAL DUODENUM,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00820,CPT,ANESTHESIA LOWER POSTERIOR ABDOMINAL WALL,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00830,CPT,ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00832,CPT,ANES LWR ABD VENTRAL & INCISIONAL HERNIA REPAIR,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00834,CPT,ANES HERNIA REPAIR LOWER ABDOMEN NOS & 1YR AGE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00836,CPT,ANES HRNA RPR LWR ABD NOS INFTS <37WK BRTH/50WK,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00840,CPT,ANESTHESIA INTRAPERITONEAL LOWER ABD W/LAPS NOS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00842,CPT,ANES IPER LOWER ABDOMEN W/LAPS AMNIOCENTESIS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00844,CPT,ANES IPER LOWER ABD W/LAPS ABDOMINOPRNL RESCJ,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00846,CPT,ANES IPER LOWER ABD W/LAPS RAD HYSTERECTOMY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00848,CPT,ANES IPER LOWER ABD W/LAPS PELVIC EXENTERATION,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00851,CPT,ANES IPER LWR ABD W/LAPS TUBAL LIGATION/TRANSECT,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00860,CPT,ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00862,CPT,ANES XTRPRTL LOWER ABD UR TRACT RENAL DON NFRCT,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00864,CPT,ANES XTRPRTL LWER ABD W/URINARY TRACT TOT CYSTEC,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00865,CPT,ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00866,CPT,ANES XTRPRTL LOWER ABD W/URIN TRACT ADRENLECTOMY,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00868,CPT,ANES XTRPRTL LWR ABD W/URIN TRACT RENAL TRANSPL,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00870,CPT,ANES XTRPRTL LWR ABD W/URIN TRACT CSTOLITHOTOMY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00872,CPT,ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00873,CPT,ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00880,CPT,ANESTHESIA MAJOR LOWER ABDOMINAL VESSELS NOS,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00882,CPT,ANES MAJOR LOWER ABDOMINAL VESSELS IVC LIGATION,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00902,CPT,ANESTHESIA ANORECTAL PROCEDURE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00904,CPT,ANESTHESIA RADICAL PERINEAL PROCEDURE,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00906,CPT,ANESTHESIA VULVECTOMY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00908,CPT,ANESTHESIA PERINEAL PROSTATECTOMY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00910,CPT,ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00912,CPT,ANES TRANSURETHRAL RESECTION OF BLADDER TUMOR,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00914,CPT,ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00916,CPT,ANES TRURL POST-TRURL RESECTION BLEEDING,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00918,CPT,ANES TRURL FRAGMNTJ MANJ&/RMVL URETERAL CALCULUS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00920,CPT,ANESTHESIA MALE GENITALIA INCL OPEN URETHRAL PX,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00921,CPT,ANES VASECTOMY UNI/BI INCL OPEN URETHRAL PX,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00922,CPT,ANES SEMINAL VESICLES INCL OPEN URETHRAL PX,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00924,CPT,ANES UNDSCND TESTIS UNI/BI INCL OPEN URTL PX,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00926,CPT,ANES RAD ORCHIECTOMY INGUN INCL OPEN URTL PX,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00928,CPT,ANES RAD ORCHIECTOMY ABDOMINAL INCL OPN URTL,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00930,CPT,ANES ORCHIOPEXY UNI/BI INCL OPEN URETHRAL PX,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00932,CPT,ANES COMPLETE AMPUTATION PENIS INCL OPEN URTL,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00934,CPT,ANES RAD AMP PENIS W/BI INGUINAL LYMPH NODE RMVL,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00936,CPT,ANES RAD AMP PENIS W/BI INGUNL&ILIAC LYMPH RMOVL,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00938,CPT,ANES INSJ PENILE PROSTH PRNL INCL OPEN URTL,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00940,CPT,ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00942,CPT,ANES COLPTMY VAGNC COLPRPHY INCL BX W/OPN URTL,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00944,CPT,ANESTHESIA VAGINAL HYSTERECTOMY INCL BIOPSY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 00948,CPT,ANESTHESIA CERVICAL CERCLAGE INCLUDING BIOPSY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00950,CPT,ANESTHESIA CULDOSCOPY INCLUDING BIOPSY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 00952,CPT,ANES HYSTEROSCOPY&/HYSTEROSALPINGOGRAPHY W/BX,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01112,CPT,ANES BONE MARROW ASPIR&/BX ANT/PST ILIAC CREST,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01120,CPT,ANESTHESIA ON BONY PELVIS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01130,CPT,ANESTHESIA BODY CAST APPLICATION OR REVISION,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01140,CPT,ANESTHESIA INTERPELVI ABDOMINAL AMPUTATION,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01150,CPT,ANES RADICAL TUMOR PELVIS XCP HINDQUARTER AMP,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01160,CPT,ANES CLOSED SYMPHYSIS PUBIS/SACROILIAC JOINT,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01170,CPT,ANES OPEN SYMPHYSIS PUBIS/SACROILIAC JOINT,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01173,CPT,ANES OPN RPR DISRPJ PELVIS/COLUMN FX ACETABULUM,,,3,,Anesth,,,,,12.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01180,CPT,ANESTHESIA OBTURATOR NEURECTOMY EXTRAPELVIC,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01190,CPT,ANESTHESIA OBTURATOR NEURECTOMY INTRAPELVIC,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01200,CPT,ANESTHESIA CLOSED HIP JOINT PROCEDURE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01202,CPT,ANESTHESIA ARTHROSCOPIC HIP JOINT PROCEDURE,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01210,CPT,ANESTHESIA OPEN HIP JOINT PROCEDURE NOS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01212,CPT,ANESTHESIA OPEN HIP JOINT DISARTICULATION,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01214,CPT,ANESTHESIA OPEN TOTAL HIP ARTHROPLASTY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01215,CPT,ANESTHESIA OPEN REVISION TOTAL HIP ARTHROPLASTY,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01220,CPT,ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01230,CPT,ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01232,CPT,ANESTHESIA UPPER 2/3 FEMUR AMPUTATION,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01234,CPT,ANES UPPER 2/3 FEMUR RADICAL RESCECTION,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01250,CPT,ANES NERVE MUSC TENDON FASCIA & BURSAE UPPER LEG,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01260,CPT,ANES VEINS OF UPPER LEG INCLUDING EXPLORATION,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01270,CPT,ANESTHESIA ARTERIES UPPER LEG INCL BYPASS GRAFT,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01272,CPT,ANES ART UPPER LEG W/BYPASS GRAFT FEM ART LIG,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01274,CPT,ANES UPPER LEG W/BYPASS GRFT FEM ART EMBOLECTOMY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01320,CPT,ANES NERVE MUSC TENDON FASCIA&BURSA KNEE&/POPLT,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01340,CPT,ANESTHESIA CLOSED PROCEDURES LOWER 1/3 FEMUR,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01360,CPT,ANESTHESIA OPEN PROCEDURES LOWER 1/3 FEMUR,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01380,CPT,ANESTHESIA CLOSED PROCEDURES KNEE JOINT,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01382,CPT,ANESTH DIAGNOSTIC ARTHROSCOPIC PROC KNEE JOINT,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01390,CPT,ANES CLOSED PROC UPPER END TIBIA FIBULA/PATELLA,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01392,CPT,ANES OPEN PROC UPPER ENDS TIBIA FIBULA&/PATELLA,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01400,CPT,ANES OPEN/SURG ARTHROSCOPIC PROC KNEE JOINT NOS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01402,CPT,ANESTH OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01404,CPT,ANESTH OPEN/SURG ARTHRS KNEE DISARTICULATION,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01420,CPT,ANES CAST APPLICATION REMOVAL/REPAIR KNEE JOINT,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01430,CPT,ANESTHESIA VEINS KNEE & POPLITEAL AREA NOS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01432,CPT,ANES KNEE & POPLITEAL ARTERY VEIN FISTULA NOS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01440,CPT,ANES ARTERIES OF KNEE & POPLITEAL AREA NOS,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01442,CPT,ANES ART KNEE POPLITEAL TEAEC W/WO PATCH GRAFT,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01444,CPT,ANES ART KNEE POPLITEAL EXC&GRF/RPR OCCLS/ARYS,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01462,CPT,ANESTHESIA CLOSED PROC LOWER LEG ANKLE & FOOT,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01464,CPT,ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE & FOOT,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01470,CPT,ANES NRV/MUS/TND/FASC LOWER LEG/ANKLE/FOOT NOS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01472,CPT,ANES RPR RUPTURED ACHILLES TENDON W/WO GRAFT,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01474,CPT,ANESTHESIA GASTROCNEMIUS RECESSION,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01480,CPT,ANES OPEN PROC BONES LOWER LEG/ANKLE/FOOT NOS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01482,CPT,ANES RADICAL RESECJ INCL BELOW KNEE AMPUTATION,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01484,CPT,ANES OPEN OSTEOTOMY/OSTEOPLASTY TIBIA&/FIBULA,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01486,CPT,ANESTHESIA OPEN TOTAL ANKLE REPLACEMENT,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01490,CPT,ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01500,CPT,ANESTHESIA ARTERIES LOWER LEG W/BYPASS GRAFT NOS,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01502,CPT,ANES ART LOWER LEG W/BYP GRAFT EMBLC DIR/W/CATH,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01520,CPT,ANESTHESIA VEINS OF LOWER LEG NOS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01522,CPT,ANES VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01610,CPT,ANES NRV MUSC TNDN FSCIA BURSA SHOULDER & AXILLA,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01620,CPT,ANES CLOSED HUMRL H/N STRNCLAV JOINT& SHO JOINT,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01622,CPT,ANES DIAG ARTHROSCOPIC SHOULDER JOINT PROC NOS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01630,CPT,ANES ARTHRS HUMERAL H/N STRNCLAV & SHOULDER NOS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01634,CPT,ANESTHESIA ARTHROSCOPIC SHOULDER DISARTICULATION,,,3,,Anesth,,,,,9.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01636,CPT,ANES ARTHRS INTERTHORACOSCAPULAR AMPUTATION,,,3,,Anesth,,,,,15.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01638,CPT,ANES ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01650,CPT,ANESTHESIA ARTERIES SHOULDER & AXILLA NOS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01652,CPT,ANESTHESIA AXILLARY-BRACHIAL ANEURYSM,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01654,CPT,ANES ARTERIES SHOULDER & AXILLA BYPASS GRAFT,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01656,CPT,ANESTHESIA AXILLARY-FEMORAL BYPASS GRAFT,,,3,,Anesth,,,,,10.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01670,CPT,ANESTHESIA VEINS SHOULDER & AXILLA,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01680,CPT,ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01682,CPT,ANES SHOULDER SPICA APPLICATION REMOVAL/REPAIR,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01710,CPT,ANES NRV MUSC TDN FSCA&BRS UPR ARM/ELBOW NOS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01712,CPT,ANESTHESIA OPEN TENOTOMY ELBOW TO SHOULDER,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01714,CPT,ANESTHESIA TENOPLASTY ELBOW TO SHOULDER,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01716,CPT,ANESTHESIA BICEPS TENODESIS RUPTURE LONG TENDON,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01730,CPT,ANESTHESIA CLOSED PROCEDURES HUMERUS & ELBOW,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01732,CPT,ANESTHESIA ELBOW JOINT DIAGNOSTIC ARTHROSCOPIC,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01740,CPT,ANES OPEN/SURG ARTHROSCOPIC ELBOW PROC NOS,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01742,CPT,ANESTHESIA OPEN/SURG ARTHRS OSTEOTOMY HUMERUS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01744,CPT,ANES OPEN/SURG ARTHRS REPRS NON/MALUNION HUMERUS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01756,CPT,ANESTHESIA OPEN/SURG ARTHRS RADICAL PROC ELBOW,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01758,CPT,ANESTH OPEN/SURG ARTHRS EXC CYST/TUMOR HUMERUS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01760,CPT,ANESTH OPEN/SURG ARTHRS TOTAL ELBOW REPLACEMENT,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01770,CPT,ANESTHESIA ARTERIES UPPER ARM & ELBOW NOS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01772,CPT,ANESTHESIA ARTERIES UPPER ARM&ELBOW EMBOLECTOM,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01780,CPT,ANESTH CLOSED PROC RADIUS ULNA WRIST/HAND BONES,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01782,CPT,ANESTHESIA VEINS UPPER ARM & ELBOW PHLEBORRHAPHY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01810,CPT,ANES NERVE MUSCLE TDN FASCIA&BURSA FOREARM WRIST,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01820,CPT,ANES RADIUS ULNA WRIST/HAND BONES CLOSED PX,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01829,CPT,ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PROC WRIST,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01830,CPT,ANES ARTHRS/ENDSCPY DSTL RADIUS ULNA/WRIST/HAND,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01832,CPT,ANESTHESIA ARTHRS/ENDOSCPIC TOTAL WRIST REPLCMT,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01840,CPT,ANESTHESIA ARTERIES FOREARM WRIST & HAND NOS,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01842,CPT,ANES ARTERIES FOREARM WRIST & HAND EMBOLECTOMY,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01844,CPT,ANESTHESIA VASCULAR SHUNT/SHUNT REVISION,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01850,CPT,ANESTHESIA VEINS FOREARM WRIST & HAND NOS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01852,CPT,ANES VEINS FOREARM WRIST & HAND PHLEBORRHAPHY,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01860,CPT,ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01916,CPT,ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPH,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01920,CPT,ANES C-CATHJ W/C ANGIOGRAPHY & VENTRICULOGRAPHY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01922,CPT,ANES NON-INVASIVE IMAGING/RADIATION THERAPY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01924,CPT,ANESTHESIA THER IVNTL RADIOLOGICAL ARTERIAL,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01925,CPT,ANESTHESIA CAROTID/CORONARY THER IVNTL RAD,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01926,CPT,ANES ICRA ICAR/AORTIC THER IVNTL RAD ARTL,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01930,CPT,ANES VENOUS/LYMPHATIC NOS THER IVNTL RAD NOS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01931,CPT,ANESTHESIA INTRAHEPATIC/PORTAL THER IVNTL RAD,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01932,CPT,ANESTHESIA INTRATHORACIC/JUGULAR THER IVNTL RAD,,,3,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01933,CPT,ANES INTRACRANIAL THER IVNTL RAD VENS/LYMPHTC,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01935,CPT,ANESTHESIA PERQ IMAGE GUIDED SPINE DIAGNOSTIC,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01936,CPT,ANESTHESIA PERQ IMAGE GUIDED SPINE THERAPEUTIC,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01951,CPT,ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4 % TBSA,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01952,CPT,ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4-9 % TBSA,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01953,CPT,ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRF EA 9% TBS,,,3,,Anesth,,,,,1.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01958,CPT,ANESTHESIA EXTERNAL CEPHALIC VERSION,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01960,CPT,ANESTHESIA VAGINAL DELIVERY ONLY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01961,CPT,ANESTHESIA CESAREAN DELIVERY ONLY,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01962,CPT,ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01963,CPT,ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE,,,3,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01965,CPT,ANESTHESIA INCOMPLETE/MISSED ABORTION,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01966,CPT,ANESTHESIA INDUCED ABORTION,,,3,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01967,CPT,NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01968,CPT,ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES,,,3,,Anesth,,,,,2.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01969,CPT,ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01990,CPT,PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT,,,3,,Anesth,,,,,7.0,$1.00,$0.00,3,0,0,1,1,1,20170101, 01991,CPT,ANES DX/THER NRV BLK/NJX OTH/THN PRONE POS,,,3,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01992,CPT,ANES DX/THER NERVE BLOCK/INJECTION PRONE POS,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 01996,CPT,DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN,,,3,,TotalUnits,,,,2.66 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 01999,CPT,UNLISTED ANESTHESIA PROCEDURE,,,3,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20170101, 10021,CPT,FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE,,,21,,RBRVS,1.27 ,0.56 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10022,CPT,FINE NEEDLE ASPIRATION WITH IMAGING GUIDANCE,,,21,,RBRVS,1.27 ,0.48 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10030,CPT,IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,,,21,,RBRVS,3.00 ,1.17 ,18.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10035,CPT,PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE,,,21,,RBRVS,1.70 ,0.63 ,13.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10036,CPT,PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE,,,21,,RBRVS,0.85 ,0.32 ,12.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 10040,CPT,ACNE SURGERY,,,21,,RBRVS,1.21 ,1.13 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10060,CPT,INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,,,21,,RBRVS,1.22 ,1.41 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10061,CPT,INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE,,,21,,RBRVS,2.45 ,2.37 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10080,CPT,INCISION & DRAINAGE PILONIDAL CYST SIMPLE,,,21,,RBRVS,1.22 ,1.53 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10081,CPT,INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,,,21,,RBRVS,2.50 ,2.00 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10120,CPT,INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,,,21,,RBRVS,1.22 ,1.59 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10121,CPT,INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL,,,21,,RBRVS,2.74 ,2.17 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10140,CPT,I&D HEMATOMA SEROMA/FLUID COLLECTION,,,21,,RBRVS,1.58 ,1.60 ,2.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10160,CPT,PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,,,21,,RBRVS,1.25 ,1.33 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 10180,CPT,INCISION & DRAINAGE COMPLEX PO WOUND INFECTION,,,21,,RBRVS,2.30 ,2.33 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11000,CPT,DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF,,,21,,RBRVS,0.60 ,0.17 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11001,CPT,DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10% BDY SURF,,,21,,RBRVS,0.30 ,0.08 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11004,CPT,DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT&PR,,,21,,RBRVS,10.80 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 11005,CPT,DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL,,,21,,RBRVS,14.24 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 11006,CPT,DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL,,,21,,RBRVS,13.10 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 11008,CPT,REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION,,,21,,RBRVS,5.00 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 11010,CPT,DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,,,21,,RBRVS,4.19 ,3.09 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11011,CPT,DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,,,21,,RBRVS,4.94 ,2.70 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11012,CPT,DBRDMT FX&/DISLC SUBQ T/M/F BONE,,,21,,RBRVS,6.87 ,4.03 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11042,CPT,DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<,,,21,,RBRVS,1.01 ,0.64 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11043,CPT,DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,,,21,,RBRVS,2.70 ,1.37 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11044,CPT,DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,,,21,,RBRVS,4.10 ,1.90 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11045,CPT,DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,,,21,,RBRVS,0.50 ,0.18 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11046,CPT,DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,,,21,,RBRVS,1.03 ,0.40 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11047,CPT,DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,,,21,,RBRVS,1.80 ,0.73 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11055,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,,,21,,RBRVS,0.35 ,0.09 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11056,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,,,21,,RBRVS,0.50 ,0.12 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11057,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4,,,21,,RBRVS,0.65 ,0.16 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11100,CPT,BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,,,21,,RBRVS,0.81 ,0.48 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11101,CPT,BIOPSY SKIN SUBQ&/MUCOUS MEMBRANE EA ADDL LESN,,,21,,RBRVS,0.41 ,0.25 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11200,CPT,REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15,,,21,,RBRVS,0.82 ,1.16 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11201,CPT,REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10,,,21,,RBRVS,0.29 ,0.15 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11300,CPT,SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<,,,21,,RBRVS,0.60 ,0.33 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11301,CPT,SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM,,,21,,RBRVS,0.90 ,0.52 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11302,CPT,SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM,,,21,,RBRVS,1.05 ,0.61 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11303,CPT,SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM,,,21,,RBRVS,1.25 ,0.71 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11305,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<,,,21,,RBRVS,0.80 ,0.26 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11306,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM,,,21,,RBRVS,0.96 ,0.42 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11307,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM,,,21,,RBRVS,1.20 ,0.57 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11308,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM,,,21,,RBRVS,1.46 ,0.52 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11310,CPT,SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<,,,21,,RBRVS,0.80 ,0.45 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11311,CPT,SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM,,,21,,RBRVS,1.10 ,0.63 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11312,CPT,SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM,,,21,,RBRVS,1.30 ,0.76 ,3.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11313,CPT,SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM,,,21,,RBRVS,1.68 ,0.96 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11400,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<,,,21,,RBRVS,0.90 ,1.26 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11401,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,,,21,,RBRVS,1.28 ,1.49 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11402,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,,,21,,RBRVS,1.45 ,1.58 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11403,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM/<,,,21,,RBRVS,1.84 ,2.06 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11404,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM,,,21,,RBRVS,2.11 ,2.15 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11406,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,,,21,,RBRVS,3.52 ,2.85 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11420,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,,,21,,RBRVS,1.03 ,1.18 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11421,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,,,21,,RBRVS,1.47 ,1.47 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11422,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,,,21,,RBRVS,1.68 ,1.94 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11423,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,,,21,,RBRVS,2.06 ,2.11 ,3.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11424,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM,,,21,,RBRVS,2.48 ,2.25 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11426,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM,,,21,,RBRVS,4.09 ,3.05 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11440,CPT,EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,,,21,,RBRVS,1.05 ,1.76 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11441,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,,,21,,RBRVS,1.53 ,2.00 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11442,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM,,,21,,RBRVS,1.77 ,2.11 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11443,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,,,21,,RBRVS,2.34 ,2.39 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11444,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM,,,21,,RBRVS,3.19 ,2.80 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11446,CPT,EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM,,,21,,RBRVS,4.80 ,3.76 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11450,CPT,EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR,,,21,,RBRVS,3.22 ,3.31 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11451,CPT,EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR,,,21,,RBRVS,4.43 ,3.95 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11462,CPT,EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR,,,21,,RBRVS,3.00 ,3.27 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11463,CPT,EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR,,,21,,RBRVS,4.43 ,4.01 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11470,CPT,EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR,,,21,,RBRVS,3.74 ,3.57 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11471,CPT,EXCISION H/P/P/U COMPLEX REPAIR,,,21,,RBRVS,4.89 ,4.23 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11600,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<,,,21,,RBRVS,1.63 ,1.55 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11601,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,,,21,,RBRVS,2.07 ,1.89 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11602,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM,,,21,,RBRVS,2.27 ,2.08 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11603,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM/<,,,21,,RBRVS,2.82 ,2.36 ,4.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11604,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM,,,21,,RBRVS,3.17 ,2.50 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11606,CPT,EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM,,,21,,RBRVS,5.02 ,3.29 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11620,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,,,21,,RBRVS,1.64 ,1.57 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11621,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM,,,21,,RBRVS,2.08 ,1.91 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11622,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM,,,21,,RBRVS,2.41 ,2.15 ,4.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11623,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM/<,,,21,,RBRVS,3.11 ,2.50 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11624,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM,,,21,,RBRVS,3.62 ,2.70 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11626,CPT,EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM,,,21,,RBRVS,4.61 ,3.06 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11640,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<,,,21,,RBRVS,1.67 ,1.66 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11641,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM,,,21,,RBRVS,2.17 ,1.99 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11642,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM,,,21,,RBRVS,2.62 ,2.27 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11643,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM,,,21,,RBRVS,3.42 ,2.67 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11644,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM,,,21,,RBRVS,4.34 ,3.17 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11646,CPT,EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM,,,21,,RBRVS,6.26 ,4.11 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11719,CPT,TRIMMING NONDYSTROPHIC NAILS ANY NUMBER,,,21,,RBRVS,0.17 ,0.04 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11720,CPT,DEBRIDEMENT NAIL ANY METHOD 1-5,,,21,,RBRVS,0.32 ,0.08 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11721,CPT,DEBRIDEMENT NAIL ANY METHOD 6/>,,,21,,RBRVS,0.54 ,0.13 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11730,CPT,AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,,,21,,RBRVS,1.10 ,0.28 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11732,CPT,AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,,,21,,RBRVS,0.44 ,0.11 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11740,CPT,EVACUATION SUBUNGUAL HEMATOMA,,,21,,RBRVS,0.37 ,0.53 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11750,CPT,EXCISION NAIL MATRIX PERMANENT REMOVAL,,,21,,RBRVS,1.58 ,2.31 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11755,CPT,BIOPSY NAIL UNIT SEPARATE PROCEDURE,,,21,,RBRVS,1.31 ,0.82 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11760,CPT,REPAIR NAIL BED,,,21,,RBRVS,1.63 ,1.51 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11762,CPT,RECONSTRUCTION NAIL BED W/GRAFT,,,21,,RBRVS,2.94 ,2.05 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11765,CPT,WEDGE EXCISION SKIN NAIL FOLD,,,21,,RBRVS,1.22 ,1.37 ,3.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11770,CPT,EXCISION PILONIDAL CYST/SINUS SIMPLE,,,21,,RBRVS,2.66 ,2.09 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11771,CPT,EXCISION PILONIDAL CYST/SINUS EXTENSIVE,,,21,,RBRVS,6.09 ,5.01 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11772,CPT,EXCISION PILONIDAL CYST/SINUS COMPLICATED,,,21,,RBRVS,7.35 ,7.55 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11900,CPT,INJECTION INTRALESIONAL UP TO & INCLUD 7 LESIONS,,,21,,RBRVS,0.52 ,0.31 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11901,CPT,INJECTION INTRALESIONAL >7 LESIONS,,,21,,RBRVS,0.80 ,0.48 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11920,CPT,TATTOOING INCL MICROPIGMENTATION 6.0 CM/<,,,21,,RBRVS,1.61 ,1.39 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11921,CPT,TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM,,,21,,RBRVS,1.93 ,1.61 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11922,CPT,TATTOOING INCL MICROPIGMENTATION EA 20.0 CM,,,21,,RBRVS,0.49 ,0.28 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11950,CPT,SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<,,,21,,RBRVS,0.84 ,0.55 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11951,CPT,SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC,,,21,,RBRVS,1.19 ,0.66 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11952,CPT,SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC,,,21,,RBRVS,1.69 ,0.84 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11954,CPT,SUBCUTANEOUS INJECTION FILLING MATRL >10.0 CC,,,21,,RBRVS,1.85 ,1.13 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11960,CPT,INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,,,21,,RBRVS,11.49 ,13.62 ,13.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11970,CPT,REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS,,,21,,RBRVS,8.01 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11971,CPT,REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS,,,21,,RBRVS,3.41 ,5.13 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11976,CPT,REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES,,,21,,RBRVS,1.78 ,0.70 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11980,CPT,SUBCUTANEOUS HORMONE PELLET IMPLANTATION,,,21,,RBRVS,1.10 ,0.39 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11981,CPT,INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,,,21,,RBRVS,1.48 ,0.63 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11982,CPT,REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,,,21,,RBRVS,1.78 ,0.79 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 11983,CPT,RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT,,,21,,RBRVS,3.30 ,1.25 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12001,CPT,SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,,,21,,RBRVS,0.84 ,0.32 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12002,CPT,SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,,,21,,RBRVS,1.14 ,0.38 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12004,CPT,SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,,,21,,RBRVS,1.44 ,0.45 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12005,CPT,SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,,,21,,RBRVS,1.97 ,0.47 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12006,CPT,SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,,,21,,RBRVS,2.39 ,0.60 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12007,CPT,SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,,,21,,RBRVS,2.90 ,0.85 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12011,CPT,SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,,,21,,RBRVS,1.07 ,0.36 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12013,CPT,SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM,,,21,,RBRVS,1.22 ,0.27 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12014,CPT,SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM,,,21,,RBRVS,1.57 ,0.35 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12015,CPT,SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM,,,21,,RBRVS,1.98 ,0.43 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12016,CPT,SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM,,,21,,RBRVS,2.68 ,0.61 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12017,CPT,SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM,,,21,,RBRVS,3.18 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12018,CPT,SIMPLE REPAIR F/E/E/N/L/M >30.0 CM,,,21,,RBRVS,3.61 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12020,CPT,TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,,,21,,RBRVS,2.67 ,2.37 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12021,CPT,TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,,,21,,RBRVS,1.89 ,1.82 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12031,CPT,REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,,,21,,RBRVS,2.00 ,2.08 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12032,CPT,REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM,,,21,,RBRVS,2.52 ,2.70 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12034,CPT,REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,,,21,,RBRVS,2.97 ,2.49 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12035,CPT,REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,,,21,,RBRVS,3.50 ,2.81 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12036,CPT,REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,,,21,,RBRVS,4.23 ,3.01 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12037,CPT,REPAIR INTERMEDIATE S/A/T/E >30.0 CM,,,21,,RBRVS,5.00 ,3.47 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12041,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,,,21,,RBRVS,2.10 ,1.91 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12042,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,,,21,,RBRVS,2.79 ,2.55 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12044,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,,,21,,RBRVS,3.19 ,2.50 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12045,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,,,21,,RBRVS,3.75 ,3.42 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12046,CPT,RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,,,21,,RBRVS,4.30 ,3.62 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12047,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,,,21,,RBRVS,4.95 ,3.95 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12051,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<,,,21,,RBRVS,2.33 ,2.24 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12052,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM,,,21,,RBRVS,2.87 ,2.56 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12053,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM,,,21,,RBRVS,3.17 ,2.61 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12054,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM,,,21,,RBRVS,3.50 ,2.37 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12055,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM,,,21,,RBRVS,4.50 ,3.60 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12056,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM,,,21,,RBRVS,5.30 ,4.69 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 12057,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM,,,21,,RBRVS,6.00 ,4.56 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13100,CPT,REPAIR COMPLEX TRUNK 1.1-2.5 CM,,,21,,RBRVS,3.00 ,2.47 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13101,CPT,REPAIR COMPLEX TRUNK 2.6-7.5 CM,,,21,,RBRVS,3.50 ,3.26 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13102,CPT,REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<,,,21,,RBRVS,1.24 ,0.69 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13120,CPT,REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM,,,21,,RBRVS,3.23 ,3.07 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13121,CPT,REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM,,,21,,RBRVS,4.00 ,3.10 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13122,CPT,REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<,,,21,,RBRVS,1.44 ,0.79 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13131,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM,,,21,,RBRVS,3.73 ,2.91 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13132,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM,,,21,,RBRVS,4.78 ,3.58 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13133,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<,,,21,,RBRVS,2.19 ,1.26 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13151,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,,,21,,RBRVS,4.34 ,3.28 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13152,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,,,21,,RBRVS,5.34 ,3.89 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13153,CPT,REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/<,,,21,,RBRVS,2.38 ,1.33 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 13160,CPT,SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC,,,21,,RBRVS,12.04 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14000,CPT,ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM/<,,,21,,RBRVS,6.37 ,6.95 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14001,CPT,ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM,,,21,,RBRVS,8.78 ,8.44 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14020,CPT,ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/<,,,21,,RBRVS,7.22 ,7.93 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14021,CPT,ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM,,,21,,RBRVS,9.72 ,9.39 ,13.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14040,CPT,ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,,,21,,RBRVS,8.60 ,8.28 ,11.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14041,CPT,ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM,,,21,,RBRVS,10.83 ,9.90 ,14.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14060,CPT,ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/<,,,21,,RBRVS,9.23 ,8.75 ,11.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14061,CPT,ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM,,,21,,RBRVS,11.48 ,10.72 ,15.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14301,CPT,ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM,,,21,,RBRVS,12.65 ,10.66 ,15.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14302,CPT,ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM/<,,,21,,RBRVS,3.73 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 14350,CPT,FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE,,,21,,RBRVS,11.05 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15002,CPT,PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT,,,21,,RBRVS,3.65 ,2.25 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15003,CPT,PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT,,,21,,RBRVS,0.80 ,0.37 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15004,CPT,PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,,,21,,RBRVS,4.58 ,2.58 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15005,CPT,PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT,,,21,,RBRVS,1.60 ,0.74 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15040,CPT,HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<,,,21,,RBRVS,2.00 ,1.30 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15050,CPT,PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM,,,21,,RBRVS,5.57 ,6.31 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15100,CPT,SPLIT AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD,,,21,,RBRVS,9.90 ,8.76 ,12.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15101,CPT,SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD,,,21,,RBRVS,1.72 ,1.13 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15110,CPT,EPIDRM AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD,,,21,,RBRVS,10.97 ,7.28 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15111,CPT,EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD,,,21,,RBRVS,1.85 ,0.75 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15115,CPT,EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/<,,,21,,RBRVS,11.28 ,7.65 ,10.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15116,CPT,EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM,,,21,,RBRVS,2.50 ,0.89 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15120,CPT,SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM//=100SCM ADL 100SQCM,,,21,,RBRVS,0.80 ,0.36 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15275,CPT,SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM,,,21,,RBRVS,1.83 ,0.74 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15276,CPT,SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM,,,21,,RBRVS,0.50 ,0.16 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15277,CPT,SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM,,,21,,RBRVS,4.00 ,1.84 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15278,CPT,SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM ADL 100SQ CM,,,21,,RBRVS,1.00 ,0.45 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15570,CPT,FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK,,,21,,RBRVS,10.21 ,9.07 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15572,CPT,FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS,,,21,,RBRVS,10.12 ,9.57 ,13.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15574,CPT,FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F,,,21,,RBRVS,10.70 ,9.62 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15576,CPT,FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL,,,21,,RBRVS,9.37 ,8.52 ,12.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15600,CPT,DELAY FLAP/SECTIONING FLAP TRUNK,,,21,,RBRVS,2.01 ,3.57 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15610,CPT,DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS,,,21,,RBRVS,2.52 ,3.95 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15620,CPT,DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F,,,21,,RBRVS,3.75 ,5.00 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15630,CPT,DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS,,,21,,RBRVS,4.08 ,5.22 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15650,CPT,TRANSFER ANY PEDICLE FLAP ANY LOCATION,,,21,,RBRVS,4.77 ,5.43 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15731,CPT,FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE,,,21,,RBRVS,14.38 ,12.35 ,15.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15732,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP HEAD&NC,,,21,,RBRVS,16.38 ,13.46 ,18.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15734,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK,,,21,,RBRVS,19.86 ,14.15 ,19.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15736,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR,,,21,,RBRVS,17.04 ,12.62 ,17.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15738,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR,,,21,,RBRVS,19.04 ,12.91 ,17.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15740,CPT,FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY,,,21,,RBRVS,11.80 ,10.91 ,15.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15750,CPT,FLAP NEUROVASCULAR PEDICLE,,,21,,RBRVS,12.96 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15756,CPT,FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST,,,21,,RBRVS,36.94 ,24.01 ,24.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 15757,CPT,FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS,,,21,,RBRVS,37.15 ,23.23 ,23.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 15758,CPT,FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS,,,21,,RBRVS,36.90 ,23.49 ,23.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 15760,CPT,GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA,,,21,,RBRVS,9.86 ,9.06 ,12.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15770,CPT,GRAFT DERMA-FAT-FASCIA,,,21,,RBRVS,8.96 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15775,CPT,PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS,,,21,,RBRVS,3.95 ,1.93 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15776,CPT,PUNCH GRAFT HAIR TRANSPLANT >15 PUNCH GRAFTS,,,21,,RBRVS,5.53 ,3.81 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15777,CPT,IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,,,21,,RBRVS,3.65 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15780,CPT,DERMABRASION TOTAL FACE,,,21,,RBRVS,8.73 ,8.25 ,14.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15781,CPT,DERMABRASION SEGMENTAL FACE,,,21,,RBRVS,5.02 ,6.58 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15782,CPT,DERMABRASION REGIONAL OTHER THAN FACE,,,21,,RBRVS,4.44 ,7.66 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15783,CPT,DERMABRASION SUPERFICIAL ANY SITE,,,21,,RBRVS,4.41 ,5.26 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15786,CPT,ABRASION 1 LESION,,,21,,RBRVS,2.08 ,1.57 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15787,CPT,ABRASION EACH ADDITIONAL 4 LESIONS OR LESS,,,21,,RBRVS,0.33 ,0.14 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15788,CPT,CHEMICAL PEEL FACIAL EPIDERMAL,,,21,,RBRVS,2.09 ,4.68 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15789,CPT,CHEMICAL PEEL FACIAL DERMAL,,,21,,RBRVS,4.91 ,6.16 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15792,CPT,CHEMICAL PEEL NONFACIAL EPIDERMAL,,,21,,RBRVS,1.86 ,5.35 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15793,CPT,CHEMICAL PEEL NONFACIAL DERMAL,,,21,,RBRVS,3.96 ,5.96 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15819,CPT,CERVICOPLASTY,,,21,,RBRVS,10.65 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15820,CPT,BLEPHAROPLASTY LOWER EYELID,,,21,,RBRVS,6.27 ,7.62 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15821,CPT,BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD,,,21,,RBRVS,6.84 ,7.99 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15822,CPT,BLEPHAROPLASTY UPPER EYELID,,,21,,RBRVS,4.62 ,6.00 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15823,CPT,BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN,,,21,,RBRVS,6.81 ,8.07 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15824,CPT,RHYTIDECTOMY FOREHEAD,,,21,,TotalUnits,,,,28.69 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15825,CPT,RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING,,,21,,TotalUnits,,,,32.28 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15826,CPT,RHYTIDECTOMY GLABELLAR FROWN LINES,,,21,,TotalUnits,,,,23.30 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15828,CPT,RHYTIDECTOMY CHEEK CHIN & NECK,,,21,,TotalUnits,,,,60.96 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15829,CPT,RHYTIDECTOMY SMAS FLAP,,,21,,TotalUnits,,,,68.13 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15830,CPT,EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY,,,21,,RBRVS,17.11 ,13.38 ,13.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15832,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH,,,21,,RBRVS,12.85 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15833,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE LEG,,,21,,RBRVS,11.90 ,10.72 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15834,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP,,,21,,RBRVS,12.17 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15835,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK,,,21,,RBRVS,12.99 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15836,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM,,,21,,RBRVS,10.61 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15837,CPT,EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND,,,21,,RBRVS,9.55 ,7.80 ,11.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15838,CPT,EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD,,,21,,RBRVS,8.25 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15839,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA,,,21,,RBRVS,10.50 ,8.85 ,12.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15840,CPT,GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT,,,21,,RBRVS,14.99 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15841,CPT,GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT,,,21,,RBRVS,25.99 ,16.11 ,16.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15842,CPT,GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG,,,21,,RBRVS,41.01 ,27.71 ,27.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15845,CPT,GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR,,,21,,RBRVS,14.32 ,13.07 ,13.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15847,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN,,,21,,TotalUnits,,,,9.06 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15850,CPT,REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON,,,21,,RBRVS,0.78 ,0.30 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15851,CPT,REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON,,,21,,RBRVS,0.86 ,0.36 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15852,CPT,DRESSING CHANGE UNDER ANESTHESIA,,,21,,RBRVS,0.86 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15860,CPT,IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT,,,21,,RBRVS,1.95 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15876,CPT,SUCTION ASSISTED LIPECTOMY HEAD & NECK,,,21,,TotalUnits,,,,21.15 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15877,CPT,SUCTION ASSISTED LIPECTOMY TRUNK,,,21,,TotalUnits,,,,13.22 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15878,CPT,SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY,,,21,,TotalUnits,,,,13.00 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15879,CPT,SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY,,,21,,TotalUnits,,,,27.93 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15920,CPT,EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR,,,21,,RBRVS,8.29 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15922,CPT,EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR,,,21,,RBRVS,10.38 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15931,CPT,EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE,,,21,,RBRVS,10.07 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15933,CPT,EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY,,,21,,RBRVS,11.77 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15934,CPT,EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR,,,21,,RBRVS,13.68 ,10.09 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15935,CPT,EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY,,,21,,RBRVS,15.78 ,12.44 ,12.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15936,CPT,EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR,,,21,,RBRVS,13.16 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15937,CPT,EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC,,,21,,RBRVS,15.14 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15940,CPT,EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE,,,21,,RBRVS,10.20 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15941,CPT,EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT,,,21,,RBRVS,12.41 ,10.98 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15944,CPT,EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE,,,21,,RBRVS,12.44 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15945,CPT,EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY,,,21,,RBRVS,13.75 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15946,CPT,EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN,,,21,,RBRVS,24.12 ,18.37 ,18.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15950,CPT,EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR,,,21,,RBRVS,8.03 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15951,CPT,EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY,,,21,,RBRVS,11.58 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15952,CPT,EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE,,,21,,RBRVS,12.31 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15953,CPT,EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY,,,21,,RBRVS,13.57 ,12.59 ,12.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15956,CPT,EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN,,,21,,RBRVS,16.79 ,13.08 ,13.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15958,CPT,EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC,,,21,,RBRVS,16.75 ,13.75 ,13.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 15999,CPT,UNLISTED PROCEDURE EXCISION PRESSURE ULCER,,,21,,TotalUnits,,,,23.39 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 16000,CPT,INITIAL TX 1ST DEGREE BURN LOCAL TX,,,21,,RBRVS,0.89 ,0.32 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 16020,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,,,21,,RBRVS,0.71 ,0.75 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 16025,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,,,21,,RBRVS,1.74 ,1.20 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 16030,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,,,21,,RBRVS,2.08 ,1.42 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 16035,CPT,ESCHAROTOMY FIRST INCISION,,,21,,RBRVS,3.74 ,1.36 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 16036,CPT,ESCHAROTOMY EACH ADDITIONAL INCISION,,,21,,RBRVS,1.50 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 17000,CPT,DESTRUCTION PREMALIGNANT LESION 1ST,,,21,,RBRVS,0.61 ,0.82 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17003,CPT,DESTRUCTION PREMALIGNANT LESION 2-14 EA,,,21,,RBRVS,0.04 ,0.02 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17004,CPT,DESTRUCTION PREMALIGNANT LESION 15/>,,,21,,RBRVS,1.37 ,1.29 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17106,CPT,DESTRUCTION CUTANEOUS VASC PROLIFERATIVE <10CM,,,21,,RBRVS,3.69 ,3.69 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17107,CPT,DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM,,,21,,RBRVS,4.79 ,4.47 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17108,CPT,DSTRJ CUTANEOUS VASCULAR LESIONS >50.0 SQ CM,,,21,,RBRVS,7.49 ,6.44 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17110,CPT,DESTRUCTION BENIGN LESIONS UP TO 14,,,21,,RBRVS,0.70 ,1.20 ,2.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17111,CPT,DESTRUCTION BENIGN LESIONS 15/>,,,21,,RBRVS,0.97 ,1.35 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17250,CPT,CHEMICAL CAUTERIZATION GRANULATION TISSUE,,,21,,RBRVS,0.50 ,0.49 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17260,CPT,DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<,,,21,,RBRVS,0.96 ,0.91 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17261,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,,,21,,RBRVS,1.22 ,1.22 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17262,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM,,,21,,RBRVS,1.63 ,1.47 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17263,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM,,,21,,RBRVS,1.84 ,1.60 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17264,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM,,,21,,RBRVS,1.99 ,1.68 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17266,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM,,,21,,RBRVS,2.39 ,1.90 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17270,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/>,,,21,,RBRVS,1.37 ,1.29 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17271,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM,,,21,,RBRVS,1.54 ,1.42 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17272,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM,,,21,,RBRVS,1.82 ,1.59 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17273,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM,,,21,,RBRVS,2.10 ,1.75 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17274,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM,,,21,,RBRVS,2.64 ,2.05 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17276,CPT,DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM,,,21,,RBRVS,3.25 ,2.38 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17280,CPT,DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<,,,21,,RBRVS,1.22 ,1.20 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17281,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM,,,21,,RBRVS,1.77 ,1.55 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17282,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM,,,21,,RBRVS,2.09 ,1.74 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17283,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM,,,21,,RBRVS,2.69 ,2.09 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17284,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM,,,21,,RBRVS,3.20 ,2.37 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17286,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM,,,21,,RBRVS,4.48 ,2.94 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17311,CPT,MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS,,,21,,RBRVS,6.20 ,3.77 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17312,CPT,MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE,,,21,,RBRVS,3.30 ,2.00 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17313,CPT,MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS,,,21,,RBRVS,5.56 ,3.38 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17314,CPT,MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE,,,21,,RBRVS,3.06 ,1.86 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17315,CPT,MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE,,,21,,RBRVS,0.87 ,0.53 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17340,CPT,CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,,,21,,RBRVS,0.77 ,0.54 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17360,CPT,CHEMICAL EXFOLIATION ACNE,,,21,,RBRVS,1.46 ,1.15 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17380,CPT,ELECTROLYSIS EPILATION EACH 30 MINUTES,,,21,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 17999,CPT,UNLISTED PX SKIN MUC MEMBRANE & SUBQ TISSUE,,,21,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19000,CPT,PUNCTURE ASPIRATION CYST BREAST,,,21,,RBRVS,0.84 ,0.31 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19001,CPT,PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST,,,21,,RBRVS,0.42 ,0.16 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19020,CPT,MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP,,,21,,RBRVS,3.83 ,4.08 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19030,CPT,INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM,,,21,,RBRVS,1.53 ,0.57 ,3.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19081,CPT,BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,,,21,,RBRVS,3.29 ,1.22 ,16.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19082,CPT,BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,,,21,,RBRVS,1.65 ,0.61 ,14.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 19083,CPT,BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,,,21,,RBRVS,3.10 ,1.15 ,15.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19084,CPT,BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,,,21,,RBRVS,1.55 ,0.58 ,13.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 19085,CPT,BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID,,,21,,RBRVS,3.64 ,1.35 ,25.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19086,CPT,BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID,,,21,,RBRVS,1.82 ,0.68 ,21.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 19100,CPT,BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX,,,21,,RBRVS,1.27 ,0.46 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19101,CPT,BIOPSY BREAST OPEN INCISIONAL,,,21,,RBRVS,3.23 ,2.40 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19105,CPT,ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA,,,21,,RBRVS,3.69 ,1.54 ,56.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19110,CPT,NIPPLE EXPLORATION,,,21,,RBRVS,4.44 ,4.33 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19112,CPT,EXCISION LACTIFEROUS DUCT FISTULA,,,21,,RBRVS,3.81 ,4.19 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19120,CPT,EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION,,,21,,RBRVS,5.92 ,4.57 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19125,CPT,EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES,,,21,,RBRVS,6.69 ,4.92 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19126,CPT,EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL,,,21,,RBRVS,2.93 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19260,CPT,EXCISION CHEST WALL TUMOR INCLUDING RIBS,,,21,,RBRVS,17.78 ,12.78 ,12.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19271,CPT,EXC CHEST TUMOR W/RCNSTJ W/O MEDSTNL LMPHADEC,,,21,,RBRVS,22.19 ,19.61 ,19.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 19272,CPT,EXC CHEST TUMOR W/RCNSTJ W/MEDSTNL LMPHADEC,,,21,,RBRVS,25.17 ,20.42 ,20.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 19281,CPT,PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE,,,21,,RBRVS,2.00 ,0.75 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19282,CPT,PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE,,,21,,RBRVS,1.00 ,0.37 ,3.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 19283,CPT,PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE,,,21,,RBRVS,2.00 ,0.74 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19284,CPT,PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC,,,21,,RBRVS,1.00 ,0.37 ,4.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 19285,CPT,PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,,,21,,RBRVS,1.70 ,0.63 ,12.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19286,CPT,PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,,,21,,RBRVS,0.85 ,0.32 ,11.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 19287,CPT,PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID,,,21,,RBRVS,2.55 ,0.95 ,21.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19288,CPT,PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID,,,21,,RBRVS,1.28 ,0.48 ,18.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 19296,CPT,PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST,,,21,,RBRVS,3.63 ,1.63 ,107.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19297,CPT,PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST,,,21,,RBRVS,1.72 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19298,CPT,PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST,,,21,,RBRVS,6.00 ,2.60 ,23.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19300,CPT,MASTECTOMY GYNECOMASTIA,,,21,,RBRVS,5.31 ,5.32 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19301,CPT,MASTECTOMY PARTIAL,,,21,,RBRVS,10.13 ,6.27 ,6.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19302,CPT,MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY,,,21,,RBRVS,13.99 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19303,CPT,MASTECTOMY SIMPLE COMPLETE,,,21,,RBRVS,15.85 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19304,CPT,MASTECTOMY SUBCUTANEOUS,,,21,,RBRVS,7.95 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19305,CPT,MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES,,,21,,RBRVS,17.46 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 19306,CPT,MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES,,,21,,RBRVS,18.13 ,12.06 ,12.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 19307,CPT,MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN,,,21,,RBRVS,18.23 ,11.90 ,11.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19316,CPT,MASTOPEXY,,,21,,RBRVS,11.09 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19318,CPT,REDUCTION MAMMAPLASTY,,,21,,RBRVS,16.03 ,12.86 ,12.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19324,CPT,MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT,,,21,,RBRVS,6.80 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19325,CPT,MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT,,,21,,RBRVS,8.64 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19328,CPT,REMOVAL INTACT MAMMARY IMPLANT,,,21,,RBRVS,6.48 ,6.57 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19330,CPT,REMOVAL MAMMARY IMPLANT MATERIAL,,,21,,RBRVS,8.54 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19340,CPT,IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ,,,21,,RBRVS,13.99 ,12.39 ,12.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19342,CPT,DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ,,,21,,RBRVS,12.63 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19350,CPT,NIPPLE/AREOLA RECONSTRUCTION,,,21,,RBRVS,9.11 ,8.61 ,12.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19355,CPT,CORRECTION INVERTED NIPPLES,,,21,,RBRVS,8.52 ,5.87 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19357,CPT,BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ,,,21,,RBRVS,18.50 ,21.47 ,21.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19361,CPT,BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL,,,21,,RBRVS,23.36 ,17.88 ,17.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 19364,CPT,BREAST RECONSTRUCTION FREE FLAP,,,21,,RBRVS,42.58 ,29.36 ,29.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 19366,CPT,BREAST RECONSTRUCTION OTHER TECHNIQUE,,,21,,RBRVS,21.84 ,14.53 ,14.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19367,CPT,BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE,,,21,,RBRVS,26.80 ,20.06 ,20.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 19368,CPT,BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST,,,21,,RBRVS,33.90 ,23.62 ,23.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 19369,CPT,BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE,,,21,,RBRVS,31.31 ,22.00 ,22.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 19370,CPT,OPEN PERIPROSTHETIC CAPSULOTOMY BREAST,,,21,,RBRVS,9.17 ,8.90 ,8.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19371,CPT,PERIPROSTHETIC CAPSULECTOMY BREAST,,,21,,RBRVS,10.62 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19380,CPT,REVISION RECONSTRUCTED BREAST,,,21,,RBRVS,10.41 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19396,CPT,PREPARATION MOULAGE CUSTOM BREAST IMPLANT,,,21,,RBRVS,2.17 ,1.51 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 19499,CPT,UNLISTED PROCEDURE BREAST,,,21,,TotalUnits,,,,7.46 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20005,CPT,I&D SOFT TISSUE ABSCESS SUBFASC,,,21,,RBRVS,3.58 ,2.57 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20100,CPT,EXPLORATION PENETRATING WOUND SPX NECK,,,21,,RBRVS,10.38 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20101,CPT,EXPLORATION PENETRATING WOUND SPX CHEST,,,21,,RBRVS,3.23 ,2.02 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20102,CPT,EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK,,,21,,RBRVS,3.98 ,2.50 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20103,CPT,EXPLORATION PENETRATING WOUND SPX EXTREMITY,,,21,,RBRVS,5.34 ,3.74 ,10.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20150,CPT,EXCISION EPIPHYSEAL BAR,,,21,,RBRVS,14.75 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20200,CPT,BIOPSY MUSCLE SUPERFICIAL,,,21,,RBRVS,1.46 ,0.93 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20205,CPT,BIOPSY MUSCLE DEEP,,,21,,RBRVS,2.35 ,1.52 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20206,CPT,BIOPSY MUSCLE PERCUTANEOUS NEEDLE,,,21,,RBRVS,0.99 ,0.62 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20220,CPT,BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL,,,21,,RBRVS,1.27 ,0.71 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20225,CPT,BIOPSY BONE TROCAR/NEEDLE DEEP,,,21,,RBRVS,1.87 ,1.08 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20240,CPT,BIOPSY BONE OPEN SUPERFICIAL,,,21,,RBRVS,2.61 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20245,CPT,BIOPSY BONE OPEN DEEP,,,21,,RBRVS,8.95 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20250,CPT,BIOPSY VERTEBRAL BODY OPEN THORACIC,,,21,,RBRVS,5.19 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20251,CPT,BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL,,,21,,RBRVS,5.72 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20500,CPT,INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC,,,21,,RBRVS,1.28 ,1.02 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20501,CPT,INJECTION SINUS TRACT DIAGNOSTIC,,,21,,RBRVS,0.76 ,0.27 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20520,CPT,REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,,,21,,RBRVS,1.90 ,2.02 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20525,CPT,RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,,,21,,RBRVS,3.54 ,2.96 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20526,CPT,INJECTION THERAPEUTIC CARPAL TUNNEL,,,21,,RBRVS,0.94 ,0.55 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20527,CPT,INJECTION ENZYME PALMAR FASCIAL CORD,,,21,,RBRVS,1.00 ,0.73 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20550,CPT,INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS,,,21,,RBRVS,0.75 ,0.36 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20551,CPT,INJECTION SINGLE TENDON ORIGIN/INSERTION,,,21,,RBRVS,0.75 ,0.39 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20552,CPT,INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,,,21,,RBRVS,0.66 ,0.36 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20553,CPT,INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,,,21,,RBRVS,0.75 ,0.41 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20555,CPT,PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT,,,21,,RBRVS,6.00 ,2.61 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20600,CPT,ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,,,21,,RBRVS,0.66 ,0.29 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20604,CPT,ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,,,21,,RBRVS,0.89 ,0.33 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20605,CPT,ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,,,21,,RBRVS,0.68 ,0.31 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20606,CPT,ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,,,21,,RBRVS,1.00 ,0.39 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20610,CPT,ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,,,21,,RBRVS,0.79 ,0.41 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20611,CPT,ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US,,,21,,RBRVS,1.10 ,0.51 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20612,CPT,ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ,,,21,,RBRVS,0.70 ,0.41 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20615,CPT,ASPIRATION & INJECTION TREATMENT BONE CYST,,,21,,RBRVS,2.33 ,2.06 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20650,CPT,INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX,,,21,,RBRVS,2.28 ,1.90 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20660,CPT,APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX,,,21,,RBRVS,4.00 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20661,CPT,APPLICATION HALO CRANIAL INCLUDING REMOVAL,,,21,,RBRVS,5.26 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20662,CPT,APPLICATION HALO PELVIC INCLUDING REMOVAL,,,21,,RBRVS,6.38 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20663,CPT,APPLICATION HALO FEMORAL INCLUDING REMOVAL,,,21,,RBRVS,5.74 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20664,CPT,APPL HALO 6/> PINS THIN SKULL OSTEOLOGY,,,21,,RBRVS,10.06 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20665,CPT,REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL,,,21,,RBRVS,1.36 ,1.13 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20670,CPT,REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE,,,21,,RBRVS,1.79 ,2.15 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20680,CPT,REMOVAL IMPLANT DEEP,,,21,,RBRVS,5.96 ,5.20 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20690,CPT,APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM,,,21,,RBRVS,8.78 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20692,CPT,APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM,,,21,,RBRVS,16.27 ,13.07 ,13.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20693,CPT,ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES,,,21,,RBRVS,6.06 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20694,CPT,REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES,,,21,,RBRVS,4.28 ,4.65 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20696,CPT,XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST & SUBQ,,,21,,RBRVS,17.56 ,13.75 ,13.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20697,CPT,XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT,,TC,21,,RBRVS,,56.23 ,56.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 20802,CPT,REPLANTATION ARM COMPLETE AMPUTATION,,,21,,RBRVS,42.62 ,20.82 ,20.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20805,CPT,REPLANTATION FOREARM COMPLETE AMPUTATION,,,21,,RBRVS,51.46 ,33.59 ,33.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20808,CPT,REPLANTATION HAND COMPLETE AMPUTATION,,,21,,RBRVS,63.09 ,41.07 ,41.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20816,CPT,RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP,,,21,,RBRVS,31.95 ,21.25 ,21.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20822,CPT,RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP,,,21,,RBRVS,26.66 ,20.57 ,20.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20824,CPT,RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION,,,21,,RBRVS,31.95 ,20.39 ,20.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20827,CPT,RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION,,,21,,RBRVS,27.48 ,19.66 ,19.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20838,CPT,REPLANTATION FOOT COMPLETE AMPUTATION,,,21,,RBRVS,42.88 ,21.23 ,21.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20900,CPT,BONE GRAFT ANY DONOR AREA MINOR/SMALL,,,21,,RBRVS,3.00 ,1.93 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20902,CPT,BONE GRAFT ANY DONOR AREA MAJOR/LARGE,,,21,,RBRVS,4.58 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20910,CPT,CARTILAGE GRAFT COSTOCHONDRAL,,,21,,RBRVS,5.53 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20912,CPT,CARTILAGE GRAFT NASAL SEPTUM,,,21,,RBRVS,6.54 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20920,CPT,FASCIA LATA GRAFT BY STRIPPER,,,21,,RBRVS,5.51 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20922,CPT,FASCIA LATA GRAFT INCISION & AREA EXPOSURE,,,21,,RBRVS,6.93 ,5.88 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20924,CPT,TENDON GRAFT FROM A DISTANCE,,,21,,RBRVS,6.68 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20926,CPT,TISSUE GRAFTS OTHER,,,21,,RBRVS,5.79 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20930,CPT,ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED,,,21,,TotalUnits,,,,4.06 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20931,CPT,ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,,,21,,RBRVS,1.81 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20936,CPT,AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION,,,21,,TotalUnits,,,,5.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 20937,CPT,AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,,,21,,RBRVS,2.79 ,1.37 ,1.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 20938,CPT,AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC,,,21,,RBRVS,3.02 ,1.46 ,1.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 20950,CPT,MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME,,,21,,RBRVS,1.26 ,1.14 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20955,CPT,BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA,,,21,,RBRVS,40.26 ,25.58 ,25.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20956,CPT,BONE GRAFT MICROVASCULAR ANAST ILIAC CREST,,,21,,RBRVS,41.18 ,26.87 ,26.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20957,CPT,BONE GRAFT MICROVASCULAR ANAST METATARSAL,,,21,,RBRVS,42.61 ,22.61 ,22.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20962,CPT,BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR,,,21,,RBRVS,39.21 ,18.11 ,18.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20969,CPT,FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE,,,21,,RBRVS,45.43 ,27.50 ,27.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20970,CPT,FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST,,,21,,RBRVS,44.58 ,29.05 ,29.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 20972,CPT,FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL,,,21,,RBRVS,44.51 ,19.40 ,19.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20973,CPT,FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE,,,21,,RBRVS,47.27 ,22.42 ,22.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20974,CPT,ELECTRICAL STIMULATION BONE HEALING NONINVASIVE,,,21,,RBRVS,0.62 ,0.69 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20975,CPT,ELECTRICAL STIMULATION BONE HEALING INVASIVE,,,21,,RBRVS,2.60 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20979,CPT,LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE,,,21,,RBRVS,0.62 ,0.23 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20982,CPT,ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,,,21,,RBRVS,7.27 ,2.95 ,77.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20983,CPT,ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD,,,21,,RBRVS,7.13 ,3.55 ,198.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20985,CPT,CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS,,,21,,RBRVS,2.50 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 20999,CPT,UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL,,,21,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21010,CPT,ARTHROTOMY TEMPOROMANDIBULAR JOINT,,,21,,RBRVS,11.04 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21011,CPT,EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM,,,21,,RBRVS,2.99 ,3.91 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21012,CPT,EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>,,,21,,RBRVS,4.45 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21013,CPT,EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM,,,21,,RBRVS,5.42 ,5.16 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21014,CPT,EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2 CM/>,,,21,,RBRVS,7.13 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21015,CPT,RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM,,,21,,RBRVS,9.89 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21016,CPT,RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>,,,21,,RBRVS,15.26 ,11.47 ,11.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21025,CPT,EXCISION BONE MANDIBLE,,,21,,RBRVS,10.03 ,10.15 ,14.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21026,CPT,EXCISION FACIAL BONE,,,21,,RBRVS,5.70 ,7.83 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21029,CPT,REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE,,,21,,RBRVS,8.39 ,8.69 ,12.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21030,CPT,EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL & CURTG,,,21,,RBRVS,4.91 ,6.41 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21031,CPT,EXCISION TORUS MANDIBULARIS,,,21,,RBRVS,3.30 ,4.73 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21032,CPT,EXCISION MAXILLARY TORUS PALATINUS,,,21,,RBRVS,3.34 ,4.60 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21034,CPT,EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA,,,21,,RBRVS,17.38 ,13.47 ,17.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21040,CPT,EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL & CURT,,,21,,RBRVS,4.91 ,6.43 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21044,CPT,EXCISION MALIGNANT TUMOR MANDIBLE,,,21,,RBRVS,12.80 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21045,CPT,EXCISION MALIGNANT TUMOR MANDIBLE RADICAL,,,21,,RBRVS,18.37 ,14.36 ,14.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21046,CPT,EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT,,,21,,RBRVS,14.21 ,15.89 ,15.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21047,CPT,EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT&PRTL MNDB,,,21,,RBRVS,20.07 ,15.00 ,15.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21048,CPT,EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT,,,21,,RBRVS,14.71 ,16.14 ,16.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21049,CPT,EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT&PRTL MAXLC,,,21,,RBRVS,19.32 ,12.97 ,12.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21050,CPT,CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX,,,21,,RBRVS,11.76 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21060,CPT,MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX,,,21,,RBRVS,11.07 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21070,CPT,CORONOIDECTOMY SEPARATE PROCEDURE,,,21,,RBRVS,8.62 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21073,CPT,MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA,,,21,,RBRVS,3.45 ,3.32 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21076,CPT,IMPRESSION&PREPARATION SURG OBTURATOR PROSTHES,,,21,,RBRVS,13.40 ,8.78 ,13.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21077,CPT,IMPRESSION & PREPARATION ORBITAL PROSTHESIS,,,21,,RBRVS,33.70 ,22.01 ,33.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21079,CPT,IMPRESSION & PREPARATION INTERIM OBTURATOR PROST,,,21,,RBRVS,22.31 ,14.78 ,23.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21080,CPT,IMPRESSION & PREPJ DEFINITIVE OBTURATOR PROSTHES,,,21,,RBRVS,25.06 ,16.26 ,25.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21081,CPT,IMPRESSION & PREPJ MANDIBULAR RESECTION PROSTHES,,,21,,RBRVS,22.85 ,15.14 ,24.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21082,CPT,IMPRESSION & PREPJ PALATAL AUGMENTATION PROSTHES,,,21,,RBRVS,20.84 ,14.89 ,23.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21083,CPT,IMPRESSION & PREPARATION PALATAL LIFT PROSTHESIS,,,21,,RBRVS,19.27 ,13.91 ,23.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21084,CPT,IMPRESSION & PREPARATION SPEECH AID PROSTHESIS,,,21,,RBRVS,22.48 ,15.97 ,26.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21085,CPT,IMPRESSION & PREPARATION ORAL SURGICAL SPLINT,,,21,,RBRVS,8.99 ,6.06 ,11.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21086,CPT,IMPRESSION & PREPARATION AURICULAR PROSTHESIS,,,21,,RBRVS,24.88 ,16.39 ,25.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21087,CPT,IMPRESSION & PREPARATION NASAL PROSTHESIS,,,21,,RBRVS,24.88 ,16.30 ,25.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21088,CPT,IMPRESSION & PREPARATION FACIAL PROSTHESIS,,,21,,TotalUnits,,,,24.09 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21089,CPT,UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE,,,21,,TotalUnits,,,,28.40 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21100,CPT,APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,,,21,,RBRVS,4.73 ,8.26 ,23.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21110,CPT,APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC,,,21,,RBRVS,5.99 ,12.55 ,16.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21116,CPT,INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY,,,21,,RBRVS,0.81 ,0.36 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21120,CPT,GENIOPLASTY AUGMENTATION,,,21,,RBRVS,5.10 ,9.09 ,13.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21121,CPT,GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE,,,21,,RBRVS,7.81 ,10.43 ,14.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21122,CPT,GENIOPLASTY 2/> SLIDING OSTEOTOMIES,,,21,,RBRVS,8.71 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21123,CPT,GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS,,,21,,RBRVS,11.34 ,13.76 ,13.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21125,CPT,AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL,,,21,,RBRVS,10.80 ,10.19 ,75.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21127,CPT,AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL,,,21,,RBRVS,12.44 ,11.37 ,112.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21137,CPT,REDUCTION FOREHEAD CONTOURING ONLY,,,21,,RBRVS,10.24 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21138,CPT,RDCTJ FHD CNTRG & PROSTHETIC MATRL/BONE GRAFT,,,21,,RBRVS,12.87 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21139,CPT,RDCTJ FHD CNTRG & SETBACK ANT FRONTAL SINUS WALL,,,21,,RBRVS,15.02 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21141,CPT,RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT,,,21,,RBRVS,19.57 ,16.04 ,16.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21142,CPT,RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT,,,21,,RBRVS,20.28 ,16.98 ,16.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21143,CPT,RCNSTJ MIDFACE LEFORT I 3/> PIECE W/O BONE GRAFT,,,21,,RBRVS,21.05 ,16.57 ,16.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21145,CPT,RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS,,,21,,RBRVS,23.94 ,17.45 ,17.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21146,CPT,RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS,,,21,,RBRVS,24.87 ,16.33 ,16.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21147,CPT,RCNSTJ MIDFACE LEFORT I 3/> PIECE W/BONE GRAFTS,,,21,,RBRVS,26.47 ,19.79 ,19.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21150,CPT,RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION,,,21,,RBRVS,25.96 ,18.93 ,18.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21151,CPT,RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS,,,21,,RBRVS,29.02 ,25.51 ,25.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21154,CPT,RCNSTJ MIDFACE LEFORT III W/O LEFORT I,,,21,,RBRVS,31.29 ,23.25 ,23.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21155,CPT,RCNSTJ MIDFACE LEFORT III W/LEFORT I,,,21,,RBRVS,35.22 ,23.50 ,23.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21159,CPT,RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I,,,21,,RBRVS,43.14 ,23.32 ,23.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21160,CPT,RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I,,,21,,RBRVS,47.19 ,36.58 ,36.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21172,CPT,RCNSTJ SUPERIOR-LATERAL ORBITAL RIM & LOWER FHD,,,21,,RBRVS,28.20 ,21.99 ,21.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21175,CPT,RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS & LWR FHD,,,21,,RBRVS,33.56 ,24.37 ,24.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21179,CPT,RCNSTJ FOREHEAD &/ SUPRAORB RIMS W/ALGRF/PROSTC,,,21,,RBRVS,22.65 ,17.26 ,17.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21180,CPT,RCNSTJ FOREHEAD &/ SUPRAORBITAL RIMS W/AUTOGRAFT,,,21,,RBRVS,25.58 ,15.54 ,15.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21181,CPT,RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC,,,21,,RBRVS,10.28 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21182,CPT,RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF<40SQCM,,,21,,RBRVS,32.58 ,18.41 ,18.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21183,CPT,RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF>40 <80,,,21,,RBRVS,35.70 ,24.92 ,24.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21184,CPT,RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF>80SQ,,,21,,RBRVS,38.62 ,17.78 ,17.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21188,CPT,RCNSTJ MDFC OTH/THN LEFORT OSTEOT & BONE GRAFTS,,,21,,RBRVS,23.15 ,19.68 ,19.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21193,CPT,RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF,,,21,,RBRVS,18.90 ,13.25 ,13.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21194,CPT,RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT,,,21,,RBRVS,21.82 ,16.30 ,16.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21195,CPT,RCNSTJ MNDBLR RAMI&/BODY SGTL SPLT W/O INT RGD,,,21,,RBRVS,19.16 ,16.90 ,16.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21196,CPT,RCNSTJ MNDBLR RAMI&/BDY SGTL SPLT W/INT RGD FI,,,21,,RBRVS,20.83 ,18.88 ,18.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21198,CPT,OSTEOTOMY MANDIBLE SEGMENTAL,,,21,,RBRVS,15.71 ,15.67 ,15.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21199,CPT,OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT,,,21,,RBRVS,16.73 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21206,CPT,OSTEOTOMY MAXILLA SEGMENTAL,,,21,,RBRVS,15.59 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21208,CPT,OSTEOPLASTY FACIAL BONES AUGMENTATION,,,21,,RBRVS,11.42 ,11.10 ,41.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21209,CPT,OSTEOPLASTY FACIAL BONES REDUCTION,,,21,,RBRVS,7.82 ,8.89 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21210,CPT,GRAFT BONE NASAL/MAXILLARY/MALAR AREAS,,,21,,RBRVS,11.69 ,11.54 ,52.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21215,CPT,GRAFT BONE MANDIBLE,,,21,,RBRVS,12.23 ,11.90 ,102.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21230,CPT,GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR,,,21,,RBRVS,11.17 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21235,CPT,GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR,,,21,,RBRVS,7.50 ,7.74 ,12.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21240,CPT,ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT,,,21,,RBRVS,16.07 ,13.75 ,13.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21242,CPT,ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT,,,21,,RBRVS,14.59 ,12.74 ,12.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21243,CPT,ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT,,,21,,RBRVS,24.53 ,20.61 ,20.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21244,CPT,RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE,,,21,,RBRVS,13.62 ,15.13 ,15.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21245,CPT,RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL,,,21,,RBRVS,13.12 ,10.61 ,16.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21246,CPT,RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE,,,21,,RBRVS,12.92 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21247,CPT,RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS,,,21,,RBRVS,24.37 ,16.93 ,16.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21248,CPT,RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL,,,21,,RBRVS,12.74 ,11.50 ,17.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21249,CPT,RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE,,,21,,RBRVS,18.77 ,15.55 ,22.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21255,CPT,RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG,,,21,,RBRVS,18.46 ,18.71 ,18.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21256,CPT,RECONSTRUCTION ORBIT W/OSTEOTOMIES & BONE GRAFTS,,,21,,RBRVS,17.66 ,15.14 ,15.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21260,CPT,PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL,,,21,,RBRVS,17.90 ,19.32 ,19.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21261,CPT,PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA & XTR,,,21,,RBRVS,34.07 ,22.11 ,22.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21263,CPT,PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD,,,21,,RBRVS,31.01 ,20.94 ,20.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21267,CPT,ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL,,,21,,RBRVS,20.69 ,22.78 ,22.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21268,CPT,ORBITAL REPOSITIONING W/BONE GRAFTS ICRA & XTRC,,,21,,RBRVS,27.07 ,19.43 ,19.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21270,CPT,MALAR AUGMENTATION PROSTHETIC MATERIAL,,,21,,RBRVS,10.63 ,8.93 ,15.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21275,CPT,SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ,,,21,,RBRVS,11.76 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21280,CPT,MEDIAL CANTHOPEXY SEPARATE PROCEDURE,,,21,,RBRVS,7.13 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21282,CPT,LATERAL CANTHOPEXY,,,21,,RBRVS,4.27 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21295,CPT,REDUCTION MASSETER MUSCLE & BONE EXTRAORAL,,,21,,RBRVS,1.90 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21296,CPT,REDUCTION MASSETER MUSCLE & BONE INTRAORAL,,,21,,RBRVS,4.78 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21299,CPT,UNLISTED CRANIOFACIAL & MAXILLOFACIAL PROCEDURE,,,21,,TotalUnits,,,,15.44 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21310,CPT,CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,,,21,,RBRVS,0.58 ,0.12 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21315,CPT,CLOSED TX NASAL FRACTURE W/O STABILIZATION,,,21,,RBRVS,1.83 ,2.27 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21320,CPT,CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,,,21,,RBRVS,1.88 ,1.74 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21325,CPT,OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED,,,21,,RBRVS,4.18 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21330,CPT,OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FI,,,21,,RBRVS,5.79 ,9.63 ,9.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21335,CPT,OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM,,,21,,RBRVS,9.02 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21336,CPT,OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION,,,21,,RBRVS,6.77 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21337,CPT,CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION,,,21,,RBRVS,3.39 ,4.58 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21338,CPT,OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION,,,21,,RBRVS,6.87 ,12.70 ,12.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21339,CPT,OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION,,,21,,RBRVS,8.50 ,12.49 ,12.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21340,CPT,PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE,,,21,,RBRVS,11.49 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21343,CPT,OPEN TX DEPRESSED FRONTAL SINUS FRACTURE,,,21,,RBRVS,14.32 ,17.95 ,17.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21344,CPT,OPEN TX COMPLICATED FRONTAL SINUS FRACTURE,,,21,,RBRVS,21.57 ,15.58 ,15.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21345,CPT,CLOSED TX NASOMAXILLARY COMPLEX FRACTURE,,,21,,RBRVS,9.06 ,8.45 ,12.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21346,CPT,OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG & FXJ,,,21,,RBRVS,11.45 ,13.17 ,13.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21347,CPT,OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN,,,21,,RBRVS,13.53 ,16.90 ,16.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21348,CPT,OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT,,,21,,RBRVS,17.52 ,14.26 ,14.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21355,CPT,PERCUTANEOUS TX MALAR AREA FRACTURE,,,21,,RBRVS,4.45 ,4.17 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21356,CPT,OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE,,,21,,RBRVS,4.83 ,5.31 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21360,CPT,OPEN TX DEPRESSED MALAR FRACTURE,,,21,,RBRVS,7.19 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21365,CPT,OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG,,,21,,RBRVS,16.77 ,12.68 ,12.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21366,CPT,OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT,,,21,,RBRVS,18.60 ,12.07 ,12.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21385,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL,,,21,,RBRVS,9.57 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21386,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL,,,21,,RBRVS,9.57 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21387,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR,,,21,,RBRVS,10.11 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21390,CPT,OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC,,,21,,RBRVS,11.23 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21395,CPT,OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF,,,21,,RBRVS,14.70 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21400,CPT,CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION,,,21,,RBRVS,1.50 ,2.75 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21401,CPT,CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION,,,21,,RBRVS,3.68 ,4.00 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21406,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT,,,21,,RBRVS,7.42 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21407,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT,,,21,,RBRVS,9.02 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21408,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT,,,21,,RBRVS,12.78 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21421,CPT,CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT,,,21,,RBRVS,6.02 ,11.37 ,14.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21422,CPT,OPEN TREATMENT PALATAL/MAXILLARY FRACTURE,,,21,,RBRVS,8.73 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21423,CPT,OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR,,,21,,RBRVS,10.85 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21431,CPT,CLOSED TX CRANIOFACIAL SEPARATION,,,21,,RBRVS,7.90 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21432,CPT,OPEN TX CRANIOFACIAL SEP W/WIRING&/INT FIXJ,,,21,,RBRVS,8.82 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21433,CPT,OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR,,,21,,RBRVS,26.29 ,19.34 ,19.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21435,CPT,OPEN TX CRANIOFACIAL SEP COMP W/INT&/XTRNL FIX,,,21,,RBRVS,20.26 ,13.27 ,13.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21436,CPT,OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE,,,21,,RBRVS,30.30 ,22.07 ,22.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21440,CPT,CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX,,,21,,RBRVS,3.44 ,9.56 ,12.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21445,CPT,OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX,,,21,,RBRVS,6.26 ,10.86 ,14.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21450,CPT,CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION,,,21,,RBRVS,3.71 ,10.04 ,13.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21451,CPT,CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,,,21,,RBRVS,5.65 ,11.95 ,15.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21452,CPT,PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ,,,21,,RBRVS,2.40 ,7.41 ,14.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21453,CPT,CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,,,21,,RBRVS,6.64 ,14.95 ,18.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21454,CPT,OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION,,,21,,RBRVS,7.36 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21461,CPT,OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION,,,21,,RBRVS,9.31 ,16.44 ,51.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21462,CPT,OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION,,,21,,RBRVS,11.01 ,17.55 ,52.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21465,CPT,OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE,,,21,,RBRVS,13.12 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21470,CPT,OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION,,,21,,RBRVS,17.54 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21480,CPT,CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,,,21,,RBRVS,0.61 ,0.22 ,2.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21485,CPT,CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,,,21,,RBRVS,4.77 ,11.44 ,14.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21490,CPT,OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION,,,21,,RBRVS,12.95 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21497,CPT,INTERDENTAL WIRING OTHER THAN FRACTURE,,,21,,RBRVS,4.64 ,12.29 ,15.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21499,CPT,UNLISTED MUSCULOSKELETAL PROCEDURE HEAD,,,21,,TotalUnits,,,,15.44 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21501,CPT,I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX,,,21,,RBRVS,3.98 ,4.50 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21502,CPT,I&D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI,,,21,,RBRVS,7.55 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21510,CPT,INCISION DEEP OPENING BONE CORTEX THORAX,,,21,,RBRVS,6.20 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21550,CPT,BIOPSY SOFT TISSUE NECK/THORAX,,,21,,RBRVS,2.11 ,2.12 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21552,CPT,EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>,,,21,,RBRVS,6.49 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21554,CPT,EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>,,,21,,RBRVS,11.13 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21555,CPT,EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM,,,21,,RBRVS,3.96 ,4.04 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21556,CPT,EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM,,,21,,RBRVS,7.66 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21557,CPT,RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM,,,21,,RBRVS,14.75 ,9.99 ,9.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21558,CPT,RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>,,,21,,RBRVS,21.58 ,12.95 ,12.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21600,CPT,EXCISION RIB PARTIAL,,,21,,RBRVS,7.26 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21610,CPT,COSTOTRANSVERSECTOMY SEPARATE PROCEDURE,,,21,,RBRVS,15.91 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21615,CPT,EXCISION 1ST &/CERVICAL RIB,,,21,,RBRVS,10.45 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21616,CPT,EXCISION 1ST &/CERVICAL RIB W/SYMPATHECTOMY,,,21,,RBRVS,12.69 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21620,CPT,OSTECTOMY STERNUM PARTIAL,,,21,,RBRVS,7.28 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21627,CPT,STERNAL DEBRIDEMENT,,,21,,RBRVS,7.30 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21630,CPT,RADICAL RESECTION STERNUM,,,21,,RBRVS,19.18 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21632,CPT,RADICAL RESECTION STERNUM W/MEDSTNL LMPHADEC,,,21,,RBRVS,19.68 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21685,CPT,HYOID MYOTOMY & SUSPENSION,,,21,,RBRVS,15.26 ,11.47 ,11.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21700,CPT,DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB,,,21,,RBRVS,6.31 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21705,CPT,DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB,,,21,,RBRVS,9.92 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21720,CPT,DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST,,,21,,RBRVS,5.80 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21725,CPT,DIVISION STERNOCLEIDOMASTOID OPEN W/CAST,,,21,,RBRVS,7.19 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21740,CPT,REPAIR PECTUS EXCAVATUM/CARINATUM OPEN,,,21,,RBRVS,17.57 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21742,CPT,REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC,,,21,,TotalUnits,,,,31.21 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21743,CPT,REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC,,,21,,TotalUnits,,,,37.70 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21750,CPT,CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX,,,21,,RBRVS,11.40 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21811,CPT,OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS,,,21,,RBRVS,10.79 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21812,CPT,OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS,,,21,,RBRVS,13.00 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21813,CPT,OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS,,,21,,RBRVS,17.61 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21820,CPT,CLOSED TREATMENT STERNUM FRACTURE,,,21,,RBRVS,1.36 ,2.52 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21825,CPT,OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION,,,21,,RBRVS,7.76 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 21899,CPT,UNLISTED PROCEDURE NECK/THORAX,,,21,,TotalUnits,,,,11.43 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21920,CPT,BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL,,,21,,RBRVS,2.11 ,2.18 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21925,CPT,BIOPSY SOFT TISSUE BACK/FLANK DEEP,,,21,,RBRVS,4.63 ,4.60 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21930,CPT,EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM,,,21,,RBRVS,4.94 ,4.51 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21931,CPT,EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>,,,21,,RBRVS,6.88 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21932,CPT,EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM,,,21,,RBRVS,9.82 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21933,CPT,EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/>,,,21,,RBRVS,11.13 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21935,CPT,RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM,,,21,,RBRVS,15.72 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 21936,CPT,RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>,,,21,,RBRVS,22.55 ,13.27 ,13.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22010,CPT,I&D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR,,,21,,RBRVS,12.75 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22015,CPT,I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC,,,21,,RBRVS,12.64 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22100,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV,,,21,,RBRVS,11.00 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22101,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC,,,21,,RBRVS,11.08 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22102,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR,,,21,,RBRVS,11.08 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22103,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA,,,21,,RBRVS,2.34 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22110,CPT,PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV,,,21,,RBRVS,14.00 ,11.96 ,11.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22112,CPT,PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC,,,21,,RBRVS,14.07 ,11.57 ,11.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22114,CPT,PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR,,,21,,RBRVS,14.07 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22116,CPT,PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA,,,21,,RBRVS,2.32 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22206,CPT,OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC,,,21,,RBRVS,37.18 ,23.32 ,23.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22207,CPT,OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR,,,21,,RBRVS,36.68 ,23.03 ,23.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22208,CPT,OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM,,,21,,RBRVS,9.66 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22210,CPT,OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV,,,21,,RBRVS,25.38 ,18.86 ,18.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22212,CPT,OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC,,,21,,RBRVS,20.99 ,16.43 ,16.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22214,CPT,OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR,,,21,,RBRVS,21.02 ,16.50 ,16.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22216,CPT,OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM,,,21,,RBRVS,6.03 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22220,CPT,OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV,,,21,,RBRVS,22.94 ,17.11 ,17.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22222,CPT,OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC,,,21,,RBRVS,23.09 ,17.07 ,17.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22224,CPT,OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR,,,21,,RBRVS,23.09 ,17.11 ,17.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22226,CPT,OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM,,,21,,RBRVS,6.03 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22310,CPT,CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING,,,21,,RBRVS,3.89 ,3.43 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22315,CPT,CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ,,,21,,RBRVS,10.11 ,9.60 ,12.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22318,CPT,OPTX&/RDCTJ ODNTD FX&/DISLC ANT FIXJ W/O GRAFT,,,21,,RBRVS,22.72 ,16.55 ,16.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22319,CPT,OPTX&/RDCTJ ODNTD FX&/DISLC ANT W/INT FIXJ,,,21,,RBRVS,25.33 ,17.75 ,17.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22325,CPT,OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM LM,,,21,,RBRVS,19.87 ,15.87 ,15.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22326,CPT,OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM CR,,,21,,RBRVS,20.84 ,15.60 ,15.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22327,CPT,OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM TH,,,21,,RBRVS,20.77 ,16.35 ,16.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22328,CPT,OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM EA,,,21,,RBRVS,4.60 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22505,CPT,MANIPULATION SPINE REQUIRING ANESTHESIA,,,21,,RBRVS,1.87 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22510,CPT,PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC,,,21,,RBRVS,8.15 ,3.95 ,41.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22511,CPT,PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL,,,21,,RBRVS,7.58 ,3.77 ,41.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22512,CPT,VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL,,,21,,RBRVS,4.00 ,1.50 ,23.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22513,CPT,PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,,,21,,RBRVS,8.90 ,4.99 ,198.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22514,CPT,PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,,,21,,RBRVS,8.24 ,4.73 ,198.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22515,CPT,PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,,,21,,RBRVS,4.00 ,1.75 ,121.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22526,CPT,PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL,,,21,,RBRVS,6.10 ,3.18 ,60.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22527,CPT,PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL,,,21,,RBRVS,3.03 ,1.16 ,52.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22532,CPT,ARTHRODESIS LATERAL EXTRACAVITARY THORACIC,,,21,,RBRVS,25.99 ,17.97 ,17.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22533,CPT,ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR,,,21,,RBRVS,24.79 ,17.25 ,17.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22534,CPT,ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR,,,21,,RBRVS,5.99 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22548,CPT,ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD,,,21,,RBRVS,27.06 ,19.48 ,19.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22551,CPT,ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,,,21,,RBRVS,25.00 ,16.80 ,16.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22552,CPT,ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,,,21,,RBRVS,6.50 ,3.11 ,3.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22554,CPT,ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2,,,21,,RBRVS,17.69 ,13.38 ,13.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22556,CPT,ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC,,,21,,RBRVS,24.70 ,16.62 ,16.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22558,CPT,ARTHRODESIS ANTERIOR INTERBODY LUMBAR,,,21,,RBRVS,23.53 ,15.15 ,15.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22585,CPT,ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC,,,21,,RBRVS,5.52 ,2.57 ,2.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22586,CPT,ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5-S1,,,21,,RBRVS,28.12 ,18.62 ,18.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22590,CPT,ARTHRODESIS POSTERIOR CRANIOCERVICAL,,,21,,RBRVS,21.76 ,16.57 ,16.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22595,CPT,ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2,,,21,,RBRVS,20.64 ,16.03 ,16.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22600,CPT,ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM,,,21,,RBRVS,17.40 ,14.35 ,14.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22610,CPT,ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC,,,21,,RBRVS,17.28 ,14.13 ,14.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22612,CPT,ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,,,21,,RBRVS,23.53 ,16.18 ,16.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22614,CPT,ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,,,21,,RBRVS,6.43 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22630,CPT,ARTHRODESIS POSTERIOR INTERBODY LUMBAR,,,21,,RBRVS,22.09 ,16.27 ,16.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22632,CPT,ARTHRODESIS POSTERIOR INTERBODY EA ADDL,,,21,,RBRVS,5.22 ,2.50 ,2.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22633,CPT,ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR,,,21,,RBRVS,27.75 ,18.06 ,18.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22634,CPT,ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG,,,21,,RBRVS,8.16 ,3.94 ,3.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22800,CPT,ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG,,,21,,RBRVS,19.50 ,14.67 ,14.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22802,CPT,ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG,,,21,,RBRVS,32.11 ,20.81 ,20.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22804,CPT,ARTHRODESIS POSTERIOR SPINAL DFRM 13/> VRT SEG,,,21,,RBRVS,37.50 ,23.47 ,23.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22808,CPT,ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG,,,21,,RBRVS,27.51 ,18.13 ,18.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22810,CPT,ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG,,,21,,RBRVS,31.50 ,19.17 ,19.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22812,CPT,ARTHRODESIS POSTERIOR SPINAL DFRM 8/> VRT SEG,,,21,,RBRVS,34.25 ,22.62 ,22.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22818,CPT,KYPHECTOMY SINGLE OR TWO SEGMENTS,,,21,,RBRVS,34.33 ,21.47 ,21.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22819,CPT,KYPHECTOMY 3 OR MORE SEGMENTS,,,21,,RBRVS,39.38 ,25.23 ,25.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22830,CPT,EXPLORATION SPINAL FUSION,,,21,,RBRVS,11.22 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22840,CPT,POSTERIOR NON-SEGMENTAL INSTRUMENTATION,,,21,,RBRVS,12.52 ,6.05 ,6.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22841,CPT,INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS,,,21,,TotalUnits,,,,13.78 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22842,CPT,POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,,,21,,RBRVS,12.56 ,6.08 ,6.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22843,CPT,POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG,,,21,,RBRVS,13.44 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22844,CPT,POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SE,,,21,,RBRVS,16.42 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22845,CPT,ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,,,21,,RBRVS,11.94 ,5.71 ,5.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22846,CPT,ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS,,,21,,RBRVS,12.40 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22847,CPT,ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS,,,21,,RBRVS,13.78 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22848,CPT,PELVIC FIXATION OTHER THAN SACRUM,,,21,,RBRVS,5.99 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22849,CPT,REINSERTION SPINAL FIXATION DEVICE,,,21,,RBRVS,19.17 ,13.20 ,13.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22850,CPT,REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION,,,21,,RBRVS,9.82 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22852,CPT,REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION,,,21,,RBRVS,9.37 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22853,CPT,INSJ BIOMECHANICAL DEVICE,,,21,,RBRVS,4.25 ,2.03 ,2.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22854,CPT,INSJ BIOMECHANICAL DEVICE,,,21,,RBRVS,5.50 ,2.63 ,2.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22855,CPT,REMOVAL ANTERIOR INSTRUMENTATION,,,21,,RBRVS,15.86 ,11.55 ,11.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22856,CPT,TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV,,,21,,RBRVS,24.05 ,16.01 ,16.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22857,CPT,TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC LMBR,,,21,,RBRVS,27.13 ,19.53 ,19.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22858,CPT,TOT DISC ARTHRP ANT APPR DISC 2ND LEVEL CERVICAL,,,21,,RBRVS,8.40 ,3.69 ,3.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22859,CPT,INSJ BIOMECHANICAL DEVICE,,,21,,RBRVS,5.50 ,2.63 ,2.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22861,CPT,REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV,,,21,,RBRVS,33.36 ,18.26 ,18.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22862,CPT,REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC LMBR,,,21,,RBRVS,32.63 ,14.69 ,14.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22864,CPT,RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL,,,21,,RBRVS,29.40 ,19.50 ,19.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22865,CPT,RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR,,,21,,RBRVS,31.75 ,21.03 ,21.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 22867,CPT,INSJ STABLJ DEV W/DCMPRN,,,21,,RBRVS,13.50 ,10.78 ,10.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22868,CPT,INSJ STABLJ DEV W/DCMPRN,,,21,,RBRVS,4.00 ,1.92 ,1.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22869,CPT,INSJ STABLJ DEV W/O DCMPRN,,,21,,RBRVS,7.03 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22870,CPT,INSJ STABLJ DEV W/O DCMPRN,,,21,,RBRVS,2.34 ,1.13 ,1.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 22899,CPT,UNLISTED PROCEDURE SPINE,,,21,,TotalUnits,,,,18.34 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22900,CPT,EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM,,,21,,RBRVS,8.32 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22901,CPT,EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>,,,21,,RBRVS,10.11 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22902,CPT,EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM,,,21,,RBRVS,4.42 ,4.11 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22903,CPT,EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>,,,21,,RBRVS,6.39 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22904,CPT,RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM,,,21,,RBRVS,16.69 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22905,CPT,RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>,,,21,,RBRVS,21.58 ,12.01 ,12.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 22999,CPT,UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM,,,21,,TotalUnits,,,,11.17 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23000,CPT,REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN,,,21,,RBRVS,4.48 ,5.29 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23020,CPT,CAPSULAR CONTRACTURE RELEASE,,,21,,RBRVS,9.36 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23030,CPT,I&D SHOULDER DEEP ABSCESS/HEMATOMA,,,21,,RBRVS,3.47 ,3.18 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23031,CPT,I&D SHOULDER INFECTED BURSA,,,21,,RBRVS,2.79 ,2.97 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23035,CPT,INCISION BONE CORTEX SHOULDER AREA,,,21,,RBRVS,9.16 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23040,CPT,ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB,,,21,,RBRVS,9.75 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23044,CPT,ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB,,,21,,RBRVS,7.59 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23065,CPT,BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL,,,21,,RBRVS,2.30 ,2.15 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23066,CPT,BIOPSY SOFT TISSUE SHOULDER DEEP,,,21,,RBRVS,4.30 ,5.04 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23071,CPT,EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>,,,21,,RBRVS,5.91 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23073,CPT,EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>,,,21,,RBRVS,10.13 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23075,CPT,EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,,,21,,RBRVS,4.21 ,4.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23076,CPT,EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM,,,21,,RBRVS,7.41 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23077,CPT,RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM,,,21,,RBRVS,17.66 ,11.55 ,11.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23078,CPT,RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM/>,,,21,,RBRVS,22.55 ,14.05 ,14.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23100,CPT,ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY,,,21,,RBRVS,6.20 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23101,CPT,ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG,,,21,,RBRVS,5.72 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23105,CPT,ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY,,,21,,RBRVS,8.48 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23106,CPT,ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX,,,21,,RBRVS,6.13 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23107,CPT,ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB,,,21,,RBRVS,8.87 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23120,CPT,CLAVICULECTOMY PARTIAL,,,21,,RBRVS,7.39 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23125,CPT,CLAVICULECTOMY TOTAL,,,21,,RBRVS,9.64 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23130,CPT,PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE,,,21,,RBRVS,7.77 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23140,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA,,,21,,RBRVS,7.12 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23145,CPT,EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT,,,21,,RBRVS,9.40 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23146,CPT,EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT,,,21,,RBRVS,8.08 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23150,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS,,,21,,RBRVS,8.91 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23155,CPT,EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT,,,21,,RBRVS,10.86 ,9.70 ,9.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23156,CPT,EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT,,,21,,RBRVS,9.11 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23170,CPT,SEQUESTRECTOMY CLAVICLE,,,21,,RBRVS,7.21 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23172,CPT,SEQUESTRECTOMY SCAPULA,,,21,,RBRVS,7.31 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23174,CPT,SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK,,,21,,RBRVS,10.05 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23180,CPT,PARTIAL EXCISION BONE CLAVICLE,,,21,,RBRVS,8.99 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23182,CPT,PARTIAL EXCISION BONE SCAPULA,,,21,,RBRVS,8.61 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23184,CPT,PARTIAL EXCISION BONE PROXIMAL HUMERUS,,,21,,RBRVS,9.90 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23190,CPT,OSTECTOMY SCAPULA PARTIAL,,,21,,RBRVS,7.47 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23195,CPT,RESECTION HUMERAL HEAD,,,21,,RBRVS,10.36 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23200,CPT,RADICAL RESECTION TUMOR CLAVICLE,,,21,,RBRVS,22.71 ,15.28 ,15.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 23210,CPT,RADICAL RESECTION TUMOR SCAPULA,,,21,,RBRVS,27.21 ,18.42 ,18.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 23220,CPT,RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS,,,21,,RBRVS,30.21 ,19.82 ,19.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 23330,CPT,REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,,,21,,RBRVS,1.90 ,2.11 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23333,CPT,REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM,,,21,,RBRVS,6.00 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23334,CPT,PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT,,,21,,RBRVS,15.50 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23335,CPT,PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT,,,21,,RBRVS,19.00 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 23350,CPT,INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG,,,21,,RBRVS,1.00 ,0.38 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23395,CPT,MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE,,,21,,RBRVS,18.54 ,14.82 ,14.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23397,CPT,MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE,,,21,,RBRVS,16.76 ,12.68 ,12.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23400,CPT,SCAPULOPEXY,,,21,,RBRVS,13.87 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23405,CPT,TENOTOMY SHOULDER AREA 1 TENDON,,,21,,RBRVS,8.54 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23406,CPT,TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION,,,21,,RBRVS,11.01 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23410,CPT,OPEN REPAIR OF ROTATOR CUFF ACUTE,,,21,,RBRVS,11.39 ,9.97 ,9.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23412,CPT,OPEN REPAIR OF ROTATOR CUFF CHRONIC,,,21,,RBRVS,11.93 ,10.22 ,10.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23415,CPT,CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY,,,21,,RBRVS,9.23 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23420,CPT,RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC,,,21,,RBRVS,13.54 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23430,CPT,TENODESIS LONG TENDON BICEPS,,,21,,RBRVS,10.17 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23440,CPT,RESECTION/TRANSPLANTATION LONG TENDON BICEPS,,,21,,RBRVS,10.64 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23450,CPT,CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON,,,21,,RBRVS,13.70 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23455,CPT,CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR,,,21,,RBRVS,14.67 ,11.23 ,11.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23460,CPT,CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK,,,21,,RBRVS,15.82 ,12.32 ,12.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23462,CPT,CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR,,,21,,RBRVS,15.72 ,11.71 ,11.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23465,CPT,CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK,,,21,,RBRVS,16.30 ,12.60 ,12.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23466,CPT,CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS,,,21,,RBRVS,15.80 ,13.36 ,13.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23470,CPT,ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY,,,21,,RBRVS,17.89 ,13.26 ,13.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23472,CPT,ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER,,,21,,RBRVS,22.13 ,15.58 ,15.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 23473,CPT,REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT,,,21,,RBRVS,25.00 ,17.04 ,17.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23474,CPT,REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT,,,21,,RBRVS,27.21 ,18.18 ,18.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 23480,CPT,OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION,,,21,,RBRVS,11.54 ,9.70 ,9.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23485,CPT,OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL,,,21,,RBRVS,13.91 ,10.81 ,10.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23490,CPT,PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE,,,21,,RBRVS,12.16 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23491,CPT,PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS,,,21,,RBRVS,14.54 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23500,CPT,CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,,,21,,RBRVS,2.21 ,3.73 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23505,CPT,CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,,,21,,RBRVS,3.83 ,4.96 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23515,CPT,OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION,,,21,,RBRVS,9.69 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23520,CPT,CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION,,,21,,RBRVS,2.29 ,3.76 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23525,CPT,CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION,,,21,,RBRVS,3.79 ,5.39 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23530,CPT,OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC,,,21,,RBRVS,7.48 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23532,CPT,OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF,,,21,,RBRVS,8.20 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23540,CPT,CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION,,,21,,RBRVS,2.36 ,3.74 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23545,CPT,CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,,,21,,RBRVS,3.43 ,4.83 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23550,CPT,OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC,,,21,,RBRVS,7.59 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23552,CPT,OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF,,,21,,RBRVS,8.82 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23570,CPT,CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,,,21,,RBRVS,2.36 ,4.00 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23575,CPT,CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION,,,21,,RBRVS,4.23 ,5.60 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23585,CPT,OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD,,,21,,RBRVS,14.23 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23600,CPT,CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,,,21,,RBRVS,3.00 ,5.20 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23605,CPT,CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,,,21,,RBRVS,5.06 ,6.10 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23615,CPT,OPEN TREATMENT PROXIMAL HUMERAL FRACTURE,,,21,,RBRVS,12.30 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23616,CPT,OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT,,,21,,RBRVS,18.37 ,13.77 ,13.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23620,CPT,CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,,,21,,RBRVS,2.55 ,4.27 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23625,CPT,CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION,,,21,,RBRVS,4.10 ,5.18 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23630,CPT,OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE,,,21,,RBRVS,10.57 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23650,CPT,CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,,,21,,RBRVS,3.53 ,4.12 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23655,CPT,CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,,,21,,RBRVS,4.76 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23660,CPT,OPEN TX ACUTE SHOULDER DISLOCATION,,,21,,RBRVS,7.66 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23665,CPT,CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ,,,21,,RBRVS,4.66 ,5.74 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23670,CPT,OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX,,,21,,RBRVS,12.28 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23675,CPT,CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ,,,21,,RBRVS,6.27 ,6.86 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23680,CPT,OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE,,,21,,RBRVS,13.15 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23700,CPT,MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS,,,21,,RBRVS,2.57 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23800,CPT,ARTHRODESIS GLENOHUMERAL JOINT,,,21,,RBRVS,14.73 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23802,CPT,ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT,,,21,,RBRVS,18.42 ,14.38 ,14.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23900,CPT,INTERTHORACOSCAPULAR AMPUTATION,,,21,,RBRVS,20.72 ,15.09 ,15.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 23920,CPT,DISARTICULATION SHOULDER,,,21,,RBRVS,16.23 ,12.77 ,12.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 23921,CPT,DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION,,,21,,RBRVS,5.72 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23929,CPT,UNLISTED PROCEDURE SHOULDER,,,21,,TotalUnits,,,,17.77 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23930,CPT,I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,,,21,,RBRVS,2.99 ,2.58 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23931,CPT,INCISION&DRAINAGE UPPER ARM/ELBOW BURSA,,,21,,RBRVS,1.84 ,2.40 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 23935,CPT,INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW,,,21,,RBRVS,6.38 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24000,CPT,ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB,,,21,,RBRVS,6.08 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24006,CPT,ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX,,,21,,RBRVS,9.74 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24065,CPT,BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL,,,21,,RBRVS,2.13 ,2.35 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24066,CPT,BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP,,,21,,RBRVS,5.35 ,5.43 ,11.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24071,CPT,EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>,,,21,,RBRVS,5.70 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24073,CPT,EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>,,,21,,RBRVS,10.13 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24075,CPT,EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM,,,21,,RBRVS,4.24 ,4.34 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24076,CPT,EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM,,,21,,RBRVS,7.41 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24077,CPT,RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW <5CM,,,21,,RBRVS,15.72 ,10.72 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24079,CPT,RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM/>,,,21,,RBRVS,20.61 ,13.18 ,13.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24100,CPT,ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY,,,21,,RBRVS,5.07 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24101,CPT,ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB,,,21,,RBRVS,6.30 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24102,CPT,ARTHROTOMY ELBOW W/SYNOVECTOMY,,,21,,RBRVS,8.26 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24105,CPT,EXCISION OLECRANON BURSA,,,21,,RBRVS,3.78 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24110,CPT,EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS,,,21,,RBRVS,7.58 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24115,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT,,,21,,RBRVS,10.12 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24116,CPT,EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT,,,21,,RBRVS,12.23 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24120,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN,,,21,,RBRVS,6.82 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24125,CPT,EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT,,,21,,RBRVS,8.14 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24126,CPT,EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT,,,21,,RBRVS,8.62 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24130,CPT,EXCISION RADIAL HEAD,,,21,,RBRVS,6.42 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24134,CPT,SEQUESTRECTOMY SHAFT/DISTAL HUMERUS,,,21,,RBRVS,10.22 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24136,CPT,SEQUESTRECTOMY RADIAL HEAD OR NECK,,,21,,RBRVS,8.40 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24138,CPT,SEQUESTRECTOMY OLECRANON PROCESS,,,21,,RBRVS,8.50 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24140,CPT,PARTIAL EXCISION BONE HUMERUS,,,21,,RBRVS,9.55 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24145,CPT,PARTIAL EXCISION BONE RADIAL HEAD/NECK,,,21,,RBRVS,7.81 ,7.58 ,7.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24147,CPT,PARTIAL EXCISION BONE OLECRANON PROCESS,,,21,,RBRVS,7.84 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24149,CPT,RAD RESCJ CAPSL TISS&HTRTPC BONE ELBW CONTRCT,,,21,,RBRVS,16.22 ,14.46 ,14.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24150,CPT,RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS,,,21,,RBRVS,23.46 ,16.64 ,16.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24152,CPT,RADICAL RESECTION TUMOR RADIAL HEAD/NECK,,,21,,RBRVS,19.99 ,14.92 ,14.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24155,CPT,RESECTION ELBOW JOINT ARTHRECTOMY,,,21,,RBRVS,12.09 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24160,CPT,PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS,,,21,,RBRVS,18.63 ,14.12 ,14.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24164,CPT,PROSTHESIS REMOVAL RADIAL HEAD,,,21,,RBRVS,10.00 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24200,CPT,RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,,,21,,RBRVS,1.81 ,1.90 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24201,CPT,REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,,,21,,RBRVS,4.70 ,4.68 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24220,CPT,INJECTION ELBOW ARTHROGRAPHY,,,21,,RBRVS,1.31 ,0.55 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24300,CPT,MANIPULATION ELBOW UNDER ANESTHESIA,,,21,,RBRVS,4.04 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24301,CPT,MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE,,,21,,RBRVS,10.38 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24305,CPT,TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON,,,21,,RBRVS,7.62 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24310,CPT,TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON,,,21,,RBRVS,6.12 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24320,CPT,TENOPLASTY ELBOW TO SHOULDER SINGLE,,,21,,RBRVS,10.86 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24330,CPT,FLEXOR-PLASTY ELBOW,,,21,,RBRVS,9.79 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24331,CPT,FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT,,,21,,RBRVS,10.95 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24332,CPT,TENOLYSIS TRICEPS,,,21,,RBRVS,7.91 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24340,CPT,TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE,,,21,,RBRVS,8.08 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24341,CPT,REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA,,,21,,RBRVS,9.49 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24342,CPT,RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF,,,21,,RBRVS,10.86 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24343,CPT,REPAIR LATERAL COLLATERAL LIGAMENT ELBOW,,,21,,RBRVS,9.16 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24344,CPT,RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT,,,21,,RBRVS,15.21 ,13.19 ,13.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24345,CPT,REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW,,,21,,RBRVS,9.16 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24346,CPT,RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF,,,21,,RBRVS,15.21 ,13.26 ,13.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24357,CPT,TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,,,21,,RBRVS,5.44 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24358,CPT,TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN,,,21,,RBRVS,6.66 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24359,CPT,TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR,,,21,,RBRVS,8.98 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24360,CPT,ARTHROPLASTY ELBOW W/MEMBRANE,,,21,,RBRVS,12.67 ,10.31 ,10.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24361,CPT,ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT,,,21,,RBRVS,14.41 ,11.35 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24362,CPT,ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ,,,21,,RBRVS,15.32 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24363,CPT,ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM,,,21,,RBRVS,22.00 ,15.74 ,15.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24365,CPT,ARTHROPLASTY RADIAL HEAD,,,21,,RBRVS,8.62 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24366,CPT,ARTHROPLASTY RADIAL HEAD W/IMPLANT,,,21,,RBRVS,9.36 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24370,CPT,REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT,,,21,,RBRVS,23.55 ,16.42 ,16.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24371,CPT,REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT,,,21,,RBRVS,27.50 ,18.66 ,18.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24400,CPT,OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION,,,21,,RBRVS,11.33 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24410,CPT,MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT,,,21,,RBRVS,15.11 ,12.21 ,12.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24420,CPT,OSTEOPLASTY HUMERUS,,,21,,RBRVS,13.73 ,11.98 ,11.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24430,CPT,REPAIR NON/MALUNION HUMERUS W/O GRAFT,,,21,,RBRVS,15.25 ,12.16 ,12.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24435,CPT,REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT,,,21,,RBRVS,14.99 ,13.03 ,13.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24470,CPT,HEMIEPIPHYSEAL ARREST,,,21,,RBRVS,8.93 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24495,CPT,DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL,,,21,,RBRVS,8.41 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24498,CPT,PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT,,,21,,RBRVS,12.28 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24500,CPT,CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,,,21,,RBRVS,3.41 ,5.25 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24505,CPT,CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ,,,21,,RBRVS,5.39 ,6.46 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24515,CPT,OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE,,,21,,RBRVS,12.12 ,10.67 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24516,CPT,TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE,,,21,,RBRVS,12.19 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24530,CPT,CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ,,,21,,RBRVS,3.69 ,5.43 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24535,CPT,CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ,,,21,,RBRVS,7.11 ,7.70 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24538,CPT,PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX,,,21,,RBRVS,9.77 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24545,CPT,OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN,,,21,,RBRVS,13.15 ,10.98 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24546,CPT,OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN,,,21,,RBRVS,14.91 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24560,CPT,CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,,,21,,RBRVS,2.98 ,4.67 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24565,CPT,CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ,,,21,,RBRVS,5.78 ,6.93 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24566,CPT,PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ,,,21,,RBRVS,9.06 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24575,CPT,OPEN TX HUMERAL EPICONDYLAR FRACTURE,,,21,,RBRVS,9.71 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24576,CPT,CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,,,21,,RBRVS,3.06 ,5.07 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24577,CPT,CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ,,,21,,RBRVS,6.01 ,7.05 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24579,CPT,OPEN TREATMENT HUMERAL CONDYLAR FRACTURE,,,21,,RBRVS,11.44 ,10.32 ,10.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24582,CPT,PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ,,,21,,RBRVS,10.14 ,10.98 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24586,CPT,OPTX PERIARTICULAR FRACTURE &/DISLOCATION ELBO,,,21,,RBRVS,15.78 ,12.32 ,12.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24587,CPT,OPTX PRIARTICULAR FX&/DISLC ELBW W/IMPLT ARTHR,,,21,,RBRVS,15.79 ,12.33 ,12.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24600,CPT,TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,,,21,,RBRVS,4.37 ,4.43 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24605,CPT,TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,,,21,,RBRVS,5.64 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24615,CPT,OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,,,21,,RBRVS,9.83 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24620,CPT,CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ,,,21,,RBRVS,7.22 ,7.19 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24635,CPT,OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW,,,21,,RBRVS,8.80 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24640,CPT,CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ,,,21,,RBRVS,1.25 ,1.18 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24650,CPT,CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,,,21,,RBRVS,2.31 ,4.11 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24655,CPT,CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,,,21,,RBRVS,4.62 ,5.85 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24665,CPT,OPEN TX RADIAL HEAD/NECK FRACTURE,,,21,,RBRVS,8.36 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24666,CPT,OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC,,,21,,RBRVS,9.86 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24670,CPT,CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ,,,21,,RBRVS,2.69 ,4.30 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24675,CPT,CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,,,21,,RBRVS,4.91 ,5.99 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24685,CPT,OPEN TREATMENT ULNAR FRACTURE PROXIMAL END,,,21,,RBRVS,8.37 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24800,CPT,ARTHRODESIS ELBOW JOINT LOCAL,,,21,,RBRVS,11.41 ,10.09 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24802,CPT,ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT,,,21,,RBRVS,14.32 ,11.14 ,11.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24900,CPT,AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE,,,21,,RBRVS,10.18 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 24920,CPT,AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR,,,21,,RBRVS,10.13 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 24925,CPT,AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ,,,21,,RBRVS,7.30 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24930,CPT,AMPUTATION ARM THRU HUMERUS RE-AMPUTATION,,,21,,RBRVS,10.83 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 24931,CPT,AMPUTATION ARM THRU HUMERUS W/IMPLANT,,,21,,RBRVS,13.44 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 24935,CPT,STUMP ELONGATION UPPER EXTREMITY,,,21,,RBRVS,16.45 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 24940,CPT,CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE,,,21,,TotalUnits,,,,27.37 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 24999,CPT,UNLISTED PROCEDURE HUMERUS/ELBOW,,,21,,TotalUnits,,,,13.70 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25000,CPT,INCISION EXTENSOR TENDON SHEATH WRIST,,,21,,RBRVS,3.55 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25001,CPT,INCISION FLEXOR TENDON SHEATH WRIST,,,21,,RBRVS,3.79 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25020,CPT,DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O DBRDMT,,,21,,RBRVS,6.06 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25023,CPT,DCMPRN FASCT F/ARM&/WRST FLXR/XTNSR W/DBRDMT,,,21,,RBRVS,13.83 ,15.02 ,15.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25024,CPT,DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR W/O DB,,,21,,RBRVS,10.79 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25025,CPT,DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR DBRDMT,,,21,,RBRVS,17.94 ,13.34 ,13.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25028,CPT,I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA,,,21,,RBRVS,5.39 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25031,CPT,INCISION & DRAINAGE FOREARM&/WRIST BURSA,,,21,,RBRVS,4.26 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25035,CPT,INCISION DEEP BONE CORTEX FOREARM&/WRIST,,,21,,RBRVS,7.65 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25040,CPT,ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB,,,21,,RBRVS,7.50 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25065,CPT,BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL,,,21,,RBRVS,2.04 ,2.34 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25066,CPT,BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP,,,21,,RBRVS,4.27 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25071,CPT,EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>,,,21,,RBRVS,5.91 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25073,CPT,EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/>,,,21,,RBRVS,7.13 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25075,CPT,EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM,,,21,,RBRVS,3.96 ,4.31 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25076,CPT,EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM,,,21,,RBRVS,6.74 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25077,CPT,RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM,,,21,,RBRVS,12.93 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25078,CPT,RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>,,,21,,RBRVS,17.69 ,12.14 ,12.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25085,CPT,CAPSULOTOMY WRIST,,,21,,RBRVS,5.64 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25100,CPT,ARTHROTOMY WRIST JOINT WITH BIOPSY,,,21,,RBRVS,4.02 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25101,CPT,ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB,,,21,,RBRVS,4.83 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25105,CPT,ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY,,,21,,RBRVS,6.02 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25107,CPT,ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE,,,21,,RBRVS,7.70 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25109,CPT,EXC TENDON FOREARM&/WRIST FLEXOR/EXTENSOR EA,,,21,,RBRVS,6.94 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25110,CPT,EXCISION LESION TENDON SHEATH FOREARM&/WRIST,,,21,,RBRVS,4.04 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25111,CPT,EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY,,,21,,RBRVS,3.53 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25112,CPT,EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT,,,21,,RBRVS,4.67 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25115,CPT,RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS,,,21,,RBRVS,10.09 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25116,CPT,RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS,,,21,,RBRVS,7.56 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25118,CPT,SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT,,,21,,RBRVS,4.51 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25119,CPT,SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA,,,21,,RBRVS,6.21 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25120,CPT,EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA,,,21,,RBRVS,6.27 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25125,CPT,EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT,,,21,,RBRVS,7.67 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25126,CPT,EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT,,,21,,RBRVS,7.74 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25130,CPT,EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES,,,21,,RBRVS,5.43 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25135,CPT,EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT,,,21,,RBRVS,7.08 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25136,CPT,EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT,,,21,,RBRVS,6.14 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25145,CPT,SEQUESTRECTOMY FOREARM &/WRIST,,,21,,RBRVS,6.54 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25150,CPT,PARTIAL EXCISION BONE ULNA,,,21,,RBRVS,7.38 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25151,CPT,PARTIAL EXCISION BONE RADIUS,,,21,,RBRVS,7.68 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25170,CPT,RADICAL RESECTION TUMOR RADIUS OR ULNA,,,21,,RBRVS,22.21 ,15.89 ,15.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25210,CPT,CARPECTOMY 1 BONE,,,21,,RBRVS,6.12 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25215,CPT,CARPECTOMY ALL BONES PROXIMAL ROW,,,21,,RBRVS,8.14 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25230,CPT,RADICAL STYLOIDECTOMY SEPARATE PROCEDURE,,,21,,RBRVS,5.37 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25240,CPT,EXCISION DISTAL ULNA PARTIAL/COMPLETE,,,21,,RBRVS,5.31 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25246,CPT,INJECTION WRIST ARTHROGRAPHY,,,21,,RBRVS,1.45 ,0.58 ,3.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25248,CPT,EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST,,,21,,RBRVS,5.31 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25250,CPT,REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE,,,21,,RBRVS,6.77 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25251,CPT,REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST,,,21,,RBRVS,9.82 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25259,CPT,MANIPULATION WRIST UNDER ANESTHESIA,,,21,,RBRVS,4.04 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25260,CPT,RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MU,,,21,,RBRVS,8.04 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25263,CPT,RPR TDN/MUSC FLXR F/ARM&/WRIST SEC 1 EA TDN/MUS,,,21,,RBRVS,8.04 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25265,CPT,RPR TDN/MUSC FLXR F/ARM&/WRISTSEC FR GRF EA,,,21,,RBRVS,10.10 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25270,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRIST PRIM 1 EA TDN,,,21,,RBRVS,6.17 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25272,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRIST SEC 1 EA TDN/MU,,,21,,RBRVS,7.21 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25274,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRST SEC FR GRF EA TDN,,,21,,RBRVS,8.94 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25275,CPT,RPR TENDON SHEATH EXTENSOR F/ARM&/WRIST W/GRAFT,,,21,,RBRVS,8.96 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25280,CPT,LNGTH/SHRT FLXR/XTNSR TDN F/ARM&/WRIST 1 EA TDN,,,21,,RBRVS,7.39 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25290,CPT,TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA,,,21,,RBRVS,5.43 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25295,CPT,TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA,,,21,,RBRVS,6.72 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25300,CPT,TENODESIS WRIST FLEXORS FINGERS,,,21,,RBRVS,9.02 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25301,CPT,TENODESIS WRIST EXTENSORS FINGERS,,,21,,RBRVS,8.59 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25310,CPT,TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN,,,21,,RBRVS,8.08 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25312,CPT,TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1/TDN GR,,,21,,RBRVS,9.82 ,8.90 ,8.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25315,CPT,FLEXOR ORIGIN SLIDE FOREARM &/WRIST,,,21,,RBRVS,10.68 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25316,CPT,FLEXOR ORIGIN SLIDE F/ARM&/WRST TENDON TRANSFE,,,21,,RBRVS,12.90 ,10.72 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25320,CPT,CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS,,,21,,RBRVS,12.75 ,13.17 ,13.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25332,CPT,ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ,,,21,,RBRVS,11.74 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25335,CPT,CENTRALIZATION WRST ULNA,,,21,,RBRVS,13.39 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25337,CPT,RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ,,,21,,RBRVS,11.73 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25350,CPT,OSTEOTOMY RADIUS DISTAL THIRD,,,21,,RBRVS,9.09 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25355,CPT,OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD,,,21,,RBRVS,10.53 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25360,CPT,OSTEOTOMY ULNA,,,21,,RBRVS,8.74 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25365,CPT,OSTEOTOMY RADIUS & ULNA,,,21,,RBRVS,12.91 ,10.74 ,10.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25370,CPT,MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA,,,21,,RBRVS,14.10 ,12.04 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25375,CPT,MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS&ULNA,,,21,,RBRVS,13.55 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25390,CPT,OSTEOPLASTY RADIUS/ULNA SHORTENING,,,21,,RBRVS,10.70 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25391,CPT,OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT,,,21,,RBRVS,14.28 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25392,CPT,OSTEOPLASTY RADIUS & ULNA SHORTENING,,,21,,RBRVS,14.58 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25393,CPT,OSTEOPLASTY RADIUS&ULNA LENGTHENING W/AUTOGRAF,,,21,,RBRVS,16.56 ,13.15 ,13.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25394,CPT,OSTEOPLASTY CARPAL BONE SHORTENING,,,21,,RBRVS,10.85 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25400,CPT,RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT,,,21,,RBRVS,11.28 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25405,CPT,RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT,,,21,,RBRVS,15.01 ,11.95 ,11.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25415,CPT,RPR NONUNION/MALUNION RADIUS&ULNA W/O AUTOGRAF,,,21,,RBRVS,13.80 ,11.09 ,11.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25420,CPT,RPR NONUNION/MALUNION RADIUS&ULNA W/AUTOGRAFT,,,21,,RBRVS,17.04 ,13.10 ,13.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25425,CPT,REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA,,,21,,RBRVS,13.72 ,11.15 ,11.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25426,CPT,REPAIR DEFECT W/AUTOGRAFT RADIUS&ULNA,,,21,,RBRVS,16.45 ,12.52 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25430,CPT,INSERTION VASCULAR PEDICLE CARPAL BONE,,,21,,RBRVS,9.71 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25431,CPT,REPAIR NONUNION CARPAL BONE EACH BONE,,,21,,RBRVS,10.89 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25440,CPT,RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC,,,21,,RBRVS,10.68 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25441,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS,,,21,,RBRVS,13.29 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25442,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA,,,21,,RBRVS,11.12 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25443,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL,,,21,,RBRVS,10.66 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25444,CPT,ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE,,,21,,RBRVS,11.42 ,9.97 ,9.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25445,CPT,ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM,,,21,,RBRVS,9.88 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25446,CPT,ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS,,,21,,RBRVS,17.30 ,13.20 ,13.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25447,CPT,ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS,,,21,,RBRVS,11.14 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25449,CPT,REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT,,,21,,RBRVS,14.94 ,12.01 ,12.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25450,CPT,EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U,,,21,,RBRVS,8.06 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25455,CPT,EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS&ULNA,,,21,,RBRVS,9.71 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25490,CPT,PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS,,,21,,RBRVS,9.73 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25491,CPT,PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA,,,21,,RBRVS,10.15 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25492,CPT,PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD&UL,,,21,,RBRVS,12.66 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25500,CPT,CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,,,21,,RBRVS,2.60 ,4.09 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25505,CPT,CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,,,21,,RBRVS,5.45 ,6.70 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25515,CPT,OPEN TREATMENT RADIAL SHAFT FRACTURE,,,21,,RBRVS,8.80 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25520,CPT,CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,,,21,,RBRVS,6.50 ,7.37 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25525,CPT,OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE,,,21,,RBRVS,10.55 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25526,CPT,OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE,,,21,,RBRVS,13.15 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25530,CPT,CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION,,,21,,RBRVS,2.24 ,4.11 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25535,CPT,CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,,,21,,RBRVS,5.36 ,6.54 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25545,CPT,OPEN TREATMENT OF ULNAR SHAFT FRACTURE,,,21,,RBRVS,7.94 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25560,CPT,CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN,,,21,,RBRVS,2.59 ,4.11 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25565,CPT,CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ,,,21,,RBRVS,5.85 ,6.49 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25574,CPT,OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA,,,21,,RBRVS,8.80 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25575,CPT,OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS&ULNA,,,21,,RBRVS,12.29 ,11.15 ,11.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25600,CPT,CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ,,,21,,RBRVS,2.78 ,5.54 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25605,CPT,CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF,,,21,,RBRVS,6.25 ,7.25 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25606,CPT,PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP,,,21,,RBRVS,8.31 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25607,CPT,OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,,,21,,RBRVS,9.56 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25608,CPT,OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG,,,21,,RBRVS,11.07 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25609,CPT,OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG,,,21,,RBRVS,14.38 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25622,CPT,CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ,,,21,,RBRVS,2.79 ,4.61 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25624,CPT,CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ,,,21,,RBRVS,4.77 ,6.65 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25628,CPT,OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE,,,21,,RBRVS,9.67 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25630,CPT,CLTX CARPAL BONE FX W/O MANJ EACH BONE,,,21,,RBRVS,3.03 ,4.42 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25635,CPT,CLTX CARPAL BONE FX W/MANJ EACH BONE,,,21,,RBRVS,4.61 ,5.50 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25645,CPT,OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA,,,21,,RBRVS,7.42 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25650,CPT,CLOSED TREATMENT ULNAR STYLOID FRACTURE,,,21,,RBRVS,3.23 ,4.76 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25651,CPT,PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE,,,21,,RBRVS,5.82 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25652,CPT,OPEN TREATMENT ULNAR STYLOID FRACTURE,,,21,,RBRVS,8.06 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25660,CPT,CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ,,,21,,RBRVS,4.98 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25670,CPT,OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1/> BONES,,,21,,RBRVS,8.09 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25671,CPT,PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION,,,21,,RBRVS,6.46 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25675,CPT,CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ,,,21,,RBRVS,4.89 ,5.60 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25676,CPT,OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC,,,21,,RBRVS,8.29 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25680,CPT,CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ,,,21,,RBRVS,6.23 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25685,CPT,OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC,,,21,,RBRVS,10.09 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25690,CPT,CLOSED TX LUNATE DISLOCATION W/MANIPULATION,,,21,,RBRVS,5.72 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25695,CPT,OPEN TREATMENT LUNATE DISLOCATION,,,21,,RBRVS,8.51 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25800,CPT,ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT,,,21,,RBRVS,10.07 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25805,CPT,ARTHRODESIS WRIST W/SLIDING GRAFT,,,21,,RBRVS,11.73 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25810,CPT,ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT,,,21,,RBRVS,11.95 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25820,CPT,ARTHRODESIS WRIST LIMITED W/O BONE GRAFT,,,21,,RBRVS,7.64 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25825,CPT,ARTHRODESIS WRIST LIMITED W/AUTOGRAFT,,,21,,RBRVS,9.69 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25830,CPT,ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE,,,21,,RBRVS,10.88 ,14.17 ,14.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25900,CPT,AMPUTATION FOREARM THROUGH RADIUS & ULNA,,,21,,RBRVS,9.61 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 25905,CPT,AMP FOREARM THRU RADIUS & ULNA OPEN CIRCULAR,,,21,,RBRVS,9.59 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 25907,CPT,AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE,,,21,,RBRVS,8.09 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25909,CPT,AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION,,,21,,RBRVS,9.31 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25915,CPT,KRUKENBERG PROCEDURE,,,21,,RBRVS,17.52 ,13.10 ,13.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 25920,CPT,DISARTICULATION THROUGH WRIST,,,21,,RBRVS,9.03 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 25922,CPT,DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ,,,21,,RBRVS,7.65 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25924,CPT,DISARTICULATION THRU WRIST RE-AMPUTATION,,,21,,RBRVS,8.81 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 25927,CPT,TRANSMETACARPAL AMPUTATION,,,21,,RBRVS,9.09 ,12.27 ,12.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 25929,CPT,TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ,,,21,,RBRVS,7.82 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25931,CPT,TRANSMETACARPAL AMPUTATION RE-AMPUTATION,,,21,,RBRVS,8.04 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 25999,CPT,UNLISTED PROCEDURE FOREARM/WRIST,,,21,,TotalUnits,,,,16.19 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26010,CPT,DRAINAGE FINGER ABSCESS SIMPLE,,,21,,RBRVS,1.59 ,2.10 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26011,CPT,DRAINAGE FINGER ABSCESS COMPLICATED,,,21,,RBRVS,2.24 ,2.65 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26020,CPT,DRAINAGE TENDON SHEATH DIGIT&/PALM EACH,,,21,,RBRVS,5.08 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26025,CPT,DRAINAGE OF PALMAR BURSA SINGLE BURSA,,,21,,RBRVS,5.08 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26030,CPT,DRAINAGE OF PALMAR BURSA MULTIPLE BURSA,,,21,,RBRVS,6.25 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26034,CPT,INCISION BONE CORTEX HAND/FINGER,,,21,,RBRVS,6.63 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26035,CPT,DECOMPRESSION FINGERS&/HAND INJECTION INJURY,,,21,,RBRVS,11.37 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26037,CPT,DECOMPRESSIVE FASCIOTOMY HAND,,,21,,RBRVS,7.57 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26040,CPT,FASCIOTOMY PALMAR PERCUTANEOUS,,,21,,RBRVS,3.46 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26045,CPT,FASCIOTOMY PALMAR OPEN PARTIAL,,,21,,RBRVS,5.73 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26055,CPT,TENDON SHEATH INCISION,,,21,,RBRVS,3.11 ,5.15 ,12.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26060,CPT,TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT,,,21,,RBRVS,2.91 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26070,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT,,,21,,RBRVS,3.81 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26075,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA,,,21,,RBRVS,3.91 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26080,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA,,,21,,RBRVS,4.47 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26100,CPT,ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH,,,21,,RBRVS,3.79 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26105,CPT,ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH,,,21,,RBRVS,3.83 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26110,CPT,ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH,,,21,,RBRVS,3.65 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26111,CPT,EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>,,,21,,RBRVS,5.42 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26113,CPT,EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/>,,,21,,RBRVS,7.13 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26115,CPT,EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM,,,21,,RBRVS,3.96 ,4.82 ,9.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26116,CPT,EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM,,,21,,RBRVS,6.74 ,7.10 ,7.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26117,CPT,RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM,,,21,,RBRVS,10.13 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26118,CPT,RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>,,,21,,RBRVS,14.81 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26121,CPT,FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT,,,21,,RBRVS,7.73 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26123,CPT,FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR,,,21,,RBRVS,10.88 ,10.98 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26125,CPT,FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR,,,21,,RBRVS,4.60 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26130,CPT,SYNOVECTOMY CARPOMETACARPAL JOINT,,,21,,RBRVS,5.59 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26135,CPT,SYNVCT MTCARPHLNGL JT W/INTRNSC RLS&XTNSR HOOD,,,21,,RBRVS,7.13 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26140,CPT,SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT,,,21,,RBRVS,6.34 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26145,CPT,SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR EA TDN,,,21,,RBRVS,6.49 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26160,CPT,EXC LESION TDN SHTH/JT CAPSL HAND/FNGR,,,21,,RBRVS,3.57 ,5.29 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26170,CPT,EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH,,,21,,RBRVS,4.91 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26180,CPT,EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH,,,21,,RBRVS,5.35 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26185,CPT,SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE,,,21,,RBRVS,6.52 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26200,CPT,EXCISION/CURETTAGE CYST/TUMOR METACARPAL,,,21,,RBRVS,5.65 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26205,CPT,EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT,,,21,,RBRVS,7.93 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26210,CPT,EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER,,,21,,RBRVS,5.32 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26215,CPT,EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT,,,21,,RBRVS,7.27 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26230,CPT,PARTIAL EXCISION BONE METACARPAL,,,21,,RBRVS,6.47 ,6.63 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26235,CPT,PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER,,,21,,RBRVS,6.33 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26236,CPT,PARTIAL EXCISION DISTAL PHALANX FINGER,,,21,,RBRVS,5.46 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26250,CPT,RADICAL RESECTION TUMOR METACARPAL,,,21,,RBRVS,15.21 ,13.12 ,13.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26260,CPT,RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER,,,21,,RBRVS,11.16 ,9.90 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26262,CPT,RADICAL RESECTION TUMOR DISTAL PHALANX FINGER,,,21,,RBRVS,8.29 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26320,CPT,REMOVAL IMPLANT FROM FINGER/HAND,,,21,,RBRVS,4.10 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26340,CPT,MANIPULATION FINGER JOINT UNDER ANES EACH JOINT,,,21,,RBRVS,2.80 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26341,CPT,MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD,,,21,,RBRVS,0.91 ,1.06 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26350,CPT,RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON,,,21,,RBRVS,6.21 ,12.66 ,12.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26352,CPT,RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON,,,21,,RBRVS,7.87 ,13.60 ,13.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26356,CPT,RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON,,,21,,RBRVS,9.56 ,13.70 ,13.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26357,CPT,RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON,,,21,,RBRVS,10.53 ,11.94 ,11.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26358,CPT,RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON,,,21,,RBRVS,12.13 ,12.74 ,12.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26370,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN,,,21,,RBRVS,7.28 ,12.71 ,12.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26372,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA,,,21,,RBRVS,9.01 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26373,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA,,,21,,RBRVS,8.41 ,13.75 ,13.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26390,CPT,EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F,,,21,,RBRVS,9.43 ,12.32 ,12.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26392,CPT,RMVL SYNTH ROD & INSJ FLXR TDN GRF H/F EA ROD,,,21,,RBRVS,10.50 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26410,CPT,REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,,,21,,RBRVS,4.77 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26412,CPT,REPAIR EXTENSOR TENDON HAND W/GRAFT EACH,,,21,,RBRVS,6.48 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26415,CPT,EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA,,,21,,RBRVS,8.51 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26416,CPT,RMVL SYNTH ROD & INSJ XTNSR TDN GRF H/F EA ROD,,,21,,RBRVS,9.56 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26418,CPT,REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,,,21,,RBRVS,4.47 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26420,CPT,REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH,,,21,,RBRVS,6.94 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26426,CPT,RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR,,,21,,RBRVS,6.32 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26428,CPT,RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER,,,21,,RBRVS,7.40 ,12.43 ,12.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26432,CPT,CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING,,,21,,RBRVS,4.16 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26433,CPT,REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF,,,21,,RBRVS,4.70 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26434,CPT,REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT,,,21,,RBRVS,6.26 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26437,CPT,REALIGNMENT EXTENSOR TENDON HAND EACH TENDON,,,21,,RBRVS,5.99 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26440,CPT,TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON,,,21,,RBRVS,5.16 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26442,CPT,TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO,,,21,,RBRVS,9.75 ,15.64 ,15.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26445,CPT,TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH,,,21,,RBRVS,4.45 ,10.92 ,10.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26449,CPT,TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA,,,21,,RBRVS,8.59 ,9.73 ,9.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26450,CPT,TENOTOMY FLEXOR PALM OPEN EACH TENDON,,,21,,RBRVS,3.79 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26455,CPT,TENOTOMY FLEXOR FINGER OPEN EACH TENDON,,,21,,RBRVS,3.76 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26460,CPT,TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON,,,21,,RBRVS,3.58 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26471,CPT,TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH,,,21,,RBRVS,5.90 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26474,CPT,TENODESIS DISTAL JOINT EACH,,,21,,RBRVS,5.49 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26476,CPT,LENGTHENING TENDON EXTENSOR HAND/FINGER EACH,,,21,,RBRVS,5.35 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26477,CPT,SHORTENING TENDON EXTENSOR HAND/FINGER EACH,,,21,,RBRVS,5.32 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26478,CPT,LENGTHENING TENDON FLEXOR HAND/FINGER EACH,,,21,,RBRVS,5.97 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26479,CPT,SHORTENING TENDON FLEXOR HAND/FINGER EACH,,,21,,RBRVS,5.91 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26480,CPT,TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN,,,21,,RBRVS,6.90 ,13.05 ,13.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26483,CPT,TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT,,,21,,RBRVS,8.48 ,13.71 ,13.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26485,CPT,TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH,,,21,,RBRVS,7.89 ,13.41 ,13.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26489,CPT,TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH,,,21,,RBRVS,9.86 ,14.26 ,14.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26490,CPT,OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN,,,21,,RBRVS,8.60 ,12.06 ,12.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26492,CPT,OPPONENSPLASTY TDN TR W/GRF EA TDN,,,21,,RBRVS,9.84 ,13.14 ,13.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26494,CPT,OPPONENSPLASTY HYPOTHENAR MUSC TR,,,21,,RBRVS,8.66 ,12.03 ,12.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26496,CPT,OPPONENSPLASTY OTHER METHODS,,,21,,RBRVS,9.78 ,12.71 ,12.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26497,CPT,TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR,,,21,,RBRVS,9.76 ,12.75 ,12.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26498,CPT,TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS,,,21,,RBRVS,14.21 ,15.33 ,15.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26499,CPT,CORRECTION CLAW FINGER OTHER METHODS,,,21,,RBRVS,9.17 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26500,CPT,RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX,,,21,,RBRVS,6.13 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26502,CPT,RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX,,,21,,RBRVS,7.31 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26508,CPT,RELEASE THENAR MUSCLE,,,21,,RBRVS,6.18 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26510,CPT,CROSS INTRINSIC TRANSFER EACH TENDON,,,21,,RBRVS,5.60 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26516,CPT,CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT,,,21,,RBRVS,7.32 ,11.12 ,11.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26517,CPT,CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS,,,21,,RBRVS,9.08 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26518,CPT,CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS,,,21,,RBRVS,9.27 ,12.49 ,12.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26520,CPT,CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH,,,21,,RBRVS,5.47 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26525,CPT,CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH,,,21,,RBRVS,5.50 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26530,CPT,ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH,,,21,,RBRVS,6.88 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26531,CPT,ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT,,,21,,RBRVS,8.13 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26535,CPT,ARTHROPLASTY INTERPHALANGEAL JOINT EACH,,,21,,RBRVS,5.41 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26536,CPT,ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA,,,21,,RBRVS,6.56 ,12.35 ,12.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26540,CPT,RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT,,,21,,RBRVS,6.60 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26541,CPT,RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF,,,21,,RBRVS,8.81 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26542,CPT,RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS,,,21,,RBRVS,6.95 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26545,CPT,RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT,,,21,,RBRVS,7.11 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26546,CPT,RPR NON-UNION MTCRPL/PHALANX,,,21,,RBRVS,10.83 ,15.22 ,15.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26548,CPT,RPR & RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL,,,21,,RBRVS,8.22 ,11.73 ,11.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26550,CPT,POLLICIZATION DIGIT,,,21,,RBRVS,21.68 ,18.78 ,18.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26551,CPT,TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND,,,21,,RBRVS,48.48 ,26.41 ,26.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 26553,CPT,TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1,,,21,,RBRVS,48.17 ,35.89 ,35.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 26554,CPT,TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2,,,21,,RBRVS,57.01 ,30.00 ,30.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 26555,CPT,TR FNGR AXH POS W/O MVASC ANAST,,,21,,RBRVS,17.08 ,17.95 ,17.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26556,CPT,TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS,,,21,,RBRVS,49.75 ,37.65 ,37.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 26560,CPT,REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS,,,21,,RBRVS,5.52 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26561,CPT,REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS&GRAFT,,,21,,RBRVS,11.10 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26562,CPT,REPAIR SYNDACTYLY EACH SPACE COMPLEX,,,21,,RBRVS,16.68 ,18.07 ,18.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26565,CPT,OSTEOTOMY METACARPAL EACH,,,21,,RBRVS,6.91 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26567,CPT,OSTEOTOMY PHALANX FINGER EACH,,,21,,RBRVS,6.99 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26568,CPT,OSTEOPLASTY LENGTHENING METACARPAL/PHALANX,,,21,,RBRVS,9.27 ,14.30 ,14.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26580,CPT,REPAIR CLEFT HAND,,,21,,RBRVS,19.75 ,18.56 ,18.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26587,CPT,RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE & BONE,,,21,,RBRVS,14.50 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26590,CPT,REPAIR MACRODACTYLIA EACH DIGIT,,,21,,RBRVS,18.67 ,15.87 ,15.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26591,CPT,REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE,,,21,,RBRVS,3.38 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26593,CPT,RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE,,,21,,RBRVS,5.50 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26596,CPT,EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES,,,21,,RBRVS,9.14 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26600,CPT,CLTX METACARPAL FX W/O MANIPULATION EACH BONE,,,21,,RBRVS,2.60 ,4.82 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26605,CPT,CLTX METACARPAL FX W/MANIPULATION EACH BONE,,,21,,RBRVS,3.03 ,4.76 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26607,CPT,CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE,,,21,,RBRVS,5.48 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26608,CPT,PRQ SKELETAL FIXJ METACARPAL FX EACH BONE,,,21,,RBRVS,5.55 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26615,CPT,OPEN TX METACARPAL FRACTURE SINGLE EA BONE,,,21,,RBRVS,7.07 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26641,CPT,CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ,,,21,,RBRVS,4.13 ,4.77 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26645,CPT,CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,,,21,,RBRVS,4.58 ,5.59 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26650,CPT,PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB,,,21,,RBRVS,5.35 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26665,CPT,OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB,,,21,,RBRVS,7.94 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26670,CPT,CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES,,,21,,RBRVS,3.83 ,4.31 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26675,CPT,CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES,,,21,,RBRVS,4.83 ,6.02 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26676,CPT,PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT,,,21,,RBRVS,5.74 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26685,CPT,OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB,,,21,,RBRVS,7.07 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26686,CPT,OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ,,,21,,RBRVS,8.17 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26700,CPT,CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES,,,21,,RBRVS,3.83 ,4.19 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26705,CPT,CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES,,,21,,RBRVS,4.38 ,5.70 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26706,CPT,PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ,,,21,,RBRVS,5.31 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26715,CPT,OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION,,,21,,RBRVS,7.03 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26720,CPT,CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA,,,21,,RBRVS,1.76 ,3.18 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26725,CPT,CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,,,21,,RBRVS,3.48 ,4.55 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26727,CPT,PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T,,,21,,RBRVS,5.42 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26735,CPT,OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA,,,21,,RBRVS,7.42 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26740,CPT,CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ,,,21,,RBRVS,2.07 ,3.70 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26742,CPT,CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,,,21,,RBRVS,3.99 ,4.82 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26746,CPT,OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,,,21,,RBRVS,9.80 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26750,CPT,CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA,,,21,,RBRVS,1.80 ,3.15 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26755,CPT,CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA,,,21,,RBRVS,3.23 ,4.00 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26756,CPT,PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA,,,21,,RBRVS,4.58 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26765,CPT,OPEN TX DISTAL PHALANGEAL FRACTURE EACH,,,21,,RBRVS,5.86 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26770,CPT,CLTX IPHAL JT DISLC W/MANJ W/O ANES,,,21,,RBRVS,3.15 ,3.63 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26775,CPT,CLTX IPHAL JT DISLC W/MANJ REQ ANES,,,21,,RBRVS,3.90 ,5.27 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26776,CPT,PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ,,,21,,RBRVS,4.99 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26785,CPT,OPEN TX INTERPHALANGEAL JOINT DISLOCATION,,,21,,RBRVS,6.60 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26820,CPT,FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT,,,21,,RBRVS,8.45 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26841,CPT,ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ,,,21,,RBRVS,7.35 ,11.73 ,11.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26842,CPT,ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT,,,21,,RBRVS,8.49 ,12.06 ,12.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26843,CPT,ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH,,,21,,RBRVS,7.78 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26844,CPT,ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT,,,21,,RBRVS,8.98 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26850,CPT,ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ,,,21,,RBRVS,7.14 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26852,CPT,ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT,,,21,,RBRVS,8.71 ,12.14 ,12.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26860,CPT,ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ,,,21,,RBRVS,4.88 ,10.09 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26861,CPT,ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT,,,21,,RBRVS,1.74 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26862,CPT,ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT,,,21,,RBRVS,7.56 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26863,CPT,ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT,,,21,,RBRVS,3.89 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26910,CPT,AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER,,,21,,RBRVS,7.79 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26951,CPT,AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR,,,21,,RBRVS,6.04 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26952,CPT,AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,,,21,,RBRVS,6.48 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26989,CPT,UNLISTED PROCEDURE HANDS/FINGERS,,,21,,TotalUnits,,,,9.94 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26990,CPT,I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA,,,21,,RBRVS,7.95 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26991,CPT,I&D PELVIS/HIP JOINT AREA INFECTED BURSA,,,21,,RBRVS,7.06 ,6.53 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 26992,CPT,INCISION BONE CORTEX PELVIS&/HIP JOINT,,,21,,RBRVS,13.48 ,11.50 ,11.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27000,CPT,TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX,,,21,,RBRVS,5.74 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27001,CPT,TENOTOMY ADDUCTOR HIP OPEN,,,21,,RBRVS,7.14 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27003,CPT,TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY,,,21,,RBRVS,7.81 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27005,CPT,TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE,,,21,,RBRVS,10.07 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27006,CPT,TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX,,,21,,RBRVS,10.11 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27025,CPT,FASCIOTOMY HIP/THIGH ANY TYPE,,,21,,RBRVS,12.89 ,10.92 ,10.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27027,CPT,DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI,,,21,,RBRVS,13.04 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27030,CPT,ARTHROTOMY HIP W/DRAINAGE,,,21,,RBRVS,13.65 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27033,CPT,ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY,,,21,,RBRVS,14.11 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27035,CPT,DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH,,,21,,RBRVS,17.37 ,12.46 ,12.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27036,CPT,CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC,,,21,,RBRVS,14.38 ,11.82 ,11.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27040,CPT,BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL,,,21,,RBRVS,2.92 ,2.36 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27041,CPT,BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM,,,21,,RBRVS,10.18 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27043,CPT,EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>,,,21,,RBRVS,6.88 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27045,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>,,,21,,RBRVS,11.13 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27047,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM,,,21,,RBRVS,4.94 ,4.40 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27048,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM,,,21,,RBRVS,8.85 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27049,CPT,RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5 CM,,,21,,RBRVS,21.55 ,12.82 ,12.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27050,CPT,ARTHROTOMY W/BIOPSY SACROILIAC JOINT,,,21,,RBRVS,4.74 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27052,CPT,ARTHROTOMY W/BIOPSY HIP JOINT,,,21,,RBRVS,7.42 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27054,CPT,ARTHROTOMY W/SYNOVECTOMY HIP JOINT,,,21,,RBRVS,9.21 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27057,CPT,DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI,,,21,,RBRVS,14.91 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27059,CPT,RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/>,,,21,,RBRVS,29.35 ,17.06 ,17.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27060,CPT,EXCISION ISCHIAL BURSA,,,21,,RBRVS,5.87 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27062,CPT,EXCISION TROCHANTERIC BURSA/CALCIFICATION,,,21,,RBRVS,5.75 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27065,CPT,EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL,,,21,,RBRVS,6.55 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27066,CPT,EXCISION BONE CYST/BENIGN TUMOR DEEP,,,21,,RBRVS,11.20 ,9.90 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27067,CPT,EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC,,,21,,RBRVS,14.72 ,11.93 ,11.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27070,CPT,PARTIAL EXCISION SUPERFICIAL PELVIS,,,21,,RBRVS,11.56 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27071,CPT,PARTIAL EXCISION DEEP PELVIS,,,21,,RBRVS,12.39 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27075,CPT,RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL,,,21,,RBRVS,32.71 ,21.16 ,21.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27076,CPT,RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC,,,21,,RBRVS,40.21 ,24.70 ,24.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27077,CPT,RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL,,,21,,RBRVS,45.21 ,27.58 ,27.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27078,CPT,RAD RESCT TUMOR ISCHIAL TUBEROSITY&GRT TRCHNTR,,,21,,RBRVS,32.21 ,20.89 ,20.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27080,CPT,COCCYGECTOMY PRIMARY,,,21,,RBRVS,6.89 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27086,CPT,RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,,,21,,RBRVS,1.92 ,2.45 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27087,CPT,REMOVAL FOREIGN BODY PELVIS/HIP DEEP,,,21,,RBRVS,8.83 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27090,CPT,REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE,,,21,,RBRVS,11.69 ,9.86 ,9.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27091,CPT,RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA,,,21,,RBRVS,24.35 ,16.92 ,16.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27093,CPT,INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA,,,21,,RBRVS,1.30 ,0.58 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27095,CPT,INJECTION HIP ARTHROGRAPHY W/ANESTHESIA,,,21,,RBRVS,1.50 ,0.69 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27096,CPT,INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,,,21,,RBRVS,1.48 ,0.82 ,2.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27097,CPT,RELEASE/RECESSION HAMSTRING PROXIMAL,,,21,,RBRVS,9.27 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27098,CPT,TRANSFER ADDUCTOR ISCHIUM,,,21,,RBRVS,9.32 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27100,CPT,TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF,,,21,,RBRVS,11.35 ,9.99 ,9.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27105,CPT,TR PARASPI MUSC HIP FASC/TDN XTN GRF,,,21,,RBRVS,12.04 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27110,CPT,TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR,,,21,,RBRVS,13.77 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27111,CPT,TRANSFER ILIOPSOAS FEMORAL NECK,,,21,,RBRVS,12.60 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27120,CPT,ACETABULOPLASTY,,,21,,RBRVS,19.25 ,14.28 ,14.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27122,CPT,ACETABULOPLASTY RESECTION FEMORAL HEAD,,,21,,RBRVS,16.09 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27125,CPT,HEMIARTHROPLASTY HIP PARTIAL,,,21,,RBRVS,16.64 ,12.69 ,12.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27130,CPT,ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT,,,21,,RBRVS,20.72 ,14.33 ,14.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27132,CPT,CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT,,,21,,RBRVS,25.69 ,17.58 ,17.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27134,CPT,REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT,,,21,,RBRVS,30.28 ,19.12 ,19.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27137,CPT,REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT,,,21,,RBRVS,22.70 ,15.34 ,15.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27138,CPT,REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT,,,21,,RBRVS,23.70 ,15.82 ,15.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27140,CPT,OSTEOTOMY&TRANSFER GREATER TROCHANTER SPX,,,21,,RBRVS,12.78 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27146,CPT,OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE,,,21,,RBRVS,18.92 ,14.25 ,14.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27147,CPT,OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ,,,21,,RBRVS,22.07 ,15.84 ,15.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27151,CPT,OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT,,,21,,RBRVS,24.12 ,16.87 ,16.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27156,CPT,OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ,,,21,,RBRVS,26.23 ,17.93 ,17.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27158,CPT,OSTEOTOMY PELVIS BILATERAL,,,21,,RBRVS,21.04 ,15.12 ,15.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27161,CPT,OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE,,,21,,RBRVS,17.89 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27165,CPT,OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL,,,21,,RBRVS,20.29 ,15.34 ,15.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27170,CPT,B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA,,,21,,RBRVS,17.61 ,12.77 ,12.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27175,CPT,TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION,,,21,,RBRVS,9.38 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27176,CPT,TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU,,,21,,RBRVS,12.92 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27177,CPT,OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT,,,21,,RBRVS,16.09 ,12.70 ,12.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27178,CPT,OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN,,,21,,RBRVS,12.92 ,10.85 ,10.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27179,CPT,OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX,,,21,,RBRVS,13.97 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27181,CPT,OPTX SLP FEM EPIPHYSIS OSTEOT&INT FIXJ,,,21,,RBRVS,16.18 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27185,CPT,EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR,,,21,,RBRVS,9.79 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27187,CPT,PROPH TX N/P/PLTWR W/WO MMA FEM NCK & PROX FEMUR,,,21,,RBRVS,14.23 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27197,CPT,CLSD TX PELVIC RING FX,,,21,,RBRVS,1.53 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27198,CPT,CLSD TX PELVIC RING FX,,,21,,RBRVS,4.75 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27200,CPT,CLOSED TREATMENT COCCYGEAL FRACTURE,,,21,,RBRVS,1.92 ,3.11 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27202,CPT,OPEN TREATMENT COCCYGEAL FRACTURE,,,21,,RBRVS,7.31 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27215,CPT,OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD,,,21,,RBRVS,10.45 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27216,CPT,PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS,,,21,,RBRVS,15.73 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27217,CPT,OPTX ANT PELVIC BONE FX&/DISLC INT FIXJ IF PFR,,,21,,RBRVS,14.65 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27218,CPT,OPTX POST PEL BONE FX&/DISLC INT FIXJ IF PFRMD,,,21,,RBRVS,20.93 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27220,CPT,CLTX ACETABULUM HIP/SOCKT FX W/O MANJ,,,21,,RBRVS,6.83 ,6.89 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27222,CPT,CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ,,,21,,RBRVS,14.11 ,11.18 ,11.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27226,CPT,OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ,,,21,,RBRVS,15.57 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27227,CPT,OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT,,,21,,RBRVS,25.41 ,17.37 ,17.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27228,CPT,OPTX ACTBLR FX INVG ANT&POST 2 COLUMNS FX W/INT,,,21,,RBRVS,29.33 ,19.38 ,19.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27230,CPT,CLTX FEM FX PROX END NCK W/O MANJ,,,21,,RBRVS,5.81 ,6.56 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27232,CPT,CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ,,,21,,RBRVS,11.72 ,7.72 ,7.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27235,CPT,PRQ SKEL FIXJ FEMORAL FX PROX END NECK,,,21,,RBRVS,13.00 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27236,CPT,OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT,,,21,,RBRVS,17.61 ,13.36 ,13.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27238,CPT,CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ,,,21,,RBRVS,5.75 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27240,CPT,CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ,,,21,,RBRVS,13.81 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27244,CPT,TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT,,,21,,RBRVS,18.18 ,13.67 ,13.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27245,CPT,TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW,,,21,,RBRVS,18.18 ,13.67 ,13.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27246,CPT,CLTX GREATER TROCHANTERIC FX W/O MANJ,,,21,,RBRVS,4.83 ,5.30 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27248,CPT,OPEN TREATMENT GREATER TROCHANTERIC FRACTURE,,,21,,RBRVS,10.78 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27250,CPT,CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,,,21,,RBRVS,3.82 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27252,CPT,CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,,,21,,RBRVS,11.03 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27253,CPT,OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ,,,21,,RBRVS,13.58 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27254,CPT,OPTX HIP DISLC TRAUMTC W/ACTBLR WALL&FEM HEAD,,,21,,RBRVS,18.94 ,13.84 ,13.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27256,CPT,TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,,,21,,RBRVS,4.28 ,1.78 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27257,CPT,TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,,,21,,RBRVS,5.38 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27258,CPT,OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM,,,21,,RBRVS,16.18 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27259,CPT,OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT,,,21,,RBRVS,23.26 ,16.78 ,16.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27265,CPT,CLTX POST HIP ARTHRP DISLC W/O ANES,,,21,,RBRVS,5.24 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27266,CPT,CLTX POST HIP ARTHRP DISLC REQ ANES,,,21,,RBRVS,7.78 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27267,CPT,CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ,,,21,,RBRVS,5.50 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27268,CPT,CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ,,,21,,RBRVS,7.12 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27269,CPT,OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD,,,21,,RBRVS,18.89 ,13.13 ,13.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27275,CPT,MANIPULATION HIP JOINT GENERAL ANESTHESIA,,,21,,RBRVS,2.32 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27279,CPT,ARTHRODESIS SACROILIAC JOINT PERCUTANEOUS,,,21,,RBRVS,9.03 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27280,CPT,ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT,,,21,,RBRVS,20.00 ,13.95 ,13.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27282,CPT,ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT,,,21,,RBRVS,11.85 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27284,CPT,ARTHRODESIS HIP JOINT W/OBTAINING GRAFT,,,21,,RBRVS,25.06 ,15.30 ,15.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27286,CPT,ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT,,,21,,RBRVS,25.17 ,17.40 ,17.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27290,CPT,INTERPELVIABDOMINAL AMPUTATION,,,21,,RBRVS,24.55 ,16.83 ,16.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27295,CPT,DISARTICULATION HIP,,,21,,RBRVS,19.66 ,12.63 ,12.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27299,CPT,UNLISTED PROCEDURE PELVIS/HIP JOINT,,,21,,TotalUnits,,,,13.76 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27301,CPT,I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION,,,21,,RBRVS,6.78 ,6.20 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27303,CPT,INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE,,,21,,RBRVS,8.63 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27305,CPT,FASCIOTOMY ILIOTIBIAL OPEN,,,21,,RBRVS,6.18 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27306,CPT,TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX,,,21,,RBRVS,4.74 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27307,CPT,TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON,,,21,,RBRVS,6.06 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27310,CPT,ARTHRT KNE W/EXPL DRG/RMVL FB,,,21,,RBRVS,10.00 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27323,CPT,BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL,,,21,,RBRVS,2.33 ,2.38 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27324,CPT,BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP,,,21,,RBRVS,5.04 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27325,CPT,NEURECTOMY HAMSTRING MUSCLE,,,21,,RBRVS,7.20 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27326,CPT,NEURECTOMY POPLITEAL,,,21,,RBRVS,6.47 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27327,CPT,EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM,,,21,,RBRVS,3.96 ,4.21 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27328,CPT,EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM,,,21,,RBRVS,8.85 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27329,CPT,RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM,,,21,,RBRVS,15.72 ,10.81 ,10.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27330,CPT,ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY,,,21,,RBRVS,5.11 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27331,CPT,ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB,,,21,,RBRVS,6.02 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27332,CPT,ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT,,,21,,RBRVS,8.46 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27333,CPT,ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL&LAT,,,21,,RBRVS,7.55 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27334,CPT,ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR,,,21,,RBRVS,9.19 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27335,CPT,ARTHRT W/SYNVCT KNE ANT&POST W/POP AREA,,,21,,RBRVS,10.55 ,9.30 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27337,CPT,EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>,,,21,,RBRVS,5.91 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27339,CPT,EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>,,,21,,RBRVS,11.13 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27340,CPT,EXCISION PREPATELLAR BURSA,,,21,,RBRVS,4.32 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27345,CPT,EXCISION SYNOVIAL CYST POPLITEAL SPACE,,,21,,RBRVS,6.09 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27347,CPT,EXCISION LESION MENISCUS/CAPSULE KNEE,,,21,,RBRVS,6.73 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27350,CPT,PATELLECTOMY/HEMIPATELLECTOMY,,,21,,RBRVS,8.66 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27355,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR,,,21,,RBRVS,8.00 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27356,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT,,,21,,RBRVS,10.09 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27357,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT,,,21,,RBRVS,11.16 ,9.97 ,9.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27358,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION,,,21,,RBRVS,4.73 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27360,CPT,PRTL EXC BONE FEMUR PROX TIBIA&/FIBULA,,,21,,RBRVS,11.46 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27364,CPT,RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>,,,21,,RBRVS,24.49 ,15.44 ,15.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27365,CPT,RADICAL RESECTION TUMOR FEMOR OR KNEE,,,21,,RBRVS,32.21 ,21.09 ,21.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27370,CPT,INJECTION KNEE ARTHROGRAPHY,,,21,,RBRVS,0.96 ,0.39 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27372,CPT,REMOVAL FOREIGN BODY DEEP THIGH/KNEE,,,21,,RBRVS,5.21 ,5.34 ,11.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27380,CPT,SUTURE INFRAPATELLAR TENDON PRIMARY,,,21,,RBRVS,7.45 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27381,CPT,SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF,,,21,,RBRVS,10.76 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27385,CPT,SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY,,,21,,RBRVS,6.93 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27386,CPT,SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ,,,21,,RBRVS,11.13 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27390,CPT,TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON,,,21,,RBRVS,5.53 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27391,CPT,TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG,,,21,,RBRVS,7.49 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27392,CPT,TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI,,,21,,RBRVS,9.63 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27393,CPT,LENGTHENING HAMSTRING TENDON SINGLE,,,21,,RBRVS,6.59 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27394,CPT,LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG,,,21,,RBRVS,8.79 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27395,CPT,LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL,,,21,,RBRVS,12.24 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27396,CPT,TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON,,,21,,RBRVS,8.15 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27397,CPT,TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN,,,21,,RBRVS,12.66 ,10.72 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27400,CPT,TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR,,,21,,RBRVS,9.33 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27403,CPT,ARTHROTOMY W/MENISCUS REPAIR KNEE,,,21,,RBRVS,8.62 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27405,CPT,RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL,,,21,,RBRVS,9.08 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27407,CPT,REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT,,,21,,RBRVS,10.85 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27409,CPT,RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE,,,21,,RBRVS,13.71 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27412,CPT,AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE,,,21,,RBRVS,24.74 ,17.94 ,17.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27415,CPT,OSTEOCHONDRAL ALLOGRAFT KNEE OPEN,,,21,,RBRVS,20.00 ,15.46 ,15.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27416,CPT,OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY,,,21,,RBRVS,14.16 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27418,CPT,ANTERIOR TIBIAL TUBERCLEPLASTY,,,21,,RBRVS,11.60 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27420,CPT,RCNSTJ DISLOCATING PATELLA,,,21,,RBRVS,10.26 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27422,CPT,RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT&/MUSC RL,,,21,,RBRVS,10.21 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27424,CPT,RCNSTJ DISLC PATELLA W/PATELLECTOMY,,,21,,RBRVS,10.24 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27425,CPT,LATERAL RETINACULAR RELEASE OPEN,,,21,,RBRVS,5.39 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27427,CPT,LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR,,,21,,RBRVS,9.79 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27428,CPT,LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR,,,21,,RBRVS,15.58 ,13.36 ,13.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27429,CPT,LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR,,,21,,RBRVS,17.54 ,14.90 ,14.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27430,CPT,QUADRICEPSPLASTY,,,21,,RBRVS,10.16 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27435,CPT,CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE,,,21,,RBRVS,10.88 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27437,CPT,ARTHROPLASTY PATELLA W/O PROSTHESIS,,,21,,RBRVS,8.93 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27438,CPT,ARTHROPLASTY PATELLA W/PROSTHESIS,,,21,,RBRVS,11.89 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27440,CPT,ARTHROPLASTY KNEE TIBIAL PLATEAU,,,21,,RBRVS,11.09 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27441,CPT,ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT,,,21,,RBRVS,11.54 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27442,CPT,ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE,,,21,,RBRVS,12.37 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27443,CPT,ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL,,,21,,RBRVS,11.41 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27445,CPT,ARTHROPLASTY KNEE HINGE PROSTHESIS,,,21,,RBRVS,18.66 ,13.62 ,13.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27446,CPT,ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT,,,21,,RBRVS,17.48 ,12.52 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27447,CPT,ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS,,,21,,RBRVS,20.72 ,14.32 ,14.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27448,CPT,OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION,,,21,,RBRVS,11.60 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27450,CPT,OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION,,,21,,RBRVS,14.61 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27454,CPT,OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT,,,21,,RBRVS,19.17 ,14.38 ,14.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27455,CPT,OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL,,,21,,RBRVS,13.36 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27457,CPT,OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL,,,21,,RBRVS,14.03 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27465,CPT,OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876,,,21,,RBRVS,18.60 ,13.39 ,13.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27466,CPT,OSTEOPLASTY FEMUR LENGTHENING,,,21,,RBRVS,17.28 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27468,CPT,OSTPL FEMUR CMBN LNGTH&SHRT W/FEMORAL SGM TRNSFR,,,21,,RBRVS,19.97 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27470,CPT,RPR NON/MAL FEMUR DSTL H/N W/O GRF,,,21,,RBRVS,17.14 ,13.33 ,13.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27472,CPT,RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE,,,21,,RBRVS,18.72 ,13.95 ,13.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27475,CPT,ARREST EPIPHYSEAL DISTAL FEMUR,,,21,,RBRVS,8.93 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27477,CPT,ARREST EPIPHYSEAL TIBIA & FIBULA PROXIMAL,,,21,,RBRVS,10.14 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27479,CPT,ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB,,,21,,RBRVS,13.16 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27485,CPT,ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA,,,21,,RBRVS,9.13 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27486,CPT,REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT,,,21,,RBRVS,21.12 ,15.30 ,15.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27487,CPT,REVJ TOT KNEE ARTHRP FEM&ENTIRE TIBIAL COMPONE,,,21,,RBRVS,27.11 ,18.31 ,18.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27488,CPT,RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER,,,21,,RBRVS,17.60 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27495,CPT,PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR,,,21,,RBRVS,16.54 ,12.63 ,12.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27496,CPT,DECOMPRESSION FASCIOTOMY THIGH&/KNEE 1 COMPONENT,,,21,,RBRVS,6.78 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27497,CPT,DCMPRN FASCT THIGH&/KNEE DBRDMT MUSCLE&/NERVE,,,21,,RBRVS,7.79 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27498,CPT,DCMPRN FASCIOTOMY THIGH&/KNEE MLT COMPARTMENTS,,,21,,RBRVS,8.66 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27499,CPT,DCMPRN FASCT THIGH&/KNEE MLT DBRDMT NV MUSC&NRVE,,,21,,RBRVS,9.43 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27500,CPT,CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,,,21,,RBRVS,6.30 ,6.23 ,7.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27501,CPT,CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,,,21,,RBRVS,6.45 ,6.57 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27502,CPT,CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ,,,21,,RBRVS,11.36 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27503,CPT,CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,,,21,,RBRVS,11.27 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27506,CPT,OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW,,,21,,RBRVS,19.65 ,14.98 ,14.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27507,CPT,OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE,,,21,,RBRVS,14.48 ,10.67 ,10.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27508,CPT,CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,,,21,,RBRVS,6.20 ,6.76 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27509,CPT,PRQ SKELETAL FIXJ FEMORAL FX DISTAL END,,,21,,RBRVS,8.14 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27510,CPT,CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,,,21,,RBRVS,9.80 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27511,CPT,OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN,,,21,,RBRVS,15.11 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27513,CPT,OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN,,,21,,RBRVS,19.25 ,12.70 ,12.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27514,CPT,OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE,,,21,,RBRVS,14.60 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27516,CPT,CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ,,,21,,RBRVS,5.59 ,6.93 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27517,CPT,CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL,,,21,,RBRVS,9.12 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27519,CPT,OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION,,,21,,RBRVS,13.25 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27520,CPT,CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,,,21,,RBRVS,3.04 ,4.80 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27524,CPT,OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR,,,21,,RBRVS,10.37 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27530,CPT,CLTX TIBIAL FX PROXIMAL W/O MANIPULATION,,,21,,RBRVS,2.65 ,4.84 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27532,CPT,CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ,,,21,,RBRVS,7.55 ,7.48 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27535,CPT,OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR,,,21,,RBRVS,13.41 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27536,CPT,OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ,,,21,,RBRVS,17.39 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27538,CPT,CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN,,,21,,RBRVS,5.09 ,6.57 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27540,CPT,OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE,,,21,,RBRVS,11.30 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27550,CPT,CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,,,21,,RBRVS,5.98 ,6.34 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27552,CPT,CLOSED TX KNEE DISLOCATION W/ANESTHESIA,,,21,,RBRVS,8.18 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27556,CPT,OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR,,,21,,RBRVS,13.00 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27557,CPT,OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR,,,21,,RBRVS,15.90 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27558,CPT,OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION,,,21,,RBRVS,18.39 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27560,CPT,CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA,,,21,,RBRVS,3.99 ,4.85 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27562,CPT,CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,,,21,,RBRVS,5.98 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27566,CPT,OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY,,,21,,RBRVS,12.71 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27570,CPT,MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA,,,21,,RBRVS,1.79 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27580,CPT,ARTHRODESIS KNEE ANY TECHNIQUE,,,21,,RBRVS,21.10 ,16.11 ,16.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27590,CPT,AMPUTATION THIGH THROUGH FEMUR ANY LEVEL,,,21,,RBRVS,13.47 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27591,CPT,AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST,,,21,,RBRVS,13.94 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27592,CPT,AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR,,,21,,RBRVS,10.98 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27594,CPT,AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION,,,21,,RBRVS,7.29 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27596,CPT,AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION,,,21,,RBRVS,11.29 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27598,CPT,DISARTICULATION KNEE,,,21,,RBRVS,11.22 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27599,CPT,UNLISTED PROCEDURE FEMUR/KNEE,,,21,,TotalUnits,,,,35.04 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27600,CPT,DCMPRN FASCT LEG ANT&/LAT COMPARTMENTS ONLY,,,21,,RBRVS,6.03 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27601,CPT,DCMPRN FASCT LEG POST COMPARTMENT ONLY,,,21,,RBRVS,6.05 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27602,CPT,DCMPRN FASCT LEG ANT&/LAT&PST CMPRT,,,21,,RBRVS,7.82 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27603,CPT,INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA,,,21,,RBRVS,5.23 ,4.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27604,CPT,INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA,,,21,,RBRVS,4.59 ,4.59 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27605,CPT,TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,,,21,,RBRVS,2.92 ,2.09 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27606,CPT,TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES,,,21,,RBRVS,4.18 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27607,CPT,INCISION LEG/ANKLE,,,21,,RBRVS,8.62 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27610,CPT,ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,,,21,,RBRVS,9.13 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27612,CPT,ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH,,,21,,RBRVS,8.15 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27613,CPT,BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL,,,21,,RBRVS,2.22 ,2.15 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27614,CPT,BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP,,,21,,RBRVS,5.80 ,4.91 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27615,CPT,RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE <5CM,,,21,,RBRVS,15.72 ,10.60 ,10.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27616,CPT,RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>,,,21,,RBRVS,19.63 ,12.97 ,12.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27618,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM,,,21,,RBRVS,3.96 ,4.09 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27619,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM,,,21,,RBRVS,6.91 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27620,CPT,ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB,,,21,,RBRVS,6.15 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27625,CPT,ARTHROTOMY W/SYNOVECTOMY ANKLE,,,21,,RBRVS,8.49 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27626,CPT,ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY,,,21,,RBRVS,9.10 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27630,CPT,EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK,,,21,,RBRVS,4.94 ,4.82 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27632,CPT,EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>,,,21,,RBRVS,5.91 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27634,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>,,,21,,RBRVS,10.13 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27635,CPT,EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA,,,21,,RBRVS,8.03 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27637,CPT,EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT,,,21,,RBRVS,10.31 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27638,CPT,EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT,,,21,,RBRVS,10.99 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27640,CPT,PARTIAL EXCISION BONE TIBIA,,,21,,RBRVS,12.24 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27641,CPT,PARTIAL EXCISION BONE FIBULA,,,21,,RBRVS,9.84 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27645,CPT,RADICAL RESECTION OF TUMOR TIBIA,,,21,,RBRVS,27.21 ,18.49 ,18.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27646,CPT,RADICAL RESECTION TUMOR BONE FIBULA,,,21,,RBRVS,23.21 ,16.31 ,16.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27647,CPT,RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS,,,21,,RBRVS,20.26 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27648,CPT,INJECTION ANKLE ARTHROGRAPHY,,,21,,RBRVS,0.96 ,0.43 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27650,CPT,REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON,,,21,,RBRVS,9.21 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27652,CPT,RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT,,,21,,RBRVS,10.78 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27654,CPT,REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT,,,21,,RBRVS,10.53 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27656,CPT,REPAIR FASCIAL DEFECT LEG,,,21,,RBRVS,4.71 ,5.70 ,12.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27658,CPT,REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,,,21,,RBRVS,5.12 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27659,CPT,RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH,,,21,,RBRVS,7.10 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27664,CPT,RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH,,,21,,RBRVS,4.73 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27665,CPT,RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH,,,21,,RBRVS,5.57 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27675,CPT,RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY,,,21,,RBRVS,7.35 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27676,CPT,REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT,,,21,,RBRVS,8.73 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27680,CPT,TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,,,21,,RBRVS,5.88 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27681,CPT,TNOLS FLXR/XTNSR TDN LEG&/ANKLE MLT TDN,,,21,,RBRVS,7.05 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27685,CPT,LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX,,,21,,RBRVS,6.69 ,5.77 ,11.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27686,CPT,LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA,,,21,,RBRVS,7.75 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27687,CPT,GASTROCNEMIUS RECESSION,,,21,,RBRVS,6.41 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27690,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC,,,21,,RBRVS,9.17 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27691,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP,,,21,,RBRVS,10.49 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27692,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN,,,21,,RBRVS,1.87 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27695,CPT,RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL,,,21,,RBRVS,6.70 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27696,CPT,RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS,,,21,,RBRVS,8.58 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27698,CPT,REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL,,,21,,RBRVS,9.61 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27700,CPT,ARTHROPLASTY ANKLE,,,21,,RBRVS,9.66 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27702,CPT,ARTHROPLASTY ANKLE W/IMPLANT,,,21,,RBRVS,14.42 ,10.81 ,10.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27703,CPT,ARTHROPLASTY ANKLE REVISION TOTAL ANKLE,,,21,,RBRVS,16.94 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27704,CPT,REMOVAL ANKLE IMPLANT,,,21,,RBRVS,7.81 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27705,CPT,OSTEOTOMY TIBIA,,,21,,RBRVS,10.86 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27707,CPT,OSTEOTOMY FIBULA,,,21,,RBRVS,4.78 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27709,CPT,OSTEOTOMY TIBIA & FIBULA,,,21,,RBRVS,17.48 ,12.82 ,12.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27712,CPT,OSTEOT MLT W/RELIGNMT IMED ROD,,,21,,RBRVS,15.87 ,12.72 ,12.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27715,CPT,OSTEOPLASTY TIBIA & FIBULA LENGTHENING/SHORTENIN,,,21,,RBRVS,15.50 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27720,CPT,REPAIR NONUNION/MALUNION TIBIA W/O GRAFT,,,21,,RBRVS,12.36 ,10.40 ,10.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27722,CPT,REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT,,,21,,RBRVS,12.45 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27724,CPT,RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT,,,21,,RBRVS,19.31 ,13.35 ,13.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27725,CPT,RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH,,,21,,RBRVS,17.41 ,13.95 ,13.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27726,CPT,REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION,,,21,,RBRVS,14.34 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27727,CPT,REPAIR CONGENITAL PSEUDARTHROSIS TIBIA,,,21,,RBRVS,14.84 ,11.97 ,11.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27730,CPT,ARREST EPIPHYSEAL OPEN DISTAL TIBIA,,,21,,RBRVS,7.70 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27732,CPT,ARREST EPIPHYSEAL OPEN DISTAL FIBULA,,,21,,RBRVS,5.46 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27734,CPT,ARREST EPIPHYSEAL OPEN DISTAL TIBIA&FIBULA,,,21,,RBRVS,8.83 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27740,CPT,ARREST EPIPHYSEAL ANY METHOD TIBIA & FIBULA,,,21,,RBRVS,9.61 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27742,CPT,ARRST EPIPHYSL ANY METH TIBFIB&DSTL FEMUR,,,21,,RBRVS,10.63 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27745,CPT,PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA,,,21,,RBRVS,10.49 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27750,CPT,CLTX TIBIAL SHAFT FX W/O MANIPULATION,,,21,,RBRVS,3.37 ,5.07 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27752,CPT,CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ,,,21,,RBRVS,6.27 ,6.71 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27756,CPT,PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE,,,21,,RBRVS,7.45 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27758,CPT,OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE,,,21,,RBRVS,12.54 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27759,CPT,TX TIBL SHFT FX IMED IMPLT W/WO SCREWS&/CERCLA,,,21,,RBRVS,14.45 ,11.42 ,11.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27760,CPT,CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION,,,21,,RBRVS,3.21 ,4.93 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27762,CPT,CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,,,21,,RBRVS,5.47 ,5.97 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27766,CPT,OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE,,,21,,RBRVS,7.89 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27767,CPT,CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,,,21,,RBRVS,2.64 ,4.95 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27768,CPT,CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,,,21,,RBRVS,5.14 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27769,CPT,OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE,,,21,,RBRVS,10.14 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27780,CPT,CLTX PROX FIBULA/SHFT FX W/O MANJ,,,21,,RBRVS,2.83 ,4.61 ,5.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27781,CPT,CLTX PROX FIBULA/SHFT FX W/MANJ,,,21,,RBRVS,4.59 ,5.74 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27784,CPT,OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE,,,21,,RBRVS,9.67 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27786,CPT,CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ,,,21,,RBRVS,3.02 ,4.62 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27788,CPT,CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,,,21,,RBRVS,4.64 ,5.53 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27792,CPT,OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS,,,21,,RBRVS,8.75 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27808,CPT,CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,,,21,,RBRVS,3.03 ,4.99 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27810,CPT,CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ,,,21,,RBRVS,5.32 ,5.86 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27814,CPT,OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE,,,21,,RBRVS,10.62 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27816,CPT,CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,,,21,,RBRVS,3.07 ,4.59 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27818,CPT,CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION,,,21,,RBRVS,5.69 ,5.74 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27822,CPT,OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP,,,21,,RBRVS,11.21 ,10.80 ,10.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27823,CPT,OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP,,,21,,RBRVS,13.16 ,11.76 ,11.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27824,CPT,CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ,,,21,,RBRVS,3.31 ,4.79 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27825,CPT,CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,,,21,,RBRVS,6.69 ,6.21 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27826,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA,,,21,,RBRVS,11.10 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27827,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY,,,21,,RBRVS,14.79 ,13.40 ,13.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27828,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA,,,21,,RBRVS,18.43 ,15.24 ,15.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27829,CPT,OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION,,,21,,RBRVS,8.80 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27830,CPT,CLTX PROX TIBFIB JT DISLC W/O ANES,,,21,,RBRVS,3.96 ,5.37 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27831,CPT,CLTX PROX TIBFIB JT DISLC REQ ANES,,,21,,RBRVS,4.73 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27832,CPT,OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB,,,21,,RBRVS,10.17 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27840,CPT,CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,,,21,,RBRVS,4.77 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27842,CPT,CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ,,,21,,RBRVS,6.46 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27846,CPT,OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ,,,21,,RBRVS,10.28 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27848,CPT,OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ,,,21,,RBRVS,11.68 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27860,CPT,MANIPULATION ANKLE UNDER GENERAL ANESTHESIA,,,21,,RBRVS,2.39 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27870,CPT,ARTHRODESIS ANKLE OPEN,,,21,,RBRVS,15.41 ,11.54 ,11.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27871,CPT,ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL,,,21,,RBRVS,9.54 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27880,CPT,AMPUTATION LEG THROUGH TIBIA&FIBULA,,,21,,RBRVS,15.37 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27881,CPT,AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST,,,21,,RBRVS,13.47 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27882,CPT,AMPUTATION LEG THRU TIBIA&FIBULA OPEN CIRCULAR,,,21,,RBRVS,9.79 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27884,CPT,AMP LEG THRU TIBIA&FIBULA SEC CLOSURE/SCAR REV,,,21,,RBRVS,8.76 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27886,CPT,AMP LEG THRU TIBIA&FIBULA RE-AMPUTATION,,,21,,RBRVS,10.02 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27888,CPT,AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR&RESCJ NRV,,,21,,RBRVS,10.37 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 27889,CPT,ANKLE DISARTICULATION,,,21,,RBRVS,10.86 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27892,CPT,DCMPRN FASCT LEG ANT&/LAT W/DBRDMT MUSC&/NERVE,,,21,,RBRVS,7.94 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27893,CPT,DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV,,,21,,RBRVS,7.90 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27894,CPT,DCMPRN FASCT LEG ANT&/LAT&PST W/DBRDMT MUS,,,21,,RBRVS,12.67 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 27899,CPT,UNLISTED PROCEDURE LEG/ANKLE,,,21,,TotalUnits,,,,17.08 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28001,CPT,INCISION&DRAINAGE BURSA FOOT,,,21,,RBRVS,2.78 ,1.87 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28002,CPT,I&D BELOW FASCIA FOOT 1 BURSAL SPACE,,,21,,RBRVS,5.34 ,3.32 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28003,CPT,I&D BELOW FASCIA FOOT MULTIPLE AREAS,,,21,,RBRVS,9.06 ,6.31 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28005,CPT,INCISION BONE CORTEX FOOT,,,21,,RBRVS,9.44 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28008,CPT,FASCIOTOMY FOOT&/TOE,,,21,,RBRVS,4.59 ,3.45 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28010,CPT,TENOTOMY PERCUTANEOUS TOE SINGLE TENDON,,,21,,RBRVS,2.97 ,2.79 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28011,CPT,TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON,,,21,,RBRVS,4.28 ,3.58 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28020,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,,,21,,RBRVS,5.15 ,4.60 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28022,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT,,,21,,RBRVS,4.81 ,4.05 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28024,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT,,,21,,RBRVS,4.52 ,3.82 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28035,CPT,RELEASE TARSAL TUNNEL,,,21,,RBRVS,5.23 ,4.38 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28039,CPT,EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>,,,21,,RBRVS,5.42 ,4.04 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28041,CPT,EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>,,,21,,RBRVS,7.13 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28043,CPT,EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM,,,21,,RBRVS,3.96 ,3.24 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28045,CPT,EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM,,,21,,RBRVS,5.45 ,4.08 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28046,CPT,RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM,,,21,,RBRVS,12.38 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28047,CPT,RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>,,,21,,RBRVS,17.45 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28050,CPT,ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT,,,21,,RBRVS,4.39 ,3.35 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28052,CPT,ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT,,,21,,RBRVS,4.06 ,3.70 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28054,CPT,ARTHRTOMY W/BX INTERPHALANGEAL JOINT,,,21,,RBRVS,3.57 ,3.17 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28055,CPT,NEURECTOMY INTRINSIC MUSCULATURE OF FOOT,,,21,,RBRVS,6.29 ,4.01 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28060,CPT,FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,,,21,,RBRVS,5.40 ,4.33 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28062,CPT,FASCIOTOMY PLANTAR FASCIA RADICAL SPX,,,21,,RBRVS,6.69 ,4.46 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28070,CPT,SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX,,,21,,RBRVS,5.24 ,4.40 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28072,CPT,SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH,,,21,,RBRVS,4.72 ,4.26 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28080,CPT,EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH,,,21,,RBRVS,4.86 ,5.22 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28086,CPT,SYNOVECTOMY TENDON SHEATH FOOT FLEXOR,,,21,,RBRVS,4.92 ,4.78 ,10.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28088,CPT,SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR,,,21,,RBRVS,3.98 ,3.70 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28090,CPT,EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,,,21,,RBRVS,4.55 ,3.87 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28092,CPT,EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA,,,21,,RBRVS,3.78 ,3.59 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28100,CPT,EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS,,,21,,RBRVS,5.83 ,5.27 ,10.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28102,CPT,EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT,,,21,,RBRVS,7.92 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28103,CPT,EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT,,,21,,RBRVS,6.67 ,4.13 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28104,CPT,EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL,,,21,,RBRVS,5.26 ,4.32 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28106,CPT,EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT,,,21,,RBRVS,7.35 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28107,CPT,EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT,,,21,,RBRVS,5.73 ,4.48 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28108,CPT,EXC/CURTG CST/B9 TUM PHALANGES FOOT,,,21,,RBRVS,4.30 ,3.62 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28110,CPT,OSTECTOMY PRTL 5TH METAR HEAD SPX,,,21,,RBRVS,4.22 ,3.71 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28111,CPT,OSTECTOMY COMPLETE 1ST METATARSAL HEAD,,,21,,RBRVS,5.15 ,3.69 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28112,CPT,OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4,,,21,,RBRVS,4.63 ,3.90 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28113,CPT,OSTECTOMY COMPLETE 5TH METATARSAL HEAD,,,21,,RBRVS,6.11 ,5.55 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28114,CPT,OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC,,,21,,RBRVS,12.00 ,10.52 ,17.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28116,CPT,OSTECTOMY TARSAL COALITION,,,21,,RBRVS,9.14 ,6.31 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28118,CPT,OSTECTOMY CALCANEUS,,,21,,RBRVS,6.13 ,5.02 ,10.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28119,CPT,OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS,,,21,,RBRVS,5.56 ,4.32 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28120,CPT,PARTIAL EXCISION BONE TALUS/CALCANEUS,,,21,,RBRVS,7.31 ,6.09 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28122,CPT,PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS,,,21,,RBRVS,6.76 ,5.23 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28124,CPT,PARTICAL EXCISION BONE PHALANX TOE,,,21,,RBRVS,5.00 ,4.10 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28126,CPT,RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH,,,21,,RBRVS,3.64 ,3.19 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28130,CPT,TALECTOMY ASTRAGALECTOMY,,,21,,RBRVS,9.50 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28140,CPT,METATARSECTOMY,,,21,,RBRVS,7.14 ,4.67 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28150,CPT,PHALANGECTOMY TOE EACH TOE,,,21,,RBRVS,4.23 ,3.46 ,7.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28153,CPT,RESECTION CONDYLE DISTAL END PHALANX EACH TOE,,,21,,RBRVS,3.80 ,3.45 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28160,CPT,HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE,,,21,,RBRVS,3.88 ,3.53 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28171,CPT,RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,,,21,,RBRVS,16.41 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28173,CPT,RADICAL RESECTION TUMOR METATARSAL,,,21,,RBRVS,14.16 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28175,CPT,RADICAL RESECTION TUMOR PHALANX OR TOE,,,21,,RBRVS,8.29 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28190,CPT,REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,,,21,,RBRVS,2.01 ,1.66 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28192,CPT,REMOVAL FOREIGN BODY FOOT DEEP,,,21,,RBRVS,4.78 ,3.81 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28193,CPT,REMOVAL FOREIGN BODY FOOT COMPLICATED,,,21,,RBRVS,5.90 ,4.19 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28200,CPT,RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON,,,21,,RBRVS,4.74 ,4.02 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28202,CPT,RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON,,,21,,RBRVS,7.07 ,4.59 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28208,CPT,REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,,,21,,RBRVS,4.51 ,3.98 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28210,CPT,RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON,,,21,,RBRVS,6.52 ,4.61 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28220,CPT,TENOLYSIS FLEXOR FOOT SINGLE TENDON,,,21,,RBRVS,4.67 ,3.62 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28222,CPT,TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS,,,21,,RBRVS,5.76 ,3.83 ,8.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28225,CPT,TENOLYSIS EXTENSOR FOOT SINGLE TENDON,,,21,,RBRVS,3.78 ,3.33 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28226,CPT,TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON,,,21,,RBRVS,4.67 ,5.65 ,11.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28230,CPT,TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX,,,21,,RBRVS,4.36 ,3.41 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28232,CPT,TX OPEN TENDON FLEXOR TOE 1 TENDON SPX,,,21,,RBRVS,3.51 ,3.18 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28234,CPT,TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,,,21,,RBRVS,3.54 ,3.72 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28238,CPT,RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR,,,21,,RBRVS,7.96 ,5.25 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28240,CPT,TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC,,,21,,RBRVS,4.48 ,3.48 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28250,CPT,DIVISION PLANTAR FASCIA & MUSCLE SPX,,,21,,RBRVS,6.06 ,4.87 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28260,CPT,CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX,,,21,,RBRVS,8.19 ,5.57 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28261,CPT,CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING,,,21,,RBRVS,13.11 ,7.82 ,13.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28262,CPT,CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL&TDN LNGTH,,,21,,RBRVS,17.21 ,13.38 ,21.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28264,CPT,CAPSULOTOMY MIDTARSAL,,,21,,RBRVS,10.65 ,9.19 ,16.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28270,CPT,CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX,,,21,,RBRVS,4.93 ,4.20 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28272,CPT,CAPSULOTOMY IPHAL JOINT EACH JOINT SPX,,,21,,RBRVS,3.92 ,3.11 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28280,CPT,SYNDACTYLIZATION TOES,,,21,,RBRVS,5.33 ,4.20 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28285,CPT,CORRECTION HAMMERTOE,,,21,,RBRVS,5.62 ,4.72 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28286,CPT,CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE,,,21,,RBRVS,4.70 ,3.56 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28288,CPT,OSTC PRTL EXOSTC/CONDYLC METAR HEAD,,,21,,RBRVS,6.02 ,5.72 ,10.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28289,CPT,HALLUX RIGIDUS CORRECT W/CHEILECTOMY 1ST MP JT,,,21,,RBRVS,8.31 ,6.47 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28291,CPT,CORRJ HALUX RIGDUS W/IMPLT,,,21,,RBRVS,8.01 ,5.06 ,12.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28292,CPT,KELLER/MCBRIDE/MAYO PROCEDURE,,,21,,RBRVS,9.05 ,7.43 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28295,CPT,CORRECTION HALLUX VALGUS,,,21,,RBRVS,8.57 ,6.12 ,17.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28296,CPT,CORRJ HALLUX VALGUS W/WO SESMDC W/METAR OSTEOT,,,21,,RBRVS,8.35 ,5.91 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28297,CPT,CORRJ HALLUX VALGUS W/WO SESMDC LAPIDUS-TYP PX,,,21,,RBRVS,9.43 ,6.25 ,12.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28298,CPT,CORRJ HALLUX VALGUS W/WO SESMDC PHALANX OSTEOT,,,21,,RBRVS,8.13 ,5.58 ,11.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28299,CPT,CORRJ HALLUX VALGUS W/WO SESMDC 2 OSTEOT,,,21,,RBRVS,11.57 ,6.80 ,13.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28300,CPT,OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION,,,21,,RBRVS,9.73 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28302,CPT,OSTEOTOMY TALUS,,,21,,RBRVS,9.74 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28304,CPT,OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS,,,21,,RBRVS,9.41 ,6.79 ,13.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28305,CPT,OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT,,,21,,RBRVS,10.77 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28306,CPT,OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,,,21,,RBRVS,6.00 ,4.87 ,10.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28307,CPT,OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE,,,21,,RBRVS,6.50 ,5.55 ,12.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28308,CPT,OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,,,21,,RBRVS,5.48 ,4.79 ,10.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28309,CPT,OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT,,,21,,RBRVS,14.16 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28310,CPT,OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE,,,21,,RBRVS,5.57 ,4.19 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28312,CPT,OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE,,,21,,RBRVS,4.69 ,4.02 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28313,CPT,RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY,,,21,,RBRVS,5.15 ,4.54 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28315,CPT,SESAMOIDECTOMY FIRST TOE SPX,,,21,,RBRVS,5.00 ,3.89 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28320,CPT,REPAIR NONUNION/MALUNION TARSAL BONES,,,21,,RBRVS,9.37 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28322,CPT,RPR NON/MALUNION METARSAL W/WO BONE GRAFT,,,21,,RBRVS,8.53 ,6.87 ,13.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28340,CPT,RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION,,,21,,RBRVS,7.15 ,4.24 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28341,CPT,RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION,,,21,,RBRVS,8.72 ,4.83 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28344,CPT,RECONSTRUCTION TOE POLYDACTYLY,,,21,,RBRVS,4.40 ,3.93 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28345,CPT,RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB,,,21,,RBRVS,6.09 ,3.98 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28360,CPT,RECONSTRUCTION CLEFT FOOT,,,21,,RBRVS,14.92 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28400,CPT,CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,,,21,,RBRVS,2.31 ,3.85 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28405,CPT,CLOSED TX CALCANEAL FRACTURE W/MANIPULATION,,,21,,RBRVS,4.74 ,4.83 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28406,CPT,PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ,,,21,,RBRVS,6.56 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28415,CPT,OPEN TREATMENT CALCANEAL FRACTURE,,,21,,RBRVS,16.19 ,12.90 ,12.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28420,CPT,OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT,,,21,,RBRVS,17.52 ,15.01 ,15.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28430,CPT,CLOSED TX TALUS FRACTURE W/O MANIPULATION,,,21,,RBRVS,2.22 ,3.47 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28435,CPT,CLOSED TX TALUS FRACTURE W/MANIPULATION,,,21,,RBRVS,3.54 ,4.11 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28436,CPT,PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ,,,21,,RBRVS,4.90 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28445,CPT,OPEN TREATMENT TALUS FRACTURE,,,21,,RBRVS,15.76 ,12.11 ,12.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28446,CPT,OPEN OSTEOCHONDRAL AUTOGRAFT TALUS,,,21,,RBRVS,17.71 ,13.65 ,13.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28450,CPT,TX TARSAL BONE FX XCP TALUS&CALCN W/O MANJ,,,21,,RBRVS,2.03 ,3.20 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28455,CPT,TX TARSAL BONE FX XCP TALUS&CALCN W/MANJ,,,21,,RBRVS,3.24 ,3.86 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28456,CPT,PRQ SKEL FIXJ TARSL FX XCP TALUS&CALCNS W/MANJ,,,21,,RBRVS,2.86 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28465,CPT,OPEN TX TARSAL FRACTURE XCP TALUS & CALCANEUS EA,,,21,,RBRVS,8.80 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28470,CPT,CLOSED TX METATARSAL FRACTURE W/O MANIPULATION,,,21,,RBRVS,2.03 ,3.54 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28475,CPT,CLTX METAR FX W/MANJ,,,21,,RBRVS,3.01 ,3.16 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28476,CPT,PRQ SKEL FIXJ METAR FX W/MANJ,,,21,,RBRVS,3.60 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28485,CPT,OPEN TREATMENT METATARSAL FRACTURE EACH,,,21,,RBRVS,7.44 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28490,CPT,CLTX FX GRT TOE PHLX/PHLG W/O MANJ,,,21,,RBRVS,1.17 ,2.27 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28495,CPT,CLTX FX GRT TOE PHLX/PHLG W/MANJ,,,21,,RBRVS,1.68 ,2.43 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28496,CPT,PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ,,,21,,RBRVS,2.48 ,3.88 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28505,CPT,OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,,,21,,RBRVS,7.44 ,6.02 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28510,CPT,CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ,,,21,,RBRVS,1.17 ,2.15 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28515,CPT,CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ,,,21,,RBRVS,1.56 ,2.37 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28525,CPT,OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE,,,21,,RBRVS,5.62 ,5.21 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28530,CPT,CLOSED TREATMENT SESAMOID FRACTURE,,,21,,RBRVS,1.11 ,1.72 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28531,CPT,OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION,,,21,,RBRVS,2.57 ,2.53 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28540,CPT,CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES,,,21,,RBRVS,2.19 ,2.95 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28545,CPT,CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES,,,21,,RBRVS,2.60 ,4.33 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28546,CPT,PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ,,,21,,RBRVS,3.40 ,5.42 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28555,CPT,OPEN TREATMENT TARSAL BONE DISLOCATION,,,21,,RBRVS,9.65 ,8.09 ,14.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28570,CPT,CLOSED TX TALOTARSAL JOINT DISLC W/O ANES,,,21,,RBRVS,1.76 ,3.31 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28575,CPT,CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES,,,21,,RBRVS,3.49 ,5.27 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28576,CPT,PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ,,,21,,RBRVS,4.60 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28585,CPT,OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,,,21,,RBRVS,11.13 ,7.09 ,12.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28600,CPT,CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,,,21,,RBRVS,2.02 ,3.09 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28605,CPT,CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES,,,21,,RBRVS,2.89 ,4.93 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28606,CPT,PRQ SKEL FIXJ TARS JT DISLC W/MANJ,,,21,,RBRVS,5.09 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28615,CPT,OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION,,,21,,RBRVS,10.70 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28630,CPT,CLTX METATARSOPHLNGL JT DISLC W/O ANES,,,21,,RBRVS,1.75 ,1.18 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28635,CPT,CLTX METATARSOPHLNGL JT DISLC REQ ANES,,,21,,RBRVS,1.96 ,1.61 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28636,CPT,PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ,,,21,,RBRVS,2.77 ,2.26 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28645,CPT,OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION,,,21,,RBRVS,7.44 ,5.72 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28660,CPT,CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES,,,21,,RBRVS,1.28 ,1.10 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28665,CPT,CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,,,21,,RBRVS,1.97 ,1.59 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28666,CPT,PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ,,,21,,RBRVS,2.66 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28675,CPT,OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION,,,21,,RBRVS,5.62 ,5.51 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28705,CPT,ARTHRODESIS PANTALAR,,,21,,RBRVS,20.33 ,12.67 ,12.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28715,CPT,ARTHRODESIS TRIPLE,,,21,,RBRVS,13.42 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28725,CPT,ARTHRODESIS SUBTALAR,,,21,,RBRVS,11.22 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28730,CPT,ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS,,,21,,RBRVS,10.70 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28735,CPT,ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT,,,21,,RBRVS,12.23 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28737,CPT,ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFOR,,,21,,RBRVS,11.03 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28740,CPT,ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT,,,21,,RBRVS,9.29 ,7.40 ,13.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28750,CPT,ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT,,,21,,RBRVS,8.57 ,7.28 ,13.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28755,CPT,ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT,,,21,,RBRVS,4.88 ,4.12 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28760,CPT,ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK,,,21,,RBRVS,9.14 ,6.51 ,12.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28800,CPT,AMPUTATION FOOT MIDTARSAL,,,21,,RBRVS,8.79 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 28805,CPT,AMPUTATION FOOT TRANSMETARSAL,,,21,,RBRVS,12.71 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28810,CPT,AMPUTATION METATARSAL W/TOE SINGLE,,,21,,RBRVS,6.64 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28820,CPT,AMPUTATION TOE METATARSOPHALANGEAL JOINT,,,21,,RBRVS,5.82 ,4.85 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28825,CPT,AMPUTATION TOE INTERPHALANGEAL JOINT,,,21,,RBRVS,5.37 ,4.66 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28890,CPT,ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA,,,21,,RBRVS,3.45 ,2.69 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 28899,CPT,UNLISTED PROCEDURE FOOT/TOES,,,21,,TotalUnits,,,,11.03 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29000,CPT,APPLICATION HALO TYPE BODY CAST,,,21,,RBRVS,2.25 ,2.07 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29010,CPT,APPLICATION RISSER JACKET LOCALIZER BODY ONLY,,,21,,RBRVS,2.06 ,1.83 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29015,CPT,APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD,,,21,,RBRVS,2.41 ,2.34 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29035,CPT,APPLICATION BODY CAST SHOULDER HIPS,,,21,,RBRVS,1.77 ,1.44 ,3.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29040,CPT,APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA,,,21,,RBRVS,2.22 ,1.67 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29044,CPT,APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH,,,21,,RBRVS,2.12 ,1.97 ,5.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29046,CPT,APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS,,,21,,RBRVS,2.41 ,1.81 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29049,CPT,APPLICATION CAST FIGURE-OF-8,,,21,,RBRVS,0.89 ,0.75 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29055,CPT,APPLICATION CAST SHOULDER SPICA,,,21,,RBRVS,1.78 ,1.85 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29058,CPT,APPLICATION CAST PLASTER VELPEAU,,,21,,RBRVS,1.31 ,1.13 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29065,CPT,APPLICATION CAST SHOULDER HAND LONG ARM,,,21,,RBRVS,0.87 ,0.94 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29075,CPT,APPLICATION CAST ELBOW FINGER SHORT ARM,,,21,,RBRVS,0.77 ,0.88 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29085,CPT,APPLICATION CAST HAND & LOWER FOREARM GAUNTLET,,,21,,RBRVS,0.87 ,0.92 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29086,CPT,APPLICATION CAST FINGER,,,21,,RBRVS,0.62 ,0.77 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29105,CPT,APPLICATION LONG ARM SPLINT SHOULDER HAND,,,21,,RBRVS,0.87 ,0.70 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29125,CPT,APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC,,,21,,RBRVS,0.50 ,0.56 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29126,CPT,APPLICATION SHORT ARM SPLINT DYNAMIC,,,21,,RBRVS,0.68 ,0.62 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29130,CPT,APPLICATION FINGER SPLINT STATIC,,,21,,RBRVS,0.50 ,0.25 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29131,CPT,APPLICATION FINGER SPLINT DYNAMIC,,,21,,RBRVS,0.55 ,0.32 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29200,CPT,STRAPPING THORAX,,,21,,RBRVS,0.39 ,0.11 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29240,CPT,STRAPPING SHOULDER,,,21,,RBRVS,0.39 ,0.12 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29260,CPT,STRAPPING ELBOW/WRIST,,,21,,RBRVS,0.39 ,0.13 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29280,CPT,STRAPPING HAND/FINGER,,,21,,RBRVS,0.39 ,0.15 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29305,CPT,APPLICATION HIP SPICA CAST 1 LEG,,,21,,RBRVS,2.03 ,2.15 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29325,CPT,APPL HIP SPICA CAST ONE&ONE-HALF SPICA/BOTH LEGS,,,21,,RBRVS,2.32 ,2.32 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29345,CPT,APPLICATION LONG LEG CAST THIGH-TOE,,,21,,RBRVS,1.40 ,1.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29355,CPT,APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE,,,21,,RBRVS,1.53 ,1.25 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29358,CPT,APPLICATION LONG LEG CAST BRACE,,,21,,RBRVS,1.43 ,1.28 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29365,CPT,APPLICATION CYLINDER CAST THIGH ANKLE,,,21,,RBRVS,1.18 ,1.12 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29405,CPT,APPLICATION SHORT LEG CAST BELOW KNEE-TOE,,,21,,RBRVS,0.80 ,0.80 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29425,CPT,APPLICATION SHORT LEG CAST WALKING/AMBULATORY,,,21,,RBRVS,0.80 ,0.72 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29435,CPT,APPLICATION PATELLAR TENDON BEARING CAST,,,21,,RBRVS,1.18 ,1.00 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29440,CPT,ADDING WALKER PREVIOUSLY APPLIED CAST,,,21,,RBRVS,0.57 ,0.22 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29445,CPT,APPLICATION RIGID TOTAL CONTACT LEG CAST,,,21,,RBRVS,1.78 ,1.01 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29450,CPT,APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG,,,21,,RBRVS,2.08 ,0.96 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29505,CPT,APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES,,,21,,RBRVS,0.69 ,0.64 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29515,CPT,APPLICATION SHORT LEG SPLINT CALF FOOT,,,21,,RBRVS,0.73 ,0.60 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29520,CPT,STRAPPING HIP,,,21,,RBRVS,0.39 ,0.12 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29530,CPT,STRAPPING KNEE,,,21,,RBRVS,0.39 ,0.11 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29540,CPT,STRAPPING ANKLE &/FOOT,,,21,,RBRVS,0.39 ,0.10 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29550,CPT,STRAPPING TOES,,,21,,RBRVS,0.25 ,0.06 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29580,CPT,STRAPPING UNNA BOOT,,,21,,RBRVS,0.55 ,0.40 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29581,CPT,APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT,,,21,,RBRVS,0.25 ,0.10 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29582,CPT,APPL MLTLAYR COMPRES THGH LEG ANKLE FT WHEN DONE,,,21,,RBRVS,0.35 ,0.09 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29583,CPT,APPL MLTLAYR COMPRES SYSTEM UPPER & LOWER ARM,,,21,,RBRVS,0.25 ,0.06 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29584,CPT,APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FING,,,21,,RBRVS,0.35 ,0.09 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29700,CPT,REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,,,21,,RBRVS,0.57 ,0.30 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29705,CPT,REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,,,21,,RBRVS,0.76 ,0.47 ,1.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29710,CPT,RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET,,,21,,RBRVS,1.34 ,0.79 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29720,CPT,REPAIR SPICA BODY CAST/JACKET,,,21,,RBRVS,0.68 ,0.46 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29730,CPT,WINDOWING CAST,,,21,,RBRVS,0.75 ,0.43 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29740,CPT,WEDGING CAST EXCEPT CLUBFOOT CASTS,,,21,,RBRVS,1.12 ,0.68 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29750,CPT,WEDGING CLUBFOOT CAST,,,21,,RBRVS,1.26 ,0.52 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29799,CPT,UNLISTED PROCEDURE CASTING/STRAPPING,,,21,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29800,CPT,ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX,,,21,,RBRVS,6.84 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29804,CPT,ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL,,,21,,RBRVS,8.87 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29805,CPT,ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX,,,21,,RBRVS,6.03 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29806,CPT,ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY,,,21,,RBRVS,15.14 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29807,CPT,ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION,,,21,,RBRVS,14.67 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29819,CPT,ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB,,,21,,RBRVS,7.79 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29820,CPT,ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL,,,21,,RBRVS,7.21 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29821,CPT,ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE,,,21,,RBRVS,7.89 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29822,CPT,ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED,,,21,,RBRVS,7.60 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29823,CPT,ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE,,,21,,RBRVS,8.36 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29824,CPT,ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY,,,21,,RBRVS,8.98 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29825,CPT,ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ,,,21,,RBRVS,7.79 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29826,CPT,ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE,,,21,,RBRVS,3.00 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29827,CPT,ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR,,,21,,RBRVS,15.59 ,12.22 ,12.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29828,CPT,ARTHROSCOPY SHOULDER BICEPS TENODESIS,,,21,,RBRVS,13.16 ,10.81 ,10.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29830,CPT,ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX,,,21,,RBRVS,5.88 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29834,CPT,ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB,,,21,,RBRVS,6.42 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29835,CPT,ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL,,,21,,RBRVS,6.62 ,6.57 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29836,CPT,ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE,,,21,,RBRVS,7.72 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29837,CPT,ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED,,,21,,RBRVS,7.01 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29838,CPT,ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE,,,21,,RBRVS,7.88 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29840,CPT,ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX,,,21,,RBRVS,5.68 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29843,CPT,ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE,,,21,,RBRVS,6.15 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29844,CPT,ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL,,,21,,RBRVS,6.51 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29845,CPT,ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE,,,21,,RBRVS,7.69 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29846,CPT,ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT,,,21,,RBRVS,6.89 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29847,CPT,ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY,,,21,,RBRVS,7.22 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29848,CPT,NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM,,,21,,RBRVS,6.39 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29850,CPT,ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ,,,21,,RBRVS,8.27 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29851,CPT,ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ,,,21,,RBRVS,13.26 ,9.88 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29855,CPT,ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR,,,21,,RBRVS,10.76 ,9.63 ,9.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29856,CPT,ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR,,,21,,RBRVS,14.28 ,11.51 ,11.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29860,CPT,ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX,,,21,,RBRVS,9.00 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29861,CPT,ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB,,,21,,RBRVS,10.10 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29862,CPT,ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG,,,21,,RBRVS,11.17 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29863,CPT,ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY,,,21,,RBRVS,11.17 ,10.10 ,10.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29866,CPT,ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST,,,21,,RBRVS,14.67 ,12.43 ,12.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29867,CPT,ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT,,,21,,RBRVS,18.39 ,14.32 ,14.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29868,CPT,ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT,,,21,,RBRVS,25.10 ,16.51 ,16.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29870,CPT,ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX,,,21,,RBRVS,5.19 ,5.62 ,10.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29871,CPT,ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE,,,21,,RBRVS,6.69 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29873,CPT,ARTHROSCOPY KNEE LATERAL RELEASE,,,21,,RBRVS,6.24 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29874,CPT,ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY,,,21,,RBRVS,7.19 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29875,CPT,ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX,,,21,,RBRVS,6.45 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29876,CPT,ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS,,,21,,RBRVS,8.87 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29877,CPT,ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG,,,21,,RBRVS,8.30 ,7.97 ,7.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29879,CPT,ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX,,,21,,RBRVS,8.99 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29880,CPT,ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING,,,21,,RBRVS,7.39 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29881,CPT,ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG,,,21,,RBRVS,7.03 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29882,CPT,ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL,,,21,,RBRVS,9.60 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29883,CPT,ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL,,,21,,RBRVS,11.77 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29884,CPT,ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX,,,21,,RBRVS,8.28 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29885,CPT,ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG,,,21,,RBRVS,10.21 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29886,CPT,ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION,,,21,,RBRVS,8.49 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29887,CPT,ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ,,,21,,RBRVS,10.16 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29888,CPT,ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,,,21,,RBRVS,14.30 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29889,CPT,ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,,,21,,RBRVS,17.41 ,14.27 ,14.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29891,CPT,ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,,,21,,RBRVS,9.67 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29892,CPT,ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX,,,21,,RBRVS,10.27 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29893,CPT,ENDOSCOPIC PLANTAR FASCIOTOMY,,,21,,RBRVS,6.32 ,5.51 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29894,CPT,ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY,,,21,,RBRVS,7.35 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29895,CPT,ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL,,,21,,RBRVS,7.13 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29897,CPT,ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED,,,21,,RBRVS,7.32 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29898,CPT,ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,,,21,,RBRVS,8.49 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29899,CPT,ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS,,,21,,RBRVS,15.41 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29900,CPT,ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY,,,21,,RBRVS,5.88 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29901,CPT,ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT,,,21,,RBRVS,6.59 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29902,CPT,ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM,,,21,,RBRVS,7.16 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29904,CPT,ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY,,,21,,RBRVS,8.65 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29905,CPT,ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY,,,21,,RBRVS,9.18 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29906,CPT,ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT,,,21,,RBRVS,9.65 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29907,CPT,ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS,,,21,,RBRVS,12.18 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29914,CPT,ARTHROSCOPY HIP W/FEMOROPLASTY,,,21,,RBRVS,14.67 ,11.44 ,11.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29915,CPT,ARTHROSCOPY HIP W/ACETABULOPLASTY,,,21,,RBRVS,15.00 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29916,CPT,ARTHROSCOPY HIP W/LABRAL REPAIR,,,21,,RBRVS,15.00 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 29999,CPT,UNLISTED PROCEDURE ARTHROSCOPY,,,21,,TotalUnits,,,,15.01 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30000,CPT,DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH,,,21,,RBRVS,1.48 ,1.70 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30020,CPT,DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM,,,21,,RBRVS,1.48 ,1.72 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30100,CPT,BIOPSY INTRANASAL,,,21,,RBRVS,0.94 ,0.91 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30110,CPT,EXCISION NASAL POLYP SIMPLE,,,21,,RBRVS,1.68 ,1.82 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30115,CPT,EXCISION NASAL POLYP EXTENSIVE,,,21,,RBRVS,4.44 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30117,CPT,EXCISION/DESTRUCTION INTRANASAL LESION INT APPR,,,21,,RBRVS,3.26 ,6.04 ,21.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30118,CPT,EXCISION/DESTRUCTION INTRANASAL LESION XTRNL,,,21,,RBRVS,9.92 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30120,CPT,EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA,,,21,,RBRVS,5.39 ,6.33 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30124,CPT,EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS,,,21,,RBRVS,3.20 ,4.53 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30125,CPT,EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG,,,21,,RBRVS,7.30 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30130,CPT,EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE,,,21,,RBRVS,3.47 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30140,CPT,SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL,,,21,,RBRVS,3.57 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30150,CPT,RHINECTOMY PARTIAL,,,21,,RBRVS,9.55 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30160,CPT,RHINECTOMY TOTAL,,,21,,RBRVS,9.99 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30200,CPT,INJECTION TURBINATE THERAPEUTIC,,,21,,RBRVS,0.78 ,0.82 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30210,CPT,DISPLACEMENT THERAPY PROETZ TYPE,,,21,,RBRVS,1.13 ,1.56 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30220,CPT,INSERTION NASAL SEPTAL PROSTHESIS BUTTON,,,21,,RBRVS,1.59 ,1.77 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30300,CPT,REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,,,21,,RBRVS,1.09 ,1.80 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30310,CPT,REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES,,,21,,RBRVS,2.01 ,3.62 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30320,CPT,RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY,,,21,,RBRVS,4.64 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30400,CPT,RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NASAL TI,,,21,,RBRVS,10.86 ,16.49 ,16.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30410,CPT,RHINP PRIM COMPLETE XTRNL PARTS,,,21,,RBRVS,14.00 ,17.84 ,17.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30420,CPT,RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR,,,21,,RBRVS,16.90 ,19.82 ,19.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30430,CPT,RHINOPLASTY SECONDARY MINOR REVISION,,,21,,RBRVS,8.24 ,17.88 ,17.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30435,CPT,RHINOPLASTY SECONDARY INTERMEDIATE REVISION,,,21,,RBRVS,12.73 ,17.22 ,17.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30450,CPT,RHINOPLASTY SECONDARY MAJOR REVISION,,,21,,RBRVS,19.66 ,20.35 ,20.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30460,CPT,RHINP DFRM W/COLUM LNGTH TIP ONLY,,,21,,RBRVS,10.32 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30462,CPT,RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT,,,21,,RBRVS,20.28 ,20.87 ,20.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30465,CPT,REPAIR NASAL VESTIBULAR STENOSIS,,,21,,RBRVS,12.36 ,13.88 ,13.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30520,CPT,SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF,,,21,,RBRVS,7.01 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30540,CPT,REPAIR CHOANAL ATRESIA INTRANASAL,,,21,,RBRVS,7.92 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30545,CPT,REPAIR CHOANAL ATRESIA TRANSPALATINE,,,21,,RBRVS,11.62 ,11.98 ,11.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30560,CPT,LYSIS INTRANASAL SYNECHIA,,,21,,RBRVS,1.31 ,2.44 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30580,CPT,REPAIR FISTULA OROMAXILLARY,,,21,,RBRVS,6.88 ,6.73 ,10.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30600,CPT,REPAIR FISTULA ORONASAL,,,21,,RBRVS,6.16 ,5.68 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30620,CPT,SEPTAL/OTHER INTRANASAL DERMATOPLASTY,,,21,,RBRVS,6.16 ,10.78 ,10.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30630,CPT,REPAIR NASAL SEPTAL PERFORATIONS,,,21,,RBRVS,7.29 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30801,CPT,ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC,,,21,,RBRVS,1.14 ,2.62 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30802,CPT,ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,,,21,,RBRVS,2.08 ,3.07 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30901,CPT,CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,,,21,,RBRVS,1.10 ,0.37 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30903,CPT,CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,,,21,,RBRVS,1.54 ,0.56 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30905,CPT,CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST,,,21,,RBRVS,1.97 ,0.82 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30906,CPT,CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ,,,21,,RBRVS,2.45 ,1.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30915,CPT,LIGATION ARTERIES ETHMOIDAL,,,21,,RBRVS,7.44 ,7.99 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30920,CPT,LIGATION ARTERIES INT MAXILLARY TRANSANTRAL,,,21,,RBRVS,11.14 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30930,CPT,FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC,,,21,,RBRVS,1.31 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 30999,CPT,UNLISTED PROCEDURE NOSE,,,21,,TotalUnits,,,,12.10 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31000,CPT,LAVAGE CANNULATION MAXILLARY SINUS,,,21,,RBRVS,1.20 ,1.67 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31002,CPT,LAVAGE CANNULATION SPHENOID SINUS,,,21,,RBRVS,1.96 ,3.33 ,3.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31020,CPT,SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL,,,21,,RBRVS,3.07 ,6.79 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31030,CPT,SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS,,,21,,RBRVS,6.01 ,8.26 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31032,CPT,SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS,,,21,,RBRVS,6.69 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31040,CPT,PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH,,,21,,RBRVS,9.77 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31050,CPT,SINUSOTOMY SPHENOID W/WO BIOPSY,,,21,,RBRVS,5.37 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31051,CPT,SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP,,,21,,RBRVS,7.25 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31070,CPT,SINUSOTOMY FRONTAL EXTERNAL SIMPLE,,,21,,RBRVS,4.40 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31075,CPT,SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL,,,21,,RBRVS,9.51 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31080,CPT,SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC,,,21,,RBRVS,12.74 ,15.16 ,15.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31081,CPT,SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC,,,21,,RBRVS,14.19 ,22.58 ,22.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31084,CPT,SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC,,,21,,RBRVS,14.95 ,16.14 ,16.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31085,CPT,SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC,,,21,,RBRVS,15.64 ,23.27 ,23.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31086,CPT,SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC,,,21,,RBRVS,14.36 ,15.98 ,15.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31087,CPT,SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC,,,21,,RBRVS,14.57 ,14.18 ,14.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31090,CPT,SINUSOT UNI 3/> PARANSL SINUSES,,,21,,RBRVS,11.17 ,16.59 ,16.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31200,CPT,ETHMOIDECTOMY INTRANASAL ANTERIOR,,,21,,RBRVS,5.14 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31201,CPT,ETHMOIDECTOMY INTRANASAL TOTAL,,,21,,RBRVS,8.60 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31205,CPT,ETHMOIDECTOMY EXTRANASAL TOTAL,,,21,,RBRVS,10.58 ,13.99 ,13.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31225,CPT,MAXILLECTOMY W/O ORBITAL EXENTERATION,,,21,,RBRVS,26.70 ,23.17 ,23.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31230,CPT,MAXILLECTOMY W/ORBITAL EXENTERATION,,,21,,RBRVS,30.82 ,24.28 ,24.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31231,CPT,NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,,,21,,RBRVS,1.10 ,0.62 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31233,CPT,NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY,,,21,,RBRVS,2.18 ,1.45 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31235,CPT,NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY,,,21,,RBRVS,2.64 ,1.66 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31237,CPT,NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX,,,21,,RBRVS,2.60 ,1.69 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31238,CPT,NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG,,,21,,RBRVS,2.74 ,1.75 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31239,CPT,NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY,,,21,,RBRVS,9.04 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31240,CPT,NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION,,,21,,RBRVS,2.61 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31254,CPT,NASAL/SINUS ENDOSCOPY W/ETHMOIDECTOMY PARTIAL,,,21,,RBRVS,4.64 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31255,CPT,NASAL/SINUS ENDOSCOPY W/ETHMOIDECTOMY TOTAL,,,21,,RBRVS,6.95 ,3.60 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31256,CPT,NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY,,,21,,RBRVS,3.29 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31267,CPT,NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS,,,21,,RBRVS,5.45 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31276,CPT,NASAL/SINUS NDSC W/FRONTAL SINUS EXPLORATION,,,21,,RBRVS,8.84 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31287,CPT,NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY,,,21,,RBRVS,3.91 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31288,CPT,NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS,,,21,,RBRVS,4.57 ,2.53 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31290,CPT,NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID,,,21,,RBRVS,18.61 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31291,CPT,NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID,,,21,,RBRVS,19.56 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31292,CPT,NSL/SINUS NDSC SURG W/MEDIAL/INF ORB WALL DCMPRN,,,21,,RBRVS,15.90 ,10.60 ,10.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31293,CPT,NASAL/SINUS NDSC MEDIAL ORB&NF ORB WALL DCMPR,,,21,,RBRVS,17.47 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31294,CPT,NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN,,,21,,RBRVS,20.31 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31295,CPT,NASAL/SINUS NDSC SURG W/DILAT MAXILLARY SINUS,,,21,,RBRVS,2.70 ,1.65 ,55.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31296,CPT,NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS,,,21,,RBRVS,3.29 ,1.91 ,55.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31297,CPT,NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS,,,21,,RBRVS,2.64 ,1.62 ,55.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31299,CPT,UNLISTED PROCEDURE ACCESSORY SINUSES,,,21,,TotalUnits,,,,5.67 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31300,CPT,LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY,,,21,,RBRVS,15.91 ,19.31 ,19.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31320,CPT,LARYNGOTOMY THYROTOMY LARYNGOFISSURE DX,,,21,,RBRVS,5.73 ,13.32 ,13.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31360,CPT,LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION,,,21,,RBRVS,29.91 ,26.75 ,26.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31365,CPT,LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION,,,21,,RBRVS,38.81 ,30.82 ,30.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31367,CPT,LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ,,,21,,RBRVS,30.57 ,29.72 ,29.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31368,CPT,LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ,,,21,,RBRVS,34.19 ,32.98 ,32.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31370,CPT,PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL,,,21,,RBRVS,27.57 ,29.36 ,29.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31375,CPT,PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL,,,21,,RBRVS,26.07 ,27.55 ,27.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31380,CPT,PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL,,,21,,RBRVS,25.57 ,27.66 ,27.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31382,CPT,PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL,,,21,,RBRVS,28.57 ,29.97 ,29.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31390,CPT,PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ,,,21,,RBRVS,42.51 ,35.31 ,35.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31395,CPT,PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ,,,21,,RBRVS,43.80 ,38.63 ,38.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31400,CPT,ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH,,,21,,RBRVS,11.60 ,15.01 ,15.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31420,CPT,EPIGLOTTIDECTOMY,,,21,,RBRVS,11.43 ,10.91 ,10.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31500,CPT,INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,,,21,,RBRVS,2.33 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31502,CPT,TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,,,21,,RBRVS,0.65 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31505,CPT,LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,,,21,,RBRVS,0.61 ,0.73 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31510,CPT,LARYNGOSCOPY INDIRECT W/BIOPSY,,,21,,RBRVS,1.92 ,1.31 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31511,CPT,LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY,,,21,,RBRVS,2.16 ,1.28 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31512,CPT,LARYNGOSCOPY INDIRECT W/REMOVAL LESION,,,21,,RBRVS,2.07 ,1.38 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31513,CPT,LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION,,,21,,RBRVS,2.10 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31515,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION,,,21,,RBRVS,1.80 ,1.04 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31520,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN,,,21,,RBRVS,2.56 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31525,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,,,21,,RBRVS,2.63 ,1.64 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31526,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE,,,21,,RBRVS,2.57 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31527,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR,,,21,,RBRVS,3.27 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31528,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN,,,21,,RBRVS,2.37 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31529,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ,,,21,,RBRVS,2.68 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31530,CPT,LARYNGOSCOPY W/FOREIGN BODY REMOVAL,,,21,,RBRVS,3.38 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31531,CPT,LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE,,,21,,RBRVS,3.58 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31535,CPT,LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY,,,21,,RBRVS,3.16 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31536,CPT,LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE,,,21,,RBRVS,3.55 ,2.07 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31540,CPT,LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT,,,21,,RBRVS,4.12 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31541,CPT,LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP,,,21,,RBRVS,4.52 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31545,CPT,LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP,,,21,,RBRVS,6.30 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31546,CPT,LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT,,,21,,RBRVS,9.73 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31551,CPT,LARYNGOPLASTY LARYNGEAL STEN,,,21,,RBRVS,21.50 ,16.35 ,16.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31552,CPT,LARYNGOPLASTY LARYNGEAL STEN,,,21,,RBRVS,20.50 ,17.94 ,17.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31553,CPT,LARYNGOPLASTY LARYNGEAL STEN,,,21,,RBRVS,22.00 ,19.95 ,19.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31554,CPT,LARYNGOPLASTY LARYNGEAL STEN,,,21,,RBRVS,22.00 ,22.33 ,22.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31560,CPT,LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY,,,21,,RBRVS,5.45 ,2.88 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31561,CPT,LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE,,,21,,RBRVS,5.99 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31570,CPT,LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC,,,21,,RBRVS,3.86 ,2.22 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31571,CPT,LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE,,,21,,RBRVS,4.26 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31572,CPT,LARGSC W/LASER DSTRJ LES,,,21,,RBRVS,3.01 ,1.77 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31573,CPT,LARGSC W/THER INJECTION,,,21,,RBRVS,2.43 ,1.52 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31574,CPT,LARGSC W/NJX AUGMENTATION,,,21,,RBRVS,2.43 ,1.52 ,26.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31575,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,,,21,,RBRVS,1.10 ,0.96 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31576,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC W/BIOPSY,,,21,,RBRVS,1.97 ,1.34 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31577,CPT,LARYNGOSCOPY FLX FIBEROPTIC RMVL FOREIGN BODY,,,21,,RBRVS,2.47 ,1.52 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31578,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC REMOVAL LESION,,,21,,RBRVS,2.84 ,1.74 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31579,CPT,LARYNGOSCOPY FLX/RGD FIBOPT W/STROBOSCOPY,,,21,,RBRVS,2.26 ,1.50 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31580,CPT,LARYNGOPLASTY LARYN WEB 2 STG W/KEEL INSJ&RMVL,,,21,,RBRVS,14.66 ,18.35 ,18.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31584,CPT,LARYNGOPLASTY W/OPEN REDUCTION FRACTURE,,,21,,RBRVS,20.47 ,19.97 ,19.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31587,CPT,LARYNGOPLASTY CRICOID SPLIT,,,21,,RBRVS,15.27 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31590,CPT,LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE,,,21,,RBRVS,7.85 ,16.68 ,16.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31591,CPT,LARYNGOPLASTY MEDIALIZATION,,,21,,RBRVS,13.56 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31592,CPT,CRICOTRACHEAL RESECTION,,,21,,RBRVS,25.00 ,19.94 ,19.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31595,CPT,SECTION RECURRENT LARYNGEAL NERVE THER UNI SPX,,,21,,RBRVS,8.84 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31599,CPT,UNLISTED PROCEDURE LARYNX,,,21,,TotalUnits,,,,3.02 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31600,CPT,TRACHEOSTOMY PLANNED SEPARATE PROCEDURE,,,21,,RBRVS,7.17 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31601,CPT,TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX,,,21,,RBRVS,4.44 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31603,CPT,TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,,,21,,RBRVS,4.14 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31605,CPT,TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,,,21,,RBRVS,3.57 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31610,CPT,TRACHEOSTOMY FENESTRATION W/SKIN FLAPS,,,21,,RBRVS,9.38 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31611,CPT,CONSTJ TRACHEOESOPHGL FSTL&INSJ SP PROSTH,,,21,,RBRVS,6.00 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31612,CPT,TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR&/NJX,,,21,,RBRVS,0.91 ,0.35 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31613,CPT,TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION,,,21,,RBRVS,4.71 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31614,CPT,TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION,,,21,,RBRVS,8.63 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31615,CPT,TRACHEOBRNCHSC THRU EST TRACHS INC,,,21,,RBRVS,2.09 ,1.34 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31622,CPT,BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX,,,21,,RBRVS,2.78 ,1.07 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31623,CPT,BRNCHSC BRUSHING/PROTECTED BRUSHINGS,,,21,,RBRVS,2.88 ,1.09 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31624,CPT,BRNCHSC W/BRNCL ALVEOLAR LAVAGE,,,21,,RBRVS,2.88 ,1.13 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31625,CPT,BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES,,,21,,RBRVS,3.36 ,1.21 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31626,CPT,BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT,,,21,,RBRVS,4.16 ,1.47 ,21.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31627,CPT,BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION,,,21,,RBRVS,2.00 ,0.60 ,37.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 31628,CPT,BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE,,,21,,RBRVS,3.80 ,1.33 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31629,CPT,BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON,,,21,,RBRVS,4.00 ,1.39 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31630,CPT,BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX,,,21,,RBRVS,3.81 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31631,CPT,BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT,,,21,,RBRVS,4.36 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31632,CPT,BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE,,,21,,RBRVS,1.03 ,0.31 ,1.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31633,CPT,BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE,,,21,,RBRVS,1.32 ,0.40 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31634,CPT,BRONCHOSCOPY BALLOON OCCLUSION,,,21,,RBRVS,4.00 ,1.46 ,48.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31635,CPT,BRONCHOSCOPY W/REMOVAL FOREIGN BODY,,,21,,RBRVS,3.67 ,1.37 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31636,CPT,BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS,,,21,,RBRVS,4.30 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31637,CPT,BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED,,,21,,RBRVS,1.58 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31638,CPT,BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS,,,21,,RBRVS,4.88 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31640,CPT,BRONCHOSCOPY W/EXCISION TUMOR,,,21,,RBRVS,4.93 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31641,CPT,BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC,,,21,,RBRVS,5.02 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31643,CPT,BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL,,,21,,RBRVS,3.49 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31645,CPT,BRNCHSC W/THER ASPIR TRACHEOBRNCL TREE 1ST,,,21,,RBRVS,3.16 ,1.21 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31646,CPT,BRNCHSC W/THER ASPIR TRACHEOBRNCL TREE SBSQ,,,21,,RBRVS,2.72 ,1.06 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31647,CPT,BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE,,,21,,RBRVS,4.40 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31648,CPT,BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL,,,21,,RBRVS,4.20 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31649,CPT,BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL,,,21,,RBRVS,1.44 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31651,CPT,BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE,,,21,,RBRVS,1.58 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31652,CPT,BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX,,,21,,RBRVS,4.71 ,1.61 ,20.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31653,CPT,BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX,,,21,,RBRVS,5.21 ,1.76 ,21.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31654,CPT,BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES,,,21,,RBRVS,1.40 ,0.42 ,2.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 31660,CPT,BRONCHOSCOPIC THERMOPLASTY ONE LOBE,,,21,,RBRVS,4.25 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31661,CPT,BRONCHOSCOPIC THERMOPLASTY 2/> LOBES,,,21,,RBRVS,4.50 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31717,CPT,CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY,,,21,,RBRVS,2.12 ,0.84 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31720,CPT,CATHETER ASPIRATION NASOTRACHEAL SPX,,,21,,RBRVS,1.06 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31725,CPT,CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX,,,21,,RBRVS,1.96 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31730,CPT,TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER,,,21,,RBRVS,2.85 ,0.93 ,31.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31750,CPT,TRACHEOPLASTY CERVICAL,,,21,,RBRVS,15.39 ,22.76 ,22.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31755,CPT,TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG,,,21,,RBRVS,17.54 ,30.80 ,30.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31760,CPT,TRACHEOPLASTY INTRATHORACIC,,,21,,RBRVS,23.48 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31766,CPT,CARINAL RECONSTRUCTION,,,21,,RBRVS,31.67 ,12.63 ,12.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31770,CPT,BRONCHOPLASTY GRAFT REPAIR,,,21,,RBRVS,23.54 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31775,CPT,BRONCHOPLASTY EXCISION STENOSIS & ANASTOMOSIS,,,21,,RBRVS,24.59 ,10.60 ,10.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31780,CPT,EXCISION TRACHEAL STENOSIS&ANASTOMOSIS CERVICA,,,21,,RBRVS,19.84 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31781,CPT,EXC TRACHEAL STENOSIS&ANAST CERVICOTHORACIC,,,21,,RBRVS,24.85 ,13.21 ,13.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31785,CPT,EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL,,,21,,RBRVS,18.35 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31786,CPT,EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC,,,21,,RBRVS,25.42 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31800,CPT,SUTURE TRACHEAL WOUND/INJURY CERVICAL,,,21,,RBRVS,8.18 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31805,CPT,SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC,,,21,,RBRVS,13.42 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 31820,CPT,SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR,,,21,,RBRVS,4.64 ,4.12 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31825,CPT,SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR,,,21,,RBRVS,7.07 ,5.70 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31830,CPT,REVISION TRACHEOSTOMY SCAR,,,21,,RBRVS,4.62 ,4.52 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 31899,CPT,UNLISTED PROCEDURE TRACHEA BRONCHI,,,21,,TotalUnits,,,,3.99 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32035,CPT,THORACOSTOMY W/RIB RESECTION EMPYEMA,,,21,,RBRVS,11.29 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32036,CPT,THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA,,,21,,RBRVS,12.30 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32096,CPT,THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL,,,21,,RBRVS,13.75 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32097,CPT,THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL,,,21,,RBRVS,13.75 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32098,CPT,THORACOTOMY W/BIOPSY OF PLEURA,,,21,,RBRVS,12.91 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32100,CPT,THORACOTOMY WITH EXPLORATION,,,21,,RBRVS,13.75 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32110,CPT,THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,,,21,,RBRVS,25.28 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32120,CPT,THORACOTOMY POSTOPERATIVE COMPLICATIONS,,,21,,RBRVS,14.39 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32124,CPT,THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS,,,21,,RBRVS,15.45 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32140,CPT,THORCOM W/REMOVAL OF CYST,,,21,,RBRVS,16.66 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32141,CPT,THORACOTOMY W/RESECTION BULLAE,,,21,,RBRVS,27.18 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32150,CPT,THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP,,,21,,RBRVS,16.82 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32151,CPT,THORCOM W/RMVL IPUL FB,,,21,,RBRVS,16.94 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32160,CPT,THORACOTOMY W/CARDIAC MASSAGE,,,21,,RBRVS,13.10 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32200,CPT,PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST,,,21,,RBRVS,18.68 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32215,CPT,PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX,,,21,,RBRVS,13.05 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32220,CPT,DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE,,,21,,RBRVS,26.65 ,13.18 ,13.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32225,CPT,DECORTICATION PULMONARY PARTIAL SEPARATE PROC,,,21,,RBRVS,16.75 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32310,CPT,PLEURECTOMY PARIETAL SEPARATE PROCEDURE,,,21,,RBRVS,15.28 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32320,CPT,DECORTICATION & PARIETAL PLEURECTOMY,,,21,,RBRVS,27.25 ,12.88 ,12.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32400,CPT,BIOPSY PLEURA PERCUTANEOUS NEEDLE,,,21,,RBRVS,1.76 ,0.60 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32405,CPT,BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,,,21,,RBRVS,1.93 ,0.90 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32440,CPT,REMOVAL OF LUNG PNEUMONECTOMY,,,21,,RBRVS,27.28 ,11.90 ,11.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32442,CPT,REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA,,,21,,RBRVS,56.47 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32445,CPT,REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL,,,21,,RBRVS,63.84 ,24.78 ,24.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32480,CPT,RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT,,,21,,RBRVS,25.82 ,11.15 ,11.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32482,CPT,RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC,,,21,,RBRVS,27.44 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32484,CPT,RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY,,,21,,RBRVS,25.38 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32486,CPT,RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY,,,21,,RBRVS,42.88 ,15.50 ,15.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32488,CPT,RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC,,,21,,RBRVS,42.99 ,16.73 ,16.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32491,CPT,RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG,,,21,,RBRVS,25.24 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32501,CPT,RESCJ&BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY,,,21,,RBRVS,4.68 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32503,CPT,RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ,,,21,,RBRVS,31.74 ,13.40 ,13.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32504,CPT,RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ,,,21,,RBRVS,36.54 ,14.92 ,14.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32505,CPT,THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL,,,21,,RBRVS,15.75 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32506,CPT,THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL,,,21,,RBRVS,3.00 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32507,CPT,THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE,,,21,,RBRVS,3.00 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32540,CPT,EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY,,,21,,RBRVS,30.35 ,13.02 ,13.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32550,CPT,INSERTION INDWELLING TUNNELED PLEURAL CATHETER,,,21,,RBRVS,4.17 ,1.63 ,17.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32551,CPT,TUBE THORACOSTOMY INCLUDES WATER SEAL,,,21,,RBRVS,3.29 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32552,CPT,RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF,,,21,,RBRVS,2.53 ,1.69 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32553,CPT,PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT,,,21,,RBRVS,3.80 ,1.48 ,12.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32554,CPT,THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,,,21,,RBRVS,1.82 ,0.59 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32555,CPT,THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,,,21,,RBRVS,2.27 ,0.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32556,CPT,PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,,,21,,RBRVS,2.50 ,0.83 ,12.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32557,CPT,PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING,,,21,,RBRVS,3.12 ,1.04 ,11.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32560,CPT,INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS,,,21,,RBRVS,1.54 ,0.47 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32561,CPT,INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY,,,21,,RBRVS,1.39 ,0.43 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32562,CPT,INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY,,,21,,RBRVS,1.24 ,0.38 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32601,CPT,THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX,,,21,,RBRVS,5.50 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32604,CPT,THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX,,,21,,RBRVS,8.77 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32606,CPT,THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX,,,21,,RBRVS,8.39 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32607,CPT,THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL,,,21,,RBRVS,5.50 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32608,CPT,THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL,,,21,,RBRVS,6.84 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32609,CPT,THORACOSCOPY WITH BIOPSYIES OF PLEURA,,,21,,RBRVS,4.58 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32650,CPT,THORACOSCOPY W/PLEURODESIS,,,21,,RBRVS,10.83 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32651,CPT,THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION,,,21,,RBRVS,18.78 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32652,CPT,THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS,,,21,,RBRVS,29.13 ,12.40 ,12.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32653,CPT,THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT,,,21,,RBRVS,18.17 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32654,CPT,THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE,,,21,,RBRVS,20.52 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32655,CPT,THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX,,,21,,RBRVS,16.17 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32656,CPT,THORACOSCOPY W/PARIETAL PLEURECTOMY,,,21,,RBRVS,13.26 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32658,CPT,THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC,,,21,,RBRVS,11.71 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32659,CPT,THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC,,,21,,RBRVS,11.94 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32661,CPT,THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS,,,21,,RBRVS,13.33 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32662,CPT,THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS,,,21,,RBRVS,14.99 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32663,CPT,THORACOSCOPY W/LOBECTOMY SINGLE LOBE,,,21,,RBRVS,24.64 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32664,CPT,THORACOSCOPY W/THORACIC SYMPATHECTOMY,,,21,,RBRVS,14.28 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32665,CPT,THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE,,,21,,RBRVS,21.53 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32666,CPT,THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT,,,21,,RBRVS,14.50 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32667,CPT,THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL,,,21,,RBRVS,3.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32668,CPT,THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN,,,21,,RBRVS,3.00 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32669,CPT,THORACOSCOPY W/SEGMENTECTOMY,,,21,,RBRVS,23.53 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32670,CPT,THORACOSCOPY W/BILOBECTOMY,,,21,,RBRVS,28.52 ,11.45 ,11.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32671,CPT,THORACOSCOPY W/PNEUMONECTOMY,,,21,,RBRVS,31.92 ,12.25 ,12.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32672,CPT,THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL,,,21,,RBRVS,27.00 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32673,CPT,THORACOSCOPY RESEXN THYMUS UNI/BILATERAL,,,21,,RBRVS,21.13 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32674,CPT,THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY,,,21,,RBRVS,4.12 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32701,CPT,THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE,,PC,21,,RBRVS,4.18 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32800,CPT,REPAIR LUNG HERNIA THROUGH CHEST WALL,,,21,,RBRVS,15.71 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32810,CPT,CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA,,,21,,RBRVS,14.95 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32815,CPT,OPEN CLOSURE MAJOR BRONCHIAL FISTULA,,,21,,RBRVS,50.03 ,19.84 ,19.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32820,CPT,MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC,,,21,,RBRVS,22.51 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32851,CPT,LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS,,,21,,RBRVS,59.64 ,22.16 ,22.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32852,CPT,LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS,,,21,,RBRVS,65.50 ,23.79 ,23.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32853,CPT,LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS,,,21,,RBRVS,84.48 ,29.27 ,29.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32854,CPT,LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS,,,21,,RBRVS,90.00 ,31.01 ,31.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32855,CPT,BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI,,,21,,TotalUnits,,,,11.48 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32856,CPT,BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI,,,21,,TotalUnits,,,,16.10 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32900,CPT,RESECTION RIBS EXTRAPLEURAL ALL STAGES,,,21,,RBRVS,23.81 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32905,CPT,THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL,,,21,,RBRVS,23.29 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32906,CPT,THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL,,,21,,RBRVS,29.30 ,11.98 ,11.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32940,CPT,PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX,,,21,,RBRVS,21.34 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32960,CPT,PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR,,,21,,RBRVS,1.84 ,0.71 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32997,CPT,TOTAL LUNG LAVAGE UNILATERAL,,,21,,RBRVS,7.31 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 32998,CPT,ABLATION PULMONARY TUMOR PERQ RADIOFREQUENCY UNI,,,21,,RBRVS,5.68 ,2.05 ,61.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 32999,CPT,UNLISTED PROCEDURE LUNGS & PLEURA,,,21,,TotalUnits,,,,3.40 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33010,CPT,PERICARDIOCENTESIS INITIAL,,,21,,RBRVS,2.24 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33011,CPT,PERICARDIOCENTESIS SUBSEQUENT,,,21,,RBRVS,2.24 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33015,CPT,TUBE PERICARDIOSTOMY,,,21,,RBRVS,8.52 ,4.53 ,4.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33020,CPT,PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,,,21,,RBRVS,14.95 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33025,CPT,CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX,,,21,,RBRVS,13.70 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33030,CPT,PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS,,,21,,RBRVS,36.00 ,13.90 ,13.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33031,CPT,PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS,,,21,,RBRVS,45.00 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33050,CPT,RESECTION PERICARDIAL CYST/TUMOR,,,21,,RBRVS,16.97 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33120,CPT,EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP,,,21,,RBRVS,38.45 ,13.82 ,13.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33130,CPT,RESECTION EXTERNAL CARDIAC TUMOR,,,21,,RBRVS,24.17 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33140,CPT,TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX,,,21,,RBRVS,28.34 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33141,CPT,TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX,,,21,,RBRVS,2.54 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33202,CPT,INSERTION EPICARDIAL ELECTRODE OPEN,,,21,,RBRVS,13.20 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33203,CPT,INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC,,,21,,RBRVS,13.97 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33206,CPT,INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL,,,21,,RBRVS,7.39 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33207,CPT,INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR,,,21,,RBRVS,8.05 ,4.36 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33208,CPT,INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT,,,21,,RBRVS,8.77 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33210,CPT,INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH,,,21,,RBRVS,3.30 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33211,CPT,INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX,,,21,,RBRVS,3.39 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33212,CPT,INS PM PLS GEN W/EXIST SINGLE LEAD,,,21,,RBRVS,5.26 ,3.19 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33213,CPT,INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS,,,21,,RBRVS,5.53 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33214,CPT,UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS,,,21,,RBRVS,7.84 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33215,CPT,RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE,,,21,,RBRVS,4.92 ,2.91 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33216,CPT,INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,,,21,,RBRVS,5.87 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33217,CPT,INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,,,21,,RBRVS,5.84 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33218,CPT,RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB,,,21,,RBRVS,6.07 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33220,CPT,RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB,,,21,,RBRVS,6.15 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33221,CPT,INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS,,,21,,RBRVS,5.80 ,3.66 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33222,CPT,RELOCATION OF SKIN POCKET FOR PACEMAKER,,,21,,RBRVS,5.10 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33223,CPT,RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR,,,21,,RBRVS,6.55 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33224,CPT,INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN,,,21,,RBRVS,9.04 ,3.81 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33225,CPT,INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN,,,21,,RBRVS,8.33 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33226,CPT,RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD,,,21,,RBRVS,8.68 ,3.66 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33227,CPT,REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD,,,21,,RBRVS,5.50 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33228,CPT,REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS,,,21,,RBRVS,5.77 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33229,CPT,REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD,,,21,,RBRVS,6.04 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33230,CPT,INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS,,,21,,RBRVS,6.32 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33231,CPT,INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS,,,21,,RBRVS,6.59 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33233,CPT,REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY,,,21,,RBRVS,3.39 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33234,CPT,RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR,,,21,,RBRVS,7.91 ,4.64 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33235,CPT,RMVL TRANSVNS PM ELTRD DUAL LEAD SYS,,,21,,RBRVS,10.15 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33236,CPT,RMVL PRM EPICAR PM&ELTRDS THORCOM 1 LEAD SYS,,,21,,RBRVS,12.73 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33237,CPT,RMVL PRM EPICAR PM&ELTRDS THORCOM DUAL LEAD SY,,,21,,RBRVS,13.84 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33238,CPT,RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY,,,21,,RBRVS,15.40 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33240,CPT,INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD,,,21,,RBRVS,6.05 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33241,CPT,REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY,,,21,,RBRVS,3.29 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33243,CPT,RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM,,,21,,RBRVS,23.57 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33244,CPT,RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ,,,21,,RBRVS,13.99 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33249,CPT,INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR,,,21,,RBRVS,15.17 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33250,CPT,ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS,,,21,,RBRVS,25.90 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33251,CPT,ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS,,,21,,RBRVS,28.92 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33254,CPT,ABLATION & RECONSTRUCTION ATRIA LIMITED,,,21,,RBRVS,23.71 ,10.60 ,10.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33255,CPT,ABLATION & RCNSTJ ATRIA EXTNSV W/O BYPASS,,,21,,RBRVS,29.04 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33256,CPT,ABLATION & RCNSTJ ATRIA EXTNSV W/BYPASS,,,21,,RBRVS,34.90 ,13.77 ,13.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33257,CPT,ATRIA ABLATE & RCNSTJ W/OTHER PROCEDURE LIMITE,,,21,,RBRVS,9.63 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33258,CPT,ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTENSIV W/O BYP,,,21,,RBRVS,11.00 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33259,CPT,ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTEN W/BYPASS,,,21,,RBRVS,14.14 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33261,CPT,OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS,,,21,,RBRVS,28.92 ,12.04 ,12.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33262,CPT,RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD,,,21,,RBRVS,6.06 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33263,CPT,RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD,,,21,,RBRVS,6.33 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33264,CPT,RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD,,,21,,RBRVS,6.60 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33265,CPT,NDSC ABLATION & RCNSTJ ATRIA LIMITED W/O BYPAS,,,21,,RBRVS,23.71 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33266,CPT,NDSC ABLATION & RCNSTJ ATRIA EXTEN W/O BYPASS,,,21,,RBRVS,33.04 ,13.07 ,13.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33270,CPT,INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD,,,21,,RBRVS,9.10 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33271,CPT,INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,,,21,,RBRVS,7.50 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33272,CPT,RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,,,21,,RBRVS,5.42 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33273,CPT,REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB,,,21,,RBRVS,6.50 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33282,CPT,IMPLANTATION PT-ACTIVATED CARDIAC EVENT RECORDER,,,21,,RBRVS,3.50 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33284,CPT,RMVL IMPLANTABLE PT-ACTIVATED CAR EVENT RECORDER,,,21,,RBRVS,3.00 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33300,CPT,REPAIR CARDIAC WOUND W/O BYPASS,,,21,,RBRVS,44.97 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33305,CPT,REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS,,,21,,RBRVS,76.93 ,24.82 ,24.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33310,CPT,CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP,,,21,,RBRVS,20.34 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33315,CPT,CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP,,,21,,RBRVS,35.00 ,12.71 ,12.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33320,CPT,SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP,,,21,,RBRVS,18.54 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33321,CPT,SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS,,,21,,RBRVS,20.81 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33322,CPT,SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS,,,21,,RBRVS,24.42 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33330,CPT,INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS,,,21,,RBRVS,25.29 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33335,CPT,INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS,,,21,,RBRVS,33.91 ,13.12 ,13.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33340,CPT,PERQ CLSR TCAT L ATR APNDGE,,,21,,RBRVS,14.00 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33361,CPT,REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH,,,21,,RBRVS,25.13 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33362,CPT,REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH,,,21,,RBRVS,27.52 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33363,CPT,REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH,,,21,,RBRVS,28.50 ,9.84 ,9.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33364,CPT,REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH,,,21,,RBRVS,30.00 ,10.10 ,10.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33365,CPT,REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH,,,21,,RBRVS,33.12 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33366,CPT,TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE,,,21,,RBRVS,35.88 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33367,CPT,REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH,,,21,,RBRVS,11.88 ,3.66 ,3.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33368,CPT,REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH,,,21,,RBRVS,14.39 ,4.00 ,4.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33369,CPT,REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH,,,21,,RBRVS,19.00 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33390,CPT,VALVULOPLASTY AORTIC VALVE,,,21,,RBRVS,35.00 ,13.06 ,13.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33391,CPT,VALVULOPLASTY AORTIC VALVE,,,21,,RBRVS,41.50 ,15.45 ,15.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33404,CPT,CONSTRUCTION APICAL-AORTIC CONDUIT,,,21,,RBRVS,31.37 ,12.43 ,12.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33405,CPT,RPLCMT PROST AORTIC VALVE XCP HOMOGRF/STENT,,,21,,RBRVS,41.32 ,15.33 ,15.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33406,CPT,RPLCMT AORTIC VALVE ALLOGRAFT VALVE FREEHAND,,,21,,RBRVS,52.68 ,19.01 ,19.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33410,CPT,RPLCMT AORTIC VALVE W/STENTLESS TISSUE VALVE,,,21,,RBRVS,46.41 ,17.02 ,17.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33411,CPT,RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS,,,21,,RBRVS,62.07 ,21.54 ,21.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33412,CPT,REPLACEMENT AORTIC VALVE KONNO PROCEDURE,,,21,,RBRVS,59.00 ,19.43 ,19.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33413,CPT,REPLACEMENT AORTIC&PULMON VALVES ROSS PROCEDUR,,,21,,RBRVS,59.87 ,20.65 ,20.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33414,CPT,RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC,,,21,,RBRVS,39.37 ,14.22 ,14.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33415,CPT,RESECTION/INCISION SUBVALVULAR TISSUE,,,21,,RBRVS,37.27 ,13.68 ,13.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33416,CPT,VENTRICULOMYOTOMY-MYECTOMY,,,21,,RBRVS,36.56 ,14.17 ,14.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33417,CPT,AORTOPLASTY SUPRAVALVULAR STENOSIS,,,21,,RBRVS,29.33 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33418,CPT,TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS,,,21,,RBRVS,32.25 ,13.10 ,13.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33419,CPT,TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS,,,21,,RBRVS,7.93 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33420,CPT,VALVOTOMY MITRAL VALVE CLOSED HEART,,,21,,RBRVS,25.79 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33422,CPT,VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS,,,21,,RBRVS,29.73 ,12.22 ,12.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33425,CPT,VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS,,,21,,RBRVS,49.96 ,18.20 ,18.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33426,CPT,VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING,,,21,,RBRVS,43.28 ,16.22 ,16.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33427,CPT,VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING,,,21,,RBRVS,44.83 ,16.15 ,16.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33430,CPT,REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP,,,21,,RBRVS,50.93 ,18.91 ,18.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33460,CPT,VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP,,,21,,RBRVS,44.70 ,15.72 ,15.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33463,CPT,VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION,,,21,,RBRVS,57.08 ,19.97 ,19.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33464,CPT,VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION,,,21,,RBRVS,44.62 ,16.44 ,16.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33465,CPT,REPLACEMENT TRICUSPID VALVE W/CARD BYPASS,,,21,,RBRVS,50.72 ,18.03 ,18.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33468,CPT,TRICUSPID VALVE RPSG&PLCTJ EBSTEIN ANOMALY,,,21,,RBRVS,45.13 ,15.92 ,15.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33470,CPT,VALVOTOMY PULMONARY VALVE CLSD HEART TRANSVENTR,,,21,,RBRVS,21.54 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33471,CPT,VALVOTOMY PULM VALVE CLSD HEART VIA PULM ARTERY,,,21,,RBRVS,22.96 ,11.90 ,11.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33474,CPT,VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS,,,21,,RBRVS,39.40 ,14.98 ,14.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33475,CPT,REPLACEMENT PULMONARY VALVE,,,21,,RBRVS,42.40 ,15.82 ,15.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33476,CPT,R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY,,,21,,RBRVS,26.57 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33477,CPT,TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH,,,21,,RBRVS,25.00 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33478,CPT,OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ,,,21,,RBRVS,27.54 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33496,CPT,RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS,,,21,,RBRVS,29.84 ,11.85 ,11.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33500,CPT,RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS,,,21,,RBRVS,27.94 ,11.51 ,11.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33501,CPT,RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS,,,21,,RBRVS,19.51 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33502,CPT,RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION,,,21,,RBRVS,21.85 ,10.27 ,10.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33503,CPT,RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT,,,21,,RBRVS,22.51 ,10.92 ,10.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33504,CPT,RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP,,,21,,RBRVS,25.46 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33505,CPT,RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL,,,21,,RBRVS,38.40 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33506,CPT,RPR ANOM CORONARY ART FROM PULM ART TO AORTA,,,21,,RBRVS,37.85 ,13.31 ,13.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33507,CPT,RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ,,,21,,RBRVS,31.40 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33508,CPT,NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG,,,21,,RBRVS,0.31 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 33510,CPT,CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT,,,21,,RBRVS,34.98 ,13.33 ,13.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33511,CPT,CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS,,,21,,RBRVS,38.45 ,14.62 ,14.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33512,CPT,CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS,,,21,,RBRVS,43.98 ,16.27 ,16.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33513,CPT,CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS,,,21,,RBRVS,45.37 ,16.60 ,16.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33514,CPT,CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS,,,21,,RBRVS,48.08 ,17.23 ,17.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33516,CPT,CORONARY ARTERY BYPASS 6/+ CORONARY VENOUS GRAFT,,,21,,RBRVS,49.76 ,17.89 ,17.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33517,CPT,CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 1 VEIN,,,21,,RBRVS,3.61 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33518,CPT,CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 2 VEIN,,,21,,RBRVS,7.93 ,2.27 ,2.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33519,CPT,CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 3 VEIN,,,21,,RBRVS,10.49 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33521,CPT,CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 4 VEIN,,,21,,RBRVS,12.59 ,3.59 ,3.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33522,CPT,CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 5 VEIN,,,21,,RBRVS,14.14 ,4.02 ,4.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33523,CPT,CORONARY ARTERY BYP W/VEIN &ARTERY GRAFT 6 VEIN,,,21,,RBRVS,16.08 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33530,CPT,ROPRTJ CAB/VALVE PX > 1 MO AFTER ORIGINAL OPERJ,,,21,,RBRVS,10.13 ,2.89 ,2.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33533,CPT,CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT,,,21,,RBRVS,33.75 ,12.97 ,12.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33534,CPT,CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS,,,21,,RBRVS,39.88 ,15.05 ,15.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33535,CPT,CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS,,,21,,RBRVS,44.75 ,16.48 ,16.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33536,CPT,CABG W/ARTERIAL GRAFT FOUR/>ARTERIAL GRAFTS,,,21,,RBRVS,48.43 ,17.59 ,17.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33542,CPT,MYOCARDIAL RESECTION,,,21,,RBRVS,48.21 ,17.26 ,17.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33545,CPT,RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT,,,21,,RBRVS,57.06 ,19.88 ,19.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33548,CPT,SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD,,,21,,RBRVS,54.14 ,19.81 ,19.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33572,CPT,CORONARY ENDARTERCOMY OPEN ANY METHOD,,,21,,RBRVS,4.44 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33600,CPT,CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH,,,21,,RBRVS,30.31 ,12.76 ,12.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33602,CPT,CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH,,,21,,RBRVS,29.34 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33606,CPT,ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX,,,21,,RBRVS,31.53 ,15.37 ,15.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33608,CPT,RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT,,,21,,RBRVS,31.88 ,13.21 ,13.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33610,CPT,RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT,,,21,,RBRVS,31.40 ,13.07 ,13.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33611,CPT,RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR,,,21,,RBRVS,35.57 ,16.04 ,16.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33612,CPT,RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ,,,21,,RBRVS,36.57 ,13.41 ,13.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33615,CPT,RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX,,,21,,RBRVS,35.89 ,14.01 ,14.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33617,CPT,RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX,,,21,,RBRVS,39.09 ,14.94 ,14.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33619,CPT,RPR 1 VNTRC W/O/F OBSTRCJ&AORTIC ARCH HYPOPLAS,,,21,,RBRVS,48.76 ,19.43 ,19.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33620,CPT,APPLICATION RIGHT & LEFT PULMONARY ARTERY BAND,,,21,,RBRVS,30.00 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33621,CPT,TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT,,,21,,RBRVS,16.18 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33622,CPT,RECONSTRUCTION COMPLEX CARDIAC ANOMALY,,,21,,RBRVS,64.00 ,26.93 ,26.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33641,CPT,RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH,,,21,,RBRVS,29.58 ,11.40 ,11.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33645,CPT,DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG,,,21,,RBRVS,31.30 ,11.93 ,11.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33647,CPT,RPR ATRIAL & VENTRIC SEPTAL DFCT DIR/PATCH CLS,,,21,,RBRVS,33.00 ,12.39 ,12.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33660,CPT,RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR,,,21,,RBRVS,31.83 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33665,CPT,RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR,,,21,,RBRVS,34.85 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33670,CPT,RPR COMPL AV CANAL W/WO PROSTC VALVE,,,21,,RBRVS,36.63 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33675,CPT,CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS,,,21,,RBRVS,35.95 ,13.27 ,13.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33676,CPT,CLOSURE MULTIPLE VSD W/RESECTION,,,21,,RBRVS,36.95 ,16.60 ,16.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33677,CPT,CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND,,,21,,RBRVS,38.45 ,17.17 ,17.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33681,CPT,CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH,,,21,,RBRVS,32.34 ,13.78 ,13.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33684,CPT,CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ,,,21,,RBRVS,34.37 ,15.58 ,15.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33688,CPT,CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET,,,21,,RBRVS,34.75 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33690,CPT,BANDING PULMONARY ARTERY,,,21,,RBRVS,20.36 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33692,CPT,COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA,,,21,,RBRVS,36.15 ,15.66 ,15.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33694,CPT,COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH,,,21,,RBRVS,35.57 ,16.04 ,16.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33697,CPT,COMPL RPR T-FALLOT W/PULM ATRESIA,,,21,,RBRVS,37.57 ,13.70 ,13.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33702,CPT,RPR SINUS VALSALVA FISTULA,,,21,,RBRVS,27.24 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33710,CPT,RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT,,,21,,RBRVS,37.50 ,16.78 ,16.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33720,CPT,RPR SINUS VALSALVA ANEURYSM,,,21,,RBRVS,27.26 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33722,CPT,CLOSURE AORTICO-LEFT VENTRICULAR TUNNEL,,,21,,RBRVS,29.21 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33724,CPT,REPAIR ISOLATED PARTIAL PULM VENOUS RETURN,,,21,,RBRVS,27.63 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33726,CPT,REPAIR PULMONARY VENOUS STENOSIS,,,21,,RBRVS,37.12 ,13.61 ,13.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33730,CPT,COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN,,,21,,RBRVS,36.14 ,13.96 ,13.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33732,CPT,RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB,,,21,,RBRVS,28.96 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33735,CPT,ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART,,,21,,RBRVS,22.20 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33736,CPT,ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS,,,21,,RBRVS,24.32 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33737,CPT,ATRIAL SEPTECT/SEPTOST OPN HRT W/INFL OCCLUSION,,,21,,RBRVS,22.47 ,11.71 ,11.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33750,CPT,SHUNT SUBCLAVIAN PULMONARY ARTERY,,,21,,RBRVS,22.22 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33755,CPT,SHUNT ASCENDING AORTA PULMONARY ARTERY,,,21,,RBRVS,22.60 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33762,CPT,SHUNT DESCENDING AORTA PULMONARY ARTERY,,,21,,RBRVS,22.60 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33764,CPT,SHUNT CENTRAL W/PROSTHETIC GRAFT,,,21,,RBRVS,22.60 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33766,CPT,SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG,,,21,,RBRVS,23.57 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33767,CPT,SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS,,,21,,RBRVS,25.30 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33768,CPT,ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA,,,21,,RBRVS,8.00 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33770,CPT,RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT,,,21,,RBRVS,39.07 ,16.97 ,16.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33771,CPT,RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT,,,21,,RBRVS,40.63 ,17.07 ,17.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33774,CPT,RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS,,,21,,RBRVS,31.73 ,13.37 ,13.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33775,CPT,RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND,,,21,,RBRVS,32.99 ,15.92 ,15.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33776,CPT,RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT,,,21,,RBRVS,34.75 ,16.95 ,16.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33777,CPT,RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC,,,21,,RBRVS,34.17 ,15.80 ,15.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33778,CPT,RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ,,,21,,RBRVS,42.75 ,19.35 ,19.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33779,CPT,RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND,,,21,,RBRVS,43.23 ,18.36 ,18.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33780,CPT,RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT,,,21,,RBRVS,43.90 ,15.05 ,15.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33781,CPT,RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ,,,21,,RBRVS,43.21 ,18.06 ,18.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33782,CPT,A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ,,,21,,RBRVS,60.08 ,20.23 ,20.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33783,CPT,A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA,,,21,,RBRVS,65.08 ,27.34 ,27.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33786,CPT,TOTAL REPAIR TRUNCUS ARTERIOSUS,,,21,,RBRVS,41.87 ,14.82 ,14.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33788,CPT,REIMPLANTATION ANOMALOUS PULMONARY ARTERY,,,21,,RBRVS,27.42 ,13.04 ,13.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33800,CPT,AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX,,,21,,RBRVS,17.28 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33802,CPT,DIVISION ABERRANT VESSEL VASCULAR RING,,,21,,RBRVS,18.37 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33803,CPT,DIVISION ABERRANT VESSEL W/REANASTOMOSIS,,,21,,RBRVS,20.31 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33813,CPT,OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/O BYPASS,,,21,,RBRVS,21.36 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33814,CPT,OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS,,,21,,RBRVS,26.57 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33820,CPT,REPAIR PATENT DUCTUS ARTERIOSUS LIGATION,,,21,,RBRVS,16.69 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33822,CPT,RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR,,,21,,RBRVS,17.71 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33824,CPT,RPR PATENT DUXUS ARTERIOSUS DIV 18 YR & OLDER,,,21,,RBRVS,20.23 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33840,CPT,EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS,,,21,,RBRVS,21.34 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33845,CPT,EXCISION COARCTATION AORTA W/WO PDA W/GRAFT,,,21,,RBRVS,22.93 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33851,CPT,EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET,,,21,,RBRVS,21.98 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33852,CPT,RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS,,,21,,RBRVS,24.41 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33853,CPT,RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS,,,21,,RBRVS,32.51 ,13.39 ,13.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33860,CPT,ASCENDING AORTA GRF W/CARD BYP & VALVE SSP,,,21,,RBRVS,59.46 ,20.53 ,20.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33863,CPT,AS-AORT GRF W/CARD BYP & AORTIC ROOT RPLCMT,,,21,,RBRVS,58.79 ,19.56 ,19.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33864,CPT,ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL,,,21,,RBRVS,60.08 ,19.95 ,19.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33870,CPT,TRANSVERSE ARCH GRAFT W/CARDIOPULMONARY BYPASS,,,21,,RBRVS,46.06 ,16.78 ,16.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33875,CPT,DESCENDING THORACIC AORTA GRAFT W/WO BYPASS,,,21,,RBRVS,50.72 ,17.73 ,17.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33877,CPT,RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS,,,21,,RBRVS,69.03 ,21.33 ,21.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33880,CPT,EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH,,,21,,RBRVS,34.58 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33881,CPT,EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN,,,21,,RBRVS,29.58 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33883,CPT,PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN,,,21,,RBRVS,21.09 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33884,CPT,PLMT PROX XTN PROSTH EVASC RPR DTA EA PROX XTN,,,21,,RBRVS,8.20 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33886,CPT,PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA,,,21,,RBRVS,18.09 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33889,CPT,OPN SUBCLA CRTD ART TRPOS NCK INC ULAT,,,21,,RBRVS,15.92 ,3.66 ,3.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33891,CPT,BYP GRF W/DESCENDING THORACIC AORTA RPR NECK INC,,,21,,RBRVS,20.00 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33910,CPT,PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS,,,21,,RBRVS,48.21 ,17.43 ,17.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33915,CPT,PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS,,,21,,RBRVS,24.95 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33916,CPT,PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS,,,21,,RBRVS,78.00 ,26.16 ,26.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33917,CPT,RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT,,,21,,RBRVS,25.30 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33920,CPT,RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT,,,21,,RBRVS,32.74 ,15.07 ,15.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33922,CPT,TRANSECTION PULMONARY ARTERY W/CARD BYPASS,,,21,,RBRVS,24.22 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33924,CPT,LIG&TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART,,,21,,RBRVS,5.49 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33925,CPT,RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS,,,21,,RBRVS,31.30 ,11.57 ,11.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33926,CPT,RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS,,,21,,RBRVS,44.73 ,19.26 ,19.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33935,CPT,HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC,,,21,,RBRVS,91.78 ,33.46 ,33.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33940,CPT,DONOR CARDIECTOMY,,,21,,TotalUnits,,,,39.56 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33944,CPT,BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT,,,21,,TotalUnits,,,,17.53 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33945,CPT,HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY,,,21,,RBRVS,89.50 ,31.28 ,31.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33946,CPT,ECMO/ECLS INITIATION VENO-VENOUS,,,21,,RBRVS,6.00 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33947,CPT,ECMO/ECLS INITIATION VENO-ARTERIAL,,,21,,RBRVS,6.63 ,1.98 ,1.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33948,CPT,ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS,,,21,,RBRVS,4.73 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33949,CPT,ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL,,,21,,RBRVS,4.60 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33951,CPT,ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ,,,21,,RBRVS,8.15 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33952,CPT,ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ,,,21,,RBRVS,8.15 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33953,CPT,ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN,,,21,,RBRVS,9.11 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33954,CPT,ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN,,,21,,RBRVS,9.11 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33955,CPT,ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS,,,21,,RBRVS,16.00 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33956,CPT,ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER,,,21,,RBRVS,16.00 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33957,CPT,ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS,,,21,,RBRVS,3.51 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33958,CPT,ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER,,,21,,RBRVS,3.51 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33959,CPT,ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS,,,21,,RBRVS,4.47 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33962,CPT,ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS & OLDER,,,21,,RBRVS,4.47 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33963,CPT,ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS,,,21,,RBRVS,9.00 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33964,CPT,ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS & OLDER,,,21,,RBRVS,9.50 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33965,CPT,ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS,,,21,,RBRVS,3.51 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33966,CPT,ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER,,,21,,RBRVS,4.50 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33967,CPT,INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ,,,21,,RBRVS,4.84 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33968,CPT,REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ,,,21,,RBRVS,0.64 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33969,CPT,ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS,,,21,,RBRVS,5.22 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33970,CPT,INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN,,,21,,RBRVS,6.74 ,2.07 ,2.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33971,CPT,RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF,,,21,,RBRVS,11.99 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33973,CPT,INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA,,,21,,RBRVS,9.75 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33974,CPT,RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA,,,21,,RBRVS,15.03 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33975,CPT,INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE,,,21,,RBRVS,25.00 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33976,CPT,INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR,,,21,,RBRVS,30.75 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33977,CPT,REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE,,,21,,RBRVS,20.86 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33978,CPT,REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR,,,21,,RBRVS,25.00 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33979,CPT,INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC,,,21,,RBRVS,37.50 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33980,CPT,RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC,,,21,,RBRVS,33.50 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33981,CPT,RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP,,,21,,RBRVS,16.11 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33982,CPT,PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS,,,21,,RBRVS,37.86 ,11.44 ,11.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33983,CPT,RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS,,,21,,RBRVS,44.54 ,12.87 ,12.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33984,CPT,ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER,,,21,,RBRVS,5.46 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33985,CPT,ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS,,,21,,RBRVS,9.89 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33986,CPT,ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER,,,21,,RBRVS,10.00 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33987,CPT,ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS,,,21,,RBRVS,4.04 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33988,CPT,INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS,,,21,,RBRVS,15.00 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33989,CPT,RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS,,,21,,RBRVS,9.50 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33990,CPT,INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY,,,21,,RBRVS,8.15 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33991,CPT,INSJ PERQ VAD TRNSPTAL W/IMAGE ART&VENOUS ACCESS,,,21,,RBRVS,11.88 ,4.00 ,4.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33992,CPT,REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION,,,21,,RBRVS,4.00 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33993,CPT,REPOSITION VAD W/IMAGING DIFFERENT SESSION,,,21,,RBRVS,3.51 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 33999,CPT,UNLISTED CARDIAC SURGERY,,,21,,TotalUnits,,,,13.42 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34001,CPT,EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART,,,21,,RBRVS,17.88 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34051,CPT,EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY,,,21,,RBRVS,16.99 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34101,CPT,EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART,,,21,,RBRVS,10.93 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34111,CPT,EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC,,,21,,RBRVS,10.93 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34151,CPT,EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART,,,21,,RBRVS,26.52 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34201,CPT,EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART,,,21,,RBRVS,19.48 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34203,CPT,EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC,,,21,,RBRVS,17.86 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34401,CPT,THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC,,,21,,RBRVS,26.52 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34421,CPT,THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC,,,21,,RBRVS,13.37 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34451,CPT,THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL&LEG,,,21,,RBRVS,28.52 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34471,CPT,THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC,,,21,,RBRVS,21.11 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34490,CPT,THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN,,,21,,RBRVS,10.91 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34501,CPT,VALVULOPLASTY FEMORAL VEIN,,,21,,RBRVS,16.85 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34502,CPT,RECONSTRUCTION VENA CAVA ANY METHOD,,,21,,RBRVS,28.07 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34510,CPT,VENOUS VALVE TRANSPOSITION ANY VEIN DONOR,,,21,,RBRVS,19.91 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34520,CPT,CROSS-OVER VEIN GRAFT VENOUS SYSTEM,,,21,,RBRVS,19.18 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34530,CPT,SAPHENOPOPLITEAL VEIN ANASTOMOSIS,,,21,,RBRVS,17.93 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 34800,CPT,EVASC RPR AAA W/AORTO-AORTIC TUBE PROSTH,,,21,,RBRVS,21.54 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34802,CPT,EVASC RPR AAA W/MDLR BFRC PROSTH 1 LIMB,,,21,,RBRVS,23.79 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34803,CPT,EVASC RPR AAA W/MDLR BFRC PROSTH 2 LIMBS,,,21,,RBRVS,24.82 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34804,CPT,EVASC RPR AAA W/UNIBDY BFRC PROSTH,,,21,,RBRVS,23.79 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34805,CPT,EVASC RPR AAA AORTO-UNIILIAC/AORTO-UNIFEM PROSTH,,,21,,RBRVS,22.67 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34806,CPT,TCAT PLACEMENT PHYSIOLOGIC SENSOR ANEURYSMAL SAC,,,21,,RBRVS,2.06 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34808,CPT,EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE,,,21,,RBRVS,4.12 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34812,CPT,OPN FEM ART EXPOS DLVR EVASC PROSTH UNI,,,21,,RBRVS,6.74 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34813,CPT,PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR,,,21,,RBRVS,4.79 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34820,CPT,ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI,,,21,,RBRVS,9.74 ,2.53 ,2.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34825,CPT,PLMT XTN PROSTH EVASC RPR ARYSM/DSJ 1ST VSL,,,21,,RBRVS,12.80 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34826,CPT,PLMT XTN PROSTH EVASC RPR ARYSM/DSJ EA VSL,,,21,,RBRVS,4.12 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34830,CPT,OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH,,,21,,RBRVS,35.23 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34831,CPT,OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH,,,21,,RBRVS,37.98 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34832,CPT,OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH,,,21,,RBRVS,37.98 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34833,CPT,ILIAC ART EXPOS W/CRTJ CONDUIT UNI,,,21,,RBRVS,11.98 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34834,CPT,BRACH ART EXPOS DPLMNT AORTIC/ILIAC PROSTH UNI,,,21,,RBRVS,5.34 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34841,CPT,ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT,,,21,,TotalUnits,,,,15.50 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34842,CPT,ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT,,,21,,TotalUnits,,,,31.00 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34843,CPT,ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT,,,21,,TotalUnits,,,,46.50 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34844,CPT,ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT,,,21,,TotalUnits,,,,62.00 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34845,CPT,VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS,,,21,,TotalUnits,,,,21.51 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34846,CPT,VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS,,,21,,TotalUnits,,,,43.03 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34847,CPT,VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS,,,21,,TotalUnits,,,,64.54 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34848,CPT,VISCER AND INFRARENAL ABDOM AORTA 4+ PROSTHESIS,,,21,,TotalUnits,,,,86.05 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 34900,CPT,EVASC RPR ILIAC ART ILIO-ILIAC PROSTHESIS,,,21,,RBRVS,16.85 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35001,CPT,DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY,,,21,,RBRVS,20.81 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35002,CPT,DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY,,,21,,RBRVS,22.23 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35005,CPT,DIR RPR ANEURYSM VERTEBRAL ARTERY,,,21,,RBRVS,19.29 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35011,CPT,DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION,,,21,,RBRVS,18.58 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35013,CPT,DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS,,,21,,RBRVS,23.23 ,8.45 ,8.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35021,CPT,DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY,,,21,,RBRVS,22.17 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35022,CPT,DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN,,,21,,RBRVS,25.70 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35045,CPT,DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY,,,21,,RBRVS,18.01 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35081,CPT,DIR RPR ANEURYSM ABDOMINAL AORTA,,,21,,RBRVS,33.53 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35082,CPT,DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA,,,21,,RBRVS,42.09 ,13.08 ,13.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35091,CPT,DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS,,,21,,RBRVS,35.35 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35092,CPT,DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS,,,21,,RBRVS,50.97 ,14.29 ,14.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35102,CPT,DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS,,,21,,RBRVS,36.53 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35103,CPT,DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS,,,21,,RBRVS,43.62 ,12.76 ,12.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35111,CPT,DIR RPR ANEURYSM SPLENIC ARTERY,,,21,,RBRVS,26.28 ,12.33 ,12.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35112,CPT,DIR RPR RUPTD ANEURYSM SPLENIC ARTERY,,,21,,RBRVS,32.57 ,14.24 ,14.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35121,CPT,DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC,,,21,,RBRVS,31.52 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35122,CPT,DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN,,,21,,RBRVS,37.89 ,16.42 ,16.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35131,CPT,DIR RPR ANEURYSM & GRAFT ILIAC ARTERY,,,21,,RBRVS,26.40 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35132,CPT,DIR RPR RUPTD ANEURYSM & GRAFT ILIAC ARTERY,,,21,,RBRVS,32.57 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35141,CPT,DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY,,,21,,RBRVS,20.91 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35142,CPT,DIR RPR RUPTD ANEURYSM & GRF COMMON FEMORAL ART,,,21,,RBRVS,25.16 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35151,CPT,DIR RPR ANEURYSM & GRAFT POPLITEAL ARTERY,,,21,,RBRVS,23.72 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35152,CPT,DIR RPR RUPTD ANEURYSM & GRF POPLITEAL ARTERY,,,21,,RBRVS,27.66 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35180,CPT,REPAIR CONGENITAL AV FISTULA HEAD & NECK,,,21,,RBRVS,15.10 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35182,CPT,RPR CONGENITAL AV FISTULA THORAX & ABDOMEN,,,21,,RBRVS,31.71 ,13.02 ,13.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35184,CPT,RPR CONGENITAL AV FISTULA EXTREMITIES,,,21,,RBRVS,18.82 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35188,CPT,RPR/TRAUMATIC AV FISTULA HEAD & NECK,,,21,,RBRVS,18.00 ,12.69 ,12.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35189,CPT,RPR/TRAUMATIC AV FISTULA THORAX & ABDOMEN,,,21,,RBRVS,29.98 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35190,CPT,RPR/TRAUMATIC AV FISTULA EXTREMITIES,,,21,,RBRVS,13.42 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35201,CPT,REPAIR BLOOD VESSEL DIRECT NECK,,,21,,RBRVS,16.93 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35206,CPT,REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY,,,21,,RBRVS,13.84 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35207,CPT,REPAIR BLOOD VESSEL DIRECT HAND FINGER,,,21,,RBRVS,10.94 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35211,CPT,RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS,,,21,,RBRVS,24.58 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35216,CPT,RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS,,,21,,RBRVS,36.61 ,14.85 ,14.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35221,CPT,RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL,,,21,,RBRVS,26.62 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35226,CPT,RPR BLOOD VESSEL DIRECT LOWER EXTREMITY,,,21,,RBRVS,15.30 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35231,CPT,REPAIR BLOOD VESSEL W/VEIN GRAFT NECK,,,21,,RBRVS,21.16 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35236,CPT,REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY,,,21,,RBRVS,18.02 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35241,CPT,RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP,,,21,,RBRVS,25.58 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35246,CPT,RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP,,,21,,RBRVS,28.23 ,11.40 ,11.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35251,CPT,REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL,,,21,,RBRVS,31.91 ,10.75 ,10.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35256,CPT,REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY,,,21,,RBRVS,19.06 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35261,CPT,REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK,,,21,,RBRVS,18.96 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35266,CPT,RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY,,,21,,RBRVS,15.83 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35271,CPT,RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP,,,21,,RBRVS,24.58 ,10.09 ,10.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35276,CPT,RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP,,,21,,RBRVS,25.83 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35281,CPT,RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL,,,21,,RBRVS,30.06 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35286,CPT,RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY,,,21,,RBRVS,17.19 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35301,CPT,TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC,,,21,,RBRVS,21.16 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35302,CPT,TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY,,,21,,RBRVS,21.35 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35303,CPT,TEAEC W/GRAFT POPLITEAL ARTERY,,,21,,RBRVS,23.60 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35304,CPT,TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY,,,21,,RBRVS,24.60 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35305,CPT,TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL,,,21,,RBRVS,23.60 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35306,CPT,TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART,,,21,,RBRVS,9.25 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35311,CPT,TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC,,,21,,RBRVS,28.60 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35321,CPT,TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL,,,21,,RBRVS,16.59 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35331,CPT,TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA,,,21,,RBRVS,27.72 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35341,CPT,TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL,,,21,,RBRVS,26.21 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35351,CPT,TEAEC W/WO PATCH GRAFT ILIAC,,,21,,RBRVS,24.61 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35355,CPT,TEAEC W/WO PATCH GRAFT ILIOFEMORAL,,,21,,RBRVS,19.86 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35361,CPT,TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC,,,21,,RBRVS,30.24 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35363,CPT,TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL,,,21,,RBRVS,32.35 ,11.70 ,11.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35371,CPT,TEAEC W/WO PATCH GRAFT COMMON FEMORAL,,,21,,RBRVS,15.31 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35372,CPT,TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL,,,21,,RBRVS,18.58 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35390,CPT,ROPRTJ CRTD TEAEC > 1 MO AFTER ORIGINAL OPRATIO,,,21,,RBRVS,3.19 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35400,CPT,ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ,,,21,,RBRVS,3.00 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35500,CPT,HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX,,,21,,RBRVS,6.44 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35501,CPT,BYPASS W/VEIN COMMON-IPSILATERAL CAROTID,,,21,,RBRVS,29.09 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35506,CPT,BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID,,,21,,RBRVS,25.33 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35508,CPT,BYPASS W/VEIN CAROTID-VERTEBRAL,,,21,,RBRVS,26.09 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35509,CPT,BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID,,,21,,RBRVS,28.09 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35510,CPT,BYPASS W/VEIN CAROTID-BRACHIAL,,,21,,RBRVS,24.39 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35511,CPT,BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN,,,21,,RBRVS,22.20 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35512,CPT,BYPASS W/VEIN SUBCLAVIAN-BRACHIAL,,,21,,RBRVS,23.89 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35515,CPT,BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL,,,21,,RBRVS,26.09 ,12.75 ,12.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35516,CPT,BYPASS W/VEIN SUBCLAVIAN-AXILLARY,,,21,,RBRVS,24.21 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35518,CPT,BYPASS W/VEIN AXILLARY-AXILLARY,,,21,,RBRVS,22.65 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35521,CPT,BYPASS W/VEIN AXILLARY-FEMORAL,,,21,,RBRVS,24.13 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35522,CPT,BYPASS W/VEIN AXILLARY-BRACHIAL,,,21,,RBRVS,23.15 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35523,CPT,BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL,,,21,,RBRVS,24.13 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35525,CPT,BYPASS W/VEIN BRACHIAL-BRACHIAL,,,21,,RBRVS,21.69 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35526,CPT,BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE,,,21,,RBRVS,31.55 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35531,CPT,BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC,,,21,,RBRVS,39.11 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35533,CPT,BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL,,,21,,RBRVS,29.92 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35535,CPT,BYPASS W/VEIN HEPATORENAL,,,21,,RBRVS,38.13 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35536,CPT,BYPASS W/VEIN SPLENORENAL,,,21,,RBRVS,33.73 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35537,CPT,BYPASS W/VEIN AORTOILIAC,,,21,,RBRVS,41.88 ,13.11 ,13.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35538,CPT,BYPASS W/VEIN AORTOBI-ILIAC,,,21,,RBRVS,47.03 ,11.80 ,11.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35539,CPT,BYPASS W/VEIN AORTOFEMORAL,,,21,,RBRVS,44.11 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35540,CPT,BYPASS W/VEIN AORTOBIFEMORAL,,,21,,RBRVS,49.33 ,11.95 ,11.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35556,CPT,BYPASS W/VEIN FEMORAL-POPLITEAL,,,21,,RBRVS,26.75 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35558,CPT,BYPASS W/VEIN FEMORAL-FEMORAL,,,21,,RBRVS,23.13 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35560,CPT,BYPASS W/VEIN AORTORENAL,,,21,,RBRVS,34.03 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35563,CPT,BYPASS W/VEIN ILIOILIAC,,,21,,RBRVS,26.12 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35565,CPT,BYPASS W/VEIN ILIOFEMORAL,,,21,,RBRVS,25.13 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35566,CPT,BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL,,,21,,RBRVS,32.35 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35570,CPT,BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL,,,21,,RBRVS,29.15 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35571,CPT,BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL,,,21,,RBRVS,25.52 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35572,CPT,HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX,,,21,,RBRVS,6.81 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35583,CPT,IN-SITU VEIN BYPASS FEMORAL-POPLITEAL,,,21,,RBRVS,27.75 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35585,CPT,IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART,,,21,,RBRVS,32.35 ,9.99 ,9.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35587,CPT,IN-SITU VEIN BYP POP-TIBL PRONEAL,,,21,,RBRVS,26.21 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35600,CPT,HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG,,,21,,RBRVS,4.94 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35601,CPT,BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID,,,21,,RBRVS,27.09 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35606,CPT,BYP OTH/THN VEIN CAROTID-SUBCLAVIAN,,,21,,RBRVS,22.46 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35612,CPT,BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN,,,21,,RBRVS,20.35 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35616,CPT,BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY,,,21,,RBRVS,21.82 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35621,CPT,BYP OTH/THN VEIN AXILLARY-FEMORAL,,,21,,RBRVS,21.03 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35623,CPT,BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL,,,21,,RBRVS,25.92 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35626,CPT,BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE,,,21,,RBRVS,29.14 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35631,CPT,BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL,,,21,,RBRVS,36.03 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35632,CPT,BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC,,,21,,RBRVS,36.13 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35633,CPT,BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC,,,21,,RBRVS,39.11 ,11.39 ,11.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35634,CPT,BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL,,,21,,RBRVS,35.33 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35636,CPT,BYP OTH/THN VEIN SPLENORENAL,,,21,,RBRVS,31.75 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35637,CPT,BYP OTH/THN VEIN AORTOILIAC,,,21,,RBRVS,33.05 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35638,CPT,BYP OTH/THN VEIN AORTOBI-ILIAC,,,21,,RBRVS,33.60 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35642,CPT,BYP OTH/THN VEIN CAROTID-VERTEBRAL,,,21,,RBRVS,18.94 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35645,CPT,BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL,,,21,,RBRVS,18.43 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35646,CPT,BYP OTH/THN VEIN AORTOBIFEMORAL,,,21,,RBRVS,32.98 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35647,CPT,BYP OTH/THN VEIN AORTOFEMORAL,,,21,,RBRVS,29.73 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35650,CPT,BYP OTH/THN VEIN AXILLARY-AXILLARY,,,21,,RBRVS,20.16 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35654,CPT,BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL,,,21,,RBRVS,26.28 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35656,CPT,BYP OTH/THN VEIN FEMORAL-POPLITEAL,,,21,,RBRVS,20.47 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35661,CPT,BYP OTH/THN VEIN FEMORAL-FEMORAL,,,21,,RBRVS,20.35 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35663,CPT,BYP OTH/THN VEIN ILIOILIAC,,,21,,RBRVS,23.93 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35665,CPT,BYP OTH/THN VEIN ILIOFEMORAL,,,21,,RBRVS,22.35 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35666,CPT,BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL,,,21,,RBRVS,23.66 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35671,CPT,BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART,,,21,,RBRVS,20.77 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35681,CPT,BYPASS COMPOSITE GRAFT PROSTHETIC & VEIN,,,21,,RBRVS,1.60 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35682,CPT,BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS,,,21,,RBRVS,7.19 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35683,CPT,BYP AUTOG COMPOSIT 3/> SEG FROM 2/> LOCATION,,,21,,RBRVS,8.49 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35685,CPT,PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT,,,21,,RBRVS,4.04 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35686,CPT,CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO,,,21,,RBRVS,3.34 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35691,CPT,TRPOS&/RIMPLTJ VERTEBRAL CAROTID ART,,,21,,RBRVS,18.41 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35693,CPT,TRPOS&/RIMPLTJ VERTEBRAL SUBCLAVIAN ART,,,21,,RBRVS,15.73 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35694,CPT,TRPOS&/RIMPLTJ SUBCLAVIAN CAROTID ART,,,21,,RBRVS,19.28 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35695,CPT,TRPOS&/RIMPLTJ CAROTID SUBCLAVIAN ART,,,21,,RBRVS,20.06 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35697,CPT,RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART,,,21,,RBRVS,3.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35700,CPT,ROPRTJ > 1 MO AFTER ORIGINAL OPRATION,,,21,,RBRVS,3.08 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35701,CPT,EXPL N/FLWD SURG RPR W/WO LYSIS CAROTID ARTERY,,,21,,RBRVS,9.19 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35721,CPT,EXPL N/FLWD SURG RPR W/WO LYSIS FEMORAL ARTERY,,,21,,RBRVS,7.72 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35741,CPT,EXPL N/FLWD SURG RPR W/WO LYSIS POPLITEAL ARTERY,,,21,,RBRVS,8.69 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35761,CPT,EXPL N/FLWD SURG RPR W/WO LYSIS OTHER ARTERY,,,21,,RBRVS,5.93 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35800,CPT,EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK,,,21,,RBRVS,12.00 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35820,CPT,EXPL PO HEMRRG THROMBOSIS/INFCTJ CH,,,21,,RBRVS,36.89 ,13.34 ,13.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35840,CPT,EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD,,,21,,RBRVS,20.75 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35860,CPT,EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR,,,21,,RBRVS,15.25 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35870,CPT,RPR GRF-ENTERIC FSTL,,,21,,RBRVS,24.50 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35875,CPT,THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL,,,21,,RBRVS,10.72 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35876,CPT,THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF,,,21,,RBRVS,17.82 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35879,CPT,REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP,,,21,,RBRVS,17.41 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35881,CPT,REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS,,,21,,RBRVS,19.35 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35883,CPT,REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT,,,21,,RBRVS,23.15 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35884,CPT,REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT,,,21,,RBRVS,24.65 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35901,CPT,EXCISION INFECTED NECK GRAFT,,,21,,RBRVS,8.38 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35903,CPT,EXCISION INFECTED GRAFT EXTREMITY,,,21,,RBRVS,9.53 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 35905,CPT,EXCISION INFECTED GRAFT THORAX,,,21,,RBRVS,33.52 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 35907,CPT,EXCISION INFECTED GRAFT ABDOMEN,,,21,,RBRVS,37.27 ,10.74 ,10.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 36000,CPT,INTRODUCTION NEEDLE/INTRACATHETER VEIN,,,21,,RBRVS,0.18 ,0.07 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36002,CPT,INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM,,,21,,RBRVS,1.96 ,0.86 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36005,CPT,NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,,,21,,RBRVS,0.95 ,0.31 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36010,CPT,INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA,,,21,,RBRVS,2.43 ,0.74 ,11.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36011,CPT,SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,,,21,,RBRVS,3.14 ,0.97 ,20.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36012,CPT,SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,,,21,,RBRVS,3.51 ,1.07 ,20.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36013,CPT,INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,,,21,,RBRVS,2.52 ,0.80 ,19.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36014,CPT,SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,,,21,,RBRVS,3.02 ,0.97 ,19.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36015,CPT,SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART,,,21,,RBRVS,3.51 ,1.12 ,20.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36100,CPT,INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY,,,21,,RBRVS,3.02 ,0.91 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36120,CPT,INTRO NEEDLE/INTRACATH RETROGRADE BRACHIAL ART,,,21,,RBRVS,2.01 ,0.55 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36140,CPT,INTRO NEEDLE/INTRACATH EXTREMITY ARTERY,,,21,,RBRVS,2.01 ,0.60 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36160,CPT,INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR,,,21,,RBRVS,2.52 ,0.79 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36200,CPT,INTRODUCTION CATHETER AORTA,,,21,,RBRVS,3.02 ,0.82 ,14.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36215,CPT,SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH,,,21,,RBRVS,4.67 ,1.48 ,26.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36216,CPT,SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH,,,21,,RBRVS,5.27 ,1.74 ,27.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36217,CPT,SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH,,,21,,RBRVS,6.29 ,2.06 ,48.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36218,CPT,SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH,,,21,,RBRVS,1.01 ,0.35 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36221,CPT,NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART,,,21,,RBRVS,4.17 ,1.26 ,26.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36222,CPT,SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART,,,21,,RBRVS,5.53 ,1.91 ,30.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36223,CPT,SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,,,21,,RBRVS,6.00 ,2.14 ,36.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36224,CPT,SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART,,,21,,RBRVS,6.50 ,2.52 ,43.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36225,CPT,SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,,,21,,RBRVS,6.00 ,2.06 ,35.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36226,CPT,SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY,,,21,,RBRVS,6.50 ,2.53 ,44.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36227,CPT,SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,,,21,,RBRVS,2.09 ,0.77 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36228,CPT,SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT,,,21,,RBRVS,4.25 ,1.59 ,29.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36245,CPT,SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,,,21,,RBRVS,4.90 ,1.63 ,33.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36246,CPT,SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH,,,21,,RBRVS,5.27 ,1.57 ,19.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36247,CPT,SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,,,21,,RBRVS,6.29 ,1.89 ,37.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36248,CPT,SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,,,21,,RBRVS,1.01 ,0.32 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36251,CPT,SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN,,,21,,RBRVS,5.35 ,1.80 ,34.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36252,CPT,SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL,,,21,,RBRVS,6.99 ,2.41 ,35.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36253,CPT,SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I,,,21,,RBRVS,7.55 ,2.52 ,56.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36254,CPT,SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I,,,21,,RBRVS,8.15 ,2.78 ,52.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36260,CPT,INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM,,,21,,RBRVS,9.91 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36261,CPT,REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP,,,21,,RBRVS,5.63 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36262,CPT,REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP,,,21,,RBRVS,4.11 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36299,CPT,UNLISTED PROCEDURE VASCULAR INJECTION,,,21,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36400,CPT,VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,,,21,,RBRVS,0.38 ,0.15 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36405,CPT,VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN,,,21,,RBRVS,0.31 ,0.13 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36406,CPT,VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN,,,21,,RBRVS,0.18 ,0.04 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36410,CPT,VNPNXR 3 YEARS/> PHYS/QHP SKILL,,,21,,RBRVS,0.18 ,0.07 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36415,CPT,COLLECTION VENOUS BLOOD VENIPUNCTURE,,,17,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36416,CPT,COLLECTION CAPILLARY BLOOD SPECIMEN,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36420,CPT,VENIPUNCTURE CUTDOWN UNDER AGE 1 YR,,,21,,RBRVS,1.01 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36425,CPT,VENIPUNCTURE CUTDOWN AGE 1 YR/>,,,21,,RBRVS,0.76 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36430,CPT,TRANSFUSION BLOOD/BLOOD COMPONENTS,,,21,,RBRVS,,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36440,CPT,PUSH TRANSFUSION BLOOD 2 YR/UNDER,,,21,,RBRVS,1.03 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36450,CPT,EXCHNG TRANSFUSION BLOOD NEWBORN,,,21,,RBRVS,2.23 ,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36455,CPT,EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN,,,21,,RBRVS,2.43 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36456,CPT,PRTL EXCHANGE TRANSFUSE NB,,,21,,RBRVS,2.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36460,CPT,TRANSFUSION INTRAUTERINE FETAL,,,21,,RBRVS,6.58 ,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36468,CPT,1/MLT NJXS SCLRSG SLNS SPIDER VEINS LIMB/TRUNK,,,21,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36470,CPT,NJX SCLEROSING SOLUTION SINGLE VEIN,,,21,,RBRVS,1.10 ,1.12 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36471,CPT,NJX SCLEROSING SOLUTION MULTIPLE VEINS SAME LEG,,,21,,RBRVS,1.65 ,0.96 ,3.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36473,CPT,ENDOVENOUS MCHNCHEM 1ST VEIN,,,21,,RBRVS,3.50 ,0.95 ,38.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36474,CPT,ENDOVENOUS MCHNCHEM ADD-ON,,,21,,RBRVS,1.75 ,0.48 ,5.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36475,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,,,21,,RBRVS,5.30 ,1.81 ,37.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36476,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS,,,21,,RBRVS,2.65 ,0.77 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36478,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN,,,21,,RBRVS,5.30 ,1.81 ,28.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36479,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS,,,21,,RBRVS,2.65 ,0.81 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36481,CPT,PRQ PORTAL VEIN CATHETERIZATION ANY METHOD,,,21,,RBRVS,6.98 ,2.49 ,50.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36500,CPT,VEN CATHJ SLCTV ORGAN BLD SAMPLING,,,21,,RBRVS,3.51 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36510,CPT,CATHJ UMBILICAL VEIN DX/THER NB,,,21,,RBRVS,1.09 ,0.41 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36511,CPT,THERAPEUTIC APHERESIS WHITE BLOOD CELLS,,,21,,RBRVS,1.74 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36512,CPT,THERAPEUTIC APHERESIS RED BLOOD CELLS,,,21,,RBRVS,1.74 ,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36513,CPT,THERAPEUTIC APHERESIS PLATELETS,,,21,,RBRVS,1.74 ,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36514,CPT,THERAPEUTIC APHERESIS PLASMA PHERESIS,,,21,,RBRVS,1.74 ,0.77 ,13.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36515,CPT,THER APHERESIS W/XTRCORP IMMUNODSPTJ& PLSM RENFJ,,,21,,RBRVS,1.74 ,0.57 ,56.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36516,CPT,THER APHRS XTRCORP SLCTV ADSRPJ/FILTRJ & REINFSJ,,,21,,RBRVS,1.22 ,0.49 ,57.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36522,CPT,PHOTOPHERESIS EXTRACORPOREAL,,,21,,RBRVS,1.67 ,1.14 ,37.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36555,CPT,INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,,,21,,RBRVS,2.68 ,0.51 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36556,CPT,INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>,,,21,,RBRVS,2.50 ,0.70 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36557,CPT,INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR,,,21,,RBRVS,5.14 ,3.20 ,22.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36558,CPT,INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>,,,21,,RBRVS,4.84 ,2.54 ,16.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36560,CPT,INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR,,,21,,RBRVS,6.29 ,3.59 ,30.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36561,CPT,INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,,,21,,RBRVS,6.04 ,3.19 ,26.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36563,CPT,INSJ TUNNELED CTR VAD W/SUBQ PUMP,,,21,,RBRVS,6.24 ,3.42 ,30.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36565,CPT,INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP,,,21,,RBRVS,6.04 ,2.80 ,20.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36566,CPT,INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT,,,21,,RBRVS,6.54 ,3.35 ,147.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36568,CPT,INSJ PRPH CVC W/O SUBQ PORT/PMP UNDER 5 YR,,,21,,RBRVS,1.92 ,0.72 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36569,CPT,INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,,,21,,RBRVS,1.82 ,0.67 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36570,CPT,INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR,,,21,,RBRVS,5.36 ,3.06 ,27.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36571,CPT,INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,,,21,,RBRVS,5.34 ,3.01 ,30.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36575,CPT,RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,,,21,,RBRVS,0.67 ,0.26 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36576,CPT,RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT,,,21,,RBRVS,3.24 ,1.89 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36578,CPT,RPLCMT CATH CTR VAD SUBQ PORT/PMP,,,21,,RBRVS,3.54 ,2.19 ,10.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36580,CPT,RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP,,,21,,RBRVS,1.31 ,0.48 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36581,CPT,RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP,,,21,,RBRVS,3.48 ,1.80 ,18.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36582,CPT,RPLCMT COMPL TUN CTR VAD W/SUBQ PORT,,,21,,RBRVS,5.24 ,2.75 ,25.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36583,CPT,RPLCMT COMPL TUN CTR VAD W/SUBQ PMP,,,21,,RBRVS,5.29 ,3.27 ,32.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36584,CPT,RPLCMT COMPL PRPH CVC W/O SUBQ PORT/PMP,,,21,,RBRVS,1.20 ,0.62 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36585,CPT,RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT,,,21,,RBRVS,4.84 ,2.65 ,27.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36589,CPT,RMVL TUN CVC W/O SUBQ PORT/PMP,,,21,,RBRVS,2.28 ,1.38 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36590,CPT,RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,,,21,,RBRVS,3.35 ,1.98 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36591,CPT,COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,,TC,21,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36592,CPT,COLLECT BLOOD FROM CATHETER VENOUS NOS,,TC,21,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36593,CPT,DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH,,TC,21,,RBRVS,,0.86 ,0.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36595,CPT,MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS,,,21,,RBRVS,3.59 ,1.37 ,12.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36596,CPT,MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN,,,21,,RBRVS,0.75 ,0.45 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36597,CPT,RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE,,,21,,RBRVS,1.21 ,0.45 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36598,CPT,CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,,,21,,RBRVS,0.74 ,0.26 ,2.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36600,CPT,ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX,,,21,,RBRVS,0.32 ,0.10 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36620,CPT,ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,,,21,,RBRVS,1.15 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36625,CPT,ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN,,,21,,RBRVS,2.11 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36640,CPT,ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN,,,21,,RBRVS,2.10 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36660,CPT,CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY,,,21,,RBRVS,1.40 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 36680,CPT,PLACEMENT NEEDLE INTRAOSSEOUS INFUSION,,,21,,RBRVS,1.20 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36800,CPT,INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN,,,21,,RBRVS,2.43 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36810,CPT,INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL,,,21,,RBRVS,3.96 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36815,CPT,INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR,,,21,,RBRVS,2.62 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36818,CPT,ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS,,,21,,RBRVS,12.39 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36819,CPT,ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS,,,21,,RBRVS,13.29 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36820,CPT,ARVEN ANAST OPN F/ARM VEIN TRPOS,,,21,,RBRVS,13.07 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36821,CPT,ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT,,,21,,RBRVS,11.90 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36823,CPT,INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL,,,21,,RBRVS,22.98 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 36825,CPT,CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF,,,21,,RBRVS,14.17 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36830,CPT,CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF,,,21,,RBRVS,12.03 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36831,CPT,THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF,,,21,,RBRVS,11.00 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36832,CPT,REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF,,,21,,RBRVS,13.50 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36833,CPT,REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF,,,21,,RBRVS,14.50 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36835,CPT,INSERTION THOMAS SHUNT SEPARATE PROCEDURE,,,21,,RBRVS,7.51 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36838,CPT,DSTL REVSC&INTERVAL LIG UXTR HEMO ACCESS,,,21,,RBRVS,21.69 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36860,CPT,XTRNL CANNULA DECLTNG SPX W/O BALO CATH,,,21,,RBRVS,2.01 ,1.01 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36861,CPT,XTRNL CANNULA DECLTNG SPX W/BALO CATH,,,21,,RBRVS,2.52 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36901,CPT,INTRO CATH DIALYSIS CIRCUIT,,,21,,RBRVS,2.82 ,0.92 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36902,CPT,INTRO CATH DIALYSIS CIRCUIT,,,21,,RBRVS,4.24 ,1.33 ,29.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36903,CPT,INTRO CATH DIALYSIS CIRCUIT,,,21,,RBRVS,5.85 ,1.77 ,150.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36904,CPT,THRMBC/NFS DIALYSIS CIRCUIT,,,21,,RBRVS,6.73 ,2.04 ,42.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36905,CPT,THRMBC/NFS DIALYSIS CIRCUIT,,,21,,RBRVS,8.46 ,2.54 ,54.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36906,CPT,THRMBC/NFS DIALYSIS CIRCUIT,,,21,,RBRVS,9.88 ,2.95 ,179.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 36907,CPT,BALO ANGIOP CTR DIALYSIS SEG,,,21,,RBRVS,2.48 ,0.72 ,17.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36908,CPT,STENT PLMT CTR DIALYSIS SEG,,,21,,RBRVS,3.73 ,1.06 ,71.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 36909,CPT,DIALYSIS CIRCUIT EMBOLJ,,,21,,RBRVS,3.48 ,1.08 ,51.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 37140,CPT,VENOUS ANASTOMOSIS OPEN PORTOCAVAL,,,21,,RBRVS,40.00 ,17.19 ,17.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37145,CPT,VENOUS ANASTOMOSIS OPEN RENOPORTAL,,,21,,RBRVS,37.00 ,16.49 ,16.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37160,CPT,VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC,,,21,,RBRVS,38.00 ,16.95 ,16.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37180,CPT,VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL,,,21,,RBRVS,36.50 ,15.87 ,15.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37181,CPT,VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL,,,21,,RBRVS,40.00 ,17.83 ,17.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37182,CPT,INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT,,,21,,RBRVS,16.97 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37183,CPT,REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT,,,21,,RBRVS,7.99 ,2.76 ,159.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37184,CPT,PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST,,,21,,RBRVS,8.66 ,3.05 ,54.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37185,CPT,PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ,,,21,,RBRVS,3.28 ,0.94 ,16.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37186,CPT,SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL,,,21,,RBRVS,4.92 ,1.40 ,33.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37187,CPT,PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,,,21,,RBRVS,8.03 ,2.58 ,49.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37188,CPT,PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX,,,21,,RBRVS,5.71 ,2.04 ,44.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37191,CPT,INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,,,21,,RBRVS,4.71 ,1.58 ,69.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37192,CPT,REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&,,,21,,RBRVS,7.35 ,2.12 ,35.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37193,CPT,RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,,,21,,RBRVS,7.35 ,2.30 ,37.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37195,CPT,THROMBOLYSIS CEREBRAL IV INFUSION,,,21,,TotalUnits,,,,6.86 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37197,CPT,PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING,,,21,,RBRVS,6.29 ,1.95 ,36.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37200,CPT,TRANSCATHETER BIOPSY,,,21,,RBRVS,4.55 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37211,CPT,THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,,,21,,RBRVS,8.00 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37212,CPT,THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,,,21,,RBRVS,7.06 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37213,CPT,THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX,,,21,,RBRVS,5.00 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37214,CPT,CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL,,,21,,RBRVS,2.74 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37215,CPT,TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ,,,21,,RBRVS,18.00 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37216,CPT,TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ,,,21,,TotalUnits,,,,29.40 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37217,CPT,TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE,,,21,,RBRVS,20.38 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37218,CPT,TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,,,21,,RBRVS,15.00 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37220,CPT,REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL,,,21,,RBRVS,8.15 ,2.33 ,80.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37221,CPT,REVSC OPN/PRQ ILIAC ART W/STNT PLMT & ANGIOPLSTY,,,21,,RBRVS,10.00 ,2.91 ,120.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37222,CPT,REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL,,,21,,RBRVS,3.73 ,0.97 ,20.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37223,CPT,REVSC OPN/PRQ ILIAC ART W/STNT & ANGIOP IPSILATL,,,21,,RBRVS,4.25 ,1.16 ,68.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37224,CPT,REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI,,,21,,RBRVS,9.00 ,2.61 ,98.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37225,CPT,REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL,,,21,,RBRVS,12.00 ,3.62 ,299.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37226,CPT,REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,,,21,,RBRVS,10.49 ,3.07 ,245.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37227,CPT,REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL,,,21,,RBRVS,14.50 ,4.27 ,406.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37228,CPT,REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,,,21,,RBRVS,11.00 ,3.12 ,142.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37229,CPT,REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL,,,21,,RBRVS,14.05 ,4.18 ,292.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37230,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL,,,21,,RBRVS,13.80 ,4.15 ,219.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37231,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL,,,21,,RBRVS,15.00 ,4.55 ,362.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37232,CPT,REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL,,,21,,RBRVS,4.00 ,1.13 ,29.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37233,CPT,REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP UNI EA VSL,,,21,,RBRVS,6.50 ,1.83 ,33.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37234,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL,,,21,,RBRVS,5.50 ,1.66 ,103.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37235,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP EA VSL,,,21,,RBRVS,7.80 ,2.49 ,107.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37236,CPT,OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL,,,21,,RBRVS,9.00 ,2.75 ,106.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37237,CPT,OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL,,,21,,RBRVS,4.25 ,1.17 ,65.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37238,CPT,OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,,,21,,RBRVS,6.29 ,1.94 ,112.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37239,CPT,OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL,,,21,,RBRVS,2.97 ,0.84 ,54.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37241,CPT,VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,,,21,,RBRVS,9.00 ,2.80 ,125.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37242,CPT,VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I,,,21,,RBRVS,10.05 ,3.15 ,207.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37243,CPT,VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,,,21,,RBRVS,11.99 ,3.85 ,264.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37244,CPT,VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,,,21,,RBRVS,14.00 ,4.49 ,178.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37246,CPT,TRLUML BALO ANGIOP 1ST ART,,,21,,RBRVS,7.00 ,2.09 ,52.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37247,CPT,TRLUML BALO ANGIOP ADDL ART,,,21,,RBRVS,3.50 ,1.00 ,20.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 37248,CPT,TRLUML BALO ANGIOP 1ST VEIN,,,21,,RBRVS,6.00 ,1.82 ,34.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37249,CPT,TRLUML BALO ANGIOP ADDL VEIN,,,21,,RBRVS,2.97 ,0.86 ,14.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 37252,CPT,INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,,,21,,RBRVS,1.80 ,0.50 ,37.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 37253,CPT,INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,,,21,,RBRVS,1.44 ,0.39 ,4.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 37500,CPT,VASC ENDOSCOPY SURG W/LIG PERFORATOR VEINS SPX,,,21,,RBRVS,11.67 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37501,CPT,UNLISTED VASCULAR ENDOSCOPY PROCEDURE,,,21,,TotalUnits,,,,18.98 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37565,CPT,LIGATION INTERNAL JUGULAR VEIN,,,21,,RBRVS,12.05 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37600,CPT,LIGATION EXTERNAL CAROTID ARTERY,,,21,,RBRVS,12.42 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37605,CPT,LIGATION INTERNAL/COMMON CAROTID ARTERY,,,21,,RBRVS,14.28 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37606,CPT,LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION,,,21,,RBRVS,8.81 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37607,CPT,LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA,,,21,,RBRVS,6.25 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37609,CPT,LIGATION/BIOPSY TEMPORAL ARTERY,,,21,,RBRVS,3.05 ,2.35 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37615,CPT,LIGATION MAJOR ARTERY NECK,,,21,,RBRVS,7.80 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37616,CPT,LIGATION MAJOR ARTERY CHEST,,,21,,RBRVS,18.97 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37617,CPT,LIGATION MAJOR ARTERY ABDOMEN,,,21,,RBRVS,23.79 ,9.92 ,9.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37618,CPT,LIGATION MAJOR ARTERY EXTREMITY,,,21,,RBRVS,6.03 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37619,CPT,INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,,,21,,RBRVS,30.00 ,11.07 ,11.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37650,CPT,REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&,,,21,,RBRVS,8.49 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37660,CPT,RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,,,21,,RBRVS,22.28 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37700,CPT,LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ,,,21,,RBRVS,3.82 ,2.63 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37718,CPT,LIGJ DIVJ & STRIPPING SHORT SAPHENOUS VEIN,,,21,,RBRVS,7.13 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37722,CPT,LIGJ DIVJ&STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW,,,21,,RBRVS,8.16 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37735,CPT,LIGJ & DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS,,,21,,RBRVS,10.90 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37760,CPT,LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG,,,21,,RBRVS,10.78 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37761,CPT,LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG,,,21,,RBRVS,9.13 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37765,CPT,STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS,,,21,,RBRVS,7.71 ,3.89 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37766,CPT,STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS,,,21,,RBRVS,9.66 ,4.48 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37780,CPT,LIGJ & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX,,,21,,RBRVS,3.93 ,2.63 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37785,CPT,LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG,,,21,,RBRVS,3.93 ,2.87 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37788,CPT,PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT,,,21,,RBRVS,23.33 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 37790,CPT,PENILE VENOUS OCCLUSIVE PROCEDURE,,,21,,RBRVS,8.43 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 37799,CPT,UNLISTED PROCEDURE VASCULAR SURGERY,,,21,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38100,CPT,SPLENECTOMY TOTAL SEPARATE PROCEDURE,,,21,,RBRVS,19.55 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38101,CPT,SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE,,,21,,RBRVS,19.55 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38102,CPT,SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX,,,21,,RBRVS,4.79 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38115,CPT,RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT,,,21,,RBRVS,21.88 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38120,CPT,LAPAROSCOPIC SURGICAL SPLENECTOMY,,,21,,RBRVS,17.07 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38129,CPT,UNLISTED LAPAROSCOPY PROCEDURE SPLEEN,,,21,,TotalUnits,,,,26.50 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38200,CPT,INJECTION PROCEDURE SPLENOPORTOGRAPY,,,21,,RBRVS,2.64 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38204,CPT,MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ,,,21,,RBRVS,2.00 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38205,CPT,BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC,,,21,,RBRVS,1.50 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38206,CPT,BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL,,,21,,RBRVS,1.50 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38207,CPT,TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR,,,21,,RBRVS,0.89 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 38208,CPT,TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR,,,21,,RBRVS,0.56 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 38209,CPT,TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR,,,21,,RBRVS,0.24 ,0.09 ,0.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 38210,CPT,TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL,,,21,,RBRVS,1.57 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 38211,CPT,TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ,,,21,,RBRVS,1.42 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 38212,CPT,TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL,,,21,,RBRVS,0.94 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 38213,CPT,TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ,,,21,,RBRVS,0.24 ,0.09 ,0.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 38214,CPT,TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ,,,21,,RBRVS,0.81 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 38215,CPT,TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM,,,21,,RBRVS,0.94 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 38220,CPT,MARROW ASPIRATION ONLY,,,21,,RBRVS,1.08 ,0.55 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38221,CPT,BONE MARROW BIOPSY NEEDLE/TROCAR,,,21,,RBRVS,1.37 ,0.69 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38230,CPT,BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC,,,21,,RBRVS,3.50 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38232,CPT,BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS,,,21,,RBRVS,3.50 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38240,CPT,TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR,,,21,,RBRVS,4.00 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38241,CPT,TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR,,,21,,RBRVS,3.00 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38242,CPT,ALLOGENEIC LYMPHOCYTE INFUSIONS,,,21,,RBRVS,2.11 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38243,CPT,TRNSPLJ HEMATOPOIETIC CELL BOOST,,,21,,RBRVS,2.13 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38300,CPT,DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL,,,21,,RBRVS,2.36 ,2.50 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38305,CPT,DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV,,,21,,RBRVS,6.68 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38308,CPT,LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS,,,21,,RBRVS,6.81 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38380,CPT,SUTR&/LIG THORACIC DUCT CERVICAL APPROACH,,,21,,RBRVS,8.46 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38381,CPT,SUTR&/LIG THORACIC DUCT THORACIC APPROACH,,,21,,RBRVS,13.38 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38382,CPT,SUTR&/LIG THORACIC DUCT ABDOMINAL APPROACH,,,21,,RBRVS,10.65 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38500,CPT,BX/EXC LYMPH NODE OPEN SUPERFICIAL,,,21,,RBRVS,3.79 ,2.68 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38505,CPT,BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,,,21,,RBRVS,1.14 ,0.81 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38510,CPT,BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE,,,21,,RBRVS,6.74 ,4.12 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38520,CPT,BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD,,,21,,RBRVS,7.03 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38525,CPT,BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE,,,21,,RBRVS,6.43 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38530,CPT,BX/EXC LYMPH NODE OPEN INT MAMMARY NODE,,,21,,RBRVS,8.34 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38542,CPT,DISSECTION DEEP JUGULAR NODE,,,21,,RBRVS,7.95 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38550,CPT,EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ,,,21,,RBRVS,7.11 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38555,CPT,EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ,,,21,,RBRVS,15.59 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38562,CPT,LMTD LMPHADEC STAGING SPX PEL&PARA-AORTIC,,,21,,RBRVS,11.06 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38564,CPT,LMTD LMPHADEC STAGING SPX RPR AORTIC&/SPLENIC,,,21,,RBRVS,11.38 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38570,CPT,LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT,,,21,,RBRVS,8.49 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38571,CPT,LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY,,,21,,RBRVS,12.00 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38572,CPT,LAPS BI TOT PEL LMPHADEC & PRI-AORTIC LYMPH BX 1,,,21,,RBRVS,15.60 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38589,CPT,UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM,,,21,,TotalUnits,,,,17.67 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38700,CPT,SUPRAHYOID LYMPHADENECTOMY,,,21,,RBRVS,12.81 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38720,CPT,CERVICAL LYMPHADENECTOMY,,,21,,RBRVS,21.95 ,13.34 ,13.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38724,CPT,CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ,,,21,,RBRVS,23.95 ,14.51 ,14.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38740,CPT,AXILLARY LYMPHADENECTOMY SUPERFICIAL,,,21,,RBRVS,10.70 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38745,CPT,AXILLARY LYMPHADENECTOMY COMPLETE,,,21,,RBRVS,13.87 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38746,CPT,THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC,,,21,,RBRVS,4.12 ,1.20 ,1.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38747,CPT,ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC,,,21,,RBRVS,4.88 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38760,CPT,INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX,,,21,,RBRVS,13.62 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38765,CPT,INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC,,,21,,RBRVS,21.91 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38770,CPT,PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR&OBTURATOR,,,21,,RBRVS,14.06 ,7.10 ,7.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38780,CPT,RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC&RNL,,,21,,RBRVS,17.70 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 38790,CPT,INJECTION PROCEDURE LYMPHANGIOGRAPHY,,,21,,RBRVS,1.29 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38792,CPT,INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE,,,21,,RBRVS,0.52 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38794,CPT,CANNULATION THORACIC DUCT,,,21,,RBRVS,4.62 ,3.60 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 38900,CPT,INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION,,,21,,RBRVS,2.50 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 38999,CPT,UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM,,,21,,TotalUnits,,,,2.95 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 39000,CPT,MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR,,,21,,RBRVS,7.57 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39010,CPT,MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR,,,21,,RBRVS,13.19 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39200,CPT,RESECTION OF MEDIASTINAL CYST,,,21,,RBRVS,15.09 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39220,CPT,RESECTION MEDIASTINAL TUMOR,,,21,,RBRVS,19.55 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39401,CPT,MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY,,,21,,RBRVS,5.44 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 39402,CPT,MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES,,,21,,RBRVS,7.25 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 39499,CPT,UNLISTED PROCEDURE MEDIASTINUM,,,21,,TotalUnits,,,,19.84 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39501,CPT,REPAIR LACERATION DIAPHRAGM ANY APPROACH,,,21,,RBRVS,13.98 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39503,CPT,RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ,,,21,,RBRVS,108.91 ,43.00 ,43.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39540,CPT,RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT,,,21,,RBRVS,14.57 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39541,CPT,RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC,,,21,,RBRVS,15.75 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39545,CPT,IMBRICATION DIAPHRAGM EVENTRATION,,,21,,RBRVS,14.67 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39560,CPT,RESCJ DIAPHRAGM W/SIMPLE REPAIR,,,21,,RBRVS,13.06 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39561,CPT,RESCJ DIAPHRAGM W/COMPLEX REPAIR,,,21,,RBRVS,19.99 ,11.32 ,11.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 39599,CPT,UNLISTED PROCEDURE DIAPHRAGM,,,21,,TotalUnits,,,,21.79 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 40490,CPT,BIOPSY OF LIP,,,21,,RBRVS,1.22 ,0.73 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40500,CPT,VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT,,,21,,RBRVS,4.47 ,5.40 ,9.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40510,CPT,EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR,,,21,,RBRVS,4.82 ,4.78 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40520,CPT,EXC LIP V-EXC W/PRIM DIR LINR CLSR,,,21,,RBRVS,4.79 ,4.86 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40525,CPT,EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP,,,21,,RBRVS,7.72 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40527,CPT,EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP,,,21,,RBRVS,9.32 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40530,CPT,RESCJ LIP > ONE-FOURTH W/O RCNSTJ,,,21,,RBRVS,5.54 ,5.28 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40650,CPT,RPR LIP FULL THICKNESS VERMILION ONLY,,,21,,RBRVS,3.78 ,4.33 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40652,CPT,RPR LIP FULL THICKNESS HALF/< VERTICAL HEIGHT,,,21,,RBRVS,4.43 ,5.06 ,8.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40654,CPT,RPR LIP FULL THKNS >ONE-HALF VERT HEIGHT/COMPLE,,,21,,RBRVS,5.48 ,5.94 ,10.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40700,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI,,,21,,RBRVS,14.17 ,10.01 ,10.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40701,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX,,,21,,RBRVS,17.23 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40702,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS,,,21,,RBRVS,14.27 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40720,CPT,PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT & RECL,,,21,,RBRVS,14.72 ,12.32 ,12.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40761,CPT,PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP,,,21,,RBRVS,15.84 ,12.72 ,12.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40799,CPT,UNLISTED PROCEDURE LIPS,,,21,,TotalUnits,,,,3.45 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40800,CPT,DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,,,21,,RBRVS,1.23 ,2.44 ,4.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40801,CPT,DRG ABSC CST HMTMA VESTIBULE MOUTH COMP,,,21,,RBRVS,2.63 ,3.47 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40804,CPT,RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,,,21,,RBRVS,1.30 ,1.94 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40805,CPT,RMVL EMBEDDED FB VESTIBULE MOUTH COMP,,,21,,RBRVS,2.79 ,3.61 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40806,CPT,INCISION LABIAL FRENUM FRENOTOMY,,,21,,RBRVS,0.31 ,0.60 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40808,CPT,BIOPSY VESTIBULE MOUTH,,,21,,RBRVS,1.01 ,2.02 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40810,CPT,EXC LES MUCOSA & SBMCSL VESTIBULE MOUTH W/O RPR,,,21,,RBRVS,1.36 ,2.18 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40812,CPT,EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR,,,21,,RBRVS,2.37 ,3.06 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40814,CPT,EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR,,,21,,RBRVS,3.52 ,4.89 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40816,CPT,EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC,,,21,,RBRVS,3.77 ,4.96 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40818,CPT,EXC MUCOSA VESTIBULE MOUTH AS DON GRF,,,21,,RBRVS,2.83 ,4.79 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40819,CPT,EXC FRENUM LABIAL/BUCCAL,,,21,,RBRVS,2.51 ,4.14 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40820,CPT,DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS,,,21,,RBRVS,1.34 ,3.52 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40830,CPT,CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<,,,21,,RBRVS,1.82 ,2.76 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40831,CPT,CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,,,21,,RBRVS,2.57 ,3.62 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40840,CPT,VESTIBULOPLASTY ANTERIOR,,,21,,RBRVS,9.15 ,7.76 ,13.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40842,CPT,VESTIBULOPLASTY POSTERIOR UNILATERAL,,,21,,RBRVS,9.15 ,7.11 ,12.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40843,CPT,VESTIBULOPLASTY POSTERIOR BILATERAL,,,21,,RBRVS,12.79 ,9.91 ,16.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40844,CPT,VESTIBULOPLASTY ENTIRE ARCH,,,21,,RBRVS,16.80 ,11.43 ,18.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40845,CPT,VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG,,,21,,RBRVS,19.36 ,13.41 ,20.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 40899,CPT,UNLISTED PROCEDURE VESTIBULE MOUTH,,,21,,TotalUnits,,,,5.18 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41000,CPT,INTRAORAL I&D TONGUE/FLOOR LINGUAL,,,21,,RBRVS,1.35 ,1.74 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41005,CPT,INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,,,21,,RBRVS,1.31 ,2.17 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41006,CPT,INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD,,,21,,RBRVS,3.34 ,3.56 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41007,CPT,INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,,,21,,RBRVS,3.20 ,3.47 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41008,CPT,INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,,,21,,RBRVS,3.46 ,3.91 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41009,CPT,INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE,,,21,,RBRVS,3.71 ,4.29 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41010,CPT,INCISION LINGUAL FRENUM FRENOTOMY,,,21,,RBRVS,1.11 ,1.90 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41015,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL,,,21,,RBRVS,4.08 ,5.54 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41016,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMENT,,,21,,RBRVS,4.19 ,5.48 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41017,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB,,,21,,RBRVS,4.19 ,5.52 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41018,CPT,XTRORAL I&D FLOOR MASTICATOR SPACE,,,21,,RBRVS,5.22 ,6.08 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41019,CPT,PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT,,,21,,RBRVS,8.84 ,4.00 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41100,CPT,BIOPSY TONGUE ANTERIOR TWO-THIRDS,,,21,,RBRVS,1.42 ,1.52 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41105,CPT,BIOPSY TONGUE POSTERIOR ONE-THIRD,,,21,,RBRVS,1.47 ,1.57 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41108,CPT,BIOPSY FLOOR MOUTH,,,21,,RBRVS,1.10 ,1.39 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41110,CPT,EXCISION LESION TONGUE W/O CLOSURE,,,21,,RBRVS,1.56 ,2.07 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41112,CPT,EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS,,,21,,RBRVS,2.83 ,4.17 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41113,CPT,EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD,,,21,,RBRVS,3.29 ,4.43 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41114,CPT,EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP,,,21,,RBRVS,8.82 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41115,CPT,EXCISION LINGUAL FRENUM FRENECTOMY,,,21,,RBRVS,1.79 ,2.40 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41116,CPT,EXCISION LESION FLOOR MOUTH,,,21,,RBRVS,2.52 ,3.57 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41120,CPT,GLOSSECTOMY 2.6 CM/CPLX,,,21,,RBRVS,3.02 ,2.67 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41500,CPT,FIXJ TONGUE MECHANICAL OTHER/THAN SUTURE,,,21,,RBRVS,3.80 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41510,CPT,SUTURE TONGUE LIP MICROGNATHIA,,,21,,RBRVS,3.51 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41512,CPT,TONGUE BASE SUSPENSION PERMANENT SUTURE TQ,,,21,,RBRVS,6.86 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41520,CPT,FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY,,,21,,RBRVS,2.83 ,4.30 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41530,CPT,SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION,,,21,,RBRVS,3.50 ,7.03 ,24.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41599,CPT,UNLISTED PROCEDURE TONGUE FLOOR MOUTH,,,21,,TotalUnits,,,,4.54 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41800,CPT,DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,,,21,,RBRVS,1.27 ,2.85 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41805,CPT,RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS,,,21,,RBRVS,1.34 ,3.58 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41806,CPT,RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE,,,21,,RBRVS,2.79 ,4.41 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41820,CPT,GINGIVECTOMY EXC GINGIVA EACH QUADRANT,,,21,,TotalUnits,,,,5.42 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41821,CPT,OPRCULECTOMY EXC PRICORONAL TISSUE,,,21,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41822,CPT,EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS,,,21,,RBRVS,2.41 ,2.56 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41823,CPT,EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS,,,21,,RBRVS,3.77 ,5.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41825,CPT,EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR,,,21,,RBRVS,1.41 ,1.96 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41826,CPT,EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR,,,21,,RBRVS,2.41 ,3.47 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41827,CPT,EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR,,,21,,RBRVS,3.83 ,4.61 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41828,CPT,EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC,,,21,,RBRVS,3.14 ,2.60 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41830,CPT,ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY,,,21,,RBRVS,3.45 ,4.38 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41850,CPT,DESTRUCTION LESION DENTOALVEOLAR STRUCTURES,,,21,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41870,CPT,PERIODONTAL MUCOSAL GRAFTING,,,21,,TotalUnits,,,,6.77 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41872,CPT,GINGIVOPLASTY EACH QUADRANT SPECIFY,,,21,,RBRVS,3.01 ,4.10 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41874,CPT,ALVEOLOPLASTY EACH QUADRANT SPECIFY,,,21,,RBRVS,3.19 ,3.84 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 41899,CPT,UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,,,21,,TotalUnits,,,,9.52 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42000,CPT,DRAINAGE ABSCESS PALATE UVULA,,,21,,RBRVS,1.28 ,1.57 ,3.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42100,CPT,BIOPSY PALATE UVULA,,,21,,RBRVS,1.36 ,1.65 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42104,CPT,EXC LESION PALATE UVULA W/O CLOSURE,,,21,,RBRVS,1.69 ,2.14 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42106,CPT,EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE,,,21,,RBRVS,2.15 ,2.76 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42107,CPT,EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE,,,21,,RBRVS,4.56 ,4.92 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42120,CPT,RESCJ PALATE/EXTENSIVE RESCJ LESION,,,21,,RBRVS,11.86 ,16.29 ,16.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42140,CPT,UVULECTOMY EXCISION UVULA,,,21,,RBRVS,1.70 ,2.58 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42145,CPT,PALATOPHARYNGOPLASTY,,,21,,RBRVS,9.78 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42160,CPT,DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM,,,21,,RBRVS,1.85 ,2.18 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42180,CPT,REPAIR LACERATION PALATE 2 CM/COMPLEX,,,21,,RBRVS,3.87 ,3.03 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42200,CPT,PALATOP CL PALATE SOFT&/HARD PALATE ONLY,,,21,,RBRVS,12.53 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42205,CPT,PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE,,,21,,RBRVS,13.66 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42210,CPT,PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE,,,21,,RBRVS,15.03 ,11.55 ,11.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42215,CPT,PALATOPLASTY CLEFT PALATE MAJOR REVJ,,,21,,RBRVS,8.99 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42220,CPT,PALATOPLASTY CLEFT PALATE SEC LNGTH PX,,,21,,RBRVS,7.16 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42225,CPT,PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP,,,21,,RBRVS,9.77 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42226,CPT,LENGTHENING PALATE & PHARYNGEAL FLAP,,,21,,RBRVS,10.35 ,14.32 ,14.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42227,CPT,LENGTHENING PALATE W/ISLAND FLAP,,,21,,RBRVS,9.90 ,13.27 ,13.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42235,CPT,REPAIR ANTERIOR PALATE W/VOMER FLAP,,,21,,RBRVS,8.01 ,12.28 ,12.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42260,CPT,REPAIR NASOLABIAL FISTULA,,,21,,RBRVS,10.22 ,7.64 ,11.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42280,CPT,MAXILLARY IMPRESJ PALATAL PROSTHESIS,,,21,,RBRVS,1.59 ,1.37 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42281,CPT,INSJ PIN-RETAINED PALATAL PROSTHESIS,,,21,,RBRVS,1.98 ,2.14 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42299,CPT,UNLISTED PROCEDURE PALATE UVULA,,,21,,TotalUnits,,,,7.00 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42300,CPT,DRAINAGE ABSCESS PAROTID SIMPLE,,,21,,RBRVS,1.98 ,2.19 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42305,CPT,DRAINAGE ABSCESS PAROTID COMPLICATED,,,21,,RBRVS,6.31 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42310,CPT,DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL,,,21,,RBRVS,1.61 ,1.77 ,2.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42320,CPT,DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL,,,21,,RBRVS,2.40 ,2.37 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42330,CPT,SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL,,,21,,RBRVS,2.26 ,2.23 ,4.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42335,CPT,SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL,,,21,,RBRVS,3.41 ,3.62 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42340,CPT,SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL,,,21,,RBRVS,4.72 ,4.39 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42400,CPT,BIOPSY SALIVARY GLAND NEEDLE,,,21,,RBRVS,0.78 ,0.73 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42405,CPT,BIOPSY SALIVARY GLAND INCISIONAL,,,21,,RBRVS,3.34 ,2.76 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42408,CPT,EXC SUBLINGUAL SALIVARY CYST RANULA,,,21,,RBRVS,4.66 ,4.17 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42409,CPT,MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA,,,21,,RBRVS,2.91 ,3.14 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42410,CPT,EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ,,,21,,RBRVS,9.57 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42415,CPT,EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FACIAL NR,,,21,,RBRVS,17.16 ,10.99 ,10.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42420,CPT,EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FACIAL NR,,,21,,RBRVS,19.53 ,12.04 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42425,CPT,EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL,,,21,,RBRVS,13.42 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42426,CPT,EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ,,,21,,RBRVS,22.66 ,13.15 ,13.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 42440,CPT,EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND,,,21,,RBRVS,6.14 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42450,CPT,EXISION OF SUBLINGUAL GLAND,,,21,,RBRVS,4.74 ,5.00 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42500,CPT,PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM,,,21,,RBRVS,4.42 ,4.92 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42505,CPT,PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP,,,21,,RBRVS,6.32 ,5.98 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42507,CPT,PAROTID DUCT DIVERSION BILATERAL WILKE PX,,,21,,RBRVS,6.25 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42509,CPT,PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS,,,21,,RBRVS,11.76 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42510,CPT,PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS,,,21,,RBRVS,8.35 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42550,CPT,INJECTION PROCEDURE SIALOGRAPHY,,,21,,RBRVS,1.25 ,0.47 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42600,CPT,CLOSURE SALIVARY FISTULA,,,21,,RBRVS,4.94 ,4.49 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42650,CPT,DILATION SALIVARY DUCT,,,21,,RBRVS,0.77 ,0.83 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42660,CPT,DILAT&CATHJ SALIVARY DUCT W/WO INJECTION,,,21,,RBRVS,1.13 ,1.14 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42665,CPT,LIGATION SALIVARY DUCT INTRAORAL,,,21,,RBRVS,2.63 ,2.94 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42699,CPT,UNLISTED PX SALIVARY GLANDS/DUCTS,,,21,,TotalUnits,,,,19.41 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42700,CPT,I&D ABSCESS PERITONSILLAR,,,21,,RBRVS,1.67 ,2.04 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42720,CPT,I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL,,,21,,RBRVS,6.31 ,4.19 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42725,CPT,I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR,,,21,,RBRVS,12.41 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42800,CPT,BIOPSY OROPHARYNX,,,21,,RBRVS,1.44 ,1.61 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42804,CPT,BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE,,,21,,RBRVS,1.29 ,1.82 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42806,CPT,BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION,,,21,,RBRVS,1.63 ,1.98 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42808,CPT,EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD,,,21,,RBRVS,2.35 ,2.04 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42809,CPT,REMOVAL FOREIGN BODY PHARYNX,,,21,,RBRVS,1.86 ,1.43 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42810,CPT,EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TIS,,,21,,RBRVS,3.38 ,4.55 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42815,CPT,EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRYNX,,,21,,RBRVS,7.31 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42820,CPT,TONSILLECTOMY & ADENOIDECTOMY ,,,21,,RBRVS,4.36 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42825,CPT,TONSILLECTOMY ONE-HALF ,,,21,,RBRVS,3.45 ,3.37 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42830,CPT,ADENOIDECTOMY PRIMARY ,,,21,,RBRVS,2.81 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42835,CPT,ADENOIDECTOMY SECONDARY,,,21,,RBRVS,3.26 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42842,CPT,RADICAL RESECTION TONSIL W/O CLOSURE,,,21,,RBRVS,12.23 ,15.85 ,15.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42844,CPT,RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP,,,21,,RBRVS,17.78 ,20.59 ,20.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42845,CPT,RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP,,,21,,RBRVS,32.56 ,28.66 ,28.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 42860,CPT,EXCISION TONSIL TAGS,,,21,,RBRVS,2.30 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42870,CPT,EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX,,,21,,RBRVS,5.52 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42890,CPT,LIMITED PHARYNGECTOMY,,,21,,RBRVS,19.13 ,20.33 ,20.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42892,CPT,RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR,,,21,,RBRVS,26.03 ,25.89 ,25.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42894,CPT,RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS,,,21,,RBRVS,33.92 ,31.24 ,31.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 42900,CPT,SUTURE PHARYNX WOUND/INJURY,,,21,,RBRVS,5.29 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42950,CPT,PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX,,,21,,RBRVS,8.27 ,14.60 ,14.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42953,CPT,PHARYNGOESOPHAGEAL REPAIR,,,21,,RBRVS,9.45 ,18.12 ,18.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 42955,CPT,PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING,,,21,,RBRVS,8.01 ,13.61 ,13.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42960,CPT,CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE,,,21,,RBRVS,2.38 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42961,CPT,CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ,,,21,,RBRVS,5.77 ,5.71 ,5.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 42962,CPT,CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ,,,21,,RBRVS,7.40 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42970,CPT,CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS,,,21,,RBRVS,5.82 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42971,CPT,CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION,,,21,,RBRVS,6.60 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 42972,CPT,CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ,,,21,,RBRVS,7.59 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 42999,CPT,UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS,,,21,,TotalUnits,,,,6.82 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43020,CPT,ESOPHAGOTOMY CERVICAL APPR W/RMVL FB,,,21,,RBRVS,8.23 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43030,CPT,CRICOPHARYNGEAL MYOTOMY,,,21,,RBRVS,7.99 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43045,CPT,ESOPHAGOTOMY THORACIC APPR W/RMVL FB,,,21,,RBRVS,21.88 ,10.88 ,10.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43100,CPT,EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR,,,21,,RBRVS,9.66 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43101,CPT,EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR,,,21,,RBRVS,17.07 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43107,CPT,TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY,,,21,,RBRVS,44.18 ,19.69 ,19.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43108,CPT,TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ,,,21,,RBRVS,82.87 ,32.83 ,32.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43112,CPT,TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY,,,21,,RBRVS,47.48 ,19.73 ,19.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43113,CPT,TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ,,,21,,RBRVS,80.06 ,34.18 ,34.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43116,CPT,PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF,,,21,,RBRVS,92.99 ,41.33 ,41.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43117,CPT,PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY,,,21,,RBRVS,43.65 ,17.93 ,17.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43118,CPT,PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ,,,21,,RBRVS,67.07 ,24.88 ,24.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43121,CPT,PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY,,,21,,RBRVS,51.43 ,19.99 ,19.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43122,CPT,PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL,,,21,,RBRVS,44.18 ,20.13 ,20.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43123,CPT,PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ,,,21,,RBRVS,83.12 ,34.86 ,34.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43124,CPT,TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY,,,21,,RBRVS,69.09 ,26.68 ,26.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43130,CPT,DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR,,,21,,RBRVS,12.53 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43135,CPT,DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR,,,21,,RBRVS,26.17 ,11.15 ,11.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43180,CPT,ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH,,,21,,RBRVS,9.03 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43191,CPT,ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH,,,21,,RBRVS,2.49 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43192,CPT,ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL,,,21,,RBRVS,2.79 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43193,CPT,ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY,,,21,,RBRVS,2.79 ,1.72 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43194,CPT,ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY,,,21,,RBRVS,3.51 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43195,CPT,ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION,,,21,,RBRVS,3.07 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43196,CPT,ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION,,,21,,RBRVS,3.31 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43197,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC,,,21,,RBRVS,1.52 ,0.66 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43198,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY,,,21,,RBRVS,1.82 ,0.79 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43200,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC,,,21,,RBRVS,1.52 ,0.98 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43201,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ,,,21,,RBRVS,1.82 ,1.10 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43202,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY,,,21,,RBRVS,1.82 ,1.09 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43204,CPT,ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES,,,21,,RBRVS,2.43 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43205,CPT,ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES,,,21,,RBRVS,2.54 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43206,CPT,ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY,,,21,,RBRVS,2.39 ,1.38 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43210,CPT,EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY,,,21,,RBRVS,7.75 ,3.66 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43211,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN,,,21,,RBRVS,4.30 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43212,CPT,ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT,,,21,,RBRVS,3.50 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43213,CPT,ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER,,,21,,RBRVS,4.73 ,2.36 ,29.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43214,CPT,ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM,,,21,,RBRVS,3.50 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43215,CPT,ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY,,,21,,RBRVS,2.54 ,1.37 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43216,CPT,ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS,,,21,,RBRVS,2.40 ,1.37 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43217,CPT,ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE,,,21,,RBRVS,2.90 ,1.53 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43220,CPT,ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM,,,21,,RBRVS,2.10 ,1.22 ,29.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43226,CPT,ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION,,,21,,RBRVS,2.34 ,1.29 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43227,CPT,ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL,,,21,,RBRVS,2.99 ,1.61 ,16.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43229,CPT,ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION,,,21,,RBRVS,3.59 ,1.87 ,16.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43231,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM,,,21,,RBRVS,2.90 ,1.59 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43232,CPT,ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX,,,21,,RBRVS,3.69 ,1.84 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43233,CPT,EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER,,,21,,RBRVS,4.17 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43235,CPT,ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC,,,21,,RBRVS,2.19 ,1.26 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43236,CPT,ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION,,,21,,RBRVS,2.49 ,1.41 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43237,CPT,ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS,,,21,,RBRVS,3.57 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43238,CPT,EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS,,,21,,RBRVS,4.26 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43239,CPT,EGD TRANSORAL BIOPSY SINGLE/MULTIPLE,,,21,,RBRVS,2.49 ,1.40 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43240,CPT,EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST,,,21,,RBRVS,7.25 ,3.50 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43241,CPT,EGD INTRALUMINAL TUBE/CATHETER INSERTION,,,21,,RBRVS,2.59 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43242,CPT,EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY,,,21,,RBRVS,4.83 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43243,CPT,EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES,,,21,,RBRVS,4.37 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43244,CPT,EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES,,,21,,RBRVS,4.50 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43245,CPT,EGD DILATION GASTRIC/DUODENAL STRICTURE,,,21,,RBRVS,3.18 ,1.66 ,13.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43246,CPT,EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE,,,21,,RBRVS,3.66 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43247,CPT,EGD FLEXIBLE FOREIGN BODY REMOVAL,,,21,,RBRVS,3.21 ,1.70 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43248,CPT,EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS,,,21,,RBRVS,3.01 ,1.64 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43249,CPT,EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM,,,21,,RBRVS,2.77 ,1.52 ,27.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43250,CPT,EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS,,,21,,RBRVS,3.07 ,1.61 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43251,CPT,EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH,,,21,,RBRVS,3.57 ,1.87 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43252,CPT,EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY,,,21,,RBRVS,3.06 ,1.60 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43253,CPT,EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER,,,21,,RBRVS,4.83 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43254,CPT,EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION,,,21,,RBRVS,4.97 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43255,CPT,EGD TRANSORAL CONTROL BLEEDING ANY METHOD,,,21,,RBRVS,3.66 ,1.92 ,16.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43257,CPT,EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD,,,21,,RBRVS,4.25 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43259,CPT,EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM,,,21,,RBRVS,4.14 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43260,CPT,ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING,,,21,,RBRVS,5.95 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43261,CPT,ERCP W/BIOPSY SINGLE/MULTIPLE,,,21,,RBRVS,6.25 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43262,CPT,ERCP W/SPHINCTEROTOMY/PAPILLOTOMY,,,21,,RBRVS,6.60 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43263,CPT,ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI,,,21,,RBRVS,6.60 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43264,CPT,ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT,,,21,,RBRVS,6.73 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43265,CPT,ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD,,,21,,RBRVS,8.03 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43266,CPT,EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION,,,21,,RBRVS,4.17 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43270,CPT,EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE,,,21,,RBRVS,4.26 ,2.18 ,16.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43273,CPT,ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC,,,21,,RBRVS,2.24 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43274,CPT,ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT,,,21,,RBRVS,8.58 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43275,CPT,ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT,,,21,,RBRVS,6.96 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43276,CPT,ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE,,,21,,RBRVS,8.94 ,4.25 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43277,CPT,ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA,,,21,,RBRVS,7.00 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43278,CPT,ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE,,,21,,RBRVS,8.02 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43279,CPT,LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED,,,21,,RBRVS,22.10 ,10.22 ,10.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43280,CPT,LAPS SURG ESOPG/GSTR FUNDOPLASTY,,,21,,RBRVS,18.10 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43281,CPT,LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH,,,21,,RBRVS,26.60 ,11.99 ,11.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43282,CPT,LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH,,,21,,RBRVS,30.10 ,13.26 ,13.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43283,CPT,LAPS ESOPHAGEAL LENGTHENING ADDL,,,21,,RBRVS,2.95 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43284,CPT,LAPS ESOPHGL SPHNCTR AGMNTJ,,,21,,RBRVS,10.13 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43285,CPT,RMVL ESOPHGL SPHNCTR DEV,,,21,,RBRVS,10.47 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43289,CPT,UNLISTED LAPAROSCOPIC PROCEDURE ESOPHAGUS,,,21,,TotalUnits,,,,38.06 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43300,CPT,ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL,,,21,,RBRVS,9.33 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43305,CPT,ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL,,,21,,RBRVS,18.10 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43310,CPT,ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL,,,21,,RBRVS,26.26 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43312,CPT,ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL,,,21,,RBRVS,29.25 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43313,CPT,ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL,,,21,,RBRVS,48.45 ,23.52 ,23.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43314,CPT,ESPHGP CGEN DFCT THRC APPR W/RPR FSTL,,,21,,RBRVS,53.43 ,26.02 ,26.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43320,CPT,EGST W/WO VAGOTOMY&PYLOROPLASTY TABDL/TTHRC AP,,,21,,RBRVS,23.31 ,11.51 ,11.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43325,CPT,ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH,,,21,,RBRVS,22.60 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43327,CPT,ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY,,,21,,RBRVS,13.35 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43328,CPT,ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY,,,21,,RBRVS,19.91 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43330,CPT,ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH,,,21,,RBRVS,22.19 ,11.14 ,11.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43331,CPT,ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH,,,21,,RBRVS,23.06 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43332,CPT,RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH,,,21,,RBRVS,19.62 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43333,CPT,LAPT RPR PARAESOPH HIATAL HERNIA W/MESH,,,21,,RBRVS,21.46 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43334,CPT,RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH,,,21,,RBRVS,22.12 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43335,CPT,RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH,,,21,,RBRVS,23.97 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43336,CPT,RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH,,,21,,RBRVS,25.81 ,12.16 ,12.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43337,CPT,RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH,,,21,,RBRVS,27.65 ,13.14 ,13.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43338,CPT,ESOPHAGUS LENGTHENING,,,21,,RBRVS,2.21 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43340,CPT,ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR,,,21,,RBRVS,22.99 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43341,CPT,ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR,,,21,,RBRVS,24.23 ,10.92 ,10.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43351,CPT,ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR,,,21,,RBRVS,22.05 ,10.78 ,10.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43352,CPT,ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR,,,21,,RBRVS,17.81 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43360,CPT,GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH,,,21,,RBRVS,40.11 ,19.23 ,19.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43361,CPT,GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT,,,21,,RBRVS,45.68 ,18.07 ,18.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43400,CPT,LIGATION DIRECT ESOPHAGEAL VARICES,,,21,,RBRVS,25.60 ,14.17 ,14.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43401,CPT,TRNSXJ ESOPH W/RPR ESOPHAGEAL VARICES,,,21,,RBRVS,26.49 ,12.32 ,12.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43405,CPT,LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J,,,21,,RBRVS,24.73 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43410,CPT,SUTR ESOPHGL WND/INJ CRV APPR,,,21,,RBRVS,16.41 ,10.22 ,10.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43415,CPT,SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR,,,21,,RBRVS,44.88 ,19.56 ,19.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43420,CPT,CLSR ESOPHAGOSTOMY/FSTL CRV APPR,,,21,,RBRVS,16.78 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43425,CPT,CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR,,,21,,RBRVS,25.04 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43450,CPT,DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS,,,21,,RBRVS,1.38 ,0.92 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43453,CPT,DILATION ESOPHAGUS GUIDE WIRE,,,21,,RBRVS,1.51 ,0.97 ,25.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43460,CPT,ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE,,,21,,RBRVS,3.79 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43496,CPT,FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS,,,21,,TotalUnits,,,,3.93 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43499,CPT,UNLISTED PROCEDURE ESOPHAGUS,,,21,,TotalUnits,,,,4.34 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43500,CPT,GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL,,,21,,RBRVS,12.79 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43501,CPT,GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER,,,21,,RBRVS,22.60 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43502,CPT,GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC,,,21,,RBRVS,25.69 ,12.35 ,12.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43510,CPT,GSTRT W/ESOPHGL DILAT&INSJ PRM INTRAL TUBE,,,21,,RBRVS,15.14 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43520,CPT,PYLOROMYOTOMY CUTTING PYLORIC MUSC,,,21,,RBRVS,11.29 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43605,CPT,BIOPSY STOMACH LAPAROTOMY,,,21,,RBRVS,13.72 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43610,CPT,EXC LOCAL ULCER/BENIGN TUMOR STOMACH,,,21,,RBRVS,16.34 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43611,CPT,EXC LOCAL MALIGNANT TUMOR STOMACH,,,21,,RBRVS,20.38 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43620,CPT,GSTRCT TOT W/ESOPHAGOENTEROSTOMY,,,21,,RBRVS,34.04 ,14.90 ,14.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43621,CPT,GSTRCT TOT W/ROUX-EN-Y RCNSTJ,,,21,,RBRVS,39.53 ,16.99 ,16.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43622,CPT,GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE,,,21,,RBRVS,40.03 ,17.48 ,17.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43631,CPT,GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY,,,21,,RBRVS,24.51 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43632,CPT,GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY,,,21,,RBRVS,35.14 ,15.53 ,15.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43633,CPT,GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ,,,21,,RBRVS,33.14 ,14.77 ,14.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43634,CPT,GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH,,,21,,RBRVS,36.64 ,16.19 ,16.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43635,CPT,VAGOTOMY PFRMD W/PRTL DSTL GSTRCT,,,21,,RBRVS,2.06 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43640,CPT,VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV,,,21,,RBRVS,19.56 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43641,CPT,VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL,,,21,,RBRVS,19.81 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43644,CPT,LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM,,,21,,RBRVS,29.40 ,13.96 ,13.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43645,CPT,LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ,,,21,,RBRVS,31.53 ,14.72 ,14.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43647,CPT,LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM,,,21,,TotalUnits,,,,22.69 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43651,CPT,LAPS SURG TRNSXJ VAGUS NRV TRUNCAL,,,21,,RBRVS,10.13 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43652,CPT,LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV,,,21,,RBRVS,12.13 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43653,CPT,LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX,,,21,,RBRVS,8.48 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43659,CPT,UNLISTED LAPAROSCOPIC PROCEDURE STOMACH,,,21,,TotalUnits,,,,43.36 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43752,CPT,NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDNCE,,,21,,RBRVS,0.81 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43753,CPT,GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE,,,21,,RBRVS,0.45 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43754,CPT,GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN,,,21,,RBRVS,0.45 ,0.47 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43755,CPT,GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPEC,,,21,,RBRVS,0.94 ,0.64 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43756,CPT,DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN,,,21,,RBRVS,0.77 ,0.61 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43757,CPT,DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN,,,21,,RBRVS,1.26 ,0.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43760,CPT,CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GDNCE,,,21,,RBRVS,0.90 ,0.33 ,12.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43761,CPT,REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO,,,21,,RBRVS,2.01 ,0.75 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43770,CPT,LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE,,,21,,RBRVS,18.00 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43771,CPT,LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE,,,21,,RBRVS,20.79 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43772,CPT,LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE,,,21,,RBRVS,15.70 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43773,CPT,LAPS GASTRIC RESTRICTIVE PX REMOVE&RPLCMT DEVICE,,,21,,RBRVS,20.79 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43774,CPT,LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT,,,21,,RBRVS,15.76 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43775,CPT,LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY,,,21,,RBRVS,20.38 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43800,CPT,PYLOROPLASTY,,,21,,RBRVS,15.43 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43810,CPT,GASTRODUODENOSTOMY,,,21,,RBRVS,16.88 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43820,CPT,GASTROJEJUNOSTOMY W/O VAGOTOMY,,,21,,RBRVS,22.53 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43825,CPT,GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE,,,21,,RBRVS,21.76 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43830,CPT,GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX,,,21,,RBRVS,10.85 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43831,CPT,GASTROSTOMY OPN NEONATAL FEEDING,,,21,,RBRVS,8.49 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43832,CPT,GASTROSTOMY OPN W/CONSTJ GSTR TUBE,,,21,,RBRVS,17.34 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43840,CPT,GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ,,,21,,RBRVS,22.83 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43842,CPT,GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY,,,21,,RBRVS,21.03 ,10.56 ,10.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43843,CPT,GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP,,,21,,RBRVS,21.21 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43845,CPT,GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM,,,21,,RBRVS,33.30 ,15.77 ,15.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43846,CPT,GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/<,,,21,,RBRVS,27.41 ,12.95 ,12.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43847,CPT,GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ,,,21,,RBRVS,30.28 ,14.55 ,14.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43848,CPT,REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE,,,21,,RBRVS,32.75 ,15.41 ,15.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43850,CPT,REVJ GASTRODUOL ANAST W/RCNSTJ W/O VAGOTOMY,,,21,,RBRVS,27.58 ,13.51 ,13.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43855,CPT,REVJ GASTRODUOL ANAST W/RCNSTJ W/VGTMY,,,21,,RBRVS,28.69 ,13.31 ,13.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43860,CPT,REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY,,,21,,RBRVS,27.89 ,13.05 ,13.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43865,CPT,REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY,,,21,,RBRVS,29.05 ,13.49 ,13.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43870,CPT,CLOSURE GASTROSTOMY SURG,,,21,,RBRVS,11.44 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43880,CPT,CLOSURE GASTROCOLIC FISTULA,,,21,,RBRVS,27.18 ,12.84 ,12.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 43886,CPT,GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY,,,21,,RBRVS,4.64 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43887,CPT,GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY,,,21,,RBRVS,4.32 ,4.00 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43888,CPT,GSTR RSTCV OPN RMVL & RPLCMT SUBQ PORT,,,21,,RBRVS,6.44 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 43999,CPT,UNLISTED PROCEDURE STOMACH,,,21,,TotalUnits,,,,4.90 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44005,CPT,ENTEROLSS FRING INTSTINAL ADHESION SPX,,,21,,RBRVS,18.46 ,8.99 ,8.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44010,CPT,DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL,,,21,,RBRVS,14.26 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44015,CPT,TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD,,,21,,RBRVS,2.62 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44020,CPT,ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL,,,21,,RBRVS,16.22 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44021,CPT,ENTEROTOMY SM INT OTH/THN DUO DCMPRN,,,21,,RBRVS,16.31 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44025,CPT,COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL,,,21,,RBRVS,16.51 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44050,CPT,RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT,,,21,,RBRVS,15.52 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44055,CPT,CORRJ MALROTATION BANDS&/RDCTJ VOLVULUS,,,21,,RBRVS,25.63 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44100,CPT,BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS,,,21,,RBRVS,2.01 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44110,CPT,EXC 1/> SMALL/LARGE LESIONS INTESTINE ENTEROTOM,,,21,,RBRVS,14.04 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44111,CPT,EXC 1/> SM/LG LESIONS INTESTNE MULT ENTEROTOMIE,,,21,,RBRVS,16.52 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44120,CPT,ENTRC RESCJ SMALL INTESTINE 1 RESCJ & ANAST,,,21,,RBRVS,20.82 ,9.86 ,9.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44121,CPT,ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ & ANA,,,21,,RBRVS,4.44 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44125,CPT,ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY,,,21,,RBRVS,20.03 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44126,CPT,ENTRC RESCJ ATRESIA RESCJ & ANAST W/O TAPRING,,,21,,RBRVS,42.23 ,19.19 ,19.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44127,CPT,ENTRC RESCJ ATRESIA RESCJ & ANAST SGM W/TAPRING,,,21,,RBRVS,49.30 ,21.67 ,21.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44128,CPT,ENTRC RESCJ ATRESIA EA RESCJ & ANASTOMOSIS,,,21,,RBRVS,4.44 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44130,CPT,ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX,,,21,,RBRVS,22.11 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44139,CPT,MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT,,,21,,RBRVS,2.23 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44140,CPT,COLECTOMY PARTIAL W/ANASTOMOSIS,,,21,,RBRVS,22.59 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44141,CPT,COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY,,,21,,RBRVS,29.91 ,16.24 ,16.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44143,CPT,COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT,,,21,,RBRVS,27.79 ,14.17 ,14.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44144,CPT,COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA,,,21,,RBRVS,29.91 ,14.66 ,14.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44145,CPT,COLECTOMY PRTL W/COLOPROCTOSTOMY,,,21,,RBRVS,28.58 ,13.35 ,13.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44146,CPT,COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY,,,21,,RBRVS,35.30 ,18.63 ,18.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44147,CPT,COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH,,,21,,RBRVS,33.69 ,15.17 ,15.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44150,CPT,COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS,,,21,,RBRVS,30.18 ,17.40 ,17.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44151,CPT,COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST,,,21,,RBRVS,34.92 ,19.17 ,19.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44155,CPT,COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY,,,21,,RBRVS,34.42 ,18.97 ,18.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44156,CPT,COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST,,,21,,RBRVS,37.42 ,20.70 ,20.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44157,CPT,COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST,,,21,,RBRVS,35.70 ,19.11 ,19.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44158,CPT,COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR,,,21,,RBRVS,36.70 ,19.56 ,19.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44160,CPT,COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS,,,21,,RBRVS,20.89 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44180,CPT,LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE,,,21,,RBRVS,15.27 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44186,CPT,LAPAROSCOPY SURGICAL JEJUNOSTOMY,,,21,,RBRVS,10.38 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44187,CPT,LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE,,,21,,RBRVS,17.40 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44188,CPT,LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY,,,21,,RBRVS,19.35 ,12.00 ,12.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44202,CPT,LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ & ANA,,,21,,RBRVS,23.39 ,11.50 ,11.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44203,CPT,LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS,,,21,,RBRVS,4.44 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44204,CPT,LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS,,,21,,RBRVS,26.42 ,12.55 ,12.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44205,CPT,LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM,,,21,,RBRVS,22.95 ,11.00 ,11.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44206,CPT,LAPS COLECTOMY PRTL W/END CLST & CLSR DSTL SGM,,,21,,RBRVS,29.79 ,14.60 ,14.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44207,CPT,LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST,,,21,,RBRVS,31.92 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44208,CPT,LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST,,,21,,RBRVS,33.99 ,16.80 ,16.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44210,CPT,LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS,,,21,,RBRVS,30.09 ,15.73 ,15.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44211,CPT,LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS,,,21,,RBRVS,37.08 ,19.32 ,19.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44212,CPT,LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY,,,21,,RBRVS,34.58 ,18.52 ,18.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44213,CPT,LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY,,,21,,RBRVS,3.50 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44227,CPT,LAPS CLSR NTRSTM LG/SM INT W/RESCJ & ANASTOMOSIS,,,21,,RBRVS,28.62 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44238,CPT,UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM,,,21,,TotalUnits,,,,38.97 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44300,CPT,PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN,,,21,,RBRVS,13.75 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44310,CPT,ILEOSTOMY/JEJUNOSTOMY NON-TUBE,,,21,,RBRVS,17.59 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44312,CPT,REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX,,,21,,RBRVS,9.43 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44314,CPT,REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX,,,21,,RBRVS,16.74 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44316,CPT,CONTINENT ILEOSTOMY KOCK PROCEDURE SPX,,,21,,RBRVS,23.59 ,11.76 ,11.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44320,CPT,COLOSTOMY/SKIN LEVEL CECOSTOMY,,,21,,RBRVS,19.91 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44322,CPT,COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX,,,21,,RBRVS,13.32 ,12.43 ,12.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44340,CPT,REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX,,,21,,RBRVS,9.28 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44345,CPT,REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX,,,21,,RBRVS,17.22 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44346,CPT,REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX,,,21,,RBRVS,19.63 ,10.45 ,10.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44360,CPT,ENDOSCOPY UPPER SMALL INTESTINE,,,21,,RBRVS,2.59 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44361,CPT,ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY,,,21,,RBRVS,2.87 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44363,CPT,ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY,,,21,,RBRVS,3.49 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44364,CPT,ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE,,,21,,RBRVS,3.73 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44365,CPT,ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY,,,21,,RBRVS,3.31 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44366,CPT,ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING,,,21,,RBRVS,4.40 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44369,CPT,ENTEROSCOPY > 2ND PRTN ABLTJ LESION,,,21,,RBRVS,4.51 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44370,CPT,ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT,,,21,,RBRVS,4.79 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44372,CPT,ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE,,,21,,RBRVS,4.40 ,2.19 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44373,CPT,ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE,,,21,,RBRVS,3.49 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44376,CPT,ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX,,,21,,RBRVS,5.25 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44377,CPT,ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE,,,21,,RBRVS,5.52 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44378,CPT,ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING,,,21,,RBRVS,7.12 ,3.45 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44379,CPT,ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT,,,21,,RBRVS,7.46 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44380,CPT,ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD,,,21,,RBRVS,0.97 ,0.71 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44381,CPT,ILEOSCOPY STOMA W/BALLOON DILATION,,,21,,RBRVS,1.48 ,0.93 ,26.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44382,CPT,ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE,,,21,,RBRVS,1.27 ,0.86 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44384,CPT,ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT,,,21,,RBRVS,2.95 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44385,CPT,NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX,,,21,,RBRVS,1.30 ,0.76 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44386,CPT,NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE,,,21,,RBRVS,1.60 ,0.93 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44388,CPT,COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX,,,21,,RBRVS,2.82 ,1.47 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44389,CPT,COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE,,,21,,RBRVS,3.12 ,1.63 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44390,CPT,COLONOSCOPY STOMA W/RMVL FOREIGN BODY,,,21,,RBRVS,3.84 ,2.00 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44391,CPT,COLONOSCOPY STOMA CONTROL BLEEDING,,,21,,RBRVS,4.22 ,2.14 ,16.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44392,CPT,COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS,,,21,,RBRVS,3.63 ,1.80 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44394,CPT,COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE,,,21,,RBRVS,4.13 ,2.06 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44401,CPT,COLONOSCOPY STOMA ABLATION LESION,,,21,,RBRVS,4.44 ,2.16 ,87.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44402,CPT,COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT,,,21,,RBRVS,4.80 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44403,CPT,COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ,,,21,,RBRVS,5.60 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44404,CPT,COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION,,,21,,RBRVS,3.12 ,1.61 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44405,CPT,COLONOSCOPY STOMA W/BALLOON DILATION,,,21,,RBRVS,3.33 ,1.70 ,13.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44406,CPT,COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM,,,21,,RBRVS,4.20 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44407,CPT,COLONOSCOPY STOMA W/US GID NDL ASPIR/BX,,,21,,RBRVS,5.06 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44408,CPT,COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION,,,21,,RBRVS,4.24 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44500,CPT,INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE,,,21,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44602,CPT,ENTERORRHAPHY 1PERFORATION,,,21,,RBRVS,24.72 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44603,CPT,ENTERORRHAPHY MULTIPLE PERFORATIONS,,,21,,RBRVS,28.16 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44604,CPT,SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY,,,21,,RBRVS,18.16 ,8.41 ,8.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44605,CPT,SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY,,,21,,RBRVS,22.08 ,10.81 ,10.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44615,CPT,INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ,,,21,,RBRVS,18.16 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44620,CPT,CLOSURE ENTEROSTOMY LG/SMALL INTESTINE,,,21,,RBRVS,14.43 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44625,CPT,CLSR NTRSTM LG/SM RESCJ & ANAST OTH/THN CLRCT,,,21,,RBRVS,17.28 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44626,CPT,CLSR NTRSTM LG/SM RESCJ & COLORECTAL ANASTOMOSIS,,,21,,RBRVS,27.90 ,12.43 ,12.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44640,CPT,CLOSURE INTESTINAL CUTANEOUS FISTULA,,,21,,RBRVS,24.20 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44650,CPT,CLSR ENTEROENTERIC/ENTEROCOLIC FSTL,,,21,,RBRVS,25.12 ,11.48 ,11.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44660,CPT,CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ,,,21,,RBRVS,23.91 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44661,CPT,CLSR ENTEROVES FSTL W/INTESTINE&/BLADDER RESCJ,,,21,,RBRVS,27.35 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44680,CPT,INTESTINAL PLICATION SEPARATE PROCEDURE,,,21,,RBRVS,17.96 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44700,CPT,EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS,,,21,,RBRVS,17.48 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44701,CPT,INTRAOPERATIVE COLONIC LAVAGE,,,21,,RBRVS,3.10 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44705,CPT,PREPARE FECAL MICROBIOTA FOR INSTILLATION,,,21,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44720,CPT,BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA,,,21,,RBRVS,5.00 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44721,CPT,BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA,,,21,,RBRVS,7.00 ,2.50 ,2.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44799,CPT,UNLISTED PROCEDURE SMALL INTESTINE,,,21,,TotalUnits,,,,30.68 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44800,CPT,EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT,,,21,,RBRVS,12.05 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44820,CPT,EXCISION LESION MESENTERY SEPARATE PROCEDURE,,,21,,RBRVS,13.73 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44850,CPT,SUTURE MESENTERY SEPARATE PROCEDURE,,,21,,RBRVS,12.11 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44899,CPT,UNLISTED PX MECKEL'S DIVERTICULUM & MESENTERY,,,21,,TotalUnits,,,,19.41 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44900,CPT,INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN,,,21,,RBRVS,12.57 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44950,CPT,APPENDECTOMY,,,21,,RBRVS,10.60 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44955,CPT,APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX,,,21,,RBRVS,1.53 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44960,CPT,APPENDEC RPTD APPENDIX ABSC/PRITONITIS,,,21,,RBRVS,14.50 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 44970,CPT,LAPAROSCOPIC APPENDECTOMY,,,21,,RBRVS,9.45 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 44979,CPT,UNLISTED LAPAROSCOPY PROCEDURE APPENDIX,,,21,,TotalUnits,,,,15.18 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45000,CPT,TRANSRECTAL DRAINAGE OF PELVIC ABSCESS,,,21,,RBRVS,6.30 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45005,CPT,I&D SUBMUCOSAL ABSCESS RECTUM,,,21,,RBRVS,2.02 ,2.20 ,5.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45020,CPT,I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC,,,21,,RBRVS,8.56 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45100,CPT,BX ANORECTAL WALL ANAL APPROACH,,,21,,RBRVS,4.04 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45108,CPT,ANORECTAL MYOMECTOMY,,,21,,RBRVS,5.12 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45110,CPT,PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST,,,21,,RBRVS,30.76 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45111,CPT,PRCTECT PRTL RESCJ RECTUM TABDL APPR,,,21,,RBRVS,18.01 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45112,CPT,PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX,,,21,,RBRVS,33.18 ,15.08 ,15.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45113,CPT,PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR,,,21,,RBRVS,33.22 ,16.67 ,16.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45114,CPT,PRCTECT PRTL W/ANAST ABDL & TRANSSAC APPROACH,,,21,,RBRVS,30.79 ,14.52 ,14.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45116,CPT,PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY,,,21,,RBRVS,27.72 ,13.61 ,13.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45119,CPT,PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM,,,21,,RBRVS,33.48 ,16.85 ,16.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45120,CPT,PRCTECT COMPL W/PULL-THRU PX & ANASTOMOSIS,,,21,,RBRVS,26.40 ,13.32 ,13.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45121,CPT,PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS,,,21,,RBRVS,29.08 ,14.48 ,14.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45123,CPT,PRCTECT PRTL W/O ANAST PRNL APPR,,,21,,RBRVS,18.86 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45126,CPT,PELVIC EXENTERATION COLORECTAL MALIGNANCY,,,21,,RBRVS,49.10 ,22.75 ,22.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45130,CPT,EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH,,,21,,RBRVS,18.50 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45135,CPT,EXC RCT PROCIDENTIA W/ANAST ABDL & PRNL APPROACH,,,21,,RBRVS,22.36 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45136,CPT,EXC ILEOANAL RSVR W/ILEOSTOMY,,,21,,RBRVS,30.82 ,17.03 ,17.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45150,CPT,DIVISION STRICTURE RECTUM,,,21,,RBRVS,5.85 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45160,CPT,EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL,,,21,,RBRVS,16.33 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45171,CPT,EXC RCT TUM NOT INCL MUSCULARIS PROPRIA,,,21,,RBRVS,8.13 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45172,CPT,EXC RCT TUM INCL MUSCULARIS PROPRIA,,,21,,RBRVS,12.13 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45190,CPT,DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH,,,21,,RBRVS,10.42 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45300,CPT,PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX,,,21,,RBRVS,0.80 ,0.63 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45303,CPT,PROCTOSGMDSC RIGID W/DILATION,,,21,,RBRVS,1.50 ,0.89 ,25.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45305,CPT,PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE,,,21,,RBRVS,1.25 ,0.80 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45307,CPT,PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY,,,21,,RBRVS,1.70 ,0.97 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45308,CPT,PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY,,,21,,RBRVS,1.40 ,0.86 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45309,CPT,PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ,,,21,,RBRVS,1.50 ,0.90 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45315,CPT,PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE,,,21,,RBRVS,1.80 ,1.08 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45317,CPT,PROCTOSGMDSC RIGID CONTROL BLEEDING,,,21,,RBRVS,2.00 ,1.07 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45320,CPT,PROCTOSGMDSC RIGID ABLATION LESION,,,21,,RBRVS,1.78 ,1.00 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45321,CPT,PROCTOSGMDSC RIGID DCMPRN VOLVULUS,,,21,,RBRVS,1.75 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45327,CPT,PROCTOSGMDSC RIGID TNDSC STENT PLMT,,,21,,RBRVS,2.00 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45330,CPT,SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD,,,21,,RBRVS,0.84 ,0.67 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45331,CPT,SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE,,,21,,RBRVS,1.14 ,0.81 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45332,CPT,SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY,,,21,,RBRVS,1.86 ,1.10 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45333,CPT,SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS,,,21,,RBRVS,1.65 ,1.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45334,CPT,SIGMOIDOSCOPY FLX CONTROL BLEEDING,,,21,,RBRVS,2.10 ,1.23 ,14.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45335,CPT,SGMDSC FLX DIRED SBMCSL NJX ANY SBST,,,21,,RBRVS,1.14 ,0.80 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45337,CPT,SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE,,,21,,RBRVS,2.20 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45338,CPT,SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ,,,21,,RBRVS,2.15 ,1.23 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45340,CPT,SIGMOIDOSCOPY FLX TNDSC BALO DILAT,,,21,,RBRVS,1.35 ,0.88 ,12.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45341,CPT,SIGMOIDOSCOPY FLX NDSC US XM,,,21,,RBRVS,2.22 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45342,CPT,SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX,,,21,,RBRVS,3.08 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45346,CPT,SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES,,,21,,RBRVS,2.91 ,1.55 ,85.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45347,CPT,SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT,,,21,,RBRVS,2.82 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45349,CPT,SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION,,,21,,RBRVS,3.62 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45350,CPT,SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S),,,21,,RBRVS,1.78 ,1.06 ,14.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45378,CPT,COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD,,,21,,RBRVS,3.36 ,1.74 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45379,CPT,COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S),,,21,,RBRVS,4.38 ,2.19 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45380,CPT,COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE,,,21,,RBRVS,3.66 ,1.90 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45381,CPT,COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST,,,21,,RBRVS,3.66 ,1.91 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45382,CPT,COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD,,,21,,RBRVS,4.76 ,2.40 ,17.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45384,CPT,COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS,,,21,,RBRVS,4.17 ,2.06 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45385,CPT,COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ,,,21,,RBRVS,4.67 ,2.34 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45386,CPT,COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT,,,21,,RBRVS,3.87 ,1.96 ,14.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45388,CPT,COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES,,,21,,RBRVS,4.98 ,2.42 ,87.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45389,CPT,COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT,,,21,,RBRVS,5.34 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45390,CPT,COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION,,,21,,RBRVS,6.14 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45391,CPT,COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX,,,21,,RBRVS,4.74 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45392,CPT,COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL,,,21,,RBRVS,5.60 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45393,CPT,COLONOSCOPY FLEXIBLE WITH DECOMPRESSION,,,21,,RBRVS,4.78 ,2.11 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45395,CPT,LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY,,,21,,RBRVS,33.00 ,18.17 ,18.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45397,CPT,LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR,,,21,,RBRVS,36.50 ,19.53 ,19.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45398,CPT,COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S),,,21,,RBRVS,4.30 ,2.10 ,15.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45399,CPT,UNLISTED PROCEDURE COLON,,,21,,TotalUnits,,,,5.91 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45400,CPT,LAPAROSCOPY PROCTOPEXY PROLAPSE,,,21,,RBRVS,19.44 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45402,CPT,LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ,,,21,,RBRVS,26.51 ,12.70 ,12.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45499,CPT,UNLISTED LAPAROSCOPY PROCEDURE RECTUM,,,21,,TotalUnits,,,,32.60 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45500,CPT,PROCTOPLASTY STENOSIS,,,21,,RBRVS,7.73 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45505,CPT,PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE,,,21,,RBRVS,8.36 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45520,CPT,PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE,,,21,,RBRVS,0.55 ,0.54 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45540,CPT,PROCTOPEXY ABDOMINAL APPROACH,,,21,,RBRVS,18.12 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45541,CPT,PROCTOPEXY PERINEAL APPROACH,,,21,,RBRVS,14.85 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45550,CPT,PROCTOPEXY W/SIGMOID RESCJ ABDL APPR,,,21,,RBRVS,24.80 ,12.94 ,12.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45560,CPT,REPAIR RECTOCELE SEPARATE PROCEDURE,,,21,,RBRVS,11.50 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45562,CPT,EXPL RPR & PRESACRAL DRG RECTAL INJURY,,,21,,RBRVS,17.98 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45563,CPT,EXPL RPR & PRESACRAL DRG RECTAL INJ W/COLOSTOMY,,,21,,RBRVS,26.38 ,15.08 ,15.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45800,CPT,CLOSURE RECTOVESICAL FISTULA,,,21,,RBRVS,20.31 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45805,CPT,CLSR RECTOVESICAL FISTULA W/COLOSTOMY,,,21,,RBRVS,23.32 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45820,CPT,CLOSURE RECTOURETHRAL FISTULA,,,21,,RBRVS,20.37 ,11.15 ,11.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45825,CPT,CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY,,,21,,RBRVS,24.17 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 45900,CPT,RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE,,,21,,RBRVS,2.99 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45905,CPT,DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL,,,21,,RBRVS,2.35 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45910,CPT,DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL,,,21,,RBRVS,2.85 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45915,CPT,RMVL FECAL IMPACTION/FB SPX UNDER ANES,,,21,,RBRVS,3.19 ,2.84 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45990,CPT,ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX,,,21,,RBRVS,1.80 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 45999,CPT,UNLISTED PROCEDURE RECTUM,,,21,,TotalUnits,,,,5.91 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46020,CPT,PLACEMENT SETON,,,21,,RBRVS,3.00 ,3.18 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46030,CPT,REMOVAL ANAL SETON OTHER MARKER,,,21,,RBRVS,1.26 ,1.11 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46040,CPT,I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX,,,21,,RBRVS,5.37 ,5.45 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46045,CPT,I&D INTRAMURAL IM/ABSC TRANSANAL ANES,,,21,,RBRVS,5.87 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46050,CPT,I&D PERIANAL ABSCESS SUPERFICIAL,,,21,,RBRVS,1.24 ,1.33 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46060,CPT,I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON,,,21,,RBRVS,6.37 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46070,CPT,INCISION ANAL SEPTUM INFANT,,,21,,RBRVS,2.79 ,3.36 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46080,CPT,SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX,,,21,,RBRVS,2.52 ,1.56 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46083,CPT,INCISION THROMBOSED HEMORRHOID EXTERNAL,,,21,,RBRVS,1.45 ,1.37 ,3.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46200,CPT,FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED,,,21,,RBRVS,3.59 ,5.10 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46220,CPT,EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS,,,21,,RBRVS,1.61 ,1.50 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46221,CPT,HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS,,,21,,RBRVS,2.36 ,2.74 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46230,CPT,EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS,,,21,,RBRVS,2.62 ,1.87 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46250,CPT,HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP,,,21,,RBRVS,4.25 ,3.97 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46255,CPT,HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP,,,21,,RBRVS,4.96 ,4.24 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46257,CPT,HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTO,,,21,,RBRVS,5.76 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46258,CPT,HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY,,,21,,RBRVS,6.41 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46260,CPT,HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO,,,21,,RBRVS,6.73 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46261,CPT,HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSU,,,21,,RBRVS,7.76 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46262,CPT,HRHC 2/> COL/GRP W/FSTULECTMY INCL FSSRECTMY,,,21,,RBRVS,7.91 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46270,CPT,SURG TX ANAL FISTULA SUBQ,,,21,,RBRVS,4.92 ,5.35 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46275,CPT,SURG TX ANAL FISTULA INTERSPHINCTERIC,,,21,,RBRVS,5.42 ,5.49 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46280,CPT,TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON,,,21,,RBRVS,6.39 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46285,CPT,SURG TX ANAL FISTULA 2ND STAGE,,,21,,RBRVS,5.42 ,5.48 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46288,CPT,CLSR ANAL FSTL W/RCT ADVMNT FLAP,,,21,,RBRVS,7.81 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46320,CPT,EXC THROMBOSED HEMORRHOID XTRNL,,,21,,RBRVS,1.64 ,1.25 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46500,CPT,INJECTION SCLEROSING SOLUTION HEMORRHOIDS,,,21,,RBRVS,1.42 ,1.89 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46505,CPT,CHEMODENERVATION INTERNAL ANAL SPHINCTER,,,21,,RBRVS,3.18 ,3.12 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46600,CPT,ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,,,21,,RBRVS,0.55 ,0.54 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46601,CPT,ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,,,21,,RBRVS,1.60 ,0.98 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46604,CPT,ANOSCOPY W/DILATION,,,21,,RBRVS,1.03 ,0.72 ,16.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46606,CPT,ANOSCOPY W/BX SINGLE/MULTIPLE,,,21,,RBRVS,1.20 ,0.80 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46607,CPT,ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX,,,21,,RBRVS,2.20 ,1.23 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46608,CPT,ANOSCOPY W/RMVL FOREIGN BODY,,,21,,RBRVS,1.30 ,0.79 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46610,CPT,ANOSCOPY W/RMVL LESION CAUTERY,,,21,,RBRVS,1.28 ,0.80 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46611,CPT,ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ,,,21,,RBRVS,1.30 ,0.83 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46612,CPT,ANOSC RMVL MULT TUMORS CAUTERY/SNARE,,,21,,RBRVS,1.50 ,0.88 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46614,CPT,ANOSCOPY CONTROL BLEEDING,,,21,,RBRVS,1.00 ,0.71 ,2.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46615,CPT,ANOSCOPY ABLATION LESION,,,21,,RBRVS,1.50 ,0.90 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46700,CPT,ANOPLASTY PLASTIC OPERATION STRICTURE ADULT,,,21,,RBRVS,9.81 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46705,CPT,ANOPLASTY PLASTIC OPERATION STRICTURE INFANT,,,21,,RBRVS,7.43 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46706,CPT,REPAIR ANAL FISTULA W/FIBRIN GLUE,,,21,,RBRVS,2.44 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46707,CPT,REPAIR ANORECTAL FISTULA PLUG,,,21,,RBRVS,6.39 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46710,CPT,RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR,,,21,,RBRVS,17.14 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46712,CPT,RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR,,,21,,RBRVS,36.45 ,19.29 ,19.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46715,CPT,RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK,,,21,,RBRVS,7.62 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46716,CPT,RPR LW IMPERFORATE ANUS W/TRPOS FISTULA,,,21,,RBRVS,17.54 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46730,CPT,RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR,,,21,,RBRVS,30.65 ,17.79 ,17.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46735,CPT,RPR HI IMPRF ANUS W/O FISTULA CMBN APPR,,,21,,RBRVS,36.14 ,19.88 ,19.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46740,CPT,RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR,,,21,,RBRVS,33.90 ,20.04 ,20.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46742,CPT,RPR HI IMPRF ANUS W/FSTL TABDL & SACROPRNL,,,21,,RBRVS,40.14 ,22.17 ,22.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46744,CPT,RPR CLOACAL ANOMALY SACROPERINEAL,,,21,,RBRVS,58.94 ,28.97 ,28.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46746,CPT,RPR CLOACAL ANOMALY CMBN ABDL&SACROPRNL,,,21,,RBRVS,65.44 ,31.21 ,31.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46748,CPT,RPR CLOACAL ANOMALY CMBN ABDL & SACROPRNL W/GRF,,,21,,RBRVS,71.42 ,33.50 ,33.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46750,CPT,SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT,,,21,,RBRVS,12.15 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46751,CPT,SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD,,,21,,RBRVS,9.30 ,6.63 ,6.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 46753,CPT,GRAFT THIERSCH RCT INCONTINENCE &/PROLAPSE,,,21,,RBRVS,8.89 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46754,CPT,RMVL THIERSCH WIRE/SUTURE ANAL CANAL,,,21,,RBRVS,3.01 ,3.13 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46760,CPT,SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT,,,21,,RBRVS,17.45 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46761,CPT,SPHNCTROP ANAL LEVATOR MUSC IMBRCJ,,,21,,RBRVS,15.29 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46762,CPT,SPHNCTROP ANAL IMPLTJ ARTIF SPHNCTR,,,21,,RBRVS,14.82 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46900,CPT,DSTRJ LESION ANUS SIMPLE CHEMICAL,,,21,,RBRVS,1.91 ,1.76 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46910,CPT,DSTRJ LESION ANUS SMPL ELTRDSICCATION,,,21,,RBRVS,1.91 ,1.61 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46916,CPT,DSTRJ LESION ANUS SIMPLE CRYOSURGERY,,,21,,RBRVS,1.91 ,1.95 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46917,CPT,DSTRJ LESION ANUS SIMPLE LASER SURG,,,21,,RBRVS,1.91 ,1.62 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46922,CPT,DSTRJ LESION ANUS SIMPLE SURG EXCISION,,,21,,RBRVS,1.91 ,1.62 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46924,CPT,DSTRJ LESION ANUS EXTENSIVE,,,21,,RBRVS,2.81 ,2.02 ,11.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46930,CPT,DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY,,,21,,RBRVS,1.61 ,2.39 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46940,CPT,CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST,,,21,,RBRVS,2.35 ,1.49 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46942,CPT,CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ,,,21,,RBRVS,2.07 ,1.39 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46945,CPT,HRHC NTRNL LIG OTH THAN RBBR BAND 1 COL/GRP,,,21,,RBRVS,2.21 ,3.86 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46946,CPT,HRHC NTRNL LIG OTH THAN RBBR BAND 2/> COL/GRP,,,21,,RBRVS,2.63 ,3.38 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46947,CPT,HEMORRHOIDOPEXY STAPLING,,,21,,RBRVS,5.57 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 46999,CPT,UNLISTED PROCEDURE ANUS,,,21,,TotalUnits,,,,6.40 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47000,CPT,BIOPSY LIVER NEEDLE PERCUTANEOUS,,,21,,RBRVS,1.90 ,0.91 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47001,CPT,BX LVR NDL DONE PURPOSE TM OTH MAJOR PX,,,21,,RBRVS,1.90 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47010,CPT,HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES,,,21,,RBRVS,19.40 ,11.07 ,11.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47015,CPT,LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS,,,21,,RBRVS,18.50 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47100,CPT,BIOPSY LIVER WEDGE,,,21,,RBRVS,12.91 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47120,CPT,HEPATECTOMY RESCJ PARTIAL LOBECTOMY,,,21,,RBRVS,39.01 ,19.26 ,19.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47122,CPT,HEPATECTOMY RESCJ TRISEGMENTECTOMY,,,21,,RBRVS,59.48 ,25.87 ,25.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47125,CPT,HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY,,,21,,RBRVS,53.04 ,23.48 ,23.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47130,CPT,HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY,,,21,,RBRVS,57.19 ,24.94 ,24.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47135,CPT,LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE,,,21,,RBRVS,90.00 ,44.40 ,44.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47140,CPT,DONOR HEPATECTOMY LIVING DONOR SEG II & III,,,21,,RBRVS,59.40 ,29.81 ,29.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47141,CPT,DONOR HEPATECTOMY LIVING DONOR SEG II III & IV,,,21,,RBRVS,71.50 ,35.01 ,35.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47142,CPT,DONOR HEPATECTOMY LIVING DONOR SEG V VI VII &VI,,,21,,RBRVS,79.44 ,37.85 ,37.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47143,CPT,BKBENCH PREP CADAVER DONOR,,,21,,TotalUnits,,,,14.37 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47146,CPT,BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA,,,21,,RBRVS,6.00 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47147,CPT,BKBENCH RCNSTJ LVR GRF ARTL ANAST EA,,,21,,RBRVS,7.00 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47300,CPT,MARSUPIALIZATION CST/ABSC LVR,,,21,,RBRVS,18.14 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47350,CPT,MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ,,,21,,RBRVS,22.49 ,12.01 ,12.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47360,CPT,MGMT LVR HEMRRG CPLX SUTR WND/INJ,,,21,,RBRVS,31.31 ,15.40 ,15.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47361,CPT,MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR,,,21,,RBRVS,52.60 ,23.16 ,23.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47362,CPT,MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING,,,21,,RBRVS,23.54 ,12.80 ,12.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47370,CPT,LAPS SURG ABLTJ 1/> LVR TUM RF,,,21,,RBRVS,20.80 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47371,CPT,LAPS SURG ABLTJ 1 > LVR TUM CRYOSURG,,,21,,RBRVS,20.80 ,10.09 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47379,CPT,UNLIS LAPAROSCOPIC PROCEDURE LIVER,,,21,,TotalUnits,,,,31.23 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47380,CPT,ABLTJ OPN 1/> LVR TUM RF,,,21,,RBRVS,24.56 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47381,CPT,ABLTJ OPN 1/> LVR TUM CRYOSURG,,,21,,RBRVS,24.88 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47382,CPT,ABLTJ 1/> LVR TUM PRQ RF,,,21,,RBRVS,15.22 ,5.78 ,126.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47383,CPT,ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION,,,21,,RBRVS,9.13 ,3.78 ,204.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47399,CPT,UNLISTED PROCEDURE LIVER,,,21,,TotalUnits,,,,3.16 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47400,CPT,HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1,,,21,,RBRVS,36.36 ,17.51 ,17.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47420,CPT,CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP,,,21,,RBRVS,22.03 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47425,CPT,CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP,,,21,,RBRVS,22.31 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47460,CPT,TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS,,,21,,RBRVS,20.52 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47480,CPT,CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX,,,21,,RBRVS,13.25 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47490,CPT,CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT,,,21,,RBRVS,4.76 ,4.42 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47531,CPT,NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS,,,21,,RBRVS,1.80 ,0.81 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47532,CPT,NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS,,,21,,RBRVS,4.25 ,1.58 ,18.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47533,CPT,PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL,,,21,,RBRVS,6.00 ,2.17 ,31.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47534,CPT,PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT,,,21,,RBRVS,8.03 ,2.81 ,37.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47535,CPT,CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH,,,21,,RBRVS,4.50 ,1.70 ,26.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47536,CPT,EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I,,,21,,RBRVS,2.88 ,1.14 ,20.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47537,CPT,REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I,,,21,,RBRVS,1.83 ,0.82 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47538,CPT,PLMT BILE DUCT STENT PRQ EXISTING ACCESS,,,21,,RBRVS,6.60 ,2.37 ,120.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47539,CPT,PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH,,,21,,RBRVS,9.00 ,3.12 ,130.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47540,CPT,PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH,,,21,,RBRVS,10.75 ,3.72 ,133.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47541,CPT,PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW,,,21,,RBRVS,5.61 ,2.02 ,27.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47542,CPT,BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT,,,21,,RBRVS,2.50 ,0.79 ,11.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 47543,CPT,ENDOLUMINAL BX BILIARY TREE PRQ ANY METH SNG/MLT,,,21,,RBRVS,3.07 ,1.08 ,33.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 47544,CPT,REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I,,,21,,RBRVS,4.29 ,1.41 ,18.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 47550,CPT,BILIARY NDSC INTRAOPERATIVE,,,21,,RBRVS,3.02 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47552,CPT,BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH,,,21,,RBRVS,6.03 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47553,CPT,BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE,,,21,,RBRVS,6.34 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47554,CPT,BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS,,,21,,RBRVS,9.05 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47555,CPT,BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT,,,21,,RBRVS,7.55 ,2.47 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47556,CPT,BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT,,,21,,RBRVS,8.55 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47562,CPT,LAPAROSCOPY SURG CHOLECYSTECTOMY,,,21,,RBRVS,10.47 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47563,CPT,LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,,,21,,RBRVS,11.47 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47564,CPT,LAPS SURG CHOLECSTC W/EXPL COMMON DUCT,,,21,,RBRVS,18.00 ,9.99 ,9.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47570,CPT,LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY,,,21,,RBRVS,12.56 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47579,CPT,UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT,,,21,,TotalUnits,,,,16.58 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 47600,CPT,CHOLECYSTECTOMY,,,21,,RBRVS,17.48 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47605,CPT,CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,,,21,,RBRVS,18.48 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47610,CPT,CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT,,,21,,RBRVS,20.92 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47612,CPT,CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY,,,21,,RBRVS,21.21 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47620,CPT,CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP,,,21,,RBRVS,23.07 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47700,CPT,EXPL CONGENITAL ATRESIA BILE DUCTS,,,21,,RBRVS,16.50 ,9.85 ,9.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47701,CPT,PORTOENETEROSTOMY,,,21,,RBRVS,28.73 ,14.64 ,14.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47711,CPT,EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC,,,21,,RBRVS,25.90 ,13.06 ,13.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47712,CPT,EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC,,,21,,RBRVS,33.72 ,16.11 ,16.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47715,CPT,EXCISION CHOLEDOCHAL CYST,,,21,,RBRVS,21.55 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47720,CPT,CHOLECYSTOENTEROSTOMY DIRECT,,,21,,RBRVS,18.34 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47721,CPT,CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY,,,21,,RBRVS,21.99 ,11.99 ,11.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47740,CPT,CHOLECYSTOENTEROSTOMY ROUX-EN-Y,,,21,,RBRVS,21.23 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47741,CPT,CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM,,,21,,RBRVS,24.21 ,12.69 ,12.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47760,CPT,ANAST XTRHEPATC BILIARY DUCTS & GI TRACT,,,21,,RBRVS,38.32 ,18.02 ,18.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47765,CPT,ANAST INTRAHEPATC DUCTS & GI TRACT,,,21,,RBRVS,52.19 ,23.44 ,23.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47780,CPT,ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS & GI,,,21,,RBRVS,42.32 ,19.37 ,19.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47785,CPT,ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS & GI,,,21,,RBRVS,56.19 ,24.63 ,24.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47800,CPT,RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST,,,21,,RBRVS,26.17 ,13.28 ,13.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47801,CPT,PLACEMENT CHOLEDOCHAL STENT,,,21,,RBRVS,17.60 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47802,CPT,U-TUBE HEPATICOENTEROSTOMY,,,21,,RBRVS,24.93 ,13.21 ,13.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47900,CPT,SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY,,,21,,RBRVS,22.44 ,11.96 ,11.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 47999,CPT,UNLISTED PROCEDURE BILIARY TRACT,,,21,,TotalUnits,,,,16.58 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 48000,CPT,PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS,,,21,,RBRVS,31.95 ,14.93 ,14.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48001,CPT,PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY,,,21,,RBRVS,39.69 ,17.54 ,17.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48020,CPT,REMOVAL PANCREATIC CALCULUS,,,21,,RBRVS,19.09 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48100,CPT,BIOPSY PANCREAS OPEN,,,21,,RBRVS,14.46 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48102,CPT,BIOPSY PANCREA PERCUTANEOUS NEEDLE,,,21,,RBRVS,4.70 ,1.91 ,10.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 48105,CPT,RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS,,,21,,RBRVS,49.26 ,21.92 ,21.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48120,CPT,EXCISION LESION PANCREAS,,,21,,RBRVS,18.41 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48140,CPT,PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY,,,21,,RBRVS,26.32 ,12.77 ,12.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48145,CPT,PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY,,,21,,RBRVS,27.39 ,13.26 ,13.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48146,CPT,PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX,,,21,,RBRVS,30.60 ,16.53 ,16.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48148,CPT,EXCISION AMPULLA VATER,,,21,,RBRVS,20.39 ,10.91 ,10.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48150,CPT,PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY,,,21,,RBRVS,52.84 ,24.78 ,24.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48152,CPT,PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY,,,21,,RBRVS,48.65 ,23.10 ,23.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48153,CPT,PNCRTECT W/PANCREATOJEJUNOSTOMY,,,21,,RBRVS,52.79 ,24.47 ,24.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48154,CPT,PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY,,,21,,RBRVS,48.88 ,23.51 ,23.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48155,CPT,PANCREATECTOMY TOTAL,,,21,,RBRVS,29.45 ,16.14 ,16.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48160,CPT,PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS,,,21,,TotalUnits,,,,81.30 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 48400,CPT,INJECTION INTRAOPERATIVE PANCREATOGRAPHY,,,21,,RBRVS,1.95 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48500,CPT,MARSUPIALIZATION PANCREATIC CYST,,,21,,RBRVS,18.16 ,10.74 ,10.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48510,CPT,EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN,,,21,,RBRVS,17.19 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48520,CPT,INT ANAST PANCREATIC CYST GI TRACT DIRECT,,,21,,RBRVS,18.15 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48540,CPT,INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y,,,21,,RBRVS,21.94 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48545,CPT,PANCREATORRHAPHY INJURY,,,21,,RBRVS,22.23 ,11.23 ,11.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48547,CPT,DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ,,,21,,RBRVS,30.38 ,14.35 ,14.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48548,CPT,PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST,,,21,,RBRVS,28.09 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48552,CPT,BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA,,,21,,RBRVS,4.30 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48554,CPT,TRANSPLANTATION PANCREATIC ALLOGRAFT,,,21,,RBRVS,37.80 ,27.34 ,27.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48556,CPT,RMVL TRANSPLANTED PANCREATIC ALLOGRAFT,,,21,,RBRVS,19.47 ,12.69 ,12.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 48999,CPT,UNLISTED PROCEDURE PANCREAS,,,21,,TotalUnits,,,,47.13 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49000,CPT,EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX,,,21,,RBRVS,12.54 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49002,CPT,REOPENING RECENT LAPAROTOMY,,,21,,RBRVS,17.63 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49010,CPT,EXPL RETROPERITONEUM W/WO BX SPX,,,21,,RBRVS,16.06 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49020,CPT,DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN,,,21,,RBRVS,26.67 ,13.41 ,13.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49040,CPT,DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN,,,21,,RBRVS,16.52 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49060,CPT,DRAINAGE OF RETROPERITONEAL ABSCESS OPEN,,,21,,RBRVS,18.53 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49062,CPT,DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN,,,21,,RBRVS,12.22 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49082,CPT,ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,,,21,,RBRVS,1.24 ,0.75 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49083,CPT,ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE,,,21,,RBRVS,2.00 ,0.97 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49084,CPT,PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,,,21,,RBRVS,2.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49180,CPT,BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,,,21,,RBRVS,1.73 ,0.60 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49185,CPT,SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID,,,21,,RBRVS,2.35 ,0.98 ,25.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49203,CPT,EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/<,,,21,,RBRVS,20.13 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49204,CPT,EXC/DESTRUCTION OPEN ABDMNL TUMORS 5.1-10.0 CM,,,21,,RBRVS,26.13 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49205,CPT,EXC/DESTRUCTION OPEN ABDOMINAL TUMORS >10.0 CM,,,21,,RBRVS,30.13 ,14.10 ,14.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49215,CPT,EXC PRESAC/SACROCOCCYGEAL TUMOR,,,21,,RBRVS,37.81 ,18.38 ,18.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49220,CPT,STAGING LAPAROTOMY HODGKINS DISEASE/LYMPHOMA,,,21,,RBRVS,15.79 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49250,CPT,UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX,,,21,,RBRVS,9.01 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49255,CPT,OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX,,,21,,RBRVS,12.56 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49320,CPT,LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX,,,21,,RBRVS,5.14 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49321,CPT,LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE,,,21,,RBRVS,5.44 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49322,CPT,LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE,,,21,,RBRVS,6.01 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49323,CPT,LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY,,,21,,RBRVS,10.23 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49324,CPT,LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER,,,21,,RBRVS,6.32 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49325,CPT,LAPS W/REVISION INTRAPERITONEAL CATHETER,,,21,,RBRVS,6.82 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49326,CPT,LAPAROSCOPY W/OMENTOPEXY,,,21,,RBRVS,3.50 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49327,CPT,LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT,,,21,,RBRVS,2.38 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49329,CPT,UNLISTED LAPAROSCOPIC PX ABD PERTONEUM & OMENTUM,,,21,,TotalUnits,,,,8.82 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49400,CPT,INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX,,,21,,RBRVS,1.88 ,0.62 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49402,CPT,REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY,,,21,,RBRVS,14.09 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49405,CPT,IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,,,21,,RBRVS,4.25 ,1.52 ,20.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49406,CPT,IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ,,,21,,RBRVS,4.25 ,1.52 ,20.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49407,CPT,IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL,,,21,,RBRVS,4.50 ,1.62 ,15.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49411,CPT,INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT,,,21,,RBRVS,3.82 ,1.57 ,11.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49412,CPT,PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT,,,21,,RBRVS,1.50 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49418,CPT,INSJ INTRAPERITONEAL CATHETER W/IMG GUID,,,21,,RBRVS,4.21 ,1.69 ,36.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49419,CPT,INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT,,,21,,RBRVS,7.08 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49421,CPT,INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN,,,21,,RBRVS,4.21 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49422,CPT,REMOVAL TUNNELED INTRAPERITONEAL CATHETER,,,21,,RBRVS,6.29 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49423,CPT,EXCHNG ABSC/CST DRG CATH RAD GID SPX,,,21,,RBRVS,1.46 ,0.50 ,14.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49424,CPT,CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX,,,21,,RBRVS,0.76 ,0.28 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49425,CPT,INSERTION PERITONEAL-VENOUS SHUNT,,,21,,RBRVS,12.22 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49426,CPT,REVIS PERITONEAL-VENOUS SHUNT,,,21,,RBRVS,10.41 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49427,CPT,INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT,,,21,,RBRVS,0.89 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49428,CPT,LIGATION PERITONEAL-VENOUS SHUNT,,,21,,RBRVS,6.87 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49429,CPT,RMVL PERITONEAL-VENOUS SHUNT,,,21,,RBRVS,7.44 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49435,CPT,INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER,,,21,,RBRVS,2.25 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49436,CPT,DELAYED CREATION EXIT SITE EMBEDDED CATHETER,,,21,,RBRVS,2.72 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49440,CPT,INSERT GASTROSTOMY TUBE PERCUTANEOUS,,,21,,RBRVS,4.18 ,1.85 ,25.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49441,CPT,INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,,,21,,RBRVS,4.77 ,2.08 ,28.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49442,CPT,INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS,,,21,,RBRVS,4.00 ,2.07 ,23.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49446,CPT,CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ,,,21,,RBRVS,3.31 ,1.11 ,24.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49450,CPT,REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,,,21,,RBRVS,1.36 ,0.46 ,17.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49451,CPT,REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,,,21,,RBRVS,1.84 ,0.62 ,18.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49452,CPT,REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,,,21,,RBRVS,2.86 ,0.95 ,22.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49460,CPT,OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE,,,21,,RBRVS,0.96 ,0.34 ,19.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49465,CPT,CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE,,,21,,RBRVS,0.62 ,0.23 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49491,CPT,RPR 1ST INGUN HRNA PRETERM INFT RDC,,,21,,RBRVS,12.53 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49492,CPT,RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED,,,21,,RBRVS,15.43 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49495,CPT,RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC,,,21,,RBRVS,6.20 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49496,CPT,RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER,,,21,,RBRVS,9.42 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49500,CPT,RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE,,,21,,RBRVS,5.84 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49501,CPT,RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED,,,21,,RBRVS,9.36 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49505,CPT,RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE,,,21,,RBRVS,7.96 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49507,CPT,RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED,,,21,,RBRVS,9.09 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49520,CPT,RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE,,,21,,RBRVS,9.99 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49521,CPT,RPR RECRT INGUN HERNIA ANY AGE INCARCERATED,,,21,,RBRVS,11.48 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49525,CPT,RPR INGUN HERNIA SLIDING ANY AGE,,,21,,RBRVS,8.93 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49540,CPT,REPAIR LUMBAR HERNIA,,,21,,RBRVS,10.74 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49550,CPT,RPR 1ST FEM HRNA ANY AGE REDUCIBLE,,,21,,RBRVS,8.99 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49553,CPT,RPR 1ST FEM HERNIA ANY AGE INCARCERATED,,,21,,RBRVS,9.92 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49555,CPT,RPR RECRT FEM HERNIA REDUCIBLE,,,21,,RBRVS,9.39 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49557,CPT,RPR RECRT FEM HRNA INCARCERATED,,,21,,RBRVS,11.62 ,6.57 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49560,CPT,REPAIR FIRST ABDOMINAL WALL HERNIA,,,21,,RBRVS,11.92 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49561,CPT,RPR 1ST INCAL/VNT HERNIA INCARCERATED,,,21,,RBRVS,15.38 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49565,CPT,RPR RECRT INCAL/VNT HERNIA REDUCIBLE,,,21,,RBRVS,12.37 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49566,CPT,RPR RECRT INCAL/VNT HERNIA INCARCERATED,,,21,,RBRVS,15.53 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49568,CPT,IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT CLOSURE,,,21,,RBRVS,4.88 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49570,CPT,RPR EPIGASTRIC HERNIA REDUCIBLE SPX,,,21,,RBRVS,6.05 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49572,CPT,RPR EPIGASTRIC HERNIA INCARCERATED,,,21,,RBRVS,7.87 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49580,CPT,RPR UMBILICAL HERNIA < 5 YRS REDUCIBLE,,,21,,RBRVS,4.47 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49582,CPT,RPR UMBILICAL HERNIA < 5 YRS INCARCERATED,,,21,,RBRVS,7.13 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49585,CPT,RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,,,21,,RBRVS,6.59 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49587,CPT,RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED,,,21,,RBRVS,7.08 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49590,CPT,RPR SPIGELIAN HERNIA,,,21,,RBRVS,8.90 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49600,CPT,RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE,,,21,,RBRVS,11.55 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49605,CPT,RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH,,,21,,RBRVS,87.09 ,35.31 ,35.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49606,CPT,RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH,,,21,,RBRVS,19.00 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49610,CPT,RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG,,,21,,RBRVS,10.91 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49611,CPT,RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG,,,21,,RBRVS,9.34 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49650,CPT,LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA,,,21,,RBRVS,6.36 ,4.53 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49651,CPT,LAPS SURG RPR RECURRENT INGUINAL HERNIA,,,21,,RBRVS,8.38 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49652,CPT,LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE,,,21,,RBRVS,11.92 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49653,CPT,LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED,,,21,,RBRVS,14.94 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49654,CPT,LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE,,,21,,RBRVS,13.76 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49655,CPT,LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED,,,21,,RBRVS,16.84 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49656,CPT,LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE,,,21,,RBRVS,15.08 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49657,CPT,LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED,,,21,,RBRVS,22.11 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49659,CPT,UNLIS LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY,,,21,,TotalUnits,,,,12.80 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 49900,CPT,SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN,,,21,,RBRVS,12.41 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49904,CPT,OMENTAL FLAP EXTRA-ABDOMINAL,,,21,,RBRVS,22.35 ,14.20 ,14.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49905,CPT,OMENTAL FLAP INTRA-ABDOMINAL,,,21,,RBRVS,6.54 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 49999,CPT,UNLISTED PROCEDURE ABDOMEN PERITONEUM & OMENTUM,,,21,,TotalUnits,,,,6.63 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50010,CPT,RNL EXPL X NECESSITATING OTH SPEC PX,,,21,,RBRVS,12.28 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50020,CPT,DRAINAGE PERIRENAL/RENAL ABSCESS OPEN,,,21,,RBRVS,18.08 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50040,CPT,NEPHROSTOMY/NEPHROTOMY W/DRAINAGE,,,21,,RBRVS,16.68 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50045,CPT,NEPHROTOMY W/EXPLORATION,,,21,,RBRVS,16.82 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50060,CPT,NEPHROLITHOTOMY REMOVAL STAGE 1,,,21,,RBRVS,20.95 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50065,CPT,NEPHROLITHOTOMY SECONDARY FOR CALCULUS,,,21,,RBRVS,22.32 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50070,CPT,NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY,,,21,,RBRVS,21.85 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50075,CPT,NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1,,,21,,RBRVS,27.09 ,11.80 ,11.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50080,CPT,PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY 2 CM,,,21,,RBRVS,23.50 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50100,CPT,TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX,,,21,,RBRVS,17.45 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50120,CPT,PYELOTOMY W/EXPLORATION,,,21,,RBRVS,17.21 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50125,CPT,PYELOTOMY W/DRAINAGE PYELOSTOMY,,,21,,RBRVS,17.82 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50130,CPT,PYELOTOMY W/REMOVAL CALCULUS,,,21,,RBRVS,18.82 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50135,CPT,PYELOTOMY COMPLICATED,,,21,,RBRVS,20.59 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50200,CPT,RENAL BIOPSY PRQ TROCAR/NEEDLE,,,21,,RBRVS,2.63 ,1.22 ,14.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50205,CPT,RENAL BIOPSY SURG EXPOSURE KIDNEY,,,21,,RBRVS,12.29 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50220,CPT,NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ,,,21,,RBRVS,18.68 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50225,CPT,NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL,,,21,,RBRVS,21.88 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50230,CPT,NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD,,,21,,RBRVS,23.81 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50234,CPT,NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC,,,21,,RBRVS,24.05 ,10.56 ,10.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50236,CPT,NEPHRECTOMY TOT URETEREC&BLDR CUFF SEPAR INCISN,,,21,,RBRVS,26.94 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50240,CPT,NEPHRECTOMY PARTIAL,,,21,,RBRVS,24.21 ,11.09 ,11.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50250,CPT,OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND,,,21,,RBRVS,22.22 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50280,CPT,EXCISION/UNROOFING CYST KIDNEY,,,21,,RBRVS,17.09 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50290,CPT,EXCISION PERINEPHRIC CYST,,,21,,RBRVS,16.15 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50300,CPT,DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL,,,21,,TotalUnits,,,,23.05 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50320,CPT,DONOR NEPHRECTOMY OPEN LIVING DONOR,,,21,,RBRVS,22.43 ,14.62 ,14.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50323,CPT,BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT,,,21,,TotalUnits,,,,9.96 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50325,CPT,BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT,,,21,,TotalUnits,,,,11.17 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50327,CPT,BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA,,,21,,RBRVS,4.00 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50328,CPT,BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA,,,21,,RBRVS,3.50 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50329,CPT,BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA,,,21,,RBRVS,3.34 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50340,CPT,RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE,,,21,,RBRVS,14.04 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50360,CPT,RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY,,,21,,RBRVS,39.88 ,21.03 ,21.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50365,CPT,RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY,,,21,,RBRVS,46.13 ,25.71 ,25.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50370,CPT,RMVL TRNSPLED RENAL ALLOGRAFT,,,21,,RBRVS,18.88 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50380,CPT,RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY,,,21,,RBRVS,30.11 ,20.08 ,20.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50382,CPT,RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ,,,21,,RBRVS,5.50 ,1.84 ,27.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50384,CPT,REMOVAL INDWELLING URETERAL STENT PRQ,,,21,,RBRVS,5.00 ,1.66 ,21.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50385,CPT,REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL,,,21,,RBRVS,4.44 ,1.82 ,27.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50386,CPT,REMOVE INT DWELL URETERAL STENT TRANSURETHRAL,,,21,,RBRVS,3.30 ,1.44 ,17.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50387,CPT,RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH,,,21,,RBRVS,2.00 ,0.65 ,13.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50389,CPT,RMVL NFROS TUBE REQ FLUORO GUIDANCE,,,21,,RBRVS,1.10 ,0.37 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50390,CPT,ASPIR &/NJX RENAL CYST/PELVIS NEEDLE PRQ,,,21,,RBRVS,1.96 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50391,CPT,INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUB,,,21,,RBRVS,1.96 ,0.66 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50395,CPT,INTRO GUIDE PELVIS&/URETER W/DILAT NFROS TRACT,,,21,,RBRVS,3.37 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50396,CPT,MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH,,,21,,RBRVS,2.09 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50400,CPT,PYELOPLASTY SIMPLE,,,21,,RBRVS,21.27 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50405,CPT,PYELOPLASTY COMPLICATED,,,21,,RBRVS,25.86 ,11.40 ,11.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50430,CPT,NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS,,,21,,RBRVS,3.15 ,1.41 ,11.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50431,CPT,NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS,,,21,,RBRVS,1.10 ,0.72 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50432,CPT,PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,,,21,,RBRVS,4.25 ,1.78 ,19.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50433,CPT,PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I,,,21,,RBRVS,5.30 ,2.12 ,26.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50434,CPT,CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ,,,21,,RBRVS,4.00 ,1.69 ,21.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50435,CPT,EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I,,,21,,RBRVS,1.82 ,0.96 ,11.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50500,CPT,NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY,,,21,,RBRVS,21.22 ,10.75 ,10.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50520,CPT,CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA,,,21,,RBRVS,18.88 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50525,CPT,CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR,,,21,,RBRVS,24.39 ,12.24 ,12.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50526,CPT,CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR,,,21,,RBRVS,26.31 ,12.83 ,12.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50540,CPT,SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI,,,21,,RBRVS,21.10 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50541,CPT,LAPAROSCOPY SURG ABLATION RENAL CYSTS,,,21,,RBRVS,16.86 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50542,CPT,LAPS ABLTJ RENAL MASS LESION W/INTRAOP US,,,21,,RBRVS,21.36 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50543,CPT,LAPAROSCOPY SURG PARTIAL NEPHRECTOMY,,,21,,RBRVS,27.41 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50544,CPT,LAPAROSCOPY SURG PYELOPLASTY,,,21,,RBRVS,23.37 ,9.84 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50545,CPT,LAPAROSCOPY RADICAL NEPHRECTOMY,,,21,,RBRVS,25.06 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50546,CPT,LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT,,,21,,RBRVS,21.87 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50547,CPT,LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR,,,21,,RBRVS,26.34 ,14.69 ,14.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50548,CPT,LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY,,,21,,RBRVS,25.36 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50549,CPT,UNLISTED LAPAROSCOPY PROCEDURE RENAL,,,21,,TotalUnits,,,,35.70 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50551,CPT,RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION,,,21,,RBRVS,5.59 ,2.28 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50553,CPT,RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA,,,21,,RBRVS,5.98 ,2.35 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50555,CPT,RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY,,,21,,RBRVS,6.52 ,2.56 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50557,CPT,RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BI,,,21,,RBRVS,6.61 ,2.63 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50561,CPT,RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS,,,21,,RBRVS,7.58 ,2.96 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50562,CPT,RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR,,,21,,RBRVS,10.90 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50570,CPT,RENAL NDSC NEPHROTOMY W/WO IRRIGATION,,,21,,RBRVS,9.53 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50572,CPT,RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER,,,21,,RBRVS,10.33 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50574,CPT,RENAL NDSC NEPHROTOMY W/BIOPSY,,,21,,RBRVS,11.00 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50575,CPT,RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY,,,21,,RBRVS,13.96 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50576,CPT,RNL NDSC NFROT FULGURATION &/INCISION W/WO BX,,,21,,RBRVS,10.97 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50580,CPT,RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS,,,21,,RBRVS,11.84 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50590,CPT,LITHOTRIPSY XTRCORP SHOCK WAVE,,,21,,RBRVS,9.77 ,5.46 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50592,CPT,ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY,,,21,,RBRVS,6.80 ,3.05 ,64.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50593,CPT,ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY,,,21,,RBRVS,9.13 ,3.92 ,121.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50600,CPT,URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE,,,21,,RBRVS,17.17 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50605,CPT,URETEROTOMY INSERTION INDWELLING STENT ALL TYPES,,,21,,RBRVS,16.79 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50606,CPT,ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC,,,21,,RBRVS,3.16 ,1.05 ,11.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 50610,CPT,URTROLITHOTOMY UPPER ONE-THIRD URETER,,,21,,RBRVS,17.25 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50620,CPT,URTROLITHOTOMY MIDDLE ONE-THIRD URETER,,,21,,RBRVS,16.43 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50630,CPT,URTROLITHOTOMY LOWER ONE-THIRD URETER,,,21,,RBRVS,16.21 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50650,CPT,URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE,,,21,,RBRVS,18.82 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50660,CPT,URETERECTOMY TOT ECTOPIC URETER CMBN APPR,,,21,,RBRVS,21.02 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50684,CPT,INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH,,,21,,RBRVS,0.76 ,0.61 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50686,CPT,MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH,,,21,,RBRVS,1.51 ,0.86 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50688,CPT,CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL,,,21,,RBRVS,1.20 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50690,CPT,NJX VISUALIZATION ILEAL CONDUIT&/URETEROPYELOG,,,21,,RBRVS,1.16 ,0.76 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50693,CPT,PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT,,,21,,RBRVS,4.21 ,1.75 ,25.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50694,CPT,PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH,,,21,,RBRVS,5.50 ,2.19 ,27.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50695,CPT,PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH,,,21,,RBRVS,7.05 ,2.71 ,32.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50700,CPT,URETEROPLASTY PLASTIC OPERATION URETER,,,21,,RBRVS,16.69 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50705,CPT,URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I,,,21,,RBRVS,4.03 ,1.34 ,43.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 50706,CPT,BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I,,,21,,RBRVS,3.80 ,1.27 ,17.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 50715,CPT,URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS,,,21,,RBRVS,20.64 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50722,CPT,URETEROLYSIS FOR OVARIAN VEIN SYNDROME,,,21,,RBRVS,17.95 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50725,CPT,URTROLSS RETROCAVAL URTR W/REANAST,,,21,,RBRVS,20.20 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50727,CPT,REVJ URINARY-CUTANEOUS ANASTAMOSIS,,,21,,RBRVS,8.28 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50728,CPT,REVJ UR-CUTAN ANAST RPR FSCAL DFCT & HERNIA,,,21,,RBRVS,12.18 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50740,CPT,EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR,,,21,,RBRVS,20.07 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50750,CPT,URETEROCALYCOSTOMY ANAST URETER RENAL CALYX,,,21,,RBRVS,21.22 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50760,CPT,URETEROURETEROSTOMY,,,21,,RBRVS,20.07 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50770,CPT,TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR,,,21,,RBRVS,21.22 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50780,CPT,URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER,,,21,,RBRVS,19.95 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50782,CPT,URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR,,,21,,RBRVS,19.66 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50783,CPT,URETERONEOCYSTOSTOMY W/URETERAL TAILORING,,,21,,RBRVS,20.70 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50785,CPT,URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP,,,21,,RBRVS,22.23 ,10.03 ,10.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50800,CPT,URETEROENTEROSTOMY ANAST URETER INTESTINE,,,21,,RBRVS,16.41 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50810,CPT,URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER & COLOSTO,,,21,,RBRVS,22.61 ,10.78 ,10.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50815,CPT,URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS,,,21,,RBRVS,22.26 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50820,CPT,URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS,,,21,,RBRVS,24.07 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50825,CPT,CONTINENT DVRJ W/INT ANAST ANY SGM SM&/LG INTSTN,,,21,,RBRVS,30.68 ,13.37 ,13.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50830,CPT,URINARY UNIDIVERSION,,,21,,RBRVS,33.77 ,14.38 ,14.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50840,CPT,RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST,,,21,,RBRVS,22.39 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50845,CPT,CUTANANEOUS APPENDICO-VESICOSTOMY,,,21,,RBRVS,22.46 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50860,CPT,URETEROSTOMY TRANSPLANTATION URETER SKIN,,,21,,RBRVS,17.08 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50900,CPT,URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE,,,21,,RBRVS,15.04 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50920,CPT,CLOSURE URETEROCUTANEOUS FISTULA,,,21,,RBRVS,15.81 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50930,CPT,CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR,,,21,,RBRVS,20.19 ,9.70 ,9.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50940,CPT,DELIGATION URETER,,,21,,RBRVS,15.93 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 50945,CPT,LAPAROSCOPY URTROLITHOTOMY,,,21,,RBRVS,17.97 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50947,CPT,LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT,,,21,,RBRVS,25.78 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50948,CPT,LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT,,,21,,RBRVS,23.82 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50949,CPT,UNLISTED LAPAROSCOPY PROCEDURE URETER,,,21,,TotalUnits,,,,36.99 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50951,CPT,URETERAL ENDOSCOPY VIA URETEROSTOMY,,,21,,RBRVS,5.83 ,2.36 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50953,CPT,URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER,,,21,,RBRVS,6.23 ,2.46 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50955,CPT,URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY,,,21,,RBRVS,6.74 ,2.67 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50957,CPT,URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY,,,21,,RBRVS,6.78 ,2.69 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50961,CPT,URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE,,,21,,RBRVS,6.04 ,2.44 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50970,CPT,URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING,,,21,,RBRVS,7.13 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50972,CPT,NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER,,,21,,RBRVS,6.88 ,2.70 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50974,CPT,URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX,,,21,,RBRVS,9.16 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50976,CPT,URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX,,,21,,RBRVS,9.03 ,3.41 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 50980,CPT,NDSC URETEROTOMY RMVL FB/CALCULUS,,,21,,RBRVS,6.84 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51020,CPT,CYSTOTOMY/CYSTOSTOMY FULG&/INSJ RADACT MATRL,,,21,,RBRVS,7.69 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51030,CPT,CSTOTOMY/CSTOST CRYOSURG DSTRJ INTRAVESICAL LES,,,21,,RBRVS,7.81 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51040,CPT,CYSTOSTOMY CYSTOTOMY W/DRAINAGE,,,21,,RBRVS,4.49 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51045,CPT,CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX,,,21,,RBRVS,7.81 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51050,CPT,CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS,,,21,,RBRVS,7.97 ,4.70 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51060,CPT,TRANSVESICAL URETROLITHOTOMY,,,21,,RBRVS,9.95 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51065,CPT,CYSTOTOMY W/CALCULUS BASKET XTRJ&/FRAGMENTATIO,,,21,,RBRVS,9.95 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51080,CPT,DRG PRIVESICAL/PREVESICAL SPACE ABSC,,,21,,RBRVS,6.71 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51100,CPT,ASPIRATION BLADDER NEEDLE,,,21,,RBRVS,0.78 ,0.26 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51101,CPT,ASPIRATION BLADDER TROCAR/INTRACATHETER,,,21,,RBRVS,1.02 ,0.36 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51102,CPT,ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,,,21,,RBRVS,2.70 ,1.18 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51500,CPT,EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR,,,21,,RBRVS,11.05 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51520,CPT,CYSTOTOMY SIMPLE EXCISION VESICAL NECK,,,21,,RBRVS,10.21 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51525,CPT,CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE,,,21,,RBRVS,15.42 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51530,CPT,CYSTOTOMY EXCISION BLADDER TUMOR,,,21,,RBRVS,13.71 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51535,CPT,CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE,,,21,,RBRVS,13.90 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51550,CPT,CYSTECTOMY PARTIAL SIMPLE,,,21,,RBRVS,17.23 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51555,CPT,CYSTECTOMY PARTIAL COMPLICATED,,,21,,RBRVS,23.18 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51565,CPT,CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST,,,21,,RBRVS,23.68 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51570,CPT,CYSTECTOMY COMPLETE SEPARATE PROCEDURE,,,21,,RBRVS,27.46 ,11.85 ,11.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51575,CPT,CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY,,,21,,RBRVS,34.18 ,14.39 ,14.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51580,CPT,CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES,,,21,,RBRVS,35.37 ,15.20 ,15.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51585,CPT,CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES,,,21,,RBRVS,39.64 ,16.55 ,16.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51590,CPT,CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST,,,21,,RBRVS,36.33 ,15.12 ,15.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51595,CPT,CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC,,,21,,RBRVS,41.32 ,16.99 ,16.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51596,CPT,CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR,,,21,,RBRVS,44.26 ,18.42 ,18.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51597,CPT,PELVIC EXENTERATION COMPLETE MALIGNANCY,,,21,,RBRVS,42.86 ,18.12 ,18.12 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51600,CPT,NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY,,,21,,RBRVS,0.88 ,0.31 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51605,CPT,NJX & PLACEMENT CHAIN CONTRAST&/URETHROCSTOGRAPY,,,21,,RBRVS,0.64 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51610,CPT,NJX RETROGRADE URETHROCSTOGRAPY,,,21,,RBRVS,1.05 ,0.70 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51700,CPT,BLDR IRRIGATION SMPL LAVAGE &/INSTLJ,,,21,,RBRVS,0.88 ,0.31 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51701,CPT,INSJ NON-NDWELLG BLADDER CATHETER,,,21,,RBRVS,0.50 ,0.24 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51702,CPT,INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE,,,21,,RBRVS,0.50 ,0.31 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51703,CPT,INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED,,,21,,RBRVS,1.47 ,0.71 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51705,CPT,CHANGE CYSTOSTOMY TUBE SIMPLE,,,21,,RBRVS,0.90 ,0.49 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51710,CPT,CHANGE CYSTOSTOMY TUBE COMPLICATED,,,21,,RBRVS,1.35 ,0.80 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51715,CPT,NDSC NJX IMPLT MATRL URT&/BLDR NCK,,,21,,RBRVS,3.73 ,1.60 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51720,CPT,BLADDER INSTILLATION ANTICARCINOGENIC AGENT,,,21,,RBRVS,1.50 ,0.64 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51725,CPT,SIMPLE CYSTOMETROGRAM,,,21,,RBRVS,1.51 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51725,CPT,SIMPLE CYSTOMETROGRAM,26,,21,,RBRVS,1.51 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51725,CPT,SIMPLE CYSTOMETROGRAM,TC,,21,,RBRVS,,3.10 ,3.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51726,CPT,BLADDER PRESSURE MEASUREMENT DURING FILLING,,,21,,RBRVS,1.71 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51726,CPT,BLADDER PRESSURE MEASUREMENT DURING FILLING,26,,21,,RBRVS,1.71 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51726,CPT,BLADDER PRESSURE MEASUREMENT DURING FILLING,TC,,21,,RBRVS,,4.97 ,4.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51727,CPT,COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE,,,21,,RBRVS,2.11 ,6.50 ,6.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51727,CPT,COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE,26,,21,,RBRVS,2.11 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51727,CPT,COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE,TC,,21,,RBRVS,,5.72 ,5.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51728,CPT,COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,,,21,,RBRVS,2.11 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51728,CPT,COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,26,,21,,RBRVS,2.11 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51728,CPT,COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,TC,,21,,RBRVS,,5.87 ,5.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51729,CPT,COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL,,,21,,RBRVS,2.51 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51729,CPT,COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL,26,,21,,RBRVS,2.51 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51729,CPT,COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL,TC,,21,,RBRVS,,5.96 ,5.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51736,CPT,SIMPLE UROFLOMETRY,,,21,,RBRVS,0.17 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51736,CPT,SIMPLE UROFLOMETRY,26,,21,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51736,CPT,SIMPLE UROFLOMETRY,TC,,21,,RBRVS,,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51741,CPT,COMPLEX UROFLOMETRY,,,21,,RBRVS,0.17 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51741,CPT,COMPLEX UROFLOMETRY,26,,21,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51741,CPT,COMPLEX UROFLOMETRY,TC,,21,,RBRVS,,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51784,CPT,EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL,,,21,,RBRVS,1.53 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51784,CPT,EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL,26,,21,,RBRVS,1.53 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51784,CPT,EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL,TC,,21,,RBRVS,,3.22 ,3.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51785,CPT,NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ,,,21,,RBRVS,1.53 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51785,CPT,NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ,26,,21,,RBRVS,1.53 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51785,CPT,NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ,TC,,21,,RBRVS,,4.93 ,4.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51792,CPT,STIMULUS EVOKED RESPONSE,,,21,,RBRVS,1.10 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51792,CPT,STIMULUS EVOKED RESPONSE,26,,21,,RBRVS,1.10 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51792,CPT,STIMULUS EVOKED RESPONSE,TC,,21,,RBRVS,,4.37 ,4.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51797,CPT,VOID PRESSURE STUDIES INTRAABDOMINAL,,,21,,RBRVS,0.80 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 51797,CPT,VOID PRESSURE STUDIES INTRAABDOMINAL,26,,21,,RBRVS,0.80 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51797,CPT,VOID PRESSURE STUDIES INTRAABDOMINAL,TC,,21,,RBRVS,,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51798,CPT,MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP,,TC,21,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 51800,CPT,CSTOPLASTY/CSTOURTP PLSTC ANY,,,21,,RBRVS,18.89 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51820,CPT,CSTOURTP W/UNI/BI URTRONEOCSTOST,,,21,,RBRVS,19.59 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51840,CPT,ANT VESICOURETHROPEXY/URETHROPEXY SMPL,,,21,,RBRVS,11.36 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51841,CPT,ANT VESICOURETHROPEXY/URETHROPEXY COMP,,,21,,RBRVS,13.68 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51845,CPT,ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL,,,21,,RBRVS,10.15 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51860,CPT,CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE,,,21,,RBRVS,12.60 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51865,CPT,CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED,,,21,,RBRVS,15.80 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51880,CPT,CLOSURE CYSTOSTOMY SEPARATE PROCEDURE,,,21,,RBRVS,7.87 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51900,CPT,CLSR VESICOVAGINAL FISTUL AABDL APPROACH,,,21,,RBRVS,14.63 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51920,CPT,CLOSURE VESICOUTERINE FISTULA,,,21,,RBRVS,13.41 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51925,CPT,CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY,,,21,,RBRVS,17.53 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51940,CPT,CLOSURE EXSTROPHY BLADDER,,,21,,RBRVS,30.66 ,12.71 ,12.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51960,CPT,ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS,,,21,,RBRVS,25.40 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51980,CPT,CUTANEOUS VESICOSTOMY,,,21,,RBRVS,12.57 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 51990,CPT,LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT,,,21,,RBRVS,13.36 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51992,CPT,LAPAROSCOPY SLING OPERATION STRESS INCONT,,,21,,RBRVS,14.87 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 51999,CPT,UNLISTED LAPAROSCOPY PROCEDURE BLADDER,,,21,,TotalUnits,,,,20.01 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52000,CPT,CYSTOURETHROSCOPY,,,21,,RBRVS,2.23 ,1.15 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52001,CPT,CYSTO W/IRRIG & EVAC MULTPLE OBSTRUCTING CLOTS,,,21,,RBRVS,5.44 ,2.23 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52005,CPT,CYSTO BLADDER W/URETERAL CATHETERIZATION,,,21,,RBRVS,2.37 ,1.19 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52007,CPT,CYSTO W/URTRL CATHJ BRUSH BX URTR&/RENAL PELVIS,,,21,,RBRVS,3.02 ,1.41 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52010,CPT,CYSTO W/EJACULATORY DUCT CATHETERIZATION,,,21,,RBRVS,3.02 ,1.42 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52204,CPT,CYSTOURETHROSCOPY WITH BIOPSY,,,21,,RBRVS,2.59 ,1.20 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52214,CPT,CYSTO W/DESTRUCTION OF LESIONS,,,21,,RBRVS,3.50 ,1.19 ,14.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52224,CPT,CYSTO W/REMOVAL OF LESIONS SMALL,,,21,,RBRVS,4.05 ,1.37 ,15.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52234,CPT,CYSTO W/REMOVAL OF TUMORS SMALL,,,21,,RBRVS,4.62 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52235,CPT,CYSTOURETHROSCOPY W/DEST &/RMVL MED BLADDER TUM,,,21,,RBRVS,5.44 ,2.27 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52240,CPT,CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE,,,21,,RBRVS,7.50 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52250,CPT,CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG,,,21,,RBRVS,4.49 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52260,CPT,CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH,,,21,,RBRVS,3.91 ,1.71 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52265,CPT,CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA,,,21,,RBRVS,2.94 ,1.41 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52270,CPT,CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE,,,21,,RBRVS,3.36 ,1.50 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52275,CPT,CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE,,,21,,RBRVS,4.69 ,1.95 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52276,CPT,CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE,,,21,,RBRVS,4.99 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52277,CPT,CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER,,,21,,RBRVS,6.16 ,2.47 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52281,CPT,CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,,,21,,RBRVS,2.75 ,1.32 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52282,CPT,CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT,,,21,,RBRVS,6.39 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52283,CPT,CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE,,,21,,RBRVS,3.73 ,1.65 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52285,CPT,CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME,,,21,,RBRVS,3.60 ,1.63 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52287,CPT,CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER,,,21,,RBRVS,3.20 ,1.31 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52290,CPT,CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI,,,21,,RBRVS,4.58 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52300,CPT,CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI,,,21,,RBRVS,5.30 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52301,CPT,CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI,,,21,,RBRVS,5.50 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52305,CPT,CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT,,,21,,RBRVS,5.30 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52310,CPT,CYSTO W/SIMPLE REMOVAL STONE & STENT,,,21,,RBRVS,2.81 ,1.24 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52315,CPT,CYSTO W/COMPLEX REMOVAL STONE & STENT,,,21,,RBRVS,5.20 ,2.13 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52317,CPT,LITHOLAPAXY SMPL/SM <2.5 CM,,,21,,RBRVS,6.71 ,2.56 ,15.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52318,CPT,LITHOLAPAXY COMP/LG > 2.5 CM,,,21,,RBRVS,9.18 ,3.45 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52320,CPT,CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS,,,21,,RBRVS,4.69 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52325,CPT,CYSTO FRAGMENTATION URETERAL STONE,,,21,,RBRVS,6.15 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52327,CPT,CYSTO W/SUBURTRIC NJX IMPLT MATRL,,,21,,RBRVS,5.18 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52330,CPT,CYSTO MANJ W/O RMVL URETERAL STONE,,,21,,RBRVS,5.03 ,2.01 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52332,CPT,CYSTO W/INSERT URETERAL STENT,,,21,,RBRVS,2.82 ,1.34 ,10.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52334,CPT,CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR,,,21,,RBRVS,4.82 ,2.03 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52341,CPT,CYSTO W/TX URETERAL STRICTURE,,,21,,RBRVS,5.35 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52342,CPT,CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE,,,21,,RBRVS,5.85 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52343,CPT,CYSTO W/TX INTRA-RENAL STRICTURE,,,21,,RBRVS,6.55 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52344,CPT,CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE,,,21,,RBRVS,7.05 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52345,CPT,CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX,,,21,,RBRVS,7.55 ,2.98 ,2.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52346,CPT,CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE,,,21,,RBRVS,8.58 ,3.33 ,3.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52351,CPT,CYSTO W/URTROSCOPY&/PYELOSCOPY DX,,,21,,RBRVS,5.75 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52352,CPT,CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES,,,21,,RBRVS,6.75 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52353,CPT,CYSTO W/URETEROSCOPY W/LITHOTRIPSY,,,21,,RBRVS,7.50 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52354,CPT,CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION,,,21,,RBRVS,8.00 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52355,CPT,CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR,,,21,,RBRVS,9.00 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52356,CPT,CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT,,,21,,RBRVS,8.00 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52400,CPT,CYSTO INC FULG/RESCJ URTL VALVES/FOLDS,,,21,,RBRVS,8.69 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52402,CPT,CSTO W/TRURL RESCJ/INC EJACULATORY DUXS,,,21,,RBRVS,5.27 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52441,CPT,CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE,,,21,,RBRVS,4.50 ,1.53 ,30.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52442,CPT,CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL,,,21,,RBRVS,1.20 ,0.41 ,25.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52450,CPT,TRANSURETHRAL INCISION PROSTATE,,,21,,RBRVS,7.78 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52500,CPT,TRANSURETHRAL RESECTION PROSTATE,,,21,,RBRVS,8.14 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52601,CPT,TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE,,,21,,RBRVS,15.26 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52630,CPT,TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS,,,21,,RBRVS,6.55 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52640,CPT,TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE,,,21,,RBRVS,4.79 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52647,CPT,LASER COAGULATION OF PROSTATE FOR URINE FLOW,,,21,,RBRVS,11.30 ,6.04 ,37.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52648,CPT,LASER VAPORIZATION OF PROSTATE FOR URINE FLOW,,,21,,RBRVS,12.15 ,6.33 ,38.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52649,CPT,LASER ENUCLEATION PROSTATE W/MORCELLATION,,,21,,RBRVS,14.56 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 52700,CPT,TRURL DRAINAGE PROSTATIC ABSCESS,,,21,,RBRVS,7.49 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53000,CPT,URTT/URTS XTRNL SPX PENDULOUS URETHRA,,,21,,RBRVS,2.33 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53010,CPT,URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA,,,21,,RBRVS,4.45 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53020,CPT,MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT,,,21,,RBRVS,1.77 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53025,CPT,MEATOTOMY CUTTING MEATUS SPX INFANT,,,21,,RBRVS,1.13 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53040,CPT,DRAINAGE DEEP PERIURETHRAL ABSCESS,,,21,,RBRVS,6.55 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53060,CPT,DRG OF SKENE'S GLAND ABSCESS OR CYST,,,21,,RBRVS,2.68 ,1.72 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53080,CPT,DRG PERINEAL URINARY XTRVASATION UNCOMP SPX,,,21,,RBRVS,6.92 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53085,CPT,DRG PERINEAL URINARY XTRVASATION COMPLIC,,,21,,RBRVS,11.18 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53200,CPT,BIOPSY URETHRA,,,21,,RBRVS,2.59 ,1.19 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53210,CPT,URETHRECTOMY TOT W/CYSTOST FEMALE,,,21,,RBRVS,13.72 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53215,CPT,URETHRECTOMY TOT W/CYSTOST MALE,,,21,,RBRVS,16.85 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53220,CPT,EXC/FULGURATION CARCINOMA URETHRA,,,21,,RBRVS,7.63 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53230,CPT,EXC URETHRAL DIVERTICULUM SPX FEMALE,,,21,,RBRVS,10.44 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53235,CPT,EXC URETHRAL DIVERTICULUM SPX MALE,,,21,,RBRVS,10.99 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53240,CPT,MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE,,,21,,RBRVS,7.08 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53250,CPT,EXCISION OF BULBOURETHRAL GLAND,,,21,,RBRVS,6.52 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53260,CPT,EXC/FULGURATION URETHRAL POLYP DSTL URETHRA,,,21,,RBRVS,3.03 ,1.79 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53265,CPT,EXC/FULGURATION URETHRAL CARUNCLE,,,21,,RBRVS,3.17 ,1.81 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53270,CPT,EXCISION OR FULGURATION SKENES GLANDS,,,21,,RBRVS,3.14 ,1.81 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53275,CPT,EXCISION/FULGURATION URETHRAL PROLAPSE,,,21,,RBRVS,4.57 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53400,CPT,URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX,,,21,,RBRVS,14.13 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53405,CPT,URETHROPLASTY 2ND STAGE W/URINARY DIVERSION,,,21,,RBRVS,15.66 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53410,CPT,URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA,,,21,,RBRVS,17.68 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53415,CPT,URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT,,,21,,RBRVS,20.70 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 53420,CPT,URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE,,,21,,RBRVS,15.17 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53425,CPT,URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE,,,21,,RBRVS,17.07 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53430,CPT,URETHROPLASTY RCNSTJ FEMALE URETHRA,,,21,,RBRVS,17.43 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53431,CPT,URTP W/TUBULARIZATION POST URT&/LWR BLDR,,,21,,RBRVS,21.18 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53440,CPT,SLING OPRATION CORRJ MALE URINARY INCONTINENCE,,,21,,RBRVS,13.36 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53442,CPT,RMVL/REVJ SLING MALE URINARY INCONTINENCE,,,21,,RBRVS,13.49 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53444,CPT,INSERTION TANDEM CUFF,,,21,,RBRVS,14.19 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53445,CPT,INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER,,,21,,RBRVS,13.00 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53446,CPT,REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER,,,21,,RBRVS,11.02 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53447,CPT,RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC,,,21,,RBRVS,14.28 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53448,CPT,RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD,,,21,,RBRVS,23.44 ,10.78 ,10.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 53449,CPT,RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER,,,21,,RBRVS,10.56 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53450,CPT,URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT,,,21,,RBRVS,6.77 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53460,CPT,URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM,,,21,,RBRVS,7.75 ,4.53 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53500,CPT,URETHROLSS TRVG SEC OPN W/CSTO,,,21,,RBRVS,13.00 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53502,CPT,URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE,,,21,,RBRVS,8.26 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53505,CPT,URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE,,,21,,RBRVS,8.26 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53510,CPT,URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL,,,21,,RBRVS,10.96 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53515,CPT,URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS,,,21,,RBRVS,14.22 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53520,CPT,CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX,,,21,,RBRVS,9.48 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53600,CPT,DILAT URETHRAL STRIX DILATOR MALE 1ST,,,21,,RBRVS,1.21 ,0.49 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53601,CPT,DILAT URETHRAL STRIX DILATOR MALE SBSQ,,,21,,RBRVS,0.98 ,0.45 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53605,CPT,DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES,,,21,,RBRVS,1.28 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53620,CPT,DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST,,,21,,RBRVS,1.62 ,0.71 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53621,CPT,DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE SBSQ,,,21,,RBRVS,1.35 ,0.58 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53660,CPT,DILAT FEMALE URETHRA W/SUPPOSITORY&/INSTLJ INI,,,21,,RBRVS,0.71 ,0.41 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53661,CPT,DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ,,,21,,RBRVS,0.72 ,0.36 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53665,CPT,DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES,,,21,,RBRVS,0.76 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53850,CPT,TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH,,,21,,RBRVS,10.08 ,6.22 ,47.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53852,CPT,TRURL DSTRJ PRSTATE TISS RF THERMOTH,,,21,,RBRVS,10.83 ,5.84 ,41.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53855,CPT,INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT,,,21,,RBRVS,1.64 ,0.56 ,20.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53860,CPT,TRURL RF FEMALE BLADDER NECK STRS URIN INCONT,,,21,,RBRVS,3.97 ,2.09 ,39.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 53899,CPT,UNLISTED PROCEDURE URINARY SYSTEM,,,21,,TotalUnits,,,,4.06 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54000,CPT,SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN,,,21,,RBRVS,1.59 ,1.33 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54001,CPT,SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN,,,21,,RBRVS,2.24 ,1.48 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54015,CPT,I&D PENIS DEEP,,,21,,RBRVS,5.36 ,2.91 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54050,CPT,DSTRJ LESION PENIS SIMPLE CHEMICAL,,,21,,RBRVS,1.29 ,1.55 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54055,CPT,DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION,,,21,,RBRVS,1.25 ,1.24 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54056,CPT,DSTRJ LESION PENIS SIMPLE CRYOSURGERY,,,21,,RBRVS,1.29 ,1.71 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54057,CPT,DSTRJ LESION PENIS SIMPLE LASER,,,21,,RBRVS,1.29 ,1.28 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54060,CPT,DSTRJ LESION PENIS SIMPLE SURG EXCISION,,,21,,RBRVS,1.98 ,1.53 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54065,CPT,DSTRJ LESION PENIS EXTENSIVE,,,21,,RBRVS,2.47 ,2.17 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54100,CPT,BIOPSY PENIS SEPARATE PROCEDURE,,,21,,RBRVS,1.90 ,1.46 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54105,CPT,BIOPSY PENIS DEEP STRUCTURES,,,21,,RBRVS,3.54 ,2.18 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54110,CPT,EXCISION OF PENILE PLAQUE,,,21,,RBRVS,10.92 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54111,CPT,EXC PENILE PLAQUE GRAFT &/5 CM LENGTH,,,21,,RBRVS,14.42 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54112,CPT,EXC PENILE PLAQUE GRAFT > 5 CM LENGTH,,,21,,RBRVS,16.98 ,8.09 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54115,CPT,REMOVAL FOREIGN BODY DEEP PENILE TISSUE,,,21,,RBRVS,6.95 ,4.46 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54120,CPT,AMPUTATION PENIS PARTIAL,,,21,,RBRVS,11.01 ,5.91 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54125,CPT,AMPUTATION PENIS COMPLETE,,,21,,RBRVS,14.56 ,7.10 ,7.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 54130,CPT,AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE,,,21,,RBRVS,21.84 ,10.03 ,10.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 54135,CPT,AMPUTATION PENIS RADICAL W/LYMPH NODES,,,21,,RBRVS,28.17 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 54150,CPT,CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK,,,21,,RBRVS,1.90 ,0.68 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54160,CPT,CIRCUMCISION NEONATE,,,21,,RBRVS,2.53 ,1.36 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54161,CPT,CIRCUMCISION AGE >28 DAYS,,,21,,RBRVS,3.32 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54162,CPT,LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS,,,21,,RBRVS,3.32 ,2.02 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54163,CPT,REPAIR INCOMPLETE CIRCUMCISION,,,21,,RBRVS,3.32 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54164,CPT,FRENULOTOMY PENIS,,,21,,RBRVS,2.82 ,2.40 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54200,CPT,INJECTION PEYRONIE DISEASE,,,21,,RBRVS,1.11 ,1.17 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54205,CPT,NJX PEYRONIE W/SURG EXPOS PLAQUE,,,21,,RBRVS,8.97 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54220,CPT,IRRIGATION CORPORA CAVERNOSA PRIAPISM,,,21,,RBRVS,2.42 ,1.14 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54230,CPT,INJECTION CORPORA CAVERNOSOGRAPY,,,21,,RBRVS,1.34 ,0.80 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54231,CPT,DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS,,,21,,RBRVS,2.04 ,1.07 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54235,CPT,NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,,,21,,RBRVS,1.19 ,0.79 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54240,CPT,PENILE PLETHYSMOGRAPHY,,,21,,RBRVS,1.31 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 54240,CPT,PENILE PLETHYSMOGRAPHY,26,,21,,RBRVS,1.31 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54240,CPT,PENILE PLETHYSMOGRAPHY,TC,,21,,RBRVS,,0.98 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 54250,CPT,NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST,,,21,,RBRVS,2.22 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 54250,CPT,NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST,26,,21,,RBRVS,2.22 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54250,CPT,NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST,TC,,21,,RBRVS,,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 54300,CPT,PENIS STRAIGHTENING CHORDEE,,,21,,RBRVS,11.20 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54304,CPT,PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR,,,21,,RBRVS,13.28 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54308,CPT,URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR <3 CM,,,21,,RBRVS,12.62 ,6.53 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54312,CPT,URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR > 3 CM,,,21,,RBRVS,14.51 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54316,CPT,URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF,,,21,,RBRVS,18.05 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54318,CPT,URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS,,,21,,RBRVS,12.43 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54322,CPT,1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT,,,21,,RBRVS,13.98 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54324,CPT,1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS,,,21,,RBRVS,17.55 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54326,CPT,1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS,,,21,,RBRVS,17.02 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54328,CPT,1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ,,,21,,RBRVS,16.89 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54332,CPT,1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR,,,21,,RBRVS,18.37 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54336,CPT,1 STG PERINEAL HYPOSPADIAS RPR W/GRF&/FLAP,,,21,,RBRVS,21.62 ,11.35 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54340,CPT,RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE,,,21,,RBRVS,9.71 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54344,CPT,RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS & URTP,,,21,,RBRVS,17.06 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54348,CPT,RPR HYPOSPADIAS COMPLCTJS DSJ & URTP FLAP/GRF,,,21,,RBRVS,18.32 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54352,CPT,RPR HYPOSPADIAS CRIPPLE W/DSJ & EXC & GRFS/FLAP,,,21,,RBRVS,26.13 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54360,CPT,PLASTIC RPR PENIS CORRECT ANGULATION,,,21,,RBRVS,12.78 ,6.50 ,6.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54380,CPT,PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR,,,21,,RBRVS,14.18 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54385,CPT,PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT,,,21,,RBRVS,16.56 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54390,CPT,PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER,,,21,,RBRVS,22.77 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 54400,CPT,INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID,,,21,,RBRVS,9.17 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54401,CPT,INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED,,,21,,RBRVS,10.44 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54405,CPT,INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH,,,21,,RBRVS,14.52 ,7.10 ,7.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54406,CPT,RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH,,,21,,RBRVS,12.89 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54408,CPT,RPR COMPONENT INFLATABLE PENILE PROSTHESIS,,,21,,RBRVS,13.91 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54410,CPT,RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS,,,21,,RBRVS,15.18 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54411,CPT,RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL,,,21,,RBRVS,18.35 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54415,CPT,RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT,,,21,,RBRVS,8.88 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54416,CPT,RMVL & RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI,,,21,,RBRVS,12.08 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54417,CPT,RMVL & RPLCMT PENILE PROSTHESIS INFECTED FIELD,,,21,,RBRVS,16.10 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54420,CPT,CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI,,,21,,RBRVS,12.39 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54430,CPT,CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI,,,21,,RBRVS,11.06 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 54435,CPT,CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM,,,21,,RBRVS,6.81 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54437,CPT,REPAIR OF TRAUMATIC CORPOREAL TEAR(S),,,21,,RBRVS,11.50 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54438,CPT,REPLANTATION PENIS COMP AMPUTATION W/URETH REP,,,21,,RBRVS,24.50 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 54440,CPT,PLASTIC OPERATION PENIS INJURY,,,21,,TotalUnits,,,,15.70 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54450,CPT,FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING,,,21,,RBRVS,1.12 ,0.41 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54500,CPT,BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE,,,21,,RBRVS,1.31 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54505,CPT,BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE,,,21,,RBRVS,3.50 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54512,CPT,EXC XTRPARENCHYMAL LESION TESTIS,,,21,,RBRVS,9.33 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54520,CPT,ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH,,,21,,RBRVS,5.30 ,3.41 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54522,CPT,ORCHIECTOMY PARTIAL,,,21,,RBRVS,10.25 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54530,CPT,ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH,,,21,,RBRVS,8.46 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54535,CPT,ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL,,,21,,RBRVS,13.19 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54550,CPT,EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA,,,21,,RBRVS,8.41 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54560,CPT,EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL,,,21,,RBRVS,12.10 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54600,CPT,RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,,,21,,RBRVS,7.64 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54620,CPT,FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE,,,21,,RBRVS,5.21 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54640,CPT,ORCHIOPEXY INGUINAL APPROACH W/WO HERNIA RPR,,,21,,RBRVS,7.73 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54650,CPT,ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS,,,21,,RBRVS,12.39 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54660,CPT,INSJ TESTICULAR PROSTH SEPARATE PROCEDURE,,,21,,RBRVS,5.74 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54670,CPT,SUTURE/REPAIR TESTICULAR INJURY,,,21,,RBRVS,6.65 ,4.25 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54680,CPT,TRANSPLANTATION TESTIS TO THIGH,,,21,,RBRVS,14.04 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54690,CPT,LAPAROSCOPY SURGICAL ORCHIECTOMY,,,21,,RBRVS,11.70 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54692,CPT,LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS,,,21,,RBRVS,13.74 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54699,CPT,UNLISTED LAPAROSCOPY PROCEDURE TESTIS,,,21,,TotalUnits,,,,18.58 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54700,CPT,I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,,,21,,RBRVS,3.47 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54800,CPT,BIOPSY EPIDIDYMIS NEEDLE,,,21,,RBRVS,2.33 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54830,CPT,EXCISION LOCAL LESION EPIDIDYMIS,,,21,,RBRVS,6.01 ,4.00 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54840,CPT,EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY,,,21,,RBRVS,5.27 ,3.36 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54860,CPT,EPIDIDYMECTOMY UNILATERAL,,,21,,RBRVS,6.95 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54861,CPT,EPIDIDYMECTOMY BILATERAL,,,21,,RBRVS,9.70 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54865,CPT,EXPLORATION EPIDIDYMIS W/WO BIOPSY,,,21,,RBRVS,5.77 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54900,CPT,EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI,,,21,,RBRVS,14.20 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 54901,CPT,EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI,,,21,,RBRVS,19.10 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55000,CPT,PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED,,,21,,RBRVS,1.43 ,0.85 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55040,CPT,EXCISION HYDROCELE UNILATERAL,,,21,,RBRVS,5.45 ,3.61 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55041,CPT,EXCISION HYDROCELE BILATERAL,,,21,,RBRVS,8.54 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55060,CPT,RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE,,,21,,RBRVS,6.15 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55100,CPT,DRAINAGE SCROTAL WALL ABSCESS,,,21,,RBRVS,2.45 ,2.01 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55110,CPT,SCROTAL EXPLORATION,,,21,,RBRVS,6.33 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55120,CPT,REMOVAL FOREIGN BODY SCROTUM,,,21,,RBRVS,5.72 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55150,CPT,RESECTION SCROTUM,,,21,,RBRVS,8.14 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55175,CPT,SCROTOPLASTY SIMPLE,,,21,,RBRVS,5.87 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55180,CPT,SCROTOPLASTY COMPLICATED,,,21,,RBRVS,11.78 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55200,CPT,VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX,,,21,,RBRVS,4.55 ,2.94 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55250,CPT,VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS,,,21,,RBRVS,3.37 ,2.77 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55300,CPT,VASOTOMY VASOGRAMS UNI/BI,,,21,,RBRVS,3.50 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55400,CPT,VASOVASOSTOMY VASOVASORRHAPHY,,,21,,RBRVS,8.61 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55450,CPT,LIGATION PRQ VAS DEFERENS UNI/BI SPX,,,21,,RBRVS,4.43 ,2.47 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55500,CPT,EXC HYDROCELE SPRMATIC CORD UNI SPX,,,21,,RBRVS,6.22 ,4.25 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55520,CPT,EXC LESION SPERMATIC CORD SEPARATE PROCEDURE,,,21,,RBRVS,6.66 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55530,CPT,EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX,,,21,,RBRVS,5.75 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55535,CPT,EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL,,,21,,RBRVS,7.19 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55540,CPT,EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR,,,21,,RBRVS,8.30 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55550,CPT,LAPS LIGATION SPERMATIC VEINS VARICOCELE,,,21,,RBRVS,7.20 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55559,CPT,UNLISTED LAPROSCOPY PROCEDURE SPERMATIC CORD,,,21,,TotalUnits,,,,11.53 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55600,CPT,VESICULOTOMY,,,21,,RBRVS,7.01 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55605,CPT,VESICULOTOMY COMPLICATED,,,21,,RBRVS,8.76 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55650,CPT,VESICULECTOMY ANY APPROACH,,,21,,RBRVS,12.65 ,6.57 ,6.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55680,CPT,EXCISION MULLERIAN DUCT CYST,,,21,,RBRVS,5.67 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55700,CPT,PROSTATE NEEDLE BIOPSY ANY APPROACH,,,21,,RBRVS,2.58 ,1.14 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55705,CPT,BIOPSY PROSTATE INCISIONAL ANY APPROACH,,,21,,RBRVS,4.61 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55706,CPT,BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID,,,21,,RBRVS,6.28 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55720,CPT,PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE,,,21,,RBRVS,7.73 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55725,CPT,PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED,,,21,,RBRVS,10.05 ,5.87 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55801,CPT,PROSTATECTOMY PERINEAL SUBTOTAL,,,21,,RBRVS,19.80 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55810,CPT,PROSTATECTOMY PERINEAL RADICAL,,,21,,RBRVS,24.29 ,10.75 ,10.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55812,CPT,PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX,,,21,,RBRVS,29.89 ,13.06 ,13.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55815,CPT,PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC,,,21,,RBRVS,32.95 ,14.15 ,14.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55821,CPT,PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES,,,21,,RBRVS,15.76 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55831,CPT,PROSTATECTOMY RETROPUBIC SUBTOTAL,,,21,,RBRVS,17.19 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55840,CPT,PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING,,,21,,RBRVS,21.36 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55842,CPT,PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX,,,21,,RBRVS,21.36 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55845,CPT,PROSTECT RETROPUB RAD W/WO NRV SPAR & BI PLV LYM,,,21,,RBRVS,25.18 ,11.23 ,11.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55860,CPT,EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST,,,21,,RBRVS,15.84 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55862,CPT,EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX,,,21,,RBRVS,20.04 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55865,CPT,EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH,,,21,,RBRVS,24.57 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55866,CPT,LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT,,,21,,RBRVS,21.36 ,16.57 ,16.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 55870,CPT,ELECTROEJACULATION,,,21,,RBRVS,2.58 ,1.23 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55873,CPT,CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI,,,21,,RBRVS,13.60 ,6.88 ,185.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55875,CPT,TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ,,,21,,RBRVS,13.46 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55876,CPT,PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT,,,21,,RBRVS,1.73 ,0.98 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55899,CPT,UNLISTED PROCEDURE MALE GENITAL SYSTEM,,,21,,TotalUnits,,,,5.20 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 55920,CPT,PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL,,,21,,RBRVS,8.31 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56405,CPT,I&D VULVA/PERINEAL ABSCESS,,,21,,RBRVS,1.49 ,1.39 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56420,CPT,I&D OF BARTHOLINS GLAND ABSCESS,,,21,,RBRVS,1.44 ,0.97 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56440,CPT,MARSUPIALIZATION BARTHOLINS GLAND CYST,,,21,,RBRVS,2.89 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56441,CPT,LYSIS LABIAL ADHESIONS,,,21,,RBRVS,2.02 ,1.67 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56442,CPT,HYMENOTOMY SIMPLE INCISION,,,21,,RBRVS,0.68 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56501,CPT,DESTRUCTION LESIONS VULVA SIMPLE,,,21,,RBRVS,1.58 ,1.48 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56515,CPT,DESTRUCTION LESIONS VULVA EXTENSIVE,,,21,,RBRVS,3.08 ,2.21 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56605,CPT,BIOPSY VULVA/PERINEUM 1 LESION SPX,,,21,,RBRVS,1.10 ,0.48 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56606,CPT,BIOPSY VULVA/PERINEUM EACH ADDL LESION,,,21,,RBRVS,0.55 ,0.22 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56620,CPT,VULVECTOMY SIMPLE PARTIAL,,,21,,RBRVS,7.53 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56625,CPT,VULVECTOMY SIMPLE COMPLETE,,,21,,RBRVS,9.68 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56630,CPT,VULVECTOMY RADICAL PARTIAL,,,21,,RBRVS,14.80 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 56631,CPT,VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY,,,21,,RBRVS,18.99 ,10.98 ,10.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 56632,CPT,VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY,,,21,,RBRVS,21.86 ,13.10 ,13.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 56633,CPT,VULVECTOMY RADICAL COMPLETE,,,21,,RBRVS,19.62 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 56634,CPT,VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY,,,21,,RBRVS,20.66 ,11.96 ,11.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 56637,CPT,VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY,,,21,,RBRVS,24.75 ,13.32 ,13.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 56640,CPT,VULVECTOMY RAD COMPL ILIAC & PELVIC LMPHADECTOMY,,,21,,RBRVS,24.78 ,13.24 ,13.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 56700,CPT,PRTL HYMENECTOMY/REVJ HYMENAL RING,,,21,,RBRVS,2.84 ,2.11 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56740,CPT,EXC BARTHOLINS GLAND/CYST,,,21,,RBRVS,4.88 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56800,CPT,PLASTIC REPAIR INTROITUS,,,21,,RBRVS,3.93 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56805,CPT,CLITOROPLASTY INTERSEX STATE,,,21,,RBRVS,19.88 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56810,CPT,PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX,,,21,,RBRVS,4.29 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56820,CPT,COLPOSCOPY VULVA,,,21,,RBRVS,1.50 ,0.74 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 56821,CPT,COLPOSCOPY VULVA W/BIOPSY,,,21,,RBRVS,2.05 ,0.95 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57000,CPT,COLPOTOMY W/EXPLORATION,,,21,,RBRVS,3.02 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57010,CPT,COLPOTOMY W/DRAINAGE PELVIC ABSCESS,,,21,,RBRVS,6.84 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57020,CPT,COLPOCENTESIS SEPARATE PROCEDURE,,,21,,RBRVS,1.50 ,0.62 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57022,CPT,I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM,,,21,,RBRVS,2.73 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57023,CPT,I&D VAGINAL HEMATOMA NON-OBSTETRICAL,,,21,,RBRVS,5.18 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57061,CPT,DESTRUCTION VAGINAL LESIONS SIMPLE,,,21,,RBRVS,1.30 ,1.32 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57065,CPT,DESTRUCTION VAGINAL LESIONS EXTENSIVE,,,21,,RBRVS,2.66 ,1.90 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57100,CPT,BIOPSY VAGINAL MUCOSA SIMPLE,,,21,,RBRVS,1.20 ,0.53 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57105,CPT,BIOPSY VAGINAL MUCOSA EXTENSIVE,,,21,,RBRVS,1.74 ,1.59 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57106,CPT,VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL,,,21,,RBRVS,7.50 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57107,CPT,VAGINECTOMY PRTL RMVL VAG WALL & PARAVAGINAL T,,,21,,RBRVS,24.56 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57109,CPT,VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC,,,21,,RBRVS,28.40 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57110,CPT,VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL,,,21,,RBRVS,15.48 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57111,CPT,VAGINECTOMY COMPL RMVL VAG WALL & PARAVAG TISS,,,21,,RBRVS,28.40 ,13.72 ,13.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57112,CPT,VAGNC COMPL RMVL VAG WALL TOT PEL LMPHADEC BX,,,21,,RBRVS,30.52 ,15.81 ,15.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57120,CPT,COLPOCLEISIS LE FORT TYPE,,,21,,RBRVS,8.28 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57130,CPT,EXCISION VAGINAL SEPTUM,,,21,,RBRVS,2.46 ,1.75 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57135,CPT,EXCISION VAGINAL CYST/TUMOR,,,21,,RBRVS,2.70 ,1.86 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57150,CPT,IRRIGATION VAGINA&/APPL MEDICAMENT TX DISEASE,,,21,,RBRVS,0.55 ,0.21 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57155,CPT,INSERTION UTERINE TANDEM&/VAGINAL OVOIDS,,,21,,RBRVS,5.40 ,2.44 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57156,CPT,INSERTION VAGINAL RADIATION DEVICE,,,21,,RBRVS,2.69 ,1.30 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57160,CPT,FIT&INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI,,,21,,RBRVS,0.89 ,0.34 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57170,CPT,DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS,,,21,,RBRVS,0.91 ,0.36 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57180,CPT,INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX,,,21,,RBRVS,1.63 ,1.16 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57200,CPT,COLPORRHAPHY SUTURE INJURY VAGINA,,,21,,RBRVS,4.42 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57210,CPT,COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU,,,21,,RBRVS,5.71 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57220,CPT,PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH,,,21,,RBRVS,4.85 ,3.61 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57230,CPT,PLASTIC REPAIR URETHROCELE,,,21,,RBRVS,6.30 ,4.13 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57240,CPT,ANT COLPORRHAPHY CYSTOCELE W/WO RPR URETHROCELE,,,21,,RBRVS,11.50 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57250,CPT,POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY,,,21,,RBRVS,11.50 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57260,CPT,COMBINED ANTEROPOSTERIOR COLPORRHAPHY,,,21,,RBRVS,14.44 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57265,CPT,CMBND ANTEROPOST COLPORRHAPHY W/ENTEROCELE RPR,,,21,,RBRVS,15.94 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57267,CPT,INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE,,,21,,RBRVS,4.88 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57268,CPT,REPAIR ENTEROCELE VAGINAL APPROACH SPX,,,21,,RBRVS,7.57 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57270,CPT,REPAIR ENTEROCELE ABDOMINAL APPROACH SPX,,,21,,RBRVS,13.67 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57280,CPT,COLPOPEXY ABDOMINAL APPROACH,,,21,,RBRVS,16.72 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57282,CPT,COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH,,,21,,RBRVS,7.97 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57283,CPT,COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH,,,21,,RBRVS,11.66 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57284,CPT,PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR,,,21,,RBRVS,14.33 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57285,CPT,PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH,,,21,,RBRVS,11.60 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57287,CPT,RMVL/REVJ SLING STRESS INCONTINENCE,,,21,,RBRVS,11.15 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57288,CPT,SLING OPERATION STRESS INCONTINENCE,,,21,,RBRVS,12.13 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57289,CPT,PEREYRA PX W/ANTERIOR COLPORRHAPHY,,,21,,RBRVS,12.80 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57291,CPT,CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT,,,21,,RBRVS,8.64 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57292,CPT,CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT,,,21,,RBRVS,14.01 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57295,CPT,REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP,,,21,,RBRVS,7.82 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57296,CPT,REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR,,,21,,RBRVS,16.56 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57300,CPT,CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR,,,21,,RBRVS,8.71 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57305,CPT,CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH,,,21,,RBRVS,15.35 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57307,CPT,CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST,,,21,,RBRVS,17.17 ,9.70 ,9.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57308,CPT,CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ,,,21,,RBRVS,10.59 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57310,CPT,CLOSURE URETHROVAGINAL FISTULA,,,21,,RBRVS,7.65 ,4.71 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57311,CPT,CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL,,,21,,RBRVS,8.91 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57320,CPT,CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH,,,21,,RBRVS,8.88 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57330,CPT,CLSR VESICOVAG FSTL TRANSVESICAL&VAG APPR,,,21,,RBRVS,13.21 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57335,CPT,VAGINOPLASTY INTERSEX STATE,,,21,,RBRVS,20.02 ,10.01 ,10.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57400,CPT,DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL,,,21,,RBRVS,2.27 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57410,CPT,PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL,,,21,,RBRVS,1.75 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57415,CPT,REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,,,21,,RBRVS,2.49 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57420,CPT,COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT,,,21,,RBRVS,1.60 ,0.77 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57421,CPT,COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX,,,21,,RBRVS,2.20 ,1.02 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57423,CPT,PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH,,,21,,RBRVS,16.08 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57425,CPT,LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX,,,21,,RBRVS,17.03 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57426,CPT,REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC,,,21,,RBRVS,14.30 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57452,CPT,COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA,,,21,,RBRVS,1.50 ,0.93 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57454,CPT,COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE,,,21,,RBRVS,2.33 ,1.25 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57455,CPT,COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX,,,21,,RBRVS,1.99 ,0.91 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57456,CPT,COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE,,,21,,RBRVS,1.85 ,0.85 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57460,CPT,COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX,,,21,,RBRVS,2.83 ,1.45 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57461,CPT,COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX,,,21,,RBRVS,3.43 ,1.48 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57500,CPT,BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX,,,21,,RBRVS,1.20 ,0.81 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57505,CPT,ENDOCERVICAL CURETTAGE W/DILATION & CURETTAGE,,,21,,RBRVS,1.19 ,1.27 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57510,CPT,CAUTERY CERVIX ELECTRO/THERMAL,,,21,,RBRVS,1.90 ,1.15 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57511,CPT,CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT,,,21,,RBRVS,1.95 ,1.56 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57513,CPT,CAUTERY CERVIX LASER ABLATION,,,21,,RBRVS,1.95 ,1.58 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57520,CPT,CONIZATION CERVIX W/WO D&C RPR KNIFE/LASER,,,21,,RBRVS,4.11 ,3.13 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57522,CPT,CONIZATION CERVIX W/WO D&C RPR ELTRD EXC,,,21,,RBRVS,3.67 ,2.77 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57530,CPT,TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX,,,21,,RBRVS,5.27 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57531,CPT,RAD TRACHELECTOMY W/BI PEL LMPHADEC,,,21,,RBRVS,29.95 ,15.80 ,15.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57540,CPT,EXCISION CERVICAL STUMP ABDOMINAL APPROACH,,,21,,RBRVS,13.29 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57545,CPT,EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR,,,21,,RBRVS,14.10 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 57550,CPT,EXCISION CERVICAL STUMP VAGINAL APPROACH,,,21,,RBRVS,6.34 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57555,CPT,EXC CRV STUMP VAG APPR W/ANT &/POST REPAIR,,,21,,RBRVS,9.94 ,5.87 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57556,CPT,EXC CRV STUMP VAG APPR W/RPR NTRCL,,,21,,RBRVS,9.36 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57558,CPT,DILATION & CURETTAGE CERVICAL STUMP,,,21,,RBRVS,1.72 ,1.29 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57700,CPT,CERCLAGE UTERINE CERVIX NONOBSTETRICAL,,,21,,RBRVS,4.35 ,4.01 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57720,CPT,TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG,,,21,,RBRVS,4.61 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 57800,CPT,DILATION CERVICAL CANAL INSTRUMENTAL SPX,,,21,,RBRVS,0.77 ,0.51 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58100,CPT,ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX,,,21,,RBRVS,1.53 ,0.77 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58110,CPT,ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY,,,21,,RBRVS,0.77 ,0.30 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58120,CPT,DILATION & CURETTAGE DX&/THER NONOBSTETRIC,,,21,,RBRVS,3.59 ,2.15 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58140,CPT,MYOMECTOMY 1-4 MYOMAS W/250 GM/< ABDOMINAL APPR,,,21,,RBRVS,15.79 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58145,CPT,MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL APPR,,,21,,RBRVS,8.91 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58146,CPT,MYOMECTOMY 5/> MYOMAS &/>250 GM ABDOMINA,,,21,,RBRVS,20.34 ,9.84 ,9.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58150,CPT,TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY,,,21,,RBRVS,17.31 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58152,CPT,TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY,,,21,,RBRVS,21.86 ,10.74 ,10.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58180,CPT,SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY,,,21,,RBRVS,16.60 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58200,CPT,TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM,,,21,,RBRVS,23.10 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58210,CPT,RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY,,,21,,RBRVS,30.91 ,15.68 ,15.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58240,CPT,PEL EXNTJ GYNECOLOGIC MAL,,,21,,RBRVS,49.33 ,24.52 ,24.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58260,CPT,VAGINAL HYSTERECTOMY UTERUS 250 GM/<,,,21,,RBRVS,14.15 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58262,CPT,VAG HYST 250 GM/< W/RMVL TUBE&/OVARY,,,21,,RBRVS,15.94 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58263,CPT,VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL,,,21,,RBRVS,17.23 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58267,CPT,VAG HYST 250 GM/< W/COLPO-URTCSTOPEXY,,,21,,RBRVS,18.36 ,9.24 ,9.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58270,CPT,VAGINAL HYSTERECTOMY 250 GM/< W/RPR ENTEROCELE,,,21,,RBRVS,15.30 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58275,CPT,VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY,,,21,,RBRVS,17.03 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58280,CPT,VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE,,,21,,RBRVS,18.33 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58285,CPT,VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION,,,21,,RBRVS,23.38 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58290,CPT,VAGINAL HYSTERECTOMY UTERUS > 250 GM,,,21,,RBRVS,20.27 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58291,CPT,VAG HYST > 250 GM RMVL TUBE&/OVARY,,,21,,RBRVS,22.06 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58292,CPT,VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR ENTRCLE,,,21,,RBRVS,23.35 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58293,CPT,VAG HYST >250 GM COLPOURTCSTOPEXY W/WO NDSC CTR,,,21,,RBRVS,24.33 ,11.40 ,11.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58294,CPT,VAGINAL HYSTERECTOMY >250 GM RPR ENTEROCELE,,,21,,RBRVS,21.55 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58300,CPT,INSERTION INTRAUTERINE DEVICE IUD,,,21,,RBRVS,1.01 ,0.39 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58301,CPT,REMOVAL INTRAUTERINE DEVICE IUD,,,21,,RBRVS,1.27 ,0.50 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58321,CPT,ARTIFICIAL INSEMINATION INTRA-CERVICAL,,,21,,RBRVS,0.92 ,0.36 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58322,CPT,ARTIFICIAL INSEMINATION INTRA-UTERINE,,,21,,RBRVS,1.10 ,0.43 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58323,CPT,SPERM WASHING ARTIFICIAL INSEMINATION,,,21,,RBRVS,0.23 ,0.09 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58340,CPT,CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI,,,21,,RBRVS,0.88 ,0.68 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58345,CPT,TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING,,,21,,RBRVS,4.70 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58346,CPT,INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY,,,21,,RBRVS,7.56 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58350,CPT,CHROMOTUBATION OVIDUCT W/MATERIALS,,,21,,RBRVS,1.06 ,1.04 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58353,CPT,ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID,,,21,,RBRVS,3.60 ,2.17 ,24.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58356,CPT,ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CR,,,21,,RBRVS,6.41 ,2.61 ,45.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58400,CPT,UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX,,,21,,RBRVS,7.14 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58410,CPT,UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY,,,21,,RBRVS,13.80 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58520,CPT,HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL,,,21,,RBRVS,13.48 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58540,CPT,HYSTEROPLASTY RPR UTERINE ANOMALY,,,21,,RBRVS,15.71 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58541,CPT,LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<,,,21,,RBRVS,12.29 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58542,CPT,LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVAR,,,21,,RBRVS,14.16 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58543,CPT,LAPS SUPRACERVICAL HYSTERECTOMY >250,,,21,,RBRVS,14.39 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58544,CPT,LAPS SUPRACRV HYSTEREC >250 G RMVL TUBE/OVARY,,,21,,RBRVS,15.60 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58545,CPT,LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/<,,,21,,RBRVS,15.55 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58546,CPT,LAPS MYOMECTOMY EXC 5/> MYOMAS >250 GRAMS,,,21,,RBRVS,19.94 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58548,CPT,LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY,,,21,,RBRVS,31.63 ,16.32 ,16.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58550,CPT,LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/<,,,21,,RBRVS,15.10 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58552,CPT,LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES,,,21,,RBRVS,16.91 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58553,CPT,LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS,,,21,,RBRVS,20.06 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58554,CPT,LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR,,,21,,RBRVS,23.11 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58555,CPT,HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE,,,21,,RBRVS,3.33 ,1.64 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58558,CPT,HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C,,,21,,RBRVS,4.17 ,2.03 ,33.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58559,CPT,HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS,,,21,,RBRVS,6.16 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58560,CPT,HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM,,,21,,RBRVS,6.99 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58561,CPT,HYSTEROSCOPY REMOVAL LEIOMYOMATA,,,21,,RBRVS,9.99 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58562,CPT,HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY,,,21,,RBRVS,5.20 ,2.38 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58563,CPT,HYSTEROSCOPY ENDOMETRIAL ABLATION,,,21,,RBRVS,6.16 ,2.78 ,40.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58565,CPT,HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS,,,21,,RBRVS,7.12 ,4.29 ,44.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58570,CPT,LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<,,,21,,RBRVS,13.36 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58571,CPT,LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY,,,21,,RBRVS,15.00 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58572,CPT,LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM,,,21,,RBRVS,17.71 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58573,CPT,LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR,,,21,,RBRVS,20.79 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58578,CPT,UNLISTED LAPAROSCOPY PROCEDURE UTERUS,,,21,,TotalUnits,,,,25.71 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58579,CPT,UNLISTED HYSTEROSCOPY PROCEDURE UTERUS,,,21,,TotalUnits,,,,10.52 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58600,CPT,LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI,,,21,,RBRVS,5.91 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58605,CPT,LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX,,,21,,RBRVS,5.28 ,3.44 ,3.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58611,CPT,LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG,,,21,,RBRVS,1.45 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58615,CPT,OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR,,,21,,RBRVS,3.94 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58660,CPT,LAPAROSCOPY W/LYSIS OF ADHESIONS,,,21,,RBRVS,11.59 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58661,CPT,LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES,,,21,,RBRVS,11.35 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58662,CPT,LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE,,,21,,RBRVS,12.15 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58670,CPT,LAPAROSCOPY FULGURATION OVIDUCTS,,,21,,RBRVS,5.91 ,3.71 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58671,CPT,LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS,,,21,,RBRVS,5.91 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58672,CPT,LAPAROSCOPY FIMBRIOPLASTY,,,21,,RBRVS,12.91 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58673,CPT,LAPAROSCOPY SALPINGOSTOMY,,,21,,RBRVS,14.04 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58674,CPT,LAPS ABLTJ UTERINE FIBROIDS,,,21,,RBRVS,14.08 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58679,CPT,UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT/OVARY,,,21,,TotalUnits,,,,16.84 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58700,CPT,SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX,,,21,,RBRVS,12.95 ,7.19 ,7.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58720,CPT,SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX,,,21,,RBRVS,12.16 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58740,CPT,LYSIS OF ADHESIONS SALPINX/OVARY,,,21,,RBRVS,14.90 ,7.97 ,7.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58750,CPT,TUBOTUBAL ANASTATOMOSIS,,,21,,RBRVS,15.64 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58752,CPT,TUBOUTERINE IMPLANTATION,,,21,,RBRVS,15.64 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58760,CPT,FIMBRIOPLASTY,,,21,,RBRVS,13.93 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58770,CPT,SALPINGOSTOMY,,,21,,RBRVS,14.77 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58800,CPT,DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR,,,21,,RBRVS,4.62 ,3.27 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58805,CPT,DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL,,,21,,RBRVS,6.42 ,4.25 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58820,CPT,DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN,,,21,,RBRVS,4.70 ,3.57 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58822,CPT,DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH,,,21,,RBRVS,11.81 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58825,CPT,TRANSPOSITION OVARY,,,21,,RBRVS,11.78 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58900,CPT,BIOPSY OVARY UNI/BI SEPARATE PROCEDURE,,,21,,RBRVS,6.59 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58920,CPT,WEDGE RESCJ/BISCTJ OVARY UNI/BI,,,21,,RBRVS,11.95 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58925,CPT,OVARIAN CYSTECTOMY UNI/BI,,,21,,RBRVS,12.43 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58940,CPT,OOPHORECTOMY PARTIAL/TOTAL UNI/BI,,,21,,RBRVS,8.22 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58943,CPT,OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY,,,21,,RBRVS,19.52 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58950,CPT,RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO,,,21,,RBRVS,18.37 ,10.22 ,10.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58951,CPT,RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD,,,21,,RBRVS,24.26 ,12.46 ,12.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58952,CPT,RESCJ PRIM PRTL MAL W/BSO & OMNTC RAD DEBULKING,,,21,,RBRVS,27.29 ,14.18 ,14.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58953,CPT,BSO W/OMENTECTOMY TAH&RAD DEBULKING DISSECTION,,,21,,RBRVS,34.13 ,17.14 ,17.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58954,CPT,BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY,,,21,,RBRVS,37.13 ,18.51 ,18.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58956,CPT,BSO W/TOT OMENTECTOMY & HYSTERECTOMY MALIGNANC,,,21,,RBRVS,22.80 ,12.22 ,12.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58957,CPT,RESECJ RECUR OVARIAN/TUBAL/PERITONEAL MALIGNANCY,,,21,,RBRVS,26.22 ,13.80 ,13.80 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58958,CPT,RESECTION RECRT MAL W/OMENTECTOMY PEL LMPHADEC,,,21,,RBRVS,29.22 ,14.91 ,14.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58960,CPT,LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK,,,21,,RBRVS,15.79 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 58970,CPT,FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD,,,21,,RBRVS,3.52 ,1.74 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58974,CPT,EMBRYO TRANSFER INTRAUTERINE,,,21,,TotalUnits,,,,3.90 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58976,CPT,GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH,,,21,,RBRVS,3.82 ,1.88 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 58999,CPT,UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL,,,21,,TotalUnits,,,,3.37 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59000,CPT,AMNIOCENTESIS DIAGNOSIC,,,12,,RBRVS,1.30 ,0.71 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59001,CPT,AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID,,,12,,RBRVS,3.00 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59012,CPT,CORDOCENTESIS INTRAUTERINE,,,12,,RBRVS,3.44 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59015,CPT,CHORIONIC VILLUS SAMPLING,,,12,,RBRVS,2.20 ,1.06 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59020,CPT,FETAL CONTRACTION STRESS TEST,,,12,,RBRVS,0.66 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 59020,CPT,FETAL CONTRACTION STRESS TEST,26,,12,,RBRVS,0.66 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59020,CPT,FETAL CONTRACTION STRESS TEST,TC,,12,,RBRVS,,0.95 ,0.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 59025,CPT,FETAL NONSTRESS TEST,,,12,,RBRVS,0.53 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 59025,CPT,FETAL NONSTRESS TEST,26,,12,,RBRVS,0.53 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59025,CPT,FETAL NONSTRESS TEST,TC,,12,,RBRVS,,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 59030,CPT,FETAL SCALP BLOOD SAMPLING,,,12,,RBRVS,1.99 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59050,CPT,FETAL MONITORING LABOR PHYS WRITTEN REPORT,,,12,,RBRVS,0.89 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59051,CPT,FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY,,,12,,RBRVS,0.74 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59070,CPT,TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE,,,12,,RBRVS,5.24 ,2.42 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59072,CPT,FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE,,,12,,RBRVS,8.99 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59074,CPT,FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE,,,12,,RBRVS,5.24 ,2.42 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59076,CPT,FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE,,,12,,RBRVS,8.99 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59100,CPT,HYSTEROTOMY ABDOMINAL,,,12,,RBRVS,13.37 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59120,CPT,TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR,,,12,,RBRVS,12.67 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59121,CPT,TX ECTOPIC PREGNANCY W/O SALPING&/OOPHORECTOMY,,,12,,RBRVS,12.74 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59130,CPT,TX ECTOPIC PREGNANCY ABDL PREGNANCY,,,12,,RBRVS,15.08 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59135,CPT,TX ECTOPIC PREGNANCY NTRSTL REQ TOT HYST,,,12,,RBRVS,14.92 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59136,CPT,TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER,,,12,,RBRVS,14.25 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59140,CPT,TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION,,,12,,RBRVS,5.94 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59150,CPT,LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY,,,12,,RBRVS,12.29 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59151,CPT,LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY,,,12,,RBRVS,12.11 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59160,CPT,CURETTAGE POSTPARTUM,,,12,,RBRVS,2.76 ,1.53 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59200,CPT,INSERTION CERVICAL DILATOR SEPARATE PROCEDURE,,,12,,RBRVS,0.79 ,0.31 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59300,CPT,EPISIOTOMY/VAG RPR OTH/THN ATTENDING,,,12,,RBRVS,2.41 ,1.27 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59320,CPT,CERCLAGE CERVIX PREGNANCY VAGINAL,,,12,,RBRVS,2.48 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59325,CPT,CERCLAGE CERVIX PREGNANCY ABDOMINAL,,,12,,RBRVS,4.06 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59350,CPT,HYSTERORRHAPHY RUPTURED UTERUS,,,12,,RBRVS,4.94 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59400,CPT,OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM,,,13,,RBRVS,32.16 ,20.23 ,20.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59409,CPT,VAGINAL DELIVERY ONLY,,,13,,RBRVS,14.37 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59410,CPT,VAGINAL DELIVERY ONLY W/POSTPARTUM CARE,,,13,,RBRVS,18.01 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59412,CPT,EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS,,,13,,RBRVS,1.71 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59414,CPT,DELIVERY PLACENTA SEPARATE PROCEDURE,,,13,,RBRVS,1.61 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59425,CPT,ANTEPARTUM CARE ONLY 4-6 VISITS,,,13,,RBRVS,6.31 ,2.49 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59426,CPT,ANTEPARTUM CARE ONLY 7/> VISITS,,,13,,RBRVS,11.16 ,4.42 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59430,CPT,POSTPARTUM CARE ONLY SEPARATE PROCEDURE,,,13,,RBRVS,2.47 ,0.98 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59510,CPT,OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM,,,11,,RBRVS,35.64 ,22.02 ,22.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59514,CPT,CESAREAN DELIVERY ONLY,,,11,,RBRVS,16.13 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59515,CPT,CESAREAN DELIVERY ONLY W/POSTPARTUM CARE,,,11,,RBRVS,21.47 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59525,CPT,STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY,,,21,,RBRVS,8.53 ,3.35 ,3.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59610,CPT,ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB,,,13,,RBRVS,33.87 ,20.71 ,20.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59612,CPT,VAGINAL DELIVERY AFTER CESAREAN DELIVERY,,,13,,RBRVS,16.09 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59614,CPT,VAGINAL DELIVERY & POSTPARTUM CARE VBAC,,,13,,RBRVS,19.73 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59618,CPT,ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC,,,11,,RBRVS,36.16 ,22.18 ,22.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59620,CPT,CESAREAN DELIVERY ATTEMPTED VBAC,,,11,,RBRVS,16.66 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59622,CPT,CESAREAN DLVRY & POSTPARTUM CARE ATTEMPTED VBA,,,11,,RBRVS,22.00 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59812,CPT,TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL,,,12,,RBRVS,4.44 ,2.95 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59820,CPT,TX MISSED ABORTION FIRST TRIMESTER SURGICAL,,,12,,RBRVS,4.84 ,4.17 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59821,CPT,TX MISSED ABORTION SECOND TRIMESTER SURGICAL,,,12,,RBRVS,5.09 ,3.90 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59830,CPT,TX SEPTIC ABORTION SURGICAL,,,12,,RBRVS,6.59 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59840,CPT,INDUCED ABORTION DILATION AND CURETTAGE,,,12,,RBRVS,3.01 ,2.21 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59841,CPT,INDUCED ABORTION DILATION & EVACUATION,,,12,,RBRVS,5.65 ,3.31 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59850,CPT,INDUCED ABORTION 1/> AMNIOTIC INJX W/D&C/EVACJ,,,12,,RBRVS,5.90 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59851,CPT,INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS D&C,,,12,,RBRVS,5.92 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59852,CPT,INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS HYSTOTM,,,12,,RBRVS,8.23 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59855,CPT,INDUCED ABORT 1/> VAG SUPPOSITORIES DLVR FETUS,,,12,,RBRVS,6.43 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59856,CPT,INDUCED ABORT 1/> VAG SUPP DLVR FETUS D&C &/EVAC,,,12,,RBRVS,7.79 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59857,CPT,INDUCED ABORT 1/> VAG SUPPOS DLVR FETUS HYSTOT,,,12,,RBRVS,9.33 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 59866,CPT,MULTIFETAL PREGNANCY REDUCTION,,,12,,RBRVS,3.99 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59870,CPT,UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE,,,12,,RBRVS,6.57 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59871,CPT,REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA,,,12,,RBRVS,2.13 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59897,CPT,UNLISTED FETAL INVASIVE PX W/ULTRASOUND,,,12,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59898,CPT,UNLISTED LAPAROSCOPY PX MATERNITY CARE&DELIVERY,,,12,,TotalUnits,,,,18.51 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 59899,CPT,UNLISTED PROCEDURE MATERNITY CARE & DELIVERY,,,12,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60000,CPT,I&D THYROGLOSSAL DUCT CYST INFECTED,,,21,,RBRVS,1.81 ,2.34 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60100,CPT,BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,,,21,,RBRVS,1.56 ,0.57 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60200,CPT,EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS,,,21,,RBRVS,10.02 ,7.19 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60210,CPT,PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY,,,21,,RBRVS,11.23 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60212,CPT,PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC,,,21,,RBRVS,16.43 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60220,CPT,TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY,,,21,,RBRVS,11.19 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60225,CPT,TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC,,,21,,RBRVS,14.79 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60240,CPT,THYROIDECTOMY TOTAL/COMPLETE,,,21,,RBRVS,15.04 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60252,CPT,THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT,,,21,,RBRVS,22.01 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60254,CPT,THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT,,,21,,RBRVS,28.42 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 60260,CPT,THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL,,,21,,RBRVS,18.26 ,9.97 ,9.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60270,CPT,THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC,,,21,,RBRVS,23.20 ,11.76 ,11.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 60271,CPT,THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH,,,21,,RBRVS,17.62 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60280,CPT,EXCISION THYROGLOSSAL DUCT CYST/SINUS,,,21,,RBRVS,6.16 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60281,CPT,EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT,,,21,,RBRVS,8.82 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60300,CPT,ASPIRATION AND/OR INJECTION THYROID CYST,,,21,,RBRVS,0.97 ,0.36 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60500,CPT,PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS,,,21,,RBRVS,15.60 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60502,CPT,PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR,,,21,,RBRVS,21.15 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60505,CPT,PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC,,,21,,RBRVS,23.06 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 60512,CPT,PARATHYROID AUTOTRANSPLANTATION ADD-ON,,,21,,RBRVS,4.44 ,1.71 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60520,CPT,THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX,,,21,,RBRVS,17.16 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60521,CPT,THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX,,,21,,RBRVS,19.18 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 60522,CPT,THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX,,,21,,RBRVS,23.48 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 60540,CPT,ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX,,,21,,RBRVS,18.02 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 60545,CPT,ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR,,,21,,RBRVS,20.93 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 60600,CPT,EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY,,,21,,RBRVS,25.09 ,10.21 ,10.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 60605,CPT,EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY,,,21,,RBRVS,31.96 ,11.35 ,11.35 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 60650,CPT,LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL,,,21,,RBRVS,20.73 ,9.63 ,9.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 60659,CPT,UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM,,,21,,TotalUnits,,,,30.36 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 60699,CPT,UNLISTED PROCEDURE ENDOCRINE SYSTEM,,,21,,TotalUnits,,,,18.37 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61000,CPT,SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT,,,21,,RBRVS,1.58 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61001,CPT,SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ,,,21,,RBRVS,1.49 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61020,CPT,VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX,,,21,,RBRVS,1.51 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61026,CPT,VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ,,,21,,RBRVS,1.69 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61050,CPT,CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX,,,21,,RBRVS,1.51 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61055,CPT,CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION,,,21,,RBRVS,2.10 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61070,CPT,PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX,,,21,,RBRVS,0.89 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61105,CPT,TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE,,,21,,RBRVS,5.45 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61107,CPT,TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE,,,21,,RBRVS,4.99 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61108,CPT,TWIST DRILL HOLE EVAC&/DRG SUBDURAL HEMATOMA,,,21,,RBRVS,11.64 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61120,CPT,BURR HOLE VENTRICULAR PUNCTURE,,,21,,RBRVS,9.60 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61140,CPT,BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION,,,21,,RBRVS,17.23 ,12.98 ,12.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61150,CPT,BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST,,,21,,RBRVS,18.90 ,12.94 ,12.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61151,CPT,BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST,,,21,,RBRVS,13.49 ,10.22 ,10.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61154,CPT,BURR HOLE W/EVAC&/DRG HEMATOMA XDRL/SDRL,,,21,,RBRVS,17.07 ,13.37 ,13.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61156,CPT,BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL,,,21,,RBRVS,17.45 ,12.08 ,12.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61210,CPT,BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE,,,21,,RBRVS,5.83 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61215,CPT,INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH,,,21,,RBRVS,5.85 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61250,CPT,BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG,,,21,,RBRVS,11.49 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61253,CPT,BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI,,,21,,RBRVS,13.49 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61304,CPT,CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL,,,21,,RBRVS,23.41 ,15.63 ,15.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61305,CPT,CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL,,,21,,RBRVS,28.64 ,18.68 ,18.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61312,CPT,CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL,,,21,,RBRVS,30.17 ,18.91 ,18.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61313,CPT,CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL,,,21,,RBRVS,28.09 ,18.98 ,18.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61314,CPT,CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL,,,21,,RBRVS,25.90 ,17.44 ,17.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61315,CPT,CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL,,,21,,RBRVS,29.65 ,19.22 ,19.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61316,CPT,INCISION & SUBCUTANEOUS PLMT CRANIAL BONE GRAF,,,21,,RBRVS,1.39 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61320,CPT,CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL,,,21,,RBRVS,27.42 ,17.61 ,17.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61321,CPT,CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL,,,21,,RBRVS,30.53 ,19.22 ,19.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61322,CPT,CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY,,,21,,RBRVS,34.26 ,21.84 ,21.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61323,CPT,CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY,,,21,,RBRVS,35.06 ,21.26 ,21.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61330,CPT,DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH,,,21,,RBRVS,25.30 ,18.66 ,18.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61332,CPT,EXPLORATION ORBIT TRANSCRANIAL APPROACH W/BIOPSY,,,21,,RBRVS,28.60 ,20.70 ,20.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61333,CPT,EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION,,,21,,RBRVS,29.27 ,20.85 ,20.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61340,CPT,SUBTEMPORAL CRANIAL DECOMPRESSION,,,21,,RBRVS,20.11 ,14.21 ,14.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61343,CPT,CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD,,,21,,RBRVS,31.86 ,20.05 ,20.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61345,CPT,OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA,,,21,,RBRVS,29.23 ,18.85 ,18.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61450,CPT,CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION,,,21,,RBRVS,27.69 ,17.63 ,17.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61458,CPT,CRNEC SOPL EXPL/DCMPRN CRNL NRV,,,21,,RBRVS,28.84 ,18.60 ,18.60 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61460,CPT,CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NR,,,21,,RBRVS,30.24 ,19.38 ,19.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61480,CPT,CRNEC SUBOCPTL MESENCEPHAL TRCOTOMY/PEDUNCULOTMY,,,21,,RBRVS,28.05 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61500,CPT,CRANIECTOMY W/EXCISION TUMOR/LESION SKULL,,,21,,RBRVS,19.18 ,13.31 ,13.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61501,CPT,CRANIECTOMY OSTEOMYELITIS,,,21,,RBRVS,16.35 ,12.23 ,12.23 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61510,CPT,CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR,,,21,,RBRVS,30.83 ,21.02 ,21.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61512,CPT,CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR,,,21,,RBRVS,37.14 ,22.97 ,22.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61514,CPT,CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR,,,21,,RBRVS,27.23 ,17.85 ,17.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61516,CPT,CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR,,,21,,RBRVS,26.58 ,17.47 ,17.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61517,CPT,IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT,,,21,,RBRVS,1.38 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61518,CPT,CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA,,,21,,RBRVS,39.89 ,25.22 ,25.22 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61519,CPT,CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA,,,21,,RBRVS,43.43 ,25.70 ,25.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61520,CPT,CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM,,,21,,RBRVS,57.09 ,32.52 ,32.52 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61521,CPT,CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL,,,21,,RBRVS,46.99 ,27.05 ,27.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61522,CPT,CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS,,,21,,RBRVS,31.54 ,19.72 ,19.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61524,CPT,CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST,,,21,,RBRVS,29.89 ,18.91 ,18.91 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61526,CPT,CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM,,,21,,RBRVS,54.08 ,31.43 ,31.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61530,CPT,CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA,,,21,,RBRVS,45.56 ,26.53 ,26.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61531,CPT,SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING,,,21,,RBRVS,16.41 ,12.64 ,12.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61533,CPT,CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING,,,21,,RBRVS,21.46 ,14.54 ,14.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61534,CPT,CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY,,,21,,RBRVS,23.01 ,16.00 ,16.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61535,CPT,CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX,,,21,,RBRVS,13.15 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61536,CPT,CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY,,,21,,RBRVS,37.72 ,22.87 ,22.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61537,CPT,CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY,,,21,,RBRVS,36.45 ,21.36 ,21.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61538,CPT,CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY,,,21,,RBRVS,39.45 ,23.03 ,23.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61539,CPT,CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG,,,21,,RBRVS,34.28 ,21.26 ,21.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61540,CPT,CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG,,,21,,RBRVS,31.43 ,20.02 ,20.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61541,CPT,CRANIOTOMY TRANSECTION CORPUS CALLOSUM,,,21,,RBRVS,30.94 ,19.70 ,19.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61543,CPT,CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY,,,21,,RBRVS,31.31 ,19.88 ,19.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61544,CPT,CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS,,,21,,RBRVS,27.36 ,17.48 ,17.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61545,CPT,CRANIOTOMY EXCISION CRANIOPHARYNGIOMA,,,21,,RBRVS,46.43 ,28.43 ,28.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61546,CPT,CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR,,,21,,RBRVS,33.44 ,20.87 ,20.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61548,CPT,HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL,,,21,,RBRVS,23.37 ,14.64 ,14.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61550,CPT,CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE,,,21,,RBRVS,15.59 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61552,CPT,CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES,,,21,,RBRVS,20.40 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61556,CPT,CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP,,,21,,RBRVS,24.09 ,14.85 ,14.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61557,CPT,CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP,,,21,,RBRVS,23.31 ,15.47 ,15.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61558,CPT,XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS,,,21,,RBRVS,26.50 ,17.94 ,17.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61559,CPT,XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT,,,21,,RBRVS,34.02 ,19.99 ,19.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61563,CPT,EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN,,,21,,RBRVS,28.44 ,17.03 ,17.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61564,CPT,EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN,,,21,,RBRVS,34.74 ,21.73 ,21.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61566,CPT,CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY,,,21,,RBRVS,32.45 ,20.49 ,20.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61567,CPT,CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG,,,21,,RBRVS,37.00 ,23.36 ,23.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61570,CPT,CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN,,,21,,RBRVS,26.51 ,17.63 ,17.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61571,CPT,CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN,,,21,,RBRVS,28.42 ,18.47 ,18.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61575,CPT,TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES,,,21,,RBRVS,36.56 ,19.63 ,19.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61576,CPT,TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE,,,21,,RBRVS,55.31 ,38.73 ,38.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61580,CPT,CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ,,,21,,RBRVS,34.51 ,29.88 ,29.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61581,CPT,CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ,,,21,,RBRVS,39.13 ,31.98 ,31.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61582,CPT,CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT,,,21,,RBRVS,35.14 ,36.77 ,36.77 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61583,CPT,CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE,,,21,,RBRVS,38.50 ,31.20 ,31.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61584,CPT,ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ,,,21,,RBRVS,37.70 ,31.24 ,31.24 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61585,CPT,ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ,,,21,,RBRVS,42.57 ,34.46 ,34.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61586,CPT,BICORONAL TRANSZYGMTC&/LEFORT I W/O BONE GRFT,,,21,,RBRVS,27.48 ,31.79 ,31.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61590,CPT,INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN,,,21,,RBRVS,47.04 ,32.15 ,32.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61591,CPT,INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR&/MOBI,,,21,,RBRVS,47.02 ,32.47 ,32.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61592,CPT,ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE,,,21,,RBRVS,43.08 ,33.57 ,33.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61595,CPT,TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV,,,21,,RBRVS,33.74 ,26.84 ,26.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61596,CPT,TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART,,,21,,RBRVS,39.43 ,25.61 ,25.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61597,CPT,TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL,,,21,,RBRVS,40.82 ,27.36 ,27.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61598,CPT,TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM,,,21,,RBRVS,36.53 ,31.79 ,31.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61600,CPT,RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL,,,21,,RBRVS,30.01 ,25.27 ,25.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61601,CPT,RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF,,,21,,RBRVS,31.14 ,27.73 ,27.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61605,CPT,RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL,,,21,,RBRVS,32.57 ,24.99 ,24.99 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61606,CPT,RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR,,,21,,RBRVS,42.05 ,30.39 ,30.39 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61607,CPT,RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL,,,21,,RBRVS,40.93 ,27.30 ,27.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61608,CPT,RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL,,,21,,RBRVS,45.54 ,32.34 ,32.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61610,CPT,TRNSXJ/LIG CAROTID ARTERY SINUS W/RPR ANAST/GRFT,,,21,,RBRVS,29.63 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61611,CPT,TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR,,,21,,RBRVS,7.41 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61612,CPT,TRNSXJ/LIG CRTD ART PETROUS CANAL RPR ANAST/GRF,,,21,,RBRVS,27.84 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61613,CPT,OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ,,,21,,RBRVS,45.03 ,33.11 ,33.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61615,CPT,RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL,,,21,,RBRVS,35.77 ,24.74 ,24.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61616,CPT,RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL,,,21,,RBRVS,46.74 ,34.34 ,34.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61618,CPT,SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT,,,21,,RBRVS,18.69 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61619,CPT,SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP,,,21,,RBRVS,22.10 ,13.94 ,13.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61623,CPT,EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK,,,21,,RBRVS,9.95 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61624,CPT,TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS,,,21,,RBRVS,20.12 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61626,CPT,TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS,,,21,,RBRVS,16.60 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61630,CPT,BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS,,,21,,RBRVS,22.07 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61635,CPT,TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD,,,21,,RBRVS,24.28 ,11.54 ,11.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61640,CPT,BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL,,,21,,RBRVS,12.32 ,4.71 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61641,CPT,BALLOON DILAT INCRNL VASOSPSM PRQ EA VESSEL,,,21,,RBRVS,4.33 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61642,CPT,BALLOON DILAT INCRNL VASOSPSM PRQ EA VESSEL,,,21,,RBRVS,8.66 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61645,CPT,PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL,,,21,,RBRVS,15.00 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61650,CPT,EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST,,,21,,RBRVS,10.00 ,3.26 ,3.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61651,CPT,EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL,,,21,,RBRVS,4.25 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61680,CPT,INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL,,,21,,RBRVS,32.55 ,20.54 ,20.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61682,CPT,INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL,,,21,,RBRVS,63.41 ,33.98 ,33.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61684,CPT,INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL,,,21,,RBRVS,41.64 ,25.17 ,25.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61686,CPT,INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL,,,21,,RBRVS,67.50 ,37.32 ,37.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61690,CPT,INTRACRANIAL ARVEN MALFRMJ DURAL SMPL,,,21,,RBRVS,31.34 ,20.00 ,20.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61692,CPT,INTRACRANIAL ARVEN MALFRMJ DURAL CMPL,,,21,,RBRVS,54.59 ,31.01 ,31.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61697,CPT,COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION,,,21,,RBRVS,63.40 ,35.48 ,35.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61698,CPT,CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ,,,21,,RBRVS,69.63 ,38.27 ,38.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61700,CPT,SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION,,,21,,RBRVS,50.62 ,29.37 ,29.37 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61702,CPT,SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ,,,21,,RBRVS,60.04 ,33.83 ,33.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61703,CPT,ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART,,,21,,RBRVS,18.80 ,13.48 ,13.48 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61705,CPT,ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART,,,21,,RBRVS,38.10 ,23.31 ,23.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61708,CPT,ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS,,,21,,RBRVS,37.20 ,18.85 ,18.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61710,CPT,ARYSM VASC MALFRMJ IA EMBOLIZATION,,,21,,RBRVS,31.29 ,19.31 ,19.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61711,CPT,ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES,,,21,,RBRVS,38.23 ,22.97 ,22.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61720,CPT,CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS,,,21,,RBRVS,17.62 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61735,CPT,CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN,,,21,,RBRVS,22.35 ,14.93 ,14.93 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61750,CPT,STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES,,,21,,RBRVS,19.83 ,13.42 ,13.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61751,CPT,STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT&I/MR,,,21,,RBRVS,18.79 ,14.07 ,14.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61760,CPT,STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING,,,21,,RBRVS,22.39 ,14.98 ,14.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61770,CPT,STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC,,,21,,RBRVS,23.19 ,14.96 ,14.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61781,CPT,STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL,,,21,,RBRVS,3.75 ,1.74 ,1.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 61782,CPT,STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL,,,21,,RBRVS,3.18 ,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 61783,CPT,STEREOTACTIC COMPUTER ASSISTED PX SPINAL,,,21,,RBRVS,3.75 ,1.77 ,1.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 61790,CPT,CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN,,,21,,RBRVS,11.60 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61791,CPT,CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC,,,21,,RBRVS,15.41 ,10.39 ,10.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61796,CPT,STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES,,,21,,RBRVS,13.93 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61797,CPT,STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE,,,21,,RBRVS,3.48 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61798,CPT,STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES,,,21,,RBRVS,19.85 ,12.91 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61799,CPT,STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX,,,21,,RBRVS,4.81 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61800,CPT,APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY,,,21,,RBRVS,2.25 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61850,CPT,TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL,,,21,,RBRVS,13.34 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61860,CPT,CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL,,,21,,RBRVS,22.26 ,14.70 ,14.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61863,CPT,STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY,,,21,,RBRVS,20.71 ,15.04 ,15.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61864,CPT,STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY,,,21,,RBRVS,4.49 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61867,CPT,STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY,,,21,,RBRVS,33.03 ,20.73 ,20.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61868,CPT,STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY,,,21,,RBRVS,7.91 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61870,CPT,CRNEC IMPLTJ NSTIM ELTRD CEREBELLAR CORTICAL,,,21,,RBRVS,16.34 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 61880,CPT,REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS,,,21,,RBRVS,6.95 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61885,CPT,INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR,,,21,,RBRVS,6.05 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61886,CPT,INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2/> ELTRDS,,,21,,RBRVS,9.93 ,10.84 ,10.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 61888,CPT,REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR,,,21,,RBRVS,5.23 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62000,CPT,ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL,,,21,,RBRVS,13.93 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62005,CPT,ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL,,,21,,RBRVS,17.63 ,12.14 ,12.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62010,CPT,ELVTN DEPRS SKL FX W/RPR DURA&/DBRDMT BRN,,,21,,RBRVS,21.43 ,14.88 ,14.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62100,CPT,CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA,,,21,,RBRVS,23.53 ,15.02 ,15.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62115,CPT,RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY,,,21,,RBRVS,22.91 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62117,CPT,RDCTJ CRANIOMEGALIC CRANIO&RECNSTJ W/WO GRAFT,,,21,,RBRVS,28.35 ,15.05 ,15.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62120,CPT,RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY,,,21,,RBRVS,24.59 ,20.00 ,20.00 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62121,CPT,CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE,,,21,,RBRVS,23.03 ,17.64 ,17.64 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62140,CPT,CRANIOPLASTY SKULL DEFECT 5 CM DIAMETER,,,21,,RBRVS,16.07 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62142,CPT,RMVL BONE FLAP/PROSTHETIC PLATE SKULL,,,21,,RBRVS,11.83 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62143,CPT,RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL,,,21,,RBRVS,14.15 ,10.75 ,10.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62145,CPT,CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG,,,21,,RBRVS,20.09 ,13.61 ,13.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62146,CPT,CRANIOPLASTY W/AUTOGRAFT 5 CM DIAMETER,,,21,,RBRVS,20.67 ,13.71 ,13.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62148,CPT,INCISE&RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT,,,21,,RBRVS,2.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62160,CPT,NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS,,,21,,RBRVS,3.00 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62161,CPT,NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS,,,21,,RBRVS,21.23 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62162,CPT,NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG,,,21,,RBRVS,26.80 ,17.73 ,17.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62163,CPT,NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY,,,21,,RBRVS,16.53 ,11.54 ,11.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62164,CPT,NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY,,,21,,RBRVS,29.43 ,19.87 ,19.87 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62165,CPT,NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID,,,21,,RBRVS,23.23 ,14.81 ,14.81 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62180,CPT,VENTRICULOCISTERNOSTOMY,,,21,,RBRVS,22.58 ,15.29 ,15.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62190,CPT,CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR,,,21,,RBRVS,12.17 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62192,CPT,CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH,,,21,,RBRVS,13.35 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62194,CPT,RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER,,,21,,RBRVS,5.78 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62200,CPT,VENTRICULOCISTERNOSTOMY 3RD VENTRICLE,,,21,,RBRVS,19.29 ,13.28 ,13.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62201,CPT,VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC,,,21,,RBRVS,16.04 ,12.79 ,12.79 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62220,CPT,CRTJ SHUNT VENTRICULO-ATR-JUG-AUR,,,21,,RBRVS,14.10 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62223,CPT,CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS,,,21,,RBRVS,14.05 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62225,CPT,RPLCMT/IRRIGATION VENTRICULAR CATHETER,,,21,,RBRVS,6.19 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62230,CPT,RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS,,,21,,RBRVS,11.43 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62252,CPT,REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT,,,21,,RBRVS,0.74 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 62252,CPT,REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT,26,,21,,RBRVS,0.74 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62252,CPT,REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT,TC,,21,,RBRVS,,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 62256,CPT,RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT,,,21,,RBRVS,7.38 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62258,CPT,RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT,,,21,,RBRVS,15.64 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 62263,CPT,PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS,,,21,,RBRVS,5.00 ,4.38 ,13.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62264,CPT,PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY,,,21,,RBRVS,4.42 ,2.08 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62267,CPT,PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS,,,21,,RBRVS,3.00 ,1.34 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62268,CPT,PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX,,,21,,RBRVS,4.73 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62269,CPT,BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE,,,21,,RBRVS,5.01 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62270,CPT,SPINAL PUNCTURE LUMBAR DIAGNOSTIC,,,21,,RBRVS,1.37 ,0.69 ,2.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62272,CPT,SPINAL PUNCTURE THER DRAIN CEREBROSPINAL FLUID,,,21,,RBRVS,1.35 ,0.77 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62273,CPT,INJECTION EPIDURAL BLOOD/CLOT PATCH,,,21,,RBRVS,2.15 ,0.94 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62280,CPT,INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID,,,21,,RBRVS,2.63 ,1.69 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62281,CPT,INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC,,,21,,RBRVS,2.66 ,1.53 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62282,CPT,INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL,,,21,,RBRVS,2.33 ,1.57 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62284,CPT,INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR,,,21,,RBRVS,1.54 ,0.78 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62287,CPT,DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,,,21,,RBRVS,9.03 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62290,CPT,INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,,,21,,RBRVS,3.00 ,1.69 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62291,CPT,INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,,,21,,RBRVS,2.91 ,1.77 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62292,CPT,INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,,,21,,RBRVS,9.24 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62294,CPT,NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL,,,21,,RBRVS,12.87 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62302,CPT,MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL,,,20,,RBRVS,2.29 ,1.04 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62303,CPT,MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC,,,20,,RBRVS,2.29 ,1.10 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62304,CPT,MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL,,,20,,RBRVS,2.25 ,1.03 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62305,CPT,MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS,,,20,,RBRVS,2.35 ,1.08 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62320,CPT,NJX INTERLAMINAR CRV/THRC,,,21,,RBRVS,1.80 ,0.92 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62321,CPT,NJX INTERLAMINAR CRV/THRC,,,21,,RBRVS,1.95 ,0.98 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62322,CPT,NJX INTERLAMINAR LMBR/SAC,,,21,,RBRVS,1.55 ,0.80 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62350,CPT,IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM,,,21,,RBRVS,6.05 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62351,CPT,IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM,,,21,,RBRVS,11.66 ,10.03 ,10.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62355,CPT,RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH,,,21,,RBRVS,3.55 ,3.50 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62360,CPT,IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR,,,21,,RBRVS,4.33 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62361,CPT,IMPLTJ/RPLCMT FS NON-PRGRBL PUMP,,,21,,RBRVS,5.00 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62362,CPT,IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP,,,21,,RBRVS,5.60 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62365,CPT,RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS,,,21,,RBRVS,3.93 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62367,CPT,ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL,,,21,,RBRVS,0.48 ,0.20 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62368,CPT,ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG,,,21,,RBRVS,0.67 ,0.28 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62369,CPT,ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFIL,,,21,,RBRVS,0.67 ,0.29 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 62370,CPT,ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP,,,21,,RBRVS,0.90 ,0.36 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63001,CPT,LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV,,,21,,RBRVS,17.61 ,12.34 ,12.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63003,CPT,LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC,,,21,,RBRVS,17.74 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63005,CPT,LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR,,,21,,RBRVS,16.43 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63011,CPT,LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL,,,21,,RBRVS,15.91 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63012,CPT,LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR,,,21,,RBRVS,16.85 ,12.38 ,12.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63015,CPT,LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL,,,21,,RBRVS,20.85 ,14.89 ,14.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63016,CPT,LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC,,,21,,RBRVS,22.03 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63017,CPT,LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR,,,21,,RBRVS,17.33 ,13.10 ,13.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63020,CPT,LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC,,,21,,RBRVS,16.20 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63030,CPT,LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,,,21,,RBRVS,13.18 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63035,CPT,LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,,,21,,RBRVS,3.15 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63040,CPT,LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL,,,21,,RBRVS,20.31 ,13.95 ,13.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63042,CPT,LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,,,21,,RBRVS,18.76 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63043,CPT,LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV,,,21,,TotalUnits,,,,15.45 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63044,CPT,LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR,,,21,,TotalUnits,,,,14.68 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63045,CPT,LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL,,,21,,RBRVS,17.95 ,13.42 ,13.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63046,CPT,LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT THORACIC,,,21,,RBRVS,17.25 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63047,CPT,LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR,,,21,,RBRVS,15.37 ,11.99 ,11.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63048,CPT,LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR,,,21,,RBRVS,3.47 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63050,CPT,LAMOP CERVICAL W/DCMPRN SPI CORD 2/> VERT SEG,,,21,,RBRVS,22.01 ,14.88 ,14.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63051,CPT,LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ,,,21,,RBRVS,25.51 ,16.73 ,16.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63055,CPT,TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,,,21,,RBRVS,23.55 ,15.66 ,15.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63056,CPT,TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,,,21,,RBRVS,21.86 ,14.63 ,14.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63057,CPT,TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,,,21,,RBRVS,5.25 ,2.53 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63064,CPT,COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG,,,21,,RBRVS,26.22 ,16.86 ,16.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63066,CPT,COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG,,,21,,RBRVS,3.26 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63075,CPT,DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,,,21,,RBRVS,19.60 ,13.71 ,13.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63076,CPT,DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,,,21,,RBRVS,4.04 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63077,CPT,DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC,,,21,,RBRVS,22.88 ,14.31 ,14.31 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63078,CPT,DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC,,,21,,RBRVS,3.28 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63081,CPT,VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG,,,21,,RBRVS,26.10 ,17.04 ,17.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63082,CPT,VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG,,,21,,RBRVS,4.36 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63085,CPT,VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG,,,21,,RBRVS,29.47 ,17.44 ,17.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63086,CPT,VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG,,,21,,RBRVS,3.19 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63087,CPT,VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG,,,21,,RBRVS,37.53 ,21.71 ,21.71 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63088,CPT,VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG,,,21,,RBRVS,4.32 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63090,CPT,VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG,,,21,,RBRVS,30.93 ,18.47 ,18.47 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63091,CPT,VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG,,,21,,RBRVS,3.03 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63101,CPT,VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG,,,21,,RBRVS,34.10 ,22.07 ,22.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63102,CPT,VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG,,,21,,RBRVS,34.10 ,22.03 ,22.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63103,CPT,VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG,,,21,,RBRVS,4.82 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63170,CPT,LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR,,,21,,RBRVS,22.21 ,15.57 ,15.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63172,CPT,LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID,,,21,,RBRVS,19.76 ,13.70 ,13.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63173,CPT,LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL,,,21,,RBRVS,24.31 ,16.29 ,16.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63180,CPT,LAM&SCTJ DENTATE LIG W/WO DURAL GRF CRV 1/2 SEG,,,21,,RBRVS,20.53 ,14.78 ,14.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63182,CPT,LAM&SCTJ DENTATE LIG W/WO DURAL GRF CRV >2 SEG,,,21,,RBRVS,22.82 ,11.74 ,11.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63185,CPT,LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS,,,21,,RBRVS,16.49 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63190,CPT,LAMINECTOMY W/RHIZOTOMY > 2 SEGMENTS,,,21,,RBRVS,18.89 ,13.11 ,13.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63191,CPT,LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE,,,21,,RBRVS,18.92 ,13.88 ,13.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63194,CPT,LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT CERVICAL,,,21,,RBRVS,22.10 ,15.86 ,15.86 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63195,CPT,LAM CORDOTOMY SCTJ 1 SPINOTHALMIC TRACT THORACIC,,,21,,RBRVS,21.64 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63196,CPT,LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACTS CRV,,,21,,RBRVS,25.27 ,12.13 ,12.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63197,CPT,LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC,,,21,,RBRVS,24.08 ,16.44 ,16.44 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63198,CPT,LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES CERVICAL,,,21,,RBRVS,29.90 ,14.13 ,14.13 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63199,CPT,LAM CORDOTOMY SCTJ BOTH TRACTS 2 STAGES THORACIC,,,21,,RBRVS,31.47 ,14.73 ,14.73 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63200,CPT,LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR,,,21,,RBRVS,21.44 ,15.14 ,15.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63250,CPT,LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL,,,21,,RBRVS,43.86 ,23.94 ,23.94 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63251,CPT,LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC,,,21,,RBRVS,44.64 ,26.57 ,26.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63252,CPT,LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR,,,21,,RBRVS,44.63 ,26.54 ,26.54 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63265,CPT,LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL,,,21,,RBRVS,23.82 ,16.19 ,16.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63266,CPT,LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC,,,21,,RBRVS,24.68 ,16.50 ,16.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63267,CPT,LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR,,,21,,RBRVS,19.45 ,13.95 ,13.95 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63268,CPT,LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL,,,21,,RBRVS,20.02 ,14.20 ,14.20 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63270,CPT,LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL,,,21,,RBRVS,29.80 ,19.17 ,19.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63271,CPT,LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC,,,21,,RBRVS,29.92 ,19.10 ,19.10 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63272,CPT,LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR,,,21,,RBRVS,27.50 ,17.83 ,17.83 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63273,CPT,LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL,,,21,,RBRVS,26.47 ,17.61 ,17.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63275,CPT,LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL,,,21,,RBRVS,25.86 ,17.11 ,17.11 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63276,CPT,LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC,,,21,,RBRVS,25.69 ,17.04 ,17.04 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63277,CPT,LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR,,,21,,RBRVS,22.39 ,15.32 ,15.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63278,CPT,LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL,,,21,,RBRVS,22.12 ,15.58 ,15.58 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63280,CPT,LAM BX/EXC ISPI NEO IDRL XMED CERVICAL,,,21,,RBRVS,30.29 ,19.78 ,19.78 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63281,CPT,LAM BX/EXC ISPI NEO IDRL XMED THORACIC,,,21,,RBRVS,29.99 ,19.61 ,19.61 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63282,CPT,LAM BX/EXC ISPI NEO IDRL XMED LUMBAR,,,21,,RBRVS,28.15 ,18.72 ,18.72 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63283,CPT,LAM BX/EXC ISPI NEO IDRL SACRAL,,,21,,RBRVS,26.76 ,18.16 ,18.16 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63285,CPT,LAM BX/EXC ISPI NEO IDRL IMED CERVICAL,,,21,,RBRVS,38.05 ,23.50 ,23.50 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63286,CPT,LAM BX/EXC ISPI NEO IDRL IMED THORACIC,,,21,,RBRVS,37.62 ,23.29 ,23.29 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63287,CPT,LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR,,,21,,RBRVS,40.08 ,24.45 ,24.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63290,CPT,LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL,,,21,,RBRVS,40.82 ,24.70 ,24.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63295,CPT,OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX,,,21,,RBRVS,5.25 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63300,CPT,VCRPEC LES 1 SGM XDRL CERVICAL,,,21,,RBRVS,26.80 ,17.41 ,17.41 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63301,CPT,VCRPEC LES 1 SGM XDRL THORACIC TTHRC,,,21,,RBRVS,31.57 ,20.32 ,20.32 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63302,CPT,VCRPEC LES 1 SEG XDRL THRC THORACOLMBR,,,21,,RBRVS,31.15 ,20.14 ,20.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63303,CPT,VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR,,,21,,RBRVS,33.55 ,20.69 ,20.69 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63304,CPT,VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL,,,21,,RBRVS,33.85 ,21.53 ,21.53 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63305,CPT,VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC,,,21,,RBRVS,36.24 ,21.85 ,21.85 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63306,CPT,VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR,,,21,,RBRVS,35.55 ,22.03 ,22.03 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63307,CPT,VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR,,,21,,RBRVS,34.96 ,21.66 ,21.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63308,CPT,VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG,,,21,,RBRVS,5.24 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63600,CPT,CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ,,,21,,RBRVS,15.12 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63610,CPT,STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG,,,21,,RBRVS,8.72 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63615,CPT,STRTCTC BX ASPIRAT/EXC LESION SPINAL CORD,,,21,,RBRVS,17.32 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63620,CPT,STEREOTACTIC RADIOSURGERY 1 SPINAL LESION,,,21,,RBRVS,15.60 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63621,CPT,STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION,,,21,,RBRVS,4.00 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63650,CPT,PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,,,21,,RBRVS,7.15 ,4.11 ,30.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63655,CPT,LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL,,,21,,RBRVS,10.92 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63661,CPT,RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,,,21,,RBRVS,5.08 ,3.47 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63662,CPT,RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR,,,21,,RBRVS,11.00 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63663,CPT,REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,,,21,,RBRVS,7.75 ,4.38 ,13.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63664,CPT,REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR,,,21,,RBRVS,11.52 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63685,CPT,INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,,,21,,RBRVS,5.19 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63688,CPT,REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,,,21,,RBRVS,5.30 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63700,CPT,REPAIR MENINGOCELE < 5 CM DIAMETER,,,21,,RBRVS,17.47 ,12.66 ,12.66 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63702,CPT,REPAIR MENINGOCELE > 5 CM DIAMETER,,,21,,RBRVS,19.41 ,13.70 ,13.70 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63704,CPT,REPAIR MYELOMENINGOCELE < 5 CM DIAMETER,,,21,,RBRVS,22.43 ,16.88 ,16.88 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63706,CPT,REPAIR MYELOMENINGOCELE > 5 CM DIAMETER,,,21,,RBRVS,25.35 ,17.46 ,17.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63707,CPT,RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM,,,21,,RBRVS,12.65 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63709,CPT,RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM,,,21,,RBRVS,15.65 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63710,CPT,DURAL GRAFT SPINAL,,,21,,RBRVS,15.40 ,11.55 ,11.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63740,CPT,CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM,,,21,,RBRVS,12.63 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 63741,CPT,CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM,,,21,,RBRVS,9.12 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63744,CPT,RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT,,,21,,RBRVS,8.94 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 63746,CPT,RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT,,,21,,RBRVS,7.33 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64400,CPT,NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,,,21,,RBRVS,1.11 ,0.71 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64402,CPT,INJECTION ANESTHETIC AGENT FACIAL NERVE,,,21,,RBRVS,1.25 ,0.75 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64405,CPT,INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV,,,21,,RBRVS,0.94 ,0.69 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64408,CPT,INJECTION ANESTHETIC AGENT VAGUS NERVE,,,21,,RBRVS,1.41 ,0.61 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64410,CPT,INJECTION ANESTHETIC AGENT PHRENIC NERVE,,,21,,RBRVS,1.43 ,0.46 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64413,CPT,INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,,,21,,RBRVS,1.40 ,0.74 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64415,CPT,SINGLE NERVE BLOCK INJECTION ARM NERVE,,,21,,RBRVS,1.48 ,0.27 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64416,CPT,INJECTION ANES BRACHIAL PLEXUS CONT NFS CATH,,,21,,RBRVS,1.81 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64417,CPT,INJECTION ANESTHETIC AGENT AXILLARY NERVE,,,21,,RBRVS,1.44 ,0.47 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64418,CPT,INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE,,,21,,RBRVS,1.32 ,0.73 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64420,CPT,INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,,,21,,RBRVS,1.18 ,0.67 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64421,CPT,MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES,,,21,,RBRVS,1.68 ,0.82 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64425,CPT,INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,,,21,,RBRVS,1.75 ,0.75 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64430,CPT,INJECTION ANESTHETIC AGENT PUDENDAL NERVE,,,21,,RBRVS,1.46 ,0.75 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64435,CPT,INJECTION ANESTHETIC PARACERVICAL UTERINE NERVE,,,21,,RBRVS,1.45 ,0.77 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64445,CPT,INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE,,,21,,RBRVS,1.48 ,0.44 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64446,CPT,INJECTION ANES SCIATIC NERVE CONT INFUSION CATH,,,21,,RBRVS,1.81 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64447,CPT,INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE,,,21,,RBRVS,1.50 ,0.28 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64448,CPT,INJECTION ANES FEMORAL NERVE CONT INFUSION CATH,,,21,,RBRVS,1.63 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64449,CPT,INJECTION ANES LUMBAR PLEXUS POST CONT NFS CATH,,,21,,RBRVS,1.81 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64450,CPT,INJECTION ANES OTHER PERIPHERAL NERVE/BRANCH,,,21,,RBRVS,0.75 ,0.49 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64455,CPT,NJX ANES&/STEROID PLANTAR COMMON DIGITAL NERVE,,,21,,RBRVS,0.75 ,0.19 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64461,CPT,PVB THORACIC SINGLE INJECTION SITE W/IMG GID,,,21,,RBRVS,1.75 ,0.58 ,2.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64462,CPT,PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID,,,21,,RBRVS,1.10 ,0.37 ,1.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 64463,CPT,PVB THORACIC CONT CATHETER INFUSION W/IMG GID,,,21,,RBRVS,1.81 ,0.46 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64479,CPT,NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,,,21,,RBRVS,2.29 ,1.32 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64480,CPT,NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV,,,21,,RBRVS,1.20 ,0.51 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64483,CPT,NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,,,21,,RBRVS,1.90 ,1.19 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64484,CPT,NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,,,21,,RBRVS,1.00 ,0.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64486,CPT,TAP BLOCK UNILATERAL BY INJECTION(S),,,21,,RBRVS,1.27 ,0.43 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64487,CPT,TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S),,,21,,RBRVS,1.48 ,0.50 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64488,CPT,TAP BLOCK BILATERAL BY INJECTION(S),,,21,,RBRVS,1.60 ,0.54 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64489,CPT,TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S),,,21,,RBRVS,1.80 ,0.61 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64490,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,,,21,,RBRVS,1.82 ,1.09 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64491,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,,,21,,RBRVS,1.16 ,0.48 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64492,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,,,21,,RBRVS,1.16 ,0.50 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64493,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,,,21,,RBRVS,1.52 ,0.97 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64494,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,,,21,,RBRVS,1.00 ,0.41 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64495,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,,,21,,RBRVS,1.00 ,0.43 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64505,CPT,INJECTION ANES AGENT SPHENOPALATINE GANGLION,,,21,,RBRVS,1.36 ,0.99 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64508,CPT,INJECTION ANESTHETIC AGENT CAROTID SINUS SPX,,,21,,RBRVS,1.12 ,0.85 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64510,CPT,NJX ANES STELLATE GANGLION CRV SYMPATHETIC,,,21,,RBRVS,1.22 ,0.80 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64517,CPT,INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,,,21,,RBRVS,2.20 ,1.15 ,2.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64520,CPT,INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,,,21,,RBRVS,1.35 ,0.86 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64530,CPT,INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,,,21,,RBRVS,1.58 ,0.94 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64550,CPT,APPLICATION SURFACE NEUROSTIMULATOR,,,21,,RBRVS,0.18 ,0.06 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64553,CPT,PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE,,,21,,RBRVS,2.36 ,1.91 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64555,CPT,PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,,,21,,RBRVS,2.32 ,1.84 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64561,CPT,PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING,,,21,,RBRVS,5.44 ,2.63 ,17.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64565,CPT,PRQ IMPLTJ NSTIM ELTRD NEUROMUSCULAR,,,21,,RBRVS,1.81 ,1.74 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64566,CPT,POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE,,,21,,RBRVS,0.60 ,0.21 ,2.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64568,CPT,INC IMPLTJ CRNL NRV NSTIM ELTRDS & PULSE GENER,,,21,,RBRVS,9.00 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64569,CPT,REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV,,,21,,RBRVS,11.00 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64570,CPT,REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO,,,21,,RBRVS,9.10 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64575,CPT,INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD,,,21,,RBRVS,4.42 ,3.91 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64580,CPT,INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR,,,21,,RBRVS,4.19 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64581,CPT,INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE,,,21,,RBRVS,12.20 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64585,CPT,REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE,,,21,,RBRVS,2.11 ,1.74 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64590,CPT,INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,,,21,,RBRVS,2.45 ,1.85 ,4.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64595,CPT,REVISION/RMVL PERIPHERAL/GASTRIC NPGR,,,21,,RBRVS,1.78 ,1.62 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64600,CPT,DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,,,21,,RBRVS,3.49 ,2.20 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64605,CPT,DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,,,21,,RBRVS,5.65 ,4.12 ,13.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64610,CPT,DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR,,,21,,RBRVS,7.20 ,4.60 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64611,CPT,CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS,,,21,,RBRVS,1.03 ,1.52 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64612,CPT,CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL,,,21,,RBRVS,1.41 ,1.65 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64615,CPT,CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,,,21,,RBRVS,1.85 ,1.13 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64616,CPT,CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,,,21,,RBRVS,1.53 ,1.11 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64617,CPT,CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG,,,21,,RBRVS,1.90 ,1.10 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64620,CPT,DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,,,21,,RBRVS,2.89 ,1.80 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64630,CPT,DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE,,,21,,RBRVS,3.05 ,2.04 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64632,CPT,DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE,,,21,,RBRVS,1.23 ,0.66 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64633,CPT,DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,,,21,,RBRVS,3.84 ,2.39 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64634,CPT,DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,,,21,,RBRVS,1.32 ,0.55 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64635,CPT,DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,,,21,,RBRVS,3.78 ,2.37 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64636,CPT,DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,,,21,,RBRVS,1.16 ,0.48 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64640,CPT,DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE,,,21,,RBRVS,1.23 ,1.34 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64642,CPT,CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,,,21,,RBRVS,1.65 ,1.10 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64643,CPT,CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,,,21,,RBRVS,1.22 ,0.62 ,1.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 64644,CPT,CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES,,,21,,RBRVS,1.82 ,1.20 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64645,CPT,CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES,,,21,,RBRVS,1.39 ,0.70 ,1.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 64646,CPT,CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES,,,21,,RBRVS,1.80 ,1.15 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64647,CPT,CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES,,,21,,RBRVS,2.11 ,1.33 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64650,CPT,CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE,,,21,,RBRVS,0.70 ,0.38 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64653,CPT,CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY,,,21,,RBRVS,0.88 ,0.44 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64680,CPT,DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,,,21,,RBRVS,2.67 ,1.85 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64681,CPT,DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS,,,21,,RBRVS,3.78 ,1.39 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64702,CPT,NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT,,,21,,RBRVS,6.26 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64704,CPT,NEUROPLASTY NERVE HAND/FOOT,,,21,,RBRVS,4.69 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64708,CPT,NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,,,21,,RBRVS,6.36 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64712,CPT,NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,,,21,,RBRVS,8.07 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64713,CPT,NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS,,,21,,RBRVS,11.40 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64714,CPT,NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS,,,21,,RBRVS,10.55 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64716,CPT,NEUROPLASTY &/TRANSPOSITION CRANIAL NERVE,,,21,,RBRVS,6.99 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64718,CPT,NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW,,,21,,RBRVS,7.26 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64719,CPT,NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST,,,21,,RBRVS,4.97 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64721,CPT,NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE,,,21,,RBRVS,4.97 ,6.24 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64722,CPT,DECOMPRESSION UNSPECIFIED NERVE,,,21,,RBRVS,4.82 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64726,CPT,DECOMPRESSION PLANTAR DIGITAL NERVE,,,21,,RBRVS,4.27 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64727,CPT,INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE,,,21,,RBRVS,3.10 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64732,CPT,TRANSECTION/AVULSION SUPRAORBITAL NERVE,,,21,,RBRVS,4.89 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64734,CPT,TRANSECTION/AVULSION INFRAORBITAL NERVE,,,21,,RBRVS,5.55 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64736,CPT,TRANSECTION/AVULSION MENTAL NERVE,,,21,,RBRVS,5.23 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64738,CPT,TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO,,,21,,RBRVS,6.36 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64740,CPT,TRANSECTION/AVULSION LINGUAL NERVE,,,21,,RBRVS,6.22 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64742,CPT,TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL,,,21,,RBRVS,6.85 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64744,CPT,TRANSECTION/AVULSION GREATER OCCIPITAL NERVE,,,21,,RBRVS,5.72 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64746,CPT,TRANSECTION/AVULSION PHRENIC NERVE,,,21,,RBRVS,6.56 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64755,CPT,TRANSECTION/AVULSION VAGUS NERVES,,,21,,RBRVS,15.05 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 64760,CPT,TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL,,,21,,RBRVS,7.59 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 64763,CPT,TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY,,,21,,RBRVS,7.56 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64766,CPT,TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY,,,21,,RBRVS,9.47 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64771,CPT,TRANSECTION/AVULSION OTH CRANIAL NRV XDRL,,,21,,RBRVS,8.15 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64772,CPT,TRANSECTION/AVULSION OTH SPINAL NRV XDRL,,,21,,RBRVS,7.84 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64774,CPT,EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE,,,21,,RBRVS,5.80 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64776,CPT,EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT,,,21,,RBRVS,5.60 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64778,CPT,EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT,,,21,,RBRVS,3.11 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64782,CPT,EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE,,,21,,RBRVS,6.86 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64783,CPT,EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT,,,21,,RBRVS,3.71 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64784,CPT,EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,,,21,,RBRVS,10.62 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64786,CPT,EXCISION NEUROMA SCIATIC NERVE,,,21,,RBRVS,16.25 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64787,CPT,IMPLANTATION NERVE END BONE/MUSCLE,,,21,,RBRVS,4.29 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64788,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV,,,21,,RBRVS,5.24 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64790,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV,,,21,,RBRVS,12.10 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64792,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV,,,21,,RBRVS,15.86 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64795,CPT,BIOPSY NERVE,,,21,,RBRVS,3.01 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64802,CPT,SYMPATHECTOMY CERVICAL,,,21,,RBRVS,10.37 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64804,CPT,SYMPATHECTOMY CERVICOTHORACIC,,,21,,RBRVS,15.91 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64809,CPT,SYMPATHECTOMY THORACOLUMBAR,,,21,,RBRVS,14.71 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 64818,CPT,SYMPATHECTOMY LUMBAR,,,21,,RBRVS,11.34 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 64820,CPT,SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT,,,21,,RBRVS,10.74 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64821,CPT,SYMPATHECTOMY RADIAL ARTERY,,,21,,RBRVS,9.33 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64822,CPT,SYMPATHECTOMY ULNAR ARTERY,,,21,,RBRVS,9.33 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64823,CPT,SYMPATHECTOMY SUPERFICIAL PALMAR ARCH,,,21,,RBRVS,10.94 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64831,CPT,SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE,,,21,,RBRVS,9.16 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64832,CPT,SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV,,,21,,RBRVS,5.65 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64834,CPT,SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE,,,21,,RBRVS,10.81 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64835,CPT,SUTURE 1 NERVE MEDIAN MOTOR THENAR,,,21,,RBRVS,11.73 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64836,CPT,SUTURE 1 NERVE ULNAR MOTOR,,,21,,RBRVS,11.73 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64837,CPT,SUTURE EACH ADDITIONAL NERVE HAND/FOOT,,,21,,RBRVS,6.25 ,3.50 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64840,CPT,SUTURE POSTERIOR TIBIAL NERVE,,,21,,RBRVS,14.02 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64856,CPT,SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS,,,21,,RBRVS,15.07 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64857,CPT,SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS,,,21,,RBRVS,15.82 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64858,CPT,SUTURE SCIATIC NERVE,,,21,,RBRVS,17.82 ,11.72 ,11.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64859,CPT,SUTURE EACH ADDITIONAL PERIPHERAL NERVE,,,21,,RBRVS,4.25 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64861,CPT,SUTURE BRACHIAL PLEXUS,,,21,,RBRVS,20.89 ,13.00 ,13.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64862,CPT,SUTURE LUMBAR PLEXUS,,,21,,RBRVS,21.09 ,15.02 ,15.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64864,CPT,SUTURE FACIAL NERVE EXTRACRANIAL,,,21,,RBRVS,13.41 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64865,CPT,SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT,,,21,,RBRVS,16.09 ,13.90 ,13.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64866,CPT,ANASTOMOSIS FACIAL-SPINAL ACCESSORY,,,21,,RBRVS,16.83 ,14.01 ,14.01 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 64868,CPT,ANASTOMOSIS FACIAL HYPOGLOSSAL,,,21,,RBRVS,14.90 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 64872,CPT,SUTURE NERVE REQ SECONDARY/DELAYED SUTURE,,,21,,RBRVS,1.99 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64874,CPT,SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE,,,21,,RBRVS,2.98 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64876,CPT,SUTURE NERVE REQ SHORTENING BONE EXTREMITY,,,21,,RBRVS,3.37 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64885,CPT,NERVE GRAFT HEAD/NECK 4 CM,,,21,,RBRVS,20.82 ,13.71 ,13.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64890,CPT,NERVE GRAFT 1 STRAND HAND/FOOT 4 CM,,,21,,RBRVS,17.35 ,13.28 ,13.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64892,CPT,NERVE GRAFT 1 STRAND ARM/LEG <4 CM,,,21,,RBRVS,15.74 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64893,CPT,NERVE GRAFT 1 STRAND ARM/LEG >4 CM,,,21,,RBRVS,16.87 ,12.98 ,12.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64895,CPT,NERVE GRAFT MLT STRANDS HAND/FOOT 4 CM,,,21,,RBRVS,21.96 ,15.94 ,15.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64897,CPT,NERVE GRAFT MLT STRANDS ARM/LEG 4 CM,,,21,,RBRVS,20.97 ,14.10 ,14.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64901,CPT,NERVE GRAFT EACH NERVE 1 STRAND,,,21,,RBRVS,10.20 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64902,CPT,NERVE GRAFT EACH NERVE MULTIPLE STRANDS,,,21,,RBRVS,11.81 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64905,CPT,NERVE PEDICLE TRANSFER FIRST STAGE,,,21,,RBRVS,15.11 ,11.82 ,11.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64907,CPT,NERVE PEDICAL TRANSFER SECOND STAGE,,,21,,RBRVS,20.03 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64910,CPT,NERVE REPAIR W/CONDUIT EACH NERVE,,,21,,RBRVS,11.39 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64911,CPT,NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE,,,21,,RBRVS,14.39 ,12.36 ,12.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 64999,CPT,UNLISTED PROCEDURE NERVOUS SYSTEM,,,21,,TotalUnits,,,,3.71 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65091,CPT,EVISCERATION OCULAR CONTENTS W/O IMPLANT,,,21,,RBRVS,7.26 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65093,CPT,EVISCERATION OCULAR CONTENTS W/IMPLANT,,,21,,RBRVS,7.04 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65101,CPT,ENUCLEATION OF EYE W/O IMPLANT,,,21,,RBRVS,8.30 ,11.94 ,11.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65103,CPT,ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT,,,21,,RBRVS,8.84 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65105,CPT,ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT,,,21,,RBRVS,9.93 ,13.34 ,13.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65110,CPT,EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY,,,21,,RBRVS,15.70 ,17.65 ,17.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65112,CPT,EXENTERATION ORBIT RMVL ORBIT CONTENTS & BONE,,,21,,RBRVS,18.51 ,20.12 ,20.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65114,CPT,EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP,,,21,,RBRVS,19.65 ,20.92 ,20.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65125,CPT,MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX,,,21,,RBRVS,3.27 ,4.74 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65130,CPT,INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL,,,21,,RBRVS,8.42 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65135,CPT,INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED,,,21,,RBRVS,8.60 ,11.76 ,11.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65140,CPT,INSJ OC IMPLT AFTER ENCL MUSC ATTACHED,,,21,,RBRVS,9.46 ,12.67 ,12.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65150,CPT,REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT,,,21,,RBRVS,6.43 ,9.30 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65155,CPT,REINSERTION OCULAR IMPLT RNFCMT &/ ATTACH MUSCLE,,,21,,RBRVS,10.10 ,13.07 ,13.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65175,CPT,REMOVAL OCULAR IMPLANT,,,21,,RBRVS,7.40 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65205,CPT,REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL,,,21,,RBRVS,0.71 ,0.50 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65210,CPT,RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR,,,21,,RBRVS,0.84 ,0.62 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65220,CPT,RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP,,,21,,RBRVS,0.71 ,0.41 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65222,CPT,RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP,,,21,,RBRVS,0.84 ,0.59 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65235,CPT,RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS,,,21,,RBRVS,9.01 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65260,CPT,RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE,,,21,,RBRVS,12.54 ,13.74 ,13.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65265,CPT,RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ,,,21,,RBRVS,14.34 ,15.25 ,15.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65270,CPT,RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR,,,21,,RBRVS,1.95 ,1.88 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65272,CPT,RPR LAC CJNC MOBLJ& REARGMT W/O HOSPITALIZATION,,,21,,RBRVS,4.62 ,4.99 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65273,CPT,RPR LAC CJNC MOBLJ & REARGMT W/HOSPIZATION,,,21,,RBRVS,5.16 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 65275,CPT,RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY,,,21,,RBRVS,6.29 ,6.35 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65280,CPT,RPR LAC CORNEA&/SCLERA PERFOR X INVG UVEAL TIS,,,21,,RBRVS,9.10 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65285,CPT,RPR LAC CORN&/SCLRA PERF W/REPOS/RESCJ UVEAL T,,,21,,RBRVS,15.36 ,14.93 ,14.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65286,CPT,RPR LAC APPL TISSUE GLUE WOUND CORNEA&/SCLERA,,,21,,RBRVS,6.63 ,6.94 ,12.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65290,CPT,RPR WND EXTRAOCULAR MUSCLE TENDON&/TENON CAPSU,,,21,,RBRVS,6.53 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65400,CPT,EXCISION LESION CORNEA XCP PTERYGIUM,,,21,,RBRVS,7.50 ,9.04 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65410,CPT,BIOPSY CORNEA,,,21,,RBRVS,1.47 ,1.38 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65420,CPT,EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT,,,21,,RBRVS,4.36 ,6.02 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65426,CPT,EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG,,,21,,RBRVS,6.05 ,7.07 ,11.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65430,CPT,CORNEA SCRAPING DIAGNOSTIC SMEAR &/CULTURE,,,21,,RBRVS,1.47 ,1.36 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65435,CPT,RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,,,21,,RBRVS,0.92 ,0.99 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65436,CPT,RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT,,,21,,RBRVS,4.82 ,5.37 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65450,CPT,DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION,,,21,,RBRVS,3.47 ,5.38 ,5.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65600,CPT,MULTIPLE PUNCTURES ANTERIOR CORNEA,,,21,,RBRVS,4.20 ,5.25 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65710,CPT,KERATOPLASTY ANTERIOR LAMELLAR,,,21,,RBRVS,14.45 ,15.83 ,15.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65730,CPT,KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA,,,21,,RBRVS,16.35 ,17.21 ,17.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65750,CPT,KERATOPLASTY PENETRAING APHAKIA,,,21,,RBRVS,16.90 ,16.81 ,16.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65755,CPT,KERATOPLASTY PENETRATING PSEUDOPHAKIA,,,21,,RBRVS,16.79 ,16.74 ,16.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65756,CPT,KERATOPLASTY ENDOTHELIAL,,,21,,RBRVS,16.84 ,15.50 ,15.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65757,CPT,BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT,,,21,,TotalUnits,,,,4.89 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 65760,CPT,KERATOMILEUSIS,,,21,,TotalUnits,,,,17.90 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65765,CPT,KERATOPHAKIA,,,21,,TotalUnits,,,,43.24 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65767,CPT,EPIKERATOPLASTY,,,21,,TotalUnits,,,,40.26 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65770,CPT,KERATOPROSTHESIS,,,21,,RBRVS,19.74 ,18.61 ,18.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65771,CPT,RADIAL KERATOTOMY,,,21,,TotalUnits,,,,9.84 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65772,CPT,CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM,,,21,,RBRVS,5.09 ,6.06 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65775,CPT,CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM,,,21,,RBRVS,6.91 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65778,CPT,PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES,,,21,,RBRVS,1.00 ,0.59 ,39.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65779,CPT,PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED,,,21,,RBRVS,2.50 ,1.64 ,31.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65780,CPT,OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE,,,21,,RBRVS,7.81 ,11.98 ,11.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65781,CPT,OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT,,,21,,RBRVS,18.14 ,18.31 ,18.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65782,CPT,OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT,,,21,,RBRVS,15.43 ,16.02 ,16.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65785,CPT,IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS,,,21,,RBRVS,5.39 ,4.90 ,53.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65800,CPT,PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX,,,21,,RBRVS,1.53 ,0.96 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65810,CPT,PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX,,,21,,RBRVS,5.82 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65815,CPT,PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/AIR IN,,,21,,RBRVS,6.00 ,7.09 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65820,CPT,GONIOTOMY,,,21,,RBRVS,8.91 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65850,CPT,TRABECULOTOMY AB EXTERNO,,,21,,RBRVS,11.39 ,11.56 ,11.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65855,CPT,TRABECULOPLASTY BY LASER SURGERY,,,21,,RBRVS,2.66 ,3.96 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65860,CPT,SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX,,,21,,RBRVS,3.59 ,3.33 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65865,CPT,SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE,,,21,,RBRVS,5.77 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65870,CPT,SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE,,,21,,RBRVS,7.39 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65875,CPT,SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE,,,21,,RBRVS,7.81 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65880,CPT,SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL,,,21,,RBRVS,8.36 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65900,CPT,RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE,,,21,,RBRVS,12.51 ,13.77 ,13.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65920,CPT,RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE,,,21,,RBRVS,9.99 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 65930,CPT,RMVL BLOOD CLOT ANTERIOR SEGMENT EYE,,,21,,RBRVS,8.39 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66020,CPT,INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX,,,21,,RBRVS,1.64 ,1.97 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66030,CPT,INJX ANTERIOR CHAMBER EYE MEDICATION SPX,,,21,,RBRVS,1.30 ,1.74 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66130,CPT,EXCISION LESION SCLERA,,,21,,RBRVS,7.83 ,7.70 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66150,CPT,FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY,,,21,,RBRVS,10.53 ,13.51 ,13.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66155,CPT,FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC,,,21,,RBRVS,10.52 ,13.50 ,13.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66160,CPT,FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT,,,21,,RBRVS,12.39 ,14.67 ,14.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66170,CPT,FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO,,,21,,RBRVS,11.27 ,15.39 ,15.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66172,CPT,FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING,,,21,,RBRVS,12.57 ,21.17 ,21.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66174,CPT,TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT,,,21,,RBRVS,12.85 ,13.04 ,13.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66175,CPT,TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT,,,21,,RBRVS,13.60 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66179,CPT,AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT,,,21,,RBRVS,14.00 ,15.49 ,15.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66180,CPT,AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT,,,21,,RBRVS,15.00 ,16.12 ,16.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66183,CPT,INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR,,,21,,RBRVS,13.20 ,15.01 ,15.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66184,CPT,REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT,,,21,,RBRVS,9.58 ,11.94 ,11.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66185,CPT,REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT,,,21,,RBRVS,10.58 ,12.58 ,12.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66220,CPT,REPAIR SCLERAL STAPHYLOMA W/O GRAFT,,,21,,RBRVS,9.21 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66225,CPT,REPAIR SCLERAL STAPHYLOMA W/GRAFT,,,21,,RBRVS,12.63 ,12.80 ,12.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66250,CPT,REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT,,,21,,RBRVS,7.10 ,8.17 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66500,CPT,IRIDOTOMY STAB INC SPX XCP TRANSFIXION,,,21,,RBRVS,3.83 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66505,CPT,IRIDOTOMY STAB INC SPX TRANSFIXION,,,21,,RBRVS,4.22 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66600,CPT,IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES,,,21,,RBRVS,10.12 ,12.67 ,12.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66605,CPT,IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY,,,21,,RBRVS,14.22 ,14.66 ,14.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66625,CPT,IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX,,,21,,RBRVS,5.30 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66630,CPT,IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX,,,21,,RBRVS,7.28 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66635,CPT,IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX,,,21,,RBRVS,7.37 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66680,CPT,REPAIR IRIS CILIARY BODY,,,21,,RBRVS,6.39 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66682,CPT,SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE,,,21,,RBRVS,7.33 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66700,CPT,CILIARY BODY DESTRUCTION DIATHERMY,,,21,,RBRVS,5.14 ,5.63 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66710,CPT,CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL,,,21,,RBRVS,5.14 ,5.62 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66711,CPT,CILIARY BODY DSTRJ CYCLOPHOTOCOAG ENDOSCOPIC,,,21,,RBRVS,7.93 ,9.68 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66720,CPT,CILIARY BODY DESTRUCTION CRYOTHERAPY,,,21,,RBRVS,5.00 ,6.62 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66740,CPT,CILIARY BODY DESTRUCTION CYCLODIAL,,,21,,RBRVS,5.14 ,5.63 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66761,CPT,IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION,,,21,,RBRVS,3.00 ,3.47 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66762,CPT,IRIDOPLASTY PHOTOCOAGULATION 1/> SESSIONS,,,21,,RBRVS,5.38 ,6.31 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66770,CPT,DSTRJ CYST/LESION IRIS/CILIARY BODY,,,21,,RBRVS,6.13 ,7.12 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66820,CPT,DISCISSION SECONDARY MEMBRANOUS CATARACT,,,21,,RBRVS,4.01 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66821,CPT,POST-CATARACT LASER SURGERY,,,21,,RBRVS,3.42 ,5.14 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66825,CPT,REPOSITIONING IO LENS PROSTHESIS REQ INC SPX,,,21,,RBRVS,9.01 ,11.84 ,11.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66830,CPT,RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ,,,21,,RBRVS,9.47 ,10.01 ,10.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66840,CPT,RMVL LENS MATERIAL ASPIR TQ 1/> STAGES,,,21,,RBRVS,9.18 ,9.88 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66850,CPT,RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR,,,21,,RBRVS,10.55 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66852,CPT,RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY,,,21,,RBRVS,11.41 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66920,CPT,RMVL LENS MATERIAL INTRACAPSULAR,,,21,,RBRVS,10.13 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66930,CPT,REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS,,,21,,RBRVS,11.61 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66940,CPT,REMOVAL LENS MATERIAL EXTRACAPSULAR,,,21,,RBRVS,10.37 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66982,CPT,XCAPSULAR CATARACT RMVL INSJ LENS PROSTH 1 STG,,,21,,RBRVS,11.08 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66983,CPT,ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG,,,21,,RBRVS,10.43 ,9.88 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66984,CPT,CATARACT REMOVAL INSERTION OF LENS,,,21,,RBRVS,8.52 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66985,CPT,INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL,,,21,,RBRVS,9.98 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66986,CPT,EXCHANGE INTRAOCULAR LENS,,,21,,RBRVS,12.26 ,12.58 ,12.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66990,CPT,USE OPHTHALMIC ENDOSCOPE,,,21,,RBRVS,1.51 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 66999,CPT,UNLISTED PROCEDURE ANTERIOR SEGMENT EYE,,,21,,TotalUnits,,,,17.50 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67005,CPT,RMVL VITREOUS ANT APPR PARTIAL REMOVAL,,,21,,RBRVS,5.89 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67010,CPT,RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT,,,21,,RBRVS,7.06 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67015,CPT,ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL,,,21,,RBRVS,7.14 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67025,CPT,INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX,,,21,,RBRVS,8.11 ,9.22 ,11.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67027,CPT,IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS,,,21,,RBRVS,11.62 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67028,CPT,INTRAVITREAL NJX PHARMACOLOGIC AGT SPX,,,21,,RBRVS,1.44 ,1.29 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67030,CPT,DISCISSION VITREOUS STRANS PARS PLANA APPROACH,,,21,,RBRVS,6.11 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67031,CPT,SEVERING VITREOUS STRANS LASER 1/> STAGES,,,21,,RBRVS,4.47 ,5.31 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67036,CPT,VITRECTOMY MECHANICAL PARS PLANA,,,21,,RBRVS,12.13 ,12.52 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67039,CPT,VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC,,,21,,RBRVS,13.20 ,13.19 ,13.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67040,CPT,VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC,,,21,,RBRVS,14.50 ,14.00 ,14.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67041,CPT,VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE,,,21,,RBRVS,16.33 ,15.14 ,15.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67042,CPT,VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA,,,21,,RBRVS,16.33 ,15.15 ,15.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67043,CPT,VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE,,,21,,RBRVS,17.40 ,15.82 ,15.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67101,CPT,RPR RETINAL DTCHMNT 1/>SES CRYOTX/DTHRM INCL DRG,,,21,,RBRVS,8.80 ,9.65 ,12.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67105,CPT,RPR RETINAL DTCHMNT 1/> SES PC INCL SUBRETI DRG,,,21,,RBRVS,8.53 ,9.09 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67107,CPT,REPAIR RETINAL DETACHMENT SCLERAL BUCKLING,,,21,,RBRVS,14.06 ,13.73 ,13.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67108,CPT,RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH,,,21,,RBRVS,15.19 ,20.45 ,20.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67110,CPT,RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS,,,21,,RBRVS,8.31 ,10.81 ,12.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67113,CPT,RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL,,,21,,RBRVS,19.00 ,19.56 ,19.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67115,CPT,RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT,,,21,,RBRVS,6.11 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67120,CPT,RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR,,,21,,RBRVS,7.10 ,8.19 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67121,CPT,RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR,,,21,,RBRVS,12.25 ,12.59 ,12.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67141,CPT,PROPH RTA DTCHMNT W/O DRG 1/> SESS CRTX DTHRM,,,21,,RBRVS,6.15 ,7.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67145,CPT,PROPH RTA DTCHMNT W/O DRG 1/> SESS,,,21,,RBRVS,6.32 ,7.33 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67208,CPT,DSTRJ LOCLZD LESION RETINA 1/> SESS CRTX DTHRM,,,21,,RBRVS,7.65 ,8.18 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67210,CPT,DSTRJ LOCLZD LESION RETINA 1/> SESS PC,,,21,,RBRVS,6.36 ,7.35 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67218,CPT,DSTRJ LESION RETINA 1/> SESS RADJ IMPLTJ,,,21,,RBRVS,20.36 ,17.37 ,17.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67220,CPT,DSTRJ LESION CHOROID PC 1/> SESS,,,21,,RBRVS,6.36 ,7.35 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67221,CPT,DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY,,,21,,RBRVS,3.45 ,2.36 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67225,CPT,DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION,,,21,,RBRVS,0.47 ,0.29 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67227,CPT,DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY,,,21,,RBRVS,3.50 ,3.53 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67228,CPT,TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION,,,21,,RBRVS,4.39 ,4.00 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67229,CPT,EXTENSIVE RETINOPATHY 1/> SESS PRETERM INFANT,,,21,,RBRVS,16.30 ,13.78 ,13.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67250,CPT,SCLERAL REINFORCEMENT SPX W/O GRAFT,,,21,,RBRVS,9.61 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67255,CPT,SCLERAL REINFORCEMENT SPX W/GRAFT,,,21,,RBRVS,8.38 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67299,CPT,UNLISTED PROCEDURE POSTERIOR SEGMENT,,,21,,TotalUnits,,,,2.78 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67311,CPT,STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC,,,21,,RBRVS,7.77 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67312,CPT,STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC,,,21,,RBRVS,9.66 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67314,CPT,STRABISMUS RECESSION/RESCJ 1 VER MUSC,,,21,,RBRVS,8.79 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67316,CPT,STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC,,,21,,RBRVS,10.93 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67318,CPT,STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE,,,21,,RBRVS,9.12 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67320,CPT,TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC,,,21,,RBRVS,5.40 ,3.37 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67331,CPT,STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC,,,21,,RBRVS,5.13 ,3.19 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67332,CPT,STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY,,,21,,RBRVS,5.56 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67334,CPT,STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION,,,21,,RBRVS,5.05 ,3.16 ,3.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67335,CPT,PLACEMENT ADJUSTABLE SUTURE STRABISMUS,,,21,,RBRVS,2.49 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67340,CPT,STRABISMUS EXPL&/RPR DETACHED EXTROCULAR MUSC,,,21,,RBRVS,6.00 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67343,CPT,RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX,,,21,,RBRVS,8.47 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67345,CPT,CHEMODENERVATION EXTRAOCULAR MUSCLE,,,21,,RBRVS,3.01 ,2.78 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67346,CPT,BIOPSY EXTRAOCULAR MUSCLE,,,21,,RBRVS,2.87 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67399,CPT,UNLISTED PROCEDURE EXTRAOCULAR MUSCLE,,,21,,TotalUnits,,,,16.37 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67400,CPT,ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY,,,21,,RBRVS,11.20 ,14.26 ,14.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67405,CPT,ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY,,,21,,RBRVS,9.20 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67412,CPT,ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION,,,21,,RBRVS,10.30 ,12.99 ,12.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67413,CPT,ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY,,,21,,RBRVS,10.24 ,13.14 ,13.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67414,CPT,ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN,,,21,,RBRVS,17.94 ,18.18 ,18.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67415,CPT,FINE NEEDLE ASPIRATION ORBITAL CONTENTS,,,21,,RBRVS,1.76 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67420,CPT,ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION,,,21,,RBRVS,21.87 ,22.08 ,22.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67430,CPT,ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB,,,21,,RBRVS,15.29 ,18.58 ,18.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67440,CPT,ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG,,,21,,RBRVS,14.84 ,17.95 ,17.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67445,CPT,ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN,,,21,,RBRVS,19.12 ,19.04 ,19.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67450,CPT,ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX,,,21,,RBRVS,15.41 ,18.78 ,18.78 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67500,CPT,RETROBULBAR INJECTION MEDICATION SPX,,,21,,RBRVS,1.44 ,0.50 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67505,CPT,RETROBULBAR INJECTION ALCOHOL,,,21,,RBRVS,1.27 ,0.95 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67515,CPT,INJECTION MEDICATION/OTHER SUBST TENON CAPSULE,,,21,,RBRVS,1.40 ,1.03 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67550,CPT,ORBITAL IMPLANT INSERTION,,,21,,RBRVS,11.77 ,14.61 ,14.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67560,CPT,ORBITAL IMPLANT REMOVAL/REVISION,,,21,,RBRVS,12.18 ,14.83 ,14.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67570,CPT,OPTIC NERVE DECOMPRESSION,,,21,,RBRVS,14.40 ,16.72 ,16.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67599,CPT,UNLISTED PROCEDURE ORBIT,,,21,,TotalUnits,,,,2.62 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67700,CPT,BLEPHAROTOMY DRAINAGE ABSCESS EYELID,,,21,,RBRVS,1.40 ,1.79 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67710,CPT,SEVERING TARSORRHAPHY,,,21,,RBRVS,1.07 ,1.61 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67715,CPT,CANTHOTOMY SEPARATE PROCEDURE,,,21,,RBRVS,1.27 ,1.69 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67800,CPT,EXCISION CHALAZION SINGLE,,,21,,RBRVS,1.41 ,1.42 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67801,CPT,EXCISION CHALAZION MULTIPLE SAME LID,,,21,,RBRVS,1.91 ,1.74 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67805,CPT,EXCISION CHALAZION MULTIPLE DIFFERENT LIDS,,,21,,RBRVS,2.27 ,2.23 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67808,CPT,EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT,,,21,,RBRVS,4.60 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67810,CPT,INCISIONAL BIOPSY EYELID SKIN & LID MARGIN,,,21,,RBRVS,1.18 ,0.72 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67820,CPT,CORRECTION TRICHIASIS EPILATION FORCEPS ONLY,,,21,,RBRVS,0.71 ,0.76 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67825,CPT,CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS,,,21,,RBRVS,1.43 ,1.91 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67830,CPT,CORRECTION TRICHIASIS INCCISION LID MARGIN,,,21,,RBRVS,1.75 ,2.03 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67835,CPT,CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF,,,21,,RBRVS,5.70 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67840,CPT,EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE,,,21,,RBRVS,2.09 ,2.24 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67850,CPT,DESTRUCTION LESION LID MARGIN ONE-FOURTH LID MARGIN,,,21,,RBRVS,5.86 ,6.58 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67966,CPT,EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN,,,21,,RBRVS,8.97 ,8.96 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 67971,CPT,RCNSTJ EYELID FULL THICKNESS 1 CM,,,21,,RBRVS,2.41 ,2.63 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68130,CPT,EXCISION LESION CONJUNCTIVA ADJACENT SCLERA,,,21,,RBRVS,5.10 ,6.21 ,9.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68135,CPT,DESTRUCTION LESION CONJUNCTIVA,,,21,,RBRVS,1.89 ,2.25 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68200,CPT,SUBCONJUNCTIVAL INJECTION,,,21,,RBRVS,0.49 ,0.46 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68320,CPT,CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT,,,21,,RBRVS,6.64 ,8.14 ,13.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68325,CPT,CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT,,,21,,RBRVS,8.63 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68326,CPT,CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT,,,21,,RBRVS,8.42 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68328,CPT,CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT,,,21,,RBRVS,9.45 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68330,CPT,RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT,,,21,,RBRVS,5.78 ,6.86 ,10.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68335,CPT,RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB,,,21,,RBRVS,8.46 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68340,CPT,RPR & DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE,,,21,,RBRVS,4.97 ,5.98 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68360,CPT,CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX,,,21,,RBRVS,5.17 ,6.11 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68362,CPT,CONJUNCTIVAL FLAP TOTAL,,,21,,RBRVS,8.61 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68371,CPT,HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR,,,21,,RBRVS,5.09 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68399,CPT,UNLISTED PROCEDURE CONJUNCTIVA,,,21,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68400,CPT,INCISION DRAINAGE LACRIMAL GLAND,,,21,,RBRVS,1.74 ,1.87 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68420,CPT,INCISION DRAINAGE LACRIMAL SAC,,,21,,RBRVS,2.35 ,2.24 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68440,CPT,SNIP INCISION LACRIMAL PUNCTUM,,,21,,RBRVS,0.99 ,1.75 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68500,CPT,EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL,,,21,,RBRVS,12.77 ,13.92 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68505,CPT,EXCISION LACRIMAL GLAND XCPT TUMOR PRTL,,,21,,RBRVS,12.69 ,13.82 ,13.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68510,CPT,BIOPSY LACRIMAL GLAND,,,21,,RBRVS,4.60 ,3.35 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68520,CPT,EXCISION LACRIMAL SAC,,,21,,RBRVS,8.78 ,9.99 ,9.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68525,CPT,BIOPSY LACRIMAL SAC,,,21,,RBRVS,4.42 ,2.72 ,2.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68530,CPT,RMVL FB/DACRYOLITH LACRIMAL PASSAGES,,,21,,RBRVS,3.70 ,3.33 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68540,CPT,EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH,,,21,,RBRVS,12.18 ,13.25 ,13.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68550,CPT,EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY,,,21,,RBRVS,15.16 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68700,CPT,PLASTIC REPAIR CANALICULI,,,21,,RBRVS,7.87 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68705,CPT,CORRECTION EVERTED PUNCTUM CAUTERY,,,21,,RBRVS,2.11 ,2.45 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68720,CPT,DACRYOCSTORHINOSTOMY,,,21,,RBRVS,9.96 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68745,CPT,CONJUNCTIVORHINOSTOMY W/O TUBE,,,21,,RBRVS,9.90 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68750,CPT,CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT,,,21,,RBRVS,10.10 ,11.40 ,11.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68760,CPT,CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER,,,21,,RBRVS,1.78 ,2.23 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68761,CPT,CLSR LACRIMAL PUNCTUM PLUG EACH,,,21,,RBRVS,1.41 ,1.87 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68770,CPT,CLOSURE LACRIMAL FISTULA SPX,,,21,,RBRVS,8.29 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68801,CPT,DILATION LACRIMAL PUNCTUM W/WO IRRGATION,,,21,,RBRVS,0.82 ,1.59 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68810,CPT,PROBE NASOLACRIMAL DUCT W/WO IRRIGATION,,,21,,RBRVS,1.54 ,2.65 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68811,CPT,PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES,,,21,,RBRVS,1.74 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68815,CPT,PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT,,,21,,RBRVS,2.70 ,3.38 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68816,CPT,PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION,,,21,,RBRVS,2.10 ,3.47 ,15.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68840,CPT,PROBE LACRIMAL CANALICULI W/WO IRRIGATION,,,21,,RBRVS,1.30 ,1.92 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68850,CPT,INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY,,,21,,RBRVS,0.80 ,0.72 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 68899,CPT,UNLISTED PROCEDURE LACRIMAL SYSTEM,,,21,,TotalUnits,,,,4.07 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69000,CPT,DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE,,,21,,RBRVS,1.50 ,1.73 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69005,CPT,DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,,,21,,RBRVS,2.16 ,2.06 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69020,CPT,DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,,,21,,RBRVS,1.53 ,2.35 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69090,CPT,EAR PIERCING,,,14,,TotalUnits,,,,1.09 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69100,CPT,BIOPSY EXTERNAL EAR,,,21,,RBRVS,0.81 ,0.49 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69105,CPT,BIOPSY EXTERNAL AUDITORY CANAL,,,21,,RBRVS,0.85 ,0.87 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69110,CPT,EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR,,,21,,RBRVS,3.53 ,5.24 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69120,CPT,EXCISION EXTERNAL EAR COMPLETE AMPUTATION,,,21,,RBRVS,4.14 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69140,CPT,EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL,,,21,,RBRVS,8.14 ,15.99 ,15.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69145,CPT,EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL,,,21,,RBRVS,2.70 ,4.12 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69150,CPT,RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ,,,21,,RBRVS,13.61 ,14.54 ,14.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69155,CPT,RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ,,,21,,RBRVS,23.35 ,21.42 ,21.42 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 69200,CPT,RMVL FB XTRNL AUDITORY CANAL W/O ANES,,,21,,RBRVS,0.77 ,0.49 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69205,CPT,RMVL FB XTRNL AUDITORY CANAL ANES,,,21,,RBRVS,1.21 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69209,CPT,REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,,TC,21,,RBRVS,,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 69210,CPT,REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT,,,21,,RBRVS,0.61 ,0.26 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69220,CPT,DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE,,,21,,RBRVS,0.83 ,0.55 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69222,CPT,DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX,,,21,,RBRVS,1.45 ,2.29 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69300,CPT,OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ,,,21,,RBRVS,6.69 ,6.17 ,13.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69310,CPT,RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX,,,21,,RBRVS,10.97 ,18.90 ,18.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69320,CPT,RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG,,,21,,RBRVS,17.18 ,24.79 ,24.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69399,CPT,UNLISTED PROCEDURE EXTERNAL EAR,,,21,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69420,CPT,MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ,,,21,,RBRVS,1.38 ,1.90 ,3.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69421,CPT,MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES,,,21,,RBRVS,1.78 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69424,CPT,VENTILATING TUBE RMVL REQUIRING GENERAL ANES,,,21,,RBRVS,0.85 ,0.83 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69433,CPT,TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA,,,21,,RBRVS,1.57 ,2.03 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69436,CPT,TYMPANOSTOMY GENERAL ANESTHESIA,,,21,,RBRVS,2.01 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69440,CPT,MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC,,,21,,RBRVS,7.71 ,11.09 ,11.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69450,CPT,TYMPANOLYSIS TRANSCANAL,,,21,,RBRVS,5.69 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69501,CPT,TRANSMASTOID ANTROTOMY,,,21,,RBRVS,9.21 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69502,CPT,MASTOIDECTOMY COMPLETE,,,21,,RBRVS,12.56 ,13.69 ,13.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69505,CPT,MASTOIDECTOMY MODIFIED RADICAL,,,21,,RBRVS,13.17 ,19.67 ,19.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69511,CPT,MASTOIDECTOMY RADICAL,,,21,,RBRVS,13.70 ,19.84 ,19.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69530,CPT,PETROUS APICECTOMY RADICAL MASTOIDECTOMY,,,21,,RBRVS,20.38 ,24.50 ,24.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69535,CPT,RESCJ TEMPORAL BONE EXTERNAL APPROACH,,,21,,RBRVS,37.42 ,34.27 ,34.27 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 69540,CPT,EXCISION AURAL POLYP,,,21,,RBRVS,1.25 ,2.24 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69550,CPT,EXCISION AURAL GLOMUS TUMOR TRANSCANAL,,,21,,RBRVS,11.15 ,17.34 ,17.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69552,CPT,EXCISION AURAL GLOMUS TUMOR TRANSMASTOID,,,21,,RBRVS,19.81 ,22.52 ,22.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69554,CPT,EXCISION AURAL GLOMUS TUMOR EXTENDED,,,21,,RBRVS,35.97 ,29.30 ,29.30 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 69601,CPT,REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY,,,21,,RBRVS,13.45 ,14.85 ,14.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69602,CPT,REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC,,,21,,RBRVS,13.76 ,15.70 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69603,CPT,REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY,,,21,,RBRVS,14.20 ,20.40 ,20.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69604,CPT,REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY,,,21,,RBRVS,14.20 ,15.90 ,15.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69605,CPT,REVJ MASTOIDECTOMY W/APICECTOMY,,,21,,RBRVS,18.69 ,23.72 ,23.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69610,CPT,TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH,,,21,,RBRVS,4.47 ,3.30 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69620,CPT,MYRINGOPLASTY,,,21,,RBRVS,6.03 ,7.23 ,13.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69631,CPT,TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ,,,21,,RBRVS,10.05 ,14.04 ,14.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69632,CPT,TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ,,,21,,RBRVS,12.96 ,16.28 ,16.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69633,CPT,TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP,,,21,,RBRVS,12.31 ,16.07 ,16.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69635,CPT,TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ,,,21,,RBRVS,13.51 ,20.15 ,20.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69636,CPT,TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ,,,21,,RBRVS,15.43 ,22.30 ,22.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69637,CPT,TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP,,,21,,RBRVS,15.32 ,22.20 ,22.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69641,CPT,TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ,,,21,,RBRVS,12.89 ,15.35 ,15.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69642,CPT,TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ,,,21,,RBRVS,17.06 ,19.08 ,19.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69643,CPT,TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR,,,21,,RBRVS,15.59 ,17.52 ,17.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69644,CPT,TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR,,,21,,RBRVS,17.23 ,23.01 ,23.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69645,CPT,TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR,,,21,,RBRVS,16.71 ,22.86 ,22.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69646,CPT,TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR,,,21,,RBRVS,18.37 ,23.61 ,23.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69650,CPT,STAPES MOBILIZATION,,,21,,RBRVS,9.80 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69660,CPT,STAPEDECTOMY/STAPEDOTOMY,,,21,,RBRVS,12.03 ,13.03 ,13.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69661,CPT,STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT,,,21,,RBRVS,15.92 ,16.70 ,16.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69662,CPT,REVISION STAPEDECTOMY/STAPEDOTOMY,,,21,,RBRVS,15.60 ,15.60 ,15.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69666,CPT,REPAIR OVAL WINDOW FISTULA,,,21,,RBRVS,9.89 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69667,CPT,REPAIR ROUND WINDOW FISTULA,,,21,,RBRVS,9.90 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69670,CPT,MASTOID OBLITERATION SEPARATE PROCEDURE,,,21,,RBRVS,11.73 ,13.92 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69676,CPT,TYMPANIC NEURECTOMY,,,21,,RBRVS,9.69 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69700,CPT,CLOSURE POSTAURICULAR FISTULA MASTOID SPX,,,21,,RBRVS,8.37 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69710,CPT,IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE,,,21,,TotalUnits,,,,19.59 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69711,CPT,RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE,,,21,,RBRVS,10.62 ,12.85 ,12.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69714,CPT,IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID,,,21,,RBRVS,14.45 ,14.59 ,14.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69715,CPT,IMPLJ OSSEOINTEGRATED TEMPORAL BONE W/O MASTOID,,,21,,RBRVS,18.96 ,16.74 ,16.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69717,CPT,RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY,,,21,,RBRVS,15.43 ,15.06 ,15.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69718,CPT,RPLMCT OSSEOINTEGRATE IMPLNT W/MASTOIDECTOMY,,,21,,RBRVS,19.21 ,16.85 ,16.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69720,CPT,DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION,,,21,,RBRVS,14.71 ,17.89 ,17.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69725,CPT,DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE,,,21,,RBRVS,27.64 ,22.77 ,22.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69740,CPT,SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE,,,21,,RBRVS,16.27 ,15.14 ,15.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69745,CPT,SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE,,,21,,RBRVS,17.02 ,18.65 ,18.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69799,CPT,UNLISTED PROCEDURE MIDDLE EAR,,,21,,TotalUnits,,,,5.49 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69801,CPT,LABYRINTHOTOMY TRANSCANAL,,,21,,RBRVS,2.06 ,1.28 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69805,CPT,ENDOLYMPHATIC SAC W/O SHUNT,,,21,,RBRVS,14.71 ,13.66 ,13.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69806,CPT,ENDOLYMPHATIC SAC SHUNT,,,21,,RBRVS,12.63 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69820,CPT,FENESTRATION SEMICIRCULAR CANAL,,,21,,RBRVS,10.52 ,12.73 ,12.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69840,CPT,REVISION FENESTRATION OPERATION,,,21,,RBRVS,10.44 ,14.35 ,14.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69905,CPT,LABYRINTHECTOMY TRANSCANAL,,,21,,RBRVS,11.26 ,13.63 ,13.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69910,CPT,LABYRINTHECTOMY W/MASTOIDECTOMY,,,21,,RBRVS,13.91 ,13.50 ,13.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69915,CPT,VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR,,,21,,RBRVS,22.77 ,18.46 ,18.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69930,CPT,COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY,,,21,,RBRVS,17.73 ,15.13 ,15.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69949,CPT,UNLISTED PROCEDURE INNER EAR,,,21,,TotalUnits,,,,32.86 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69950,CPT,VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH,,,21,,RBRVS,27.63 ,19.97 ,19.97 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 69955,CPT,TOTAL FACIAL NERVE DECOMPRESSION &/REPAIR,,,21,,RBRVS,29.42 ,23.98 ,23.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69960,CPT,DECOMPRESSION INTERNAL AUDITORY CANAL,,,21,,RBRVS,29.42 ,22.04 ,22.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69970,CPT,REMOVAL TUMOR TEMPORAL BONE,,,21,,RBRVS,32.41 ,24.83 ,24.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69979,CPT,UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA,,,21,,TotalUnits,,,,51.46 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 69990,CPT,MICROSURG TQS REQ USE OPERATING MICROSCOPE,,,21,,RBRVS,3.46 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70010,CPT,MYELOGRAPY POST FOSSA RS&I,,,20,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70010,CPT,MYELOGRAPY POST FOSSA RS&I,26,,20,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70010,CPT,MYELOGRAPY POST FOSSA RS&I,TC,,20,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70015,CPT,CISTERNOGRAPHY POSITIVE CONTRAST RS&I,,,20,,RBRVS,1.19 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70015,CPT,CISTERNOGRAPHY POSITIVE CONTRAST RS&I,26,,20,,RBRVS,1.19 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70015,CPT,CISTERNOGRAPHY POSITIVE CONTRAST RS&I,TC,,20,,RBRVS,,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70030,CPT,RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,,,20,,RBRVS,0.17 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70030,CPT,RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,26,,20,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70030,CPT,RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,TC,,20,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70100,CPT,RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS,,,20,,RBRVS,0.18 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70100,CPT,RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70100,CPT,RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS,TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70110,CPT,RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS,,,20,,RBRVS,0.25 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70110,CPT,RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS,26,,20,,RBRVS,0.25 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70110,CPT,RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS,TC,,20,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70120,CPT,RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE,,,20,,RBRVS,0.18 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70120,CPT,RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70120,CPT,RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE,TC,,20,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70130,CPT,RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,,,20,,RBRVS,0.34 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70130,CPT,RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,26,,20,,RBRVS,0.34 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70130,CPT,RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,TC,,20,,RBRVS,,1.03 ,1.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70134,CPT,RADEX INTERNAL AUDITORY MEATI COMPLETE,,,20,,RBRVS,0.34 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70134,CPT,RADEX INTERNAL AUDITORY MEATI COMPLETE,26,,20,,RBRVS,0.34 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70134,CPT,RADEX INTERNAL AUDITORY MEATI COMPLETE,TC,,20,,RBRVS,,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70140,CPT,RADEX FACIAL BONES < 3 VIEWS,,,20,,RBRVS,0.19 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70140,CPT,RADEX FACIAL BONES < 3 VIEWS,26,,20,,RBRVS,0.19 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70140,CPT,RADEX FACIAL BONES < 3 VIEWS,TC,,20,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70150,CPT,RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS,,,20,,RBRVS,0.26 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70150,CPT,RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS,26,,20,,RBRVS,0.26 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70150,CPT,RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70160,CPT,RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS,,,20,,RBRVS,0.17 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70160,CPT,RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70160,CPT,RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70170,CPT,DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I,,,20,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70170,CPT,DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I,26,,20,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70170,CPT,DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I,TC,,20,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70190,CPT,RADEX OPTIC FORAMINA,,,20,,RBRVS,0.21 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70190,CPT,RADEX OPTIC FORAMINA,26,,20,,RBRVS,0.21 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70190,CPT,RADEX OPTIC FORAMINA,TC,,20,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70200,CPT,RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,,,20,,RBRVS,0.28 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70200,CPT,RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,26,,20,,RBRVS,0.28 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70200,CPT,RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,TC,,20,,RBRVS,,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70210,CPT,RADEX SINUSES PARANASAL <3 VIEWS,,,20,,RBRVS,0.17 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70210,CPT,RADEX SINUSES PARANASAL <3 VIEWS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70210,CPT,RADEX SINUSES PARANASAL <3 VIEWS,TC,,20,,RBRVS,,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70220,CPT,RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS,,,20,,RBRVS,0.25 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70220,CPT,RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS,26,,20,,RBRVS,0.25 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70220,CPT,RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70240,CPT,RADIOLOGIC EXAMINATION SELLA TURCICA,,,20,,RBRVS,0.19 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70240,CPT,RADIOLOGIC EXAMINATION SELLA TURCICA,26,,20,,RBRVS,0.19 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70240,CPT,RADIOLOGIC EXAMINATION SELLA TURCICA,TC,,20,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70250,CPT,RADIOLOGIC EXAMINATION SKULL 4/> VIEWS,,,20,,RBRVS,0.24 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70250,CPT,RADIOLOGIC EXAMINATION SKULL 4/> VIEWS,26,,20,,RBRVS,0.24 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70250,CPT,RADIOLOGIC EXAMINATION SKULL 4/> VIEWS,TC,,20,,RBRVS,,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70260,CPT,RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS,,,20,,RBRVS,0.34 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70260,CPT,RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS,26,,20,,RBRVS,0.34 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70260,CPT,RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS,TC,,20,,RBRVS,,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70300,CPT,RADIOLOGIC EXAMINATION TEETH 1 VIEW,,,20,,RBRVS,0.10 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70300,CPT,RADIOLOGIC EXAMINATION TEETH 1 VIEW,26,,20,,RBRVS,0.10 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70300,CPT,RADIOLOGIC EXAMINATION TEETH 1 VIEW,TC,,20,,RBRVS,,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70310,CPT,RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH,,,20,,RBRVS,0.16 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70310,CPT,RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH,26,,20,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70310,CPT,RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH,TC,,20,,RBRVS,,0.79 ,0.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70320,CPT,RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH,,,20,,RBRVS,0.22 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70320,CPT,RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH,26,,20,,RBRVS,0.22 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70320,CPT,RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH,TC,,20,,RBRVS,,1.12 ,1.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70328,CPT,RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT,,,20,,RBRVS,0.18 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70328,CPT,RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70328,CPT,RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT,TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70330,CPT,RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,,,20,,RBRVS,0.24 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70330,CPT,RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,26,,20,,RBRVS,0.24 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70330,CPT,RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,TC,,20,,RBRVS,,0.95 ,0.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70332,CPT,TEMPOROMANDBLE JT ARTHROGRAPHY RS&I,,,20,,RBRVS,0.54 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70332,CPT,TEMPOROMANDBLE JT ARTHROGRAPHY RS&I,26,,20,,RBRVS,0.54 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70332,CPT,TEMPOROMANDBLE JT ARTHROGRAPHY RS&I,TC,,20,,RBRVS,,1.38 ,1.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70336,CPT,MRI TEMPOROMANDIBULAR JOINT,,,20,,RBRVS,1.48 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70336,CPT,MRI TEMPOROMANDIBULAR JOINT,26,,20,,RBRVS,1.48 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70336,CPT,MRI TEMPOROMANDIBULAR JOINT,TC,,20,,RBRVS,,6.90 ,6.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70350,CPT,CEPHALOGRAM ORTHODONTIC,,,20,,RBRVS,0.17 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70350,CPT,CEPHALOGRAM ORTHODONTIC,26,,20,,RBRVS,0.17 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70350,CPT,CEPHALOGRAM ORTHODONTIC,TC,,20,,RBRVS,,0.26 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70355,CPT,ORTHOPANTOGRAM,,,20,,RBRVS,0.20 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70355,CPT,ORTHOPANTOGRAM,26,,20,,RBRVS,0.20 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70355,CPT,ORTHOPANTOGRAM,TC,,20,,RBRVS,,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70360,CPT,RADIOLOGIC EXAMINATION NECK SOFT TISSUE,,,20,,RBRVS,0.17 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70360,CPT,RADIOLOGIC EXAMINATION NECK SOFT TISSUE,26,,20,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70360,CPT,RADIOLOGIC EXAMINATION NECK SOFT TISSUE,TC,,20,,RBRVS,,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70370,CPT,RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ,,,20,,RBRVS,0.32 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70370,CPT,RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ,26,,20,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70370,CPT,RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ,TC,,20,,RBRVS,,1.74 ,1.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70371,CPT,CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC,,,20,,RBRVS,0.84 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70371,CPT,CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC,26,,20,,RBRVS,0.84 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70371,CPT,CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC,TC,,20,,RBRVS,,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70380,CPT,RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS,,,20,,RBRVS,0.17 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70380,CPT,RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS,26,,20,,RBRVS,0.17 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70380,CPT,RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS,TC,,20,,RBRVS,,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70390,CPT,SIALOGRAPHY RS&I,,,20,,RBRVS,0.38 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70390,CPT,SIALOGRAPHY RS&I,26,,20,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70390,CPT,SIALOGRAPHY RS&I,TC,,20,,RBRVS,,2.09 ,2.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70450,CPT,CT HEAD/BRAIN W/O CONTRAST MATERIAL,,,20,,RBRVS,0.85 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70450,CPT,CT HEAD/BRAIN W/O CONTRAST MATERIAL,26,,20,,RBRVS,0.85 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70450,CPT,CT HEAD/BRAIN W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,2.04 ,2.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70460,CPT,CT HEAD/BRAIN W/CONTRAST MATERIAL,,,20,,RBRVS,1.13 ,3.35 ,3.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70460,CPT,CT HEAD/BRAIN W/CONTRAST MATERIAL,26,,20,,RBRVS,1.13 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70460,CPT,CT HEAD/BRAIN W/CONTRAST MATERIAL,TC,,20,,RBRVS,,2.93 ,2.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70470,CPT,CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.27 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70470,CPT,CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.27 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70470,CPT,CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,3.57 ,3.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70480,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL,,,20,,RBRVS,1.28 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70480,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL,26,,20,,RBRVS,1.28 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70480,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL,TC,,20,,RBRVS,,4.73 ,4.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70481,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL,,,20,,RBRVS,1.38 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70481,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL,26,,20,,RBRVS,1.38 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70481,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL,TC,,20,,RBRVS,,5.79 ,5.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70482,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR,,,20,,RBRVS,1.45 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70482,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR,26,,20,,RBRVS,1.45 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70482,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR,TC,,20,,RBRVS,,6.40 ,6.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70486,CPT,CT MAXILLOFACIAL W/O CONTRAST MATERIAL,,,20,,RBRVS,0.85 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70486,CPT,CT MAXILLOFACIAL W/O CONTRAST MATERIAL,26,,20,,RBRVS,0.85 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70486,CPT,CT MAXILLOFACIAL W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,2.71 ,2.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70487,CPT,CT MAXILLOFACIAL W/CONTRAST MATERIAL,,,20,,RBRVS,1.13 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70487,CPT,CT MAXILLOFACIAL W/CONTRAST MATERIAL,26,,20,,RBRVS,1.13 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70487,CPT,CT MAXILLOFACIAL W/CONTRAST MATERIAL,TC,,20,,RBRVS,,3.12 ,3.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70488,CPT,CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.27 ,4.42 ,4.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70488,CPT,CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.27 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70488,CPT,CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,3.95 ,3.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70490,CPT,CT SOFT TISSUE NECK W/O CONTRAST MATERIAL,,,20,,RBRVS,1.28 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70490,CPT,CT SOFT TISSUE NECK W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.28 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70490,CPT,CT SOFT TISSUE NECK W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,3.59 ,3.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70491,CPT,CT SOFT TISSUE NECK W/CONTRAST MATERIAL,,,20,,RBRVS,1.38 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70491,CPT,CT SOFT TISSUE NECK W/CONTRAST MATERIAL,26,,20,,RBRVS,1.38 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70491,CPT,CT SOFT TISSUE NECK W/CONTRAST MATERIAL,TC,,20,,RBRVS,,4.64 ,4.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70492,CPT,CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.45 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70492,CPT,CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.45 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70492,CPT,CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,5.74 ,5.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70496,CPT,CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,,,20,,RBRVS,1.75 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70496,CPT,CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,26,,20,,RBRVS,1.75 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70496,CPT,CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,TC,,20,,RBRVS,,5.77 ,5.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70498,CPT,CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,,,20,,RBRVS,1.75 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70498,CPT,CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,26,,20,,RBRVS,1.75 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70498,CPT,CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,TC,,20,,RBRVS,,5.74 ,5.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70540,CPT,MRI ORBIT FACE &/NECK W/O CONTRAST,,,20,,RBRVS,1.35 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70540,CPT,MRI ORBIT FACE &/NECK W/O CONTRAST,26,,20,,RBRVS,1.35 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70540,CPT,MRI ORBIT FACE &/NECK W/O CONTRAST,TC,,20,,RBRVS,,8.16 ,8.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70542,CPT,MRI ORBIT FACE & NECK W/CONTRAST MATERIAL,,,20,,RBRVS,1.62 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70542,CPT,MRI ORBIT FACE & NECK W/CONTRAST MATERIAL,26,,20,,RBRVS,1.62 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70542,CPT,MRI ORBIT FACE & NECK W/CONTRAST MATERIAL,TC,,20,,RBRVS,,8.97 ,8.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70543,CPT,MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,,,20,,RBRVS,2.15 ,11.54 ,11.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70543,CPT,MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,26,,20,,RBRVS,2.15 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70543,CPT,MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,TC,,20,,RBRVS,,10.75 ,10.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70544,CPT,MRA HEAD W/O CONTRST MATERIAL,,,20,,RBRVS,1.20 ,9.73 ,9.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70544,CPT,MRA HEAD W/O CONTRST MATERIAL,26,,20,,RBRVS,1.20 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70544,CPT,MRA HEAD W/O CONTRST MATERIAL,TC,,20,,RBRVS,,9.28 ,9.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70545,CPT,MRA HEAD W/CONTRAST MATERIAL,,,20,,RBRVS,1.20 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70545,CPT,MRA HEAD W/CONTRAST MATERIAL,26,,20,,RBRVS,1.20 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70545,CPT,MRA HEAD W/CONTRAST MATERIAL,TC,,20,,RBRVS,,9.15 ,9.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70546,CPT,MRA HEAD W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.80 ,14.91 ,14.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70546,CPT,MRA HEAD W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.80 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70546,CPT,MRA HEAD W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,14.24 ,14.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70547,CPT,MRA NECK W/O CONTRST MATERIAL,,,20,,RBRVS,1.20 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70547,CPT,MRA NECK W/O CONTRST MATERIAL,26,,20,,RBRVS,1.20 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70547,CPT,MRA NECK W/O CONTRST MATERIAL,TC,,20,,RBRVS,,9.32 ,9.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70548,CPT,MRA NECK W/CONTRAST MATERIAL,,,20,,RBRVS,1.20 ,10.32 ,10.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70548,CPT,MRA NECK W/CONTRAST MATERIAL,26,,20,,RBRVS,1.20 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70548,CPT,MRA NECK W/CONTRAST MATERIAL,TC,,20,,RBRVS,,9.87 ,9.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70549,CPT,MRA NECK W/O &W/CONTRAST MATERIAL,,,20,,RBRVS,1.80 ,15.01 ,15.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70549,CPT,MRA NECK W/O &W/CONTRAST MATERIAL,26,,20,,RBRVS,1.80 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70549,CPT,MRA NECK W/O &W/CONTRAST MATERIAL,TC,,20,,RBRVS,,14.34 ,14.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70551,CPT,MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL,,,20,,RBRVS,1.48 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70551,CPT,MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.48 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70551,CPT,MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,4.36 ,4.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70552,CPT,MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,,,20,,RBRVS,1.78 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70552,CPT,MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,26,,20,,RBRVS,1.78 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70552,CPT,MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,TC,,20,,RBRVS,,6.43 ,6.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70553,CPT,MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL,,,20,,RBRVS,2.29 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70553,CPT,MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL,26,,20,,RBRVS,2.29 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70553,CPT,MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL,TC,,20,,RBRVS,,7.33 ,7.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70554,CPT,MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION,,,20,,RBRVS,2.11 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70554,CPT,MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION,26,,20,,RBRVS,2.11 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70554,CPT,MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION,TC,,20,,RBRVS,,9.62 ,9.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70555,CPT,MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION,,,20,,TotalUnits,,,,21.23 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70555,CPT,MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION,26,,20,,TotalUnits,,,,3.46 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70555,CPT,MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION,TC,,20,,TotalUnits,,,,17.77 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70557,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL,,,20,,TotalUnits,,,,37.06 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70557,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL,26,,20,,TotalUnits,,,,3.99 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70557,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL,TC,,20,,TotalUnits,,,,33.07 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70558,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL,,,20,,TotalUnits,,,,40.54 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70558,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL,26,,20,,TotalUnits,,,,4.40 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70558,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL,TC,,20,,TotalUnits,,,,36.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 70559,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST,,,20,,TotalUnits,,,,51.80 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 70559,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST,26,,20,,TotalUnits,,,,4.41 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 70559,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST,TC,,20,,TotalUnits,,,,47.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71010,CPT,RADIOLOGIC EXAMINATION CHEST SINGLE VIEW FRONTAL,,,20,,RBRVS,0.18 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71010,CPT,RADIOLOGIC EXAMINATION CHEST SINGLE VIEW FRONTAL,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71010,CPT,RADIOLOGIC EXAMINATION CHEST SINGLE VIEW FRONTAL,TC,,20,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71015,CPT,RADIOLOGIC EXAMINATION CHEST STERO FRONTAL,,,20,,RBRVS,0.21 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71015,CPT,RADIOLOGIC EXAMINATION CHEST STERO FRONTAL,26,,20,,RBRVS,0.21 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71015,CPT,RADIOLOGIC EXAMINATION CHEST STERO FRONTAL,TC,,20,,RBRVS,,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71020,CPT,RADIOLOGIC EXAM CHEST 2 VIEWS FRONTAL&LATERAL,,,20,,RBRVS,0.22 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71020,CPT,RADIOLOGIC EXAM CHEST 2 VIEWS FRONTAL&LATERAL,26,,20,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71020,CPT,RADIOLOGIC EXAM CHEST 2 VIEWS FRONTAL&LATERAL,TC,,20,,RBRVS,,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71021,CPT,RADEX CH 2 VIEWS FRNT & LAT APICAL LORDOTIC PX,,,20,,RBRVS,0.27 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71021,CPT,RADEX CH 2 VIEWS FRNT & LAT APICAL LORDOTIC PX,26,,20,,RBRVS,0.27 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71021,CPT,RADEX CH 2 VIEWS FRNT & LAT APICAL LORDOTIC PX,TC,,20,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71022,CPT,RADEX CH 2 VIEWS FRONTAL & LATERAL OBLIQUE PRJCJ,,,20,,RBRVS,0.31 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71022,CPT,RADEX CH 2 VIEWS FRONTAL & LATERAL OBLIQUE PRJCJ,26,,20,,RBRVS,0.31 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71022,CPT,RADEX CH 2 VIEWS FRONTAL & LATERAL OBLIQUE PRJCJ,TC,,20,,RBRVS,,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71023,CPT,RADEX CH 2 VIEWS FRONTAL & LATERAL W/FLUORO,,,20,,RBRVS,0.38 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71023,CPT,RADEX CH 2 VIEWS FRONTAL & LATERAL W/FLUORO,26,,20,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71023,CPT,RADEX CH 2 VIEWS FRONTAL & LATERAL W/FLUORO,TC,,20,,RBRVS,,1.23 ,1.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71030,CPT,RADEX CHEST COMPLETE MINIMUM 4 VIEWS,,,20,,RBRVS,0.31 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71030,CPT,RADEX CHEST COMPLETE MINIMUM 4 VIEWS,26,,20,,RBRVS,0.31 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71030,CPT,RADEX CHEST COMPLETE MINIMUM 4 VIEWS,TC,,20,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71034,CPT,RADEX CHEST COMPLETE MINIMUM 4 VIEWS W/FLUORO,,,20,,RBRVS,0.46 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71034,CPT,RADEX CHEST COMPLETE MINIMUM 4 VIEWS W/FLUORO,26,,20,,RBRVS,0.46 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71034,CPT,RADEX CHEST COMPLETE MINIMUM 4 VIEWS W/FLUORO,TC,,20,,RBRVS,,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71035,CPT,RADEX CHEST SPECIAL VIEWS,,,20,,RBRVS,0.18 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71035,CPT,RADEX CHEST SPECIAL VIEWS,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71035,CPT,RADEX CHEST SPECIAL VIEWS,TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71100,CPT,RADEX RIBS UNILATERAL 2 VIEWS,,,20,,RBRVS,0.22 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71100,CPT,RADEX RIBS UNILATERAL 2 VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71100,CPT,RADEX RIBS UNILATERAL 2 VIEWS,TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71101,CPT,RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS,,,20,,RBRVS,0.27 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71101,CPT,RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS,26,,20,,RBRVS,0.27 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71101,CPT,RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71110,CPT,RADEX RIBS BILATERAL 3 VIEWS,,,20,,RBRVS,0.27 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71110,CPT,RADEX RIBS BILATERAL 3 VIEWS,26,,20,,RBRVS,0.27 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71110,CPT,RADEX RIBS BILATERAL 3 VIEWS,TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71111,CPT,RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,,,20,,RBRVS,0.32 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71111,CPT,RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,26,,20,,RBRVS,0.32 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71111,CPT,RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,TC,,20,,RBRVS,,0.86 ,0.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71120,CPT,RADEX STERNUM MINIMUM 2 VIEWS,,,20,,RBRVS,0.20 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71120,CPT,RADEX STERNUM MINIMUM 2 VIEWS,26,,20,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71120,CPT,RADEX STERNUM MINIMUM 2 VIEWS,TC,,20,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71130,CPT,RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,,,20,,RBRVS,0.22 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71130,CPT,RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71130,CPT,RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71250,CPT,CT THORAX W/O CONTRAST MATERIAL,,,20,,RBRVS,1.02 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71250,CPT,CT THORAX W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.02 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71250,CPT,CT THORAX W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,3.61 ,3.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71260,CPT,CT THORAX W/CONTRAST MATERIAL,,,20,,RBRVS,1.24 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71260,CPT,CT THORAX W/CONTRAST MATERIAL,26,,20,,RBRVS,1.24 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71260,CPT,CT THORAX W/CONTRAST MATERIAL,TC,,20,,RBRVS,,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71270,CPT,CT THORAX W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.38 ,6.27 ,6.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71270,CPT,CT THORAX W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.38 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71270,CPT,CT THORAX W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,5.76 ,5.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71275,CPT,CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,,,20,,RBRVS,1.82 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71275,CPT,CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,26,,20,,RBRVS,1.82 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71275,CPT,CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,TC,,20,,RBRVS,,5.82 ,5.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71550,CPT,MRI CHEST W/O CONTRAST MATERIAL,,,20,,RBRVS,1.46 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71550,CPT,MRI CHEST W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.46 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71550,CPT,MRI CHEST W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,9.54 ,9.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71551,CPT,MRI CHEST W/CONTRAST MATERIAL,,,20,,RBRVS,1.73 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71551,CPT,MRI CHEST W/CONTRAST MATERIAL,26,,20,,RBRVS,1.73 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71551,CPT,MRI CHEST W/CONTRAST MATERIAL,TC,,20,,RBRVS,,10.40 ,10.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71552,CPT,MRI CHEST W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,2.26 ,13.88 ,13.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71552,CPT,MRI CHEST W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,2.26 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71552,CPT,MRI CHEST W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,13.04 ,13.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 71555,CPT,MRA CHEST W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.81 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 71555,CPT,MRA CHEST W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.81 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 71555,CPT,MRA CHEST W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,8.60 ,8.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72020,CPT,RADEX SPINE 1 VIEW SPECIFY LEVEL,,,20,,RBRVS,0.15 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72020,CPT,RADEX SPINE 1 VIEW SPECIFY LEVEL,26,,20,,RBRVS,0.15 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72020,CPT,RADEX SPINE 1 VIEW SPECIFY LEVEL,TC,,20,,RBRVS,,0.39 ,0.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72040,CPT,RADEX SPINE CERVICAL 2 OR 3 VIEWS,,,20,,RBRVS,0.22 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72040,CPT,RADEX SPINE CERVICAL 2 OR 3 VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72040,CPT,RADEX SPINE CERVICAL 2 OR 3 VIEWS,TC,,20,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72050,CPT,RADEX SPINE CERVICAL 4 OR 5 VIEWS,,,20,,RBRVS,0.31 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72050,CPT,RADEX SPINE CERVICAL 4 OR 5 VIEWS,26,,20,,RBRVS,0.31 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72050,CPT,RADEX SPINE CERVICAL 4 OR 5 VIEWS,TC,,20,,RBRVS,,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72052,CPT,RADEX SPINE CERVICAL 6 OR MORE VIEWS,,,20,,RBRVS,0.36 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72052,CPT,RADEX SPINE CERVICAL 6 OR MORE VIEWS,26,,20,,RBRVS,0.36 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72052,CPT,RADEX SPINE CERVICAL 6 OR MORE VIEWS,TC,,20,,RBRVS,,1.05 ,1.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72070,CPT,RADEX SPINE THORACIC 2 VIEWS,,,20,,RBRVS,0.22 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72070,CPT,RADEX SPINE THORACIC 2 VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72070,CPT,RADEX SPINE THORACIC 2 VIEWS,TC,,20,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72072,CPT,RADEX SPINE THORACIC 3 VIEWS,,,20,,RBRVS,0.22 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72072,CPT,RADEX SPINE THORACIC 3 VIEWS,26,,20,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72072,CPT,RADEX SPINE THORACIC 3 VIEWS,TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72074,CPT,RADEX SPINE THORACIC MINIMUM 4 VIEWS,,,20,,RBRVS,0.22 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72074,CPT,RADEX SPINE THORACIC MINIMUM 4 VIEWS,26,,20,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72074,CPT,RADEX SPINE THORACIC MINIMUM 4 VIEWS,TC,,20,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72080,CPT,RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS,,,20,,RBRVS,0.22 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72080,CPT,RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS,26,,20,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72080,CPT,RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS,TC,,20,,RBRVS,,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72081,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,,,20,,RBRVS,0.26 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72081,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,26,,20,,RBRVS,0.26 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72081,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,TC,,20,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72082,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,,,20,,RBRVS,0.31 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72082,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,26,,20,,RBRVS,0.31 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72082,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,TC,,20,,RBRVS,,1.28 ,1.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72083,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,,,20,,RBRVS,0.35 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72083,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,26,,20,,RBRVS,0.35 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72083,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,TC,,20,,RBRVS,,1.39 ,1.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72084,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,,,20,,RBRVS,0.41 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72084,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,26,,20,,RBRVS,0.41 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72084,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,TC,,20,,RBRVS,,1.68 ,1.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72100,CPT,RADEX SPINE LUMBOSACRAL 2/3 VIEWS,,,20,,RBRVS,0.22 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72100,CPT,RADEX SPINE LUMBOSACRAL 2/3 VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72100,CPT,RADEX SPINE LUMBOSACRAL 2/3 VIEWS,TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72110,CPT,RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS,,,20,,RBRVS,0.31 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72110,CPT,RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS,26,,20,,RBRVS,0.31 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72110,CPT,RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS,TC,,20,,RBRVS,,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72114,CPT,RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6,,,20,,RBRVS,0.32 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72114,CPT,RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6,26,,20,,RBRVS,0.32 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72114,CPT,RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6,TC,,20,,RBRVS,,1.27 ,1.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72120,CPT,RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS,,,20,,RBRVS,0.22 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72120,CPT,RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72120,CPT,RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS,TC,,20,,RBRVS,,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72125,CPT,CT CERVICAL SPINE W/O CONTRAST MATERIAL,,,20,,RBRVS,1.07 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72125,CPT,CT CERVICAL SPINE W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.07 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72125,CPT,CT CERVICAL SPINE W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,3.65 ,3.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72126,CPT,CT CERVICAL SPINE W/CONTRAST MATERIAL,,,20,,RBRVS,1.22 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72126,CPT,CT CERVICAL SPINE W/CONTRAST MATERIAL,26,,20,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72126,CPT,CT CERVICAL SPINE W/CONTRAST MATERIAL,TC,,20,,RBRVS,,4.69 ,4.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72127,CPT,CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL,,,20,,RBRVS,1.27 ,6.27 ,6.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72127,CPT,CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL,26,,20,,RBRVS,1.27 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72127,CPT,CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL,TC,,20,,RBRVS,,5.80 ,5.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72128,CPT,CT THORACIC SPINE W/O CONTRAST MATERIAL,,,20,,RBRVS,1.00 ,4.00 ,4.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72128,CPT,CT THORACIC SPINE W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72128,CPT,CT THORACIC SPINE W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,3.63 ,3.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72129,CPT,CT THORACIC SPINE W/CONTRAST MATERIAL,,,20,,RBRVS,1.22 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72129,CPT,CT THORACIC SPINE W/CONTRAST MATERIAL,26,,20,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72129,CPT,CT THORACIC SPINE W/CONTRAST MATERIAL,TC,,20,,RBRVS,,4.70 ,4.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72130,CPT,CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.27 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72130,CPT,CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.27 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72130,CPT,CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,5.85 ,5.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72131,CPT,CT LUMBAR SPINE W/O CONTRAST MATERIAL,,,20,,RBRVS,1.00 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72131,CPT,CT LUMBAR SPINE W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72131,CPT,CT LUMBAR SPINE W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,3.61 ,3.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72132,CPT,CT LUMBAR SPINE W/CONTRAST MATERIAL,,,20,,RBRVS,1.22 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72132,CPT,CT LUMBAR SPINE W/CONTRAST MATERIAL,26,,20,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72132,CPT,CT LUMBAR SPINE W/CONTRAST MATERIAL,TC,,20,,RBRVS,,4.68 ,4.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72133,CPT,CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.27 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72133,CPT,CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.27 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72133,CPT,CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,5.79 ,5.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72141,CPT,MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL,,,20,,RBRVS,1.48 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72141,CPT,MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL,26,,20,,RBRVS,1.48 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72141,CPT,MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL,TC,,20,,RBRVS,,4.17 ,4.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72142,CPT,MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,,,20,,RBRVS,1.78 ,7.23 ,7.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72142,CPT,MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,26,,20,,RBRVS,1.78 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72142,CPT,MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,TC,,20,,RBRVS,,6.56 ,6.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72146,CPT,MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL,,,20,,RBRVS,1.48 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72146,CPT,MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL,26,,20,,RBRVS,1.48 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72146,CPT,MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL,TC,,20,,RBRVS,,4.17 ,4.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72147,CPT,MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,,,20,,RBRVS,1.78 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72147,CPT,MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,26,,20,,RBRVS,1.78 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72147,CPT,MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,TC,,20,,RBRVS,,6.48 ,6.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72148,CPT,MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL,,,20,,RBRVS,1.48 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72148,CPT,MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.48 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72148,CPT,MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,4.14 ,4.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72149,CPT,MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,,,20,,RBRVS,1.78 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72149,CPT,MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,26,,20,,RBRVS,1.78 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72149,CPT,MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,TC,,20,,RBRVS,,6.45 ,6.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72156,CPT,MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL,,,20,,RBRVS,2.29 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72156,CPT,MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL,26,,20,,RBRVS,2.29 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72156,CPT,MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL,TC,,20,,RBRVS,,7.38 ,7.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72157,CPT,MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL,,,20,,RBRVS,2.29 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72157,CPT,MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL,26,,20,,RBRVS,2.29 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72157,CPT,MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL,TC,,20,,RBRVS,,7.40 ,7.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72158,CPT,MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL,,,20,,RBRVS,2.29 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72158,CPT,MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL,26,,20,,RBRVS,2.29 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72158,CPT,MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL,TC,,20,,RBRVS,,7.36 ,7.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72159,CPT,MRA SPINAL CANAL W/WO CONTRAST MATERIAL,,,20,,RBRVS,1.80 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72159,CPT,MRA SPINAL CANAL W/WO CONTRAST MATERIAL,26,,20,,RBRVS,1.80 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72159,CPT,MRA SPINAL CANAL W/WO CONTRAST MATERIAL,TC,,20,,RBRVS,,9.12 ,9.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72170,CPT,RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS,,,20,,RBRVS,0.17 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72170,CPT,RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72170,CPT,RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS,TC,,20,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72190,CPT,RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS,,,20,,RBRVS,0.21 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72190,CPT,RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS,26,,20,,RBRVS,0.21 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72190,CPT,RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.75 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72191,CPT,CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,,,20,,RBRVS,1.81 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72191,CPT,CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,26,,20,,RBRVS,1.81 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72191,CPT,CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,TC,,20,,RBRVS,,5.99 ,5.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72192,CPT,CT PELVIS W/O CONTRAST MATERIAL,,,20,,RBRVS,1.09 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72192,CPT,CT PELVIS W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.09 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72192,CPT,CT PELVIS W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72193,CPT,CT PELVIS W/CONTRAST MATERIAL,,,20,,RBRVS,1.16 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72193,CPT,CT PELVIS W/CONTRAST MATERIAL,26,,20,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72193,CPT,CT PELVIS W/CONTRAST MATERIAL,TC,,20,,RBRVS,,4.69 ,4.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72194,CPT,CT PELVIS W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.22 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72194,CPT,CT PELVIS W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72194,CPT,CT PELVIS W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,5.58 ,5.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72195,CPT,MRI PELVIS W/O CONTRAST MATERIAL,,,20,,RBRVS,1.46 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72195,CPT,MRI PELVIS W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.46 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72195,CPT,MRI PELVIS W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,8.43 ,8.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72196,CPT,MRI PELVIS W/CONTRAST MATERIAL,,,20,,RBRVS,1.73 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72196,CPT,MRI PELVIS W/CONTRAST MATERIAL,26,,20,,RBRVS,1.73 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72196,CPT,MRI PELVIS W/CONTRAST MATERIAL,TC,,20,,RBRVS,,9.07 ,9.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72197,CPT,MRI PELVIS W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,2.26 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72197,CPT,MRI PELVIS W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,2.26 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72197,CPT,MRI PELVIS W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,10.97 ,10.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72198,CPT,MRA PELVIS W/WO CONTRAST MATERIAL,,,20,,RBRVS,1.80 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72198,CPT,MRA PELVIS W/WO CONTRAST MATERIAL,26,,20,,RBRVS,1.80 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72198,CPT,MRA PELVIS W/WO CONTRAST MATERIAL,TC,,20,,RBRVS,,8.70 ,8.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72200,CPT,RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS,,,20,,RBRVS,0.17 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72200,CPT,RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72200,CPT,RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS,TC,,20,,RBRVS,,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72202,CPT,RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,,,20,,RBRVS,0.19 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72202,CPT,RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,26,,20,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72202,CPT,RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,TC,,20,,RBRVS,,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72220,CPT,RADEX SACRUM & COCCYX MINIMUM 2 VIEWS,,,20,,RBRVS,0.17 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72220,CPT,RADEX SACRUM & COCCYX MINIMUM 2 VIEWS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72220,CPT,RADEX SACRUM & COCCYX MINIMUM 2 VIEWS,TC,,20,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72240,CPT,MYELOGRAPHY CERVICAL RS&I,,,20,,RBRVS,0.91 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72240,CPT,MYELOGRAPHY CERVICAL RS&I,26,,20,,RBRVS,0.91 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72240,CPT,MYELOGRAPHY CERVICAL RS&I,TC,,20,,RBRVS,,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72255,CPT,MYELOGRAPHY THORACIC RS&I,,,20,,RBRVS,0.91 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72255,CPT,MYELOGRAPHY THORACIC RS&I,26,,20,,RBRVS,0.91 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72255,CPT,MYELOGRAPHY THORACIC RS&I,TC,,20,,RBRVS,,1.41 ,1.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72265,CPT,MYELOGRAPY LUMBOSACRAL RS&I,,,20,,RBRVS,0.83 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72265,CPT,MYELOGRAPY LUMBOSACRAL RS&I,26,,20,,RBRVS,0.83 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72265,CPT,MYELOGRAPY LUMBOSACRAL RS&I,TC,,20,,RBRVS,,1.39 ,1.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72270,CPT,MYELOGRAPY 2/MORE REGIONS RS&I,,,20,,RBRVS,1.33 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72270,CPT,MYELOGRAPY 2/MORE REGIONS RS&I,26,,20,,RBRVS,1.33 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72270,CPT,MYELOGRAPY 2/MORE REGIONS RS&I,TC,,20,,RBRVS,,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72275,CPT,EPIDUROGRAPY RS&I,,,20,,RBRVS,0.76 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72275,CPT,EPIDUROGRAPY RS&I,26,,20,,RBRVS,0.76 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72275,CPT,EPIDUROGRAPY RS&I,TC,,20,,RBRVS,,2.12 ,2.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72285,CPT,DISKOGRAPY CERVICAL/THORACIC RS&I,,,20,,RBRVS,1.16 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72285,CPT,DISKOGRAPY CERVICAL/THORACIC RS&I,26,,20,,RBRVS,1.16 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72285,CPT,DISKOGRAPY CERVICAL/THORACIC RS&I,TC,,20,,RBRVS,,1.47 ,1.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 72295,CPT,DISKOGRAPY LUMBAR RS&I,,,20,,RBRVS,0.83 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 72295,CPT,DISKOGRAPY LUMBAR RS&I,26,,20,,RBRVS,0.83 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 72295,CPT,DISKOGRAPY LUMBAR RS&I,TC,,20,,RBRVS,,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73000,CPT,RADEX CLAVICLE COMPLETE,,,20,,RBRVS,0.16 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73000,CPT,RADEX CLAVICLE COMPLETE,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73000,CPT,RADEX CLAVICLE COMPLETE,TC,,20,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73010,CPT,RADEX SCAPULA COMPLETE,,,20,,RBRVS,0.17 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73010,CPT,RADEX SCAPULA COMPLETE,26,,20,,RBRVS,0.17 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73010,CPT,RADEX SCAPULA COMPLETE,TC,,20,,RBRVS,,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73020,CPT,RADEX SHOULDER 1 VIEW,,,20,,RBRVS,0.15 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73020,CPT,RADEX SHOULDER 1 VIEW,26,,20,,RBRVS,0.15 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73020,CPT,RADEX SHOULDER 1 VIEW,TC,,20,,RBRVS,,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73030,CPT,RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS,,,20,,RBRVS,0.18 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73030,CPT,RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS,26,,20,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73030,CPT,RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS,TC,,20,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73040,CPT,RADEX SHOULDER ARTHROGRAPHY RS&I,,,20,,RBRVS,0.54 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73040,CPT,RADEX SHOULDER ARTHROGRAPHY RS&I,26,,20,,RBRVS,0.54 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73040,CPT,RADEX SHOULDER ARTHROGRAPHY RS&I,TC,,20,,RBRVS,,2.02 ,2.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73050,CPT,RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ,,,20,,RBRVS,0.20 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73050,CPT,RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ,26,,20,,RBRVS,0.20 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73050,CPT,RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ,TC,,20,,RBRVS,,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73060,CPT,RADEX HUMERUS MINIMUM 2 VIEWS,,,20,,RBRVS,0.16 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73060,CPT,RADEX HUMERUS MINIMUM 2 VIEWS,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73060,CPT,RADEX HUMERUS MINIMUM 2 VIEWS,TC,,20,,RBRVS,,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73070,CPT,RADEX ELBOW 2 VIEWS,,,20,,RBRVS,0.15 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73070,CPT,RADEX ELBOW 2 VIEWS,26,,20,,RBRVS,0.15 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73070,CPT,RADEX ELBOW 2 VIEWS,TC,,20,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73080,CPT,RADEX ELBOW COMPLETE MINIMUM 3 VIEWS,,,20,,RBRVS,0.17 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73080,CPT,RADEX ELBOW COMPLETE MINIMUM 3 VIEWS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73080,CPT,RADEX ELBOW COMPLETE MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73085,CPT,RADEX ELBOW ARTHROGRAPHY RS&I,,,20,,RBRVS,0.54 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73085,CPT,RADEX ELBOW ARTHROGRAPHY RS&I,26,,20,,RBRVS,0.54 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73085,CPT,RADEX ELBOW ARTHROGRAPHY RS&I,TC,,20,,RBRVS,,1.90 ,1.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73090,CPT,RADEX FOREARM 2 VIEWS,,,20,,RBRVS,0.16 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73090,CPT,RADEX FOREARM 2 VIEWS,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73090,CPT,RADEX FOREARM 2 VIEWS,TC,,20,,RBRVS,,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73092,CPT,RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS,,,20,,RBRVS,0.16 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73092,CPT,RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS,26,,20,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73092,CPT,RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS,TC,,20,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73100,CPT,RADEX WRIST 2 VIEWS,,,20,,RBRVS,0.16 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73100,CPT,RADEX WRIST 2 VIEWS,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73100,CPT,RADEX WRIST 2 VIEWS,TC,,20,,RBRVS,,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73110,CPT,RADEX WRIST COMPLETE MINIMUM 3 VIEWS,,,20,,RBRVS,0.17 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73110,CPT,RADEX WRIST COMPLETE MINIMUM 3 VIEWS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73110,CPT,RADEX WRIST COMPLETE MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73115,CPT,RADEX WRIST ARTHROGRAPHY RS&I,,,20,,RBRVS,0.54 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73115,CPT,RADEX WRIST ARTHROGRAPHY RS&I,26,,20,,RBRVS,0.54 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73115,CPT,RADEX WRIST ARTHROGRAPHY RS&I,TC,,20,,RBRVS,,2.18 ,2.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73120,CPT,RADEX HAND 2 VIEWS,,,20,,RBRVS,0.16 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73120,CPT,RADEX HAND 2 VIEWS,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73120,CPT,RADEX HAND 2 VIEWS,TC,,20,,RBRVS,,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73130,CPT,RADEX HAND MINIMUM 3 VIEWS,,,20,,RBRVS,0.17 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73130,CPT,RADEX HAND MINIMUM 3 VIEWS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73130,CPT,RADEX HAND MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73140,CPT,RADEX FINGR MINIMUM 2 VIEWS,,,20,,RBRVS,0.13 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73140,CPT,RADEX FINGR MINIMUM 2 VIEWS,26,,20,,RBRVS,0.13 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73140,CPT,RADEX FINGR MINIMUM 2 VIEWS,TC,,20,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73200,CPT,CT UPPER EXTREMITY W/O CONTRAST MATERIAL,,,20,,RBRVS,1.00 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73200,CPT,CT UPPER EXTREMITY W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73200,CPT,CT UPPER EXTREMITY W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,3.60 ,3.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73201,CPT,CT UPPER EXTREMITY W/CONTRAST MATERIAL,,,20,,RBRVS,1.16 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73201,CPT,CT UPPER EXTREMITY W/CONTRAST MATERIAL,26,,20,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73201,CPT,CT UPPER EXTREMITY W/CONTRAST MATERIAL,TC,,20,,RBRVS,,4.60 ,4.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73202,CPT,CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.22 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73202,CPT,CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.22 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73202,CPT,CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,6.06 ,6.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73206,CPT,CT ANGIOGRAPHY UPPER EXTREMITY,,,20,,RBRVS,1.81 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73206,CPT,CT ANGIOGRAPHY UPPER EXTREMITY,26,,20,,RBRVS,1.81 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73206,CPT,CT ANGIOGRAPHY UPPER EXTREMITY,TC,,20,,RBRVS,,6.63 ,6.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73218,CPT,MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,,,20,,RBRVS,1.35 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73218,CPT,MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,26,,20,,RBRVS,1.35 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73218,CPT,MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,TC,,20,,RBRVS,,8.30 ,8.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73219,CPT,MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,,,20,,RBRVS,1.62 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73219,CPT,MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,26,,20,,RBRVS,1.62 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73219,CPT,MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,TC,,20,,RBRVS,,9.03 ,9.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73220,CPT,MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS,,,20,,RBRVS,2.15 ,11.76 ,11.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73220,CPT,MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS,26,,20,,RBRVS,2.15 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73220,CPT,MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS,TC,,20,,RBRVS,,10.96 ,10.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73221,CPT,MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL,,,20,,RBRVS,1.35 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73221,CPT,MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL,26,,20,,RBRVS,1.35 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73221,CPT,MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL,TC,,20,,RBRVS,,4.68 ,4.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73222,CPT,MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,,,20,,RBRVS,1.62 ,8.90 ,8.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73222,CPT,MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,26,,20,,RBRVS,1.62 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73222,CPT,MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,TC,,20,,RBRVS,,8.29 ,8.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73223,CPT,MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,,,20,,RBRVS,2.15 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73223,CPT,MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,26,,20,,RBRVS,2.15 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73223,CPT,MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,TC,,20,,RBRVS,,10.09 ,10.09 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73225,CPT,MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,,,20,,RBRVS,1.73 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73225,CPT,MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,26,,20,,RBRVS,1.73 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73225,CPT,MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,TC,,20,,RBRVS,,8.93 ,8.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73501,CPT,RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,,,20,,RBRVS,0.18 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73501,CPT,RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,26,,20,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73501,CPT,RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,TC,,20,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73502,CPT,RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,,,20,,RBRVS,0.22 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73502,CPT,RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73502,CPT,RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,TC,,20,,RBRVS,,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73503,CPT,RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,,,20,,RBRVS,0.27 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73503,CPT,RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,26,,20,,RBRVS,0.27 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73503,CPT,RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,TC,,20,,RBRVS,,1.03 ,1.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73521,CPT,RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,,,20,,RBRVS,0.22 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73521,CPT,RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,26,,20,,RBRVS,0.22 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73521,CPT,RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,TC,,20,,RBRVS,,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73522,CPT,RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,,,20,,RBRVS,0.29 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73522,CPT,RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,26,,20,,RBRVS,0.29 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73522,CPT,RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,TC,,20,,RBRVS,,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73523,CPT,RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,,,20,,RBRVS,0.31 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73523,CPT,RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,26,,20,,RBRVS,0.31 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73523,CPT,RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,TC,,20,,RBRVS,,1.12 ,1.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73525,CPT,RADEX HIP ARTHROGRAPHY RS&I,,,20,,RBRVS,0.54 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73525,CPT,RADEX HIP ARTHROGRAPHY RS&I,26,,20,,RBRVS,0.54 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73525,CPT,RADEX HIP ARTHROGRAPHY RS&I,TC,,20,,RBRVS,,2.02 ,2.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73551,CPT,RADIOLOGIC EXAMINATION FEMUR 1 VIEW,,,20,,RBRVS,0.16 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73551,CPT,RADIOLOGIC EXAMINATION FEMUR 1 VIEW,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73551,CPT,RADIOLOGIC EXAMINATION FEMUR 1 VIEW,TC,,20,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73552,CPT,RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,,,20,,RBRVS,0.18 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73552,CPT,RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,26,,20,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73552,CPT,RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,TC,,20,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73560,CPT,RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,,,20,,RBRVS,0.16 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73560,CPT,RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73560,CPT,RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,TC,,20,,RBRVS,,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73562,CPT,RADIOLOGIC EXAMINATION KNEE 3 VIEWS,,,20,,RBRVS,0.18 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73562,CPT,RADIOLOGIC EXAMINATION KNEE 3 VIEWS,26,,20,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73562,CPT,RADIOLOGIC EXAMINATION KNEE 3 VIEWS,TC,,20,,RBRVS,,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73564,CPT,RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS,,,20,,RBRVS,0.22 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73564,CPT,RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS,26,,20,,RBRVS,0.22 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73564,CPT,RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS,TC,,20,,RBRVS,,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73565,CPT,RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,,,20,,RBRVS,0.16 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73565,CPT,RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,26,,20,,RBRVS,0.16 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73565,CPT,RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,TC,,20,,RBRVS,,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73580,CPT,RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I,,,20,,RBRVS,0.54 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73580,CPT,RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I,26,,20,,RBRVS,0.54 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73580,CPT,RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I,TC,,20,,RBRVS,,2.42 ,2.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73590,CPT,RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS,,,20,,RBRVS,0.16 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73590,CPT,RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73590,CPT,RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS,TC,,20,,RBRVS,,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73592,CPT,RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS,,,20,,RBRVS,0.16 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73592,CPT,RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS,26,,20,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73592,CPT,RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS,TC,,20,,RBRVS,,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73600,CPT,RADIOLOGIC EXAMINATION ANKLE 2 VIEWS,,,20,,RBRVS,0.16 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73600,CPT,RADIOLOGIC EXAMINATION ANKLE 2 VIEWS,26,,20,,RBRVS,0.16 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73600,CPT,RADIOLOGIC EXAMINATION ANKLE 2 VIEWS,TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73610,CPT,RADEX ANKLE COMPLETE MINIMUM 3 VIEWS,,,20,,RBRVS,0.17 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73610,CPT,RADEX ANKLE COMPLETE MINIMUM 3 VIEWS,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73610,CPT,RADEX ANKLE COMPLETE MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73615,CPT,RADEX ANKLE ARTHROGRAPHY RS&I,,,20,,RBRVS,0.54 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73615,CPT,RADEX ANKLE ARTHROGRAPHY RS&I,26,,20,,RBRVS,0.54 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73615,CPT,RADEX ANKLE ARTHROGRAPHY RS&I,TC,,20,,RBRVS,,2.11 ,2.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73620,CPT,RADIOLOGIC EXAMINATION FOOT 2 VIEWS,,,20,,RBRVS,0.16 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73620,CPT,RADIOLOGIC EXAMINATION FOOT 2 VIEWS,26,,20,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73620,CPT,RADIOLOGIC EXAMINATION FOOT 2 VIEWS,TC,,20,,RBRVS,,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73630,CPT,RADEX FOOT COMPLETE MINIMUM 3 VIEWS,,,20,,RBRVS,0.17 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73630,CPT,RADEX FOOT COMPLETE MINIMUM 3 VIEWS,26,,20,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73630,CPT,RADEX FOOT COMPLETE MINIMUM 3 VIEWS,TC,,20,,RBRVS,,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73650,CPT,RADEX CALCANEUS MINIMUM 2 VIEWS,,,20,,RBRVS,0.16 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73650,CPT,RADEX CALCANEUS MINIMUM 2 VIEWS,26,,20,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73650,CPT,RADEX CALCANEUS MINIMUM 2 VIEWS,TC,,20,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73660,CPT,RADEX TOE MINIMUM 2 VIEWS,,,20,,RBRVS,0.13 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73660,CPT,RADEX TOE MINIMUM 2 VIEWS,26,,20,,RBRVS,0.13 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73660,CPT,RADEX TOE MINIMUM 2 VIEWS,TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73700,CPT,CT LOWER EXTREMITY W/O CONTRAST MATERIAL,,,20,,RBRVS,1.00 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73700,CPT,CT LOWER EXTREMITY W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73700,CPT,CT LOWER EXTREMITY W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,3.60 ,3.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73701,CPT,CT LOWER EXTREMITY W/CONTRAST MATERIAL,,,20,,RBRVS,1.16 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73701,CPT,CT LOWER EXTREMITY W/CONTRAST MATERIAL,26,,20,,RBRVS,1.16 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73701,CPT,CT LOWER EXTREMITY W/CONTRAST MATERIAL,TC,,20,,RBRVS,,4.69 ,4.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73702,CPT,CT LOWER EXTREMITY W/O & W/CONTRAST MATRL,,,20,,RBRVS,1.22 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73702,CPT,CT LOWER EXTREMITY W/O & W/CONTRAST MATRL,26,,20,,RBRVS,1.22 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73702,CPT,CT LOWER EXTREMITY W/O & W/CONTRAST MATRL,TC,,20,,RBRVS,,5.98 ,5.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73706,CPT,CT ANGIOGRAPHY LOWER EXTREMITY,,,20,,RBRVS,1.90 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73706,CPT,CT ANGIOGRAPHY LOWER EXTREMITY,26,,20,,RBRVS,1.90 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73706,CPT,CT ANGIOGRAPHY LOWER EXTREMITY,TC,,20,,RBRVS,,7.18 ,7.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73718,CPT,MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,,,20,,RBRVS,1.35 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73718,CPT,MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,26,,20,,RBRVS,1.35 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73718,CPT,MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,TC,,20,,RBRVS,,8.30 ,8.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73719,CPT,MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,,,20,,RBRVS,1.62 ,9.63 ,9.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73719,CPT,MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,26,,20,,RBRVS,1.62 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73719,CPT,MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,TC,,20,,RBRVS,,9.03 ,9.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73720,CPT,MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,,,20,,RBRVS,2.15 ,11.84 ,11.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73720,CPT,MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,26,,20,,RBRVS,2.15 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73720,CPT,MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,TC,,20,,RBRVS,,11.04 ,11.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73721,CPT,MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL,,,20,,RBRVS,1.35 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73721,CPT,MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL,26,,20,,RBRVS,1.35 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73721,CPT,MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL,TC,,20,,RBRVS,,4.69 ,4.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73722,CPT,MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL,,,20,,RBRVS,1.62 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73722,CPT,MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL,26,,20,,RBRVS,1.62 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73722,CPT,MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL,TC,,20,,RBRVS,,8.39 ,8.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73723,CPT,MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL,,,20,,RBRVS,2.15 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73723,CPT,MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL,26,,20,,RBRVS,2.15 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73723,CPT,MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL,TC,,20,,RBRVS,,10.14 ,10.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 73725,CPT,MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL,,,20,,RBRVS,1.82 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 73725,CPT,MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL,26,,20,,RBRVS,1.82 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 73725,CPT,MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL,TC,,20,,RBRVS,,8.70 ,8.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74000,CPT,RADEX ABDOMEN 1 ANTEROPOSTERIOR VIEW,,,20,,RBRVS,0.18 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74000,CPT,RADEX ABDOMEN 1 ANTEROPOSTERIOR VIEW,26,,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74000,CPT,RADEX ABDOMEN 1 ANTEROPOSTERIOR VIEW,TC,,20,,RBRVS,,0.39 ,0.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74010,CPT,RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS,,,20,,RBRVS,0.23 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74010,CPT,RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS,26,,20,,RBRVS,0.23 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74010,CPT,RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS,TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74020,CPT,RADEX ABDOMEN COMPL W/DCBTS&/ERC VIEWS,,,20,,RBRVS,0.27 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74020,CPT,RADEX ABDOMEN COMPL W/DCBTS&/ERC VIEWS,26,,20,,RBRVS,0.27 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74020,CPT,RADEX ABDOMEN COMPL W/DCBTS&/ERC VIEWS,TC,,20,,RBRVS,,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74022,CPT,RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,,,20,,RBRVS,0.32 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74022,CPT,RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,26,,20,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74022,CPT,RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,TC,,20,,RBRVS,,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74150,CPT,CT ABDOMEN W/O CONTRAST MATERIAL,,,20,,RBRVS,1.19 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74150,CPT,CT ABDOMEN W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.19 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74150,CPT,CT ABDOMEN W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,2.50 ,2.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74160,CPT,CT ABDOMEN W/CONTRAST MATERIAL,,,20,,RBRVS,1.27 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74160,CPT,CT ABDOMEN W/CONTRAST MATERIAL,26,,20,,RBRVS,1.27 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74160,CPT,CT ABDOMEN W/CONTRAST MATERIAL,TC,,20,,RBRVS,,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74170,CPT,CT ABDOMEN W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,1.40 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74170,CPT,CT ABDOMEN W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,1.40 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74170,CPT,CT ABDOMEN W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,5.37 ,5.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74174,CPT,CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG,,,20,,RBRVS,2.20 ,8.58 ,8.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74174,CPT,CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG,26,,20,,RBRVS,2.20 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74174,CPT,CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG,TC,,20,,RBRVS,,7.79 ,7.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74175,CPT,CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,,,20,,RBRVS,1.82 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74175,CPT,CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,26,,20,,RBRVS,1.82 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74175,CPT,CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,TC,,20,,RBRVS,,6.03 ,6.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74176,CPT,CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL,,,20,,RBRVS,1.74 ,3.79 ,3.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74176,CPT,CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.74 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74176,CPT,CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,3.14 ,3.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74177,CPT,CT ABDOMEN & PELVIS W/CONTRAST MATERIAL,,,20,,RBRVS,1.82 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74177,CPT,CT ABDOMEN & PELVIS W/CONTRAST MATERIAL,26,,20,,RBRVS,1.82 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74177,CPT,CT ABDOMEN & PELVIS W/CONTRAST MATERIAL,TC,,20,,RBRVS,,6.14 ,6.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74178,CPT,CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,,,20,,RBRVS,2.01 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74178,CPT,CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,26,,20,,RBRVS,2.01 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74178,CPT,CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,TC,,20,,RBRVS,,7.04 ,7.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74181,CPT,MRI ABDOMEN W/O CONTRAST MATERIAL,,,20,,RBRVS,1.46 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74181,CPT,MRI ABDOMEN W/O CONTRAST MATERIAL,26,,20,,RBRVS,1.46 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74181,CPT,MRI ABDOMEN W/O CONTRAST MATERIAL,TC,,20,,RBRVS,,7.27 ,7.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74182,CPT,MRI ABDOMEN W/CONTRAST MATERIAL,,,20,,RBRVS,1.73 ,10.91 ,10.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74182,CPT,MRI ABDOMEN W/CONTRAST MATERIAL,26,,20,,RBRVS,1.73 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74182,CPT,MRI ABDOMEN W/CONTRAST MATERIAL,TC,,20,,RBRVS,,10.27 ,10.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74183,CPT,MRI ABDOMEN W/O & W/CONTRAST MATERIAL,,,20,,RBRVS,2.26 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74183,CPT,MRI ABDOMEN W/O & W/CONTRAST MATERIAL,26,,20,,RBRVS,2.26 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74183,CPT,MRI ABDOMEN W/O & W/CONTRAST MATERIAL,TC,,20,,RBRVS,,10.99 ,10.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74185,CPT,MRA ABDOMEN W/WO CONTRAST MATERIAL,,,20,,RBRVS,1.80 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74185,CPT,MRA ABDOMEN W/WO CONTRAST MATERIAL,26,,20,,RBRVS,1.80 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74185,CPT,MRA ABDOMEN W/WO CONTRAST MATERIAL,TC,,20,,RBRVS,,8.76 ,8.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74190,CPT,PERITONEOGRAM RS&I,,,20,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74190,CPT,PERITONEOGRAM RS&I,26,,20,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74190,CPT,PERITONEOGRAM RS&I,TC,,20,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74210,CPT,RADEX PHARYNX&/CERVICAL ESOPHAGUS,,,20,,RBRVS,0.36 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74210,CPT,RADEX PHARYNX&/CERVICAL ESOPHAGUS,26,,20,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74210,CPT,RADEX PHARYNX&/CERVICAL ESOPHAGUS,TC,,20,,RBRVS,,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74220,CPT,RADEX ESOPHAGUS,,,20,,RBRVS,0.46 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74220,CPT,RADEX ESOPHAGUS,26,,20,,RBRVS,0.46 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74220,CPT,RADEX ESOPHAGUS,TC,,20,,RBRVS,,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74230,CPT,SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG,,,20,,RBRVS,0.53 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74230,CPT,SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG,26,,20,,RBRVS,0.53 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74230,CPT,SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG,TC,,20,,RBRVS,,2.83 ,2.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74235,CPT,RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS&I,,,20,,TotalUnits,,,,4.41 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74235,CPT,RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS&I,26,,20,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74235,CPT,RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS&I,TC,,20,,TotalUnits,,,,2.88 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74240,CPT,RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB,,,20,,RBRVS,0.69 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74240,CPT,RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB,26,,20,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74240,CPT,RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB,TC,,20,,RBRVS,,2.18 ,2.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74241,CPT,RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/KUB,,,20,,RBRVS,0.69 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74241,CPT,RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/KUB,26,,20,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74241,CPT,RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/KUB,TC,,20,,RBRVS,,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74245,CPT,RADEX GI TRACT UPR W/SM INT W/MULT SERIAL IMAGES,,,20,,RBRVS,0.91 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74245,CPT,RADEX GI TRACT UPR W/SM INT W/MULT SERIAL IMAGES,26,,20,,RBRVS,0.91 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74245,CPT,RADEX GI TRACT UPR W/SM INT W/MULT SERIAL IMAGES,TC,,20,,RBRVS,,3.51 ,3.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74246,CPT,RADEX UPPER GI W/WO GLUCAGON/DELAY IMGES W/O KUB,,,20,,RBRVS,0.69 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74246,CPT,RADEX UPPER GI W/WO GLUCAGON/DELAY IMGES W/O KUB,26,,20,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74246,CPT,RADEX UPPER GI W/WO GLUCAGON/DELAY IMGES W/O KUB,TC,,20,,RBRVS,,2.58 ,2.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74247,CPT,RADEX UPPER GI W/WO GLUCAGON/DELAY IMAGES W/KUB,,,20,,RBRVS,0.69 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74247,CPT,RADEX UPPER GI W/WO GLUCAGON/DELAY IMAGES W/KUB,26,,20,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74247,CPT,RADEX UPPER GI W/WO GLUCAGON/DELAY IMAGES W/KUB,TC,,20,,RBRVS,,2.96 ,2.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74249,CPT,RADEX GI UPR W/WO GLUCOSE W/SM INTEST FOLLW-THRU,,,20,,RBRVS,0.91 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74249,CPT,RADEX GI UPR W/WO GLUCOSE W/SM INTEST FOLLW-THRU,26,,20,,RBRVS,0.91 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74249,CPT,RADEX GI UPR W/WO GLUCOSE W/SM INTEST FOLLW-THRU,TC,,20,,RBRVS,,3.86 ,3.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74250,CPT,RADEX SMALL INTESTINE W/MULTIPLE SERIAL IMAGES,,,20,,RBRVS,0.47 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74250,CPT,RADEX SMALL INTESTINE W/MULTIPLE SERIAL IMAGES,26,,20,,RBRVS,0.47 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74250,CPT,RADEX SMALL INTESTINE W/MULTIPLE SERIAL IMAGES,TC,,20,,RBRVS,,2.24 ,2.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74251,CPT,RADEX SM INT W/MLT SRL IMGES VIA ENTEROCLSS TUBE,,,20,,RBRVS,0.69 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74251,CPT,RADEX SM INT W/MLT SRL IMGES VIA ENTEROCLSS TUBE,26,,20,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74251,CPT,RADEX SM INT W/MLT SRL IMGES VIA ENTEROCLSS TUBE,TC,,20,,RBRVS,,10.76 ,10.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74260,CPT,DUODENOGRAPY HYPOTONIC,,,20,,RBRVS,0.50 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74260,CPT,DUODENOGRAPY HYPOTONIC,26,,20,,RBRVS,0.50 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74260,CPT,DUODENOGRAPY HYPOTONIC,TC,,20,,RBRVS,,9.19 ,9.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74261,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,,,20,,RBRVS,2.40 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74261,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,26,,20,,RBRVS,2.40 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74261,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,TC,,20,,RBRVS,,10.20 ,10.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74262,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,,,20,,RBRVS,2.50 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74262,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,26,,20,,RBRVS,2.50 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74262,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,TC,,20,,RBRVS,,11.60 ,11.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74263,CPT,CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,,,20,,RBRVS,2.28 ,18.83 ,18.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74263,CPT,CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,26,,20,,RBRVS,2.28 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74263,CPT,CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,TC,,20,,RBRVS,,17.96 ,17.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74270,CPT,RADEX COLON BARIUM ENEMA W/WO KUB,,,20,,RBRVS,0.69 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74270,CPT,RADEX COLON BARIUM ENEMA W/WO KUB,26,,20,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74270,CPT,RADEX COLON BARIUM ENEMA W/WO KUB,TC,,20,,RBRVS,,3.23 ,3.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74280,CPT,RADEX COLON W/SPEC HI DNS BARIUM W/WO GLUCAGON,,,20,,RBRVS,0.99 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74280,CPT,RADEX COLON W/SPEC HI DNS BARIUM W/WO GLUCAGON,26,,20,,RBRVS,0.99 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74280,CPT,RADEX COLON W/SPEC HI DNS BARIUM W/WO GLUCAGON,TC,,20,,RBRVS,,4.55 ,4.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74283,CPT,THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,,,20,,RBRVS,2.02 ,3.63 ,3.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74283,CPT,THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,26,,20,,RBRVS,2.02 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74283,CPT,THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,TC,,20,,RBRVS,,2.86 ,2.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74290,CPT,CHOLECYSTOGRAPHY ORAL CONTRST,,,20,,RBRVS,0.32 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74290,CPT,CHOLECYSTOGRAPHY ORAL CONTRST,26,,20,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74290,CPT,CHOLECYSTOGRAPHY ORAL CONTRST,TC,,20,,RBRVS,,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74300,CPT,CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I,,,20,,TotalUnits,,,,1.54 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74300,CPT,CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I,26,,20,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74300,CPT,CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I,TC,,20,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74301,CPT,CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS,,,20,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74301,CPT,CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS,26,,20,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74301,CPT,CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS,TC,,20,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74328,CPT,ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS&I,,,20,,TotalUnits,,,,3.62 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74328,CPT,ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS&I,26,,20,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74328,CPT,ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS&I,TC,,20,,TotalUnits,,,,2.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74329,CPT,ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS&I,,,20,,TotalUnits,,,,2.98 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74329,CPT,ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS&I,26,,20,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74329,CPT,ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS&I,TC,,20,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74330,CPT,CMBN NDSC CATHJ BILIARY&PNCRTC DUCTAL SYS RS&I,,,20,,TotalUnits,,,,4.47 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74330,CPT,CMBN NDSC CATHJ BILIARY&PNCRTC DUCTAL SYS RS&I,26,,20,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74330,CPT,CMBN NDSC CATHJ BILIARY&PNCRTC DUCTAL SYS RS&I,TC,,20,,TotalUnits,,,,3.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74340,CPT,INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I,,,20,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74340,CPT,INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I,26,,20,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74340,CPT,INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I,TC,,20,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74355,CPT,PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS&I,,,20,,TotalUnits,,,,3.86 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74355,CPT,PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS&I,26,,20,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74355,CPT,PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS&I,TC,,20,,TotalUnits,,,,2.83 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74360,CPT,INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I,,,20,,TotalUnits,,,,3.28 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74360,CPT,INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I,26,,20,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74360,CPT,INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I,TC,,20,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74363,CPT,PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS&I,,,20,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74363,CPT,PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS&I,26,,20,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74363,CPT,PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS&I,TC,,20,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74400,CPT,UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY,,,20,,RBRVS,0.49 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74400,CPT,UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY,26,,20,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74400,CPT,UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY,TC,,20,,RBRVS,,2.38 ,2.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74410,CPT,UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE,,,20,,RBRVS,0.49 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74410,CPT,UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE,26,,20,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74410,CPT,UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE,TC,,20,,RBRVS,,2.34 ,2.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74415,CPT,UROGRAPY INFUSION DRIP &/BOLUS TECHQ W/WO TOMO,,,20,,RBRVS,0.49 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74415,CPT,UROGRAPY INFUSION DRIP &/BOLUS TECHQ W/WO TOMO,26,,20,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74415,CPT,UROGRAPY INFUSION DRIP &/BOLUS TECHQ W/WO TOMO,TC,,20,,RBRVS,,3.13 ,3.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74420,CPT,X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL,,,20,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74420,CPT,X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL,26,,20,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74420,CPT,X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL,TC,,20,,TotalUnits,,,,2.04 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74425,CPT,UROGRAPHY ANTEGRADE RS&I,,,20,,TotalUnits,,,,1.83 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74425,CPT,UROGRAPHY ANTEGRADE RS&I,26,,20,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74425,CPT,UROGRAPHY ANTEGRADE RS&I,TC,,20,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74430,CPT,CYSTOGRAPHY MINIMUM 3 VIEWS RS&I,,,20,,RBRVS,0.32 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74430,CPT,CYSTOGRAPHY MINIMUM 3 VIEWS RS&I,26,,20,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74430,CPT,CYSTOGRAPHY MINIMUM 3 VIEWS RS&I,TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74440,CPT,VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I,,,20,,RBRVS,0.38 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74440,CPT,VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I,26,,20,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74440,CPT,VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I,TC,,20,,RBRVS,,1.75 ,1.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74445,CPT,CORPORA CAVERNOSOGRAPY RS&I,,,20,,TotalUnits,,,,2.89 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74445,CPT,CORPORA CAVERNOSOGRAPY RS&I,26,,20,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74445,CPT,CORPORA CAVERNOSOGRAPY RS&I,TC,,20,,TotalUnits,,,,1.38 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74450,CPT,URETHROCYSTOGRAPHY RETROGRADE RS&I,,,20,,TotalUnits,,,,2.06 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74450,CPT,URETHROCYSTOGRAPHY RETROGRADE RS&I,26,,20,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74450,CPT,URETHROCYSTOGRAPHY RETROGRADE RS&I,TC,,20,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74455,CPT,URETHROCYSTOGRAPHY VOIDING RS&I,,,20,,RBRVS,0.33 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74455,CPT,URETHROCYSTOGRAPHY VOIDING RS&I,26,,20,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74455,CPT,URETHROCYSTOGRAPHY VOIDING RS&I,TC,,20,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74470,CPT,RADEX RENAL CYST STUDY TRANSLUMBAR RS&I,,,20,,TotalUnits,,,,2.51 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74470,CPT,RADEX RENAL CYST STUDY TRANSLUMBAR RS&I,26,,20,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74470,CPT,RADEX RENAL CYST STUDY TRANSLUMBAR RS&I,TC,,20,,TotalUnits,,,,1.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74485,CPT,DILATION NEPHROSTOMY/URETER/URETHRA RS&I,,,20,,RBRVS,0.54 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74485,CPT,DILATION NEPHROSTOMY/URETER/URETHRA RS&I,26,,20,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74485,CPT,DILATION NEPHROSTOMY/URETER/URETHRA RS&I,TC,,20,,RBRVS,,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74710,CPT,PELVIMETRY W/WOPLACENTAL LOCALIZATION,,,20,,RBRVS,0.34 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74710,CPT,PELVIMETRY W/WOPLACENTAL LOCALIZATION,26,,20,,RBRVS,0.34 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74710,CPT,PELVIMETRY W/WOPLACENTAL LOCALIZATION,TC,,20,,RBRVS,,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74712,CPT,FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES,,,20,,RBRVS,3.00 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74712,CPT,FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES,26,,20,,RBRVS,3.00 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74712,CPT,FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES,TC,,20,,RBRVS,,9.24 ,9.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74713,CPT,FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES,,,20,,RBRVS,1.78 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74713,CPT,FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES,26,,20,,RBRVS,1.78 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74713,CPT,FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES,TC,,20,,RBRVS,,3.96 ,3.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74740,CPT,HYSTEROSALPINGOGRAPHY RS&I,,,20,,RBRVS,0.38 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74740,CPT,HYSTEROSALPINGOGRAPHY RS&I,26,,20,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74740,CPT,HYSTEROSALPINGOGRAPHY RS&I,TC,,20,,RBRVS,,1.55 ,1.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74742,CPT,TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I,,,20,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74742,CPT,TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I,26,,20,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74742,CPT,TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I,TC,,20,,TotalUnits,,,,2.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 74775,CPT,PERINEOGRAM,,,20,,TotalUnits,,,,3.38 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 74775,CPT,PERINEOGRAM,26,,20,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 74775,CPT,PERINEOGRAM,TC,,20,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75557,CPT,CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST,,,20,,RBRVS,2.35 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75557,CPT,CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST,26,,20,,RBRVS,2.35 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75557,CPT,CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST,TC,,20,,RBRVS,,5.65 ,5.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75559,CPT,CARDIAC MRI W/O CONTRAST W/STRESS IMAGING,,,20,,RBRVS,2.95 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75559,CPT,CARDIAC MRI W/O CONTRAST W/STRESS IMAGING,26,,20,,RBRVS,2.95 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75559,CPT,CARDIAC MRI W/O CONTRAST W/STRESS IMAGING,TC,,20,,RBRVS,,8.18 ,8.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75561,CPT,CARDIAC MRI W/WO CONTRAST & FURTHER SEQ,,,20,,RBRVS,2.60 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75561,CPT,CARDIAC MRI W/WO CONTRAST & FURTHER SEQ,26,,20,,RBRVS,2.60 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75561,CPT,CARDIAC MRI W/WO CONTRAST & FURTHER SEQ,TC,,20,,RBRVS,,8.24 ,8.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75563,CPT,CARDIAC MRI W/W/O CONTRAST W/STRESS,,,20,,RBRVS,3.00 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75563,CPT,CARDIAC MRI W/W/O CONTRAST W/STRESS,26,,20,,RBRVS,3.00 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75563,CPT,CARDIAC MRI W/W/O CONTRAST W/STRESS,TC,,20,,RBRVS,,9.92 ,9.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75565,CPT,CARDIAC MRI FOR VELOCITY FLOW MAPPING,,,20,,RBRVS,0.25 ,1.28 ,1.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75565,CPT,CARDIAC MRI FOR VELOCITY FLOW MAPPING,26,,20,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75565,CPT,CARDIAC MRI FOR VELOCITY FLOW MAPPING,TC,,20,,RBRVS,,1.19 ,1.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75571,CPT,CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,,,20,,RBRVS,0.58 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75571,CPT,CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,26,,20,,RBRVS,0.58 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75571,CPT,CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,TC,,20,,RBRVS,,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75572,CPT,CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH,,,20,,RBRVS,1.75 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75572,CPT,CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH,26,,20,,RBRVS,1.75 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75572,CPT,CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH,TC,,20,,RBRVS,,5.50 ,5.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75573,CPT,CT HRT CONTRST CARDIAC STRUCT&MORPH CONG HRT D,,,20,,RBRVS,2.55 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75573,CPT,CT HRT CONTRST CARDIAC STRUCT&MORPH CONG HRT D,26,,20,,RBRVS,2.55 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75573,CPT,CT HRT CONTRST CARDIAC STRUCT&MORPH CONG HRT D,TC,,20,,RBRVS,,7.39 ,7.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75574,CPT,CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,,,20,,RBRVS,2.40 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75574,CPT,CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,26,,20,,RBRVS,2.40 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75574,CPT,CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,TC,,20,,RBRVS,,8.38 ,8.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75600,CPT,AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I,,,20,,RBRVS,0.49 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75600,CPT,AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I,26,,20,,RBRVS,0.49 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75600,CPT,AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I,TC,,20,,RBRVS,,4.87 ,4.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75605,CPT,AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I,,,20,,RBRVS,1.14 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75605,CPT,AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I,26,,20,,RBRVS,1.14 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75605,CPT,AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I,TC,,20,,RBRVS,,2.32 ,2.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75625,CPT,AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,,,20,,RBRVS,1.14 ,2.63 ,2.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75625,CPT,AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,26,,20,,RBRVS,1.14 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75625,CPT,AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,TC,,20,,RBRVS,,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75630,CPT,AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I,,,20,,RBRVS,1.79 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75630,CPT,AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I,26,,20,,RBRVS,1.79 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75630,CPT,AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I,TC,,20,,RBRVS,,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75635,CPT,CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP,,,20,,RBRVS,2.40 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75635,CPT,CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP,26,,20,,RBRVS,2.40 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75635,CPT,CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP,TC,,20,,RBRVS,,7.28 ,7.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75658,CPT,ANIOGRAPHY BRACHIAL RETROGRADE RS&I,,,20,,RBRVS,1.31 ,3.25 ,3.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75658,CPT,ANIOGRAPHY BRACHIAL RETROGRADE RS&I,26,,20,,RBRVS,1.31 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75658,CPT,ANIOGRAPHY BRACHIAL RETROGRADE RS&I,TC,,20,,RBRVS,,2.89 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75705,CPT,ANGIOGRAPHY SPINAL SELECTIVE RS&I,,,20,,RBRVS,2.18 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75705,CPT,ANGIOGRAPHY SPINAL SELECTIVE RS&I,26,,20,,RBRVS,2.18 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75705,CPT,ANGIOGRAPHY SPINAL SELECTIVE RS&I,TC,,20,,RBRVS,,3.62 ,3.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75710,CPT,ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,,,20,,RBRVS,1.14 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75710,CPT,ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,26,,20,,RBRVS,1.14 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75710,CPT,ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,TC,,20,,RBRVS,,3.00 ,3.00 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75716,CPT,ANGIOGRAPHY EXTREMITY BILATERAL RS&I,,,20,,RBRVS,1.31 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75716,CPT,ANGIOGRAPHY EXTREMITY BILATERAL RS&I,26,,20,,RBRVS,1.31 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75716,CPT,ANGIOGRAPHY EXTREMITY BILATERAL RS&I,TC,,20,,RBRVS,,3.44 ,3.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75726,CPT,ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,,,20,,RBRVS,1.14 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75726,CPT,ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,26,,20,,RBRVS,1.14 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75726,CPT,ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,TC,,20,,RBRVS,,2.64 ,2.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75731,CPT,ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I,,,20,,RBRVS,1.14 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75731,CPT,ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I,26,,20,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75731,CPT,ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I,TC,,20,,RBRVS,,3.22 ,3.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75733,CPT,ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I,,,20,,RBRVS,1.31 ,3.81 ,3.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75733,CPT,ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I,26,,20,,RBRVS,1.31 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75733,CPT,ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I,TC,,20,,RBRVS,,3.36 ,3.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75736,CPT,ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,,,20,,RBRVS,1.14 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75736,CPT,ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,26,,20,,RBRVS,1.14 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75736,CPT,ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,TC,,20,,RBRVS,,2.95 ,2.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75741,CPT,ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I,,,20,,RBRVS,1.31 ,2.88 ,2.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75741,CPT,ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I,26,,20,,RBRVS,1.31 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75741,CPT,ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I,TC,,20,,RBRVS,,2.46 ,2.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75743,CPT,ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,,,20,,RBRVS,1.66 ,3.02 ,3.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75743,CPT,ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,26,,20,,RBRVS,1.66 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75743,CPT,ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,TC,,20,,RBRVS,,2.49 ,2.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75746,CPT,ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,,,20,,RBRVS,1.14 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75746,CPT,ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,26,,20,,RBRVS,1.14 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75746,CPT,ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,TC,,20,,RBRVS,,2.68 ,2.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75756,CPT,ANGIOGRAPHY INTERNAL MAMMARY RS&I,,,20,,RBRVS,1.14 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75756,CPT,ANGIOGRAPHY INTERNAL MAMMARY RS&I,26,,20,,RBRVS,1.14 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75756,CPT,ANGIOGRAPHY INTERNAL MAMMARY RS&I,TC,,20,,RBRVS,,3.11 ,3.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75774,CPT,ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,,,20,,RBRVS,0.36 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75774,CPT,ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,26,,20,,RBRVS,0.36 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75774,CPT,ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,TC,,20,,RBRVS,,1.97 ,1.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75801,CPT,LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I,,,20,,TotalUnits,,,,6.99 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75801,CPT,LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I,26,,20,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75801,CPT,LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I,TC,,20,,TotalUnits,,,,5.89 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75803,CPT,LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I,,,20,,TotalUnits,,,,7.41 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75803,CPT,LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I,26,,20,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75803,CPT,LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I,TC,,20,,TotalUnits,,,,5.80 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75805,CPT,LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I,,,20,,TotalUnits,,,,7.47 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75805,CPT,LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I,26,,20,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75805,CPT,LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I,TC,,20,,TotalUnits,,,,6.36 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75807,CPT,LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I,,,20,,TotalUnits,,,,8.11 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75807,CPT,LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I,26,,20,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75807,CPT,LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I,TC,,20,,TotalUnits,,,,6.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75809,CPT,SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,,,20,,RBRVS,0.47 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75809,CPT,SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,26,,20,,RBRVS,0.47 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75809,CPT,SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,TC,,20,,RBRVS,,2.11 ,2.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75810,CPT,SPLENOPORTOGRAPY RS&I,,,20,,TotalUnits,,,,14.48 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75810,CPT,SPLENOPORTOGRAPY RS&I,26,,20,,TotalUnits,,,,1.57 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75810,CPT,SPLENOPORTOGRAPY RS&I,TC,,20,,TotalUnits,,,,12.91 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75820,CPT,VENOGRAPHY EXTREMITY UNILATERAL RS&I,,,20,,RBRVS,0.70 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75820,CPT,VENOGRAPHY EXTREMITY UNILATERAL RS&I,26,,20,,RBRVS,0.70 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75820,CPT,VENOGRAPHY EXTREMITY UNILATERAL RS&I,TC,,20,,RBRVS,,2.26 ,2.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75822,CPT,VENOGRAPHY EXTREMITY BILATERAL RS&I,,,20,,RBRVS,1.06 ,2.73 ,2.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75822,CPT,VENOGRAPHY EXTREMITY BILATERAL RS&I,26,,20,,RBRVS,1.06 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75822,CPT,VENOGRAPHY EXTREMITY BILATERAL RS&I,TC,,20,,RBRVS,,2.39 ,2.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75825,CPT,VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,,,20,,RBRVS,1.14 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75825,CPT,VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,26,,20,,RBRVS,1.14 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75825,CPT,VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,TC,,20,,RBRVS,,2.24 ,2.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75827,CPT,VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,,,20,,RBRVS,1.14 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75827,CPT,VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,26,,20,,RBRVS,1.14 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75827,CPT,VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,TC,,20,,RBRVS,,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75831,CPT,VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,,,20,,RBRVS,1.14 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75831,CPT,VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,26,,20,,RBRVS,1.14 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75831,CPT,VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,TC,,20,,RBRVS,,2.40 ,2.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75833,CPT,VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,,,20,,RBRVS,1.49 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75833,CPT,VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,26,,20,,RBRVS,1.49 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75833,CPT,VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,TC,,20,,RBRVS,,2.58 ,2.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75840,CPT,VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I,,,20,,RBRVS,1.14 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75840,CPT,VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I,26,,20,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75840,CPT,VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I,TC,,20,,RBRVS,,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75842,CPT,VENOGRAPHY ADRENAL BILATERAL SELECTIVE RS&I,,,20,,RBRVS,1.49 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75842,CPT,VENOGRAPHY ADRENAL BILATERAL SELECTIVE RS&I,26,,20,,RBRVS,1.49 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75842,CPT,VENOGRAPHY ADRENAL BILATERAL SELECTIVE RS&I,TC,,20,,RBRVS,,2.96 ,2.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75860,CPT,VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I,,,20,,RBRVS,1.14 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75860,CPT,VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I,26,,20,,RBRVS,1.14 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75860,CPT,VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I,TC,,20,,RBRVS,,2.45 ,2.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75870,CPT,VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I,,,20,,RBRVS,1.14 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75870,CPT,VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I,26,,20,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75870,CPT,VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I,TC,,20,,RBRVS,,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75872,CPT,VENOGRAPHY EPIDURAL RS&I,,,20,,RBRVS,1.14 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75872,CPT,VENOGRAPHY EPIDURAL RS&I,26,,20,,RBRVS,1.14 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75872,CPT,VENOGRAPHY EPIDURAL RS&I,TC,,20,,RBRVS,,2.44 ,2.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75880,CPT,VENOGRAPHY ORBITAL RS&I,,,20,,RBRVS,0.70 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75880,CPT,VENOGRAPHY ORBITAL RS&I,26,,20,,RBRVS,0.70 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75880,CPT,VENOGRAPHY ORBITAL RS&I,TC,,20,,RBRVS,,2.99 ,2.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75885,CPT,PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I,,,20,,RBRVS,1.44 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75885,CPT,PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I,26,,20,,RBRVS,1.44 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75885,CPT,PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I,TC,,20,,RBRVS,,2.49 ,2.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75887,CPT,PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP,,,20,,RBRVS,1.44 ,2.98 ,2.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75887,CPT,PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP,26,,20,,RBRVS,1.44 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75887,CPT,PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP,TC,,20,,RBRVS,,2.51 ,2.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75889,CPT,HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I,,,20,,RBRVS,1.14 ,2.86 ,2.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75889,CPT,HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I,26,,20,,RBRVS,1.14 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75889,CPT,HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I,TC,,20,,RBRVS,,2.50 ,2.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75891,CPT,HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I,,,20,,RBRVS,1.14 ,2.89 ,2.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75891,CPT,HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I,26,,20,,RBRVS,1.14 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75891,CPT,HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I,TC,,20,,RBRVS,,2.51 ,2.51 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75893,CPT,VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS&,,,20,,RBRVS,0.54 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75893,CPT,VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS&,26,,20,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75893,CPT,VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS&,TC,,20,,RBRVS,,2.57 ,2.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75894,CPT,TRANSCATHETER EMBOLIZATION ANY METH RS&I,,,20,,TotalUnits,,,,26.52 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75894,CPT,TRANSCATHETER EMBOLIZATION ANY METH RS&I,26,,20,,TotalUnits,,,,1.75 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75894,CPT,TRANSCATHETER EMBOLIZATION ANY METH RS&I,TC,,20,,TotalUnits,,,,24.77 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75898,CPT,ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS,,,20,,TotalUnits,,,,3.59 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75898,CPT,ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS,26,,20,,TotalUnits,,,,2.22 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75898,CPT,ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS,TC,,20,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75901,CPT,MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I,,,20,,RBRVS,0.49 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75901,CPT,MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I,26,,20,,RBRVS,0.49 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75901,CPT,MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I,TC,,20,,RBRVS,,4.31 ,4.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75902,CPT,MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I,,,20,,RBRVS,0.39 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75902,CPT,MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I,26,,20,,RBRVS,0.39 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75902,CPT,MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I,TC,,20,,RBRVS,,1.48 ,1.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75952,CPT,EVASC RPR INFRARENAL AAA/DISSECTION RS&I,,,20,,TotalUnits,,,,5.63 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75952,CPT,EVASC RPR INFRARENAL AAA/DISSECTION RS&I,26,,20,,RBRVS,4.49 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 75953,CPT,PLMT XTN PROSTH EVASC RPR INFRARENAL RS&I,,,20,,TotalUnits,,,,3.05 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75953,CPT,PLMT XTN PROSTH EVASC RPR INFRARENAL RS&I,26,,20,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,0,0,1,1,1,20170101, 75953,CPT,PLMT XTN PROSTH EVASC RPR INFRARENAL RS&I,TC,,20,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,0,0,1,1,20170101, 75954,CPT,EVASC RPR ILIAC ART W/ILIO-ILIAC PROSTH RS&I,,,20,,TotalUnits,,,,2.82 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75954,CPT,EVASC RPR ILIAC ART W/ILIO-ILIAC PROSTH RS&I,26,,20,,RBRVS,2.25 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 75956,CPT,EVASC RPR DESCND THORCIC AORTA SUBCLAV ORIG RS&I,,,20,,TotalUnits,,,,8.74 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75956,CPT,EVASC RPR DESCND THORCIC AORTA SUBCLAV ORIG RS&I,26,,20,,RBRVS,7.00 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 75957,CPT,EVASC RPR DESCND THORCIC AORTA CELIAC ORIG RS&I,,,20,,TotalUnits,,,,7.49 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75957,CPT,EVASC RPR DESCND THORCIC AORTA CELIAC ORIG RS&I,26,,20,,RBRVS,6.00 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 75958,CPT,PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I,,,20,,TotalUnits,,,,4.98 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75958,CPT,PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I,26,,20,,RBRVS,4.00 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 75959,CPT,PLMT DSTL XTN PRSTH EVASC DESC THORAC AORTA RS&I,,,20,,TotalUnits,,,,4.34 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75959,CPT,PLMT DSTL XTN PRSTH EVASC DESC THORAC AORTA RS&I,26,,20,,RBRVS,3.50 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,1,1,1,20170101, 75970,CPT,TRANSCATHETER BIOPSY RS&I,,,20,,TotalUnits,,,,13.92 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75970,CPT,TRANSCATHETER BIOPSY RS&I,26,,20,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75970,CPT,TRANSCATHETER BIOPSY RS&I,TC,,20,,TotalUnits,,,,12.82 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75984,CPT,CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I,,,20,,RBRVS,0.72 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75984,CPT,CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I,26,,20,,RBRVS,0.72 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75984,CPT,CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I,TC,,20,,RBRVS,,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 75989,CPT,RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I,,,20,,RBRVS,1.19 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 75989,CPT,RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I,26,,20,,RBRVS,1.19 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 75989,CPT,RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I,TC,,20,,RBRVS,,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76000,CPT,FLUOROSCOPY SPX UP TO 1 HOUR PHYS/QHP TIME,,,20,,RBRVS,0.17 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76000,CPT,FLUOROSCOPY SPX UP TO 1 HOUR PHYS/QHP TIME,26,,20,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76000,CPT,FLUOROSCOPY SPX UP TO 1 HOUR PHYS/QHP TIME,TC,,20,,RBRVS,,1.07 ,1.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76001,CPT,FLUOROSCOPY SPX >1 HOUR PHYS/QHP TIME,,,20,,TotalUnits,,,,3.90 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76001,CPT,FLUOROSCOPY SPX >1 HOUR PHYS/QHP TIME,26,,20,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76001,CPT,FLUOROSCOPY SPX >1 HOUR PHYS/QHP TIME,TC,,20,,TotalUnits,,,,2.96 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76010,CPT,RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD,,,20,,RBRVS,0.18 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76010,CPT,RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD,,PC,20,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 76010,CPT,RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD,,TC,20,,RBRVS,,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 76080,CPT,RADEX ABSCESS/FISTULA/SINUS TRACT RS&I,,,20,,RBRVS,0.54 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76080,CPT,RADEX ABSCESS/FISTULA/SINUS TRACT RS&I,,PC,20,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 76080,CPT,RADEX ABSCESS/FISTULA/SINUS TRACT RS&I,,TC,20,,RBRVS,,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 76098,CPT,RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN,,,20,,RBRVS,0.16 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76098,CPT,RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN,,PC,20,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 76098,CPT,RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN,,TC,20,,RBRVS,,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 76100,CPT,RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY,,,20,,RBRVS,0.58 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76100,CPT,RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY,,PC,20,,RBRVS,0.58 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 76100,CPT,RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY,,TC,20,,RBRVS,,1.69 ,1.69 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 76101,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI,,,20,,RBRVS,0.58 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76101,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI,,PC,20,,RBRVS,0.58 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 76101,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI,,TC,20,,RBRVS,,2.73 ,2.73 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 76102,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI,,,20,,RBRVS,0.58 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76102,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI,,PC,20,,RBRVS,0.58 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 76102,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI,,TC,20,,RBRVS,,3.91 ,3.91 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 76120,CPT,CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC,,,20,,RBRVS,0.38 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76120,CPT,CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC,,PC,20,,RBRVS,0.38 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 76120,CPT,CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC,,TC,20,,RBRVS,,1.79 ,1.79 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 76125,CPT,CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION,,,20,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76125,CPT,CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION,,PC,20,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,0,1,1,1,0,20170101, 76125,CPT,CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION,,TC,20,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,0,20170101, 76140,CPT,CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT,,,20,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76376,CPT,3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,,,20,,RBRVS,0.20 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76376,CPT,3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,26,,20,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76376,CPT,3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,TC,,20,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76377,CPT,3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,,,20,,RBRVS,0.79 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76377,CPT,3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,26,,20,,RBRVS,0.79 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76377,CPT,3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,TC,,20,,RBRVS,,0.87 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76380,CPT,CT LIMITED/LOCALIZED FOLLOW UP STUDY,,,20,,RBRVS,0.98 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76380,CPT,CT LIMITED/LOCALIZED FOLLOW UP STUDY,26,,20,,RBRVS,0.98 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76380,CPT,CT LIMITED/LOCALIZED FOLLOW UP STUDY,TC,,20,,RBRVS,,2.71 ,2.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76390,CPT,MRI SPECTROSCOPY,,,20,,RBRVS,1.40 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76390,CPT,MRI SPECTROSCOPY,26,,20,,RBRVS,1.40 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76390,CPT,MRI SPECTROSCOPY,TC,,20,,RBRVS,,10.50 ,10.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76496,CPT,UNLISTED FLUOROSCOPIC PROCEDURE,,,20,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76496,CPT,UNLISTED FLUOROSCOPIC PROCEDURE,26,,20,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76496,CPT,UNLISTED FLUOROSCOPIC PROCEDURE,TC,,20,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76497,CPT,UNLISTED COMPUTED TOMOGRAPHY PROCEDURE,,,20,,TotalUnits,,,,5.01 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76497,CPT,UNLISTED COMPUTED TOMOGRAPHY PROCEDURE,26,,20,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76497,CPT,UNLISTED COMPUTED TOMOGRAPHY PROCEDURE,TC,,20,,TotalUnits,,,,3.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76498,CPT,UNLISTED MAGNETIC RESONANCE PROCEDURE,,,20,,TotalUnits,,,,6.54 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76498,CPT,UNLISTED MAGNETIC RESONANCE PROCEDURE,26,,20,,TotalUnits,,,,2.03 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76498,CPT,UNLISTED MAGNETIC RESONANCE PROCEDURE,TC,,20,,TotalUnits,,,,4.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76499,CPT,UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE,,,20,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76499,CPT,UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE,26,,20,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76499,CPT,UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE,TC,,20,,TotalUnits,,,,1.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76506,CPT,ECHOENCEPHALOGRAPHY REAL TIME IMAGING,,,20,,RBRVS,0.63 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76506,CPT,ECHOENCEPHALOGRAPHY REAL TIME IMAGING,26,,20,,RBRVS,0.63 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76506,CPT,ECHOENCEPHALOGRAPHY REAL TIME IMAGING,TC,,20,,RBRVS,,2.43 ,2.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76510,CPT,OPH US DX B-SCAN&QUAN A-SCAN SM PT ENCTR,,,20,,RBRVS,1.55 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76510,CPT,OPH US DX B-SCAN&QUAN A-SCAN SM PT ENCTR,26,,20,,RBRVS,1.55 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76510,CPT,OPH US DX B-SCAN&QUAN A-SCAN SM PT ENCTR,TC,,20,,RBRVS,,2.28 ,2.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76511,CPT,OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY,,,20,,RBRVS,0.94 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76511,CPT,OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY,26,,20,,RBRVS,0.94 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76511,CPT,OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY,TC,,20,,RBRVS,,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76512,CPT,OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,,,20,,RBRVS,0.94 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76512,CPT,OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,26,,20,,RBRVS,0.94 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76512,CPT,OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,TC,,20,,RBRVS,,1.11 ,1.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76513,CPT,OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,,,20,,RBRVS,0.66 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76513,CPT,OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,26,,20,,RBRVS,0.66 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76513,CPT,OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,TC,,20,,RBRVS,,1.67 ,1.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76514,CPT,OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI,,,20,,RBRVS,0.17 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76514,CPT,OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI,26,,20,,RBRVS,0.17 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76514,CPT,OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI,TC,,20,,RBRVS,,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76516,CPT,OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,,,20,,RBRVS,0.54 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76516,CPT,OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,26,,20,,RBRVS,0.54 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76516,CPT,OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,TC,,20,,RBRVS,,1.33 ,1.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76519,CPT,OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL,,,20,,RBRVS,0.54 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76519,CPT,OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL,26,,20,,RBRVS,0.54 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76519,CPT,OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL,TC,,20,,RBRVS,,1.48 ,1.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76529,CPT,OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION,,,20,,RBRVS,0.57 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76529,CPT,OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION,26,,20,,RBRVS,0.57 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76529,CPT,OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION,TC,,20,,RBRVS,,1.31 ,1.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76536,CPT,US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM,,,20,,RBRVS,0.56 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76536,CPT,US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM,26,,20,,RBRVS,0.56 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76536,CPT,US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM,TC,,20,,RBRVS,,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76604,CPT,US CHEST REAL TIME W/IMAGE DOCUMENTATION,,,20,,RBRVS,0.55 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76604,CPT,US CHEST REAL TIME W/IMAGE DOCUMENTATION,26,,20,,RBRVS,0.55 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76604,CPT,US CHEST REAL TIME W/IMAGE DOCUMENTATION,TC,,20,,RBRVS,,1.71 ,1.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76641,CPT,US BREAST UNI REAL TIME WITH IMAGE COMPLETE,,,20,,RBRVS,0.73 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76641,CPT,US BREAST UNI REAL TIME WITH IMAGE COMPLETE,26,,20,,RBRVS,0.73 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76641,CPT,US BREAST UNI REAL TIME WITH IMAGE COMPLETE,TC,,20,,RBRVS,,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76642,CPT,US BREAST UNI REAL TIME WITH IMAGE LIMITED,,,20,,RBRVS,0.68 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76642,CPT,US BREAST UNI REAL TIME WITH IMAGE LIMITED,26,,20,,RBRVS,0.68 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76642,CPT,US BREAST UNI REAL TIME WITH IMAGE LIMITED,TC,,20,,RBRVS,,1.52 ,1.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76700,CPT,US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION,,,20,,RBRVS,0.81 ,2.61 ,2.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76700,CPT,US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION,26,,20,,RBRVS,0.81 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76700,CPT,US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION,TC,,20,,RBRVS,,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76705,CPT,US ABDOMINAL REAL TIME W/IMAGE LIMITED,,,20,,RBRVS,0.59 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76705,CPT,US ABDOMINAL REAL TIME W/IMAGE LIMITED,26,,20,,RBRVS,0.59 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76705,CPT,US ABDOMINAL REAL TIME W/IMAGE LIMITED,TC,,20,,RBRVS,,1.74 ,1.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76706,CPT,US ABDL AORTA SCREEN AAA,,,20,,RBRVS,0.55 ,2.07 ,2.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76706,CPT,US ABDL AORTA SCREEN AAA,26,,20,,RBRVS,0.55 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76706,CPT,US ABDL AORTA SCREEN AAA,TC,,20,,RBRVS,,1.86 ,1.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76770,CPT,US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE,,,20,,RBRVS,0.74 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76770,CPT,US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE,26,,20,,RBRVS,0.74 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76770,CPT,US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE,TC,,20,,RBRVS,,2.15 ,2.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76775,CPT,US RETROPERITONEAL REAL TIME W/IMAGE LIMITED,,,20,,RBRVS,0.58 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76775,CPT,US RETROPERITONEAL REAL TIME W/IMAGE LIMITED,26,,20,,RBRVS,0.58 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76775,CPT,US RETROPERITONEAL REAL TIME W/IMAGE LIMITED,TC,,20,,RBRVS,,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76776,CPT,US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,,,20,,RBRVS,0.76 ,3.63 ,3.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76776,CPT,US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,26,,20,,RBRVS,0.76 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76776,CPT,US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,TC,,20,,RBRVS,,3.35 ,3.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76800,CPT,ULTRASOUND SPINAL CANAL & CONTENTS,,,20,,RBRVS,1.13 ,2.70 ,2.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76800,CPT,ULTRASOUND SPINAL CANAL & CONTENTS,26,,20,,RBRVS,1.13 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76800,CPT,ULTRASOUND SPINAL CANAL & CONTENTS,TC,,20,,RBRVS,,2.27 ,2.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76801,CPT,US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT,,,20,,RBRVS,0.99 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76801,CPT,US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT,26,,20,,RBRVS,0.99 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76801,CPT,US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT,TC,,20,,RBRVS,,2.05 ,2.05 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76802,CPT,US PREG UTERUS 14 WK TRANSABDL EACH GESTATION,,,20,,RBRVS,0.83 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76802,CPT,US PREG UTERUS 14 WK TRANSABDL EACH GESTATION,26,,20,,RBRVS,0.83 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76802,CPT,US PREG UTERUS 14 WK TRANSABDL EACH GESTATION,TC,,20,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76805,CPT,US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION,,,20,,RBRVS,0.99 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76805,CPT,US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION,26,,20,,RBRVS,0.99 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76805,CPT,US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION,TC,,20,,RBRVS,,2.58 ,2.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76810,CPT,US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,,,20,,RBRVS,0.98 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76810,CPT,US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,26,,20,,RBRVS,0.98 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76810,CPT,US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,TC,,20,,RBRVS,,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76811,CPT,US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION,,,20,,RBRVS,1.90 ,3.09 ,3.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76811,CPT,US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION,26,,20,,RBRVS,1.90 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76811,CPT,US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION,TC,,20,,RBRVS,,2.35 ,2.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76812,CPT,US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,,,20,,RBRVS,1.78 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76812,CPT,US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,26,,20,,RBRVS,1.78 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76812,CPT,US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,TC,,20,,RBRVS,,3.23 ,3.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76813,CPT,US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,,,20,,RBRVS,1.18 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76813,CPT,US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,26,,20,,RBRVS,1.18 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76813,CPT,US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,TC,,20,,RBRVS,,1.69 ,1.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76814,CPT,US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION,,,20,,RBRVS,0.99 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76814,CPT,US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION,26,,20,,RBRVS,0.99 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76814,CPT,US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION,TC,,20,,RBRVS,,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76815,CPT,US PREGNANT UTERUS LIMITED 1/> FETUSES,,,20,,RBRVS,0.65 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76815,CPT,US PREGNANT UTERUS LIMITED 1/> FETUSES,26,,20,,RBRVS,0.65 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76815,CPT,US PREGNANT UTERUS LIMITED 1/> FETUSES,TC,,20,,RBRVS,,1.45 ,1.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76816,CPT,US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS,,,20,,RBRVS,0.85 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76816,CPT,US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS,26,,20,,RBRVS,0.85 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76816,CPT,US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS,TC,,20,,RBRVS,,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76817,CPT,US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG,,,20,,RBRVS,0.75 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76817,CPT,US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG,26,,20,,RBRVS,0.75 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76817,CPT,US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG,TC,,20,,RBRVS,,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76818,CPT,FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING,,,20,,RBRVS,1.05 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76818,CPT,FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING,26,,20,,RBRVS,1.05 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76818,CPT,FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING,TC,,20,,RBRVS,,1.89 ,1.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76819,CPT,FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING,,,20,,RBRVS,0.77 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76819,CPT,FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING,26,,20,,RBRVS,0.77 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76819,CPT,FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING,TC,,20,,RBRVS,,1.38 ,1.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76820,CPT,DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY,,,20,,RBRVS,0.50 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76820,CPT,DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY,26,,20,,RBRVS,0.50 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76820,CPT,DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY,TC,,20,,RBRVS,,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76821,CPT,DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART,,,20,,RBRVS,0.70 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76821,CPT,DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART,26,,20,,RBRVS,0.70 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76821,CPT,DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART,TC,,20,,RBRVS,,1.60 ,1.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76825,CPT,ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING,,,20,,RBRVS,1.67 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76825,CPT,ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING,26,,20,,RBRVS,1.67 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76825,CPT,ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING,TC,,20,,RBRVS,,5.43 ,5.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76826,CPT,ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD,,,20,,RBRVS,0.83 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76826,CPT,ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD,26,,20,,RBRVS,0.83 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76826,CPT,ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD,TC,,20,,RBRVS,,3.44 ,3.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76827,CPT,DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE,,,20,,RBRVS,0.58 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76827,CPT,DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE,26,,20,,RBRVS,0.58 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76827,CPT,DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE,TC,,20,,RBRVS,,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76828,CPT,DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT,,,20,,RBRVS,0.56 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76828,CPT,DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT,26,,20,,RBRVS,0.56 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76828,CPT,DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT,TC,,20,,RBRVS,,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76830,CPT,US TRANSVAGINAL,,,20,,RBRVS,0.69 ,2.72 ,2.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76830,CPT,US TRANSVAGINAL,26,,20,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76830,CPT,US TRANSVAGINAL,TC,,20,,RBRVS,,2.46 ,2.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76831,CPT,SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER,,,20,,RBRVS,0.72 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76831,CPT,SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER,26,,20,,RBRVS,0.72 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76831,CPT,SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER,TC,,20,,RBRVS,,2.30 ,2.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76856,CPT,US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE,,,20,,RBRVS,0.69 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76856,CPT,US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE,26,,20,,RBRVS,0.69 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76856,CPT,US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE,TC,,20,,RBRVS,,2.12 ,2.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76857,CPT,US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U,,,20,,RBRVS,0.50 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76857,CPT,US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U,26,,20,,RBRVS,0.50 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76857,CPT,US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U,TC,,20,,RBRVS,,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76870,CPT,US SCROTUM & CONTENTS,,,20,,RBRVS,0.64 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76870,CPT,US SCROTUM & CONTENTS,26,,20,,RBRVS,0.64 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76870,CPT,US SCROTUM & CONTENTS,TC,,20,,RBRVS,,0.99 ,0.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76872,CPT,US TRANSRECTAL,,,20,,RBRVS,0.69 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76872,CPT,US TRANSRECTAL,26,,20,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76872,CPT,US TRANSRECTAL,TC,,20,,RBRVS,,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76873,CPT,US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX,,,20,,RBRVS,1.55 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76873,CPT,US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX,26,,20,,RBRVS,1.55 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76873,CPT,US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX,TC,,20,,RBRVS,,2.53 ,2.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76881,CPT,US EXTREMITY NON-VASC REAL-TIME IMG COMPL,,,20,,RBRVS,0.63 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76881,CPT,US EXTREMITY NON-VASC REAL-TIME IMG COMPL,26,,20,,RBRVS,0.63 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76881,CPT,US EXTREMITY NON-VASC REAL-TIME IMG COMPL,TC,,20,,RBRVS,,2.34 ,2.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76882,CPT,US EXTREMITY NON-VASC REAL-TIME IMG LMTD,,,20,,RBRVS,0.49 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76882,CPT,US EXTREMITY NON-VASC REAL-TIME IMG LMTD,26,,20,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76882,CPT,US EXTREMITY NON-VASC REAL-TIME IMG LMTD,TC,,20,,RBRVS,,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76885,CPT,US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ,,,20,,RBRVS,0.74 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76885,CPT,US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ,26,,20,,RBRVS,0.74 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76885,CPT,US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ,TC,,20,,RBRVS,,3.06 ,3.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76886,CPT,US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ,,,20,,RBRVS,0.62 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76886,CPT,US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ,26,,20,,RBRVS,0.62 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76886,CPT,US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ,TC,,20,,RBRVS,,2.12 ,2.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76930,CPT,US GUIDANCE PERICARDIOCENTESIS RS&I,,,20,,TotalUnits,,,,2.34 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76930,CPT,US GUIDANCE PERICARDIOCENTESIS RS&I,26,,20,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76930,CPT,US GUIDANCE PERICARDIOCENTESIS RS&I,TC,,20,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76932,CPT,US ENDOMYOCARDIAL BIOPSY RS&I,,,20,,TotalUnits,,,,2.46 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76932,CPT,US ENDOMYOCARDIAL BIOPSY RS&I,26,,20,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76932,CPT,US ENDOMYOCARDIAL BIOPSY RS&I,TC,,20,,TotalUnits,,,,1.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76936,CPT,US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL,,,20,,RBRVS,1.99 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76936,CPT,US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL,26,,20,,RBRVS,1.99 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76936,CPT,US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL,TC,,20,,RBRVS,,4.88 ,4.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76937,CPT,US VASC ACCESS SITS VSL PATENCY NDL ENTRY,,,20,,RBRVS,0.30 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76937,CPT,US VASC ACCESS SITS VSL PATENCY NDL ENTRY,26,,20,,RBRVS,0.30 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76937,CPT,US VASC ACCESS SITS VSL PATENCY NDL ENTRY,TC,,20,,RBRVS,,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76940,CPT,US &MNTR PARENCHYMAL TISSUE ABLATION,,,20,,TotalUnits,,,,4.31 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76940,CPT,US &MNTR PARENCHYMAL TISSUE ABLATION,26,,20,,TotalUnits,,,,2.69 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76940,CPT,US &MNTR PARENCHYMAL TISSUE ABLATION,TC,,20,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76941,CPT,US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I,,,20,,TotalUnits,,,,2.83 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76941,CPT,US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I,26,,20,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76941,CPT,US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I,TC,,20,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76942,CPT,US GUIDANCE NEEDLE PLACEMENT IMG S&I,,,20,,RBRVS,0.67 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76942,CPT,US GUIDANCE NEEDLE PLACEMENT IMG S&I,26,,20,,RBRVS,0.67 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76942,CPT,US GUIDANCE NEEDLE PLACEMENT IMG S&I,TC,,20,,RBRVS,,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76945,CPT,US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I,,,20,,TotalUnits,,,,2.62 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76945,CPT,US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I,26,,20,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76945,CPT,US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I,TC,,20,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76946,CPT,US GUIDANCE AMNIOCENTESIS IMG S&I,,,20,,RBRVS,0.38 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76946,CPT,US GUIDANCE AMNIOCENTESIS IMG S&I,26,,20,,RBRVS,0.38 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76946,CPT,US GUIDANCE AMNIOCENTESIS IMG S&I,TC,,20,,RBRVS,,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76948,CPT,US GUIDANCE ASPIRATION OVA IMG S&I,,,20,,RBRVS,0.67 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76948,CPT,US GUIDANCE ASPIRATION OVA IMG S&I,26,,20,,RBRVS,0.67 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76948,CPT,US GUIDANCE ASPIRATION OVA IMG S&I,TC,,20,,RBRVS,,1.10 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76965,CPT,US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION,,,20,,RBRVS,1.34 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76965,CPT,US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION,26,,20,,RBRVS,1.34 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76965,CPT,US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION,TC,,20,,RBRVS,,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76970,CPT,US STUDY FOLLOW UP,,,20,,RBRVS,0.40 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76970,CPT,US STUDY FOLLOW UP,26,,20,,RBRVS,0.40 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76970,CPT,US STUDY FOLLOW UP,TC,,20,,RBRVS,,2.07 ,2.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76975,CPT,GI ENDOSCOPIC US S&I,,,20,,TotalUnits,,,,4.31 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76975,CPT,GI ENDOSCOPIC US S&I,26,,20,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76975,CPT,GI ENDOSCOPIC US S&I,TC,,20,,TotalUnits,,,,3.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76977,CPT,US BONE DENSITY MEAS & INTERP PERIPH ANY METHO,,,20,,RBRVS,0.05 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76977,CPT,US BONE DENSITY MEAS & INTERP PERIPH ANY METHO,26,,20,,RBRVS,0.05 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76977,CPT,US BONE DENSITY MEAS & INTERP PERIPH ANY METHO,TC,,20,,RBRVS,,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76998,CPT,ULTRASONIC GUIDANCE INTRAOPERATIVE,,,20,,TotalUnits,,,,3.01 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76998,CPT,ULTRASONIC GUIDANCE INTRAOPERATIVE,26,,20,,TotalUnits,,,,1.59 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 76998,CPT,ULTRASONIC GUIDANCE INTRAOPERATIVE,TC,,20,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 76999,CPT,UNLISTED US PROCEDURE,,,20,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 76999,CPT,UNLISTED US PROCEDURE,,PC,20,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,0,1,1,1,0,20170101, 76999,CPT,UNLISTED US PROCEDURE,,TC,20,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,0,20170101, 77001,CPT,FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,,,20,,RBRVS,0.38 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77001,CPT,FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,26,,20,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77001,CPT,FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,TC,,20,,RBRVS,,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77002,CPT,FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT,,,20,,RBRVS,0.54 ,2.03 ,2.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77002,CPT,FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT,26,,20,,RBRVS,0.54 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77002,CPT,FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT,TC,,20,,RBRVS,,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77003,CPT,FLUORO NEEDLE/CATH SPINE/PARASPINAL DX/THER,,,20,,RBRVS,0.60 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77003,CPT,FLUORO NEEDLE/CATH SPINE/PARASPINAL DX/THER,26,,20,,RBRVS,0.60 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77003,CPT,FLUORO NEEDLE/CATH SPINE/PARASPINAL DX/THER,TC,,20,,RBRVS,,1.54 ,1.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77011,CPT,CT GUIDANCE STEREOTACTIC LOCALIZATION,,,20,,RBRVS,1.21 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77011,CPT,CT GUIDANCE STEREOTACTIC LOCALIZATION,,PC,20,,RBRVS,1.21 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 77011,CPT,CT GUIDANCE STEREOTACTIC LOCALIZATION,,TC,20,,RBRVS,,4.49 ,4.49 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 77012,CPT,CT GUIDANCE NEEDLE PLACEMENT,,,20,,RBRVS,1.16 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77012,CPT,CT GUIDANCE NEEDLE PLACEMENT,,PC,20,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 77012,CPT,CT GUIDANCE NEEDLE PLACEMENT,,TC,20,,RBRVS,,1.87 ,1.87 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 77013,CPT,CT GUIDANCE &MONITORING VISC TISS ABLATION,,,20,,TotalUnits,,,,23.16 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77013,CPT,CT GUIDANCE &MONITORING VISC TISS ABLATION,,PC,20,,TotalUnits,,,,5.33 ,,$0.00,$0.00,1,0,1,1,1,0,20170101, 77013,CPT,CT GUIDANCE &MONITORING VISC TISS ABLATION,,TC,20,,TotalUnits,,,,17.83 ,,$0.00,$0.00,1,1,1,0,1,0,20170101, 77014,CPT,CT GUIDANCE RADIATION THERAPY FLDS PLACEMENT,,,20,,RBRVS,0.85 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77014,CPT,CT GUIDANCE RADIATION THERAPY FLDS PLACEMENT,,PC,20,,RBRVS,0.85 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 77014,CPT,CT GUIDANCE RADIATION THERAPY FLDS PLACEMENT,,TC,20,,RBRVS,,2.07 ,2.07 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 77021,CPT,MR GUIDANCE NEEDLE PLACEMENT,,,20,,RBRVS,1.50 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77021,CPT,MR GUIDANCE NEEDLE PLACEMENT,26,,20,,RBRVS,1.50 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77021,CPT,MR GUIDANCE NEEDLE PLACEMENT,TC,,20,,RBRVS,,9.20 ,9.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77022,CPT,MR GUIDANCE &MONITORING TISSUE ABLATION,,,20,,TotalUnits,,,,28.72 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77022,CPT,MR GUIDANCE &MONITORING TISSUE ABLATION,26,,20,,TotalUnits,,,,5.78 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77022,CPT,MR GUIDANCE &MONITORING TISSUE ABLATION,TC,,20,,TotalUnits,,,,22.94 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77053,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE,,,20,,RBRVS,0.36 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77053,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE,26,,20,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77053,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE,TC,,20,,RBRVS,,1.12 ,1.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77054,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE,,,20,,RBRVS,0.45 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77054,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE,26,,20,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77054,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE,TC,,20,,RBRVS,,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77058,CPT,MRI BREAST UNILATERAL,,,20,,RBRVS,1.63 ,13.39 ,13.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77058,CPT,MRI BREAST UNILATERAL,26,,20,,RBRVS,1.63 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77058,CPT,MRI BREAST UNILATERAL,TC,,20,,RBRVS,,12.79 ,12.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77059,CPT,MRI BREAST BILATERAL,,,20,,RBRVS,1.63 ,13.31 ,13.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77059,CPT,MRI BREAST BILATERAL,26,,20,,RBRVS,1.63 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77059,CPT,MRI BREAST BILATERAL,TC,,20,,RBRVS,,12.71 ,12.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77061,CPT,DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,,,20,,TotalUnits,,,,3.57 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77061,CPT,DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,26,,20,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77061,CPT,DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,TC,,20,,TotalUnits,,,,2.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77062,CPT,DIGITAL BREAST TOMOSYNTHESIS BILATERAL,,,20,,TotalUnits,,,,4.42 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77062,CPT,DIGITAL BREAST TOMOSYNTHESIS BILATERAL,26,,20,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77062,CPT,DIGITAL BREAST TOMOSYNTHESIS BILATERAL,TC,,20,,TotalUnits,,,,3.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77063,CPT,SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,,,20,,RBRVS,0.60 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77063,CPT,SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,26,,20,,RBRVS,0.60 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77063,CPT,SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,TC,,20,,RBRVS,,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77071,CPT,MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS,,PC,20,,RBRVS,0.41 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77072,CPT,BONE AGE STUDIES,,,20,,RBRVS,0.19 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77072,CPT,BONE AGE STUDIES,26,,20,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77072,CPT,BONE AGE STUDIES,TC,,20,,RBRVS,,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77073,CPT,BONE LENGTH STUDIES,,,20,,RBRVS,0.27 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77073,CPT,BONE LENGTH STUDIES,26,,20,,RBRVS,0.27 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77073,CPT,BONE LENGTH STUDIES,TC,,20,,RBRVS,,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77074,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED,,,20,,RBRVS,0.45 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77074,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED,26,,20,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77074,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED,TC,,20,,RBRVS,,1.15 ,1.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77075,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,,,20,,RBRVS,0.54 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77075,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,26,,20,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77075,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,TC,,20,,RBRVS,,1.68 ,1.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77076,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,,,20,,RBRVS,0.70 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77076,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,26,,20,,RBRVS,0.70 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77076,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,TC,,20,,RBRVS,,1.69 ,1.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77077,CPT,JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,,,20,,RBRVS,0.31 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77077,CPT,JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,26,,20,,RBRVS,0.31 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77077,CPT,JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,TC,,20,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77078,CPT,CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE,,,20,,RBRVS,0.25 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77078,CPT,CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE,26,,20,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77078,CPT,CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE,TC,,20,,RBRVS,,2.84 ,2.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77080,CPT,DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,,,20,,RBRVS,0.20 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77080,CPT,DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,26,,20,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77080,CPT,DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,TC,,20,,RBRVS,,0.86 ,0.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77081,CPT,DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL,,,20,,RBRVS,0.22 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77081,CPT,DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL,26,,20,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77081,CPT,DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL,TC,,20,,RBRVS,,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77084,CPT,BONE MARROW BLOOD SUPPLY,,,20,,RBRVS,1.60 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77084,CPT,BONE MARROW BLOOD SUPPLY,26,,20,,RBRVS,1.60 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77084,CPT,BONE MARROW BLOOD SUPPLY,TC,,20,,RBRVS,,8.67 ,8.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77085,CPT,DXA BONE DENSITY STUDY AXIAL SKELETON,,,20,,RBRVS,0.30 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77085,CPT,DXA BONE DENSITY STUDY AXIAL SKELETON,26,,20,,RBRVS,0.30 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77085,CPT,DXA BONE DENSITY STUDY AXIAL SKELETON,TC,,20,,RBRVS,,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77086,CPT,VERTEBRAL FRACTURE ASSESSMENT VIA DXA,,,20,,RBRVS,0.17 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77086,CPT,VERTEBRAL FRACTURE ASSESSMENT VIA DXA,26,,20,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77086,CPT,VERTEBRAL FRACTURE ASSESSMENT VIA DXA,TC,,20,,RBRVS,,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77261,CPT,THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE,,PC,20,,RBRVS,1.39 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77262,CPT,THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE,,PC,20,,RBRVS,2.11 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77263,CPT,THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX,,PC,20,,RBRVS,3.14 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77280,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE,,,20,,RBRVS,0.70 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77280,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE,26,,20,,RBRVS,0.70 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77280,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE,TC,,20,,RBRVS,,6.68 ,6.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77285,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED,,,20,,RBRVS,1.05 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77285,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED,26,,20,,RBRVS,1.05 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77285,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED,TC,,20,,RBRVS,,10.61 ,10.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77290,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX,,,20,,RBRVS,1.56 ,12.90 ,12.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77290,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX,26,,20,,RBRVS,1.56 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77290,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX,TC,,20,,RBRVS,,12.24 ,12.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77293,CPT,RESPIRATORY MOTION MANAGEMENT SIMULATION,,,20,,RBRVS,2.00 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77293,CPT,RESPIRATORY MOTION MANAGEMENT SIMULATION,26,,20,,RBRVS,2.00 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77293,CPT,RESPIRATORY MOTION MANAGEMENT SIMULATION,TC,,20,,RBRVS,,10.21 ,10.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77295,CPT,3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS,,,20,,RBRVS,4.29 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77295,CPT,3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS,26,,20,,RBRVS,4.29 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77295,CPT,3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS,TC,,20,,RBRVS,,7.54 ,7.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77299,CPT,UNLIS PX THER RADIOL CLINICAL TX PLANNING,,,20,,TotalUnits,,,,13.05 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77299,CPT,UNLIS PX THER RADIOL CLINICAL TX PLANNING,26,,20,,TotalUnits,,,,3.33 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77299,CPT,UNLIS PX THER RADIOL CLINICAL TX PLANNING,TC,,20,,TotalUnits,,,,9.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77300,CPT,BASIC RADIATION DOSIMETRY CALCULATION,,,20,,RBRVS,0.62 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77300,CPT,BASIC RADIATION DOSIMETRY CALCULATION,26,,20,,RBRVS,0.62 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77300,CPT,BASIC RADIATION DOSIMETRY CALCULATION,TC,,20,,RBRVS,,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77301,CPT,NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS,,,20,,RBRVS,7.99 ,46.58 ,46.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77301,CPT,NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS,26,,20,,RBRVS,7.99 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77301,CPT,NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS,TC,,20,,RBRVS,,43.24 ,43.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77306,CPT,TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION,,,20,,RBRVS,1.40 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77306,CPT,TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION,26,,20,,RBRVS,1.40 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77306,CPT,TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION,TC,,20,,RBRVS,,2.15 ,2.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77307,CPT,TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY,,,20,,RBRVS,2.90 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77307,CPT,TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY,26,,20,,RBRVS,2.90 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77307,CPT,TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY,TC,,20,,RBRVS,,3.89 ,3.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77316,CPT,BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL,,,20,,RBRVS,1.40 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77316,CPT,BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL,26,,20,,RBRVS,1.40 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77316,CPT,BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL,TC,,20,,RBRVS,,3.25 ,3.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77317,CPT,BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL,,,20,,RBRVS,1.83 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77317,CPT,BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL,26,,20,,RBRVS,1.83 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77317,CPT,BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL,TC,,20,,RBRVS,,4.22 ,4.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77318,CPT,BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL,,,20,,RBRVS,2.90 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77318,CPT,BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL,26,,20,,RBRVS,2.90 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77318,CPT,BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL,TC,,20,,RBRVS,,5.72 ,5.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77321,CPT,SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY,,,20,,RBRVS,0.95 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77321,CPT,SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY,26,,20,,RBRVS,0.95 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77321,CPT,SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY,TC,,20,,RBRVS,,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77331,CPT,SPEC DOSIM ONLY PRESCRIBED TREATING PHYS,,,20,,RBRVS,0.87 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77331,CPT,SPEC DOSIM ONLY PRESCRIBED TREATING PHYS,26,,20,,RBRVS,0.87 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77331,CPT,SPEC DOSIM ONLY PRESCRIBED TREATING PHYS,TC,,20,,RBRVS,,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77332,CPT,TX DEVICES DESIGN & CONSTRUCTION SIMPLE,,,20,,RBRVS,0.54 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77332,CPT,TX DEVICES DESIGN & CONSTRUCTION SIMPLE,26,,20,,RBRVS,0.54 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77332,CPT,TX DEVICES DESIGN & CONSTRUCTION SIMPLE,TC,,20,,RBRVS,,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77333,CPT,TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE,,,20,,RBRVS,0.75 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77333,CPT,TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE,26,,20,,RBRVS,0.75 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77333,CPT,TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE,TC,,20,,RBRVS,,1.63 ,1.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77334,CPT,TX DEVICES DESIGN & CONSTRUCTION COMPLEX,,,20,,RBRVS,1.24 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77334,CPT,TX DEVICES DESIGN & CONSTRUCTION COMPLEX,26,,20,,RBRVS,1.24 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77334,CPT,TX DEVICES DESIGN & CONSTRUCTION COMPLEX,TC,,20,,RBRVS,,2.49 ,2.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77336,CPT,CONTINUING MEDICAL PHYSICS CONSLTJ PR WK,,TC,20,,RBRVS,,2.17 ,2.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77338,CPT,MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN,,,20,,RBRVS,4.29 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77338,CPT,MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN,,PC,20,,RBRVS,4.29 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,0,20170101, 77338,CPT,MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN,,TC,20,,RBRVS,,8.02 ,8.02 ,,,$0.00,$0.00,1,1,1,0,1,0,20170101, 77370,CPT,SPEC MEDICAL RADJ PHYSICS CONSLTJ,,TC,20,,RBRVS,,3.32 ,3.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77371,CPT,RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT,,TC,20,,TotalUnits,,,,27.66 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77372,CPT,RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR,,TC,20,,RBRVS,,30.11 ,30.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77373,CPT,STEREOTACTIC BODY RADIATION DELIVERY,,TC,20,,RBRVS,,38.28 ,38.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77385,CPT,INTENSITY MODULATED RADIATION TX DLVR SIMPLE,,TC,20,,TotalUnits,,,,11.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77386,CPT,INTENSITY MODULATED RADIATION TX DLVR COMPLEX,,TC,20,,TotalUnits,,,,13.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77387,CPT,GUIDANCE FOR LOC OF TARGET VOL RADIAJ TX DLVR,,,20,,TotalUnits,,,,1.77 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77387,CPT,GUIDANCE FOR LOC OF TARGET VOL RADIAJ TX DLVR,26,,20,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77387,CPT,GUIDANCE FOR LOC OF TARGET VOL RADIAJ TX DLVR,TC,,20,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77399,CPT,UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS,,,20,,TotalUnits,,,,2.60 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77399,CPT,UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS,,PC,20,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,0,1,1,1,0,20170101, 77399,CPT,UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS,,TC,20,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,0,1,0,20170101, 77401,CPT,RADIATION TX DELIVERY SUPERFICIAL&/ORTHO VOLTA,,TC,20,,RBRVS,,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77402,CPT,RADIATION TREATMENT DELIVERY 1 MEV >= SIMPLE,,TC,20,,TotalUnits,,,,1.48 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77407,CPT,RADIATION TX DELIVERY 1 MEV >= INTERMEDIATE,,TC,20,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77412,CPT,RADIATION TREATMENT DELIVERY 1 MEV >= COMPLEX,,TC,20,,TotalUnits,,,,2.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77417,CPT,THERAPEUTIC RADIOLOGY PORT IMAGES(S),,TC,20,,RBRVS,,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77422,CPT,HIGH ENERGY NEUTRON RADJ TX DLVR 1 TX AREA,,TC,20,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77423,CPT,HIGH ENERGY NEUTRON RADJ TX DLVR 1/> ISOCENTER,,TC,20,,TotalUnits,,,,2.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77427,CPT,RADIATION TREATMENT MANAGEMENT 5 TREATMENTS,,PC,20,,RBRVS,3.37 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77431,CPT,RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY,,PC,20,,RBRVS,1.81 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77432,CPT,STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION,,PC,20,,RBRVS,7.92 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77435,CPT,STEREOTACTIC BODY RADIATION MANAGEMENT,,PC,20,,RBRVS,11.87 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77469,CPT,INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT,,,20,,RBRVS,5.75 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77470,CPT,SPECIAL TREATMENT PROCEDURE,,,20,,RBRVS,2.09 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77470,CPT,SPECIAL TREATMENT PROCEDURE,26,,20,,RBRVS,2.09 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77470,CPT,SPECIAL TREATMENT PROCEDURE,TC,,20,,RBRVS,,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77499,CPT,UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT,,,20,,TotalUnits,,,,4.30 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77499,CPT,UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT,,PC,20,,TotalUnits,,,,2.96 ,,$0.00,$0.00,1,0,1,1,1,0,20170101, 77499,CPT,UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT,,TC,20,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,0,20170101, 77520,CPT,PROTON TX DELIVERY SIMPLE W/O COMPENSATION,,TC,20,,TotalUnits,,,,13.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77522,CPT,PROTON TX DELIVERY SIMPLE W/COMPENSATION,,TC,20,,TotalUnits,,,,18.92 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77523,CPT,PROTON TX DELIVERY INTERMEDIATE,,TC,20,,TotalUnits,,,,17.07 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77525,CPT,PROTON TX DELIVERY COMPLEX,,TC,20,,TotalUnits,,,,22.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77600,CPT,HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL,,,20,,RBRVS,1.56 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77600,CPT,HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL,26,,20,,RBRVS,1.56 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77600,CPT,HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL,TC,,20,,RBRVS,,9.52 ,9.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77605,CPT,HYPERTHERMIA EXTERNAL GENERATED DEEP,,,20,,RBRVS,2.09 ,20.05 ,20.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77605,CPT,HYPERTHERMIA EXTERNAL GENERATED DEEP,26,,20,,RBRVS,2.09 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77605,CPT,HYPERTHERMIA EXTERNAL GENERATED DEEP,TC,,20,,RBRVS,,19.22 ,19.22 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77610,CPT,HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS,,,20,,RBRVS,1.56 ,26.12 ,26.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77610,CPT,HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS,26,,20,,RBRVS,1.56 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77610,CPT,HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS,TC,,20,,RBRVS,,25.55 ,25.55 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77615,CPT,HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS,,,20,,RBRVS,2.09 ,27.73 ,27.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77615,CPT,HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS,26,,20,,RBRVS,2.09 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77615,CPT,HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS,TC,,20,,RBRVS,,26.87 ,26.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77620,CPT,HYPERTHERMIA INTRACAVITARY PROBES,,,20,,RBRVS,1.56 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77620,CPT,HYPERTHERMIA INTRACAVITARY PROBES,26,,20,,RBRVS,1.56 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77620,CPT,HYPERTHERMIA INTRACAVITARY PROBES,TC,,20,,RBRVS,,8.52 ,8.52 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77750,CPT,NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE,,,20,,RBRVS,5.00 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77750,CPT,NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE,26,,20,,RBRVS,5.00 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77750,CPT,NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE,TC,,20,,RBRVS,,3.16 ,3.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77761,CPT,INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE,,,20,,RBRVS,3.85 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77761,CPT,INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE,26,,20,,RBRVS,3.85 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77761,CPT,INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE,TC,,20,,RBRVS,,5.39 ,5.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77762,CPT,INTRACAVITARY RADIATION SOURCE APPLIC INTERMED,,,20,,RBRVS,5.76 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77762,CPT,INTRACAVITARY RADIATION SOURCE APPLIC INTERMED,26,,20,,RBRVS,5.76 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77762,CPT,INTRACAVITARY RADIATION SOURCE APPLIC INTERMED,TC,,20,,RBRVS,,6.18 ,6.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77763,CPT,INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX,,,20,,RBRVS,8.66 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77763,CPT,INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX,26,,20,,RBRVS,8.66 ,3.62 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77763,CPT,INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX,TC,,20,,RBRVS,,7.99 ,7.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77767,CPT,HDR RDNCL SKN SURF BRACHYTX LES 2CM&2CHAN/MLT LES,,,20,,RBRVS,1.40 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77768,CPT,HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES,26,,20,,RBRVS,1.40 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77768,CPT,HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES,TC,,20,,RBRVS,,7.86 ,7.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77770,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL,,,20,,RBRVS,1.95 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77770,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL,26,,20,,RBRVS,1.95 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77770,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL,TC,,20,,RBRVS,,6.17 ,6.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77771,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL,,,20,,RBRVS,3.80 ,12.83 ,12.83 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77771,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL,26,,20,,RBRVS,3.80 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77771,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL,TC,,20,,RBRVS,,11.24 ,11.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77772,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS,,,20,,RBRVS,5.40 ,20.01 ,20.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77772,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS,26,,20,,RBRVS,5.40 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77772,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS,TC,,20,,RBRVS,,17.76 ,17.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77778,CPT,INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX,,,20,,RBRVS,8.00 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77778,CPT,INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX,26,,20,,RBRVS,8.00 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77778,CPT,INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX,TC,,20,,RBRVS,,10.27 ,10.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77789,CPT,SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE,,,20,,RBRVS,1.14 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77789,CPT,SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE,26,,20,,RBRVS,1.14 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77789,CPT,SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE,TC,,20,,RBRVS,,1.69 ,1.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77790,CPT,SUPERVISION HANDLING LOADING RADIATION SOURCE,,,20,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77790,CPT,SUPERVISION HANDLING LOADING RADIATION SOURCE,26,,20,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77790,CPT,SUPERVISION HANDLING LOADING RADIATION SOURCE,TC,,20,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 77799,CPT,UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY,,,20,,TotalUnits,,,,21.58 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 77799,CPT,UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY,26,,20,,TotalUnits,,,,11.31 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 77799,CPT,UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY,TC,,20,,TotalUnits,,,,10.27 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78012,CPT,THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,,,20,,RBRVS,0.19 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78012,CPT,THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,26,,20,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78012,CPT,THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,TC,,20,,RBRVS,,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78013,CPT,THYROID IMAGING WITH VASCULAR FLOW,,,20,,RBRVS,0.37 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78013,CPT,THYROID IMAGING WITH VASCULAR FLOW,26,,20,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78013,CPT,THYROID IMAGING WITH VASCULAR FLOW,TC,,20,,RBRVS,,5.01 ,5.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78014,CPT,THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,,,20,,RBRVS,0.50 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78014,CPT,THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,26,,20,,RBRVS,0.50 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78014,CPT,THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,TC,,20,,RBRVS,,6.31 ,6.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78015,CPT,THYROID CARCINOMA METASTASES IMG LMTD AREA,,,20,,RBRVS,0.67 ,5.68 ,5.68 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78015,CPT,THYROID CARCINOMA METASTASES IMG LMTD AREA,26,,20,,RBRVS,0.67 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78015,CPT,THYROID CARCINOMA METASTASES IMG LMTD AREA,TC,,20,,RBRVS,,5.45 ,5.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78016,CPT,THYROID CARCINOMA METASTASES IMG ADDL STUDY,,,20,,RBRVS,0.82 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78016,CPT,THYROID CARCINOMA METASTASES IMG ADDL STUDY,26,,20,,RBRVS,0.82 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78016,CPT,THYROID CARCINOMA METASTASES IMG ADDL STUDY,TC,,20,,RBRVS,,7.12 ,7.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78018,CPT,THYROID CARCINOMA METASTASES IMG WHOLE BODY,,,20,,RBRVS,0.86 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78018,CPT,THYROID CARCINOMA METASTASES IMG WHOLE BODY,26,,20,,RBRVS,0.86 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78018,CPT,THYROID CARCINOMA METASTASES IMG WHOLE BODY,TC,,20,,RBRVS,,7.89 ,7.89 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78020,CPT,THYROID CARCINOMA METASTASES UPTAKE,,,20,,RBRVS,0.60 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78020,CPT,THYROID CARCINOMA METASTASES UPTAKE,26,,20,,RBRVS,0.60 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78020,CPT,THYROID CARCINOMA METASTASES UPTAKE,TC,,20,,RBRVS,,1.62 ,1.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78070,CPT,PARATHYROID PLANAR IMAGING,,,20,,RBRVS,0.80 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78070,CPT,PARATHYROID PLANAR IMAGING,26,,20,,RBRVS,0.80 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78070,CPT,PARATHYROID PLANAR IMAGING,TC,,20,,RBRVS,,7.59 ,7.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78071,CPT,PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,,,20,,RBRVS,1.20 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78071,CPT,PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,26,,20,,RBRVS,1.20 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78071,CPT,PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,TC,,20,,RBRVS,,8.72 ,8.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78072,CPT,PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT,,,20,,RBRVS,1.60 ,10.33 ,10.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78072,CPT,PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT,26,,20,,RBRVS,1.60 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78072,CPT,PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT,TC,,20,,RBRVS,,9.82 ,9.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78075,CPT,ADRENAL IMAGING CORTEX &/MEDULLA,,,20,,RBRVS,0.74 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78075,CPT,ADRENAL IMAGING CORTEX &/MEDULLA,26,,20,,RBRVS,0.74 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78075,CPT,ADRENAL IMAGING CORTEX &/MEDULLA,TC,,20,,RBRVS,,11.41 ,11.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78099,CPT,UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE,,,20,,TotalUnits,,,,6.98 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78099,CPT,UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE,26,,20,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78099,CPT,UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE,TC,,20,,TotalUnits,,,,6.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78102,CPT,BONE MARROW IMAGING LIMITED AREA,,,20,,RBRVS,0.55 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78102,CPT,BONE MARROW IMAGING LIMITED AREA,26,,20,,RBRVS,0.55 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78102,CPT,BONE MARROW IMAGING LIMITED AREA,TC,,20,,RBRVS,,4.15 ,4.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78103,CPT,BONE MARROW IMAGING MULTIPLE AREAS,,,20,,RBRVS,0.75 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78103,CPT,BONE MARROW IMAGING MULTIPLE AREAS,26,,20,,RBRVS,0.75 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78103,CPT,BONE MARROW IMAGING MULTIPLE AREAS,TC,,20,,RBRVS,,5.42 ,5.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78104,CPT,BONE MARROW IMAGING WHOLE BODY,,,20,,RBRVS,0.80 ,6.27 ,6.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78104,CPT,BONE MARROW IMAGING WHOLE BODY,26,,20,,RBRVS,0.80 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78104,CPT,BONE MARROW IMAGING WHOLE BODY,TC,,20,,RBRVS,,6.02 ,6.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78110,CPT,PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE,,,20,,RBRVS,0.19 ,2.50 ,2.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78110,CPT,PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE,26,,20,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78110,CPT,PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE,TC,,20,,RBRVS,,2.43 ,2.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78111,CPT,PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES,,,20,,RBRVS,0.22 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78111,CPT,PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES,26,,20,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78111,CPT,PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES,TC,,20,,RBRVS,,2.46 ,2.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78120,CPT,RED CELL VOLUME DETERMINATION SPX 1 SAMPLING,,,20,,RBRVS,0.23 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78120,CPT,RED CELL VOLUME DETERMINATION SPX 1 SAMPLING,26,,20,,RBRVS,0.23 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78120,CPT,RED CELL VOLUME DETERMINATION SPX 1 SAMPLING,TC,,20,,RBRVS,,2.37 ,2.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78121,CPT,RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS,,,20,,RBRVS,0.32 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78121,CPT,RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS,26,,20,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78121,CPT,RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS,TC,,20,,RBRVS,,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78122,CPT,WHOLE BLOOD VOLUME DETERM PLASMA&RED CELL VOLU,,,20,,RBRVS,0.45 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78122,CPT,WHOLE BLOOD VOLUME DETERM PLASMA&RED CELL VOLU,26,,20,,RBRVS,0.45 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78122,CPT,WHOLE BLOOD VOLUME DETERM PLASMA&RED CELL VOLU,TC,,20,,RBRVS,,2.20 ,2.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78130,CPT,RED CELL SURVIVAL STUDY,,,20,,RBRVS,0.61 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78130,CPT,RED CELL SURVIVAL STUDY,26,,20,,RBRVS,0.61 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78130,CPT,RED CELL SURVIVAL STUDY,TC,,20,,RBRVS,,3.99 ,3.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78135,CPT,RBC SURVIVAL STUDY DIFFERNTL ORGAN/TISS KINETICS,,,20,,RBRVS,0.64 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78135,CPT,RBC SURVIVAL STUDY DIFFERNTL ORGAN/TISS KINETICS,26,,20,,RBRVS,0.64 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78135,CPT,RBC SURVIVAL STUDY DIFFERNTL ORGAN/TISS KINETICS,TC,,20,,RBRVS,,9.31 ,9.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78140,CPT,LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE,,,20,,RBRVS,0.61 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78140,CPT,LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE,26,,20,,RBRVS,0.61 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78140,CPT,LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE,TC,,20,,RBRVS,,3.07 ,3.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78185,CPT,SPLEEN IMAGING ONLY W/WO VASCULAR FLOW,,,20,,RBRVS,0.40 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78185,CPT,SPLEEN IMAGING ONLY W/WO VASCULAR FLOW,26,,20,,RBRVS,0.40 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78185,CPT,SPLEEN IMAGING ONLY W/WO VASCULAR FLOW,TC,,20,,RBRVS,,5.57 ,5.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78190,CPT,KINETICS PLATELET W/WO DIFFRNTL ORGAN/TIS LOCLZJ,,,20,,RBRVS,1.09 ,10.27 ,10.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78190,CPT,KINETICS PLATELET W/WO DIFFRNTL ORGAN/TIS LOCLZJ,26,,20,,RBRVS,1.09 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78190,CPT,KINETICS PLATELET W/WO DIFFRNTL ORGAN/TIS LOCLZJ,TC,,20,,RBRVS,,9.85 ,9.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78191,CPT,PLATELET SURVIVAL STUDY,,,20,,RBRVS,0.61 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78191,CPT,PLATELET SURVIVAL STUDY,26,,20,,RBRVS,0.61 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78191,CPT,PLATELET SURVIVAL STUDY,TC,,20,,RBRVS,,3.99 ,3.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78195,CPT,LYMPHATICS & LYMPH NODES IMAGING,,,20,,RBRVS,1.20 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78195,CPT,LYMPHATICS & LYMPH NODES IMAGING,26,,20,,RBRVS,1.20 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78195,CPT,LYMPHATICS & LYMPH NODES IMAGING,TC,,20,,RBRVS,,8.65 ,8.65 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78199,CPT,UNLIS HEMATOP RET/ENDO&LYMPHATIC DX NUC MED,,,20,,TotalUnits,,,,10.26 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78199,CPT,UNLIS HEMATOP RET/ENDO&LYMPHATIC DX NUC MED,26,,20,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78199,CPT,UNLIS HEMATOP RET/ENDO&LYMPHATIC DX NUC MED,TC,,20,,TotalUnits,,,,8.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78201,CPT,LIVER IMAGING STATIC ONLY,,,20,,RBRVS,0.44 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78201,CPT,LIVER IMAGING STATIC ONLY,26,,20,,RBRVS,0.44 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78201,CPT,LIVER IMAGING STATIC ONLY,TC,,20,,RBRVS,,4.84 ,4.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78202,CPT,LIVER IMAGING W/VASCULAR FLOW,,,20,,RBRVS,0.51 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78202,CPT,LIVER IMAGING W/VASCULAR FLOW,26,,20,,RBRVS,0.51 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78202,CPT,LIVER IMAGING W/VASCULAR FLOW,TC,,20,,RBRVS,,5.17 ,5.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78205,CPT,LIVER IMAGING SPECT,,,20,,RBRVS,0.71 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78205,CPT,LIVER IMAGING SPECT,26,,20,,RBRVS,0.71 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78205,CPT,LIVER IMAGING SPECT,TC,,20,,RBRVS,,5.17 ,5.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78206,CPT,LIVER IMAGING SPECT W/VASCULAR FLOW,,,20,,RBRVS,0.96 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78206,CPT,LIVER IMAGING SPECT W/VASCULAR FLOW,26,,20,,RBRVS,0.96 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78206,CPT,LIVER IMAGING SPECT W/VASCULAR FLOW,TC,,20,,RBRVS,,8.61 ,8.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78215,CPT,LIVER & SPLEEN IMAGING STATIC ONLY,,,20,,RBRVS,0.49 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78215,CPT,LIVER & SPLEEN IMAGING STATIC ONLY,26,,20,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78215,CPT,LIVER & SPLEEN IMAGING STATIC ONLY,TC,,20,,RBRVS,,4.95 ,4.95 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78216,CPT,LIVER & SPLEEN IMAGING W/VASCULAR FLOW,,,20,,RBRVS,0.57 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78216,CPT,LIVER & SPLEEN IMAGING W/VASCULAR FLOW,26,,20,,RBRVS,0.57 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78216,CPT,LIVER & SPLEEN IMAGING W/VASCULAR FLOW,TC,,20,,RBRVS,,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78226,CPT,HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,,,20,,RBRVS,0.74 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78226,CPT,HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,26,,20,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78226,CPT,HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,TC,,20,,RBRVS,,8.59 ,8.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78227,CPT,HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,,,20,,RBRVS,0.90 ,12.12 ,12.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78227,CPT,HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,26,,20,,RBRVS,0.90 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78227,CPT,HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,TC,,20,,RBRVS,,11.80 ,11.80 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78230,CPT,SALIVARY GLAND IMAGING,,,20,,RBRVS,0.45 ,3.62 ,3.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78230,CPT,SALIVARY GLAND IMAGING,26,,20,,RBRVS,0.45 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78230,CPT,SALIVARY GLAND IMAGING,TC,,20,,RBRVS,,3.54 ,3.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78231,CPT,SALIVARY GLAND IMAGING SERIAL IMAGES,,,20,,RBRVS,0.52 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78231,CPT,SALIVARY GLAND IMAGING SERIAL IMAGES,26,,20,,RBRVS,0.52 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78231,CPT,SALIVARY GLAND IMAGING SERIAL IMAGES,TC,,20,,RBRVS,,3.01 ,3.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78232,CPT,SALIVARY GLAND FUNCTION STUDY,,,20,,RBRVS,0.47 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78232,CPT,SALIVARY GLAND FUNCTION STUDY,26,,20,,RBRVS,0.47 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78232,CPT,SALIVARY GLAND FUNCTION STUDY,TC,,20,,RBRVS,,2.28 ,2.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78258,CPT,ESOPHAGEAL MOTILITY,,,20,,RBRVS,0.74 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78258,CPT,ESOPHAGEAL MOTILITY,26,,20,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78258,CPT,ESOPHAGEAL MOTILITY,TC,,20,,RBRVS,,5.39 ,5.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78261,CPT,GASTRIC MUCOSA IMAGING,,,20,,RBRVS,0.69 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78261,CPT,GASTRIC MUCOSA IMAGING,26,,20,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78261,CPT,GASTRIC MUCOSA IMAGING,TC,,20,,RBRVS,,6.24 ,6.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78262,CPT,GASTROESOPHAGEAL REFLUX STUDY,,,20,,RBRVS,0.68 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78262,CPT,GASTROESOPHAGEAL REFLUX STUDY,26,,20,,RBRVS,0.68 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78262,CPT,GASTROESOPHAGEAL REFLUX STUDY,TC,,20,,RBRVS,,6.15 ,6.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78264,CPT,GASTRIC EMPTYING IMAGING STUDY,,,20,,RBRVS,0.74 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78264,CPT,GASTRIC EMPTYING IMAGING STUDY,26,,20,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78264,CPT,GASTRIC EMPTYING IMAGING STUDY,TC,,20,,RBRVS,,8.67 ,8.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78265,CPT,GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT,,,20,,RBRVS,0.98 ,10.55 ,10.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78265,CPT,GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT,26,,20,,RBRVS,0.98 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78265,CPT,GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT,TC,,20,,RBRVS,,10.21 ,10.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78266,CPT,GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY,,,20,,RBRVS,1.08 ,12.61 ,12.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78266,CPT,GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY,26,,20,,RBRVS,1.08 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78266,CPT,GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY,TC,,20,,RBRVS,,12.23 ,12.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78267,CPT,UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78268,CPT,UREA BREATH TEST C-14 ISOTOPIC ANALYSIS,,,17,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78270,CPT,VITAMIN B-12 ABSRPJ STUDY W/O INTRINSIC FACTOR,,,20,,RBRVS,0.20 ,2.70 ,2.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78270,CPT,VITAMIN B-12 ABSRPJ STUDY W/O INTRINSIC FACTOR,26,,20,,RBRVS,0.20 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78270,CPT,VITAMIN B-12 ABSRPJ STUDY W/O INTRINSIC FACTOR,TC,,20,,RBRVS,,2.61 ,2.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78271,CPT,VITAMIN B-12 ABSRPJ STUDY W/INTRINSIC FACTOR,,,20,,RBRVS,0.20 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78271,CPT,VITAMIN B-12 ABSRPJ STUDY W/INTRINSIC FACTOR,26,,20,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78271,CPT,VITAMIN B-12 ABSRPJ STUDY W/INTRINSIC FACTOR,TC,,20,,RBRVS,,2.30 ,2.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78272,CPT,VITAMIN B-12 ABSRPJ STDY W/WO INTRINSIC FACT,,,20,,RBRVS,0.27 ,2.50 ,2.50 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78272,CPT,VITAMIN B-12 ABSRPJ STDY W/WO INTRINSIC FACT,26,,20,,RBRVS,0.27 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78272,CPT,VITAMIN B-12 ABSRPJ STDY W/WO INTRINSIC FACT,TC,,20,,RBRVS,,2.40 ,2.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78278,CPT,ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,,,20,,RBRVS,0.99 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78278,CPT,ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,26,,20,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78278,CPT,ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,TC,,20,,RBRVS,,8.74 ,8.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78282,CPT,GASTROINTESTINAL PROTEIN LOSS,,,20,,TotalUnits,,,,2.09 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78282,CPT,GASTROINTESTINAL PROTEIN LOSS,26,,20,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78282,CPT,GASTROINTESTINAL PROTEIN LOSS,TC,,20,,TotalUnits,,,,1.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78290,CPT,INTESTINE IMAGING,,,20,,RBRVS,0.68 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78290,CPT,INTESTINE IMAGING,26,,20,,RBRVS,0.68 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78290,CPT,INTESTINE IMAGING,TC,,20,,RBRVS,,8.73 ,8.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78291,CPT,PERITONEAL-VENOUS SHUNT PATENCY TEST,,,20,,RBRVS,0.88 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78291,CPT,PERITONEAL-VENOUS SHUNT PATENCY TEST,26,,20,,RBRVS,0.88 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78291,CPT,PERITONEAL-VENOUS SHUNT PATENCY TEST,TC,,20,,RBRVS,,6.11 ,6.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78299,CPT,UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE,,,20,,TotalUnits,,,,9.67 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78299,CPT,UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE,26,,20,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78299,CPT,UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE,TC,,20,,TotalUnits,,,,8.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78300,CPT,BONE &/JOINT IMAGING LIMITED AREA,,,20,,RBRVS,0.62 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78300,CPT,BONE &/JOINT IMAGING LIMITED AREA,26,,20,,RBRVS,0.62 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78300,CPT,BONE &/JOINT IMAGING LIMITED AREA,TC,,20,,RBRVS,,4.35 ,4.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78305,CPT,BONE &/JOINT IMAGING MULTIPLE AREAS,,,20,,RBRVS,0.83 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78305,CPT,BONE &/JOINT IMAGING MULTIPLE AREAS,26,,20,,RBRVS,0.83 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78305,CPT,BONE &/JOINT IMAGING MULTIPLE AREAS,TC,,20,,RBRVS,,5.53 ,5.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78306,CPT,BONE &/JOINT IMAGING WHOLE BODY,,,20,,RBRVS,0.86 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78306,CPT,BONE &/JOINT IMAGING WHOLE BODY,26,,20,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78306,CPT,BONE &/JOINT IMAGING WHOLE BODY,TC,,20,,RBRVS,,6.11 ,6.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78315,CPT,BONE &/JOINT IMAGING 3 PHASE STUDY,,,20,,RBRVS,1.02 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78315,CPT,BONE &/JOINT IMAGING 3 PHASE STUDY,26,,20,,RBRVS,1.02 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78315,CPT,BONE &/JOINT IMAGING 3 PHASE STUDY,TC,,20,,RBRVS,,8.64 ,8.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78320,CPT,BONE &/JOINT IMAGING TOMOGRAPHIC SPECT,,,20,,RBRVS,1.04 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78320,CPT,BONE &/JOINT IMAGING TOMOGRAPHIC SPECT,26,,20,,RBRVS,1.04 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78320,CPT,BONE &/JOINT IMAGING TOMOGRAPHIC SPECT,TC,,20,,RBRVS,,5.18 ,5.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78350,CPT,BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY,,,20,,RBRVS,0.22 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78350,CPT,BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY,26,,20,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78350,CPT,BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY,TC,,20,,RBRVS,,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78351,CPT,BONE DENSTY 1/> SITES DUAL PHOTON ABSORPTIOMETR,,,20,,RBRVS,0.30 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78399,CPT,UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE,,,20,,TotalUnits,,,,7.27 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78399,CPT,UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE,,PC,20,,TotalUnits,,,,1.16 ,,$0.00,$0.00,1,0,1,1,1,0,20170101, 78399,CPT,UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE,,TC,20,,TotalUnits,,,,6.11 ,,$0.00,$0.00,1,1,1,0,1,0,20170101, 78414,CPT,CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM,,,20,,TotalUnits,,,,2.03 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78414,CPT,CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM,26,,20,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78414,CPT,CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM,TC,,20,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78428,CPT,CARDIAC SHUNT DETECTION,,,20,,RBRVS,0.78 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78428,CPT,CARDIAC SHUNT DETECTION,26,,20,,RBRVS,0.78 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78428,CPT,CARDIAC SHUNT DETECTION,TC,,20,,RBRVS,,4.15 ,4.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78445,CPT,NONCARDIAC VASCULAR FLOW IMAGING,,,20,,RBRVS,0.49 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78445,CPT,NONCARDIAC VASCULAR FLOW IMAGING,26,,20,,RBRVS,0.49 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78445,CPT,NONCARDIAC VASCULAR FLOW IMAGING,TC,,20,,RBRVS,,4.41 ,4.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78451,CPT,MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS,,,20,,RBRVS,1.38 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78451,CPT,MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS,26,,20,,RBRVS,1.38 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78451,CPT,MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS,TC,,20,,RBRVS,,7.99 ,7.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78452,CPT,MYOCARDIAL SPECT MULTIPLE STUDIES,,,20,,RBRVS,1.62 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78452,CPT,MYOCARDIAL SPECT MULTIPLE STUDIES,26,,20,,RBRVS,1.62 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78452,CPT,MYOCARDIAL SPECT MULTIPLE STUDIES,TC,,20,,RBRVS,,11.47 ,11.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78453,CPT,MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,,,20,,RBRVS,1.00 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78453,CPT,MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,26,,20,,RBRVS,1.00 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78453,CPT,MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,TC,,20,,RBRVS,,7.42 ,7.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78454,CPT,MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES,,,20,,RBRVS,1.34 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78454,CPT,MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES,26,,20,,RBRVS,1.34 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78454,CPT,MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES,TC,,20,,RBRVS,,10.79 ,10.79 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78456,CPT,ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE,,,20,,RBRVS,1.00 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78456,CPT,ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE,26,,20,,RBRVS,1.00 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78456,CPT,ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE,TC,,20,,RBRVS,,7.78 ,7.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78457,CPT,VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL,,,20,,RBRVS,0.77 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78457,CPT,VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL,26,,20,,RBRVS,0.77 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78457,CPT,VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL,TC,,20,,RBRVS,,4.36 ,4.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78458,CPT,VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL,,,20,,RBRVS,0.90 ,3.92 ,3.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78458,CPT,VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL,26,,20,,RBRVS,0.90 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78458,CPT,VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL,TC,,20,,RBRVS,,3.76 ,3.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78459,CPT,MYOCARDIAL IMAGING PET METABOLIC EVALUATION,,,20,,TotalUnits,,,,9.56 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78459,CPT,MYOCARDIAL IMAGING PET METABOLIC EVALUATION,26,,20,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78459,CPT,MYOCARDIAL IMAGING PET METABOLIC EVALUATION,TC,,20,,TotalUnits,,,,7.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78466,CPT,MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN,,,20,,RBRVS,0.69 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78466,CPT,MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN,26,,20,,RBRVS,0.69 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78466,CPT,MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN,TC,,20,,RBRVS,,4.53 ,4.53 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78468,CPT,MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ,,,20,,RBRVS,0.80 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78468,CPT,MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ,26,,20,,RBRVS,0.80 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78468,CPT,MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ,TC,,20,,RBRVS,,4.62 ,4.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78469,CPT,MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ,,,20,,RBRVS,0.92 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78469,CPT,MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ,26,,20,,RBRVS,0.92 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78469,CPT,MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ,TC,,20,,RBRVS,,5.27 ,5.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78472,CPT,CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS,,,20,,RBRVS,0.98 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78472,CPT,CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS,26,,20,,RBRVS,0.98 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78472,CPT,CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS,TC,,20,,RBRVS,,5.29 ,5.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78473,CPT,CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT,,,20,,RBRVS,1.47 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78473,CPT,CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT,26,,20,,RBRVS,1.47 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78473,CPT,CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT,TC,,20,,RBRVS,,6.35 ,6.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78481,CPT,CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT,,,20,,RBRVS,0.98 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78481,CPT,CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT,26,,20,,RBRVS,0.98 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78481,CPT,CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT,TC,,20,,RBRVS,,3.70 ,3.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78483,CPT,CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT,,,20,,RBRVS,1.47 ,5.46 ,5.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78483,CPT,CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT,26,,20,,RBRVS,1.47 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78483,CPT,CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT,TC,,20,,RBRVS,,4.97 ,4.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78491,CPT,MYOCRD IMAGE PET PERFUS SINGLE STUDY REST/STRESS,,,20,,TotalUnits,,,,9.93 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78491,CPT,MYOCRD IMAGE PET PERFUS SINGLE STUDY REST/STRESS,26,,20,,TotalUnits,,,,1.97 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78491,CPT,MYOCRD IMAGE PET PERFUS SINGLE STUDY REST/STRESS,TC,,20,,TotalUnits,,,,7.96 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78492,CPT,MYOCRD IMAGE PET PERFUS MULTPL STUDY REST/STRESS,,,20,,TotalUnits,,,,12.46 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78492,CPT,MYOCRD IMAGE PET PERFUS MULTPL STUDY REST/STRESS,26,,20,,TotalUnits,,,,2.47 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78492,CPT,MYOCRD IMAGE PET PERFUS MULTPL STUDY REST/STRESS,TC,,20,,TotalUnits,,,,9.99 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78494,CPT,CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT,,,20,,RBRVS,1.19 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78494,CPT,CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT,26,,20,,RBRVS,1.19 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78494,CPT,CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT,TC,,20,,RBRVS,,4.86 ,4.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78496,CPT,CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT,,,20,,RBRVS,0.50 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78496,CPT,CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT,26,,20,,RBRVS,0.50 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78496,CPT,CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT,TC,,20,,RBRVS,,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78499,CPT,UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE,,,20,,TotalUnits,,,,13.64 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78499,CPT,UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE,26,,20,,TotalUnits,,,,2.17 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78499,CPT,UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE,TC,,20,,TotalUnits,,,,11.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78579,CPT,PULMONARY VENTILATION IMAGING,,,20,,RBRVS,0.49 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78579,CPT,PULMONARY VENTILATION IMAGING,26,,20,,RBRVS,0.49 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78579,CPT,PULMONARY VENTILATION IMAGING,TC,,20,,RBRVS,,4.74 ,4.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78580,CPT,PULMONARY PERFUSION IMAGING PARTICULATE,,,20,,RBRVS,0.74 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78580,CPT,PULMONARY PERFUSION IMAGING PARTICULATE,26,,20,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78580,CPT,PULMONARY PERFUSION IMAGING PARTICULATE,TC,,20,,RBRVS,,5.91 ,5.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78582,CPT,PULMONARY VENTILATION & PERFUSION IMAGING,,,20,,RBRVS,1.07 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78582,CPT,PULMONARY VENTILATION & PERFUSION IMAGING,26,,20,,RBRVS,1.07 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78582,CPT,PULMONARY VENTILATION & PERFUSION IMAGING,TC,,20,,RBRVS,,8.23 ,8.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78597,CPT,QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING,,,20,,RBRVS,0.75 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78597,CPT,QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING,26,,20,,RBRVS,0.75 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78597,CPT,QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING,TC,,20,,RBRVS,,4.85 ,4.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78598,CPT,QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGIN,,,20,,RBRVS,0.85 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78598,CPT,QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGIN,26,,20,,RBRVS,0.85 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78598,CPT,QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGIN,TC,,20,,RBRVS,,7.73 ,7.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78599,CPT,UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE,,,20,,TotalUnits,,,,9.67 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78599,CPT,UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE,26,,20,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78599,CPT,UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE,TC,,20,,TotalUnits,,,,8.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78600,CPT,BRAIN IMAGING <4 STATIC VIEWS,,,20,,RBRVS,0.44 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78600,CPT,BRAIN IMAGING <4 STATIC VIEWS,26,,20,,RBRVS,0.44 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78600,CPT,BRAIN IMAGING <4 STATIC VIEWS,TC,,20,,RBRVS,,4.73 ,4.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78601,CPT,BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW,,,20,,RBRVS,0.51 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78601,CPT,BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW,26,,20,,RBRVS,0.51 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78601,CPT,BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW,TC,,20,,RBRVS,,5.49 ,5.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78605,CPT,BRAIN IMAGING MINIMUM 4 STATIC VIEWS,,,20,,RBRVS,0.53 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78605,CPT,BRAIN IMAGING MINIMUM 4 STATIC VIEWS,26,,20,,RBRVS,0.53 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78605,CPT,BRAIN IMAGING MINIMUM 4 STATIC VIEWS,TC,,20,,RBRVS,,5.01 ,5.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78606,CPT,BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW,,,20,,RBRVS,0.64 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78606,CPT,BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW,26,,20,,RBRVS,0.64 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78606,CPT,BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW,TC,,20,,RBRVS,,8.72 ,8.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78607,CPT,BRAIN IMAGING TOMOGRAPHIC SPECT,,,20,,RBRVS,1.23 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78607,CPT,BRAIN IMAGING TOMOGRAPHIC SPECT,26,,20,,RBRVS,1.23 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78607,CPT,BRAIN IMAGING TOMOGRAPHIC SPECT,TC,,20,,RBRVS,,8.50 ,8.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78608,CPT,BRAIN IMAGING PET METABOLIC EVALUATION,,,20,,TotalUnits,,,,12.48 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78608,CPT,BRAIN IMAGING PET METABOLIC EVALUATION,,PC,20,,TotalUnits,,,,1.97 ,,$0.00,$0.00,1,0,1,1,1,0,20170101, 78608,CPT,BRAIN IMAGING PET METABOLIC EVALUATION,,TC,20,,TotalUnits,,,,10.51 ,,$0.00,$0.00,1,1,1,0,1,0,20170101, 78609,CPT,BRAIN IMAGING PET PERFUSION EVALUATION,,,20,,TotalUnits,,,,8.28 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78609,CPT,BRAIN IMAGING PET PERFUSION EVALUATION,,PC,20,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,0,1,1,1,0,20170101, 78609,CPT,BRAIN IMAGING PET PERFUSION EVALUATION,,TC,20,,TotalUnits,,,,6.21 ,,$0.00,$0.00,1,1,1,0,1,0,20170101, 78610,CPT,BRAIN IMAGING VASCULAR FLOW ONLY,,,20,,RBRVS,0.30 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78610,CPT,BRAIN IMAGING VASCULAR FLOW ONLY,26,,20,,RBRVS,0.30 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78610,CPT,BRAIN IMAGING VASCULAR FLOW ONLY,TC,,20,,RBRVS,,4.64 ,4.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78630,CPT,CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY,,,20,,RBRVS,0.68 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78630,CPT,CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY,26,,20,,RBRVS,0.68 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78630,CPT,CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY,TC,,20,,RBRVS,,8.87 ,8.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78635,CPT,CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY,,,20,,RBRVS,0.61 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78635,CPT,CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY,26,,20,,RBRVS,0.61 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78635,CPT,CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY,TC,,20,,RBRVS,,8.97 ,8.97 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78645,CPT,CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ,,,20,,RBRVS,0.57 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78645,CPT,CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ,26,,20,,RBRVS,0.57 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78645,CPT,CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ,TC,,20,,RBRVS,,8.58 ,8.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78647,CPT,CEREBROSPINAL FLUID FLOW W/O MATL TOMOG SPECT,,,20,,RBRVS,0.90 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78647,CPT,CEREBROSPINAL FLUID FLOW W/O MATL TOMOG SPECT,26,,20,,RBRVS,0.90 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78647,CPT,CEREBROSPINAL FLUID FLOW W/O MATL TOMOG SPECT,TC,,20,,RBRVS,,8.88 ,8.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78650,CPT,CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATIO,,,20,,RBRVS,0.61 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78650,CPT,CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATIO,26,,20,,RBRVS,0.61 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78650,CPT,CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATIO,TC,,20,,RBRVS,,8.71 ,8.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78660,CPT,RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY,,,20,,RBRVS,0.53 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78660,CPT,RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY,26,,20,,RBRVS,0.53 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78660,CPT,RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY,TC,,20,,RBRVS,,4.46 ,4.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78699,CPT,UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE,,,20,,TotalUnits,,,,12.48 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78699,CPT,UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE,26,,20,,TotalUnits,,,,1.97 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78699,CPT,UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE,TC,,20,,TotalUnits,,,,10.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78700,CPT,KIDNEY IMAGING MORPHOLOGY,,,20,,RBRVS,0.45 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78700,CPT,KIDNEY IMAGING MORPHOLOGY,26,,20,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78700,CPT,KIDNEY IMAGING MORPHOLOGY,TC,,20,,RBRVS,,4.35 ,4.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78701,CPT,KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW,,,20,,RBRVS,0.49 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78701,CPT,KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW,26,,20,,RBRVS,0.49 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78701,CPT,KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW,TC,,20,,RBRVS,,5.44 ,5.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78707,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,,,20,,RBRVS,0.96 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78707,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,26,,20,,RBRVS,0.96 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78707,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,TC,,20,,RBRVS,,5.41 ,5.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78708,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,,,20,,RBRVS,1.21 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78708,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,26,,20,,RBRVS,1.21 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78708,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,TC,,20,,RBRVS,,3.34 ,3.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78709,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE,,,20,,RBRVS,1.41 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78709,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE,26,,20,,RBRVS,1.41 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78709,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE,TC,,20,,RBRVS,,8.60 ,8.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78710,CPT,KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC,,,20,,RBRVS,0.66 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78710,CPT,KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC,26,,20,,RBRVS,0.66 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78710,CPT,KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC,TC,,20,,RBRVS,,4.93 ,4.93 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78725,CPT,KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY,,,20,,RBRVS,0.38 ,2.73 ,2.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78725,CPT,KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY,26,,20,,RBRVS,0.38 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78725,CPT,KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY,TC,,20,,RBRVS,,2.61 ,2.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78730,CPT,URINARY BLADDER RESIDUAL STUDY,,,20,,RBRVS,0.15 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78730,CPT,URINARY BLADDER RESIDUAL STUDY,26,,20,,RBRVS,0.15 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78730,CPT,URINARY BLADDER RESIDUAL STUDY,TC,,20,,RBRVS,,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78740,CPT,URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM,,,20,,RBRVS,0.57 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78740,CPT,URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM,26,,20,,RBRVS,0.57 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78740,CPT,URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM,TC,,20,,RBRVS,,5.54 ,5.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78761,CPT,TESTICULAR IMAGING WITH VASCULAR FLOW,,,20,,RBRVS,0.71 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78761,CPT,TESTICULAR IMAGING WITH VASCULAR FLOW,26,,20,,RBRVS,0.71 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78761,CPT,TESTICULAR IMAGING WITH VASCULAR FLOW,TC,,20,,RBRVS,,5.03 ,5.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78799,CPT,UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE,,,20,,TotalUnits,,,,6.01 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78799,CPT,UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE,26,,20,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78799,CPT,UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE,TC,,20,,TotalUnits,,,,4.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78800,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT LIMITED AREA,,,20,,RBRVS,0.66 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78800,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT LIMITED AREA,26,,20,,RBRVS,0.66 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78800,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT LIMITED AREA,TC,,20,,RBRVS,,4.58 ,4.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78801,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT MULTIPLE AREAS,,,20,,RBRVS,0.79 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78801,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT MULTIPLE AREAS,26,,20,,RBRVS,0.79 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78801,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT MULTIPLE AREAS,TC,,20,,RBRVS,,6.43 ,6.43 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78802,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT WHOLE BDY 1 DAY,,,20,,RBRVS,0.86 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78802,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT WHOLE BDY 1 DAY,26,,20,,RBRVS,0.86 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78802,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT WHOLE BDY 1 DAY,TC,,20,,RBRVS,,8.24 ,8.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78803,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT TOMOG SPECT,,,20,,RBRVS,1.09 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78803,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT TOMOG SPECT,26,,20,,RBRVS,1.09 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78803,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT TOMOG SPECT,TC,,20,,RBRVS,,8.39 ,8.39 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78804,CPT,RP LOCLZJ TUMOR/DSTRBJ AGT WHOL BDY REQ 2/> DAY,,,20,,RBRVS,1.07 ,15.34 ,15.34 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78804,CPT,RP LOCLZJ TUMOR/DSTRBJ AGT WHOL BDY REQ 2/> DAY,26,,20,,RBRVS,1.07 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78804,CPT,RP LOCLZJ TUMOR/DSTRBJ AGT WHOL BDY REQ 2/> DAY,TC,,20,,RBRVS,,14.98 ,14.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78805,CPT,RP LOCLZJ INFLAMMATORY PROCESS LIMITED AREA,,,20,,RBRVS,0.73 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78805,CPT,RP LOCLZJ INFLAMMATORY PROCESS LIMITED AREA,26,,20,,RBRVS,0.73 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78805,CPT,RP LOCLZJ INFLAMMATORY PROCESS LIMITED AREA,TC,,20,,RBRVS,,4.26 ,4.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78806,CPT,RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY,,,20,,RBRVS,0.86 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78806,CPT,RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY,26,,20,,RBRVS,0.86 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78806,CPT,RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY,TC,,20,,RBRVS,,8.48 ,8.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78807,CPT,RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT,,,20,,RBRVS,1.09 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78807,CPT,RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT,26,,20,,RBRVS,1.09 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78807,CPT,RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT,TC,,20,,RBRVS,,8.40 ,8.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78808,CPT,NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,,,20,,RBRVS,0.18 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78811,CPT,PET IMAGING LIMITED AREA CHEST HEAD/NECK,,,20,,TotalUnits,,,,16.95 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78811,CPT,PET IMAGING LIMITED AREA CHEST HEAD/NECK,26,,20,,TotalUnits,,,,2.11 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78811,CPT,PET IMAGING LIMITED AREA CHEST HEAD/NECK,TC,,20,,TotalUnits,,,,14.84 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78812,CPT,PET IMAGING SKULL BASE TO MID-THIGH,,,20,,TotalUnits,,,,20.55 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78812,CPT,PET IMAGING SKULL BASE TO MID-THIGH,26,,20,,TotalUnits,,,,2.58 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78812,CPT,PET IMAGING SKULL BASE TO MID-THIGH,TC,,20,,TotalUnits,,,,17.97 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78813,CPT,PET IMAGING WHOLE BODY,,,20,,TotalUnits,,,,21.34 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78813,CPT,PET IMAGING WHOLE BODY,26,,20,,TotalUnits,,,,2.69 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78813,CPT,PET IMAGING WHOLE BODY,TC,,20,,TotalUnits,,,,18.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78814,CPT,PET IMAGING CT FOR ATTENUATION LIMITED AREA,,,20,,TotalUnits,,,,23.65 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78814,CPT,PET IMAGING CT FOR ATTENUATION LIMITED AREA,26,,20,,TotalUnits,,,,2.97 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78814,CPT,PET IMAGING CT FOR ATTENUATION LIMITED AREA,TC,,20,,TotalUnits,,,,20.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78815,CPT,PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,,,20,,TotalUnits,,,,25.82 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78815,CPT,PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,26,,20,,TotalUnits,,,,3.28 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78815,CPT,PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,TC,,20,,TotalUnits,,,,22.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78816,CPT,PET IMAGING FOR CT ATTENUATION WHOLE BODY,,,20,,TotalUnits,,,,26.30 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78816,CPT,PET IMAGING FOR CT ATTENUATION WHOLE BODY,26,,20,,TotalUnits,,,,3.31 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78816,CPT,PET IMAGING FOR CT ATTENUATION WHOLE BODY,TC,,20,,TotalUnits,,,,22.99 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 78999,CPT,UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE,,,20,,TotalUnits,,,,25.82 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 78999,CPT,UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE,26,,20,,TotalUnits,,,,3.28 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 78999,CPT,UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE,TC,,20,,TotalUnits,,,,22.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 79005,CPT,RP THERAPY ORAL ADMINISTRATION,,,20,,RBRVS,1.80 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 79005,CPT,RP THERAPY ORAL ADMINISTRATION,26,,20,,RBRVS,1.80 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 79005,CPT,RP THERAPY ORAL ADMINISTRATION,TC,,20,,RBRVS,,1.37 ,1.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 79101,CPT,RP THERAPY INTRAVENOUS ADMINISTRATION,,,20,,RBRVS,1.96 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 79101,CPT,RP THERAPY INTRAVENOUS ADMINISTRATION,26,,20,,RBRVS,1.96 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 79101,CPT,RP THERAPY INTRAVENOUS ADMINISTRATION,TC,,20,,RBRVS,,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 79200,CPT,RP THERAPY INRACAVITARY ADMINISTRATION,,,20,,RBRVS,1.99 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 79200,CPT,RP THERAPY INRACAVITARY ADMINISTRATION,26,,20,,RBRVS,1.99 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 79200,CPT,RP THERAPY INRACAVITARY ADMINISTRATION,TC,,20,,RBRVS,,1.63 ,1.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 79300,CPT,RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN,,,20,,TotalUnits,,,,3.66 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 79300,CPT,RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN,26,,20,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 79300,CPT,RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN,TC,,20,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 79403,CPT,RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS,,,20,,RBRVS,2.25 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 79403,CPT,RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS,26,,20,,RBRVS,2.25 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 79403,CPT,RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS,TC,,20,,RBRVS,,2.30 ,2.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 79440,CPT,RP THERAPY INTRA-ARTICULAR ADMINISTRATION,,,20,,RBRVS,1.99 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20170101, 79440,CPT,RP THERAPY INTRA-ARTICULAR ADMINISTRATION,26,,20,,RBRVS,1.99 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 79440,CPT,RP THERAPY INTRA-ARTICULAR ADMINISTRATION,TC,,20,,RBRVS,,1.41 ,1.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 79445,CPT,RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN,,,20,,TotalUnits,,,,9.55 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 79445,CPT,RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN,26,,20,,TotalUnits,,,,3.16 ,,$0.00,$0.00,1,0,1,1,1,1,20170101, 79445,CPT,RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN,TC,,20,,TotalUnits,,,,6.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 79999,CPT,RP THERAPY UNLISTED PROCEDURE,,,20,,TotalUnits,,,,3.97 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 79999,CPT,RP THERAPY UNLISTED PROCEDURE,,PC,20,,TotalUnits,,,,2.53 ,,$0.00,$0.00,1,0,1,1,1,0,20170101, 79999,CPT,RP THERAPY UNLISTED PROCEDURE,,TC,20,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,0,20170101, 80047,CPT,BASIC METABOLIC PANEL CALCIUM IONIZED,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80048,CPT,BASIC METABOLIC PANEL CALCIUM TOTAL,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80050,CPT,GENERAL HEALTH PANEL,,,17,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80051,CPT,ELECTROLYTE PANEL,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80053,CPT,COMPREHENSIVE METABOLIC PANEL,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80055,CPT,OBSTETRIC PANEL,,,17,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80061,CPT,LIPID PANEL,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80069,CPT,RENAL FUNCTION PANEL,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80074,CPT,ACUTE HEPATITIS PANEL,,,17,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80076,CPT,HEPATIC FUNCTION PANEL,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80081,CPT,OBSTETRIC PANEL,,,17,,TotalUnits,,,,2.85 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80150,CPT,DRUG SCREEN QUANTITATIVE AMIKACIN,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80155,CPT,DRUG ASSAY CAFFEINE,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80156,CPT,DRUG ASSAY CARBAMAZEPINE TOTAL,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80157,CPT,DRUG ASSAY CARBAMAZEPINE FREE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80158,CPT,DRUG ASSAY CYCLOSPORINE,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80159,CPT,DRUG ASSAY CLOZAPINE,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80162,CPT,DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80163,CPT,DRUG SCREEN QUANTITATIVE DIGOXIN FREE,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80164,CPT,DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80165,CPT,DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80168,CPT,DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80169,CPT,DRUG ASSAY EVEROLIMUS,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80170,CPT,DRUG SCREEN QUANTITATIVE GENTAMICIN,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80171,CPT,DRUG SCREEN QUANTITATIVE GABAPENTIN,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80173,CPT,DRUG SCREEN QUANTITATIVE HALOPRIDOL,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80175,CPT,DRUG SCREEN QUANTITATIVE LAMOTRIGINE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80176,CPT,DRUG SCREEN QUANTITATIVE LIDOCAINE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80177,CPT,DRUG SCREEN QUANTITATIVE LEVETIRACETAM,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80178,CPT,DRUG SCREEN QUANTITATIVE LITHIUM,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80180,CPT,DRUG SCREEN QUANTITATIVE MYCOPHENOLATE,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80183,CPT,DRUG SCREEN QUANTITATIVE OXCARBAZEPINE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80184,CPT,DRUG SCREEN QUANTITATIVE PHENOBARBITAL,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80185,CPT,DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80186,CPT,DRUG SCREEN QUANTITATIVE PHENYTOIN FREE,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80188,CPT,DRUG SCREEN QUANTITATIVE PRIMIDONE,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80190,CPT,DRUG SCREEN QUANTITATIVE PROCAINAMIDE,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80192,CPT,DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80194,CPT,DRUG SCREEN QUANTITATIVE QUINIDINE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80195,CPT,DRUG SCREEN QUANTITATIVE SIROLIMUS,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80197,CPT,DRUG SCREEN QUANTITATIVE TACROLIMUS,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80198,CPT,DRUG SCREEN QUANTITATIVE THEOPHYLLINE,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80199,CPT,DRUG SCREEN QUANTITATIVE TIAGABINE,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80200,CPT,DRUG SCREEN QUANTITATIVE TOBRAMYCIN,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80201,CPT,DRUG SCREEN QUANTITATIVE TOPIRAMATE,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80202,CPT,DRUG SCREEN QUANTITATIVE VANCOMYCIN,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80203,CPT,DRUG SCREEN QUANTITATIVE ZONISAMIDE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80299,CPT,QUANTITATION DRUG NOT ELSEWHERE SPECIFIED,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80320,CPT,DRUG SCREEN QUANTITATIVE ALCOHOLS,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80321,CPT,DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80322,CPT,DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE,,,17,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80323,CPT,ALKALOIDS NOT OTHERWISE SPECIFIED,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80324,CPT,DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80325,CPT,DRUG SCREEN QUANT AMPHETAMINES 3 OR 4,,,17,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80326,CPT,DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE,,,17,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80327,CPT,DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2,,,17,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80329,CPT,DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2,,,17,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80330,CPT,DRUG SCREEN ANALGESICS NON-OPIOID 3-5,,,17,,TotalUnits,,,,1.82 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80331,CPT,DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80332,CPT,ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80333,CPT,ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5,,,17,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80334,CPT,ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE,,,17,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80335,CPT,ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80336,CPT,ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5,,,17,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80337,CPT,ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE,,,17,,TotalUnits,,,,1.80 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80338,CPT,ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80339,CPT,ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80340,CPT,ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80341,CPT,ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80342,CPT,ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80343,CPT,ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80344,CPT,ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80345,CPT,DRUG SCREENING BARBITURATES,,,17,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80346,CPT,DRUG SCREENING BENZODIAZEPINES 1-12,,,17,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80347,CPT,DRUG SCREENING BENZODIAZEPINES 13 OR MORE,,,17,,TotalUnits,,,,2.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80348,CPT,DRUG SCREENING BUPRENORPHINE,,,17,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80349,CPT,DRUG SCREENING CANNABINOIDS NATURAL,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80350,CPT,DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80351,CPT,DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6,,,17,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80352,CPT,DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE,,,17,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80353,CPT,DRUG SCREENING COCAINE,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80354,CPT,DRUG SCREENING FENTANYL,,,17,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80355,CPT,DRUG SCREENING GABAPENTIN NON-BLOOD,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80356,CPT,DRUG SCREENING HEROIN METABOLITE,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80357,CPT,DRUG SCREENING KETAMINE AND NORKETAMINE,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80358,CPT,DRUG SCREENING METHADONE,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80359,CPT,DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80360,CPT,DRUG SCREENING METHYLPHENIDATE,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80361,CPT,DRUG SCREENING OPIATES 1 OR MORE,,,17,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80362,CPT,DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2,,,17,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80363,CPT,DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4,,,17,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80364,CPT,DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE,,,17,,TotalUnits,,,,2.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80365,CPT,DRUG SCREENING OXYCODONE,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80366,CPT,DRUG SCREENING PREGABALIN,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80367,CPT,DRUG SCREENING PROPOXYPHENE,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80368,CPT,DRUG SCREENING SEDATIVE HYPNOTICS,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80369,CPT,DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2,,,17,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80370,CPT,DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE,,,17,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80371,CPT,DRUG SCREENING STIMULANTS SYNTHETIC,,,17,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80372,CPT,DRUG SCREENING TAPENTADOL,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80373,CPT,DRUG SCREENING TRAMADOL,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80374,CPT,DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80375,CPT,DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80376,CPT,DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6,,,17,,TotalUnits,,,,1.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80377,CPT,DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80400,CPT,ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY,,,17,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80402,CPT,ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY,,,17,,TotalUnits,,,,3.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80406,CPT,ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY,,,17,,TotalUnits,,,,2.98 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80408,CPT,ALDOSTERONE SUPPRESSION EVALUATION PANEL,,,17,,TotalUnits,,,,4.77 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80410,CPT,CALCITONIN STIMULATION PANEL,,,17,,TotalUnits,,,,3.06 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80412,CPT,CORTICOTROPIC RELEASING HORM STIMJ PANEL,,,17,,TotalUnits,,,,12.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80414,CPT,CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE,,,17,,TotalUnits,,,,1.96 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80415,CPT,CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE,,,17,,TotalUnits,,,,2.13 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80416,CPT,RENAL VEIN RENIN STIMULATION PANEL,,,17,,TotalUnits,,,,5.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80417,CPT,PERIPHERAL VEIN RENIN STIMULATION PANEL,,,17,,TotalUnits,,,,1.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80418,CPT,COMBINED RAPID ANT PITUITARY EVALUATION PANEL,,,17,,TotalUnits,,,,22.05 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80420,CPT,DEXMETHASONE SUPPRESSION PANEL 48 HR,,,17,,TotalUnits,,,,2.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80422,CPT,GLUCOSE TOLERANCE PANEL INSULINOMA,,,17,,TotalUnits,,,,1.75 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80424,CPT,GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA,,,17,,TotalUnits,,,,1.92 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80426,CPT,GONADOTROPIN RELEASING HORMONE STIMJ PANEL,,,17,,TotalUnits,,,,5.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80428,CPT,GROWTH HORMONE STIMULATION PANEL,,,17,,TotalUnits,,,,2.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80430,CPT,GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN,,,17,,TotalUnits,,,,2.99 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80432,CPT,INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL,,,17,,TotalUnits,,,,5.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80434,CPT,INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY,,,17,,TotalUnits,,,,3.85 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80435,CPT,INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY,,,17,,TotalUnits,,,,3.92 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80436,CPT,METYRAPONE PANEL,,,17,,TotalUnits,,,,3.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80438,CPT,THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR,,,17,,TotalUnits,,,,1.92 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80439,CPT,THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR,,,17,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 80500,CPT,CLINICAL PATHOLOGY CONSULTATION LIMITED,,,17,,RBRVS,0.37 ,0.16 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 80502,CPT,CLINICAL PATHOLOGY CONSULTATION COMPREHENSIVE,,,17,,RBRVS,1.33 ,0.56 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 81000,CPT,URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81001,CPT,URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81002,CPT,URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81003,CPT,URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY,,,17,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81005,CPT,URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,,,17,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81007,CPT,URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81015,CPT,URINALYSIS MICROSCOPIC ONLY,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81020,CPT,URINALYSIS 2/3 GLASS TEST,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81025,CPT,URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS,,,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81050,CPT,VOLUME MEASUREMENT TIMED COLLECTION EACH,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81099,CPT,UNLISTED URINALYSIS PROCEDURE,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81161,CPT,DMD DUPLICATION/DELETION ANALYSIS,,,17,,TotalUnits,,,,3.91 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81162,CPT,BRCA1&BRCA2 FULL SEQ ANALYS/FULL DUP/DEL ANALYS,,,17,,TotalUnits,,,,69.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81170,CPT,ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS,,,17,,TotalUnits,,,,9.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81201,CPT,APC GENE ANALYSIS FULL GENE SEQUENCE,,,17,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81202,CPT,APC GENE ANALYSIS KNOWN FAMILIAL VARIANTS,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81203,CPT,APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81205,CPT,BCKDHB GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81206,CPT,BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE,,,17,,TotalUnits,,,,6.24 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81207,CPT,BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE,,,17,,TotalUnits,,,,5.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81208,CPT,BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE,,,17,,TotalUnits,,,,6.12 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81209,CPT,BLM GENE ANALYSIS 2281DEL6INS7 VARIANT,,,17,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81210,CPT,BRAF GENE ANALYSIS V600 VARIANT(S),,,17,,TotalUnits,,,,5.00 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81211,CPT,BRCA1&BRCA2 FULL SEQ ANALYS/COMM DUP/DEL BRCA,,,17,,TotalUnits,,,,60.89 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81212,CPT,BRCA1&BRCA2 ANAL 185DELAG5385INSC/6174DELT,,,17,,TotalUnits,,,,4.93 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81213,CPT,BRCA1&BRCA2 ANAL UNCOMMON DUP/DEL VARIANTS,,,17,,TotalUnits,,,,16.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81214,CPT,BRCA1 FULL SEQ ANAL&COMMON DUP/DEL VARIANTS,,,17,,TotalUnits,,,,40.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81215,CPT,BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT,,,17,,TotalUnits,,,,2.60 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81217,CPT,BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT,,,17,,TotalUnits,,,,2.60 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81218,CPT,CEBPA GENE ANALYSIS FULL GENE SEQUENCE,,,17,,TotalUnits,,,,9.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81219,CPT,CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9,,,17,,TotalUnits,,,,4.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81220,CPT,CFTR GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,6.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81221,CPT,CFTR GENE ANALYSIS KNOWN FAMILIAL VARIANTS,,,17,,TotalUnits,,,,3.90 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81222,CPT,CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS,,,17,,TotalUnits,,,,3.27 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81224,CPT,CFTR GENE ANALYSIS INTRON 8 POLY-T ANALYSIS,,,17,,TotalUnits,,,,2.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81225,CPT,CYP2C19 GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,8.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81226,CPT,CYP2D6 GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,12.59 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81227,CPT,CYP2C9 GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,4.88 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81228,CPT,CYTOGENOM CONST MICROARRAY COPY NUMBER VARIANTS,,,17,,TotalUnits,,,,12.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81229,CPT,CYTOGENOM CONST MICROARRAY COPY NUMBER&SNP VAR,,,17,,TotalUnits,,,,22.90 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81235,CPT,EGFR GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,9.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81240,CPT,F2 GENE ANALYSIS 20210G >A VARIANT,,,17,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81241,CPT,F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT,,,17,,TotalUnits,,,,2.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81242,CPT,FANCC GENE ANALYSIS COMMON VARIANT,,,17,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81243,CPT,FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES,,,17,,TotalUnits,,,,2.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81244,CPT,FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES,,,17,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81245,CPT,FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS,,,17,,TotalUnits,,,,4.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81246,CPT,FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS,,,17,,TotalUnits,,,,2.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81250,CPT,G6PC GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,1.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81251,CPT,GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS,,,17,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81252,CPT,GJB2 GENE ANALYSIS FULL GENE SEQUENCE,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81253,CPT,GJB2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81254,CPT,GJB6 GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81255,CPT,HEXA GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,3.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81256,CPT,HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS,,,17,,TotalUnits,,,,2.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81257,CPT,HBA1/HBA2 ANALYSIS FOR COMMON DELETIONS/VARIANT,,,17,,TotalUnits,,,,3.42 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81260,CPT,IKBKAP GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81261,CPT,IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED,,,17,,TotalUnits,,,,7.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81262,CPT,IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE,,,17,,TotalUnits,,,,1.66 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81263,CPT,IGH@ VARIABLE REGION SOMATIC MUTATION ANALYSIS,,,17,,TotalUnits,,,,11.21 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81264,CPT,IGK@ GENE REARRANGE DETECT ABNORMAL CLONAL POP,,,17,,TotalUnits,,,,5.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81265,CPT,COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC,,,17,,TotalUnits,,,,8.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81266,CPT,COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN,,,17,,TotalUnits,,,,8.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81267,CPT,CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION,,,17,,TotalUnits,,,,7.89 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81268,CPT,CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA,,,17,,TotalUnits,,,,9.92 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81270,CPT,JAK2 GENE ANALYSIS P.VAL617PHE VARIANT,,,17,,TotalUnits,,,,3.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81272,CPT,KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS,,,17,,TotalUnits,,,,9.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81273,CPT,KIT GENE ANALYSIS D816 VARIANT(S),,,17,,TotalUnits,,,,3.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81275,CPT,KRAS GENE ANALYSIS VARIANTS IN EXON 2,,,17,,TotalUnits,,,,5.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81276,CPT,KRAS GENE ANALYSIS ADDITIONAL VARIANT(S),,,17,,TotalUnits,,,,5.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81287,CPT,MGMT METHYLATION ANALYSIS,,,17,,TotalUnits,,,,2.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81288,CPT,MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS,,,17,,TotalUnits,,,,4.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81290,CPT,MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81291,CPT,MTHFR GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,1.66 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81292,CPT,MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS,,,17,,TotalUnits,,,,18.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81293,CPT,MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS,,,17,,TotalUnits,,,,7.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81294,CPT,MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS,,,17,,TotalUnits,,,,5.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81295,CPT,MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS,,,17,,TotalUnits,,,,4.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81296,CPT,MSH2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS,,,17,,TotalUnits,,,,3.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81297,CPT,MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS,,,17,,TotalUnits,,,,4.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81298,CPT,MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS,,,17,,TotalUnits,,,,8.03 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81299,CPT,MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS,,,17,,TotalUnits,,,,4.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81300,CPT,MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA,,,17,,TotalUnits,,,,4.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81301,CPT,MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF,,,17,,TotalUnits,,,,11.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81302,CPT,MECP2 GENE ANALYSIS FULL SEQUENCE,,,17,,TotalUnits,,,,7.41 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81310,CPT,NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS,,,17,,TotalUnits,,,,6.89 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81311,CPT,NRAS GENE ANALYSIS VARIANTS IN EXON 2&3,,,17,,TotalUnits,,,,8.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81313,CPT,PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO,,,17,,TotalUnits,,,,7.27 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81314,CPT,PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS,,,17,,TotalUnits,,,,9.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81315,CPT,PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT,,,17,,TotalUnits,,,,7.89 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81316,CPT,PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN,,,17,,TotalUnits,,,,12.03 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81317,CPT,PMS2 GENE ANALYSIS FULL SEQUENCE,,,17,,TotalUnits,,,,21.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81318,CPT,PMS2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS,,,17,,TotalUnits,,,,5.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81319,CPT,PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS,,,17,,TotalUnits,,,,6.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81321,CPT,PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS,,,17,,TotalUnits,,,,16.75 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81322,CPT,PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT,,,17,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81323,CPT,PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT,,,17,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81324,CPT,PMP22 GENE ANAL DUPLICATION/DELETION ANALYSIS,,,17,,TotalUnits,,,,6.97 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81325,CPT,PMP22 GENE ANALYSIS FULL SEQUENCE ANALYSIS,,,17,,TotalUnits,,,,10.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81327,CPT,SEPT9 METHYLATION ANALYSIS,,,17,,TotalUnits,,,,2.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81330,CPT,SMPD1 GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81331,CPT,SNRPN/UBE3A METHYLATION ANALYSIS,,,17,,TotalUnits,,,,3.09 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81332,CPT,SERPINA1 GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,1.66 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81340,CPT,TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD,,,17,,TotalUnits,,,,7.95 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81341,CPT,TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY,,,17,,TotalUnits,,,,1.89 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81342,CPT,TRG@ GENE REARRANGEMENT ANALYSIS,,,17,,TotalUnits,,,,7.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81350,CPT,UGT1A1 GENE ANALYSIS COMMON VARIANTS,,,17,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81355,CPT,VKORC1 GENE ANALYSIS COMMON VARIANT(S),,,17,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81370,CPT,HLA CLASS I&II LOW HLA-A -B -C -DRB1/3/4/5&DQB,,,17,,TotalUnits,,,,15.30 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81371,CPT,HLA I&LI LOW RESOLUTION HLA-A -B&-DRB1,,,17,,TotalUnits,,,,9.16 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81372,CPT,HLA CLASS I TYPING LOW RESOLUTION COMPLETE,,,17,,TotalUnits,,,,8.40 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81373,CPT,HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS EACH,,,17,,TotalUnits,,,,4.24 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81374,CPT,HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH,,,17,,TotalUnits,,,,2.77 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81375,CPT,HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1,,,17,,TotalUnits,,,,8.40 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81376,CPT,HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA,,,17,,TotalUnits,,,,4.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81377,CPT,HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA,,,17,,TotalUnits,,,,3.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81378,CPT,HLA I&II HIGH RESOLUTION HLA-A -B -C AND -DRB1,,,17,,TotalUnits,,,,13.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81379,CPT,HLA CLASS I TYPING HIGH RESOLUTION COMPLETE,,,17,,TotalUnits,,,,12.76 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81380,CPT,HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS EA,,,17,,TotalUnits,,,,6.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81381,CPT,HLA I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GRP,,,17,,TotalUnits,,,,3.60 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81382,CPT,HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA,,,17,,TotalUnits,,,,4.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81383,CPT,HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP,,,17,,TotalUnits,,,,4.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81400,CPT,MOLECULAR PATHOLOGY PROCEDURE LEVEL 1,,,17,,TotalUnits,,,,1.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81401,CPT,MOLECULAR PATHOLOGY PROCEDURE LEVEL 2,,,17,,TotalUnits,,,,2.27 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81402,CPT,MOLECULAR PATHOLOGY PROCEDURE LEVEL 3,,,17,,TotalUnits,,,,3.06 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81403,CPT,MOLECULAR PATHOLOGY PROCEDURE LEVEL 4,,,17,,TotalUnits,,,,4.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81404,CPT,MOLECULAR PATHOLOGY PROCEDURE LEVEL 5,,,17,,TotalUnits,,,,5.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81405,CPT,MOLECULAR PATHOLOGY PROCEDURE LEVEL 6,,,17,,TotalUnits,,,,7.36 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81406,CPT,MOLECULAR PATHOLOGY PROCEDURE LEVEL 7,,,17,,TotalUnits,,,,9.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81407,CPT,MOLECULAR PATHOLOGY PROCEDURE LEVEL 8,,,17,,TotalUnits,,,,11.82 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81408,CPT,MOLECULAR PATHOLOGY PROCEDURE LEVEL 9,,,17,,TotalUnits,,,,14.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81420,CPT,FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS,,,17,,TotalUnits,,,,22.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81422,CPT,FETAL CHRMOML MICRODELTJ,,,17,,TotalUnits,,,,22.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81435,CPT,HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN,,,17,,TotalUnits,,,,22.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81436,CPT,HEREDITARY COLON CA DSRDRS DUP/DEL ANALYS 5 GEN,,,17,,TotalUnits,,,,22.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81445,CPT,GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE,,,17,,TotalUnits,,,,16.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81450,CPT,GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE,,,17,,TotalUnits,,,,18.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81455,CPT,GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51/> GEN,,,17,,TotalUnits,,,,52.97 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81479,CPT,UNLISTED MOLELCULAR PATHOLOGY PROCEDURE,,,17,,TotalUnits,,,,4.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81490,CPT,AUTOIMMUNE RHEUMATOID ARTHRTS ANALYS 12 BIOMRKRS,,,17,,TotalUnits,,,,6.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81493,CPT,COR ART DISEASE MRNA GENE EXPRESSION 23 GENES,,,17,,TotalUnits,,,,10.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81500,CPT,ONCO (OVARIAN) BIOCHEMICAL ASSAY TWO PROTEINS,,,17,,TotalUnits,,,,6.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81503,CPT,ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS,,,17,,TotalUnits,,,,5.82 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81507,CPT,FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK,,,17,,TotalUnits,,,,17.36 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81508,CPT,FETAL CONGENITAL ABNOR ASSAY TWO PROTEINS,,,17,,TotalUnits,,,,1.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81509,CPT,FETAL CONGENITAL ABNOR ASSAY 3 PROTEINS,,,17,,TotalUnits,,,,11.90 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81511,CPT,FETAL CONGENITAL ABNOR ASSAY FOUR ANAL,,,17,,TotalUnits,,,,1.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81512,CPT,FETAL CONGENITAL ABNOR ASSAY FIVE ANAL,,,17,,TotalUnits,,,,3.10 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81519,CPT,ONCOLOGY BREAST MRNA GENE EXPRESSION 21 GENES,,,17,,TotalUnits,,,,95.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81525,CPT,ONCOLOGY COLON MRNA GENE EXPRESSION 12 GENES,,,17,,TotalUnits,,,,17.98 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81528,CPT,ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS,,,17,,TotalUnits,,,,14.21 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81535,CPT,ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP 1ST,,,17,,TotalUnits,,,,16.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81536,CPT,ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP ADD,,,17,,TotalUnits,,,,4.96 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81538,CPT,ONCOLOGY LUNG MS 8-PROTEIN SIGNATURE,,,17,,TotalUnits,,,,5.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81540,CPT,ONCOLOGY TUM UNKNOWN ORIGIN MRNA 92 GENES,,,17,,TotalUnits,,,,40.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81545,CPT,ONCOLOGY THYROID GENE EXPRESSION 142 GENES,,,17,,TotalUnits,,,,23.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81595,CPT,CARDIOLOGY HRT TRNSPL MRNA GENE EXPRESS 20 GENES,,,17,,TotalUnits,,,,10.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 81599,CPT,UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS,,,17,,TotalUnits,,,,1.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82009,CPT,KETONE BODIES SERUM QUALITATIVE,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82010,CPT,KETONE BODIES SERUM QUANTITATIVE,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82013,CPT,ASSAY OF ACETYLCHOLINESTERASE,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82016,CPT,ACYLCARNITINES QUALITATIVE EACH SPECIMEN,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82017,CPT,ACYLCARNITINES QUANTIATIVE EACH SPECIMEN,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82024,CPT,ADRENOCORTICOTROPIC HORMONE ACTH,,,17,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82030,CPT,ADENOSINE 5-MONOPHOSPHATE CYCLIC,,,17,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82040,CPT,ALBUMIN SERUM PLASMA/WHOLE BLOOD,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82042,CPT,ALBUMIN URINE/OTHER SOURCE QUAN EACH SPECIMEN,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82043,CPT,ALBUMIN URINE MICROALBUMIN QUANTIATIVE,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82044,CPT,ALBUMIN URINE MICROALBUMIN SEMIQUANTITATIVE,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82045,CPT,ALBUMIN ISCHEMIA MODIFIED,,,17,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82075,CPT,ASSAY OF ALCOHOL BREATH,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82085,CPT,ASSAY OF ALDOLASE,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82088,CPT,ASSAY OF ALDOSTERONE,,,17,,TotalUnits,,,,1.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82103,CPT,ALPHA-1-ANTITRYPSIN TOTAL,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82104,CPT,ALPHA-1-ANTITRYPSIN PHENOTYPE,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82105,CPT,ALPHA-FETOPROTEIN SERUM,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82106,CPT,ALPHA-FETOPROTEIN AMNIOTIC FLUID,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82107,CPT,AFP-L3 FRACTION ISOFORM & TOTAL AFP W/RATIO,,,17,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82108,CPT,ASSAY OF ALUMINUM,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82120,CPT,AMINES VAGINAL FLUID QUALITATIVE,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82127,CPT,AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82128,CPT,AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82131,CPT,AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82135,CPT,AMINOLEVULINIC ACID DELTA,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82136,CPT,AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82139,CPT,AMINO ACIDS 6/> AMINO ACIDS QUANTITATIVE EA SPE,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82140,CPT,ASSAY OF AMMONIA,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82143,CPT,AMNIOTIC FLU SCAN,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82150,CPT,ASSAY OF AMYLASE,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82154,CPT,ANDROSTANEDIOL GLUCURONIDE,,,17,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82157,CPT,ANDROSTENEDIONE,,,17,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82160,CPT,ANDROSTERONE,,,17,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82163,CPT,ANGIOTENSIN II,,,17,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82164,CPT,ANGIOTENSIN I-CONVERTING ENZYME,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82172,CPT,APOLIPOPROTEIN EACH,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82175,CPT,ASSAY OF ARSENIC,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82180,CPT,ASSAY OF ASCORBIC ACID BLOOD,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82190,CPT,ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82232,CPT,BETA-2 MICROGLOBULIN,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82239,CPT,BILE ACIDS TOTAL,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82240,CPT,BILE ACIDS CHOLYLGLYCINE,,,17,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82247,CPT,BILIRUBIN TOTAL,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82248,CPT,BILIRUBIN DIRECT,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82252,CPT,BILIRUBIN FECES QUALITATIVE,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82261,CPT,BIOTINIDASE EACH SPECIMEN,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82270,CPT,BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82271,CPT,BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82272,CPT,BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82274,CPT,BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82286,CPT,BRADYKININ,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82300,CPT,CADMIUM,,,17,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82306,CPT,25 HYDROXY INCLUDES FRACTIONS IF PERFORMED,,,17,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82308,CPT,CALCITONIN,,,17,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82310,CPT,CALCIUM TOTAL,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82330,CPT,CALCIUM IONIZED,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82331,CPT,CALCIUM AFTER CALCIUM INFUSION TEST,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82340,CPT,CALCIUM URINE QUANTITATIVE TIMED SPECIMEN,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82355,CPT,CALCULUS QUALITATIVE ANALYSIS,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82360,CPT,CALCULUS QUANTITATIVE CHEMICAL,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82365,CPT,CALCULUS INFRARED SPECTROSCOPY,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82370,CPT,CALCULUS XRAY DIFFRACTION,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82373,CPT,CARBOHYDRATE DEFICIENT TRANSFERRIN,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82374,CPT,CARBON DIOXIDE BICARBONATE,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82375,CPT,CARBOXYHEMOGLOBIN QUANTITATIVE,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82376,CPT,CARBOXYHEMOGLOBIN QUALITATIVE,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82378,CPT,CARCINOEMBRYONIC ANTIGEN CEA,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82379,CPT,CARNITINE QUANTITATIVE EACH SPECIMEN,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82380,CPT,CAROTENE,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82382,CPT,CATECHOLAMINES TOTAL URINE,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82383,CPT,CATECHOLAMINES BLOOD,,,17,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82384,CPT,CATECHOLAMINES FRACTIONATED,,,17,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82387,CPT,CATHEPSIN-D,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82390,CPT,CERULOPLASMIN,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82397,CPT,CHEMILUMINESCENT ASSAY,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82415,CPT,CHLORAMPHENICOL,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82435,CPT,CHLORIDE BLD,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82436,CPT,CHLORIDE URINE,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82438,CPT,CHLORIDE OTHER SOURCE,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82441,CPT,CHLORINATED HYDROCARBONS SCREEN,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82465,CPT,CHOLESTEROL SERUM/WHOLE BLOOD TOTAL,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82480,CPT,CHOLINESTERASE SERUM,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82482,CPT,CHOLINESTERASE RBC,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82485,CPT,CHONDROITIN B SULFATE QUANTITATIVE,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82495,CPT,ASSAY OF CHROMIUM,,,17,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82507,CPT,ASSAY OF CITRATE,,,17,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82523,CPT,COLLAGEN CROSS LINKS ANY METHOD,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82525,CPT,ASSAY OF COPPER,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82528,CPT,CORTICOSTERONE,,,17,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82530,CPT,CORTISOL FREE,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82533,CPT,CORTISOL TOTAL,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82540,CPT,ASSAY OF CREATINE,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82542,CPT,COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82550,CPT,CREATINE KINASE TOTAL,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82552,CPT,CREATINE KINASE ISOENZYMES,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82553,CPT,CREATINE KINASE MB FRACTION ONLY,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82554,CPT,CREATINE KINASE ISOFORMS,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82565,CPT,CREATININE BLOOD,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82570,CPT,CREATININE OTHER SOURCE,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82575,CPT,CREATININE CLEARANCE,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82585,CPT,ASSAY OF CRYOFIBRN,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82595,CPT,CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82600,CPT,ASSAY OF CYANIDE,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82607,CPT,CYANOCOBALAMIN VITAMIN B-12,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82608,CPT,CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82610,CPT,CYSTATIN C,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82615,CPT,CSTINE&HOMOCSTINE URINE QUALITATIVE,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82626,CPT,DEHYDROEPIANDROSTERONE,,,17,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82627,CPT,DEHYDROEPIANDROSTERONE-SULFATE,,,17,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82633,CPT,DESOXYCORTICOSTERONE 11-,,,17,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82634,CPT,DEOXYCORTISOL 11-,,,17,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82638,CPT,ASSAY OF DIBUCAINE NUMBER,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82652,CPT,1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,,,17,,TotalUnits,,,,1.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82656,CPT,ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82657,CPT,NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82658,CPT,NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82664,CPT,ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED,,,17,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82668,CPT,ASSAY OF ERYTHROPOIETIN,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82670,CPT,ASSAY OF ESTRADIOL,,,17,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82671,CPT,ASSAY OF ESTROGENS FRACTIONATED,,,17,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82672,CPT,ASSAY OF ESTROGENS TOTAL,,,17,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82677,CPT,ASSAY OF ESTRIOL,,,17,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82679,CPT,ASSAY OF ESTRONE,,,17,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82693,CPT,ASSAY OF ETHYLENE GLYCOL,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82696,CPT,ASSAY OF ETIOCHOLANOLONE,,,17,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82705,CPT,FAT/LIPIDS FECES QUALITATIVE,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82710,CPT,FAT/LIPIDS FECES QUANTITATIVE,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82715,CPT,FAT DIFFIAL FECES QUANTITATIVE,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82725,CPT,FATTY ACIDS NONESTERIFIED,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82726,CPT,VERY LONG CHAIN FATTY ACIDS,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82728,CPT,ASSAY OF FERRITIN,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82731,CPT,FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN,,,17,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82735,CPT,ASSAY OF FLUORIDE,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82746,CPT,ASSAY OF FOLIC ACID SERUM,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82747,CPT,ASSAY OF FOLIC ACID RBC,,,17,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82757,CPT,ASSAY OF FRUCTOSE SEMEN,,,17,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82759,CPT,ASSAY OF GALACTOKINASE RBC,,,17,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82760,CPT,ASSAY OF GALACTOSE,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82775,CPT,GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN,,,17,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82776,CPT,GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82777,CPT,GALECTIN-3,,,17,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82784,CPT,ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82785,CPT,ASSAY OF GAMMAGLOBULIN IGE,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82787,CPT,GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82800,CPT,GASES BLOOD PH ONLY,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82803,CPT,BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82805,CPT,GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY,,,17,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82810,CPT,GASES BLOOD O2 SATURATION ONLY DIRECT MEAS,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82820,CPT,HGB-O2 AFFINITY PO2 50% SATURATION OXYGEN,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82930,CPT,GASTRIC ACID ANALYIS W/PH EACH SPECIMEN,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82938,CPT,GASTRIN AFTER SECRETIN STIMULATION,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82941,CPT,ASSAY OF GASTRIN,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82943,CPT,ASSAY OF GLUCAGON,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82945,CPT,GLUCOSE BODY FLUID OTHER THAN BLOOD,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82946,CPT,GLUCOSE TOLERANCE TEST,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82947,CPT,GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82948,CPT,GLUCOSE BLOOD REAGENT STRIP,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82950,CPT,GLUCOSE POST GLUCOSE DOSE,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82951,CPT,GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82952,CPT,GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82955,CPT,GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82960,CPT,GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82962,CPT,GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,,,17,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82963,CPT,ASSAY OF GLUCOSIDASE BETA,,,17,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82965,CPT,ASSAY OF GLUTAMATE DEHYDROGENASE,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82977,CPT,ASSAY OF GLUTAMYLTRASE GAMMA,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82978,CPT,ASSAY OF GLUTATHIONE,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82979,CPT,ASSAY OF GLUTATHIONE REDUCTASE RBC,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 82985,CPT,ASSAY OF GLYCATED PROTEIN,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83001,CPT,GONADOTROPIN FOLLICLE STIMULATING HORMONE,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83002,CPT,GONADOTROPIN LUTEINIZING HORMONE,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83003,CPT,ASSAY OF GROWTH HORMONE HUMAN,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83006,CPT,GROWTH STIMULATION EXPRESSED GENE 2,,,17,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83009,CPT,HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE,,,17,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83010,CPT,ASSAY OF HAPTOGLOBIN QUANTITATIVE,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83012,CPT,ASSAY OF HAPTOGLOBIN PHENOTYPES,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83013,CPT,HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE,,,17,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83014,CPT,HPYLORI DRUG ADMINISTRATION,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83015,CPT,HEAVY METAL SCREEN,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83018,CPT,HEAVY METAL QUANTIATIVE EACH,,,17,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83020,CPT,HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 83020,CPT,HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 83021,CPT,HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83026,CPT,HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED,,,17,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83030,CPT,HEMOGLOBIN F FETAL CHEMICAL,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83033,CPT,HEMOGLOBIN F FETAL QUALITATIVE,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83036,CPT,HEMOGLOBIN GLYCOSYLATED A1C,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83037,CPT,HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83045,CPT,HEMOGLOBIN METHEMOGLOBIN QUALITATIVE,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83050,CPT,HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83051,CPT,ASSAY OF HEMOGLOBIN PLASMA,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83060,CPT,HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83065,CPT,HEMOGLOBIN THERMOLABILE,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83068,CPT,HEMOGLOBIN UNSTABLE SCREEN,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83069,CPT,ASSAY OF HEMOGLOBIN URINE,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83070,CPT,ASSAY OF HEMOSIDERIN QUALITATIVE,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83080,CPT,ASSAY OF B-HEXOSAMINIDASE EACH ASSAY,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83088,CPT,ASSAY OF HISTAMINE,,,17,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83090,CPT,ASSAY OF HOMOCYSTEINE,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83150,CPT,ASSAY OF HOMOVANILLIC ACID,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83491,CPT,HYDROXYCORTICOSTEROIDS 17,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83497,CPT,ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83498,CPT,ASSAY OF HYDROXYPROGESTERONE 17-D,,,17,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83499,CPT,ASSAY OF HYDROXYPROGESTERONE 20-,,,17,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83500,CPT,ASSAY OF HYDROXYPROLINE FREE,,,17,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83505,CPT,ASSAY OF HYDROXYPROLINE TOTAL,,,17,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83516,CPT,IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83518,CPT,IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83519,CPT,IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83520,CPT,IMMUNOASSAY ANALYTE QUANTITATIVE NOS,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83525,CPT,ASSAY OF INSULIN TOTAL,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83527,CPT,ASSAY OF INSULIN FREE,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83528,CPT,ASSAY OF INTRINSIC FACTOR,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83540,CPT,ASSAY OF IRON,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83550,CPT,IRON BINDING CAPACITY,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83570,CPT,ISOCITRIC DEHYDROGENASE,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83582,CPT,ASSAY OF KETOGENIC STEROIDS FRACTIONATION,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83586,CPT,ASSAY OF KETOSTEROIDS 17- TOTAL,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83593,CPT,KETOSTEROIDS 17- FRACTIONATION,,,17,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83605,CPT,ASSAY OF LACTATE,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83615,CPT,LACTATE DEHYDROGENASE LDH,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83625,CPT,LACTATE DEHYDROGENASE ISOENZYMES SEP&QUAN,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83630,CPT,LACTOFERRIN FECAL QUALITATIVE,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83631,CPT,LACTOFERRIN FECAL QUANTITATIVE,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83632,CPT,LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN,,,17,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83633,CPT,LACTOSE URINE QUALITATIVE,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83655,CPT,ASSAY OF LEAD,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83661,CPT,FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO,,,17,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83662,CPT,FETAL LUNG MATURITY FOAM STABILITY TEST,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83663,CPT,FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83664,CPT,FETAL LUNG MATURITY LAMELLAR BODY DENSITY,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83670,CPT,LEUCINE AMINOPEPTIDASE LAP,,,17,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83690,CPT,ASSAY OF LIPASE,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83695,CPT,LIPOPROTEIN (A),,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83698,CPT,LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,,,17,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83700,CPT,LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP&QUAN,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83701,CPT,LIPOPROTEIN BLOOD HIGH RESOLTJ&QUANTJ SUBCLASS,,,17,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83704,CPT,LIPOPROTEIN BLOOD QUAN NUMBERS&SUBCLASSES,,,17,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83718,CPT,LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83719,CPT,LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83721,CPT,LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83727,CPT,LUTEINIZING RELEASING FACTOR,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83735,CPT,ASSAY OF MAGNESIUM,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83775,CPT,ASSAY OF MALATE DEHYDROGENASE,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83785,CPT,ASSAY OF MANGANESE,,,17,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83789,CPT,MASS SPECT&TANDEM MASS SPECT NONDRG ANAL NES EA,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83825,CPT,ASSAY OF MERCURY QUANTITATIVE,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83835,CPT,METANEPHRINES,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83857,CPT,METHEMALBUMIN,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83861,CPT,MICROFLUIDIC ANALYSIS TEAR OSMOLARITY,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83864,CPT,MUCOPOLYSACCHARIDES ACID QUANTITATIVE,,,17,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83872,CPT,MUCIN SYNOVIAL FLUID ROPES TEST,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83873,CPT,MYELIN BASIC PROTEIN CEREBROSPINAL FLUID,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83874,CPT,MYOGLOBIN,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83876,CPT,MYELOPEROXIDASE MPO,,,17,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83880,CPT,NATRIURETIC PEPTIDE,,,17,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83883,CPT,ASSAY OF NEPHELOMETRY EACH ANALYTE NES,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83885,CPT,ASSAY OF NICKEL,,,17,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83915,CPT,ASSAY OF NUCLEOTIDASE 5'-,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83916,CPT,OLIGOCLONAL IMMUNE,,,17,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83918,CPT,ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83919,CPT,ORGANIC ACIDS QUALITATIVE EACH SPECIMEN,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83921,CPT,ORGANIC ACID 1 QUANTITATIVE,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83930,CPT,ASSAY OF OSMOLALITY BLOOD,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83935,CPT,ASSAY OF OSMOLALITY URINE,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83937,CPT,ASSAY OF OSTEOCALCIN,,,17,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83945,CPT,ASSAY OF OXALATE,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83950,CPT,ONCOPROTEIN HER-2/NEU,,,17,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83951,CPT,ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP,,,17,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83970,CPT,ASSAY OF PARATHORMONE,,,17,,TotalUnits,,,,1.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83986,CPT,PH BODY FLUID NOT ELSEWHERE SPECIFIED,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83987,CPT,PH EXHALED BREATH CONDENSATE,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83992,CPT,ASSAY OF PHENCYCLIDINE,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 83993,CPT,ASSAY OF CALPROTECTIN FECAL,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84030,CPT,ASSAY OF PHENYLALANINE BLOOD,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84035,CPT,ASSAY OF PHENYLKETONES QUALITATIVE,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84060,CPT,ASSAY OF PHOSPHATASE ACID TOTAL,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84061,CPT,PHOSPHATASE ACID FORENSIC EXAMINATION,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84066,CPT,ASSAY OF PHOSPHATASE ACID PROSTATIC,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84075,CPT,ASSAY OF PHOSPHATASE ALKALINE,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84078,CPT,ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84080,CPT,ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84081,CPT,PHOSPHATIDYLGLYCEROL,,,17,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84085,CPT,PHOSPHOGLUCONATE 6-DEHYD RBC,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84087,CPT,ASSAY OF PHOSPHOHEXOSE ISOMERASE,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84100,CPT,ASSAY OF PHOSPHORUS INORGANIC,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84105,CPT,ASSAY OF PHOSPHORUS INORGANIC URINE,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84106,CPT,PORPHOBILINOGEN URINE QUALITATIVE,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84110,CPT,ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84112,CPT,EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN,,,17,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84119,CPT,PORPHYRINS URINE QUALITATAIVE,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84120,CPT,PORPHYRINS URINE QUANTITATION & FRACTIONATION,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84126,CPT,PORPHYRINS FECES QUANTITATIVE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84132,CPT,POTASSIUM SERUM PLASMA/WHOLE BLOOD,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84133,CPT,POTASSIUM URINE,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84134,CPT,PREALBUMIN,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84135,CPT,PREGNANEDIOL,,,17,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84138,CPT,PREGNANETRIOL,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84140,CPT,PREGNENOLONE,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84143,CPT,17-HYDROXYPREGNENOLONE,,,17,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84144,CPT,ASSAY OF PROGESTERONE,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84145,CPT,PROCALCITONIN (PCT),,,17,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84146,CPT,ASSAY OF PROLACTIN,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84150,CPT,ASSAY OF PROSTAGLNDIN EACH,,,17,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84152,CPT,ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84153,CPT,ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84154,CPT,ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84155,CPT,PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84156,CPT,PROTEIN TOTAL XCPT REFRACTOMETRY URINE,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84157,CPT,PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84160,CPT,PROTEIN TOTAL REFRACTOMETRY ANY SRC,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84163,CPT,PREGNANCY-ASSOCIATED PLASMA PROTEIN-A,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84165,CPT,PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 84165,CPT,PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 84166,CPT,PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATI,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 84166,CPT,PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATI,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,0,0,0,0,1,20170101, 84181,CPT,PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 84181,CPT,PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 84182,CPT,PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 84182,CPT,PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 84202,CPT,PROTOPORPHYRIN RBC QUANTITATIVE,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84203,CPT,PROTOPORPHYRIN RBC SCREEN,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84206,CPT,ASSAY OF PROINSULIN,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84207,CPT,ASSAY OF PYRIDOXAL PHOSPHATE,,,17,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84210,CPT,ASSAY OF PYRUVATE,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84220,CPT,ASSAY OF PYRUVATE KINASE,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84228,CPT,ASSAY OF QUININE,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84233,CPT,ASSAY OF RECEPTOR ASSAY ESTROGEN,,,17,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84234,CPT,ASSAY OF RECEPTOR ASSAY PROGESTERONE,,,17,,TotalUnits,,,,2.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84235,CPT,RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST,,,17,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84238,CPT,RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR,,,17,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84244,CPT,ASSAY OF RENIN,,,17,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84252,CPT,ASSAY OF RIBOFLAVIN-VITAMIN B-2,,,17,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84255,CPT,ASSAY OF SELENIUM,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84260,CPT,ASSAY OF SEROTONIN,,,17,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84270,CPT,ASSAY OF SEX HORMONE BINDING GLOBULIN,,,17,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84275,CPT,ASSAY OF SIALIC ACID,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84285,CPT,ASSAY OF SILICA,,,17,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84295,CPT,SODIUM SERUM PLASMA OR WHOLE BLOOD,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84300,CPT,ASSAY OF URINE SODIUM,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84302,CPT,ASSAY OF SODIUM OTHER SOURCE,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84305,CPT,ASSAY OF SOMATOMEDIN,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84307,CPT,ASSAY OF SOMATOSTATIN,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84311,CPT,SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84315,CPT,SPECIFIC GRAVITY EXCEPT URINE,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84375,CPT,SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84376,CPT,SUGARS MONO DI&OLIGOS 1 QUALITATAIVE EACH SPEC,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84377,CPT,SUGARS MONO DI&OLIGOS MLT QUALITATIVE EACH SPE,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84378,CPT,SUGARS MONO DI&OLIGOS 1 QUANTITATIVE EACH SPEC,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84379,CPT,SUGARS MONO DI&OLIGOS MLT QUANTITATIVE EA SPEC,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84392,CPT,ASSAY OF SULFATE URINE,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84402,CPT,ASSAY OF TESTOSTERONE FREE,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84403,CPT,ASSAY OF TESTOSTERONE TOTAL,,,17,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84425,CPT,ASSAY OF THIAMINE-VITAMIN B-1,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84430,CPT,ASSAY OF THIOCYANATE,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84431,CPT,THROMBOXANE METABOLITE W/WO THROMBOXANE URINE,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84432,CPT,ASSAY OF THYROGLOBULIN,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84436,CPT,ASSAY OF THYROXINE TOTAL,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84437,CPT,ASSAY OF THYROXINE REQUIRING ELUTION,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84439,CPT,ASSAY OF FREE THYROXINE,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84442,CPT,ASSAY OF THYROXINE BINDING GLOBULIN,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84443,CPT,ASSAY OF THYROID STIMULATING HORMONE TSH,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84445,CPT,THYROID STIMULATING IMMUNE GLOBULINS TSI,,,17,,TotalUnits,,,,1.93 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84446,CPT,ASSAY OF TOCOPHEROL ALPHA VITAMIN E,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84449,CPT,ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84450,CPT,TRANSFERASE ASPARTATE AMINO AST SGOT,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84460,CPT,TRANSFERASE ALANINE AMINO ALT SGPT,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84466,CPT,ASSAY OF L7383TRANSFERRIN,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84478,CPT,ASSAY OF TRIGLYCERIDES,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84479,CPT,THYROID HORM UPTK/THYROID HORMONE BINDING RATIO,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84480,CPT,ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84481,CPT,ASSAY OF TRIIODOTHYRONINE T3 FREE,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84482,CPT,TRIIODOTHYRONINE T3 REVERSE,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84484,CPT,ASSAY OF TROPONIN QUANTITATIVE,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84485,CPT,ASSAY OF TRYPSIN DUODENAL FLUID,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84488,CPT,ASSAY OF TRYPSIN FECES QUALITATIVE,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84490,CPT,TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84510,CPT,ASSAY OF TYROSINE,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84512,CPT,ASSAY OF TROPONIN QUALITATIVE,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84520,CPT,ASSAY OF UREA NITROGEN QUANTITATIVE,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84525,CPT,ASSAY OF UREA NITROGEN SEMIQUANTITATIVE,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84540,CPT,ASSAY OF UREA NITROGEN URINE,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84545,CPT,UREA NITROGEN CLEARANCE,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84550,CPT,ASSAY OF BLOOD/URIC ACID,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84560,CPT,ASSAY OF URIC ACID OTHER SOURCE,,,17,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84577,CPT,ASSAY OF UROBILINOGEN FECES QUANTITATIVE,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84578,CPT,ASSAY OF UROBILINOGEN URINE QUALITATIVE,,,17,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84580,CPT,UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84583,CPT,ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,,,17,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84585,CPT,ASSAY OF VANILLYLMANDELIC ACID URINE,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84586,CPT,ASSAY OF VASOACTIVE INTESTINAL PEPTIDE,,,17,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84588,CPT,ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,,,17,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84590,CPT,ASSAY OF VITAMIN A,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84591,CPT,ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84597,CPT,ASSAY OF VITAMIN K,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84600,CPT,ASSAY OF VOLATILES,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84620,CPT,XYLOSE ABSORPTION TEST BLOOD &/URINE,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84630,CPT,ASSAY OF ZINC,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84681,CPT,ASSAY OF C-PEPTIDE,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84702,CPT,GONADOTROPIN CHORIONIC QUANTITATIVE,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84703,CPT,GONADOTROPIN CHORIONIC QUALITATIVE,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84704,CPT,GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84830,CPT,OVULATION TEST VISUAL COLOR COMPARISON HLH,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 84999,CPT,UNLISTED CHEMISTRY PROCEDURE,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85002,CPT,BLEEDING TIME TEST,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85004,CPT,BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85007,CPT,BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85008,CPT,BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85009,CPT,BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85013,CPT,BLOOD COUNT SPUN MICROHEMATOCRIT,,,17,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85014,CPT,BLOOD COUNT HEMATOCRIT,,,17,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85018,CPT,BLOOD COUNT HEMOGLOBIN,,,17,,TotalUnits,,,,0.09 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85025,CPT,BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85027,CPT,BLOOD COUNT COMPLETE AUTOMATED,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85032,CPT,BLOOD COUNT MANUAL CELL COUNT EACH,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85041,CPT,BLOOD COUNT RED BLOOD CELL AUTOMATED,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85044,CPT,BLOOD COUNT RETICULOCYTE AUTOMATED,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85045,CPT,BLOOD COUNT RETICULOCYTE AUTOMATED,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85046,CPT,BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85048,CPT,BLOOD COUNT LEUKOCYTE WBC AUTOMATED,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85049,CPT,BLOOD COUNT PLATELET AUTOMATED,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85055,CPT,RETICULATED PLATELET ASSAY,,,17,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85060,CPT,BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,,,17,,RBRVS,0.45 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 85097,CPT,BONE MARROW SMEAR INTERPRETATION,,,17,,RBRVS,0.94 ,0.43 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 85130,CPT,CHROMOGENIC SUBSTRATE ASSAY,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85170,CPT,BLOOD CLOT RETRACTION,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85175,CPT,CLOT LYSIS TIME WHOLE BLOOD DILUTION,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85210,CPT,CLOTTING FACTOR II PROTHROMBIN SPECIFIC,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85220,CPT,CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR,,,17,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85230,CPT,CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85240,CPT,CLOTTING FACTOR VIII AHG 1 STAGE,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85244,CPT,CLOTTING FACTOR VIII RELATED ANTIGEN,,,17,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85245,CPT,CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT,,,17,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85246,CPT,CLOTTING FACTOR VIII VW FACTOR ANTIGEN,,,17,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85247,CPT,CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS,,,17,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85250,CPT,CLOTTING FACTOR IX PTC/CHRISTMAS,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85260,CPT,CLOTTING FACTOR X STUART-PROWER,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85270,CPT,CLOTTING FACTOR XI PTA,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85280,CPT,CLOTTING FACTOR XII HAGEMAN,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85290,CPT,CLOTTING FACTOR XIII FIBRIN STABILIZING,,,17,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85291,CPT,CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85292,CPT,CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85293,CPT,CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY,,,17,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85300,CPT,CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85301,CPT,CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85302,CPT,CLOTTING INHIBITORS PROTEIN C ANTIGEN,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85303,CPT,CLOTTING INHIBITORS PROTEIN C ACTIVITY,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85305,CPT,CLOTTING INHIBITORS PROTEIN S TOTAL,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85306,CPT,CLOTTING INHIBITORS PROTEIN S FREE,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85307,CPT,ACTIVATED PROTEIN C APC RESISTANCE ASSAY,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85335,CPT,FACTOR INHIBITOR TEST,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85337,CPT,THROMBOMODULIN,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85345,CPT,COAGULATION TIME LEE AND WHITE,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85347,CPT,COAGULATION TIME ACTIVATED,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85348,CPT,COAGULATION TIME OTHER METHODS,,,17,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85360,CPT,EUGLOBULIN LYSIS,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85362,CPT,FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85366,CPT,FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85370,CPT,FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85378,CPT,FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85379,CPT,FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85380,CPT,FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85384,CPT,FIBRINOGEN ACTIVITY,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85385,CPT,FIBRINOGEN ANTIGEN,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85390,CPT,FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP&REPOR,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 85390,CPT,FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP&REPOR,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 85396,CPT,COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY,,,17,,RBRVS,0.37 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85397,CPT,COAGJ&FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL,,,17,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85400,CPT,FIBRINOLYTIC FACTORS & INHIBITORS PLASMIN,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85410,CPT,FBRNLYC FACTORS&INHIBITORS ALPHA-2 ANTIPLASMIN,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85415,CPT,FBRNLYC FACTORS&INHIBITORS PLSMNG ACTIVATOR,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85420,CPT,FBRNLYC FACTORS&INHIBITRS PLSMNG XCPT AGIC ASS,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85421,CPT,FBRNLYC FACTORS&INHIBITORS PLSMNG AGIC ASSAY,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85441,CPT,HEINZ BODIES DIRECT,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85445,CPT,HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85460,CPT,HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS,,,17,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85461,CPT,HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85475,CPT,HEMOLYSIN ACID,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85520,CPT,HEPARIN ASSAY,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85525,CPT,HEPARIN NEUTRALIZATION,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85530,CPT,HEPARIN-PROTAMINE TOLERANCE TST,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85536,CPT,IRON STAIN PERIPHERAL BLOOD,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85540,CPT,WBC ALKALINE PHOSPHATASE COUNT,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85547,CPT,MECHANICAL FRAGILITY RBC,,,17,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85549,CPT,MURAMIDASE,,,17,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85555,CPT,OSMOTIC FRAGILITY RBC UNINCUBATED,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85557,CPT,OSMOTIC FRAGILITY RBC INCUBATED,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85576,CPT,PLATELET AGGREGATION IN VITRO EACH AGENT,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 85576,CPT,PLATELET AGGREGATION IN VITRO EACH AGENT,,,17,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 85597,CPT,PHOSPHOLIPID NEUTRALIZATION PLATELET,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85598,CPT,PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85610,CPT,PROTHROMBIN TIME,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85611,CPT,PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85612,CPT,RUSSELL VIPER VENON TIME UNDILUTED,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85613,CPT,RUSSELL VIPER VENOM TIME DILUTED,,,17,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85635,CPT,REPTILASE TEST,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85651,CPT,SEDIMENTATION RATE RBC NON-AUTOMATED,,,17,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85652,CPT,SEDIMENTATION RATE RBC AUTOMATED,,,17,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85660,CPT,SICKLING RBC REDUCTION,,,17,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85670,CPT,THROMBIN TIME PLASMA,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85675,CPT,THROMBIN TIME TITER,,,17,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85705,CPT,THROMBOPLASTIN INHIBITION TISSUE,,,17,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85730,CPT,THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD,,,17,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85732,CPT,THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85810,CPT,VISCOSITY,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 85999,CPT,UNLISTED HEMATOLOGY & COAGULATION PROCEDURE,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86000,CPT,AGGLUTININS FEBRILE EACH ANTIGEN,,,17,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86001,CPT,ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86003,CPT,ALLERGEN SPECIFIC IGE QUAN/SEMIQUAN EA ALLERGEN,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86005,CPT,ALLERGEN SPECIFIC IGE QUAL MULTIALLERGEN SCREEN,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86021,CPT,ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86022,CPT,ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86023,CPT,ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86038,CPT,ANTINUCLEAR ANTIBODIES ANA,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86039,CPT,ANTINUCLEAR ANTIBODIES ANA TITER,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86060,CPT,ANTISTREPTOLYSIN O TITER,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86063,CPT,ANTISTREPTOLYSIN O SCREEN,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86077,CPT,BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REP,,,17,,RBRVS,0.94 ,0.49 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86078,CPT,BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT,,,17,,RBRVS,0.94 ,0.49 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86079,CPT,BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT,,,17,,RBRVS,0.94 ,0.47 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86140,CPT,C-REACTIVE PROTEIN,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86141,CPT,C-REACTIVE PROTEIN HIGH SENSITIVITY,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86146,CPT,BETA 2 GLYCOPROTEIN I ANTIBODY EACH,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86147,CPT,CARDIOLIPIN ANTIBODY EACH IG CLASS,,,17,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86148,CPT,ANTI-PHOSPHATIDYLSERINE ANTIBODY,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86152,CPT,CELL ENUMERATION IMMUNE SELECTJ & ID FLUID SPEC,,,17,,TotalUnits,,,,9.35 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86153,CPT,CELL ENUMERATION IMMUNE SELECTJ & ID PHYS INTERP,26,,17,,RBRVS,0.69 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 86153,CPT,CELL ENUMERATION IMMUNE SELECTJ & ID PHYS INTERP,,,17,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86155,CPT,CHEMOTAXIS ASSAY SPECIFY METHOD,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86156,CPT,COLD AGGLUTININ SCREEN,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86157,CPT,COLD AGGLUTININ TITER,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86160,CPT,COMPLEMENT ANTIGEN EACH COMPONENT,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86161,CPT,COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86162,CPT,COMPLEMENT TOTAL HEMOLYTIC,,,17,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86171,CPT,COMPLEMENT FIXATION TESTS EACH ANTIGEN,,,17,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86185,CPT,CNTERIMMUNOELECTROPHORESIS EACH ANTIGEN,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86200,CPT,CYCLIC CITRULLINATED PEPTIDE ANTIBODY,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86215,CPT,DEOXYRIBONUCLEASE ANTIBODY,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86225,CPT,DNA ANTIBODY NATIVE/DOUBLE STRANDED,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86226,CPT,DNA ANTIBODY SINGLE STRANDED,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86235,CPT,EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,,,17,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86243,CPT,FC RECEPTOR,,,17,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86255,CPT,FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 86255,CPT,FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 86256,CPT,FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 86256,CPT,FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 86277,CPT,GROWTH HORMONE HUMAN ANTIBODY,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86280,CPT,HEMAGGLUTINATION INHIBITION TEST HAI,,,17,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86294,CPT,IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86300,CPT,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86301,CPT,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86304,CPT,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86305,CPT,HUMAN EPIDIDYMIS PROTEIN 4 (HE4),,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86308,CPT,HETEROPHILE ANTIBODIES SCREEN,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86309,CPT,HETEROPHILE ANTIBODIES TITER,,,17,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86310,CPT,HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION,,,17,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86316,CPT,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE,,,17,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86317,CPT,IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86318,CPT,IMMUNOASSAY NFCT AGT ANTB QUAL/SEMIQUAN 1 STEP,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86320,CPT,IMMUNOELECTROPHORESIS SERUM,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 86320,CPT,IMMUNOELECTROPHORESIS SERUM,,,17,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 86325,CPT,IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 86325,CPT,IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION,,,17,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 86327,CPT,IMMUNOELECTROPHORESIS CROSSED,26,,17,,RBRVS,0.42 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 86327,CPT,IMMUNOELECTROPHORESIS CROSSED,,,17,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 86329,CPT,IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86331,CPT,IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86332,CPT,IMMUNE COMPLEX ASSAY,,,17,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86334,CPT,IMMUNOFIXJ ELECTROPHORESIS SERUM,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 86334,CPT,IMMUNOFIXJ ELECTROPHORESIS SERUM,,,17,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 86335,CPT,IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS,26,,17,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20170101, 86335,CPT,IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS,,,17,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,0,1,20170101, 86336,CPT,INHIBIN A,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86337,CPT,INSULIN ANTIBODIES,,,17,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86340,CPT,INTRINSIC FACTOR ANTIBODIES,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86341,CPT,ISLET CELL ANTIBODY,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86343,CPT,LEUKOCYTE HISTAMINE RELEASE TEST LHR,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86344,CPT,LEUKOCYTE PHAGOCYTOSIS,,,17,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86352,CPT,CELLULAR FUNCTION ASSAY STIMUL&DETECT BIOMARKE,,,17,,TotalUnits,,,,5.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86353,CPT,LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS,,,17,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86355,CPT,B CELLS TOTAL COUNT,,,17,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86356,CPT,MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,,,17,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86357,CPT,NATURAL KILLER CELLS TOTAL COUNT,,,17,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86359,CPT,T CELLS TOTAL COUNT,,,17,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86360,CPT,T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,,,17,,TotalUnits,,,,1.79 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86361,CPT,T CELLS ABSOLUTE CD4 COUNT,,,17,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86367,CPT,STEM CELLS TOTAL COUNT,,,17,,TotalUnits,,,,1.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86376,CPT,MICROSOMAL ANTIBODIES EACH,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86378,CPT,MIGRATION INHIBITORY FACTOR TEST MIF,,,17,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86382,CPT,NEUTRALIZATION TEST VIRAL,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86384,CPT,NITROBLUE TETRAZOLIUM DYE TEST NTD,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86386,CPT,NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86403,CPT,PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86406,CPT,PARTICLE AGGLUTINATION TITER EACH ANTIBODY,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86430,CPT,RHEUMATOID FACTOR QUALITATIVE,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86431,CPT,RHEUMATOID FACTOR QUANTITATIVE,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86480,CPT,TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON,,,17,,TotalUnits,,,,2.36 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86481,CPT,TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP,,,17,,TotalUnits,,,,2.85 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86485,CPT,SKIN TEST CANDIDA,,TC,17,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86486,CPT,SKIN TEST UNLISTED ANTIGEN EACH,,TC,17,,RBRVS,,0.13 ,0.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86490,CPT,SKIN TEST COCCIDIOIDOMYCOSIS,,TC,17,,RBRVS,,1.96 ,1.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86510,CPT,SKIN TEST HISTOPLASMOSIS,,TC,17,,RBRVS,,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86580,CPT,SKIN TEST TUBERCULOSIS INTRADERMAL,,TC,17,,RBRVS,,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86590,CPT,STREPTOKINASE ANTIBODY,,,17,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86592,CPT,SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL,,,17,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86593,CPT,SYPHILIS TEST QUANTITATIVE,,,17,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86602,CPT,ANTIBODY ACTINOMYCES,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86603,CPT,ANTIBODY ADENOVIRUS,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86606,CPT,ANTIBODY ASPERGILLUS,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86609,CPT,ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86611,CPT,ANTIBODY BARTONELLA,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86612,CPT,ANTIBODY BLASTOMYCES,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86615,CPT,ANTIBODY BORDETELLA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86617,CPT,ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86618,CPT,ANTIBODY BORRELIA BURGDORFERI LYME DISEASE,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86619,CPT,ANTIBODY BORRELIA RELAPSING FEVER,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86622,CPT,ANTIBODY BRUCELLA,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86625,CPT,ANTIBODY CAMPYLOBACTER,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86628,CPT,ANTIBODY CANDIDA,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86631,CPT,ANTIBODY CHLAMYDIA,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86632,CPT,ANTIBODY CHLAMYDIA IGM,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86635,CPT,ANTIBODY COCCIDIOIDES,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86638,CPT,ANTIBODY COXIELLA BURNETII Q FEVER,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86641,CPT,ANTIBODY CRYPTOCOCCUS,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86644,CPT,ANTIBODY CYTOMEGALOVIRUS CMV,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86645,CPT,ANTIBODY CYTOMEGALOVIRUS CMV IGM,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86648,CPT,ANTIBODY DIPHTHERIA,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86651,CPT,ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86652,CPT,ANTIBODY ENCEPHALITIS EASTERN EQUINE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86653,CPT,ANTIBODY ENCEPHALITIS ST. LOUIS,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86654,CPT,ANTIBODY ENCEPHALITIS WESTRN EQUINE,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86658,CPT,ANTIBODY ENTEROVIRUS,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86663,CPT,ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86664,CPT,ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86665,CPT,ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,,,17,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86666,CPT,ANTIBODY EHRLICHIA,,,17,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86668,CPT,ANTIBODY FRANCISELLA TULARENSIS,,,17,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86671,CPT,ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86674,CPT,ANTIBODY GIARDIA LAMBLIA,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86677,CPT,ANTIBODY HELICOBACTER PYLORI,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86682,CPT,ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86684,CPT,ANTIBODY HAEMOPHILUS INFLUENZA,,,17,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86687,CPT,ANTIBODY HTLV-I,,,17,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86688,CPT,ANTIBODY HTLV-II,,,17,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86689,CPT,ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86692,CPT,ANTIBODY HEP DELTA AGENT,,,17,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86694,CPT,ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86695,CPT,ANTIBODY HERPES SMPLX TYPE 1,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86696,CPT,ANTIBODY HERPES SMPLX TYPE 2,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86698,CPT,ANTIBODY HISTOPLASMA,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86701,CPT,ANTIBODY HIV-1,,,17,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86702,CPT,ANTIBODY HIV-2,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86703,CPT,ANTIBODY HIV-1&HIV-2 SINGLE RESULT,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86704,CPT,HEPATITIS B CORE ANTIBODY HBCAB TOTAL,,,17,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86705,CPT,HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86706,CPT,HEPATITIS B SURF ANTIBODY HBSAB,,,17,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86707,CPT,HEPATITIS BE ANTIBODY HBEAB,,,17,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86708,CPT,HEPATITIS A ANTIBODY HAAB,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86709,CPT,HEPATITIS ANTIBODY HAAB IGM ANTIBODY,,,17,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86710,CPT,ANTIBODY INFLUENZA VIRUS,,,17,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86711,CPT,ANTIBODY JOHN CUNNINGHAM VIRUS,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86713,CPT,ANTIBODY LEGIONELLA,,,17,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86717,CPT,ANTIBODY LEISHMANIA,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86720,CPT,ANTIBODY LEPTOSPIRA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86723,CPT,ANTIBODY LISTERIA MONOCYTOGENES,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86727,CPT,ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86729,CPT,ANTIBODY LYMPHOGRANULOMA VENEREUM,,,17,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86732,CPT,ANTIBODY MUCORMYCOSIS,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86735,CPT,ANTIBODY MUMPS,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86738,CPT,ANTIBODY MYCOPLSM,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86741,CPT,ANTIBODY NEISSERIA MENINGITIDIS,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86744,CPT,ANTIBODY NOCARDIA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86747,CPT,ANTIBODY PARVOVIRUS,,,17,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86750,CPT,ANTIBODY PLASMODIUM MALARIA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86753,CPT,ANTIBODY PROTOZOA NES,,,17,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86756,CPT,ANTIBODY RESPIRATORY SYNCTIAL VIRUS,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86757,CPT,ANTIBODY RICKETTSIA,,,17,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86759,CPT,ANTIBODY ROTAVIRUS,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86762,CPT,ANTIBODY RUBELLA,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86765,CPT,ANTIBODY RUBEOLA,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86768,CPT,ANTIBODY SALMONELLA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86771,CPT,ANTIBODY SHIGELLA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86774,CPT,ANTIBODY TETANUS,,,17,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86777,CPT,ANTIBODY TOXOPLASMA,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86778,CPT,ANTIBODY TOXOPLASMA IGM,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86780,CPT,ANTIBODY TREPONEMA PALLIDUM,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86784,CPT,ANTIBODY TRICHINELLA,,,17,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86787,CPT,ANTIBODY VARICELLA-ZOSTER,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86788,CPT,ANTIBODY WEST NILE VIRUS IGM,,,17,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86789,CPT,ANTIBODY WEST NILE VIRUS,,,17,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86790,CPT,ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86793,CPT,ANTIBODY YERSINIA,,,17,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86800,CPT,THYROGLOBULIN ANTIBODY,,,17,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86803,CPT,HEPATITIS C ANTIBODY,,,17,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86804,CPT,HEPATITIS C ANTIBODY CONFIRMATORY TEST,,,17,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86805,CPT,LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ,,,17,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86806,CPT,LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT,,,17,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86807,CPT,SERUM SCREENING % REACTIVE ANTIBODY STANDRD METH,,,17,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86808,CPT,SERUM SCREENING % REACTIVE ANTIBODY QUICK METH,,,17,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86812,CPT,HLA TYPING A/B/C SINGLE ANTIGEN,,,17,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86813,CPT,HLA TYPING A/B/C MULTIPLE ANTIGENS,,,17,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86816,CPT,HLA TYPING DR/DQ SINGLE ANTIGEN,,,17,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86817,CPT,HLA TYPING DR/DQ MULTIPLE ANTIGENS,,,17,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86821,CPT,HLA TYPING LYMPHOCYTE CULTURE MIXED,,,17,,TotalUnits,,,,2.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86822,CPT,HLA TYPING LYMPHOCYTE CULTURE PRIMED,,,17,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86825,CPT,HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION,,,17,,TotalUnits,,,,3.06 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86826,CPT,HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION,,,17,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86828,CPT,ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL,,,17,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86829,CPT,ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL,,,17,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86830,CPT,ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE,,,17,,TotalUnits,,,,3.07 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86831,CPT,ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL,,,17,,TotalUnits,,,,2.63 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86832,CPT,ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL,,,17,,TotalUnits,,,,4.83 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86833,CPT,ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL,,,17,,TotalUnits,,,,4.39 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86834,CPT,ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL,,,17,,TotalUnits,,,,13.60 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86835,CPT,ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL,,,17,,TotalUnits,,,,12.29 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86849,CPT,UNLISTED IMMUNOLOGY,,,17,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86850,CPT,ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE,,,17,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86860,CPT,ANTIBODY ELUTION RBC EACH ELUTION,,,17,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86870,CPT,ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,,,17,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86880,CPT,ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86885,CPT,ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL,,,17,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86886,CPT,ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER,,,17,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86890,CPT,AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,,,17,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86891,CPT,AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE,,,17,,TotalUnits,,,,2.28 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86900,CPT,BLOOD TYPING SEROLOGIC ABO,,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86901,CPT,BLOOD TYPING SEROLOGIC RH (D),,,17,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20170101, 86902,CPT,BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,,,17,,TotalUnits,,,,0.15 ,,$0.00,