Version 3.23 Update - Outpatient Facility,,,,,,,,,,,,, ,,,,,,,,,,,,, Item Code,Code Type,Description,Modifier,Service Category Code,Multiple Surgery Indicator,Primary/Pass-Through Indicator,Unit Charge,Base Charge,Unit Type,Inpatient Indicator,Skilled Nursing Facility Indicator,Start Date,End Date 10021,CPT,FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 10022,CPT,FINE NEEDLE ASPIRATION WITH IMAGING GUIDANCE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 10030,CPT,IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 10035,CPT,PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 10036,CPT,PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE,,30,,,"$2,189.92",$0.00,1,0,1,20180101, 10040,CPT,ACNE SURGERY,,30,,,$622.76,$0.00,1,0,1,20180101, 10060,CPT,INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,,30,,,$622.76,$0.00,1,0,1,20180101, 10061,CPT,INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 10080,CPT,INCISION & DRAINAGE PILONIDAL CYST SIMPLE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 10081,CPT,INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 10120,CPT,INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 10121,CPT,INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 10140,CPT,I&D HEMATOMA SEROMA/FLUID COLLECTION,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 10160,CPT,PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 10180,CPT,INCISION & DRAINAGE COMPLEX PO WOUND INFECTION,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11000,CPT,DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 11001,CPT,DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10% BDY SURF,,30,,,$301.08,$0.00,1,0,1,20180101, 11010,CPT,DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11011,CPT,DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11012,CPT,DBRDMT FX&/DISLC SUBQ T/M/F BONE,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11042,CPT,DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11043,CPT,DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 11044,CPT,DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11045,CPT,DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM,,30,,,"$1,046.43",$0.00,1,0,1,20180101, 11046,CPT,DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,,30,,,"$1,160.08",$0.00,1,0,1,20180101, 11047,CPT,DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,,30,,,"$2,395.21",$0.00,1,0,1,20180101, 11055,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,,30,,,$622.76,$0.00,1,0,1,20180101, 11056,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4,,30,,,$622.76,$0.00,1,0,1,20180101, 11057,CPT,PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4,,30,,,$622.76,$0.00,1,0,1,20180101, 11100,CPT,BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11101,CPT,BIOPSY SKIN SUBQ&/MUCOUS MEMBRANE EA ADDL LESN,,30,,,$279.65,$0.00,1,0,1,20180101, 11200,CPT,REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15,,30,,,$622.76,$0.00,1,0,1,20180101, 11201,CPT,REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10,,30,,,$143.08,$0.00,1,0,1,20180101, 11300,CPT,SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<,,30,,,$622.76,$0.00,1,0,1,20180101, 11301,CPT,SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM,,30,,,$622.76,$0.00,1,0,1,20180101, 11302,CPT,SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM,,30,,,$622.76,$0.00,1,0,1,20180101, 11303,CPT,SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11305,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<,,30,,,$622.76,$0.00,1,0,1,20180101, 11306,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM,,30,,,$622.76,$0.00,1,0,1,20180101, 11307,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM,,30,,,$622.76,$0.00,1,0,1,20180101, 11308,CPT,SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11310,CPT,SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<,,30,,,$622.76,$0.00,1,0,1,20180101, 11311,CPT,SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM,,30,,,$622.76,$0.00,1,0,1,20180101, 11312,CPT,SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11313,CPT,SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11400,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11401,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11402,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11403,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM/<,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11404,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11406,CPT,EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11420,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11421,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11422,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11423,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11424,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11426,CPT,EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11440,CPT,EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11441,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11442,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11443,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11444,CPT,EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11446,CPT,EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11450,CPT,EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11451,CPT,EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11462,CPT,EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11463,CPT,EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11470,CPT,EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11471,CPT,EXCISION H/P/P/U COMPLEX REPAIR,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11600,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11601,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11602,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11603,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM/<,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11604,CPT,EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11606,CPT,EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11620,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/<,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11621,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11622,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11623,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM/<,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11624,CPT,EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11626,CPT,EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11640,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11641,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11642,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11643,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11644,CPT,EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 11646,CPT,EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11719,CPT,TRIMMING NONDYSTROPHIC NAILS ANY NUMBER,,30,,,$345.25,$0.00,1,0,1,20180101, 11720,CPT,DEBRIDEMENT NAIL ANY METHOD 1-5,,30,,,$345.25,$0.00,1,0,1,20180101, 11721,CPT,DEBRIDEMENT NAIL ANY METHOD 6/>,,30,,,$345.25,$0.00,1,0,1,20180101, 11730,CPT,AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,,30,,,$622.76,$0.00,1,0,1,20180101, 11732,CPT,AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,,30,,,$270.41,$0.00,1,0,1,20180101, 11740,CPT,EVACUATION SUBUNGUAL HEMATOMA,,30,,,$536.04,$0.00,1,0,1,20180101, 11750,CPT,EXCISION NAIL MATRIX PERMANENT REMOVAL,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11755,CPT,BIOPSY NAIL UNIT SEPARATE PROCEDURE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11760,CPT,REPAIR NAIL BED,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 11762,CPT,RECONSTRUCTION NAIL BED W/GRAFT,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 11765,CPT,WEDGE EXCISION SKIN NAIL FOLD,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11770,CPT,EXCISION PILONIDAL CYST/SINUS SIMPLE,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11771,CPT,EXCISION PILONIDAL CYST/SINUS EXTENSIVE,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11772,CPT,EXCISION PILONIDAL CYST/SINUS COMPLICATED,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11900,CPT,INJECTION INTRALESIONAL UP TO & INCLUD 7 LESIONS,,30,,,$622.76,$0.00,1,0,1,20180101, 11901,CPT,INJECTION INTRALESIONAL >7 LESIONS,,30,,,$622.76,$0.00,1,0,1,20180101, 11920,CPT,TATTOOING INCL MICROPIGMENTATION 6.0 CM/<,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 11921,CPT,TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 11922,CPT,TATTOOING INCL MICROPIGMENTATION EA 20.0 CM,,30,,,"$6,816.85",$0.00,1,0,1,20180101, 11950,CPT,SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<,,30,,,$622.76,$0.00,1,0,1,20180101, 11951,CPT,SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 11952,CPT,SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 11954,CPT,SUBCUTANEOUS INJECTION FILLING MATRL >10.0 CC,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 11960,CPT,INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 11970,CPT,REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 11971,CPT,REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 11976,CPT,REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 11980,CPT,SUBCUTANEOUS HORMONE PELLET IMPLANTATION,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 11981,CPT,INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,,30,,,$536.04,$0.00,1,0,1,20180101, 11982,CPT,REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 11983,CPT,RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 12001,CPT,SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,,30,,,$622.76,$0.00,1,0,1,20180101, 12002,CPT,SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,,30,,,$622.76,$0.00,1,0,1,20180101, 12004,CPT,SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,,30,,,$622.76,$0.00,1,0,1,20180101, 12005,CPT,SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12006,CPT,SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12007,CPT,SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,,30,,,$622.76,$0.00,1,0,1,20180101, 12011,CPT,SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,,30,,,$622.76,$0.00,1,0,1,20180101, 12013,CPT,SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM,,30,,,$622.76,$0.00,1,0,1,20180101, 12014,CPT,SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM,,30,,,$622.76,$0.00,1,0,1,20180101, 12015,CPT,SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM,,30,,,$622.76,$0.00,1,0,1,20180101, 12016,CPT,SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12017,CPT,SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12018,CPT,SIMPLE REPAIR F/E/E/N/L/M >30.0 CM,,30,,,$622.76,$0.00,1,0,1,20180101, 12020,CPT,TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 12021,CPT,TX SUPERFICIAL WOUND DEHISCENCE W/PACKING,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12031,CPT,REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12032,CPT,REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12034,CPT,REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12035,CPT,REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12036,CPT,REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 12037,CPT,REPAIR INTERMEDIATE S/A/T/E >30.0 CM,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 12041,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12042,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12044,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 12045,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 12046,CPT,RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12047,CPT,REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 12051,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12052,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12053,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12054,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12055,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12056,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 12057,CPT,REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 13100,CPT,REPAIR COMPLEX TRUNK 1.1-2.5 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 13101,CPT,REPAIR COMPLEX TRUNK 2.6-7.5 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 13102,CPT,REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<,,30,,,"$1,589.13",$0.00,1,0,1,20180101, 13120,CPT,REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 13121,CPT,REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 13122,CPT,REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<,,30,,,"$1,514.18",$0.00,1,0,1,20180101, 13131,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 13132,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 13133,CPT,REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<,,30,,,"$1,169.70",$0.00,1,0,1,20180101, 13151,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 13152,CPT,REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 13153,CPT,REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/<,,30,,,"$1,336.31",$0.00,1,0,1,20180101, 13160,CPT,SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 14000,CPT,ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM/<,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 14001,CPT,ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 14020,CPT,ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/<,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 14021,CPT,ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 14040,CPT,ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 14041,CPT,ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 14060,CPT,ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/<,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 14061,CPT,ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 14301,CPT,ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 14302,CPT,ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM/<,,30,,,"$3,318.64",$0.00,1,0,1,20180101, 14350,CPT,FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15002,CPT,PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15003,CPT,PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT,,30,,,"$1,677.04",$0.00,1,0,1,20180101, 15004,CPT,PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 15005,CPT,PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT,,30,,,"$2,490.72",$0.00,1,0,1,20180101, 15040,CPT,HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/<,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15050,CPT,PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 15100,CPT,SPLIT AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15101,CPT,SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD,,30,,,"$3,436.66",$0.00,1,0,1,20180101, 15110,CPT,EPIDRM AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15111,CPT,EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD,,30,,,"$1,941.47",$0.00,1,0,1,20180101, 15115,CPT,EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/<,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15116,CPT,EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM,,30,,,"$1,386.89",$0.00,1,0,1,20180101, 15120,CPT,SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM//=100SCM ADL 100SQCM,,30,,,"$1,511.27",$0.00,1,0,1,20180101, 15275,CPT,SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15276,CPT,SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM,,30,,,$797.76,$0.00,1,0,1,20180101, 15277,CPT,SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15278,CPT,SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM ADL 100SQ CM,,30,,,"$1,812.81",$0.00,1,0,1,20180101, 15570,CPT,FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15572,CPT,FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15574,CPT,FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15576,CPT,FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15600,CPT,DELAY FLAP/SECTIONING FLAP TRUNK,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15610,CPT,DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15620,CPT,DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15630,CPT,DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15650,CPT,TRANSFER ANY PEDICLE FLAP ANY LOCATION,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15730,CPT,MDFC FLAP W/PRSRV VASC PEDCL,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15731,CPT,FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15733,CPT,MUSC MYOQ/FSCQ FLP H&N PEDCL,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15734,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15736,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15738,CPT,MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15740,CPT,FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15750,CPT,FLAP NEUROVASCULAR PEDICLE,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15760,CPT,GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15770,CPT,GRAFT DERMA-FAT-FASCIA,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15775,CPT,PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 15776,CPT,PUNCH GRAFT HAIR TRANSPLANT >15 PUNCH GRAFTS,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 15777,CPT,IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT,,30,,,"$5,349.22",$0.00,1,0,1,20180101, 15780,CPT,DERMABRASION TOTAL FACE,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15781,CPT,DERMABRASION SEGMENTAL FACE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 15782,CPT,DERMABRASION REGIONAL OTHER THAN FACE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 15783,CPT,DERMABRASION SUPERFICIAL ANY SITE,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 15786,CPT,ABRASION 1 LESION,,30,,,$622.76,$0.00,1,0,1,20180101, 15787,CPT,ABRASION EACH ADDITIONAL 4 LESIONS OR LESS,,30,,,$538.61,$0.00,1,0,1,20180101, 15788,CPT,CHEMICAL PEEL FACIAL EPIDERMAL,,30,,,$622.76,$0.00,1,0,1,20180101, 15789,CPT,CHEMICAL PEEL FACIAL DERMAL,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 15792,CPT,CHEMICAL PEEL NONFACIAL EPIDERMAL,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 15793,CPT,CHEMICAL PEEL NONFACIAL DERMAL,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 15819,CPT,CERVICOPLASTY,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15820,CPT,BLEPHAROPLASTY LOWER EYELID,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15821,CPT,BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15822,CPT,BLEPHAROPLASTY UPPER EYELID,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15823,CPT,BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15824,CPT,RHYTIDECTOMY FOREHEAD,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15825,CPT,RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15826,CPT,RHYTIDECTOMY GLABELLAR FROWN LINES,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15828,CPT,RHYTIDECTOMY CHEEK CHIN & NECK,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15829,CPT,RHYTIDECTOMY SMAS FLAP,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15830,CPT,EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 15832,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15833,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE LEG,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15834,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15835,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15836,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15837,CPT,EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15838,CPT,EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15839,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15840,CPT,GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15841,CPT,GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15842,CPT,GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15845,CPT,GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15847,CPT,EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN,,30,,,"$7,582.20",$0.00,1,0,1,20180101, 15850,CPT,REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 15851,CPT,REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15852,CPT,DRESSING CHANGE UNDER ANESTHESIA,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 15860,CPT,IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 15876,CPT,SUCTION ASSISTED LIPECTOMY HEAD & NECK,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15877,CPT,SUCTION ASSISTED LIPECTOMY TRUNK,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15878,CPT,SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15879,CPT,SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15920,CPT,EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15922,CPT,EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15931,CPT,EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 15933,CPT,EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15934,CPT,EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15935,CPT,EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15936,CPT,EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15937,CPT,EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15940,CPT,EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15941,CPT,EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15944,CPT,EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15945,CPT,EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15946,CPT,EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15950,CPT,EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 15951,CPT,EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 15952,CPT,EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15953,CPT,EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15956,CPT,EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 15958,CPT,EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 15999,CPT,UNLISTED PROCEDURE EXCISION PRESSURE ULCER,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 16000,CPT,INITIAL TX 1ST DEGREE BURN LOCAL TX,,30,,,$622.76,$0.00,1,0,1,20180101, 16020,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,,30,,,$622.76,$0.00,1,0,1,20180101, 16025,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM,,30,,,$622.76,$0.00,1,0,1,20180101, 16030,CPT,DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 16035,CPT,ESCHAROTOMY FIRST INCISION,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17000,CPT,DESTRUCTION PREMALIGNANT LESION 1ST,,30,,,$622.76,$0.00,1,0,1,20180101, 17003,CPT,DESTRUCTION PREMALIGNANT LESION 2-14 EA,,30,,,$111.57,$0.00,1,0,1,20180101, 17004,CPT,DESTRUCTION PREMALIGNANT LESION 15/>,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17106,CPT,DESTRUCTION CUTANEOUS VASC PROLIFERATIVE <10CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17107,CPT,DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 17108,CPT,DSTRJ CUTANEOUS VASCULAR LESIONS >50.0 SQ CM,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 17110,CPT,DESTRUCTION BENIGN LESIONS UP TO 14,,30,,,$622.76,$0.00,1,0,1,20180101, 17111,CPT,DESTRUCTION BENIGN LESIONS 15/>,,30,,,$622.76,$0.00,1,0,1,20180101, 17250,CPT,CHEMICAL CAUTERIZATION GRANULATION TISSUE,,30,,,$622.76,$0.00,1,0,1,20180101, 17260,CPT,DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<,,30,,,$622.76,$0.00,1,0,1,20180101, 17261,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,,30,,,$622.76,$0.00,1,0,1,20180101, 17262,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM,,30,,,$622.76,$0.00,1,0,1,20180101, 17263,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM,,30,,,$622.76,$0.00,1,0,1,20180101, 17264,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17266,CPT,DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17270,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/>,,30,,,$622.76,$0.00,1,0,1,20180101, 17271,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM,,30,,,$622.76,$0.00,1,0,1,20180101, 17272,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM,,30,,,$622.76,$0.00,1,0,1,20180101, 17273,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17274,CPT,DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17276,CPT,DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17280,CPT,DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<,,30,,,$622.76,$0.00,1,0,1,20180101, 17281,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17282,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17283,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 17284,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 17286,CPT,DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 17311,CPT,MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 17312,CPT,MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE,,30,,,"$1,318.21",$0.00,1,0,1,20180101, 17313,CPT,MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 17314,CPT,MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE,,30,,,"$1,358.60",$0.00,1,0,1,20180101, 17315,CPT,MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE,,30,,,"$1,037.57",$0.00,1,0,1,20180101, 17340,CPT,CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE,,30,,,$192.66,$0.00,1,0,1,20180101, 17360,CPT,CHEMICAL EXFOLIATION ACNE,,30,,,$622.76,$0.00,1,0,1,20180101, 17380,CPT,ELECTROLYSIS EPILATION EACH 30 MINUTES,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 17999,CPT,UNLISTED PX SKIN MUC MEMBRANE & SUBQ TISSUE,,30,,,$622.76,$0.00,1,0,1,20180101, 19000,CPT,PUNCTURE ASPIRATION CYST BREAST,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 19001,CPT,PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST,,30,,,$606.90,$0.00,1,0,1,20180101, 19020,CPT,MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 19030,CPT,INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM,,30,,,$648.24,$0.00,1,0,1,20180101, 19081,CPT,BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 19082,CPT,BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID,,30,,,"$4,245.18",$0.00,1,0,1,20180101, 19083,CPT,BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 19084,CPT,BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID,,30,,,"$3,236.04",$0.00,1,0,1,20180101, 19085,CPT,BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 19086,CPT,BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID,,30,,,"$5,322.34",$0.00,1,0,1,20180101, 19100,CPT,BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 19101,CPT,BIOPSY BREAST OPEN INCISIONAL,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19105,CPT,ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19110,CPT,NIPPLE EXPLORATION,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19112,CPT,EXCISION LACTIFEROUS DUCT FISTULA,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19120,CPT,EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19125,CPT,EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19126,CPT,EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL,,30,,,"$4,123.67",$0.00,1,0,1,20180101, 19260,CPT,EXCISION CHEST WALL TUMOR INCLUDING RIBS,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 19281,CPT,PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 19282,CPT,PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE,,30,,,"$1,152.33",$0.00,1,0,1,20180101, 19283,CPT,PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 19284,CPT,PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC,,30,,,"$2,831.05",$0.00,1,0,1,20180101, 19285,CPT,PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 19286,CPT,PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,,30,,,$956.66,$0.00,1,0,1,20180101, 19287,CPT,PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 19288,CPT,PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID,,30,,,"$5,588.38",$0.00,1,0,1,20180101, 19296,CPT,PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST,,30,,,"$23,478.07",$0.00,1,0,1,20180101, 19297,CPT,PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST,,30,,,"$9,399.85",$0.00,1,0,1,20180101, 19298,CPT,PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 19300,CPT,MASTECTOMY GYNECOMASTIA,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19301,CPT,MASTECTOMY PARTIAL,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19302,CPT,MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 19303,CPT,MASTECTOMY SIMPLE COMPLETE,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 19304,CPT,MASTECTOMY SUBCUTANEOUS,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19307,CPT,MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 19316,CPT,MASTOPEXY,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 19318,CPT,REDUCTION MAMMAPLASTY,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 19324,CPT,MAMMAPLASTY AUGMENTATION W/O PROSTHETIC IMPLANT,,30,,,"$23,478.07",$0.00,1,0,1,20180101, 19325,CPT,MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT,,30,,,"$23,478.07",$0.00,1,0,1,20180101, 19328,CPT,REMOVAL INTACT MAMMARY IMPLANT,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19330,CPT,REMOVAL MAMMARY IMPLANT MATERIAL,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19340,CPT,IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 19342,CPT,DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ,,30,,,"$23,478.07",$0.00,1,0,1,20180101, 19350,CPT,NIPPLE/AREOLA RECONSTRUCTION,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19355,CPT,CORRECTION INVERTED NIPPLES,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19357,CPT,BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ,,30,,,"$20,814.30",$0.00,1,0,1,20180101, 19366,CPT,BREAST RECONSTRUCTION OTHER TECHNIQUE,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 19370,CPT,OPEN PERIPROSTHETIC CAPSULOTOMY BREAST,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19371,CPT,PERIPROSTHETIC CAPSULECTOMY BREAST,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19380,CPT,REVISION RECONSTRUCTED BREAST,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 19396,CPT,PREPARATION MOULAGE CUSTOM BREAST IMPLANT,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 19499,CPT,UNLISTED PROCEDURE BREAST,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 20005,CPT,I&D SOFT TISSUE ABSCESS SUBFASC,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 20100,CPT,EXPLORATION PENETRATING WOUND SPX NECK,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 20101,CPT,EXPLORATION PENETRATING WOUND SPX CHEST,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 20102,CPT,EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 20103,CPT,EXPLORATION PENETRATING WOUND SPX EXTREMITY,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 20150,CPT,EXCISION EPIPHYSEAL BAR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 20200,CPT,BIOPSY MUSCLE SUPERFICIAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 20205,CPT,BIOPSY MUSCLE DEEP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 20206,CPT,BIOPSY MUSCLE PERCUTANEOUS NEEDLE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 20220,CPT,BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 20225,CPT,BIOPSY BONE TROCAR/NEEDLE DEEP,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 20240,CPT,BIOPSY BONE OPEN SUPERFICIAL,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 20245,CPT,BIOPSY BONE OPEN DEEP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 20250,CPT,BIOPSY VERTEBRAL BODY OPEN THORACIC,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 20251,CPT,BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 20500,CPT,INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 20501,CPT,INJECTION SINUS TRACT DIAGNOSTIC,,30,,,$830.47,$0.00,1,0,1,20180101, 20520,CPT,REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 20525,CPT,RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 20526,CPT,INJECTION THERAPEUTIC CARPAL TUNNEL,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20527,CPT,INJECTION ENZYME PALMAR FASCIAL CORD,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20550,CPT,INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20551,CPT,INJECTION SINGLE TENDON ORIGIN/INSERTION,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20552,CPT,INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20553,CPT,INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20555,CPT,PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 20600,CPT,ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20604,CPT,ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20605,CPT,ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20606,CPT,ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 20610,CPT,ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20611,CPT,ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20612,CPT,ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 20615,CPT,ASPIRATION & INJECTION TREATMENT BONE CYST,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 20650,CPT,INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 20660,CPT,APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 20662,CPT,APPLICATION HALO PELVIC INCLUDING REMOVAL,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 20663,CPT,APPLICATION HALO FEMORAL INCLUDING REMOVAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 20665,CPT,REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 20670,CPT,REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 20680,CPT,REMOVAL IMPLANT DEEP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 20690,CPT,APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 20692,CPT,APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 20693,CPT,ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 20694,CPT,REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 20696,CPT,XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST & SUBQ,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 20697,CPT,XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 20822,CPT,RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 20900,CPT,BONE GRAFT ANY DONOR AREA MINOR/SMALL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 20902,CPT,BONE GRAFT ANY DONOR AREA MAJOR/LARGE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 20910,CPT,CARTILAGE GRAFT COSTOCHONDRAL,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 20912,CPT,CARTILAGE GRAFT NASAL SEPTUM,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 20920,CPT,FASCIA LATA GRAFT BY STRIPPER,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 20922,CPT,FASCIA LATA GRAFT INCISION & AREA EXPOSURE,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 20924,CPT,TENDON GRAFT FROM A DISTANCE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 20926,CPT,TISSUE GRAFTS OTHER,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 20930,CPT,ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED,,30,,,"$5,165.84",$0.00,1,0,1,20180101, 20931,CPT,ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL,,30,,,"$6,231.32",$0.00,1,0,1,20180101, 20936,CPT,AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION,,30,,,"$6,588.44",$0.00,1,0,1,20180101, 20937,CPT,AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION,,30,,,"$4,644.71",$0.00,1,0,1,20180101, 20938,CPT,AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC,,30,,,"$7,546.82",$0.00,1,0,1,20180101, 20950,CPT,MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 20972,CPT,FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 20973,CPT,FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 20975,CPT,ELECTRICAL STIMULATION BONE HEALING INVASIVE,,30,,,"$1,071.00",$0.00,1,0,1,20180101, 20979,CPT,LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE,,30,,,$113.56,$0.00,1,0,1,20180101, 20982,CPT,ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 20983,CPT,ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 20985,CPT,CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS,,30,,,"$12,346.26",$0.00,1,0,1,20180101, 20999,CPT,UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 21010,CPT,ARTHROTOMY TEMPOROMANDIBULAR JOINT,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21011,CPT,EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 21012,CPT,EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 21013,CPT,EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 21014,CPT,EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21015,CPT,RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21016,CPT,RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21025,CPT,EXCISION BONE MANDIBLE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21026,CPT,EXCISION FACIAL BONE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21029,CPT,REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21030,CPT,EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL & CURTG,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21031,CPT,EXCISION TORUS MANDIBULARIS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21032,CPT,EXCISION MAXILLARY TORUS PALATINUS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21034,CPT,EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21040,CPT,EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL & CURT,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21044,CPT,EXCISION MALIGNANT TUMOR MANDIBLE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21046,CPT,EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21047,CPT,EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT&PRTL MNDB,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21048,CPT,EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21049,CPT,EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT&PRTL MAXLC,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21050,CPT,CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21060,CPT,MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21070,CPT,CORONOIDECTOMY SEPARATE PROCEDURE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21073,CPT,MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 21076,CPT,IMPRESSION&PREPARATION SURG OBTURATOR PROSTHES,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 21077,CPT,IMPRESSION & PREPARATION ORBITAL PROSTHESIS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21079,CPT,IMPRESSION & PREPARATION INTERIM OBTURATOR PROST,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21080,CPT,IMPRESSION & PREPJ DEFINITIVE OBTURATOR PROSTHES,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21081,CPT,IMPRESSION & PREPJ MANDIBULAR RESECTION PROSTHES,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21082,CPT,IMPRESSION & PREPJ PALATAL AUGMENTATION PROSTHES,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21083,CPT,IMPRESSION & PREPARATION PALATAL LIFT PROSTHESIS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21084,CPT,IMPRESSION & PREPARATION SPEECH AID PROSTHESIS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21085,CPT,IMPRESSION & PREPARATION ORAL SURGICAL SPLINT,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 21086,CPT,IMPRESSION & PREPARATION AURICULAR PROSTHESIS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21087,CPT,IMPRESSION & PREPARATION NASAL PROSTHESIS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21088,CPT,IMPRESSION & PREPARATION FACIAL PROSTHESIS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21089,CPT,UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 21100,CPT,APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21110,CPT,APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 21116,CPT,INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY,,30,,,$366.47,$0.00,1,0,1,20180101, 21120,CPT,GENIOPLASTY AUGMENTATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21121,CPT,GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21122,CPT,GENIOPLASTY 2/> SLIDING OSTEOTOMIES,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21123,CPT,GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21125,CPT,AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21127,CPT,AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21137,CPT,REDUCTION FOREHEAD CONTOURING ONLY,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21138,CPT,RDCTJ FHD CNTRG & PROSTHETIC MATRL/BONE GRAFT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21139,CPT,RDCTJ FHD CNTRG & SETBACK ANT FRONTAL SINUS WALL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21150,CPT,RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21172,CPT,RCNSTJ SUPERIOR-LATERAL ORBITAL RIM & LOWER FHD,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21175,CPT,RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS & LWR FHD,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21181,CPT,RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21193,CPT,RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21195,CPT,RCNSTJ MNDBLR RAMI&/BODY SGTL SPLT W/O INT RGD,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21198,CPT,OSTEOTOMY MANDIBLE SEGMENTAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21199,CPT,OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21206,CPT,OSTEOTOMY MAXILLA SEGMENTAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21208,CPT,OSTEOPLASTY FACIAL BONES AUGMENTATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21209,CPT,OSTEOPLASTY FACIAL BONES REDUCTION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21210,CPT,GRAFT BONE NASAL/MAXILLARY/MALAR AREAS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21215,CPT,GRAFT BONE MANDIBLE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21230,CPT,GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21235,CPT,GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21240,CPT,ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21242,CPT,ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21243,CPT,ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 21244,CPT,RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21245,CPT,RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21246,CPT,RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21248,CPT,RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21249,CPT,RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21256,CPT,RECONSTRUCTION ORBIT W/OSTEOTOMIES & BONE GRAFTS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21260,CPT,PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21261,CPT,PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA & XTR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21263,CPT,PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21267,CPT,ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21270,CPT,MALAR AUGMENTATION PROSTHETIC MATERIAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21275,CPT,SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21280,CPT,MEDIAL CANTHOPEXY SEPARATE PROCEDURE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21282,CPT,LATERAL CANTHOPEXY,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21295,CPT,REDUCTION MASSETER MUSCLE & BONE EXTRAORAL,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 21296,CPT,REDUCTION MASSETER MUSCLE & BONE INTRAORAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21299,CPT,UNLISTED CRANIOFACIAL & MAXILLOFACIAL PROCEDURE,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 21310,CPT,CLOSED TREATMENT NASAL FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 21315,CPT,CLOSED TX NASAL FRACTURE W/O STABILIZATION,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 21320,CPT,CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21325,CPT,OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21330,CPT,OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FI,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21335,CPT,OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21336,CPT,OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 21337,CPT,CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21338,CPT,OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21339,CPT,OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21340,CPT,PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21345,CPT,CLOSED TX NASOMAXILLARY COMPLEX FRACTURE,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 21346,CPT,OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG & FXJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21355,CPT,PERCUTANEOUS TX MALAR AREA FRACTURE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21356,CPT,OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21360,CPT,OPEN TX DEPRESSED MALAR FRACTURE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21365,CPT,OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21385,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21386,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21387,CPT,OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21390,CPT,OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21395,CPT,OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21400,CPT,CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 21401,CPT,CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 21406,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21407,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21408,CPT,OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21421,CPT,CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21440,CPT,CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21445,CPT,OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21450,CPT,CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 21451,CPT,CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 21452,CPT,PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21453,CPT,CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21454,CPT,OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21461,CPT,OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21462,CPT,OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21465,CPT,OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21470,CPT,OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21480,CPT,CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 21485,CPT,CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 21490,CPT,OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 21497,CPT,INTERDENTAL WIRING OTHER THAN FRACTURE,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 21499,CPT,UNLISTED MUSCULOSKELETAL PROCEDURE HEAD,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 21501,CPT,I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21502,CPT,I&D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 21550,CPT,BIOPSY SOFT TISSUE NECK/THORAX,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 21552,CPT,EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21554,CPT,EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21555,CPT,EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 21556,CPT,EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21557,CPT,RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21558,CPT,RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21600,CPT,EXCISION RIB PARTIAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 21610,CPT,COSTOTRANSVERSECTOMY SEPARATE PROCEDURE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 21685,CPT,HYOID MYOTOMY & SUSPENSION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 21700,CPT,DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 21720,CPT,DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 21725,CPT,DIVISION STERNOCLEIDOMASTOID OPEN W/CAST,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 21742,CPT,REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 21743,CPT,REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 21811,CPT,OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 21812,CPT,OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 21813,CPT,OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 21820,CPT,CLOSED TREATMENT STERNUM FRACTURE,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 21899,CPT,UNLISTED PROCEDURE NECK/THORAX,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 21920,CPT,BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 21925,CPT,BIOPSY SOFT TISSUE BACK/FLANK DEEP,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 21930,CPT,EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 21931,CPT,EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 21932,CPT,EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21933,CPT,EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21935,CPT,RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 21936,CPT,RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 22100,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 22101,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 22102,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 22103,CPT,PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA,,30,,,"$5,279.59",$0.00,1,0,1,20180101, 22310,CPT,CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 22315,CPT,CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 22505,CPT,MANIPULATION SPINE REQUIRING ANESTHESIA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 22510,CPT,PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 22511,CPT,PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 22512,CPT,VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL,,30,,,"$6,992.90",$0.00,1,0,1,20180101, 22513,CPT,PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 22514,CPT,PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 22515,CPT,PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,,30,,,"$10,561.74",$0.00,1,0,1,20180101, 22526,CPT,PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL,,30,,,"$5,323.07",$0.00,1,0,1,20180101, 22527,CPT,PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL,,30,,,"$2,869.89",$0.00,1,0,1,20180101, 22551,CPT,ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 22552,CPT,ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC,,30,,,"$5,457.95",$0.00,1,0,1,20180101, 22554,CPT,ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 22585,CPT,ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC,,30,,,"$5,642.51",$0.00,1,0,1,20180101, 22612,CPT,ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 22614,CPT,ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL,,30,,,"$8,439.36",$0.00,1,0,1,20180101, 22840,CPT,POSTERIOR NON-SEGMENTAL INSTRUMENTATION,,30,,,"$4,496.08",$0.00,1,0,1,20180101, 22842,CPT,POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG,,30,,,"$7,980.61",$0.00,1,0,1,20180101, 22845,CPT,ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS,,30,,,"$4,352.11",$0.00,1,0,1,20180101, 22853,CPT,INSJ BIOMECHANICAL DEVICE,,30,,,"$4,633.62",$0.00,1,0,1,20180101, 22854,CPT,INSJ BIOMECHANICAL DEVICE,,30,,,"$5,781.82",$0.00,1,0,1,20180101, 22856,CPT,TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 22859,CPT,INSJ BIOMECHANICAL DEVICE,,30,,,"$5,781.82",$0.00,1,0,1,20180101, 22867,CPT,INSJ STABLJ DEV W/DCMPRN,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 22868,CPT,INSJ STABLJ DEV W/DCMPRN,,30,,,"$4,372.74",$0.00,1,0,1,20180101, 22869,CPT,INSJ STABLJ DEV W/O DCMPRN,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 22870,CPT,INSJ STABLJ DEV W/O DCMPRN,,30,,,"$2,751.60",$0.00,1,0,1,20180101, 22899,CPT,UNLISTED PROCEDURE SPINE,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 22900,CPT,EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 22901,CPT,EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 22902,CPT,EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 22903,CPT,EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 22904,CPT,RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 22905,CPT,RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 22999,CPT,UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 23000,CPT,REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 23020,CPT,CAPSULAR CONTRACTURE RELEASE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23030,CPT,I&D SHOULDER DEEP ABSCESS/HEMATOMA,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 23031,CPT,I&D SHOULDER INFECTED BURSA,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 23035,CPT,INCISION BONE CORTEX SHOULDER AREA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23040,CPT,ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23044,CPT,ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23065,CPT,BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 23066,CPT,BIOPSY SOFT TISSUE SHOULDER DEEP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 23071,CPT,EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/>,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 23073,CPT,EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 23075,CPT,EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 23076,CPT,EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 23077,CPT,RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 23078,CPT,RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 23100,CPT,ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23101,CPT,ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23105,CPT,ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23106,CPT,ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23107,CPT,ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23120,CPT,CLAVICULECTOMY PARTIAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23125,CPT,CLAVICULECTOMY TOTAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23130,CPT,PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23140,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23145,CPT,EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23146,CPT,EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23150,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23155,CPT,EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23156,CPT,EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23170,CPT,SEQUESTRECTOMY CLAVICLE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23172,CPT,SEQUESTRECTOMY SCAPULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23174,CPT,SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23180,CPT,PARTIAL EXCISION BONE CLAVICLE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23182,CPT,PARTIAL EXCISION BONE SCAPULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23184,CPT,PARTIAL EXCISION BONE PROXIMAL HUMERUS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23190,CPT,OSTECTOMY SCAPULA PARTIAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23195,CPT,RESECTION HUMERAL HEAD,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23330,CPT,REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 23333,CPT,REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 23334,CPT,PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 23350,CPT,INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG,,30,,,$825.27,$0.00,1,0,1,20180101, 23395,CPT,MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23397,CPT,MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23400,CPT,SCAPULOPEXY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23405,CPT,TENOTOMY SHOULDER AREA 1 TENDON,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23406,CPT,TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23410,CPT,OPEN REPAIR OF ROTATOR CUFF ACUTE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23412,CPT,OPEN REPAIR OF ROTATOR CUFF CHRONIC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23415,CPT,CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23420,CPT,RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23430,CPT,TENODESIS LONG TENDON BICEPS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23440,CPT,RESECTION/TRANSPLANTATION LONG TENDON BICEPS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 23450,CPT,CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23455,CPT,CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23460,CPT,CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23462,CPT,CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23465,CPT,CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23466,CPT,CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23470,CPT,ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 23473,CPT,REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 23480,CPT,OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23485,CPT,OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 23490,CPT,PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23491,CPT,PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 23500,CPT,CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 23505,CPT,CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23515,CPT,OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23520,CPT,CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23525,CPT,CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 23530,CPT,OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23532,CPT,OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23540,CPT,CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 23545,CPT,CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 23550,CPT,OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23552,CPT,OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23570,CPT,CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 23575,CPT,CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23585,CPT,OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23600,CPT,CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 23605,CPT,CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23615,CPT,OPEN TREATMENT PROXIMAL HUMERAL FRACTURE,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 23616,CPT,OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 23620,CPT,CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 23625,CPT,CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23630,CPT,OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23650,CPT,CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 23655,CPT,CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23660,CPT,OPEN TX ACUTE SHOULDER DISLOCATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23665,CPT,CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23670,CPT,OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23675,CPT,CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23680,CPT,OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 23700,CPT,MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 23800,CPT,ARTHRODESIS GLENOHUMERAL JOINT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 23802,CPT,ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 23921,CPT,DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 23929,CPT,UNLISTED PROCEDURE SHOULDER,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 23930,CPT,I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 23931,CPT,INCISION&DRAINAGE UPPER ARM/ELBOW BURSA,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 23935,CPT,INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24000,CPT,ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24006,CPT,ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24065,CPT,BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 24066,CPT,BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 24071,CPT,EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 24073,CPT,EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 24075,CPT,EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 24076,CPT,EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 24077,CPT,RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 24079,CPT,RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 24100,CPT,ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24101,CPT,ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24102,CPT,ARTHROTOMY ELBOW W/SYNOVECTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24105,CPT,EXCISION OLECRANON BURSA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24110,CPT,EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24115,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24116,CPT,EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24120,CPT,EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24125,CPT,EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24126,CPT,EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24130,CPT,EXCISION RADIAL HEAD,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24134,CPT,SEQUESTRECTOMY SHAFT/DISTAL HUMERUS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24136,CPT,SEQUESTRECTOMY RADIAL HEAD OR NECK,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24138,CPT,SEQUESTRECTOMY OLECRANON PROCESS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24140,CPT,PARTIAL EXCISION BONE HUMERUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24145,CPT,PARTIAL EXCISION BONE RADIAL HEAD/NECK,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24147,CPT,PARTIAL EXCISION BONE OLECRANON PROCESS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24149,CPT,RAD RESCJ CAPSL TISS&HTRTPC BONE ELBW CONTRCT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24150,CPT,RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24152,CPT,RADICAL RESECTION TUMOR RADIAL HEAD/NECK,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24155,CPT,RESECTION ELBOW JOINT ARTHRECTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24160,CPT,PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24164,CPT,PROSTHESIS REMOVAL RADIAL HEAD,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24200,CPT,RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 24201,CPT,REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 24220,CPT,INJECTION ELBOW ARTHROGRAPHY,,30,,,$852.72,$0.00,1,0,1,20180101, 24300,CPT,MANIPULATION ELBOW UNDER ANESTHESIA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24301,CPT,MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24305,CPT,TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24310,CPT,TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24320,CPT,TENOPLASTY ELBOW TO SHOULDER SINGLE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24330,CPT,FLEXOR-PLASTY ELBOW,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24331,CPT,FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24332,CPT,TENOLYSIS TRICEPS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24340,CPT,TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24341,CPT,REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24342,CPT,RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24343,CPT,REPAIR LATERAL COLLATERAL LIGAMENT ELBOW,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24344,CPT,RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24345,CPT,REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24346,CPT,RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24357,CPT,TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24358,CPT,TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24359,CPT,TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24360,CPT,ARTHROPLASTY ELBOW W/MEMBRANE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24361,CPT,ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 24362,CPT,ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24363,CPT,ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 24365,CPT,ARTHROPLASTY RADIAL HEAD,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24366,CPT,ARTHROPLASTY RADIAL HEAD W/IMPLANT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24370,CPT,REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24371,CPT,REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 24400,CPT,OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24410,CPT,MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24420,CPT,OSTEOPLASTY HUMERUS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24430,CPT,REPAIR NON/MALUNION HUMERUS W/O GRAFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24435,CPT,REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24470,CPT,HEMIEPIPHYSEAL ARREST,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24495,CPT,DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24498,CPT,PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24500,CPT,CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 24505,CPT,CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24515,CPT,OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24516,CPT,TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24530,CPT,CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 24535,CPT,CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24538,CPT,PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24545,CPT,OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24546,CPT,OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 24560,CPT,CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 24565,CPT,CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24566,CPT,PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24575,CPT,OPEN TX HUMERAL EPICONDYLAR FRACTURE,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24576,CPT,CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 24577,CPT,CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24579,CPT,OPEN TREATMENT HUMERAL CONDYLAR FRACTURE,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24582,CPT,PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24586,CPT,OPTX PERIARTICULAR FRACTURE &/DISLOCATION ELBO,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24587,CPT,OPTX PRIARTICULAR FX&/DISLC ELBW W/IMPLT ARTHR,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24600,CPT,TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 24605,CPT,TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24615,CPT,OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24620,CPT,CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24635,CPT,OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24640,CPT,CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 24650,CPT,CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 24655,CPT,CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24665,CPT,OPEN TX RADIAL HEAD/NECK FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24666,CPT,OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24670,CPT,CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 24675,CPT,CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 24685,CPT,OPEN TREATMENT ULNAR FRACTURE PROXIMAL END,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24800,CPT,ARTHRODESIS ELBOW JOINT LOCAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24802,CPT,ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 24925,CPT,AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 24935,CPT,STUMP ELONGATION UPPER EXTREMITY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 24999,CPT,UNLISTED PROCEDURE HUMERUS/ELBOW,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25000,CPT,INCISION EXTENSOR TENDON SHEATH WRIST,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25001,CPT,INCISION FLEXOR TENDON SHEATH WRIST,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25020,CPT,DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O DBRDMT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25023,CPT,DCMPRN FASCT F/ARM&/WRST FLXR/XTNSR W/DBRDMT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25024,CPT,DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR W/O DB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25025,CPT,DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR DBRDMT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25028,CPT,I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25031,CPT,INCISION & DRAINAGE FOREARM&/WRIST BURSA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25035,CPT,INCISION DEEP BONE CORTEX FOREARM&/WRIST,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25040,CPT,ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25065,CPT,BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 25066,CPT,BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 25071,CPT,EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 25073,CPT,EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 25075,CPT,EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 25076,CPT,EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 25077,CPT,RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 25078,CPT,RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 25085,CPT,CAPSULOTOMY WRIST,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25100,CPT,ARTHROTOMY WRIST JOINT WITH BIOPSY,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25101,CPT,ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25105,CPT,ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25107,CPT,ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25109,CPT,EXC TENDON FOREARM&/WRIST FLEXOR/EXTENSOR EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25110,CPT,EXCISION LESION TENDON SHEATH FOREARM&/WRIST,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25111,CPT,EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25112,CPT,EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25115,CPT,RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25116,CPT,RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25118,CPT,SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25119,CPT,SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25120,CPT,EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25125,CPT,EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25126,CPT,EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25130,CPT,EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25135,CPT,EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25136,CPT,EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25145,CPT,SEQUESTRECTOMY FOREARM &/WRIST,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25150,CPT,PARTIAL EXCISION BONE ULNA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25151,CPT,PARTIAL EXCISION BONE RADIUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25170,CPT,RADICAL RESECTION TUMOR RADIUS OR ULNA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25210,CPT,CARPECTOMY 1 BONE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25215,CPT,CARPECTOMY ALL BONES PROXIMAL ROW,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25230,CPT,RADICAL STYLOIDECTOMY SEPARATE PROCEDURE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25240,CPT,EXCISION DISTAL ULNA PARTIAL/COMPLETE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25246,CPT,INJECTION WRIST ARTHROGRAPHY,,30,,,$761.13,$0.00,1,0,1,20180101, 25248,CPT,EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25250,CPT,REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25251,CPT,REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25259,CPT,MANIPULATION WRIST UNDER ANESTHESIA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25260,CPT,RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MU,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25263,CPT,RPR TDN/MUSC FLXR F/ARM&/WRIST SEC 1 EA TDN/MUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25265,CPT,RPR TDN/MUSC FLXR F/ARM&/WRISTSEC FR GRF EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25270,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRIST PRIM 1 EA TDN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25272,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRIST SEC 1 EA TDN/MU,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25274,CPT,RPR TDN/MUSC XTNSR F/ARM&/WRST SEC FR GRF EA TDN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25275,CPT,RPR TENDON SHEATH EXTENSOR F/ARM&/WRIST W/GRAFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25280,CPT,LNGTH/SHRT FLXR/XTNSR TDN F/ARM&/WRIST 1 EA TDN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25290,CPT,TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25295,CPT,TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25300,CPT,TENODESIS WRIST FLEXORS FINGERS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25301,CPT,TENODESIS WRIST EXTENSORS FINGERS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25310,CPT,TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25312,CPT,TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1/TDN GR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25315,CPT,FLEXOR ORIGIN SLIDE FOREARM &/WRIST,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25316,CPT,FLEXOR ORIGIN SLIDE F/ARM&/WRST TENDON TRANSFE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25320,CPT,CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25332,CPT,ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25335,CPT,CENTRALIZATION WRST ULNA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25337,CPT,RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25350,CPT,OSTEOTOMY RADIUS DISTAL THIRD,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25355,CPT,OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25360,CPT,OSTEOTOMY ULNA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25365,CPT,OSTEOTOMY RADIUS & ULNA,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 25370,CPT,MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25375,CPT,MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS&ULNA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25390,CPT,OSTEOPLASTY RADIUS/ULNA SHORTENING,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25391,CPT,OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 25392,CPT,OSTEOPLASTY RADIUS & ULNA SHORTENING,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25393,CPT,OSTEOPLASTY RADIUS&ULNA LENGTHENING W/AUTOGRAF,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25394,CPT,OSTEOPLASTY CARPAL BONE SHORTENING,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25400,CPT,RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25405,CPT,RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25415,CPT,RPR NONUNION/MALUNION RADIUS&ULNA W/O AUTOGRAF,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25420,CPT,RPR NONUNION/MALUNION RADIUS&ULNA W/AUTOGRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25425,CPT,REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25426,CPT,REPAIR DEFECT W/AUTOGRAFT RADIUS&ULNA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25430,CPT,INSERTION VASCULAR PEDICLE CARPAL BONE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25431,CPT,REPAIR NONUNION CARPAL BONE EACH BONE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25440,CPT,RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25441,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 25442,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 25443,CPT,ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25444,CPT,ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 25445,CPT,ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25446,CPT,ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 25447,CPT,ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25449,CPT,REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25450,CPT,EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25455,CPT,EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS&ULNA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25490,CPT,PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25491,CPT,PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 25492,CPT,PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD&UL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25500,CPT,CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25505,CPT,CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25515,CPT,OPEN TREATMENT RADIAL SHAFT FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25520,CPT,CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25525,CPT,OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25526,CPT,OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25530,CPT,CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25535,CPT,CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25545,CPT,OPEN TREATMENT OF ULNAR SHAFT FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25560,CPT,CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25565,CPT,CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25574,CPT,OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25575,CPT,OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS&ULNA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25600,CPT,CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25605,CPT,CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25606,CPT,PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25607,CPT,OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25608,CPT,OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25609,CPT,OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25622,CPT,CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25624,CPT,CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25628,CPT,OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25630,CPT,CLTX CARPAL BONE FX W/O MANJ EACH BONE,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25635,CPT,CLTX CARPAL BONE FX W/MANJ EACH BONE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25645,CPT,OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25650,CPT,CLOSED TREATMENT ULNAR STYLOID FRACTURE,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25651,CPT,PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25652,CPT,OPEN TREATMENT ULNAR STYLOID FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25660,CPT,CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25670,CPT,OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1/> BONES,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25671,CPT,PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25675,CPT,CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25676,CPT,OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25680,CPT,CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 25685,CPT,OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25690,CPT,CLOSED TX LUNATE DISLOCATION W/MANIPULATION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25695,CPT,OPEN TREATMENT LUNATE DISLOCATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25800,CPT,ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25805,CPT,ARTHRODESIS WRIST W/SLIDING GRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25810,CPT,ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 25820,CPT,ARTHRODESIS WRIST LIMITED W/O BONE GRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25825,CPT,ARTHRODESIS WRIST LIMITED W/AUTOGRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25830,CPT,ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 25907,CPT,AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25909,CPT,AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25922,CPT,DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 25929,CPT,TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 25931,CPT,TRANSMETACARPAL AMPUTATION RE-AMPUTATION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 25999,CPT,UNLISTED PROCEDURE FOREARM/WRIST,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26010,CPT,DRAINAGE FINGER ABSCESS SIMPLE,,30,,,$622.76,$0.00,1,0,1,20180101, 26011,CPT,DRAINAGE FINGER ABSCESS COMPLICATED,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 26020,CPT,DRAINAGE TENDON SHEATH DIGIT&/PALM EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26025,CPT,DRAINAGE OF PALMAR BURSA SINGLE BURSA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26030,CPT,DRAINAGE OF PALMAR BURSA MULTIPLE BURSA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26034,CPT,INCISION BONE CORTEX HAND/FINGER,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26035,CPT,DECOMPRESSION FINGERS&/HAND INJECTION INJURY,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26037,CPT,DECOMPRESSIVE FASCIOTOMY HAND,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26040,CPT,FASCIOTOMY PALMAR PERCUTANEOUS,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26045,CPT,FASCIOTOMY PALMAR OPEN PARTIAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26055,CPT,TENDON SHEATH INCISION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26060,CPT,TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26070,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26075,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26080,CPT,ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26100,CPT,ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26105,CPT,ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26110,CPT,ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26111,CPT,EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 26113,CPT,EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/>,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 26115,CPT,EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 26116,CPT,EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 26117,CPT,RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 26118,CPT,RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 26121,CPT,FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26123,CPT,FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26125,CPT,FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR,,30,,,"$4,029.97",$0.00,1,0,1,20180101, 26130,CPT,SYNOVECTOMY CARPOMETACARPAL JOINT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26135,CPT,SYNVCT MTCARPHLNGL JT W/INTRNSC RLS&XTNSR HOOD,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26140,CPT,SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26145,CPT,SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR EA TDN,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26160,CPT,EXC LESION TDN SHTH/JT CAPSL HAND/FNGR,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26170,CPT,EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26180,CPT,EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26185,CPT,SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26200,CPT,EXCISION/CURETTAGE CYST/TUMOR METACARPAL,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26205,CPT,EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26210,CPT,EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26215,CPT,EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26230,CPT,PARTIAL EXCISION BONE METACARPAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26235,CPT,PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26236,CPT,PARTIAL EXCISION DISTAL PHALANX FINGER,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26250,CPT,RADICAL RESECTION TUMOR METACARPAL,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26260,CPT,RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26262,CPT,RADICAL RESECTION TUMOR DISTAL PHALANX FINGER,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26320,CPT,REMOVAL IMPLANT FROM FINGER/HAND,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 26340,CPT,MANIPULATION FINGER JOINT UNDER ANES EACH JOINT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26341,CPT,MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26350,CPT,RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26352,CPT,RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26356,CPT,RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26357,CPT,RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26358,CPT,RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26370,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26372,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26373,CPT,RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26390,CPT,EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26392,CPT,RMVL SYNTH ROD & INSJ FLXR TDN GRF H/F EA ROD,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26410,CPT,REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26412,CPT,REPAIR EXTENSOR TENDON HAND W/GRAFT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26415,CPT,EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26416,CPT,RMVL SYNTH ROD & INSJ XTNSR TDN GRF H/F EA ROD,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26418,CPT,REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26420,CPT,REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26426,CPT,RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26428,CPT,RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26432,CPT,CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26433,CPT,REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26434,CPT,REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26437,CPT,REALIGNMENT EXTENSOR TENDON HAND EACH TENDON,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26440,CPT,TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26442,CPT,TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26445,CPT,TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26449,CPT,TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26450,CPT,TENOTOMY FLEXOR PALM OPEN EACH TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26455,CPT,TENOTOMY FLEXOR FINGER OPEN EACH TENDON,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26460,CPT,TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26471,CPT,TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26474,CPT,TENODESIS DISTAL JOINT EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26476,CPT,LENGTHENING TENDON EXTENSOR HAND/FINGER EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26477,CPT,SHORTENING TENDON EXTENSOR HAND/FINGER EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26478,CPT,LENGTHENING TENDON FLEXOR HAND/FINGER EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26479,CPT,SHORTENING TENDON FLEXOR HAND/FINGER EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26480,CPT,TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26483,CPT,TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26485,CPT,TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26489,CPT,TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26490,CPT,OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26492,CPT,OPPONENSPLASTY TDN TR W/GRF EA TDN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26494,CPT,OPPONENSPLASTY HYPOTHENAR MUSC TR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26496,CPT,OPPONENSPLASTY OTHER METHODS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26497,CPT,TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26498,CPT,TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26499,CPT,CORRECTION CLAW FINGER OTHER METHODS,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26500,CPT,RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26502,CPT,RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26508,CPT,RELEASE THENAR MUSCLE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26510,CPT,CROSS INTRINSIC TRANSFER EACH TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26516,CPT,CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26517,CPT,CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26518,CPT,CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26520,CPT,CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26525,CPT,CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26530,CPT,ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26531,CPT,ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26535,CPT,ARTHROPLASTY INTERPHALANGEAL JOINT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26536,CPT,ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26540,CPT,RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26541,CPT,RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26542,CPT,RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26545,CPT,RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26546,CPT,RPR NON-UNION MTCRPL/PHALANX,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26548,CPT,RPR & RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26550,CPT,POLLICIZATION DIGIT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26555,CPT,TR FNGR AXH POS W/O MVASC ANAST,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26560,CPT,REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26561,CPT,REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS&GRAFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26562,CPT,REPAIR SYNDACTYLY EACH SPACE COMPLEX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26565,CPT,OSTEOTOMY METACARPAL EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26567,CPT,OSTEOTOMY PHALANX FINGER EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26568,CPT,OSTEOPLASTY LENGTHENING METACARPAL/PHALANX,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26580,CPT,REPAIR CLEFT HAND,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26587,CPT,RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE & BONE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26590,CPT,REPAIR MACRODACTYLIA EACH DIGIT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26591,CPT,REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26593,CPT,RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26596,CPT,EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26600,CPT,CLTX METACARPAL FX W/O MANIPULATION EACH BONE,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26605,CPT,CLTX METACARPAL FX W/MANIPULATION EACH BONE,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26607,CPT,CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26608,CPT,PRQ SKELETAL FIXJ METACARPAL FX EACH BONE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26615,CPT,OPEN TX METACARPAL FRACTURE SINGLE EA BONE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26641,CPT,CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26645,CPT,CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26650,CPT,PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26665,CPT,OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26670,CPT,CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26675,CPT,CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26676,CPT,PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26685,CPT,OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26686,CPT,OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26700,CPT,CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26705,CPT,CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26706,CPT,PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26715,CPT,OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26720,CPT,CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26725,CPT,CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26727,CPT,PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26735,CPT,OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26740,CPT,CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26742,CPT,CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 26746,CPT,OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26750,CPT,CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26755,CPT,CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26756,CPT,PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26765,CPT,OPEN TX DISTAL PHALANGEAL FRACTURE EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26770,CPT,CLTX IPHAL JT DISLC W/MANJ W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26775,CPT,CLTX IPHAL JT DISLC W/MANJ REQ ANES,,30,,,$832.39,$0.00,1,0,1,20180101, 26776,CPT,PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26785,CPT,OPEN TX INTERPHALANGEAL JOINT DISLOCATION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26820,CPT,FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26841,CPT,ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26842,CPT,ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26843,CPT,ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26844,CPT,ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26850,CPT,ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26852,CPT,ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 26860,CPT,ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26861,CPT,ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT,,30,,,"$4,968.11",$0.00,1,0,1,20180101, 26862,CPT,ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26863,CPT,ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT,,30,,,"$4,469.46",$0.00,1,0,1,20180101, 26910,CPT,AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26951,CPT,AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26952,CPT,AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26989,CPT,UNLISTED PROCEDURE HANDS/FINGERS,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 26990,CPT,I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 26991,CPT,I&D PELVIS/HIP JOINT AREA INFECTED BURSA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27000,CPT,TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27001,CPT,TENOTOMY ADDUCTOR HIP OPEN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27003,CPT,TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27006,CPT,TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27027,CPT,DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27033,CPT,ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27035,CPT,DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27040,CPT,BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 27041,CPT,BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 27043,CPT,EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27045,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27047,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27048,CPT,EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27049,CPT,RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5 CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27050,CPT,ARTHROTOMY W/BIOPSY SACROILIAC JOINT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27052,CPT,ARTHROTOMY W/BIOPSY HIP JOINT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27057,CPT,DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27059,CPT,RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27060,CPT,EXCISION ISCHIAL BURSA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27062,CPT,EXCISION TROCHANTERIC BURSA/CALCIFICATION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27065,CPT,EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27066,CPT,EXCISION BONE CYST/BENIGN TUMOR DEEP,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27067,CPT,EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27080,CPT,COCCYGECTOMY PRIMARY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27086,CPT,RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 27087,CPT,REMOVAL FOREIGN BODY PELVIS/HIP DEEP,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27093,CPT,INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA,,30,,,$862.77,$0.00,1,0,1,20180101, 27095,CPT,INJECTION HIP ARTHROGRAPHY W/ANESTHESIA,,30,,,"$1,995.72",$0.00,1,0,1,20180101, 27096,CPT,INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,,30,,,"$1,244.00",$0.00,1,0,1,20180101, 27097,CPT,RELEASE/RECESSION HAMSTRING PROXIMAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27098,CPT,TRANSFER ADDUCTOR ISCHIUM,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27100,CPT,TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27105,CPT,TR PARASPI MUSC HIP FASC/TDN XTN GRF,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27110,CPT,TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27111,CPT,TRANSFER ILIOPSOAS FEMORAL NECK,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27179,CPT,OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27197,CPT,CLSD TX PELVIC RING FX,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27198,CPT,CLSD TX PELVIC RING FX,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27200,CPT,CLOSED TREATMENT COCCYGEAL FRACTURE,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27202,CPT,OPEN TREATMENT COCCYGEAL FRACTURE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27216,CPT,PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS,,30,,,"$3,646.02",$0.00,1,0,1,20180101, 27217,CPT,OPTX ANT PELVIC BONE FX&/DISLC INT FIXJ IF PFR,,30,,,"$3,476.54",$0.00,1,0,1,20180101, 27220,CPT,CLTX ACETABULUM HIP/SOCKT FX W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27230,CPT,CLTX FEM FX PROX END NCK W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27235,CPT,PRQ SKEL FIXJ FEMORAL FX PROX END NECK,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27238,CPT,CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27246,CPT,CLTX GREATER TROCHANTERIC FX W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27250,CPT,CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27252,CPT,CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27256,CPT,TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27257,CPT,TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27265,CPT,CLTX POST HIP ARTHRP DISLC W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27266,CPT,CLTX POST HIP ARTHRP DISLC REQ ANES,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27267,CPT,CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27275,CPT,MANIPULATION HIP JOINT GENERAL ANESTHESIA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27279,CPT,ARTHRODESIS SACROILIAC JOINT PERCUTANEOUS,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 27299,CPT,UNLISTED PROCEDURE PELVIS/HIP JOINT,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27301,CPT,I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27305,CPT,FASCIOTOMY ILIOTIBIAL OPEN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27306,CPT,TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27307,CPT,TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27310,CPT,ARTHRT KNE W/EXPL DRG/RMVL FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27323,CPT,BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 27324,CPT,BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27325,CPT,NEURECTOMY HAMSTRING MUSCLE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 27326,CPT,NEURECTOMY POPLITEAL,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 27327,CPT,EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 27328,CPT,EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27329,CPT,RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27330,CPT,ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27331,CPT,ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27332,CPT,ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27333,CPT,ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL&LAT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27334,CPT,ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27335,CPT,ARTHRT W/SYNVCT KNE ANT&POST W/POP AREA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27337,CPT,EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27339,CPT,EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27340,CPT,EXCISION PREPATELLAR BURSA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27345,CPT,EXCISION SYNOVIAL CYST POPLITEAL SPACE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27347,CPT,EXCISION LESION MENISCUS/CAPSULE KNEE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27350,CPT,PATELLECTOMY/HEMIPATELLECTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27355,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27356,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27357,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27358,CPT,EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION,,30,,,"$7,346.17",$0.00,1,0,1,20180101, 27360,CPT,PRTL EXC BONE FEMUR PROX TIBIA&/FIBULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27364,CPT,RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27370,CPT,INJECTION KNEE ARTHROGRAPHY,,30,,,$698.82,$0.00,1,0,1,20180101, 27372,CPT,REMOVAL FOREIGN BODY DEEP THIGH/KNEE,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27380,CPT,SUTURE INFRAPATELLAR TENDON PRIMARY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27381,CPT,SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27385,CPT,SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27386,CPT,SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27390,CPT,TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27391,CPT,TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27392,CPT,TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27393,CPT,LENGTHENING HAMSTRING TENDON SINGLE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27394,CPT,LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27395,CPT,LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27396,CPT,TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27397,CPT,TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27400,CPT,TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27403,CPT,ARTHROTOMY W/MENISCUS REPAIR KNEE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27405,CPT,RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27407,CPT,REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27409,CPT,RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27412,CPT,AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27415,CPT,OSTEOCHONDRAL ALLOGRAFT KNEE OPEN,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27416,CPT,OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27418,CPT,ANTERIOR TIBIAL TUBERCLEPLASTY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27420,CPT,RCNSTJ DISLOCATING PATELLA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27422,CPT,RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT&/MUSC RL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27424,CPT,RCNSTJ DISLC PATELLA W/PATELLECTOMY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27425,CPT,LATERAL RETINACULAR RELEASE OPEN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27427,CPT,LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27428,CPT,LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27429,CPT,LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27430,CPT,QUADRICEPSPLASTY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27435,CPT,CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27437,CPT,ARTHROPLASTY PATELLA W/O PROSTHESIS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27438,CPT,ARTHROPLASTY PATELLA W/PROSTHESIS,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27440,CPT,ARTHROPLASTY KNEE TIBIAL PLATEAU,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27441,CPT,ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27442,CPT,ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27443,CPT,ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27446,CPT,ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27447,CPT,ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27475,CPT,ARREST EPIPHYSEAL DISTAL FEMUR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27477,CPT,ARREST EPIPHYSEAL TIBIA & FIBULA PROXIMAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27479,CPT,ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27485,CPT,ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27496,CPT,DECOMPRESSION FASCIOTOMY THIGH&/KNEE 1 COMPONENT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27497,CPT,DCMPRN FASCT THIGH&/KNEE DBRDMT MUSCLE&/NERVE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27498,CPT,DCMPRN FASCIOTOMY THIGH&/KNEE MLT COMPARTMENTS,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27499,CPT,DCMPRN FASCT THIGH&/KNEE MLT DBRDMT NV MUSC&NRVE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27500,CPT,CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27501,CPT,CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27502,CPT,CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27503,CPT,CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27508,CPT,CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27509,CPT,PRQ SKELETAL FIXJ FEMORAL FX DISTAL END,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27510,CPT,CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27516,CPT,CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27517,CPT,CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27520,CPT,CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27524,CPT,OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27530,CPT,CLTX TIBIAL FX PROXIMAL W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27532,CPT,CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27538,CPT,CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27550,CPT,CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27552,CPT,CLOSED TX KNEE DISLOCATION W/ANESTHESIA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27560,CPT,CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27562,CPT,CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27566,CPT,OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27570,CPT,MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27594,CPT,AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27599,CPT,UNLISTED PROCEDURE FEMUR/KNEE,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27600,CPT,DCMPRN FASCT LEG ANT&/LAT COMPARTMENTS ONLY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27601,CPT,DCMPRN FASCT LEG POST COMPARTMENT ONLY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27602,CPT,DCMPRN FASCT LEG ANT&/LAT&PST CMPRT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27603,CPT,INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27604,CPT,INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27605,CPT,TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27606,CPT,TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27607,CPT,INCISION LEG/ANKLE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27610,CPT,ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27612,CPT,ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27613,CPT,BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 27614,CPT,BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27615,CPT,RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27616,CPT,RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27618,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 27619,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27620,CPT,ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27625,CPT,ARTHROTOMY W/SYNOVECTOMY ANKLE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27626,CPT,ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27630,CPT,EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27632,CPT,EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27634,CPT,EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 27635,CPT,EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27637,CPT,EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27638,CPT,EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27640,CPT,PARTIAL EXCISION BONE TIBIA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27641,CPT,PARTIAL EXCISION BONE FIBULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27647,CPT,RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27648,CPT,INJECTION ANKLE ARTHROGRAPHY,,30,,,$839.31,$0.00,1,0,1,20180101, 27650,CPT,REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27652,CPT,RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27654,CPT,REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27656,CPT,REPAIR FASCIAL DEFECT LEG,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27658,CPT,REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27659,CPT,RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27664,CPT,RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27665,CPT,RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27675,CPT,RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27676,CPT,REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27680,CPT,TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27681,CPT,TNOLS FLXR/XTNSR TDN LEG&/ANKLE MLT TDN,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27685,CPT,LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27686,CPT,LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27687,CPT,GASTROCNEMIUS RECESSION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27690,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27691,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27692,CPT,TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN,,30,,,"$3,827.04",$0.00,1,0,1,20180101, 27695,CPT,RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27696,CPT,RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27698,CPT,REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27700,CPT,ARTHROPLASTY ANKLE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27704,CPT,REMOVAL ANKLE IMPLANT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27705,CPT,OSTEOTOMY TIBIA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27707,CPT,OSTEOTOMY FIBULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27709,CPT,OSTEOTOMY TIBIA & FIBULA,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27720,CPT,REPAIR NONUNION/MALUNION TIBIA W/O GRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27722,CPT,REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27726,CPT,REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27730,CPT,ARREST EPIPHYSEAL OPEN DISTAL TIBIA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27732,CPT,ARREST EPIPHYSEAL OPEN DISTAL FIBULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27734,CPT,ARREST EPIPHYSEAL OPEN DISTAL TIBIA&FIBULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27740,CPT,ARREST EPIPHYSEAL ANY METHOD TIBIA & FIBULA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27742,CPT,ARRST EPIPHYSL ANY METH TIBFIB&DSTL FEMUR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27745,CPT,PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27750,CPT,CLTX TIBIAL SHAFT FX W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27752,CPT,CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27756,CPT,PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27758,CPT,OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27759,CPT,TX TIBL SHFT FX IMED IMPLT W/WO SCREWS&/CERCLA,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27760,CPT,CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27762,CPT,CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27766,CPT,OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27767,CPT,CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27768,CPT,CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27769,CPT,OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27780,CPT,CLTX PROX FIBULA/SHFT FX W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27781,CPT,CLTX PROX FIBULA/SHFT FX W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27784,CPT,OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27786,CPT,CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27788,CPT,CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27792,CPT,OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27808,CPT,CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27810,CPT,CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27814,CPT,OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27816,CPT,CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27818,CPT,CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27822,CPT,OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27823,CPT,OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27824,CPT,CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27825,CPT,CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27826,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27827,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27828,CPT,OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27829,CPT,OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27830,CPT,CLTX PROX TIBFIB JT DISLC W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27831,CPT,CLTX PROX TIBFIB JT DISLC REQ ANES,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27832,CPT,OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27840,CPT,CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 27842,CPT,CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27846,CPT,OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27848,CPT,OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27860,CPT,MANIPULATION ANKLE UNDER GENERAL ANESTHESIA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27870,CPT,ARTHRODESIS ANKLE OPEN,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27871,CPT,ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 27884,CPT,AMP LEG THRU TIBIA&FIBULA SEC CLOSURE/SCAR REV,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27889,CPT,ANKLE DISARTICULATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27892,CPT,DCMPRN FASCT LEG ANT&/LAT W/DBRDMT MUSC&/NERVE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 27893,CPT,DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 27894,CPT,DCMPRN FASCT LEG ANT&/LAT&PST W/DBRDMT MUS,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 27899,CPT,UNLISTED PROCEDURE LEG/ANKLE,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28001,CPT,INCISION&DRAINAGE BURSA FOOT,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 28002,CPT,I&D BELOW FASCIA FOOT 1 BURSAL SPACE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28003,CPT,I&D BELOW FASCIA FOOT MULTIPLE AREAS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28005,CPT,INCISION BONE CORTEX FOOT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28008,CPT,FASCIOTOMY FOOT&/TOE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28010,CPT,TENOTOMY PERCUTANEOUS TOE SINGLE TENDON,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28011,CPT,TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28020,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28022,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28024,CPT,ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28035,CPT,RELEASE TARSAL TUNNEL,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 28039,CPT,EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 28041,CPT,EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 28043,CPT,EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 28045,CPT,EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 28046,CPT,RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 28047,CPT,RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/>,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 28050,CPT,ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28052,CPT,ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28054,CPT,ARTHRTOMY W/BX INTERPHALANGEAL JOINT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28055,CPT,NEURECTOMY INTRINSIC MUSCULATURE OF FOOT,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 28060,CPT,FASCIECTOMY PLANTAR FASCIA PARTIAL SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28062,CPT,FASCIOTOMY PLANTAR FASCIA RADICAL SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28070,CPT,SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28072,CPT,SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28080,CPT,EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28086,CPT,SYNOVECTOMY TENDON SHEATH FOOT FLEXOR,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28088,CPT,SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28090,CPT,EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28092,CPT,EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28100,CPT,EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28102,CPT,EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28103,CPT,EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28104,CPT,EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28106,CPT,EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28107,CPT,EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28108,CPT,EXC/CURTG CST/B9 TUM PHALANGES FOOT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28110,CPT,OSTECTOMY PRTL 5TH METAR HEAD SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28111,CPT,OSTECTOMY COMPLETE 1ST METATARSAL HEAD,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28112,CPT,OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28113,CPT,OSTECTOMY COMPLETE 5TH METATARSAL HEAD,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28114,CPT,OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28116,CPT,OSTECTOMY TARSAL COALITION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28118,CPT,OSTECTOMY CALCANEUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28119,CPT,OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28120,CPT,PARTIAL EXCISION BONE TALUS/CALCANEUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28122,CPT,PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28124,CPT,PARTICAL EXCISION BONE PHALANX TOE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28126,CPT,RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28130,CPT,TALECTOMY ASTRAGALECTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28140,CPT,METATARSECTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28150,CPT,PHALANGECTOMY TOE EACH TOE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28153,CPT,RESECTION CONDYLE DISTAL END PHALANX EACH TOE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28160,CPT,HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28171,CPT,RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28173,CPT,RADICAL RESECTION TUMOR METATARSAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28175,CPT,RADICAL RESECTION TUMOR PHALANX OR TOE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28190,CPT,REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 28192,CPT,REMOVAL FOREIGN BODY FOOT DEEP,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 28193,CPT,REMOVAL FOREIGN BODY FOOT COMPLICATED,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 28200,CPT,RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28202,CPT,RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28208,CPT,REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28210,CPT,RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28220,CPT,TENOLYSIS FLEXOR FOOT SINGLE TENDON,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28222,CPT,TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28225,CPT,TENOLYSIS EXTENSOR FOOT SINGLE TENDON,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28226,CPT,TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28230,CPT,TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28232,CPT,TX OPEN TENDON FLEXOR TOE 1 TENDON SPX,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28234,CPT,TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28238,CPT,RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28240,CPT,TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28250,CPT,DIVISION PLANTAR FASCIA & MUSCLE SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28260,CPT,CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28261,CPT,CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28262,CPT,CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL&TDN LNGTH,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28264,CPT,CAPSULOTOMY MIDTARSAL,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28270,CPT,CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28272,CPT,CAPSULOTOMY IPHAL JOINT EACH JOINT SPX,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28280,CPT,SYNDACTYLIZATION TOES,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28285,CPT,CORRECTION HAMMERTOE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28286,CPT,CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28288,CPT,OSTC PRTL EXOSTC/CONDYLC METAR HEAD,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28289,CPT,HALLUX RIGIDUS CORRECT W/CHEILECTOMY 1ST MP JT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28291,CPT,CORRJ HALUX RIGDUS W/IMPLT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28292,CPT,KELLER/MCBRIDE/MAYO PROCEDURE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28295,CPT,CORRECTION HALLUX VALGUS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28296,CPT,CORRJ HALLUX VALGUS W/WO SESMDC W/METAR OSTEOT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28297,CPT,CORRJ HALLUX VALGUS W/WO SESMDC LAPIDUS-TYP PX,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28298,CPT,CORRJ HALLUX VALGUS W/WO SESMDC PHALANX OSTEOT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28299,CPT,CORRJ HALLUX VALGUS W/WO SESMDC 2 OSTEOT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28300,CPT,OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28302,CPT,OSTEOTOMY TALUS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28304,CPT,OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28305,CPT,OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28306,CPT,OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28307,CPT,OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28308,CPT,OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28309,CPT,OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28310,CPT,OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28312,CPT,OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28313,CPT,RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28315,CPT,SESAMOIDECTOMY FIRST TOE SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28320,CPT,REPAIR NONUNION/MALUNION TARSAL BONES,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 28322,CPT,RPR NON/MALUNION METARSAL W/WO BONE GRAFT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28340,CPT,RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28341,CPT,RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28344,CPT,RECONSTRUCTION TOE POLYDACTYLY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28345,CPT,RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28360,CPT,RECONSTRUCTION CLEFT FOOT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28400,CPT,CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28405,CPT,CLOSED TX CALCANEAL FRACTURE W/MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28406,CPT,PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28415,CPT,OPEN TREATMENT CALCANEAL FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28420,CPT,OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 28430,CPT,CLOSED TX TALUS FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28435,CPT,CLOSED TX TALUS FRACTURE W/MANIPULATION,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28436,CPT,PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28445,CPT,OPEN TREATMENT TALUS FRACTURE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28446,CPT,OPEN OSTEOCHONDRAL AUTOGRAFT TALUS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28450,CPT,TX TARSAL BONE FX XCP TALUS&CALCN W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28455,CPT,TX TARSAL BONE FX XCP TALUS&CALCN W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28456,CPT,PRQ SKEL FIXJ TARSL FX XCP TALUS&CALCNS W/MANJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28465,CPT,OPEN TX TARSAL FRACTURE XCP TALUS & CALCANEUS EA,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28470,CPT,CLOSED TX METATARSAL FRACTURE W/O MANIPULATION,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28475,CPT,CLTX METAR FX W/MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28476,CPT,PRQ SKEL FIXJ METAR FX W/MANJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28485,CPT,OPEN TREATMENT METATARSAL FRACTURE EACH,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28490,CPT,CLTX FX GRT TOE PHLX/PHLG W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28495,CPT,CLTX FX GRT TOE PHLX/PHLG W/MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28496,CPT,PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28505,CPT,OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28510,CPT,CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28515,CPT,CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28525,CPT,OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28530,CPT,CLOSED TREATMENT SESAMOID FRACTURE,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28531,CPT,OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28540,CPT,CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28545,CPT,CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28546,CPT,PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28555,CPT,OPEN TREATMENT TARSAL BONE DISLOCATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28570,CPT,CLOSED TX TALOTARSAL JOINT DISLC W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28575,CPT,CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28576,CPT,PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28585,CPT,OPEN TREATMENT TALOTARSAL JOINT DISLOCATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28600,CPT,CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28605,CPT,CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28606,CPT,PRQ SKEL FIXJ TARS JT DISLC W/MANJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28615,CPT,OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28630,CPT,CLTX METATARSOPHLNGL JT DISLC W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28635,CPT,CLTX METATARSOPHLNGL JT DISLC REQ ANES,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28636,CPT,PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28645,CPT,OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28660,CPT,CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 28665,CPT,CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,,30,,,$832.39,$0.00,1,0,1,20180101, 28666,CPT,PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28675,CPT,OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28705,CPT,ARTHRODESIS PANTALAR,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 28715,CPT,ARTHRODESIS TRIPLE,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 28725,CPT,ARTHRODESIS SUBTALAR,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 28730,CPT,ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 28735,CPT,ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 28737,CPT,ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFOR,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 28740,CPT,ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28750,CPT,ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28755,CPT,ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28760,CPT,ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 28805,CPT,AMPUTATION FOOT TRANSMETARSAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28810,CPT,AMPUTATION METATARSAL W/TOE SINGLE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 28820,CPT,AMPUTATION TOE METATARSOPHALANGEAL JOINT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28825,CPT,AMPUTATION TOE INTERPHALANGEAL JOINT,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28890,CPT,ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 28899,CPT,UNLISTED PROCEDURE FOOT/TOES,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 29000,CPT,APPLICATION HALO TYPE BODY CAST,,30,,,$832.39,$0.00,1,0,1,20180101, 29010,CPT,APPLICATION RISSER JACKET LOCALIZER BODY ONLY,,30,,,$832.39,$0.00,1,0,1,20180101, 29015,CPT,APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD,,30,,,$832.39,$0.00,1,0,1,20180101, 29035,CPT,APPLICATION BODY CAST SHOULDER HIPS,,30,,,$832.39,$0.00,1,0,1,20180101, 29040,CPT,APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA,,30,,,$832.39,$0.00,1,0,1,20180101, 29044,CPT,APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH,,30,,,$686.41,$0.00,1,0,1,20180101, 29046,CPT,APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS,,30,,,$832.39,$0.00,1,0,1,20180101, 29049,CPT,APPLICATION CAST FIGURE-OF-8,,30,,,$832.39,$0.00,1,0,1,20180101, 29055,CPT,APPLICATION CAST SHOULDER SPICA,,30,,,$832.39,$0.00,1,0,1,20180101, 29058,CPT,APPLICATION CAST PLASTER VELPEAU,,30,,,$832.39,$0.00,1,0,1,20180101, 29065,CPT,APPLICATION CAST SHOULDER HAND LONG ARM,,30,,,$832.39,$0.00,1,0,1,20180101, 29075,CPT,APPLICATION CAST ELBOW FINGER SHORT ARM,,30,,,$832.39,$0.00,1,0,1,20180101, 29085,CPT,APPLICATION CAST HAND & LOWER FOREARM GAUNTLET,,30,,,$686.41,$0.00,1,0,1,20180101, 29086,CPT,APPLICATION CAST FINGER,,30,,,$686.41,$0.00,1,0,1,20180101, 29105,CPT,APPLICATION LONG ARM SPLINT SHOULDER HAND,,30,,,$686.41,$0.00,1,0,1,20180101, 29125,CPT,APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC,,30,,,$536.04,$0.00,1,0,1,20180101, 29126,CPT,APPLICATION SHORT ARM SPLINT DYNAMIC,,30,,,$536.04,$0.00,1,0,1,20180101, 29130,CPT,APPLICATION FINGER SPLINT STATIC,,30,,,$345.25,$0.00,1,0,1,20180101, 29131,CPT,APPLICATION FINGER SPLINT DYNAMIC,,30,,,$345.25,$0.00,1,0,1,20180101, 29200,CPT,STRAPPING THORAX,,30,,,$686.41,$0.00,1,0,1,20180101, 29240,CPT,STRAPPING SHOULDER,,30,,,$536.04,$0.00,1,0,1,20180101, 29260,CPT,STRAPPING ELBOW/WRIST,,30,,,$192.66,$0.00,1,0,1,20180101, 29280,CPT,STRAPPING HAND/FINGER,,30,,,$192.66,$0.00,1,0,1,20180101, 29305,CPT,APPLICATION HIP SPICA CAST 1 LEG,,30,,,$832.39,$0.00,1,0,1,20180101, 29325,CPT,APPL HIP SPICA CAST ONE&ONE-HALF SPICA/BOTH LEGS,,30,,,$832.39,$0.00,1,0,1,20180101, 29345,CPT,APPLICATION LONG LEG CAST THIGH-TOE,,30,,,$832.39,$0.00,1,0,1,20180101, 29355,CPT,APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE,,30,,,$832.39,$0.00,1,0,1,20180101, 29358,CPT,APPLICATION LONG LEG CAST BRACE,,30,,,$832.39,$0.00,1,0,1,20180101, 29365,CPT,APPLICATION CYLINDER CAST THIGH ANKLE,,30,,,$832.39,$0.00,1,0,1,20180101, 29405,CPT,APPLICATION SHORT LEG CAST BELOW KNEE-TOE,,30,,,$832.39,$0.00,1,0,1,20180101, 29425,CPT,APPLICATION SHORT LEG CAST WALKING/AMBULATORY,,30,,,$832.39,$0.00,1,0,1,20180101, 29435,CPT,APPLICATION PATELLAR TENDON BEARING CAST,,30,,,$832.39,$0.00,1,0,1,20180101, 29440,CPT,ADDING WALKER PREVIOUSLY APPLIED CAST,,30,,,$686.41,$0.00,1,0,1,20180101, 29445,CPT,APPLICATION RIGID TOTAL CONTACT LEG CAST,,30,,,$832.39,$0.00,1,0,1,20180101, 29450,CPT,APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG,,30,,,$686.41,$0.00,1,0,1,20180101, 29505,CPT,APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES,,30,,,$686.41,$0.00,1,0,1,20180101, 29515,CPT,APPLICATION SHORT LEG SPLINT CALF FOOT,,30,,,$686.41,$0.00,1,0,1,20180101, 29520,CPT,STRAPPING HIP,,30,,,$345.25,$0.00,1,0,1,20180101, 29530,CPT,STRAPPING KNEE,,30,,,$536.04,$0.00,1,0,1,20180101, 29540,CPT,STRAPPING ANKLE &/FOOT,,30,,,$686.41,$0.00,1,0,1,20180101, 29550,CPT,STRAPPING TOES,,30,,,$345.25,$0.00,1,0,1,20180101, 29580,CPT,STRAPPING UNNA BOOT,,30,,,$686.41,$0.00,1,0,1,20180101, 29581,CPT,APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT,,30,,,$686.41,$0.00,1,0,1,20180101, 29584,CPT,APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FING,,30,,,$686.41,$0.00,1,0,1,20180101, 29700,CPT,REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST,,30,,,$832.39,$0.00,1,0,1,20180101, 29705,CPT,REMOVAL/BIVALVING FULL ARM/FULL LEG CAST,,30,,,$832.39,$0.00,1,0,1,20180101, 29710,CPT,RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET,,30,,,$832.39,$0.00,1,0,1,20180101, 29720,CPT,REPAIR SPICA BODY CAST/JACKET,,30,,,$686.41,$0.00,1,0,1,20180101, 29730,CPT,WINDOWING CAST,,30,,,$686.41,$0.00,1,0,1,20180101, 29740,CPT,WEDGING CAST EXCEPT CLUBFOOT CASTS,,30,,,$832.39,$0.00,1,0,1,20180101, 29750,CPT,WEDGING CLUBFOOT CAST,,30,,,$832.39,$0.00,1,0,1,20180101, 29799,CPT,UNLISTED PROCEDURE CASTING/STRAPPING,,30,,,$686.41,$0.00,1,0,1,20180101, 29800,CPT,ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29804,CPT,ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29805,CPT,ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29806,CPT,ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29807,CPT,ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29819,CPT,ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29820,CPT,ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29821,CPT,ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29822,CPT,ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29823,CPT,ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29824,CPT,ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29825,CPT,ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29826,CPT,ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE,,30,,,"$6,972.78",$0.00,1,0,1,20180101, 29827,CPT,ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29828,CPT,ARTHROSCOPY SHOULDER BICEPS TENODESIS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29830,CPT,ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29834,CPT,ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29835,CPT,ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29836,CPT,ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29837,CPT,ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29838,CPT,ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29840,CPT,ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29843,CPT,ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29844,CPT,ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29845,CPT,ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29846,CPT,ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29847,CPT,ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29848,CPT,NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 29850,CPT,ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 29851,CPT,ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 29855,CPT,ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29856,CPT,ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 29860,CPT,ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29861,CPT,ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29862,CPT,ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29863,CPT,ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29866,CPT,ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29867,CPT,ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 29868,CPT,ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29870,CPT,ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29871,CPT,ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29873,CPT,ARTHROSCOPY KNEE LATERAL RELEASE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29874,CPT,ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29875,CPT,ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29876,CPT,ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29877,CPT,ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29879,CPT,ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29880,CPT,ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29881,CPT,ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29882,CPT,ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29883,CPT,ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29884,CPT,ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29885,CPT,ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29886,CPT,ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29887,CPT,ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29888,CPT,ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29889,CPT,ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 29891,CPT,ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29892,CPT,ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29893,CPT,ENDOSCOPIC PLANTAR FASCIOTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29894,CPT,ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29895,CPT,ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29897,CPT,ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29898,CPT,ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29899,CPT,ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29900,CPT,ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29901,CPT,ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29902,CPT,ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 29904,CPT,ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29905,CPT,ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29906,CPT,ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 29907,CPT,ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 29914,CPT,ARTHROSCOPY HIP W/FEMOROPLASTY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29915,CPT,ARTHROSCOPY HIP W/ACETABULOPLASTY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29916,CPT,ARTHROSCOPY HIP W/LABRAL REPAIR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 29999,CPT,UNLISTED PROCEDURE ARTHROSCOPY,,30,,,"$1,370.04",$0.00,1,0,1,20180101, 30000,CPT,DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 30020,CPT,DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 30100,CPT,BIOPSY INTRANASAL,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 30110,CPT,EXCISION NASAL POLYP SIMPLE,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 30115,CPT,EXCISION NASAL POLYP EXTENSIVE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 30117,CPT,EXCISION/DESTRUCTION INTRANASAL LESION INT APPR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 30118,CPT,EXCISION/DESTRUCTION INTRANASAL LESION XTRNL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 30120,CPT,EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 30124,CPT,EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 30125,CPT,EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30130,CPT,EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 30140,CPT,SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 30150,CPT,RHINECTOMY PARTIAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30160,CPT,RHINECTOMY TOTAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30200,CPT,INJECTION TURBINATE THERAPEUTIC,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 30210,CPT,DISPLACEMENT THERAPY PROETZ TYPE,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 30220,CPT,INSERTION NASAL SEPTAL PROSTHESIS BUTTON,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 30300,CPT,REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE,,30,,,$536.04,$0.00,1,0,1,20180101, 30310,CPT,REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 30320,CPT,RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 30400,CPT,RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NASAL TI,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30410,CPT,RHINP PRIM COMPLETE XTRNL PARTS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30420,CPT,RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30430,CPT,RHINOPLASTY SECONDARY MINOR REVISION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30435,CPT,RHINOPLASTY SECONDARY INTERMEDIATE REVISION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30450,CPT,RHINOPLASTY SECONDARY MAJOR REVISION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30460,CPT,RHINP DFRM W/COLUM LNGTH TIP ONLY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30462,CPT,RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30465,CPT,REPAIR NASAL VESTIBULAR STENOSIS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30520,CPT,SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 30540,CPT,REPAIR CHOANAL ATRESIA INTRANASAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30545,CPT,REPAIR CHOANAL ATRESIA TRANSPALATINE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30560,CPT,LYSIS INTRANASAL SYNECHIA,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 30580,CPT,REPAIR FISTULA OROMAXILLARY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30600,CPT,REPAIR FISTULA ORONASAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30620,CPT,SEPTAL/OTHER INTRANASAL DERMATOPLASTY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 30630,CPT,REPAIR NASAL SEPTAL PERFORATIONS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 30801,CPT,ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 30802,CPT,ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 30901,CPT,CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE,,30,,,$536.04,$0.00,1,0,1,20180101, 30903,CPT,CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,,30,,,$536.04,$0.00,1,0,1,20180101, 30905,CPT,CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST,,30,,,$536.04,$0.00,1,0,1,20180101, 30906,CPT,CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 30915,CPT,LIGATION ARTERIES ETHMOIDAL,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 30920,CPT,LIGATION ARTERIES INT MAXILLARY TRANSANTRAL,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 30930,CPT,FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 30999,CPT,UNLISTED PROCEDURE NOSE,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 31000,CPT,LAVAGE CANNULATION MAXILLARY SINUS,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 31002,CPT,LAVAGE CANNULATION SPHENOID SINUS,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 31020,CPT,SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31030,CPT,SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31032,CPT,SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31040,CPT,PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31050,CPT,SINUSOTOMY SPHENOID W/WO BIOPSY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31051,CPT,SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31070,CPT,SINUSOTOMY FRONTAL EXTERNAL SIMPLE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31075,CPT,SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31080,CPT,SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31081,CPT,SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31084,CPT,SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31085,CPT,SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31086,CPT,SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31087,CPT,SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31090,CPT,SINUSOT UNI 3/> PARANSL SINUSES,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31200,CPT,ETHMOIDECTOMY INTRANASAL ANTERIOR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31201,CPT,ETHMOIDECTOMY INTRANASAL TOTAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31205,CPT,ETHMOIDECTOMY EXTRANASAL TOTAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31231,CPT,NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,,30,,,$631.66,$0.00,1,0,1,20180101, 31233,CPT,NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY,,30,,,"$1,445.39",$0.00,1,0,1,20180101, 31235,CPT,NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31237,CPT,NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31238,CPT,NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31239,CPT,NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31240,CPT,NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31253,CPT,NSL/SINS NDSC TOTAL,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31254,CPT,NASAL/SINUS ENDOSCOPY W/ETHMOIDECTOMY PARTIAL,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31255,CPT,NASAL/SINUS ENDOSCOPY W/ETHMOIDECTOMY TOTAL,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31256,CPT,NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31257,CPT,NSL/SINS NDSC TOT W/SPHENDT,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31259,CPT,NSL/SINS NDSC SPHN TISS RMVL,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31267,CPT,NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31276,CPT,NASAL/SINUS NDSC W/FRONTAL SINUS EXPLORATION,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31287,CPT,NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31288,CPT,NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31292,CPT,NSL/SINUS NDSC SURG W/MEDIAL/INF ORB WALL DCMPRN,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31293,CPT,NASAL/SINUS NDSC MEDIAL ORB&NF ORB WALL DCMPR,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31294,CPT,NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31295,CPT,NASAL/SINUS NDSC SURG W/DILAT MAXILLARY SINUS,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31296,CPT,NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31297,CPT,NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31298,CPT,NSL/SINS NDSC W/SINS DILAT,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31299,CPT,UNLISTED PROCEDURE ACCESSORY SINUSES,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 31300,CPT,LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31400,CPT,ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31420,CPT,EPIGLOTTIDECTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31500,CPT,INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 31502,CPT,TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 31505,CPT,LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX,,30,,,$631.66,$0.00,1,0,1,20180101, 31510,CPT,LARYNGOSCOPY INDIRECT W/BIOPSY,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31511,CPT,LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY,,30,,,$631.66,$0.00,1,0,1,20180101, 31512,CPT,LARYNGOSCOPY INDIRECT W/REMOVAL LESION,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31513,CPT,LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION,,30,,,"$1,445.39",$0.00,1,0,1,20180101, 31515,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION,,30,,,"$1,445.39",$0.00,1,0,1,20180101, 31520,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN,,30,,,"$1,445.39",$0.00,1,0,1,20180101, 31525,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31526,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31527,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31528,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31529,CPT,LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31530,CPT,LARYNGOSCOPY W/FOREIGN BODY REMOVAL,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31531,CPT,LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31535,CPT,LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31536,CPT,LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31540,CPT,LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31541,CPT,LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31545,CPT,LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31546,CPT,LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31551,CPT,LARYNGOPLASTY LARYNGEAL STEN,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31552,CPT,LARYNGOPLASTY LARYNGEAL STEN,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31553,CPT,LARYNGOPLASTY LARYNGEAL STEN,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31554,CPT,LARYNGOPLASTY LARYNGEAL STEN,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31560,CPT,LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31561,CPT,LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31570,CPT,LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31571,CPT,LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31572,CPT,LARGSC W/LASER DSTRJ LES,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31573,CPT,LARGSC W/THER INJECTION,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31574,CPT,LARGSC W/NJX AUGMENTATION,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31575,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC DIAGNOSTIC,,30,,,$631.66,$0.00,1,0,1,20180101, 31576,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC W/BIOPSY,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31577,CPT,LARYNGOSCOPY FLX FIBEROPTIC RMVL FOREIGN BODY,,30,,,"$1,445.39",$0.00,1,0,1,20180101, 31578,CPT,LARYNGOSCOPY FLEXIBLE FIBEROPTIC REMOVAL LESION,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31579,CPT,LARYNGOSCOPY FLX/RGD FIBOPT W/STROBOSCOPY,,30,,,"$1,445.39",$0.00,1,0,1,20180101, 31580,CPT,LARYNGOPLASTY LARYN WEB 2 STG W/KEEL INSJ&RMVL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31584,CPT,LARYNGOPLASTY W/OPEN REDUCTION FRACTURE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31587,CPT,LARYNGOPLASTY CRICOID SPLIT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31590,CPT,LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31591,CPT,LARYNGOPLASTY MEDIALIZATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31592,CPT,CRICOTRACHEAL RESECTION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31595,CPT,SECTION RECURRENT LARYNGEAL NERVE THER UNI SPX,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31599,CPT,UNLISTED PROCEDURE LARYNX,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 31600,CPT,TRACHEOSTOMY PLANNED SEPARATE PROCEDURE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31601,CPT,TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31603,CPT,TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 31605,CPT,TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 31610,CPT,TRACHEOSTOMY FENESTRATION W/SKIN FLAPS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31611,CPT,CONSTJ TRACHEOESOPHGL FSTL&INSJ SP PROSTH,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31612,CPT,TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR&/NJX,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31613,CPT,TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31614,CPT,TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31615,CPT,TRACHEOBRNCHSC THRU EST TRACHS INC,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 31622,CPT,BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31623,CPT,BRNCHSC BRUSHING/PROTECTED BRUSHINGS,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31624,CPT,BRNCHSC W/BRNCL ALVEOLAR LAVAGE,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31625,CPT,BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31626,CPT,BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31627,CPT,BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION,,30,,,"$3,290.01",$0.00,1,0,1,20180101, 31628,CPT,BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31629,CPT,BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31630,CPT,BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31631,CPT,BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31632,CPT,BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE,,30,,,"$2,429.01",$0.00,1,0,1,20180101, 31633,CPT,BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE,,30,,,"$2,729.43",$0.00,1,0,1,20180101, 31634,CPT,BRONCHOSCOPY BALLOON OCCLUSION,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31635,CPT,BRONCHOSCOPY W/REMOVAL FOREIGN BODY,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31636,CPT,BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31637,CPT,BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED,,30,,,"$3,198.81",$0.00,1,0,1,20180101, 31638,CPT,BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31640,CPT,BRONCHOSCOPY W/EXCISION TUMOR,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31641,CPT,BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31643,CPT,BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31645,CPT,BRNCHSC W/THER ASPIR TRACHEOBRNCL TREE 1ST,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31646,CPT,BRNCHSC W/THER ASPIR TRACHEOBRNCL TREE SBSQ,,30,,,"$1,445.39",$0.00,1,0,1,20180101, 31647,CPT,BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31648,CPT,BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31649,CPT,BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31651,CPT,BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE,,30,,,"$5,505.86",$0.00,1,0,1,20180101, 31652,CPT,BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31653,CPT,BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX,,30,,,"$13,357.11",$0.00,1,0,1,20180101, 31654,CPT,BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES,,30,,,"$1,658.41",$0.00,1,0,1,20180101, 31660,CPT,BRONCHOSCOPIC THERMOPLASTY ONE LOBE,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31661,CPT,BRONCHOSCOPIC THERMOPLASTY 2/> LOBES,,30,,,"$20,147.00",$0.00,1,0,1,20180101, 31717,CPT,CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY,,30,,,"$1,445.39",$0.00,1,0,1,20180101, 31720,CPT,CATHETER ASPIRATION NASOTRACHEAL SPX,,30,,,$387.29,$0.00,1,0,1,20180101, 31730,CPT,TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 31750,CPT,TRACHEOPLASTY CERVICAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31755,CPT,TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31785,CPT,EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 31820,CPT,SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31825,CPT,SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31830,CPT,REVISION TRACHEOSTOMY SCAR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 31899,CPT,UNLISTED PROCEDURE TRACHEA BRONCHI,,30,,,$631.66,$0.00,1,0,1,20180101, 32400,CPT,BIOPSY PLEURA PERCUTANEOUS NEEDLE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 32405,CPT,BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 32550,CPT,INSERTION INDWELLING TUNNELED PLEURAL CATHETER,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 32551,CPT,TUBE THORACOSTOMY INCLUDES WATER SEAL,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 32552,CPT,RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 32553,CPT,PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT,,30,,,"$6,939.43",$0.00,1,0,1,20180101, 32554,CPT,THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 32555,CPT,THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 32556,CPT,PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 32557,CPT,PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 32560,CPT,INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 32561,CPT,INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 32562,CPT,INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 32601,CPT,THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 32604,CPT,THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 32606,CPT,THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 32607,CPT,THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 32608,CPT,THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 32609,CPT,THORACOSCOPY WITH BIOPSYIES OF PLEURA,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 32701,CPT,THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE,,30,,,"$1,266.21",$0.00,1,0,1,20180101, 32960,CPT,PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 32994,CPT,ABLATE PULM TUMOR PERQ CRYBL,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 32998,CPT,ABLATION PULMONARY TUMOR PERQ RADIOFREQUENCY UNI,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 32999,CPT,UNLISTED PROCEDURE LUNGS & PLEURA,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 33010,CPT,PERICARDIOCENTESIS INITIAL,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 33011,CPT,PERICARDIOCENTESIS SUBSEQUENT,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 33206,CPT,INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL,,30,,,"$21,176.32",$0.00,1,0,1,20180101, 33207,CPT,INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR,,30,,,"$21,176.32",$0.00,1,0,1,20180101, 33208,CPT,INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT,,30,,,"$21,176.32",$0.00,1,0,1,20180101, 33210,CPT,INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 33211,CPT,INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 33212,CPT,INS PM PLS GEN W/EXIST SINGLE LEAD,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 33213,CPT,INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS,,30,,,"$21,176.32",$0.00,1,0,1,20180101, 33214,CPT,UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS,,30,,,"$21,176.32",$0.00,1,0,1,20180101, 33215,CPT,RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 33216,CPT,INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 33217,CPT,INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 33218,CPT,RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 33220,CPT,RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 33221,CPT,INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS,,30,,,"$34,075.32",$0.00,1,0,1,20180101, 33222,CPT,RELOCATION OF SKIN POCKET FOR PACEMAKER,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 33223,CPT,RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 33224,CPT,INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN,,30,,,"$21,176.32",$0.00,1,0,1,20180101, 33225,CPT,INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN,,30,,,"$23,642.33",$0.00,1,0,1,20180101, 33226,CPT,RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 33227,CPT,REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 33228,CPT,REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS,,30,,,"$21,176.32",$0.00,1,0,1,20180101, 33229,CPT,REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD,,30,,,"$34,075.32",$0.00,1,0,1,20180101, 33230,CPT,INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS,,30,,,"$43,703.16",$0.00,1,0,1,20180101, 33231,CPT,INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS,,30,,,"$61,117.82",$0.00,1,0,1,20180101, 33233,CPT,REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 33234,CPT,RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 33235,CPT,RMVL TRANSVNS PM ELTRD DUAL LEAD SYS,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 33240,CPT,INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD,,30,,,"$43,703.16",$0.00,1,0,1,20180101, 33241,CPT,REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 33244,CPT,RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 33249,CPT,INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR,,30,,,"$61,117.82",$0.00,1,0,1,20180101, 33262,CPT,RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD,,30,,,"$43,703.16",$0.00,1,0,1,20180101, 33263,CPT,RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD,,30,,,"$43,703.16",$0.00,1,0,1,20180101, 33264,CPT,RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD,,30,,,"$61,117.82",$0.00,1,0,1,20180101, 33270,CPT,INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD,,30,,,"$61,117.82",$0.00,1,0,1,20180101, 33271,CPT,INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 33272,CPT,RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 33273,CPT,REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 33282,CPT,IMPLANTATION PT-ACTIVATED CARDIAC EVENT RECORDER,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 33284,CPT,RMVL IMPLANTABLE PT-ACTIVATED CAR EVENT RECORDER,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 33419,CPT,TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS,,30,,,"$24,477.09",$0.00,1,0,1,20180101, 33508,CPT,NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG,,30,,,$177.47,$0.00,1,0,1,20180101, 33999,CPT,UNLISTED CARDIAC SURGERY,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 34101,CPT,EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 34111,CPT,EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 34201,CPT,EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 34203,CPT,EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 34421,CPT,THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 34471,CPT,THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 34490,CPT,THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 34501,CPT,VALVULOPLASTY FEMORAL VEIN,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 34510,CPT,VENOUS VALVE TRANSPOSITION ANY VEIN DONOR,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 34520,CPT,CROSS-OVER VEIN GRAFT VENOUS SYSTEM,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 34530,CPT,SAPHENOPOPLITEAL VEIN ANASTOMOSIS,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 34713,CPT,PERQ ACCESS & CLSR FEM ART,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 35011,CPT,DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35045,CPT,DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35180,CPT,REPAIR CONGENITAL AV FISTULA HEAD & NECK,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 35184,CPT,RPR CONGENITAL AV FISTULA EXTREMITIES,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 35188,CPT,RPR/TRAUMATIC AV FISTULA HEAD & NECK,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35190,CPT,RPR/TRAUMATIC AV FISTULA EXTREMITIES,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35201,CPT,REPAIR BLOOD VESSEL DIRECT NECK,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35206,CPT,REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 35207,CPT,REPAIR BLOOD VESSEL DIRECT HAND FINGER,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 35226,CPT,RPR BLOOD VESSEL DIRECT LOWER EXTREMITY,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 35231,CPT,REPAIR BLOOD VESSEL W/VEIN GRAFT NECK,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 35236,CPT,REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35256,CPT,REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35261,CPT,REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 35266,CPT,RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35286,CPT,RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35321,CPT,TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35500,CPT,HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX,,30,,,"$18,640.29",$0.00,1,0,1,20180101, 35572,CPT,HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX,,30,,,"$1,808.37",$0.00,1,0,1,20180101, 35685,CPT,PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT,,30,,,"$21,349.77",$0.00,1,0,1,20180101, 35686,CPT,CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO,,30,,,"$21,349.77",$0.00,1,0,1,20180101, 35761,CPT,EXPL N/FLWD SURG RPR W/WO LYSIS OTHER ARTERY,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 35860,CPT,EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 35875,CPT,THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35876,CPT,THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35879,CPT,REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35881,CPT,REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35883,CPT,REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35884,CPT,REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 35903,CPT,EXCISION INFECTED GRAFT EXTREMITY,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36000,CPT,INTRODUCTION NEEDLE/INTRACATHETER VEIN,,30,,,$206.17,$0.00,1,0,1,20180101, 36002,CPT,INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 36005,CPT,NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH,,30,,,"$1,730.64",$0.00,1,0,1,20180101, 36010,CPT,INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA,,30,,,"$2,013.24",$0.00,1,0,1,20180101, 36011,CPT,SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH,,30,,,"$2,522.84",$0.00,1,0,1,20180101, 36012,CPT,SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,,30,,,"$2,815.71",$0.00,1,0,1,20180101, 36013,CPT,INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY,,30,,,"$2,456.12",$0.00,1,0,1,20180101, 36014,CPT,SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY,,30,,,"$2,885.17",$0.00,1,0,1,20180101, 36015,CPT,SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART,,30,,,"$2,709.89",$0.00,1,0,1,20180101, 36100,CPT,INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY,,30,,,$585.64,$0.00,1,0,1,20180101, 36140,CPT,INTRO NEEDLE/INTRACATH EXTREMITY ARTERY,,30,,,"$2,527.73",$0.00,1,0,1,20180101, 36160,CPT,INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR,,30,,,"$2,062.46",$0.00,1,0,1,20180101, 36200,CPT,INTRODUCTION CATHETER AORTA,,30,,,"$3,229.02",$0.00,1,0,1,20180101, 36215,CPT,SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH,,30,,,"$3,253.43",$0.00,1,0,1,20180101, 36216,CPT,SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH,,30,,,"$3,482.52",$0.00,1,0,1,20180101, 36217,CPT,SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH,,30,,,"$3,799.52",$0.00,1,0,1,20180101, 36218,CPT,SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH,,30,,,"$2,292.85",$0.00,1,0,1,20180101, 36221,CPT,NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36222,CPT,SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36223,CPT,SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36224,CPT,SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36225,CPT,SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36226,CPT,SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36227,CPT,SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,,30,,,"$8,779.86",$0.00,1,0,1,20180101, 36228,CPT,SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT,,30,,,"$7,538.72",$0.00,1,0,1,20180101, 36245,CPT,SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH,,30,,,"$3,717.86",$0.00,1,0,1,20180101, 36246,CPT,SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH,,30,,,"$4,355.45",$0.00,1,0,1,20180101, 36247,CPT,SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,,30,,,"$4,882.28",$0.00,1,0,1,20180101, 36248,CPT,SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,,30,,,"$2,027.10",$0.00,1,0,1,20180101, 36251,CPT,SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36252,CPT,SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36253,CPT,SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36254,CPT,SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36260,CPT,INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36261,CPT,REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 36262,CPT,REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 36299,CPT,UNLISTED PROCEDURE VASCULAR INJECTION,,30,,,"$5,474.54",$0.00,1,0,1,20180101, 36400,CPT,VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN,,30,,,$204.08,$0.00,1,0,1,20180101, 36405,CPT,VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN,,30,,,$180.13,$0.00,1,0,1,20180101, 36406,CPT,VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN,,30,,,$70.99,$0.00,1,0,1,20180101, 36410,CPT,VNPNXR 3 YEARS/> PHYS/QHP SKILL,,30,,,$210.39,$0.00,1,0,1,20180101, 36415,CPT,COLLECTION VENOUS BLOOD VENIPUNCTURE,,30,,,$36.36,$0.00,1,0,1,20180101, 36416,CPT,COLLECTION CAPILLARY BLOOD SPECIMEN,,30,,,$31.20,$0.00,1,0,1,20180101, 36420,CPT,VENIPUNCTURE CUTDOWN UNDER AGE 1 YR,,30,,,$345.25,$0.00,1,0,1,20180101, 36425,CPT,VENIPUNCTURE CUTDOWN AGE 1 YR/>,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 36430,CPT,TRANSFUSION BLOOD/BLOOD COMPONENTS,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 36440,CPT,PUSH TRANSFUSION BLOOD 2 YR/UNDER,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 36450,CPT,EXCHNG TRANSFUSION BLOOD NEWBORN,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 36455,CPT,EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 36456,CPT,PRTL EXCHANGE TRANSFUSE NB,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 36460,CPT,TRANSFUSION INTRAUTERINE FETAL,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 36465,CPT,NJX NONCMPND SCLRSNT 1 VEIN,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 36466,CPT,NJX NONCMPND SCLRSNT MLT VN,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 36468,CPT,1/MLT NJXS SCLRSG SLNS SPIDER VEINS LIMB/TRUNK,,30,,,$622.76,$0.00,1,0,1,20180101, 36470,CPT,NJX SCLEROSING SOLUTION SINGLE VEIN,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 36471,CPT,NJX SCLEROSING SOLUTION MULTIPLE VEINS SAME LEG,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 36473,CPT,ENDOVENOUS MCHNCHEM 1ST VEIN,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36474,CPT,ENDOVENOUS MCHNCHEM ADD-ON,,30,,,"$3,299.08",$0.00,1,0,1,20180101, 36475,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36476,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS,,30,,,"$4,998.47",$0.00,1,0,1,20180101, 36478,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36479,CPT,ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS,,30,,,"$5,270.22",$0.00,1,0,1,20180101, 36481,CPT,PRQ PORTAL VEIN CATHETERIZATION ANY METHOD,,30,,,"$4,138.89",$0.00,1,0,1,20180101, 36482,CPT,ENDOVEN THER CHEM ADHES 1ST,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36500,CPT,VEN CATHJ SLCTV ORGAN BLD SAMPLING,,30,,,"$2,347.24",$0.00,1,0,1,20180101, 36510,CPT,CATHJ UMBILICAL VEIN DX/THER NB,,30,,,$477.38,$0.00,1,0,1,20180101, 36511,CPT,THERAPEUTIC APHERESIS WHITE BLOOD CELLS,,30,,,"$6,003.49",$0.00,1,0,1,20180101, 36512,CPT,THERAPEUTIC APHERESIS RED BLOOD CELLS,,30,,,"$6,003.49",$0.00,1,0,1,20180101, 36513,CPT,THERAPEUTIC APHERESIS PLATELETS,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 36514,CPT,THERAPEUTIC APHERESIS PLASMA PHERESIS,,30,,,"$6,003.49",$0.00,1,0,1,20180101, 36516,CPT,THER APHRS XTRCORP SLCTV ADSRPJ/FILTRJ & REINFSJ,,30,,,"$12,260.83",$0.00,1,0,1,20180101, 36522,CPT,PHOTOPHERESIS EXTRACORPOREAL,,30,,,"$12,260.83",$0.00,1,0,1,20180101, 36555,CPT,INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 36556,CPT,INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 36557,CPT,INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36558,CPT,INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36560,CPT,INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36561,CPT,INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36563,CPT,INSJ TUNNELED CTR VAD W/SUBQ PUMP,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36565,CPT,INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36566,CPT,INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36568,CPT,INSJ PRPH CVC W/O SUBQ PORT/PMP UNDER 5 YR,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 36569,CPT,INSJ PRPH CVC W/O SUBQ PORT/PMP AGE 5 YR/>,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 36570,CPT,INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36571,CPT,INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/>,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36575,CPT,RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 36576,CPT,RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 36578,CPT,RPLCMT CATH CTR VAD SUBQ PORT/PMP,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36580,CPT,RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 36581,CPT,RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36582,CPT,RPLCMT COMPL TUN CTR VAD W/SUBQ PORT,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36583,CPT,RPLCMT COMPL TUN CTR VAD W/SUBQ PMP,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36584,CPT,RPLCMT COMPL PRPH CVC W/O SUBQ PORT/PMP,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 36585,CPT,RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36589,CPT,RMVL TUN CVC W/O SUBQ PORT/PMP,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 36590,CPT,RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 36591,CPT,COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,,30,,,$536.04,$0.00,1,0,1,20180101, 36592,CPT,COLLECT BLOOD FROM CATHETER VENOUS NOS,,30,,,$536.04,$0.00,1,0,1,20180101, 36593,CPT,DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 36595,CPT,MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36596,CPT,MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 36597,CPT,RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 36598,CPT,CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT,,30,,,$830.16,$0.00,1,0,1,20180101, 36600,CPT,ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX,,30,,,$536.04,$0.00,1,0,1,20180101, 36620,CPT,ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ,,30,,,$976.93,$0.00,1,0,1,20180101, 36625,CPT,ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN,,30,,,"$1,953.00",$0.00,1,0,1,20180101, 36640,CPT,ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36680,CPT,PLACEMENT NEEDLE INTRAOSSEOUS INFUSION,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 36800,CPT,INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36810,CPT,INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36815,CPT,INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36818,CPT,ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36819,CPT,ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36820,CPT,ARVEN ANAST OPN F/ARM VEIN TRPOS,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36821,CPT,ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36825,CPT,CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36830,CPT,CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36831,CPT,THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36832,CPT,REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36833,CPT,REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36835,CPT,INSERTION THOMAS SHUNT SEPARATE PROCEDURE,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 36838,CPT,DSTL REVSC&INTERVAL LIG UXTR HEMO ACCESS,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36860,CPT,XTRNL CANNULA DECLTNG SPX W/O BALO CATH,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 36861,CPT,XTRNL CANNULA DECLTNG SPX W/BALO CATH,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 36901,CPT,INTRO CATH DIALYSIS CIRCUIT,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 36902,CPT,INTRO CATH DIALYSIS CIRCUIT,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 36903,CPT,INTRO CATH DIALYSIS CIRCUIT,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 36904,CPT,THRMBC/NFS DIALYSIS CIRCUIT,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 36905,CPT,THRMBC/NFS DIALYSIS CIRCUIT,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 36906,CPT,THRMBC/NFS DIALYSIS CIRCUIT,,30,,,"$31,145.92",$0.00,1,0,1,20180101, 36907,CPT,BALO ANGIOP CTR DIALYSIS SEG,,30,,,"$6,872.34",$0.00,1,0,1,20180101, 36908,CPT,STENT PLMT CTR DIALYSIS SEG,,30,,,"$19,412.92",$0.00,1,0,1,20180101, 36909,CPT,DIALYSIS CIRCUIT EMBOLJ,,30,,,"$15,067.68",$0.00,1,0,1,20180101, 37183,CPT,REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 37184,CPT,PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 37185,CPT,PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ,,30,,,"$10,098.66",$0.00,1,0,1,20180101, 37186,CPT,SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL,,30,,,"$9,986.30",$0.00,1,0,1,20180101, 37187,CPT,PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 37188,CPT,PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37191,CPT,INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 37192,CPT,REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37193,CPT,RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37195,CPT,THROMBOLYSIS CEREBRAL IV INFUSION,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 37197,CPT,PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37200,CPT,TRANSCATHETER BIOPSY,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 37211,CPT,THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 37212,CPT,THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37213,CPT,THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 37214,CPT,CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 37216,CPT,TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ,,30,,,"$11,095.12",$0.00,1,0,1,20180101, 37220,CPT,REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 37221,CPT,REVSC OPN/PRQ ILIAC ART W/STNT PLMT & ANGIOPLSTY,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 37222,CPT,REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL,,30,,,"$13,411.32",$0.00,1,0,1,20180101, 37223,CPT,REVSC OPN/PRQ ILIAC ART W/STNT & ANGIOP IPSILATL,,30,,,"$18,363.11",$0.00,1,0,1,20180101, 37224,CPT,REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 37225,CPT,REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 37226,CPT,REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 37227,CPT,REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL,,30,,,"$31,145.92",$0.00,1,0,1,20180101, 37228,CPT,REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 37229,CPT,REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL,,30,,,"$31,145.92",$0.00,1,0,1,20180101, 37230,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL,,30,,,"$31,145.92",$0.00,1,0,1,20180101, 37231,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL,,30,,,"$31,145.92",$0.00,1,0,1,20180101, 37232,CPT,REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL,,30,,,"$13,992.62",$0.00,1,0,1,20180101, 37233,CPT,REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP UNI EA VSL,,30,,,"$24,730.18",$0.00,1,0,1,20180101, 37234,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL,,30,,,"$18,496.69",$0.00,1,0,1,20180101, 37235,CPT,REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP EA VSL,,30,,,"$11,162.56",$0.00,1,0,1,20180101, 37236,CPT,OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 37237,CPT,OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL,,30,,,"$17,673.76",$0.00,1,0,1,20180101, 37238,CPT,OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 37239,CPT,OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL,,30,,,"$13,708.48",$0.00,1,0,1,20180101, 37241,CPT,VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 37242,CPT,VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 37243,CPT,VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 37244,CPT,VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 37246,CPT,TRLUML BALO ANGIOP 1ST ART,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 37247,CPT,TRLUML BALO ANGIOP ADDL ART,,30,,,"$8,173.16",$0.00,1,0,1,20180101, 37248,CPT,TRLUML BALO ANGIOP 1ST VEIN,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 37249,CPT,TRLUML BALO ANGIOP ADDL VEIN,,30,,,"$6,414.48",$0.00,1,0,1,20180101, 37252,CPT,INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,,30,,,"$12,545.90",$0.00,1,0,1,20180101, 37253,CPT,INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,,30,,,"$2,393.12",$0.00,1,0,1,20180101, 37500,CPT,VASC ENDOSCOPY SURG W/LIG PERFORATOR VEINS SPX,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 37501,CPT,UNLISTED VASCULAR ENDOSCOPY PROCEDURE,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 37565,CPT,LIGATION INTERNAL JUGULAR VEIN,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 37600,CPT,LIGATION EXTERNAL CAROTID ARTERY,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37605,CPT,LIGATION INTERNAL/COMMON CAROTID ARTERY,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37606,CPT,LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37607,CPT,LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37609,CPT,LIGATION/BIOPSY TEMPORAL ARTERY,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 37615,CPT,LIGATION MAJOR ARTERY NECK,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 37619,CPT,INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 37650,CPT,REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37700,CPT,LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37718,CPT,LIGJ DIVJ & STRIPPING SHORT SAPHENOUS VEIN,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37722,CPT,LIGJ DIVJ&STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37735,CPT,LIGJ & DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37760,CPT,LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37761,CPT,LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 37765,CPT,STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37766,CPT,STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37780,CPT,LIGJ & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 37785,CPT,LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 37790,CPT,PENILE VENOUS OCCLUSIVE PROCEDURE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 37799,CPT,UNLISTED PROCEDURE VASCULAR SURGERY,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 38120,CPT,LAPAROSCOPIC SURGICAL SPLENECTOMY,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 38129,CPT,UNLISTED LAPAROSCOPY PROCEDURE SPLEEN,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 38200,CPT,INJECTION PROCEDURE SPLENOPORTOGRAPY,,30,,,$911.28,$0.00,1,0,1,20180101, 38204,CPT,MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ,,30,,,"$3,014.96",$0.00,1,0,1,20180101, 38205,CPT,BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC,,30,,,"$3,476.30",$0.00,1,0,1,20180101, 38206,CPT,BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL,,30,,,"$6,003.49",$0.00,1,0,1,20180101, 38207,CPT,TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 38208,CPT,TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 38209,CPT,TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 38210,CPT,TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 38211,CPT,TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 38212,CPT,TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 38213,CPT,TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 38214,CPT,TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 38215,CPT,TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 38220,CPT,MARROW ASPIRATION ONLY,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 38221,CPT,BONE MARROW BIOPSY NEEDLE/TROCAR,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 38222,CPT,DX BONE MARROW BX & ASPIR,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 38230,CPT,BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC,,30,,,"$6,003.49",$0.00,1,0,1,20180101, 38232,CPT,BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS,,30,,,"$12,260.83",$0.00,1,0,1,20180101, 38240,CPT,TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR,,30,,,"$52,099.40",$0.00,1,0,1,20180101, 38241,CPT,TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR,,30,,,"$6,003.49",$0.00,1,0,1,20180101, 38242,CPT,ALLOGENEIC LYMPHOCYTE INFUSIONS,,30,,,"$6,003.49",$0.00,1,0,1,20180101, 38243,CPT,TRNSPLJ HEMATOPOIETIC CELL BOOST,,30,,,"$6,003.49",$0.00,1,0,1,20180101, 38300,CPT,DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 38305,CPT,DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 38308,CPT,LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 38500,CPT,BX/EXC LYMPH NODE OPEN SUPERFICIAL,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 38505,CPT,BX/EXC LYMPH NODE NEEDLE SUPERFICIAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 38510,CPT,BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 38520,CPT,BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 38525,CPT,BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 38530,CPT,BX/EXC LYMPH NODE OPEN INT MAMMARY NODE,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 38542,CPT,DISSECTION DEEP JUGULAR NODE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 38550,CPT,EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ,,30,,,"$13,997.72",$0.00,1,0,1,20180101, 38555,CPT,EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 38570,CPT,LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 38571,CPT,LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 38572,CPT,LAPS BI TOT PEL LMPHADEC & PRI-AORTIC LYMPH BX 1,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 38573,CPT,LAPS PELVIC LYMPHADEC,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 38589,CPT,UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 38700,CPT,SUPRAHYOID LYMPHADENECTOMY,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 38720,CPT,CERVICAL LYMPHADENECTOMY,,30,,,"$23,478.07",$0.00,1,0,1,20180101, 38740,CPT,AXILLARY LYMPHADENECTOMY SUPERFICIAL,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 38745,CPT,AXILLARY LYMPHADENECTOMY COMPLETE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 38760,CPT,INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX,,30,,,"$20,444.80",$0.00,1,0,1,20180101, 38790,CPT,INJECTION PROCEDURE LYMPHANGIOGRAPHY,,30,,,$821.51,$0.00,1,0,1,20180101, 38792,CPT,INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 38900,CPT,INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION,,30,,,"$4,041.08",$0.00,1,0,1,20180101, 38999,CPT,UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM,,30,,,"$2,283.81",$0.00,1,0,1,20180101, 39401,CPT,MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 39402,CPT,MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 40490,CPT,BIOPSY OF LIP,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 40500,CPT,VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40510,CPT,EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40520,CPT,EXC LIP V-EXC W/PRIM DIR LINR CLSR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40525,CPT,EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40527,CPT,EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 40530,CPT,RESCJ LIP > ONE-FOURTH W/O RCNSTJ,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40650,CPT,RPR LIP FULL THICKNESS VERMILION ONLY,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 40652,CPT,RPR LIP FULL THICKNESS HALF/< VERTICAL HEIGHT,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 40654,CPT,RPR LIP FULL THKNS >ONE-HALF VERT HEIGHT/COMPLE,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 40700,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 40701,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 40702,CPT,PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 40720,CPT,PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT & RECL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40761,CPT,PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 40799,CPT,UNLISTED PROCEDURE LIPS,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 40800,CPT,DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 40801,CPT,DRG ABSC CST HMTMA VESTIBULE MOUTH COMP,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 40804,CPT,RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 40805,CPT,RMVL EMBEDDED FB VESTIBULE MOUTH COMP,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 40806,CPT,INCISION LABIAL FRENUM FRENOTOMY,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 40808,CPT,BIOPSY VESTIBULE MOUTH,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 40810,CPT,EXC LES MUCOSA & SBMCSL VESTIBULE MOUTH W/O RPR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40812,CPT,EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40814,CPT,EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40816,CPT,EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40818,CPT,EXC MUCOSA VESTIBULE MOUTH AS DON GRF,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 40819,CPT,EXC FRENUM LABIAL/BUCCAL,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 40820,CPT,DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 40830,CPT,CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 40831,CPT,CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 40840,CPT,VESTIBULOPLASTY ANTERIOR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 40842,CPT,VESTIBULOPLASTY POSTERIOR UNILATERAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 40843,CPT,VESTIBULOPLASTY POSTERIOR BILATERAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 40844,CPT,VESTIBULOPLASTY ENTIRE ARCH,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 40845,CPT,VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 40899,CPT,UNLISTED PROCEDURE VESTIBULE MOUTH,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 41000,CPT,INTRAORAL I&D TONGUE/FLOOR LINGUAL,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 41005,CPT,INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 41006,CPT,INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 41007,CPT,INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 41008,CPT,INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41009,CPT,INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 41010,CPT,INCISION LINGUAL FRENUM FRENOTOMY,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 41015,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 41016,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMENT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 41017,CPT,XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41018,CPT,XTRORAL I&D FLOOR MASTICATOR SPACE,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 41019,CPT,PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 41100,CPT,BIOPSY TONGUE ANTERIOR TWO-THIRDS,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 41105,CPT,BIOPSY TONGUE POSTERIOR ONE-THIRD,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41108,CPT,BIOPSY FLOOR MOUTH,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 41110,CPT,EXCISION LESION TONGUE W/O CLOSURE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41112,CPT,EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41113,CPT,EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41114,CPT,EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41115,CPT,EXCISION LINGUAL FRENUM FRENECTOMY,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 41116,CPT,EXCISION LESION FLOOR MOUTH,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41120,CPT,GLOSSECTOMY 2.6 CM/CPLX,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 41500,CPT,FIXJ TONGUE MECHANICAL OTHER/THAN SUTURE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41510,CPT,SUTURE TONGUE LIP MICROGNATHIA,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41512,CPT,TONGUE BASE SUSPENSION PERMANENT SUTURE TQ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 41520,CPT,FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41530,CPT,SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41599,CPT,UNLISTED PROCEDURE TONGUE FLOOR MOUTH,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 41800,CPT,DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,,30,,,$536.04,$0.00,1,0,1,20180101, 41805,CPT,RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 41806,CPT,RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 41820,CPT,GINGIVECTOMY EXC GINGIVA EACH QUADRANT,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41821,CPT,OPRCULECTOMY EXC PRICORONAL TISSUE,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 41822,CPT,EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 41823,CPT,EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 41825,CPT,EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41826,CPT,EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41827,CPT,EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 41828,CPT,EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41830,CPT,ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41850,CPT,DESTRUCTION LESION DENTOALVEOLAR STRUCTURES,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 41870,CPT,PERIODONTAL MUCOSAL GRAFTING,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41872,CPT,GINGIVOPLASTY EACH QUADRANT SPECIFY,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41874,CPT,ALVEOLOPLASTY EACH QUADRANT SPECIFY,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 41899,CPT,UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 42000,CPT,DRAINAGE ABSCESS PALATE UVULA,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 42100,CPT,BIOPSY PALATE UVULA,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 42104,CPT,EXC LESION PALATE UVULA W/O CLOSURE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42106,CPT,EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42107,CPT,EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42120,CPT,RESCJ PALATE/EXTENSIVE RESCJ LESION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42140,CPT,UVULECTOMY EXCISION UVULA,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42145,CPT,PALATOPHARYNGOPLASTY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42160,CPT,DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42180,CPT,REPAIR LACERATION PALATE 2 CM/COMPLEX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42200,CPT,PALATOP CL PALATE SOFT&/HARD PALATE ONLY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42205,CPT,PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42210,CPT,PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42215,CPT,PALATOPLASTY CLEFT PALATE MAJOR REVJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42220,CPT,PALATOPLASTY CLEFT PALATE SEC LNGTH PX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42225,CPT,PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42226,CPT,LENGTHENING PALATE & PHARYNGEAL FLAP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42227,CPT,LENGTHENING PALATE W/ISLAND FLAP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42235,CPT,REPAIR ANTERIOR PALATE W/VOMER FLAP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42260,CPT,REPAIR NASOLABIAL FISTULA,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42280,CPT,MAXILLARY IMPRESJ PALATAL PROSTHESIS,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 42281,CPT,INSJ PIN-RETAINED PALATAL PROSTHESIS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42299,CPT,UNLISTED PROCEDURE PALATE UVULA,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 42300,CPT,DRAINAGE ABSCESS PAROTID SIMPLE,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 42305,CPT,DRAINAGE ABSCESS PAROTID COMPLICATED,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42310,CPT,DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 42320,CPT,DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 42330,CPT,SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42335,CPT,SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42340,CPT,SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42400,CPT,BIOPSY SALIVARY GLAND NEEDLE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 42405,CPT,BIOPSY SALIVARY GLAND INCISIONAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42408,CPT,EXC SUBLINGUAL SALIVARY CYST RANULA,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42409,CPT,MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42410,CPT,EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42415,CPT,EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FACIAL NR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42420,CPT,EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FACIAL NR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42425,CPT,EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42440,CPT,EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42450,CPT,EXISION OF SUBLINGUAL GLAND,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42500,CPT,PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42505,CPT,PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42507,CPT,PAROTID DUCT DIVERSION BILATERAL WILKE PX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42509,CPT,PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42510,CPT,PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42550,CPT,INJECTION PROCEDURE SIALOGRAPHY,,30,,,$616.69,$0.00,1,0,1,20180101, 42600,CPT,CLOSURE SALIVARY FISTULA,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42650,CPT,DILATION SALIVARY DUCT,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 42660,CPT,DILAT&CATHJ SALIVARY DUCT W/WO INJECTION,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 42665,CPT,LIGATION SALIVARY DUCT INTRAORAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42699,CPT,UNLISTED PX SALIVARY GLANDS/DUCTS,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 42700,CPT,I&D ABSCESS PERITONSILLAR,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 42720,CPT,I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42725,CPT,I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42800,CPT,BIOPSY OROPHARYNX,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42804,CPT,BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42806,CPT,BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42808,CPT,EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42809,CPT,REMOVAL FOREIGN BODY PHARYNX,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 42810,CPT,EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TIS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42815,CPT,EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRYNX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42820,CPT,TONSILLECTOMY & ADENOIDECTOMY ,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42825,CPT,TONSILLECTOMY ONE-HALF ,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42830,CPT,ADENOIDECTOMY PRIMARY ,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42835,CPT,ADENOIDECTOMY SECONDARY,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42842,CPT,RADICAL RESECTION TONSIL W/O CLOSURE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42844,CPT,RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42860,CPT,EXCISION TONSIL TAGS,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42870,CPT,EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42890,CPT,LIMITED PHARYNGECTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42892,CPT,RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42900,CPT,SUTURE PHARYNX WOUND/INJURY,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 42950,CPT,PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 42955,CPT,PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 42960,CPT,CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 42962,CPT,CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42970,CPT,CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 42972,CPT,CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 42999,CPT,UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 43020,CPT,ESOPHAGOTOMY CERVICAL APPR W/RMVL FB,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 43030,CPT,CRICOPHARYNGEAL MYOTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 43130,CPT,DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 43180,CPT,ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 43191,CPT,ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43192,CPT,ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43193,CPT,ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43194,CPT,ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43195,CPT,ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43196,CPT,ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43197,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43198,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43200,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43201,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43202,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43204,CPT,ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43205,CPT,ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43206,CPT,ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43210,CPT,EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 43211,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43212,CPT,ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 43213,CPT,ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43214,CPT,ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43215,CPT,ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43216,CPT,ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43217,CPT,ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43220,CPT,ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43226,CPT,ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43227,CPT,ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43229,CPT,ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43231,CPT,ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43232,CPT,ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43233,CPT,EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43235,CPT,ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43236,CPT,ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43237,CPT,ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43238,CPT,EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43239,CPT,EGD TRANSORAL BIOPSY SINGLE/MULTIPLE,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43240,CPT,EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43241,CPT,EGD INTRALUMINAL TUBE/CATHETER INSERTION,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43242,CPT,EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43243,CPT,EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43244,CPT,EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43245,CPT,EGD DILATION GASTRIC/DUODENAL STRICTURE,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43246,CPT,EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43247,CPT,EGD FLEXIBLE FOREIGN BODY REMOVAL,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43248,CPT,EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43249,CPT,EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43250,CPT,EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43251,CPT,EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43252,CPT,EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43253,CPT,EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43254,CPT,EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43255,CPT,EGD TRANSORAL CONTROL BLEEDING ANY METHOD,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43257,CPT,EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43259,CPT,EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43260,CPT,ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43261,CPT,ERCP W/BIOPSY SINGLE/MULTIPLE,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43262,CPT,ERCP W/SPHINCTEROTOMY/PAPILLOTOMY,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43263,CPT,ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43264,CPT,ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43265,CPT,ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 43266,CPT,EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 43270,CPT,EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43273,CPT,ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC,,30,,,"$3,834.29",$0.00,1,0,1,20180101, 43274,CPT,ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 43275,CPT,ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43276,CPT,ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 43277,CPT,ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43278,CPT,ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43280,CPT,LAPS SURG ESOPG/GSTR FUNDOPLASTY,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 43281,CPT,LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 43282,CPT,LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 43284,CPT,LAPS ESOPHGL SPHNCTR AGMNTJ,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 43285,CPT,RMVL ESOPHGL SPHNCTR DEV,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 43289,CPT,UNLISTED LAPAROSCOPIC PROCEDURE ESOPHAGUS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 43420,CPT,CLSR ESOPHAGOSTOMY/FSTL CRV APPR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 43450,CPT,DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43453,CPT,DILATION ESOPHAGUS GUIDE WIRE,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43499,CPT,UNLISTED PROCEDURE ESOPHAGUS,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43510,CPT,GSTRT W/ESOPHGL DILAT&INSJ PRM INTRAL TUBE,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43647,CPT,LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM,,30,,,"$22,808.91",$0.00,1,0,1,20180101, 43648,CPT,LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 43651,CPT,LAPS SURG TRNSXJ VAGUS NRV TRUNCAL,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 43652,CPT,LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 43653,CPT,LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 43659,CPT,UNLISTED LAPAROSCOPIC PROCEDURE STOMACH,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 43752,CPT,NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDNCE,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 43753,CPT,GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 43754,CPT,GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 43755,CPT,GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPEC,,30,,,$831.97,$0.00,1,0,1,20180101, 43756,CPT,DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43757,CPT,DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43760,CPT,CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GDNCE,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 43761,CPT,REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 43770,CPT,LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 43772,CPT,LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43773,CPT,LAPS GASTRIC RESTRICTIVE PX REMOVE&RPLCMT DEVICE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 43774,CPT,LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43830,CPT,GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 43831,CPT,GASTROSTOMY OPN NEONATAL FEEDING,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 43842,CPT,GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY,,30,,,"$4,406.46",$0.00,1,0,1,20180101, 43870,CPT,CLOSURE GASTROSTOMY SURG,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 43886,CPT,GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 43887,CPT,GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 43888,CPT,GSTR RSTCV OPN RMVL & RPLCMT SUBQ PORT,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 43999,CPT,UNLISTED PROCEDURE STOMACH,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 44100,CPT,BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 44180,CPT,LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 44186,CPT,LAPAROSCOPY SURGICAL JEJUNOSTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 44238,CPT,UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 44312,CPT,REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 44340,CPT,REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX,,30,,,"$13,124.34",$0.00,1,0,1,20180101, 44360,CPT,ENDOSCOPY UPPER SMALL INTESTINE,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44361,CPT,ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44363,CPT,ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44364,CPT,ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44365,CPT,ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44366,CPT,ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44369,CPT,ENTEROSCOPY > 2ND PRTN ABLTJ LESION,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44370,CPT,ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 44372,CPT,ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44373,CPT,ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44376,CPT,ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44377,CPT,ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44378,CPT,ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44379,CPT,ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 44380,CPT,ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 44381,CPT,ILEOSCOPY STOMA W/BALLOON DILATION,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 44382,CPT,ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 44384,CPT,ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT,,30,,,"$14,008.10",$0.00,1,0,1,20180101, 44385,CPT,NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 44386,CPT,NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 44388,CPT,COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 44389,CPT,COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44390,CPT,COLONOSCOPY STOMA W/RMVL FOREIGN BODY,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44391,CPT,COLONOSCOPY STOMA CONTROL BLEEDING,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44392,CPT,COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44394,CPT,COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44401,CPT,COLONOSCOPY STOMA ABLATION LESION,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44402,CPT,COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 44403,CPT,COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44404,CPT,COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44405,CPT,COLONOSCOPY STOMA W/BALLOON DILATION,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44406,CPT,COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44407,CPT,COLONOSCOPY STOMA W/US GID NDL ASPIR/BX,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 44408,CPT,COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 44500,CPT,INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 44701,CPT,INTRAOPERATIVE COLONIC LAVAGE,,30,,,"$1,021.31",$0.00,1,0,1,20180101, 44705,CPT,PREPARE FECAL MICROBIOTA FOR INSTILLATION,,30,,,$603.38,$0.00,1,0,1,20180101, 44799,CPT,UNLISTED PROCEDURE SMALL INTESTINE,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 44950,CPT,APPENDECTOMY,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 44955,CPT,APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX,,30,,,"$5,980.58",$0.00,1,0,1,20180101, 44970,CPT,LAPAROSCOPIC APPENDECTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 44979,CPT,UNLISTED LAPAROSCOPY PROCEDURE APPENDIX,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 45000,CPT,TRANSRECTAL DRAINAGE OF PELVIC ABSCESS,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45005,CPT,I&D SUBMUCOSAL ABSCESS RECTUM,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45020,CPT,I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45100,CPT,BX ANORECTAL WALL ANAL APPROACH,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45108,CPT,ANORECTAL MYOMECTOMY,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45150,CPT,DIVISION STRICTURE RECTUM,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45160,CPT,EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45171,CPT,EXC RCT TUM NOT INCL MUSCULARIS PROPRIA,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45172,CPT,EXC RCT TUM INCL MUSCULARIS PROPRIA,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45190,CPT,DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45300,CPT,PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 45303,CPT,PROCTOSGMDSC RIGID W/DILATION,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45305,CPT,PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45307,CPT,PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45308,CPT,PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45309,CPT,PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45315,CPT,PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45317,CPT,PROCTOSGMDSC RIGID CONTROL BLEEDING,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45320,CPT,PROCTOSGMDSC RIGID ABLATION LESION,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45321,CPT,PROCTOSGMDSC RIGID DCMPRN VOLVULUS,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45327,CPT,PROCTOSGMDSC RIGID TNDSC STENT PLMT,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 45330,CPT,SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 45331,CPT,SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 45332,CPT,SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45333,CPT,SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 45334,CPT,SIGMOIDOSCOPY FLX CONTROL BLEEDING,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45335,CPT,SGMDSC FLX DIRED SBMCSL NJX ANY SBST,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 45337,CPT,SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45338,CPT,SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45340,CPT,SIGMOIDOSCOPY FLX TNDSC BALO DILAT,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45341,CPT,SIGMOIDOSCOPY FLX NDSC US XM,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45342,CPT,SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45346,CPT,SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45347,CPT,SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 45349,CPT,SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45350,CPT,SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S),,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45378,CPT,COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 45379,CPT,COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S),,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45380,CPT,COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45381,CPT,COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45382,CPT,COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45384,CPT,COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45385,CPT,COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45386,CPT,COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45388,CPT,COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45389,CPT,COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 45390,CPT,COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45391,CPT,COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45392,CPT,COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45393,CPT,COLONOSCOPY FLEXIBLE WITH DECOMPRESSION,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45398,CPT,COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S),,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45399,CPT,UNLISTED PROCEDURE COLON,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 45499,CPT,UNLISTED LAPAROSCOPY PROCEDURE RECTUM,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 45500,CPT,PROCTOPLASTY STENOSIS,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45505,CPT,PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45520,CPT,PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 45541,CPT,PROCTOPEXY PERINEAL APPROACH,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45560,CPT,REPAIR RECTOCELE SEPARATE PROCEDURE,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45900,CPT,RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 45905,CPT,DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45910,CPT,DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45915,CPT,RMVL FECAL IMPACTION/FB SPX UNDER ANES,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 45990,CPT,ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 45999,CPT,UNLISTED PROCEDURE RECTUM,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 46020,CPT,PLACEMENT SETON,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46030,CPT,REMOVAL ANAL SETON OTHER MARKER,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 46040,CPT,I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 46045,CPT,I&D INTRAMURAL IM/ABSC TRANSANAL ANES,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46050,CPT,I&D PERIANAL ABSCESS SUPERFICIAL,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 46060,CPT,I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46070,CPT,INCISION ANAL SEPTUM INFANT,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46080,CPT,SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46083,CPT,INCISION THROMBOSED HEMORRHOID EXTERNAL,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 46200,CPT,FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46220,CPT,EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 46221,CPT,HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 46230,CPT,EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46250,CPT,HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46255,CPT,HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46257,CPT,HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTO,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46258,CPT,HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46260,CPT,HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46261,CPT,HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSU,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46262,CPT,HRHC 2/> COL/GRP W/FSTULECTMY INCL FSSRECTMY,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46270,CPT,SURG TX ANAL FISTULA SUBQ,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46275,CPT,SURG TX ANAL FISTULA INTERSPHINCTERIC,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46280,CPT,TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46285,CPT,SURG TX ANAL FISTULA 2ND STAGE,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46288,CPT,CLSR ANAL FSTL W/RCT ADVMNT FLAP,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46320,CPT,EXC THROMBOSED HEMORRHOID XTRNL,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 46500,CPT,INJECTION SCLEROSING SOLUTION HEMORRHOIDS,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 46505,CPT,CHEMODENERVATION INTERNAL ANAL SPHINCTER,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 46600,CPT,ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,,30,,,$536.04,$0.00,1,0,1,20180101, 46601,CPT,ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT,,30,,,$536.04,$0.00,1,0,1,20180101, 46604,CPT,ANOSCOPY W/DILATION,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 46606,CPT,ANOSCOPY W/BX SINGLE/MULTIPLE,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 46607,CPT,ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 46608,CPT,ANOSCOPY W/RMVL FOREIGN BODY,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 46610,CPT,ANOSCOPY W/RMVL LESION CAUTERY,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46611,CPT,ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 46612,CPT,ANOSC RMVL MULT TUMORS CAUTERY/SNARE,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46614,CPT,ANOSCOPY CONTROL BLEEDING,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 46615,CPT,ANOSCOPY ABLATION LESION,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46700,CPT,ANOPLASTY PLASTIC OPERATION STRICTURE ADULT,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46706,CPT,REPAIR ANAL FISTULA W/FIBRIN GLUE,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46707,CPT,REPAIR ANORECTAL FISTULA PLUG,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46750,CPT,SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46753,CPT,GRAFT THIERSCH RCT INCONTINENCE &/PROLAPSE,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46754,CPT,RMVL THIERSCH WIRE/SUTURE ANAL CANAL,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46760,CPT,SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46761,CPT,SPHNCTROP ANAL LEVATOR MUSC IMBRCJ,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46762,CPT,SPHNCTROP ANAL IMPLTJ ARTIF SPHNCTR,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 46900,CPT,DSTRJ LESION ANUS SIMPLE CHEMICAL,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 46910,CPT,DSTRJ LESION ANUS SMPL ELTRDSICCATION,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 46916,CPT,DSTRJ LESION ANUS SIMPLE CRYOSURGERY,,30,,,$622.76,$0.00,1,0,1,20180101, 46917,CPT,DSTRJ LESION ANUS SIMPLE LASER SURG,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46922,CPT,DSTRJ LESION ANUS SIMPLE SURG EXCISION,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46924,CPT,DSTRJ LESION ANUS EXTENSIVE,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46930,CPT,DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 46940,CPT,CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46942,CPT,CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 46945,CPT,HRHC NTRNL LIG OTH THAN RBBR BAND 1 COL/GRP,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46946,CPT,HRHC NTRNL LIG OTH THAN RBBR BAND 2/> COL/GRP,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46947,CPT,HEMORRHOIDOPEXY STAPLING,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 46999,CPT,UNLISTED PROCEDURE ANUS,,30,,,"$3,997.26",$0.00,1,0,1,20180101, 47000,CPT,BIOPSY LIVER NEEDLE PERCUTANEOUS,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 47001,CPT,BX LVR NDL DONE PURPOSE TM OTH MAJOR PX,,30,,,"$4,874.76",$0.00,1,0,1,20180101, 47370,CPT,LAPS SURG ABLTJ 1/> LVR TUM RF,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 47371,CPT,LAPS SURG ABLTJ 1 > LVR TUM CRYOSURG,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 47379,CPT,UNLIS LAPAROSCOPIC PROCEDURE LIVER,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47382,CPT,ABLTJ 1/> LVR TUM PRQ RF,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47383,CPT,ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47399,CPT,UNLISTED PROCEDURE LIVER,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 47490,CPT,CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47531,CPT,NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47532,CPT,NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47533,CPT,PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47534,CPT,PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47535,CPT,CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47536,CPT,EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47537,CPT,REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 47538,CPT,PLMT BILE DUCT STENT PRQ EXISTING ACCESS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47539,CPT,PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47540,CPT,PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47541,CPT,PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47542,CPT,BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT,,30,,,"$5,167.79",$0.00,1,0,1,20180101, 47543,CPT,ENDOLUMINAL BX BILIARY TREE PRQ ANY METH SNG/MLT,,30,,,"$11,949.62",$0.00,1,0,1,20180101, 47544,CPT,REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I,,30,,,"$7,760.55",$0.00,1,0,1,20180101, 47552,CPT,BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47553,CPT,BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47554,CPT,BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47555,CPT,BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 47556,CPT,BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47562,CPT,LAPAROSCOPY SURG CHOLECYSTECTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47563,CPT,LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47564,CPT,LAPS SURG CHOLECSTC W/EXPL COMMON DUCT,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47579,CPT,UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 47999,CPT,UNLISTED PROCEDURE BILIARY TRACT,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 48102,CPT,BIOPSY PANCREA PERCUTANEOUS NEEDLE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 48999,CPT,UNLISTED PROCEDURE PANCREAS,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 49082,CPT,ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 49083,CPT,ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 49084,CPT,PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 49180,CPT,BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 49185,CPT,SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 49250,CPT,UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49320,CPT,LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49321,CPT,LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49322,CPT,LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49323,CPT,LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49324,CPT,LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49325,CPT,LAPS W/REVISION INTRAPERITONEAL CATHETER,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49326,CPT,LAPAROSCOPY W/OMENTOPEXY,,30,,,"$6,111.85",$0.00,1,0,1,20180101, 49327,CPT,LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT,,30,,,"$8,339.09",$0.00,1,0,1,20180101, 49329,CPT,UNLISTED LAPAROSCOPIC PX ABD PERTONEUM & OMENTUM,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49400,CPT,INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX,,30,,,"$1,000.23",$0.00,1,0,1,20180101, 49402,CPT,REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49405,CPT,IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 49406,CPT,IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 49407,CPT,IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 49411,CPT,INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT,,30,,,"$6,939.43",$0.00,1,0,1,20180101, 49418,CPT,INSJ INTRAPERITONEAL CATHETER W/IMG GUID,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49419,CPT,INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 49421,CPT,INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49422,CPT,REMOVAL TUNNELED INTRAPERITONEAL CATHETER,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 49423,CPT,EXCHNG ABSC/CST DRG CATH RAD GID SPX,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 49424,CPT,CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX,,30,,,$991.97,$0.00,1,0,1,20180101, 49426,CPT,REVIS PERITONEAL-VENOUS SHUNT,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49427,CPT,INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT,,30,,,"$1,111.49",$0.00,1,0,1,20180101, 49429,CPT,RMVL PERITONEAL-VENOUS SHUNT,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 49435,CPT,INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER,,30,,,"$4,303.83",$0.00,1,0,1,20180101, 49436,CPT,DELAYED CREATION EXIT SITE EMBEDDED CATHETER,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 49440,CPT,INSERT GASTROSTOMY TUBE PERCUTANEOUS,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 49441,CPT,INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 49442,CPT,INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS,,30,,,"$4,900.50",$0.00,1,0,1,20180101, 49446,CPT,CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 49450,CPT,REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 49451,CPT,REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 49452,CPT,REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 49460,CPT,OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 49465,CPT,CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE,,30,,,$766.79,$0.00,1,0,1,20180101, 49491,CPT,RPR 1ST INGUN HRNA PRETERM INFT RDC,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49492,CPT,RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49495,CPT,RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49496,CPT,RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49500,CPT,RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49501,CPT,RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49505,CPT,RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49507,CPT,RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49520,CPT,RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49521,CPT,RPR RECRT INGUN HERNIA ANY AGE INCARCERATED,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49525,CPT,RPR INGUN HERNIA SLIDING ANY AGE,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49540,CPT,REPAIR LUMBAR HERNIA,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49550,CPT,RPR 1ST FEM HRNA ANY AGE REDUCIBLE,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49553,CPT,RPR 1ST FEM HERNIA ANY AGE INCARCERATED,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49555,CPT,RPR RECRT FEM HERNIA REDUCIBLE,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49557,CPT,RPR RECRT FEM HRNA INCARCERATED,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49560,CPT,REPAIR FIRST ABDOMINAL WALL HERNIA,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49561,CPT,RPR 1ST INCAL/VNT HERNIA INCARCERATED,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49565,CPT,RPR RECRT INCAL/VNT HERNIA REDUCIBLE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49566,CPT,RPR RECRT INCAL/VNT HERNIA INCARCERATED,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49568,CPT,IMPLANT MESH OPN HERNIA RPR/DEBRIDEMENT CLOSURE,,30,,,"$5,569.28",$0.00,1,0,1,20180101, 49570,CPT,RPR EPIGASTRIC HERNIA REDUCIBLE SPX,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49572,CPT,RPR EPIGASTRIC HERNIA INCARCERATED,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49580,CPT,RPR UMBILICAL HERNIA < 5 YRS REDUCIBLE,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49582,CPT,RPR UMBILICAL HERNIA < 5 YRS INCARCERATED,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49585,CPT,RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49587,CPT,RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49590,CPT,RPR SPIGELIAN HERNIA,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49600,CPT,RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 49650,CPT,LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49651,CPT,LAPS SURG RPR RECURRENT INGUINAL HERNIA,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49652,CPT,LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49653,CPT,LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49654,CPT,LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 49655,CPT,LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 49656,CPT,LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 49657,CPT,LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 49659,CPT,UNLIS LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 49999,CPT,UNLISTED PROCEDURE ABDOMEN PERITONEUM & OMENTUM,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 50020,CPT,DRAINAGE PERIRENAL/RENAL ABSCESS OPEN,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 50080,CPT,PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY 2 CM,,30,,,"$23,470.70",$0.00,1,0,1,20180101, 50200,CPT,RENAL BIOPSY PRQ TROCAR/NEEDLE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 50382,CPT,RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50384,CPT,REMOVAL INDWELLING URETERAL STENT PRQ,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50385,CPT,REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50386,CPT,REMOVE INT DWELL URETERAL STENT TRANSURETHRAL,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50387,CPT,RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50389,CPT,RMVL NFROS TUBE REQ FLUORO GUIDANCE,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 50390,CPT,ASPIR &/NJX RENAL CYST/PELVIS NEEDLE PRQ,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 50391,CPT,INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUB,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 50395,CPT,INTRO GUIDE PELVIS&/URETER W/DILAT NFROS TRACT,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 50396,CPT,MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50430,CPT,NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 50431,CPT,NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 50432,CPT,PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50433,CPT,PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50434,CPT,CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50435,CPT,EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50541,CPT,LAPAROSCOPY SURG ABLATION RENAL CYSTS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 50542,CPT,LAPS ABLTJ RENAL MASS LESION W/INTRAOP US,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 50543,CPT,LAPAROSCOPY SURG PARTIAL NEPHRECTOMY,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 50544,CPT,LAPAROSCOPY SURG PYELOPLASTY,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 50549,CPT,UNLISTED LAPAROSCOPY PROCEDURE RENAL,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 50551,CPT,RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50553,CPT,RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50555,CPT,RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50557,CPT,RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BI,,30,,,"$23,470.70",$0.00,1,0,1,20180101, 50561,CPT,RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50562,CPT,RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR,,30,,,"$23,470.70",$0.00,1,0,1,20180101, 50570,CPT,RENAL NDSC NEPHROTOMY W/WO IRRIGATION,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50572,CPT,RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 50574,CPT,RENAL NDSC NEPHROTOMY W/BIOPSY,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50575,CPT,RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50576,CPT,RNL NDSC NFROT FULGURATION &/INCISION W/WO BX,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50580,CPT,RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50590,CPT,LITHOTRIPSY XTRCORP SHOCK WAVE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50592,CPT,ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 50593,CPT,ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 50606,CPT,ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC,,30,,,"$2,422.40",$0.00,1,0,1,20180101, 50684,CPT,INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH,,30,,,"$1,011.01",$0.00,1,0,1,20180101, 50686,CPT,MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH,,30,,,$831.97,$0.00,1,0,1,20180101, 50688,CPT,CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50690,CPT,NJX VISUALIZATION ILEAL CONDUIT&/URETEROPYELOG,,30,,,$859.82,$0.00,1,0,1,20180101, 50693,CPT,PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 50694,CPT,PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 50695,CPT,PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 50705,CPT,URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I,,30,,,"$6,062.21",$0.00,1,0,1,20180101, 50706,CPT,BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I,,30,,,"$3,236.08",$0.00,1,0,1,20180101, 50727,CPT,REVJ URINARY-CUTANEOUS ANASTAMOSIS,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 50945,CPT,LAPAROSCOPY URTROLITHOTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 50947,CPT,LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 50948,CPT,LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 50949,CPT,UNLISTED LAPAROSCOPY PROCEDURE URETER,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 50951,CPT,URETERAL ENDOSCOPY VIA URETEROSTOMY,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50953,CPT,URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50955,CPT,URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50957,CPT,URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50961,CPT,URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50970,CPT,URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50972,CPT,NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 50974,CPT,URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50976,CPT,URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 50980,CPT,NDSC URETEROTOMY RMVL FB/CALCULUS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 51020,CPT,CYSTOTOMY/CYSTOSTOMY FULG&/INSJ RADACT MATRL,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 51030,CPT,CSTOTOMY/CSTOST CRYOSURG DSTRJ INTRAVESICAL LES,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 51040,CPT,CYSTOSTOMY CYSTOTOMY W/DRAINAGE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 51045,CPT,CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 51050,CPT,CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 51060,CPT,TRANSVESICAL URETROLITHOTOMY,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 51065,CPT,CYSTOTOMY W/CALCULUS BASKET XTRJ&/FRAGMENTATIO,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 51080,CPT,DRG PRIVESICAL/PREVESICAL SPACE ABSC,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 51100,CPT,ASPIRATION BLADDER NEEDLE,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 51101,CPT,ASPIRATION BLADDER TROCAR/INTRACATHETER,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 51102,CPT,ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 51500,CPT,EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 51520,CPT,CYSTOTOMY SIMPLE EXCISION VESICAL NECK,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 51535,CPT,CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 51600,CPT,NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY,,30,,,"$1,021.67",$0.00,1,0,1,20180101, 51605,CPT,NJX & PLACEMENT CHAIN CONTRAST&/URETHROCSTOGRAPY,,30,,,"$1,832.91",$0.00,1,0,1,20180101, 51610,CPT,NJX RETROGRADE URETHROCSTOGRAPY,,30,,,$956.11,$0.00,1,0,1,20180101, 51700,CPT,BLDR IRRIGATION SMPL LAVAGE &/INSTLJ,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 51701,CPT,INSJ NON-NDWELLG BLADDER CATHETER,,30,,,$536.04,$0.00,1,0,1,20180101, 51702,CPT,INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE,,30,,,$536.04,$0.00,1,0,1,20180101, 51703,CPT,INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED,,30,,,$831.97,$0.00,1,0,1,20180101, 51705,CPT,CHANGE CYSTOSTOMY TUBE SIMPLE,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 51710,CPT,CHANGE CYSTOSTOMY TUBE COMPLICATED,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 51715,CPT,NDSC NJX IMPLT MATRL URT&/BLDR NCK,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 51720,CPT,BLADDER INSTILLATION ANTICARCINOGENIC AGENT,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 51725,CPT,SIMPLE CYSTOMETROGRAM,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 51726,CPT,BLADDER PRESSURE MEASUREMENT DURING FILLING,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 51727,CPT,COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 51728,CPT,COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 51729,CPT,COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 51736,CPT,SIMPLE UROFLOMETRY,,30,,,$536.04,$0.00,1,0,1,20180101, 51741,CPT,COMPLEX UROFLOMETRY,,30,,,$831.97,$0.00,1,0,1,20180101, 51784,CPT,EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL,,30,,,$831.97,$0.00,1,0,1,20180101, 51785,CPT,NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 51792,CPT,STIMULUS EVOKED RESPONSE,,30,,,$345.25,$0.00,1,0,1,20180101, 51797,CPT,VOID PRESSURE STUDIES INTRAABDOMINAL,,30,,,$775.69,$0.00,1,0,1,20180101, 51798,CPT,MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP,,30,,,$345.25,$0.00,1,0,1,20180101, 51845,CPT,ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 51860,CPT,CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 51880,CPT,CLOSURE CYSTOSTOMY SEPARATE PROCEDURE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 51990,CPT,LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 51992,CPT,LAPAROSCOPY SLING OPERATION STRESS INCONT,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 51999,CPT,UNLISTED LAPAROSCOPY PROCEDURE BLADDER,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 52000,CPT,CYSTOURETHROSCOPY,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 52001,CPT,CYSTO W/IRRIG & EVAC MULTPLE OBSTRUCTING CLOTS,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52005,CPT,CYSTO BLADDER W/URETERAL CATHETERIZATION,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52007,CPT,CYSTO W/URTRL CATHJ BRUSH BX URTR&/RENAL PELVIS,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52010,CPT,CYSTO W/EJACULATORY DUCT CATHETERIZATION,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 52204,CPT,CYSTOURETHROSCOPY WITH BIOPSY,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52214,CPT,CYSTO W/DESTRUCTION OF LESIONS,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52224,CPT,CYSTO W/REMOVAL OF LESIONS SMALL,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52234,CPT,CYSTO W/REMOVAL OF TUMORS SMALL,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52235,CPT,CYSTOURETHROSCOPY W/DEST &/RMVL MED BLADDER TUM,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52240,CPT,CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52250,CPT,CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52260,CPT,CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52265,CPT,CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52270,CPT,CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52275,CPT,CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52276,CPT,CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52277,CPT,CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52281,CPT,CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52282,CPT,CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52283,CPT,CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52285,CPT,CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52287,CPT,CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52290,CPT,CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52300,CPT,CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52301,CPT,CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52305,CPT,CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52310,CPT,CYSTO W/SIMPLE REMOVAL STONE & STENT,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52315,CPT,CYSTO W/COMPLEX REMOVAL STONE & STENT,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52317,CPT,LITHOLAPAXY SMPL/SM <2.5 CM,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52318,CPT,LITHOLAPAXY COMP/LG > 2.5 CM,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52320,CPT,CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52325,CPT,CYSTO FRAGMENTATION URETERAL STONE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52327,CPT,CYSTO W/SUBURTRIC NJX IMPLT MATRL,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52330,CPT,CYSTO MANJ W/O RMVL URETERAL STONE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52332,CPT,CYSTO W/INSERT URETERAL STENT,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52334,CPT,CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52341,CPT,CYSTO W/TX URETERAL STRICTURE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52342,CPT,CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52343,CPT,CYSTO W/TX INTRA-RENAL STRICTURE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52344,CPT,CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52345,CPT,CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52346,CPT,CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52351,CPT,CYSTO W/URTROSCOPY&/PYELOSCOPY DX,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52352,CPT,CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52353,CPT,CYSTO W/URETEROSCOPY W/LITHOTRIPSY,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52354,CPT,CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52355,CPT,CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52356,CPT,CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52400,CPT,CYSTO INC FULG/RESCJ URTL VALVES/FOLDS,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 52402,CPT,CSTO W/TRURL RESCJ/INC EJACULATORY DUXS,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52441,CPT,CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE,,30,,,"$9,899.86",$0.00,1,0,1,20180101, 52442,CPT,CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL,,30,,,"$8,085.73",$0.00,1,0,1,20180101, 52450,CPT,TRANSURETHRAL INCISION PROSTATE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52500,CPT,TRANSURETHRAL RESECTION PROSTATE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52601,CPT,TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52630,CPT,TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52640,CPT,TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 52647,CPT,LASER COAGULATION OF PROSTATE FOR URINE FLOW,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52648,CPT,LASER VAPORIZATION OF PROSTATE FOR URINE FLOW,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52649,CPT,LASER ENUCLEATION PROSTATE W/MORCELLATION,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 52700,CPT,TRURL DRAINAGE PROSTATIC ABSCESS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53000,CPT,URTT/URTS XTRNL SPX PENDULOUS URETHRA,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53010,CPT,URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53020,CPT,MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53025,CPT,MEATOTOMY CUTTING MEATUS SPX INFANT,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53040,CPT,DRAINAGE DEEP PERIURETHRAL ABSCESS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53060,CPT,DRG OF SKENE'S GLAND ABSCESS OR CYST,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53080,CPT,DRG PERINEAL URINARY XTRVASATION UNCOMP SPX,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53085,CPT,DRG PERINEAL URINARY XTRVASATION COMPLIC,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53200,CPT,BIOPSY URETHRA,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 53210,CPT,URETHRECTOMY TOT W/CYSTOST FEMALE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53215,CPT,URETHRECTOMY TOT W/CYSTOST MALE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53220,CPT,EXC/FULGURATION CARCINOMA URETHRA,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53230,CPT,EXC URETHRAL DIVERTICULUM SPX FEMALE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53235,CPT,EXC URETHRAL DIVERTICULUM SPX MALE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53240,CPT,MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53250,CPT,EXCISION OF BULBOURETHRAL GLAND,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53260,CPT,EXC/FULGURATION URETHRAL POLYP DSTL URETHRA,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53265,CPT,EXC/FULGURATION URETHRAL CARUNCLE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53270,CPT,EXCISION OR FULGURATION SKENES GLANDS,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 53275,CPT,EXCISION/FULGURATION URETHRAL PROLAPSE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53400,CPT,URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53405,CPT,URETHROPLASTY 2ND STAGE W/URINARY DIVERSION,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53410,CPT,URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53420,CPT,URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53425,CPT,URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53430,CPT,URETHROPLASTY RCNSTJ FEMALE URETHRA,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53431,CPT,URTP W/TUBULARIZATION POST URT&/LWR BLDR,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53440,CPT,SLING OPRATION CORRJ MALE URINARY INCONTINENCE,,30,,,"$23,470.70",$0.00,1,0,1,20180101, 53442,CPT,RMVL/REVJ SLING MALE URINARY INCONTINENCE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53444,CPT,INSERTION TANDEM CUFF,,30,,,"$30,441.66",$0.00,1,0,1,20180101, 53445,CPT,INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER,,30,,,"$30,441.66",$0.00,1,0,1,20180101, 53446,CPT,REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53447,CPT,RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC,,30,,,"$30,441.66",$0.00,1,0,1,20180101, 53449,CPT,RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53450,CPT,URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53460,CPT,URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53500,CPT,URETHROLSS TRVG SEC OPN W/CSTO,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 53502,CPT,URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 53505,CPT,URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53510,CPT,URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53515,CPT,URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53520,CPT,CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53600,CPT,DILAT URETHRAL STRIX DILATOR MALE 1ST,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 53601,CPT,DILAT URETHRAL STRIX DILATOR MALE SBSQ,,30,,,$536.04,$0.00,1,0,1,20180101, 53605,CPT,DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53620,CPT,DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST,,30,,,"$2,750.43",$0.00,1,0,1,20180101, 53621,CPT,DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE SBSQ,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 53660,CPT,DILAT FEMALE URETHRA W/SUPPOSITORY&/INSTLJ INI,,30,,,$831.97,$0.00,1,0,1,20180101, 53661,CPT,DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ,,30,,,$536.04,$0.00,1,0,1,20180101, 53665,CPT,DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53850,CPT,TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 53852,CPT,TRURL DSTRJ PRSTATE TISS RF THERMOTH,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 53855,CPT,INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53860,CPT,TRURL RF FEMALE BLADDER NECK STRS URIN INCONT,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 53899,CPT,UNLISTED PROCEDURE URINARY SYSTEM,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 54000,CPT,SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54001,CPT,SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54015,CPT,I&D PENIS DEEP,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 54050,CPT,DSTRJ LESION PENIS SIMPLE CHEMICAL,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 54055,CPT,DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 54056,CPT,DSTRJ LESION PENIS SIMPLE CRYOSURGERY,,30,,,$622.76,$0.00,1,0,1,20180101, 54057,CPT,DSTRJ LESION PENIS SIMPLE LASER,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 54060,CPT,DSTRJ LESION PENIS SIMPLE SURG EXCISION,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 54065,CPT,DSTRJ LESION PENIS EXTENSIVE,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 54100,CPT,BIOPSY PENIS SEPARATE PROCEDURE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 54105,CPT,BIOPSY PENIS DEEP STRUCTURES,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 54110,CPT,EXCISION OF PENILE PLAQUE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54111,CPT,EXC PENILE PLAQUE GRAFT &/5 CM LENGTH,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54112,CPT,EXC PENILE PLAQUE GRAFT > 5 CM LENGTH,,30,,,"$23,470.70",$0.00,1,0,1,20180101, 54115,CPT,REMOVAL FOREIGN BODY DEEP PENILE TISSUE,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 54120,CPT,AMPUTATION PENIS PARTIAL,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54150,CPT,CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54160,CPT,CIRCUMCISION NEONATE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54161,CPT,CIRCUMCISION AGE >28 DAYS,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54162,CPT,LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54163,CPT,REPAIR INCOMPLETE CIRCUMCISION,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54164,CPT,FRENULOTOMY PENIS,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54200,CPT,INJECTION PEYRONIE DISEASE,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 54205,CPT,NJX PEYRONIE W/SURG EXPOS PLAQUE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54220,CPT,IRRIGATION CORPORA CAVERNOSA PRIAPISM,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 54230,CPT,INJECTION CORPORA CAVERNOSOGRAPY,,30,,,$578.54,$0.00,1,0,1,20180101, 54231,CPT,DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54235,CPT,NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 54240,CPT,PENILE PLETHYSMOGRAPHY,,30,,,$831.97,$0.00,1,0,1,20180101, 54250,CPT,NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 54300,CPT,PENIS STRAIGHTENING CHORDEE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54304,CPT,PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54308,CPT,URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR <3 CM,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54312,CPT,URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR > 3 CM,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54316,CPT,URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54318,CPT,URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54322,CPT,1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54324,CPT,1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54326,CPT,1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54328,CPT,1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54332,CPT,1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54336,CPT,1 STG PERINEAL HYPOSPADIAS RPR W/GRF&/FLAP,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54340,CPT,RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54344,CPT,RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS & URTP,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54348,CPT,RPR HYPOSPADIAS COMPLCTJS DSJ & URTP FLAP/GRF,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54352,CPT,RPR HYPOSPADIAS CRIPPLE W/DSJ & EXC & GRFS/FLAP,,30,,,"$23,470.70",$0.00,1,0,1,20180101, 54360,CPT,PLASTIC RPR PENIS CORRECT ANGULATION,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54380,CPT,PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54385,CPT,PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54400,CPT,INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID,,30,,,"$30,441.66",$0.00,1,0,1,20180101, 54401,CPT,INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED,,30,,,"$30,441.66",$0.00,1,0,1,20180101, 54405,CPT,INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH,,30,,,"$30,441.66",$0.00,1,0,1,20180101, 54406,CPT,RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54408,CPT,RPR COMPONENT INFLATABLE PENILE PROSTHESIS,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54410,CPT,RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS,,30,,,"$30,441.66",$0.00,1,0,1,20180101, 54411,CPT,RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL,,30,,,"$30,441.66",$0.00,1,0,1,20180101, 54415,CPT,RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54416,CPT,RMVL & RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI,,30,,,"$30,441.66",$0.00,1,0,1,20180101, 54417,CPT,RMVL & RPLCMT PENILE PROSTHESIS INFECTED FIELD,,30,,,"$30,441.66",$0.00,1,0,1,20180101, 54420,CPT,CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54435,CPT,CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54437,CPT,REPAIR OF TRAUMATIC CORPOREAL TEAR(S),,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54440,CPT,PLASTIC OPERATION PENIS INJURY,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54450,CPT,FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 54500,CPT,BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 54505,CPT,BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54512,CPT,EXC XTRPARENCHYMAL LESION TESTIS,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54520,CPT,ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54522,CPT,ORCHIECTOMY PARTIAL,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54530,CPT,ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 54535,CPT,ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54550,CPT,EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 54560,CPT,EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54600,CPT,RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54620,CPT,FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54640,CPT,ORCHIOPEXY INGUINAL APPROACH W/WO HERNIA RPR,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 54650,CPT,ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 54660,CPT,INSJ TESTICULAR PROSTH SEPARATE PROCEDURE,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 54670,CPT,SUTURE/REPAIR TESTICULAR INJURY,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54680,CPT,TRANSPLANTATION TESTIS TO THIGH,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54690,CPT,LAPAROSCOPY SURGICAL ORCHIECTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 54692,CPT,LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 54699,CPT,UNLISTED LAPAROSCOPY PROCEDURE TESTIS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 54700,CPT,I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54800,CPT,BIOPSY EPIDIDYMIS NEEDLE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 54830,CPT,EXCISION LOCAL LESION EPIDIDYMIS,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54840,CPT,EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54860,CPT,EPIDIDYMECTOMY UNILATERAL,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54861,CPT,EPIDIDYMECTOMY BILATERAL,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54865,CPT,EXPLORATION EPIDIDYMIS W/WO BIOPSY,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 54900,CPT,EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 54901,CPT,EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 55000,CPT,PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 55040,CPT,EXCISION HYDROCELE UNILATERAL,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 55041,CPT,EXCISION HYDROCELE BILATERAL,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 55060,CPT,RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55100,CPT,DRAINAGE SCROTAL WALL ABSCESS,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 55110,CPT,SCROTAL EXPLORATION,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55120,CPT,REMOVAL FOREIGN BODY SCROTUM,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55150,CPT,RESECTION SCROTUM,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 55175,CPT,SCROTOPLASTY SIMPLE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 55180,CPT,SCROTOPLASTY COMPLICATED,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 55200,CPT,VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55250,CPT,VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55300,CPT,VASOTOMY VASOGRAMS UNI/BI,,30,,,"$1,096.73",$0.00,1,0,1,20180101, 55400,CPT,VASOVASOSTOMY VASOVASORRHAPHY,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 55500,CPT,EXC HYDROCELE SPRMATIC CORD UNI SPX,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 55520,CPT,EXC LESION SPERMATIC CORD SEPARATE PROCEDURE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 55530,CPT,EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 55535,CPT,EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 55540,CPT,EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR,,30,,,"$14,647.89",$0.00,1,0,1,20180101, 55550,CPT,LAPS LIGATION SPERMATIC VEINS VARICOCELE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 55559,CPT,UNLISTED LAPROSCOPY PROCEDURE SPERMATIC CORD,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 55600,CPT,VESICULOTOMY,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55680,CPT,EXCISION MULLERIAN DUCT CYST,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55700,CPT,PROSTATE NEEDLE BIOPSY ANY APPROACH,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55705,CPT,BIOPSY PROSTATE INCISIONAL ANY APPROACH,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55706,CPT,BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 55720,CPT,PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55725,CPT,PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 55860,CPT,EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 55866,CPT,LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 55870,CPT,ELECTROEJACULATION,,30,,,"$2,707.18",$0.00,1,0,1,20180101, 55873,CPT,CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI,,30,,,"$23,470.70",$0.00,1,0,1,20180101, 55874,CPT,TPRNL PLMT BIODEGRDABL MATRL,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 55875,CPT,TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 55876,CPT,PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT,,30,,,"$6,939.43",$0.00,1,0,1,20180101, 55899,CPT,UNLISTED PROCEDURE MALE GENITAL SYSTEM,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 55920,CPT,PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 55970,CPT,INTERSEX SURG MALE FEMALE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 55980,CPT,INTERSEX SURG FEMALE MALE,,30,,,"$13,333.20",$0.00,1,0,1,20180101, 56405,CPT,I&D VULVA/PERINEAL ABSCESS,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 56420,CPT,I&D OF BARTHOLINS GLAND ABSCESS,,30,,,$842.30,$0.00,1,0,1,20180101, 56440,CPT,MARSUPIALIZATION BARTHOLINS GLAND CYST,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 56441,CPT,LYSIS LABIAL ADHESIONS,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 56442,CPT,HYMENOTOMY SIMPLE INCISION,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 56501,CPT,DESTRUCTION LESIONS VULVA SIMPLE,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 56515,CPT,DESTRUCTION LESIONS VULVA EXTENSIVE,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 56605,CPT,BIOPSY VULVA/PERINEUM 1 LESION SPX,,30,,,"$2,707.18",$0.00,1,0,1,20180101, 56606,CPT,BIOPSY VULVA/PERINEUM EACH ADDL LESION,,30,,,"$1,199.72",$0.00,1,0,1,20180101, 56620,CPT,VULVECTOMY SIMPLE PARTIAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 56625,CPT,VULVECTOMY SIMPLE COMPLETE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 56700,CPT,PRTL HYMENECTOMY/REVJ HYMENAL RING,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 56740,CPT,EXC BARTHOLINS GLAND/CYST,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 56800,CPT,PLASTIC REPAIR INTROITUS,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 56805,CPT,CLITOROPLASTY INTERSEX STATE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 56810,CPT,PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 56820,CPT,COLPOSCOPY VULVA,,30,,,$842.30,$0.00,1,0,1,20180101, 56821,CPT,COLPOSCOPY VULVA W/BIOPSY,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 57000,CPT,COLPOTOMY W/EXPLORATION,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57010,CPT,COLPOTOMY W/DRAINAGE PELVIC ABSCESS,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57020,CPT,COLPOCENTESIS SEPARATE PROCEDURE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57022,CPT,I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 57023,CPT,I&D VAGINAL HEMATOMA NON-OBSTETRICAL,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 57061,CPT,DESTRUCTION VAGINAL LESIONS SIMPLE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57065,CPT,DESTRUCTION VAGINAL LESIONS EXTENSIVE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57100,CPT,BIOPSY VAGINAL MUCOSA SIMPLE,,30,,,"$2,707.18",$0.00,1,0,1,20180101, 57105,CPT,BIOPSY VAGINAL MUCOSA EXTENSIVE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57106,CPT,VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57107,CPT,VAGINECTOMY PRTL RMVL VAG WALL & PARAVAGINAL T,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57109,CPT,VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57120,CPT,COLPOCLEISIS LE FORT TYPE,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57130,CPT,EXCISION VAGINAL SEPTUM,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57135,CPT,EXCISION VAGINAL CYST/TUMOR,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57150,CPT,IRRIGATION VAGINA&/APPL MEDICAMENT TX DISEASE,,30,,,$536.04,$0.00,1,0,1,20180101, 57155,CPT,INSERTION UTERINE TANDEM&/VAGINAL OVOIDS,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57156,CPT,INSERTION VAGINAL RADIATION DEVICE,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 57160,CPT,FIT&INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI,,30,,,$842.30,$0.00,1,0,1,20180101, 57170,CPT,DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS,,30,,,$842.30,$0.00,1,0,1,20180101, 57180,CPT,INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX,,30,,,$842.30,$0.00,1,0,1,20180101, 57200,CPT,COLPORRHAPHY SUTURE INJURY VAGINA,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57210,CPT,COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57220,CPT,PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57230,CPT,PLASTIC REPAIR URETHROCELE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57240,CPT,ANT COLPORRHAPHY CYSTOCELE W/WO RPR URETHROCELE,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57250,CPT,POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57260,CPT,COMBINED ANTEROPOSTERIOR COLPORRHAPHY,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57265,CPT,CMBND ANTEROPOST COLPORRHAPHY W/ENTEROCELE RPR,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57267,CPT,INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE,,30,,,"$5,193.60",$0.00,1,0,1,20180101, 57268,CPT,REPAIR ENTEROCELE VAGINAL APPROACH SPX,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57282,CPT,COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 57283,CPT,COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 57284,CPT,PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57285,CPT,PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 57287,CPT,RMVL/REVJ SLING STRESS INCONTINENCE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57288,CPT,SLING OPERATION STRESS INCONTINENCE,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57289,CPT,PEREYRA PX W/ANTERIOR COLPORRHAPHY,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 57291,CPT,CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57292,CPT,CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57295,CPT,REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57300,CPT,CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57310,CPT,CLOSURE URETHROVAGINAL FISTULA,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 57320,CPT,CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57330,CPT,CLSR VESICOVAG FSTL TRANSVESICAL&VAG APPR,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 57335,CPT,VAGINOPLASTY INTERSEX STATE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57400,CPT,DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57410,CPT,PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57415,CPT,REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57420,CPT,COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 57421,CPT,COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX,,30,,,"$2,707.18",$0.00,1,0,1,20180101, 57423,CPT,PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 57425,CPT,LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 57426,CPT,REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 57452,CPT,COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA,,30,,,$842.30,$0.00,1,0,1,20180101, 57454,CPT,COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 57455,CPT,COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 57456,CPT,COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 57460,CPT,COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57461,CPT,COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57500,CPT,BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX,,30,,,"$2,707.18",$0.00,1,0,1,20180101, 57505,CPT,ENDOCERVICAL CURETTAGE W/DILATION & CURETTAGE,,30,,,"$2,707.18",$0.00,1,0,1,20180101, 57510,CPT,CAUTERY CERVIX ELECTRO/THERMAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57511,CPT,CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 57513,CPT,CAUTERY CERVIX LASER ABLATION,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57520,CPT,CONIZATION CERVIX W/WO D&C RPR KNIFE/LASER,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57522,CPT,CONIZATION CERVIX W/WO D&C RPR ELTRD EXC,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57530,CPT,TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57550,CPT,EXCISION CERVICAL STUMP VAGINAL APPROACH,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57555,CPT,EXC CRV STUMP VAG APPR W/ANT &/POST REPAIR,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57556,CPT,EXC CRV STUMP VAG APPR W/RPR NTRCL,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 57558,CPT,DILATION & CURETTAGE CERVICAL STUMP,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57700,CPT,CERCLAGE UTERINE CERVIX NONOBSTETRICAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57720,CPT,TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 57800,CPT,DILATION CERVICAL CANAL INSTRUMENTAL SPX,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58100,CPT,ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX,,30,,,$842.30,$0.00,1,0,1,20180101, 58110,CPT,ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY,,30,,,$421.84,$0.00,1,0,1,20180101, 58120,CPT,DILATION & CURETTAGE DX&/THER NONOBSTETRIC,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58145,CPT,MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL APPR,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58260,CPT,VAGINAL HYSTERECTOMY UTERUS 250 GM/<,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58262,CPT,VAG HYST 250 GM/< W/RMVL TUBE&/OVARY,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58263,CPT,VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58270,CPT,VAGINAL HYSTERECTOMY 250 GM/< W/RPR ENTEROCELE,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58290,CPT,VAGINAL HYSTERECTOMY UTERUS > 250 GM,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 58291,CPT,VAG HYST > 250 GM RMVL TUBE&/OVARY,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58292,CPT,VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR ENTRCLE,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 58294,CPT,VAGINAL HYSTERECTOMY >250 GM RPR ENTEROCELE,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58300,CPT,INSERTION INTRAUTERINE DEVICE IUD,,30,,,$473.91,$0.00,1,0,1,20180101, 58301,CPT,REMOVAL INTRAUTERINE DEVICE IUD,,30,,,$842.30,$0.00,1,0,1,20180101, 58321,CPT,ARTIFICIAL INSEMINATION INTRA-CERVICAL,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 58322,CPT,ARTIFICIAL INSEMINATION INTRA-UTERINE,,30,,,$842.30,$0.00,1,0,1,20180101, 58323,CPT,SPERM WASHING ARTIFICIAL INSEMINATION,,30,,,$842.30,$0.00,1,0,1,20180101, 58340,CPT,CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI,,30,,,$738.32,$0.00,1,0,1,20180101, 58345,CPT,TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58346,CPT,INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58350,CPT,CHROMOTUBATION OVIDUCT W/MATERIALS,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58353,CPT,ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58356,CPT,ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CR,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58541,CPT,LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/<,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58542,CPT,LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVAR,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58543,CPT,LAPS SUPRACERVICAL HYSTERECTOMY >250,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58544,CPT,LAPS SUPRACRV HYSTEREC >250 G RMVL TUBE/OVARY,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58545,CPT,LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/<,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58546,CPT,LAPS MYOMECTOMY EXC 5/> MYOMAS >250 GRAMS,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58550,CPT,LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/<,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58552,CPT,LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58553,CPT,LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58554,CPT,LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58555,CPT,HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58558,CPT,HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58559,CPT,HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58560,CPT,HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58561,CPT,HYSTEROSCOPY REMOVAL LEIOMYOMATA,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58562,CPT,HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58563,CPT,HYSTEROSCOPY ENDOMETRIAL ABLATION,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58565,CPT,HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58570,CPT,LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/<,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58571,CPT,LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58572,CPT,LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58573,CPT,LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58578,CPT,UNLISTED LAPAROSCOPY PROCEDURE UTERUS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58579,CPT,UNLISTED HYSTEROSCOPY PROCEDURE UTERUS,,30,,,$842.30,$0.00,1,0,1,20180101, 58600,CPT,LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58615,CPT,OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58660,CPT,LAPAROSCOPY W/LYSIS OF ADHESIONS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58661,CPT,LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58662,CPT,LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58670,CPT,LAPAROSCOPY FULGURATION OVIDUCTS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58671,CPT,LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58672,CPT,LAPAROSCOPY FIMBRIOPLASTY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58673,CPT,LAPAROSCOPY SALPINGOSTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58674,CPT,LAPS ABLTJ UTERINE FIBROIDS,,30,,,"$23,494.86",$0.00,1,0,1,20180101, 58679,CPT,UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT/OVARY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 58770,CPT,SALPINGOSTOMY,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58800,CPT,DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58805,CPT,DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58820,CPT,DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58900,CPT,BIOPSY OVARY UNI/BI SEPARATE PROCEDURE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 58920,CPT,WEDGE RESCJ/BISCTJ OVARY UNI/BI,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 58925,CPT,OVARIAN CYSTECTOMY UNI/BI,,30,,,"$18,612.03",$0.00,1,0,1,20180101, 58970,CPT,FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD,,30,,,"$2,707.18",$0.00,1,0,1,20180101, 58974,CPT,EMBRYO TRANSFER INTRAUTERINE,,30,,,"$2,707.18",$0.00,1,0,1,20180101, 58976,CPT,GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 58999,CPT,UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL,,30,,,$842.30,$0.00,1,0,1,20180101, 59000,CPT,AMNIOCENTESIS DIAGNOSIC,,30,,,"$2,707.18",$0.00,1,0,1,20180101, 59001,CPT,AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 59012,CPT,CORDOCENTESIS INTRAUTERINE,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 59015,CPT,CHORIONIC VILLUS SAMPLING,,30,,,"$2,707.18",$0.00,1,0,1,20180101, 59020,CPT,FETAL CONTRACTION STRESS TEST,,30,,,$842.30,$0.00,1,0,1,20180101, 59025,CPT,FETAL NONSTRESS TEST,,30,,,$842.30,$0.00,1,0,1,20180101, 59030,CPT,FETAL SCALP BLOOD SAMPLING,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 59050,CPT,FETAL MONITORING LABOR PHYS WRITTEN REPORT,,30,,,$483.13,$0.00,1,0,1,20180101, 59051,CPT,FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY,,30,,,$370.90,$0.00,1,0,1,20180101, 59070,CPT,TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 59072,CPT,FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 59074,CPT,FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 59076,CPT,FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 59100,CPT,HYSTEROTOMY ABDOMINAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59150,CPT,LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 59151,CPT,LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 59160,CPT,CURETTAGE POSTPARTUM,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59200,CPT,INSERTION CERVICAL DILATOR SEPARATE PROCEDURE,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 59300,CPT,EPISIOTOMY/VAG RPR OTH/THN ATTENDING,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59320,CPT,CERCLAGE CERVIX PREGNANCY VAGINAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59400,CPT,OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM,,30,,,"$6,969.06",$0.00,1,0,1,20180101, 59409,CPT,VAGINAL DELIVERY ONLY,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59410,CPT,VAGINAL DELIVERY ONLY W/POSTPARTUM CARE,,30,,,"$4,110.98",$0.00,1,0,1,20180101, 59412,CPT,EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59414,CPT,DELIVERY PLACENTA SEPARATE PROCEDURE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59425,CPT,ANTEPARTUM CARE ONLY 4-6 VISITS,,30,,,$699.83,$0.00,1,0,1,20180101, 59426,CPT,ANTEPARTUM CARE ONLY 7/> VISITS,,30,,,"$1,261.21",$0.00,1,0,1,20180101, 59430,CPT,POSTPARTUM CARE ONLY SEPARATE PROCEDURE,,30,,,$364.69,$0.00,1,0,1,20180101, 59510,CPT,OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM,,30,,,"$7,514.76",$0.00,1,0,1,20180101, 59515,CPT,CESAREAN DELIVERY ONLY W/POSTPARTUM CARE,,30,,,"$4,753.41",$0.00,1,0,1,20180101, 59612,CPT,VAGINAL DELIVERY AFTER CESAREAN DELIVERY,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59812,CPT,TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59820,CPT,TX MISSED ABORTION FIRST TRIMESTER SURGICAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59821,CPT,TX MISSED ABORTION SECOND TRIMESTER SURGICAL,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59840,CPT,INDUCED ABORTION DILATION AND CURETTAGE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59841,CPT,INDUCED ABORTION DILATION & EVACUATION,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59866,CPT,MULTIFETAL PREGNANCY REDUCTION,,30,,,"$1,773.77",$0.00,1,0,1,20180101, 59870,CPT,UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59871,CPT,REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 59897,CPT,UNLISTED FETAL INVASIVE PX W/ULTRASOUND,,30,,,$842.30,$0.00,1,0,1,20180101, 59898,CPT,UNLISTED LAPAROSCOPY PX MATERNITY CARE&DELIVERY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 59899,CPT,UNLISTED PROCEDURE MATERNITY CARE & DELIVERY,,30,,,$842.30,$0.00,1,0,1,20180101, 60000,CPT,I&D THYROGLOSSAL DUCT CYST INFECTED,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 60100,CPT,BIOPSY THYROID PERCUTANEOUS CORE NEEDLE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 60200,CPT,EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 60210,CPT,PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 60212,CPT,PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 60220,CPT,TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 60225,CPT,TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 60240,CPT,THYROIDECTOMY TOTAL/COMPLETE,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 60252,CPT,THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 60260,CPT,THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 60271,CPT,THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 60280,CPT,EXCISION THYROGLOSSAL DUCT CYST/SINUS,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 60281,CPT,EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 60300,CPT,ASPIRATION AND/OR INJECTION THYROID CYST,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 60500,CPT,PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 60502,CPT,PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 60512,CPT,PARATHYROID AUTOTRANSPLANTATION ADD-ON,,30,,,"$6,615.04",$0.00,1,0,1,20180101, 60520,CPT,THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 60659,CPT,UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 60699,CPT,UNLISTED PROCEDURE ENDOCRINE SYSTEM,,30,,,"$19,763.37",$0.00,1,0,1,20180101, 61000,CPT,SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 61001,CPT,SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 61020,CPT,VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 61026,CPT,VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 61050,CPT,CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 61055,CPT,CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 61070,CPT,PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 61215,CPT,INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 61330,CPT,DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 61623,CPT,EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 61626,CPT,TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 61640,CPT,BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL,,30,,,"$2,790.64",$0.00,1,0,1,20180101, 61720,CPT,CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 61770,CPT,STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 61781,CPT,STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL,,30,,,"$2,721.43",$0.00,1,0,1,20180101, 61782,CPT,STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL,,30,,,"$3,078.96",$0.00,1,0,1,20180101, 61783,CPT,STEREOTACTIC COMPUTER ASSISTED PX SPINAL,,30,,,"$2,936.63",$0.00,1,0,1,20180101, 61790,CPT,CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 61791,CPT,CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 61796,CPT,STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES,,30,,,"$3,966.35",$0.00,1,0,1,20180101, 61797,CPT,STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE,,30,,,"$1,245.81",$0.00,1,0,1,20180101, 61798,CPT,STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES,,30,,,"$5,003.14",$0.00,1,0,1,20180101, 61799,CPT,STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX,,30,,,"$1,588.31",$0.00,1,0,1,20180101, 61800,CPT,APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY,,30,,,$956.54,$0.00,1,0,1,20180101, 61880,CPT,REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 61885,CPT,INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 61886,CPT,INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2/> ELTRDS,,30,,,"$54,249.34",$0.00,1,0,1,20180101, 61888,CPT,REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR,,30,,,"$22,808.91",$0.00,1,0,1,20180101, 62000,CPT,ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 62160,CPT,NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS,,30,,,"$1,126.02",$0.00,1,0,1,20180101, 62194,CPT,RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 62225,CPT,RPLCMT/IRRIGATION VENTRICULAR CATHETER,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 62230,CPT,RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 62252,CPT,REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT,,30,,,"$1,248.22",$0.00,1,0,1,20180101, 62263,CPT,PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62264,CPT,PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62267,CPT,PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 62268,CPT,PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62269,CPT,BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 62270,CPT,SPINAL PUNCTURE LUMBAR DIAGNOSTIC,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 62272,CPT,SPINAL PUNCTURE THER DRAIN CEREBROSPINAL FLUID,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 62273,CPT,INJECTION EPIDURAL BLOOD/CLOT PATCH,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 62280,CPT,INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62281,CPT,INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62282,CPT,INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62284,CPT,INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR,,30,,,"$1,694.87",$0.00,1,0,1,20180101, 62287,CPT,DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 62290,CPT,INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR,,30,,,"$2,865.57",$0.00,1,0,1,20180101, 62291,CPT,INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,,30,,,"$2,667.88",$0.00,1,0,1,20180101, 62292,CPT,INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 62294,CPT,NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62302,CPT,MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 62303,CPT,MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 62304,CPT,MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 62305,CPT,MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 62320,CPT,NJX INTERLAMINAR CRV/THRC,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 62321,CPT,NJX INTERLAMINAR CRV/THRC,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 62322,CPT,NJX INTERLAMINAR LMBR/SAC,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 62323,CPT,NJX INTERLAMINAR LMBR/SAC,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 62324,CPT,NJX INTERLAMINAR CRV/THRC,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62325,CPT,NJX INTERLAMINAR CRV/THRC,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62326,CPT,NJX INTERLAMINAR LMBR/SAC,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62327,CPT,NJX INTERLAMINAR LMBR/SAC,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 62350,CPT,IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 62351,CPT,IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 62355,CPT,RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 62360,CPT,IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR,,30,,,"$31,892.02",$0.00,1,0,1,20180101, 62361,CPT,IMPLTJ/RPLCMT FS NON-PRGRBL PUMP,,30,,,"$31,892.02",$0.00,1,0,1,20180101, 62362,CPT,IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP,,30,,,"$31,892.02",$0.00,1,0,1,20180101, 62365,CPT,RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 62367,CPT,ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL,,30,,,"$1,248.22",$0.00,1,0,1,20180101, 62368,CPT,ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG,,30,,,"$1,248.22",$0.00,1,0,1,20180101, 62369,CPT,ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFIL,,30,,,"$1,248.22",$0.00,1,0,1,20180101, 62370,CPT,ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP,,30,,,"$1,248.22",$0.00,1,0,1,20180101, 62380,CPT,NDSC DCMPRN 1 NTRSPC LUMBAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63001,CPT,LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63003,CPT,LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63005,CPT,LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63011,CPT,LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63012,CPT,LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63015,CPT,LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63016,CPT,LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63017,CPT,LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63020,CPT,LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63030,CPT,LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63035,CPT,LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,,30,,,"$9,503.77",$0.00,1,0,1,20180101, 63040,CPT,LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63042,CPT,LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63044,CPT,LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR,,30,,,"$9,102.07",$0.00,1,0,1,20180101, 63045,CPT,LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT CERVICAL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63046,CPT,LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT THORACIC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63047,CPT,LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63048,CPT,LAM FACETECTOMY&FORAMTOMY 1 SGM EA CRV THRC/LMBR,,30,,,"$9,191.73",$0.00,1,0,1,20180101, 63055,CPT,TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63056,CPT,TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63057,CPT,TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR,,30,,,"$9,314.53",$0.00,1,0,1,20180101, 63064,CPT,COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63066,CPT,COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG,,30,,,"$10,606.21",$0.00,1,0,1,20180101, 63075,CPT,DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 63076,CPT,DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC,,30,,,"$10,606.21",$0.00,1,0,1,20180101, 63600,CPT,CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 63610,CPT,STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 63615,CPT,STRTCTC BX ASPIRAT/EXC LESION SPINAL CORD,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 63620,CPT,STEREOTACTIC RADIOSURGERY 1 SPINAL LESION,,30,,,"$7,815.57",$0.00,1,0,1,20180101, 63621,CPT,STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION,,30,,,"$1,380.68",$0.00,1,0,1,20180101, 63650,CPT,PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,,30,,,"$22,808.91",$0.00,1,0,1,20180101, 63655,CPT,LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 63661,CPT,RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 63662,CPT,RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 63663,CPT,REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,,30,,,"$22,808.91",$0.00,1,0,1,20180101, 63664,CPT,REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 63685,CPT,INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING,,30,,,"$54,249.34",$0.00,1,0,1,20180101, 63688,CPT,REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 63741,CPT,CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 63744,CPT,RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 63746,CPT,RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64400,CPT,NJX ANES TRIGEMINAL NRV ANY DIV/BRANCH,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64402,CPT,INJECTION ANESTHETIC AGENT FACIAL NERVE,,30,,,$536.04,$0.00,1,0,1,20180101, 64405,CPT,INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64408,CPT,INJECTION ANESTHETIC AGENT VAGUS NERVE,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64410,CPT,INJECTION ANESTHETIC AGENT PHRENIC NERVE,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64413,CPT,INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64415,CPT,SINGLE NERVE BLOCK INJECTION ARM NERVE,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64416,CPT,INJECTION ANES BRACHIAL PLEXUS CONT NFS CATH,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64417,CPT,INJECTION ANESTHETIC AGENT AXILLARY NERVE,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64418,CPT,INJECTION ANESTHETIC AGENT SUPRASCAPULAR NERVE,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64420,CPT,INJECTION ANESTHETIC AGENT 1 INTERCOSTAL NERVE,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64421,CPT,MULTIPLE NERVE BLOCK INJECTIONS RIB NERVES,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64425,CPT,INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64430,CPT,INJECTION ANESTHETIC AGENT PUDENDAL NERVE,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64435,CPT,INJECTION ANESTHETIC PARACERVICAL UTERINE NERVE,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64445,CPT,INJECTION ANESTHETIC AGENT SCIATIC NRV SINGLE,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64446,CPT,INJECTION ANES SCIATIC NERVE CONT INFUSION CATH,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64447,CPT,INJECTION ANESTHETIC AGENT FEMORAL NERVE SINGLE,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64448,CPT,INJECTION ANES FEMORAL NERVE CONT INFUSION CATH,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64449,CPT,INJECTION ANES LUMBAR PLEXUS POST CONT NFS CATH,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64450,CPT,INJECTION ANES OTHER PERIPHERAL NERVE/BRANCH,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64455,CPT,NJX ANES&/STEROID PLANTAR COMMON DIGITAL NERVE,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64461,CPT,PVB THORACIC SINGLE INJECTION SITE W/IMG GID,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64462,CPT,PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID,,30,,,"$1,156.19",$0.00,1,0,1,20180101, 64463,CPT,PVB THORACIC CONT CATHETER INFUSION W/IMG GID,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64479,CPT,NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64480,CPT,NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC EA LV,,30,,,"$2,083.24",$0.00,1,0,1,20180101, 64483,CPT,NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64484,CPT,NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,,30,,,"$1,848.24",$0.00,1,0,1,20180101, 64486,CPT,TAP BLOCK UNILATERAL BY INJECTION(S),,30,,,"$2,485.33",$0.00,1,0,1,20180101, 64487,CPT,TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S),,30,,,"$3,112.37",$0.00,1,0,1,20180101, 64488,CPT,TAP BLOCK BILATERAL BY INJECTION(S),,30,,,"$3,812.64",$0.00,1,0,1,20180101, 64489,CPT,TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S),,30,,,$648.64,$0.00,1,0,1,20180101, 64490,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64491,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL,,30,,,"$1,834.11",$0.00,1,0,1,20180101, 64492,CPT,NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL,,30,,,"$1,536.56",$0.00,1,0,1,20180101, 64493,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64494,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL,,30,,,"$1,961.91",$0.00,1,0,1,20180101, 64495,CPT,NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL,,30,,,"$1,860.83",$0.00,1,0,1,20180101, 64505,CPT,INJECTION ANES AGENT SPHENOPALATINE GANGLION,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64508,CPT,INJECTION ANESTHETIC AGENT CAROTID SINUS SPX,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64510,CPT,NJX ANES STELLATE GANGLION CRV SYMPATHETIC,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64517,CPT,INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64520,CPT,INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64530,CPT,INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64550,CPT,APPLICATION SURFACE NEUROSTIMULATOR,,30,,,$144.02,$0.00,1,0,1,20180101, 64553,CPT,PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE,,30,,,"$22,808.91",$0.00,1,0,1,20180101, 64555,CPT,PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV,,30,,,"$22,808.91",$0.00,1,0,1,20180101, 64561,CPT,PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING,,30,,,"$22,808.91",$0.00,1,0,1,20180101, 64566,CPT,POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64568,CPT,INC IMPLTJ CRNL NRV NSTIM ELTRDS & PULSE GENER,,30,,,"$54,249.34",$0.00,1,0,1,20180101, 64569,CPT,REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV,,30,,,"$22,808.91",$0.00,1,0,1,20180101, 64570,CPT,REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64575,CPT,INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 64580,CPT,INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 64581,CPT,INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE,,30,,,"$22,808.91",$0.00,1,0,1,20180101, 64585,CPT,REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 64590,CPT,INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 64595,CPT,REVISION/RMVL PERIPHERAL/GASTRIC NPGR,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 64600,CPT,DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64605,CPT,DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64610,CPT,DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64611,CPT,CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64612,CPT,CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64615,CPT,CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64616,CPT,CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64617,CPT,CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64620,CPT,DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64630,CPT,DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64632,CPT,DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64633,CPT,DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64634,CPT,DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,,30,,,"$2,154.49",$0.00,1,0,1,20180101, 64635,CPT,DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64636,CPT,DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,,30,,,"$2,687.68",$0.00,1,0,1,20180101, 64640,CPT,DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64642,CPT,CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64643,CPT,CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,,30,,,$932.61,$0.00,1,0,1,20180101, 64644,CPT,CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64645,CPT,CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES,,30,,,"$1,051.76",$0.00,1,0,1,20180101, 64646,CPT,CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64647,CPT,CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES,,30,,,"$2,980.00",$0.00,1,0,1,20180101, 64650,CPT,CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64653,CPT,CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 64680,CPT,DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64681,CPT,DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 64702,CPT,NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64704,CPT,NEUROPLASTY NERVE HAND/FOOT,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64708,CPT,NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64712,CPT,NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64713,CPT,NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64714,CPT,NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64716,CPT,NEUROPLASTY &/TRANSPOSITION CRANIAL NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64718,CPT,NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64719,CPT,NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64721,CPT,NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64722,CPT,DECOMPRESSION UNSPECIFIED NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64726,CPT,DECOMPRESSION PLANTAR DIGITAL NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64727,CPT,INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE,,30,,,"$4,065.09",$0.00,1,0,1,20180101, 64732,CPT,TRANSECTION/AVULSION SUPRAORBITAL NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64734,CPT,TRANSECTION/AVULSION INFRAORBITAL NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64736,CPT,TRANSECTION/AVULSION MENTAL NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64738,CPT,TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64740,CPT,TRANSECTION/AVULSION LINGUAL NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64742,CPT,TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64744,CPT,TRANSECTION/AVULSION GREATER OCCIPITAL NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64746,CPT,TRANSECTION/AVULSION PHRENIC NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64763,CPT,TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64766,CPT,TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64771,CPT,TRANSECTION/AVULSION OTH CRANIAL NRV XDRL,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64772,CPT,TRANSECTION/AVULSION OTH SPINAL NRV XDRL,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64774,CPT,EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64776,CPT,EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64778,CPT,EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT,,30,,,"$4,895.38",$0.00,1,0,1,20180101, 64782,CPT,EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64783,CPT,EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT,,30,,,"$3,277.26",$0.00,1,0,1,20180101, 64784,CPT,EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64786,CPT,EXCISION NEUROMA SCIATIC NERVE,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64787,CPT,IMPLANTATION NERVE END BONE/MUSCLE,,30,,,"$3,536.30",$0.00,1,0,1,20180101, 64788,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64790,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64792,CPT,EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64795,CPT,BIOPSY NERVE,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64802,CPT,SYMPATHECTOMY CERVICAL,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64804,CPT,SYMPATHECTOMY CERVICOTHORACIC,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64820,CPT,SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 64821,CPT,SYMPATHECTOMY RADIAL ARTERY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 64822,CPT,SYMPATHECTOMY ULNAR ARTERY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 64823,CPT,SYMPATHECTOMY SUPERFICIAL PALMAR ARCH,,30,,,"$7,492.78",$0.00,1,0,1,20180101, 64831,CPT,SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64832,CPT,SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV,,30,,,"$4,659.35",$0.00,1,0,1,20180101, 64834,CPT,SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64835,CPT,SUTURE 1 NERVE MEDIAN MOTOR THENAR,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64836,CPT,SUTURE 1 NERVE ULNAR MOTOR,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64837,CPT,SUTURE EACH ADDITIONAL NERVE HAND/FOOT,,30,,,"$7,761.44",$0.00,1,0,1,20180101, 64840,CPT,SUTURE POSTERIOR TIBIAL NERVE,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64856,CPT,SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64857,CPT,SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64858,CPT,SUTURE SCIATIC NERVE,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64859,CPT,SUTURE EACH ADDITIONAL PERIPHERAL NERVE,,30,,,"$7,761.44",$0.00,1,0,1,20180101, 64861,CPT,SUTURE BRACHIAL PLEXUS,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64862,CPT,SUTURE LUMBAR PLEXUS,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64864,CPT,SUTURE FACIAL NERVE EXTRACRANIAL,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64865,CPT,SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64872,CPT,SUTURE NERVE REQ SECONDARY/DELAYED SUTURE,,30,,,"$7,761.44",$0.00,1,0,1,20180101, 64874,CPT,SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE,,30,,,"$7,761.44",$0.00,1,0,1,20180101, 64876,CPT,SUTURE NERVE REQ SHORTENING BONE EXTREMITY,,30,,,"$7,761.44",$0.00,1,0,1,20180101, 64885,CPT,NERVE GRAFT HEAD/NECK 4 CM,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64890,CPT,NERVE GRAFT 1 STRAND HAND/FOOT 4 CM,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64892,CPT,NERVE GRAFT 1 STRAND ARM/LEG <4 CM,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64893,CPT,NERVE GRAFT 1 STRAND ARM/LEG >4 CM,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64895,CPT,NERVE GRAFT MLT STRANDS HAND/FOOT 4 CM,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64897,CPT,NERVE GRAFT MLT STRANDS ARM/LEG 4 CM,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64901,CPT,NERVE GRAFT EACH NERVE 1 STRAND,,30,,,"$7,761.44",$0.00,1,0,1,20180101, 64902,CPT,NERVE GRAFT EACH NERVE MULTIPLE STRANDS,,30,,,"$7,761.44",$0.00,1,0,1,20180101, 64905,CPT,NERVE PEDICLE TRANSFER FIRST STAGE,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64907,CPT,NERVE PEDICAL TRANSFER SECOND STAGE,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64910,CPT,NERVE REPAIR W/CONDUIT EACH NERVE,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64911,CPT,NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64912,CPT,NRV RPR W/NRV ALGRFT 1ST,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 64999,CPT,UNLISTED PROCEDURE NERVOUS SYSTEM,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 65091,CPT,EVISCERATION OCULAR CONTENTS W/O IMPLANT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65093,CPT,EVISCERATION OCULAR CONTENTS W/IMPLANT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65101,CPT,ENUCLEATION OF EYE W/O IMPLANT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65103,CPT,ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65105,CPT,ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65110,CPT,EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65112,CPT,EXENTERATION ORBIT RMVL ORBIT CONTENTS & BONE,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65114,CPT,EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65125,CPT,MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 65130,CPT,INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65135,CPT,INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65140,CPT,INSJ OC IMPLT AFTER ENCL MUSC ATTACHED,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65150,CPT,REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65155,CPT,REINSERTION OCULAR IMPLT RNFCMT &/ ATTACH MUSCLE,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65175,CPT,REMOVAL OCULAR IMPLANT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65205,CPT,REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL,,30,,,$536.04,$0.00,1,0,1,20180101, 65210,CPT,RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 65220,CPT,RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 65222,CPT,RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP,,30,,,$536.04,$0.00,1,0,1,20180101, 65235,CPT,RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65260,CPT,RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65265,CPT,RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65270,CPT,RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 65272,CPT,RPR LAC CJNC MOBLJ& REARGMT W/O HOSPITALIZATION,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 65275,CPT,RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65280,CPT,RPR LAC CORNEA&/SCLERA PERFOR X INVG UVEAL TIS,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65285,CPT,RPR LAC CORN&/SCLRA PERF W/REPOS/RESCJ UVEAL T,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65286,CPT,RPR LAC APPL TISSUE GLUE WOUND CORNEA&/SCLERA,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65290,CPT,RPR WND EXTRAOCULAR MUSCLE TENDON&/TENON CAPSU,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65400,CPT,EXCISION LESION CORNEA XCP PTERYGIUM,,30,,,"$4,874.48",$0.00,1,0,1,20180101, 65410,CPT,BIOPSY CORNEA,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 65420,CPT,EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 65426,CPT,EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 65430,CPT,CORNEA SCRAPING DIAGNOSTIC SMEAR &/CULTURE,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 65435,CPT,RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION,,30,,,"$4,874.48",$0.00,1,0,1,20180101, 65436,CPT,RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 65450,CPT,DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION,,30,,,$944.79,$0.00,1,0,1,20180101, 65600,CPT,MULTIPLE PUNCTURES ANTERIOR CORNEA,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 65710,CPT,KERATOPLASTY ANTERIOR LAMELLAR,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65730,CPT,KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65750,CPT,KERATOPLASTY PENETRAING APHAKIA,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65755,CPT,KERATOPLASTY PENETRATING PSEUDOPHAKIA,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65756,CPT,KERATOPLASTY ENDOTHELIAL,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65757,CPT,BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT,,30,,,"$4,060.96",$0.00,1,0,1,20180101, 65760,CPT,KERATOMILEUSIS,,30,,,"$5,303.55",$0.00,1,0,1,20180101, 65765,CPT,KERATOPHAKIA,,30,,,"$5,673.56",$0.00,1,0,1,20180101, 65767,CPT,EPIKERATOPLASTY,,30,,,"$4,797.77",$0.00,1,0,1,20180101, 65770,CPT,KERATOPROSTHESIS,,30,,,"$20,645.04",$0.00,1,0,1,20180101, 65771,CPT,RADIAL KERATOTOMY,,30,,,"$3,934.67",$0.00,1,0,1,20180101, 65772,CPT,CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM,,30,,,"$4,874.48",$0.00,1,0,1,20180101, 65775,CPT,CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 65778,CPT,PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES,,30,,,"$4,874.48",$0.00,1,0,1,20180101, 65779,CPT,PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65780,CPT,OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65781,CPT,OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65782,CPT,OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 65785,CPT,IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65800,CPT,PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65810,CPT,PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65815,CPT,PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/AIR IN,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65820,CPT,GONIOTOMY,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65850,CPT,TRABECULOTOMY AB EXTERNO,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65855,CPT,TRABECULOPLASTY BY LASER SURGERY,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 65860,CPT,SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 65865,CPT,SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65870,CPT,SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65875,CPT,SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65880,CPT,SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 65900,CPT,RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65920,CPT,RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 65930,CPT,RMVL BLOOD CLOT ANTERIOR SEGMENT EYE,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66020,CPT,INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66030,CPT,INJX ANTERIOR CHAMBER EYE MEDICATION SPX,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66130,CPT,EXCISION LESION SCLERA,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 66150,CPT,FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66155,CPT,FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66160,CPT,FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66170,CPT,FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66172,CPT,FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66174,CPT,TRLUML DILAT AQUEOUS CANAL W/O DEVICE/STENT,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66175,CPT,TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66179,CPT,AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66180,CPT,AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66183,CPT,INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66184,CPT,REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66185,CPT,REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66220,CPT,REPAIR SCLERAL STAPHYLOMA W/O GRAFT,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66225,CPT,REPAIR SCLERAL STAPHYLOMA W/GRAFT,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66250,CPT,REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 66500,CPT,IRIDOTOMY STAB INC SPX XCP TRANSFIXION,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66505,CPT,IRIDOTOMY STAB INC SPX TRANSFIXION,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66600,CPT,IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66605,CPT,IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66625,CPT,IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66630,CPT,IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66635,CPT,IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66680,CPT,REPAIR IRIS CILIARY BODY,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66682,CPT,SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66700,CPT,CILIARY BODY DESTRUCTION DIATHERMY,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66710,CPT,CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 66711,CPT,CILIARY BODY DSTRJ CYCLOPHOTOCOAG ENDOSCOPIC,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66720,CPT,CILIARY BODY DESTRUCTION CRYOTHERAPY,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 66740,CPT,CILIARY BODY DESTRUCTION CYCLODIAL,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 66761,CPT,IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 66762,CPT,IRIDOPLASTY PHOTOCOAGULATION 1/> SESSIONS,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 66770,CPT,DSTRJ CYST/LESION IRIS/CILIARY BODY,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 66820,CPT,DISCISSION SECONDARY MEMBRANOUS CATARACT,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66821,CPT,POST-CATARACT LASER SURGERY,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 66825,CPT,REPOSITIONING IO LENS PROSTHESIS REQ INC SPX,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66830,CPT,RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66840,CPT,RMVL LENS MATERIAL ASPIR TQ 1/> STAGES,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66850,CPT,RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66852,CPT,RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66920,CPT,RMVL LENS MATERIAL INTRACAPSULAR,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66930,CPT,REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 66940,CPT,REMOVAL LENS MATERIAL EXTRACAPSULAR,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66982,CPT,XCAPSULAR CATARACT RMVL INSJ LENS PROSTH 1 STG,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66983,CPT,ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66984,CPT,CATARACT REMOVAL INSERTION OF LENS,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66985,CPT,INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66986,CPT,EXCHANGE INTRAOCULAR LENS,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 66990,CPT,USE OPHTHALMIC ENDOSCOPE,,30,,,"$6,456.65",$0.00,1,0,1,20180101, 66999,CPT,UNLISTED PROCEDURE ANTERIOR SEGMENT EYE,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67005,CPT,RMVL VITREOUS ANT APPR PARTIAL REMOVAL,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67010,CPT,RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67015,CPT,ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67025,CPT,INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67027,CPT,IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS,,30,,,"$22,388.55",$0.00,1,0,1,20180101, 67028,CPT,INTRAVITREAL NJX PHARMACOLOGIC AGT SPX,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 67030,CPT,DISCISSION VITREOUS STRANS PARS PLANA APPROACH,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67031,CPT,SEVERING VITREOUS STRANS LASER 1/> STAGES,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 67036,CPT,VITRECTOMY MECHANICAL PARS PLANA,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 67039,CPT,VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 67040,CPT,VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 67041,CPT,VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 67042,CPT,VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 67043,CPT,VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 67101,CPT,RPR RETINAL DTCHMNT 1/>SES CRYOTX/DTHRM INCL DRG,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67105,CPT,RPR RETINAL DTCHMNT 1/> SES PC INCL SUBRETI DRG,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 67107,CPT,REPAIR RETINAL DETACHMENT SCLERAL BUCKLING,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 67108,CPT,RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 67110,CPT,RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67113,CPT,RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 67115,CPT,RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 67120,CPT,RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67121,CPT,RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67141,CPT,PROPH RTA DTCHMNT W/O DRG 1/> SESS CRTX DTHRM,,30,,,$944.79,$0.00,1,0,1,20180101, 67145,CPT,PROPH RTA DTCHMNT W/O DRG 1/> SESS,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 67208,CPT,DSTRJ LOCLZD LESION RETINA 1/> SESS CRTX DTHRM,,30,,,$944.79,$0.00,1,0,1,20180101, 67210,CPT,DSTRJ LOCLZD LESION RETINA 1/> SESS PC,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 67218,CPT,DSTRJ LESION RETINA 1/> SESS RADJ IMPLTJ,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67220,CPT,DSTRJ LESION CHOROID PC 1/> SESS,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 67221,CPT,DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 67225,CPT,DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION,,30,,,"$2,015.42",$0.00,1,0,1,20180101, 67227,CPT,DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67228,CPT,TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 67229,CPT,EXTENSIVE RETINOPATHY 1/> SESS PRETERM INFANT,,30,,,"$2,742.58",$0.00,1,0,1,20180101, 67250,CPT,SCLERAL REINFORCEMENT SPX W/O GRAFT,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67255,CPT,SCLERAL REINFORCEMENT SPX W/GRAFT,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67299,CPT,UNLISTED PROCEDURE POSTERIOR SEGMENT,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 67311,CPT,STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67312,CPT,STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67314,CPT,STRABISMUS RECESSION/RESCJ 1 VER MUSC,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67316,CPT,STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67318,CPT,STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67320,CPT,TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC,,30,,,"$4,025.21",$0.00,1,0,1,20180101, 67331,CPT,STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC,,30,,,"$3,079.47",$0.00,1,0,1,20180101, 67332,CPT,STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY,,30,,,"$3,616.46",$0.00,1,0,1,20180101, 67334,CPT,STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION,,30,,,"$3,632.71",$0.00,1,0,1,20180101, 67335,CPT,PLACEMENT ADJUSTABLE SUTURE STRABISMUS,,30,,,"$3,464.62",$0.00,1,0,1,20180101, 67340,CPT,STRABISMUS EXPL&/RPR DETACHED EXTROCULAR MUSC,,30,,,"$6,089.72",$0.00,1,0,1,20180101, 67343,CPT,RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67345,CPT,CHEMODENERVATION EXTRAOCULAR MUSCLE,,30,,,$944.79,$0.00,1,0,1,20180101, 67346,CPT,BIOPSY EXTRAOCULAR MUSCLE,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67399,CPT,UNLISTED PROCEDURE EXTRAOCULAR MUSCLE,,30,,,$944.79,$0.00,1,0,1,20180101, 67400,CPT,ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67405,CPT,ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67412,CPT,ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67413,CPT,ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67414,CPT,ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67415,CPT,FINE NEEDLE ASPIRATION ORBITAL CONTENTS,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67420,CPT,ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67430,CPT,ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67440,CPT,ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67445,CPT,ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67450,CPT,ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67500,CPT,RETROBULBAR INJECTION MEDICATION SPX,,30,,,$944.79,$0.00,1,0,1,20180101, 67505,CPT,RETROBULBAR INJECTION ALCOHOL,,30,,,$944.79,$0.00,1,0,1,20180101, 67515,CPT,INJECTION MEDICATION/OTHER SUBST TENON CAPSULE,,30,,,$944.79,$0.00,1,0,1,20180101, 67550,CPT,ORBITAL IMPLANT INSERTION,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67560,CPT,ORBITAL IMPLANT REMOVAL/REVISION,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67570,CPT,OPTIC NERVE DECOMPRESSION,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 67599,CPT,UNLISTED PROCEDURE ORBIT,,30,,,$944.79,$0.00,1,0,1,20180101, 67700,CPT,BLEPHAROTOMY DRAINAGE ABSCESS EYELID,,30,,,$944.79,$0.00,1,0,1,20180101, 67710,CPT,SEVERING TARSORRHAPHY,,30,,,"$4,874.48",$0.00,1,0,1,20180101, 67715,CPT,CANTHOTOMY SEPARATE PROCEDURE,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67800,CPT,EXCISION CHALAZION SINGLE,,30,,,$944.79,$0.00,1,0,1,20180101, 67801,CPT,EXCISION CHALAZION MULTIPLE SAME LID,,30,,,"$4,874.48",$0.00,1,0,1,20180101, 67805,CPT,EXCISION CHALAZION MULTIPLE DIFFERENT LIDS,,30,,,$944.79,$0.00,1,0,1,20180101, 67808,CPT,EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67810,CPT,INCISIONAL BIOPSY EYELID SKIN & LID MARGIN,,30,,,$944.79,$0.00,1,0,1,20180101, 67820,CPT,CORRECTION TRICHIASIS EPILATION FORCEPS ONLY,,30,,,$536.04,$0.00,1,0,1,20180101, 67825,CPT,CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS,,30,,,$944.79,$0.00,1,0,1,20180101, 67830,CPT,CORRECTION TRICHIASIS INCCISION LID MARGIN,,30,,,"$4,874.48",$0.00,1,0,1,20180101, 67835,CPT,CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67840,CPT,EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE,,30,,,"$4,874.48",$0.00,1,0,1,20180101, 67850,CPT,DESTRUCTION LESION LID MARGIN ONE-FOURTH LID MARGIN,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67966,CPT,EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 67971,CPT,RCNSTJ EYELID FULL THICKNESS 1 CM,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68130,CPT,EXCISION LESION CONJUNCTIVA ADJACENT SCLERA,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68135,CPT,DESTRUCTION LESION CONJUNCTIVA,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68200,CPT,SUBCONJUNCTIVAL INJECTION,,30,,,$536.04,$0.00,1,0,1,20180101, 68320,CPT,CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68325,CPT,CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68326,CPT,CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68328,CPT,CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68330,CPT,RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT,,30,,,"$7,836.33",$0.00,1,0,1,20180101, 68335,CPT,RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68340,CPT,RPR & DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68360,CPT,CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68362,CPT,CONJUNCTIVAL FLAP TOTAL,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68371,CPT,HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68399,CPT,UNLISTED PROCEDURE CONJUNCTIVA,,30,,,$944.79,$0.00,1,0,1,20180101, 68400,CPT,INCISION DRAINAGE LACRIMAL GLAND,,30,,,"$4,874.48",$0.00,1,0,1,20180101, 68420,CPT,INCISION DRAINAGE LACRIMAL SAC,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68440,CPT,SNIP INCISION LACRIMAL PUNCTUM,,30,,,$944.79,$0.00,1,0,1,20180101, 68500,CPT,EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68505,CPT,EXCISION LACRIMAL GLAND XCPT TUMOR PRTL,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68510,CPT,BIOPSY LACRIMAL GLAND,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68520,CPT,EXCISION LACRIMAL SAC,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68525,CPT,BIOPSY LACRIMAL SAC,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68530,CPT,RMVL FB/DACRYOLITH LACRIMAL PASSAGES,,30,,,$944.79,$0.00,1,0,1,20180101, 68540,CPT,EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68550,CPT,EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68700,CPT,PLASTIC REPAIR CANALICULI,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68705,CPT,CORRECTION EVERTED PUNCTUM CAUTERY,,30,,,$944.79,$0.00,1,0,1,20180101, 68720,CPT,DACRYOCSTORHINOSTOMY,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68745,CPT,CONJUNCTIVORHINOSTOMY W/O TUBE,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68750,CPT,CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT,,30,,,"$14,764.34",$0.00,1,0,1,20180101, 68760,CPT,CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER,,30,,,$944.79,$0.00,1,0,1,20180101, 68761,CPT,CLSR LACRIMAL PUNCTUM PLUG EACH,,30,,,$944.79,$0.00,1,0,1,20180101, 68770,CPT,CLOSURE LACRIMAL FISTULA SPX,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68801,CPT,DILATION LACRIMAL PUNCTUM W/WO IRRGATION,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 68810,CPT,PROBE NASOLACRIMAL DUCT W/WO IRRIGATION,,30,,,$944.79,$0.00,1,0,1,20180101, 68811,CPT,PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68815,CPT,PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68816,CPT,PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 68840,CPT,PROBE LACRIMAL CANALICULI W/WO IRRIGATION,,30,,,$944.79,$0.00,1,0,1,20180101, 68850,CPT,INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY,,30,,,$767.36,$0.00,1,0,1,20180101, 68899,CPT,UNLISTED PROCEDURE LACRIMAL SYSTEM,,30,,,$944.79,$0.00,1,0,1,20180101, 69000,CPT,DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 69005,CPT,DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 69020,CPT,DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,,30,,,"$3,458.81",$0.00,1,0,1,20180101, 69090,CPT,EAR PIERCING,,30,,,$348.72,$0.00,1,0,1,20180101, 69100,CPT,BIOPSY EXTERNAL EAR,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 69105,CPT,BIOPSY EXTERNAL AUDITORY CANAL,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 69110,CPT,EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 69120,CPT,EXCISION EXTERNAL EAR COMPLETE AMPUTATION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69140,CPT,EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69145,CPT,EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL,,30,,,"$11,942.67",$0.00,1,0,1,20180101, 69150,CPT,RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69200,CPT,RMVL FB XTRNL AUDITORY CANAL W/O ANES,,30,,,$536.04,$0.00,1,0,1,20180101, 69205,CPT,RMVL FB XTRNL AUDITORY CANAL ANES,,30,,,"$7,533.81",$0.00,1,0,1,20180101, 69209,CPT,REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,,30,,,$345.25,$0.00,1,0,1,20180101, 69210,CPT,REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT,,30,,,$345.25,$0.00,1,0,1,20180101, 69220,CPT,DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE,,30,,,$622.76,$0.00,1,0,1,20180101, 69222,CPT,DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 69300,CPT,OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69310,CPT,RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69320,CPT,RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69399,CPT,UNLISTED PROCEDURE EXTERNAL EAR,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 69420,CPT,MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 69421,CPT,MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69424,CPT,VENTILATING TUBE RMVL REQUIRING GENERAL ANES,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69433,CPT,TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 69436,CPT,TYMPANOSTOMY GENERAL ANESTHESIA,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 69440,CPT,MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69450,CPT,TYMPANOLYSIS TRANSCANAL,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69501,CPT,TRANSMASTOID ANTROTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69502,CPT,MASTOIDECTOMY COMPLETE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69505,CPT,MASTOIDECTOMY MODIFIED RADICAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69511,CPT,MASTOIDECTOMY RADICAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69530,CPT,PETROUS APICECTOMY RADICAL MASTOIDECTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69540,CPT,EXCISION AURAL POLYP,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 69550,CPT,EXCISION AURAL GLOMUS TUMOR TRANSCANAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69552,CPT,EXCISION AURAL GLOMUS TUMOR TRANSMASTOID,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69601,CPT,REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69602,CPT,REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69603,CPT,REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69604,CPT,REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69605,CPT,REVJ MASTOIDECTOMY W/APICECTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69610,CPT,TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69620,CPT,MYRINGOPLASTY,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69631,CPT,TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69632,CPT,TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69633,CPT,TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69635,CPT,TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69636,CPT,TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69637,CPT,TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69641,CPT,TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69642,CPT,TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69643,CPT,TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69644,CPT,TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69645,CPT,TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69646,CPT,TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69650,CPT,STAPES MOBILIZATION,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69660,CPT,STAPEDECTOMY/STAPEDOTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69661,CPT,STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69662,CPT,REVISION STAPEDECTOMY/STAPEDOTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69666,CPT,REPAIR OVAL WINDOW FISTULA,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69667,CPT,REPAIR ROUND WINDOW FISTULA,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69670,CPT,MASTOID OBLITERATION SEPARATE PROCEDURE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69676,CPT,TYMPANIC NEURECTOMY,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69700,CPT,CLOSURE POSTAURICULAR FISTULA MASTOID SPX,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 69710,CPT,IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE,,30,,,"$10,537.88",$0.00,1,0,1,20180101, 69711,CPT,RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69714,CPT,IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 69715,CPT,IMPLJ OSSEOINTEGRATED TEMPORAL BONE W/O MASTOID,,30,,,"$30,349.90",$0.00,1,0,1,20180101, 69717,CPT,RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 69718,CPT,RPLMCT OSSEOINTEGRATE IMPLNT W/MASTOIDECTOMY,,30,,,"$20,215.82",$0.00,1,0,1,20180101, 69720,CPT,DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69725,CPT,DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69740,CPT,SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69745,CPT,SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69799,CPT,UNLISTED PROCEDURE MIDDLE EAR,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 69801,CPT,LABYRINTHOTOMY TRANSCANAL,,30,,,"$5,312.99",$0.00,1,0,1,20180101, 69805,CPT,ENDOLYMPHATIC SAC W/O SHUNT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69806,CPT,ENDOLYMPHATIC SAC SHUNT,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69905,CPT,LABYRINTHECTOMY TRANSCANAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69910,CPT,LABYRINTHECTOMY W/MASTOIDECTOMY,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69915,CPT,VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR,,30,,,"$11,756.58",$0.00,1,0,1,20180101, 69930,CPT,COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY,,30,,,"$63,929.90",$0.00,1,0,1,20180101, 69949,CPT,UNLISTED PROCEDURE INNER EAR,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 69955,CPT,TOTAL FACIAL NERVE DECOMPRESSION &/REPAIR,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69960,CPT,DECOMPRESSION INTERNAL AUDITORY CANAL,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69970,CPT,REMOVAL TUMOR TEMPORAL BONE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, 69979,CPT,UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA,,30,,,"$1,223.14",$0.00,1,0,1,20180101, 69990,CPT,MICROSURG TQS REQ USE OPERATING MICROSCOPE,,30,,,"$4,071.54",$0.00,1,0,1,20180101, 70010,CPT,MYELOGRAPY POST FOSSA RS&I,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 70015,CPT,CISTERNOGRAPHY POSITIVE CONTRAST RS&I,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 70030,CPT,RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY,,30,,,$383.69,$0.00,1,0,1,20180101, 70100,CPT,RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 70110,CPT,RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 70120,CPT,RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE,,30,,,$766.79,$0.00,1,0,1,20180101, 70130,CPT,RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE,,30,,,$766.79,$0.00,1,0,1,20180101, 70134,CPT,RADEX INTERNAL AUDITORY MEATI COMPLETE,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70140,CPT,RADEX FACIAL BONES < 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 70150,CPT,RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 70160,CPT,RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 70170,CPT,DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70190,CPT,RADEX OPTIC FORAMINA,,30,,,$383.69,$0.00,1,0,1,20180101, 70200,CPT,RADEX ORBITS COMPLETE MINIMUM 4 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 70210,CPT,RADEX SINUSES PARANASAL <3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 70220,CPT,RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 70240,CPT,RADIOLOGIC EXAMINATION SELLA TURCICA,,30,,,$383.69,$0.00,1,0,1,20180101, 70250,CPT,RADIOLOGIC EXAMINATION SKULL 4/> VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 70260,CPT,RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 70300,CPT,RADIOLOGIC EXAMINATION TEETH 1 VIEW,,30,,,$383.69,$0.00,1,0,1,20180101, 70310,CPT,RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70320,CPT,RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70328,CPT,RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT,,30,,,$383.69,$0.00,1,0,1,20180101, 70330,CPT,RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT,,30,,,$383.69,$0.00,1,0,1,20180101, 70332,CPT,TEMPOROMANDBLE JT ARTHROGRAPHY RS&I,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70336,CPT,MRI TEMPOROMANDIBULAR JOINT,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70350,CPT,CEPHALOGRAM ORTHODONTIC,,30,,,$383.69,$0.00,1,0,1,20180101, 70355,CPT,ORTHOPANTOGRAM,,30,,,$383.69,$0.00,1,0,1,20180101, 70360,CPT,RADIOLOGIC EXAMINATION NECK SOFT TISSUE,,30,,,$383.69,$0.00,1,0,1,20180101, 70370,CPT,RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ,,30,,,$383.69,$0.00,1,0,1,20180101, 70371,CPT,CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70380,CPT,RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS,,30,,,$383.69,$0.00,1,0,1,20180101, 70390,CPT,SIALOGRAPHY RS&I,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70450,CPT,CT HEAD/BRAIN W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 70460,CPT,CT HEAD/BRAIN W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70470,CPT,CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70480,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL,,30,,,$766.79,$0.00,1,0,1,20180101, 70481,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70482,CPT,CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70486,CPT,CT MAXILLOFACIAL W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 70487,CPT,CT MAXILLOFACIAL W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70488,CPT,CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70490,CPT,CT SOFT TISSUE NECK W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 70491,CPT,CT SOFT TISSUE NECK W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70492,CPT,CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70496,CPT,CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70498,CPT,CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70540,CPT,MRI ORBIT FACE &/NECK W/O CONTRAST,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70542,CPT,MRI ORBIT FACE & NECK W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 70543,CPT,MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 70544,CPT,MRA HEAD W/O CONTRST MATERIAL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70545,CPT,MRA HEAD W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70546,CPT,MRA HEAD W/O & W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 70547,CPT,MRA NECK W/O CONTRST MATERIAL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70548,CPT,MRA NECK W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70549,CPT,MRA NECK W/O &W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 70551,CPT,MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70552,CPT,MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70553,CPT,MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 70554,CPT,MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70555,CPT,MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70557,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 70558,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 70559,CPT,MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 71045,CPT,X-RAY EXAM CHEST 1 VIEW,,30,,,$383.69,$0.00,1,0,1,20180101, 71046,CPT,X-RAY EXAM CHEST 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 71047,CPT,X-RAY EXAM CHEST 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 71048,CPT,X-RAY EXAM CHEST 4+ VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 71100,CPT,RADEX RIBS UNILATERAL 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 71101,CPT,RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 71110,CPT,RADEX RIBS BILATERAL 3 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 71111,CPT,RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 71120,CPT,RADEX STERNUM MINIMUM 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 71130,CPT,RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 71250,CPT,CT THORAX W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 71260,CPT,CT THORAX W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 71270,CPT,CT THORAX W/O & W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 71275,CPT,CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 71550,CPT,MRI CHEST W/O CONTRAST MATERIAL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 71551,CPT,MRI CHEST W/CONTRAST MATERIAL,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 71552,CPT,MRI CHEST W/O & W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 71555,CPT,MRA CHEST W/O & W/CONTRAST MATERIAL,,30,,,"$2,265.17",$0.00,1,0,1,20180101, 72020,CPT,RADEX SPINE 1 VIEW SPECIFY LEVEL,,30,,,$383.69,$0.00,1,0,1,20180101, 72040,CPT,RADEX SPINE CERVICAL 2 OR 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 72050,CPT,RADEX SPINE CERVICAL 4 OR 5 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72052,CPT,RADEX SPINE CERVICAL 6 OR MORE VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72070,CPT,RADEX SPINE THORACIC 2 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72072,CPT,RADEX SPINE THORACIC 3 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72074,CPT,RADEX SPINE THORACIC MINIMUM 4 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72080,CPT,RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 72081,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,,30,,,$383.69,$0.00,1,0,1,20180101, 72082,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,,30,,,$766.79,$0.00,1,0,1,20180101, 72083,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,,30,,,$766.79,$0.00,1,0,1,20180101, 72084,CPT,RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,,30,,,$766.79,$0.00,1,0,1,20180101, 72100,CPT,RADEX SPINE LUMBOSACRAL 2/3 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72110,CPT,RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72114,CPT,RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6,,30,,,$766.79,$0.00,1,0,1,20180101, 72120,CPT,RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72125,CPT,CT CERVICAL SPINE W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 72126,CPT,CT CERVICAL SPINE W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 72127,CPT,CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 72128,CPT,CT THORACIC SPINE W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 72129,CPT,CT THORACIC SPINE W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 72130,CPT,CT THORACIC SPINE W/O & W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 72131,CPT,CT LUMBAR SPINE W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 72132,CPT,CT LUMBAR SPINE W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 72133,CPT,CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 72141,CPT,MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 72142,CPT,MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 72146,CPT,MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 72147,CPT,MRI SPINAL CANAL THORACIC W/CONTRAST MATRL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 72148,CPT,MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 72149,CPT,MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 72156,CPT,MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 72157,CPT,MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 72158,CPT,MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 72159,CPT,MRA SPINAL CANAL W/WO CONTRAST MATERIAL,,30,,,"$3,041.51",$0.00,1,0,1,20180101, 72170,CPT,RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72190,CPT,RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72191,CPT,CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 72192,CPT,CT PELVIS W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 72193,CPT,CT PELVIS W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 72194,CPT,CT PELVIS W/O & W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 72195,CPT,MRI PELVIS W/O CONTRAST MATERIAL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 72196,CPT,MRI PELVIS W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 72197,CPT,MRI PELVIS W/O & W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 72198,CPT,MRA PELVIS W/WO CONTRAST MATERIAL,,30,,,"$2,585.28",$0.00,1,0,1,20180101, 72200,CPT,RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72202,CPT,RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 72220,CPT,RADEX SACRUM & COCCYX MINIMUM 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 72240,CPT,MYELOGRAPHY CERVICAL RS&I,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 72255,CPT,MYELOGRAPHY THORACIC RS&I,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 72265,CPT,MYELOGRAPY LUMBOSACRAL RS&I,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 72270,CPT,MYELOGRAPY 2/MORE REGIONS RS&I,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 72275,CPT,EPIDUROGRAPY RS&I,,30,,,"$1,537.95",$0.00,1,0,1,20180101, 72285,CPT,DISKOGRAPY CERVICAL/THORACIC RS&I,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 72295,CPT,DISKOGRAPY LUMBAR RS&I,,30,,,"$8,782.12",$0.00,1,0,1,20180101, 73000,CPT,RADEX CLAVICLE COMPLETE,,30,,,$383.69,$0.00,1,0,1,20180101, 73010,CPT,RADEX SCAPULA COMPLETE,,30,,,$766.79,$0.00,1,0,1,20180101, 73020,CPT,RADEX SHOULDER 1 VIEW,,30,,,$383.69,$0.00,1,0,1,20180101, 73030,CPT,RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73040,CPT,RADEX SHOULDER ARTHROGRAPHY RS&I,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 73050,CPT,RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ,,30,,,$383.69,$0.00,1,0,1,20180101, 73060,CPT,RADEX HUMERUS MINIMUM 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73070,CPT,RADEX ELBOW 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73080,CPT,RADEX ELBOW COMPLETE MINIMUM 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73085,CPT,RADEX ELBOW ARTHROGRAPHY RS&I,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 73090,CPT,RADEX FOREARM 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73092,CPT,RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 73100,CPT,RADEX WRIST 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73110,CPT,RADEX WRIST COMPLETE MINIMUM 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73115,CPT,RADEX WRIST ARTHROGRAPHY RS&I,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 73120,CPT,RADEX HAND 2 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 73130,CPT,RADEX HAND MINIMUM 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73140,CPT,RADEX FINGR MINIMUM 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73200,CPT,CT UPPER EXTREMITY W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 73201,CPT,CT UPPER EXTREMITY W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 73202,CPT,CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 73206,CPT,CT ANGIOGRAPHY UPPER EXTREMITY,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 73218,CPT,MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 73219,CPT,MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 73220,CPT,MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 73221,CPT,MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 73222,CPT,MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 73223,CPT,MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 73225,CPT,MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL,,30,,,"$3,045.11",$0.00,1,0,1,20180101, 73501,CPT,RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,,30,,,$383.69,$0.00,1,0,1,20180101, 73502,CPT,RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73503,CPT,RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 73521,CPT,RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 73522,CPT,RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 73523,CPT,RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 73525,CPT,RADEX HIP ARTHROGRAPHY RS&I,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 73551,CPT,RADIOLOGIC EXAMINATION FEMUR 1 VIEW,,30,,,$383.69,$0.00,1,0,1,20180101, 73552,CPT,RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73560,CPT,RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73562,CPT,RADIOLOGIC EXAMINATION KNEE 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73564,CPT,RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 73565,CPT,RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST,,30,,,$383.69,$0.00,1,0,1,20180101, 73580,CPT,RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 73590,CPT,RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73592,CPT,RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73600,CPT,RADIOLOGIC EXAMINATION ANKLE 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73610,CPT,RADEX ANKLE COMPLETE MINIMUM 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73615,CPT,RADEX ANKLE ARTHROGRAPHY RS&I,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 73620,CPT,RADIOLOGIC EXAMINATION FOOT 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73630,CPT,RADEX FOOT COMPLETE MINIMUM 3 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73650,CPT,RADEX CALCANEUS MINIMUM 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73660,CPT,RADEX TOE MINIMUM 2 VIEWS,,30,,,$383.69,$0.00,1,0,1,20180101, 73700,CPT,CT LOWER EXTREMITY W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 73701,CPT,CT LOWER EXTREMITY W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 73702,CPT,CT LOWER EXTREMITY W/O & W/CONTRAST MATRL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 73706,CPT,CT ANGIOGRAPHY LOWER EXTREMITY,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 73718,CPT,MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 73719,CPT,MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 73720,CPT,MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 73721,CPT,MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 73722,CPT,MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 73723,CPT,MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 73725,CPT,MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL,,30,,,"$3,205.55",$0.00,1,0,1,20180101, 74018,CPT,X-RAY EXAM ABDOMEN 1 VIEW,,30,,,$383.69,$0.00,1,0,1,20180101, 74019,CPT,X-RAY EXAM ABDOMEN 2 VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 74021,CPT,X-RAY EXAM ABDOMEN 3+ VIEWS,,30,,,$766.79,$0.00,1,0,1,20180101, 74022,CPT,RADEX ABD COMPL AQT ABD W/S/E/D VIEWS 1 VIEW CH,,30,,,$766.79,$0.00,1,0,1,20180101, 74150,CPT,CT ABDOMEN W/O CONTRAST MATERIAL,,30,,,$766.79,$0.00,1,0,1,20180101, 74160,CPT,CT ABDOMEN W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74170,CPT,CT ABDOMEN W/O & W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74174,CPT,CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74175,CPT,CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74176,CPT,CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 74177,CPT,CT ABDOMEN & PELVIS W/CONTRAST MATERIAL,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74178,CPT,CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74181,CPT,MRI ABDOMEN W/O CONTRAST MATERIAL,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 74182,CPT,MRI ABDOMEN W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 74183,CPT,MRI ABDOMEN W/O & W/CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 74185,CPT,MRA ABDOMEN W/WO CONTRAST MATERIAL,,30,,,"$3,097.32",$0.00,1,0,1,20180101, 74190,CPT,PERITONEOGRAM RS&I,,30,,,"$3,061.93",$0.00,1,0,1,20180101, 74210,CPT,RADEX PHARYNX&/CERVICAL ESOPHAGUS,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74220,CPT,RADEX ESOPHAGUS,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74230,CPT,SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG,,30,,,$766.79,$0.00,1,0,1,20180101, 74235,CPT,RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS&I,,30,,,"$1,534.33",$0.00,1,0,1,20180101, 74240,CPT,RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74241,CPT,RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/KUB,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74245,CPT,RADEX GI TRACT UPR W/SM INT W/MULT SERIAL IMAGES,,30,,,$766.79,$0.00,1,0,1,20180101, 74246,CPT,RADEX UPPER GI W/WO GLUCAGON/DELAY IMGES W/O KUB,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74247,CPT,RADEX UPPER GI W/WO GLUCAGON/DELAY IMAGES W/KUB,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74249,CPT,RADEX GI UPR W/WO GLUCOSE W/SM INTEST FOLLW-THRU,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74250,CPT,RADEX SMALL INTESTINE W/MULTIPLE SERIAL IMAGES,,30,,,$766.79,$0.00,1,0,1,20180101, 74251,CPT,RADEX SM INT W/MLT SRL IMGES VIA ENTEROCLSS TUBE,,30,,,$766.79,$0.00,1,0,1,20180101, 74260,CPT,DUODENOGRAPY HYPOTONIC,,30,,,$766.79,$0.00,1,0,1,20180101, 74261,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST,,30,,,$766.79,$0.00,1,0,1,20180101, 74262,CPT,CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74263,CPT,CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING,,30,,,$766.79,$0.00,1,0,1,20180101, 74270,CPT,RADEX COLON BARIUM ENEMA W/WO KUB,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74280,CPT,RADEX COLON W/SPEC HI DNS BARIUM W/WO GLUCAGON,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74283,CPT,THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74290,CPT,CHOLECYSTOGRAPHY ORAL CONTRST,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74300,CPT,CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I,,30,,,"$1,164.14",$0.00,1,0,1,20180101, 74301,CPT,CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS,,30,,,$666.35,$0.00,1,0,1,20180101, 74328,CPT,ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS&I,,30,,,"$1,559.67",$0.00,1,0,1,20180101, 74329,CPT,ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS&I,,30,,,"$1,543.06",$0.00,1,0,1,20180101, 74330,CPT,CMBN NDSC CATHJ BILIARY&PNCRTC DUCTAL SYS RS&I,,30,,,"$1,833.27",$0.00,1,0,1,20180101, 74340,CPT,INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I,,30,,,"$1,236.38",$0.00,1,0,1,20180101, 74355,CPT,PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS&I,,30,,,"$1,654.83",$0.00,1,0,1,20180101, 74360,CPT,INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I,,30,,,"$1,209.63",$0.00,1,0,1,20180101, 74363,CPT,PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS&I,,30,,,"$3,225.13",$0.00,1,0,1,20180101, 74400,CPT,UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74410,CPT,UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74415,CPT,UROGRAPY INFUSION DRIP &/BOLUS TECHQ W/WO TOMO,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74420,CPT,X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 74425,CPT,UROGRAPHY ANTEGRADE RS&I,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74430,CPT,CYSTOGRAPHY MINIMUM 3 VIEWS RS&I,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 74440,CPT,VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 74445,CPT,CORPORA CAVERNOSOGRAPY RS&I,,30,,,$766.79,$0.00,1,0,1,20180101, 74450,CPT,URETHROCYSTOGRAPHY RETROGRADE RS&I,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 74455,CPT,URETHROCYSTOGRAPHY VOIDING RS&I,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 74470,CPT,RADEX RENAL CYST STUDY TRANSLUMBAR RS&I,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 74485,CPT,DILATION NEPHROSTOMY/URETER/URETHRA RS&I,,30,,,"$9,468.56",$0.00,1,0,1,20180101, 74710,CPT,PELVIMETRY W/WOPLACENTAL LOCALIZATION,,30,,,$383.69,$0.00,1,0,1,20180101, 74712,CPT,FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES,,30,,,$766.79,$0.00,1,0,1,20180101, 74713,CPT,FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES,,30,,,"$1,944.59",$0.00,1,0,1,20180101, 74740,CPT,HYSTEROSALPINGOGRAPHY RS&I,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 74742,CPT,TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I,,30,,,"$1,300.29",$0.00,1,0,1,20180101, 74775,CPT,PERINEOGRAM,,30,,,$766.79,$0.00,1,0,1,20180101, 75557,CPT,CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 75559,CPT,CARDIAC MRI W/O CONTRAST W/STRESS IMAGING,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 75561,CPT,CARDIAC MRI W/WO CONTRAST & FURTHER SEQ,,30,,,"$2,877.41",$0.00,1,0,1,20180101, 75563,CPT,CARDIAC MRI W/W/O CONTRAST W/STRESS,,30,,,"$4,229.86",$0.00,1,0,1,20180101, 75565,CPT,CARDIAC MRI FOR VELOCITY FLOW MAPPING,,30,,,"$1,204.53",$0.00,1,0,1,20180101, 75571,CPT,CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,,30,,,$383.69,$0.00,1,0,1,20180101, 75572,CPT,CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 75573,CPT,CT HRT CONTRST CARDIAC STRUCT&MORPH CONG HRT D,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 75574,CPT,CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 75600,CPT,AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75605,CPT,AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 75625,CPT,AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75630,CPT,AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75635,CPT,CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP,,30,,,"$1,457.02",$0.00,1,0,1,20180101, 75705,CPT,ANGIOGRAPHY SPINAL SELECTIVE RS&I,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 75710,CPT,ANGIOGRAPHY EXTREMITY UNILATERAL RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75716,CPT,ANGIOGRAPHY EXTREMITY BILATERAL RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75726,CPT,ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 75731,CPT,ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 75733,CPT,ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75736,CPT,ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 75741,CPT,ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75743,CPT,ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75746,CPT,ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 75756,CPT,ANGIOGRAPHY INTERNAL MAMMARY RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75774,CPT,ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I,,30,,,"$3,434.68",$0.00,1,0,1,20180101, 75801,CPT,LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 75803,CPT,LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 75805,CPT,LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 75807,CPT,LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75809,CPT,SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I,,30,,,$766.79,$0.00,1,0,1,20180101, 75810,CPT,SPLENOPORTOGRAPY RS&I,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 75820,CPT,VENOGRAPHY EXTREMITY UNILATERAL RS&I,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 75822,CPT,VENOGRAPHY EXTREMITY BILATERAL RS&I,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 75825,CPT,VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75827,CPT,VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 75831,CPT,VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75833,CPT,VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75840,CPT,VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75842,CPT,VENOGRAPHY ADRENAL BILATERAL SELECTIVE RS&I,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 75860,CPT,VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75870,CPT,VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 75872,CPT,VENOGRAPHY EPIDURAL RS&I,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 75880,CPT,VENOGRAPHY ORBITAL RS&I,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 75885,CPT,PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75887,CPT,PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 75889,CPT,HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75891,CPT,HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 75893,CPT,VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS&,,30,,,"$19,068.38",$0.00,1,0,1,20180101, 75894,CPT,TRANSCATHETER EMBOLIZATION ANY METH RS&I,,30,,,"$7,972.98",$0.00,1,0,1,20180101, 75898,CPT,ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS,,30,,,"$5,370.51",$0.00,1,0,1,20180101, 75901,CPT,MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I,,30,,,"$2,144.81",$0.00,1,0,1,20180101, 75902,CPT,MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I,,30,,,$845.78,$0.00,1,0,1,20180101, 75970,CPT,TRANSCATHETER BIOPSY RS&I,,30,,,"$4,860.83",$0.00,1,0,1,20180101, 75984,CPT,CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I,,30,,,"$1,397.09",$0.00,1,0,1,20180101, 75989,CPT,RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I,,30,,,"$2,110.11",$0.00,1,0,1,20180101, 76000,CPT,FLUOROSCOPY SPX UP TO 1 HOUR PHYS/QHP TIME,,30,,,$766.79,$0.00,1,0,1,20180101, 76001,CPT,FLUOROSCOPY SPX >1 HOUR PHYS/QHP TIME,,30,,,"$1,372.50",$0.00,1,0,1,20180101, 76010,CPT,RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD,,30,,,$383.69,$0.00,1,0,1,20180101, 76080,CPT,RADEX ABSCESS/FISTULA/SINUS TRACT RS&I,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 76098,CPT,RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN,,30,,,"$3,061.93",$0.00,1,0,1,20180101, 76100,CPT,RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY,,30,,,$766.79,$0.00,1,0,1,20180101, 76101,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY UNI,,30,,,$766.79,$0.00,1,0,1,20180101, 76102,CPT,RADEX CPLX MOTION BDY SCTJ OTH/THN UROGRAPY BI,,30,,,$766.79,$0.00,1,0,1,20180101, 76120,CPT,CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC,,30,,,$766.79,$0.00,1,0,1,20180101, 76125,CPT,CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION,,30,,,$376.13,$0.00,1,0,1,20180101, 76140,CPT,CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT,,30,,,$128.50,$0.00,1,0,1,20180101, 76376,CPT,3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,,30,,,$934.59,$0.00,1,0,1,20180101, 76377,CPT,3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,,30,,,"$1,101.06",$0.00,1,0,1,20180101, 76380,CPT,CT LIMITED/LOCALIZED FOLLOW UP STUDY,,30,,,$383.69,$0.00,1,0,1,20180101, 76390,CPT,MRI SPECTROSCOPY,,30,,,"$3,779.14",$0.00,1,0,1,20180101, 76496,CPT,UNLISTED FLUOROSCOPIC PROCEDURE,,30,,,$383.69,$0.00,1,0,1,20180101, 76497,CPT,UNLISTED COMPUTED TOMOGRAPHY PROCEDURE,,30,,,$383.69,$0.00,1,0,1,20180101, 76498,CPT,UNLISTED MAGNETIC RESONANCE PROCEDURE,,30,,,$383.69,$0.00,1,0,1,20180101, 76499,CPT,UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE,,30,,,$383.69,$0.00,1,0,1,20180101, 76506,CPT,ECHOENCEPHALOGRAPHY REAL TIME IMAGING,,30,,,$766.79,$0.00,1,0,1,20180101, 76510,CPT,OPH US DX B-SCAN&QUAN A-SCAN SM PT ENCTR,,30,,,$536.04,$0.00,1,0,1,20180101, 76511,CPT,OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY,,30,,,$766.79,$0.00,1,0,1,20180101, 76512,CPT,OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,,30,,,$766.79,$0.00,1,0,1,20180101, 76513,CPT,OPH US DX ANT SGM US IMMERSION B-SCAN/HR BIOM,,30,,,$766.79,$0.00,1,0,1,20180101, 76514,CPT,OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI,,30,,,$113.56,$0.00,1,0,1,20180101, 76516,CPT,OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN,,30,,,$766.79,$0.00,1,0,1,20180101, 76519,CPT,OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL,,30,,,$766.79,$0.00,1,0,1,20180101, 76529,CPT,OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION,,30,,,$383.69,$0.00,1,0,1,20180101, 76536,CPT,US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM,,30,,,$766.79,$0.00,1,0,1,20180101, 76604,CPT,US CHEST REAL TIME W/IMAGE DOCUMENTATION,,30,,,$766.79,$0.00,1,0,1,20180101, 76641,CPT,US BREAST UNI REAL TIME WITH IMAGE COMPLETE,,30,,,$766.79,$0.00,1,0,1,20180101, 76642,CPT,US BREAST UNI REAL TIME WITH IMAGE LIMITED,,30,,,$383.69,$0.00,1,0,1,20180101, 76700,CPT,US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION,,30,,,$766.79,$0.00,1,0,1,20180101, 76705,CPT,US ABDOMINAL REAL TIME W/IMAGE LIMITED,,30,,,$766.79,$0.00,1,0,1,20180101, 76706,CPT,US ABDL AORTA SCREEN AAA,,30,,,$766.79,$0.00,1,0,1,20180101, 76770,CPT,US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE,,30,,,$766.79,$0.00,1,0,1,20180101, 76775,CPT,US RETROPERITONEAL REAL TIME W/IMAGE LIMITED,,30,,,$766.79,$0.00,1,0,1,20180101, 76776,CPT,US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN,,30,,,$766.79,$0.00,1,0,1,20180101, 76800,CPT,ULTRASOUND SPINAL CANAL & CONTENTS,,30,,,$766.79,$0.00,1,0,1,20180101, 76801,CPT,US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT,,30,,,$766.79,$0.00,1,0,1,20180101, 76802,CPT,US PREG UTERUS 14 WK TRANSABDL EACH GESTATION,,30,,,$718.98,$0.00,1,0,1,20180101, 76805,CPT,US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION,,30,,,$766.79,$0.00,1,0,1,20180101, 76810,CPT,US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO,,30,,,"$1,156.98",$0.00,1,0,1,20180101, 76811,CPT,US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION,,30,,,$766.79,$0.00,1,0,1,20180101, 76812,CPT,US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT,,30,,,$780.17,$0.00,1,0,1,20180101, 76813,CPT,US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION,,30,,,$766.79,$0.00,1,0,1,20180101, 76814,CPT,US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION,,30,,,$537.21,$0.00,1,0,1,20180101, 76815,CPT,US PREGNANT UTERUS LIMITED 1/> FETUSES,,30,,,$766.79,$0.00,1,0,1,20180101, 76816,CPT,US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS,,30,,,$766.79,$0.00,1,0,1,20180101, 76817,CPT,US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG,,30,,,$766.79,$0.00,1,0,1,20180101, 76818,CPT,FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING,,30,,,$766.79,$0.00,1,0,1,20180101, 76819,CPT,FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING,,30,,,$766.79,$0.00,1,0,1,20180101, 76820,CPT,DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY,,30,,,$766.79,$0.00,1,0,1,20180101, 76821,CPT,DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART,,30,,,$766.79,$0.00,1,0,1,20180101, 76825,CPT,ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING,,30,,,"$3,061.93",$0.00,1,0,1,20180101, 76826,CPT,ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 76827,CPT,DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE,,30,,,$766.79,$0.00,1,0,1,20180101, 76828,CPT,DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT,,30,,,$766.79,$0.00,1,0,1,20180101, 76830,CPT,US TRANSVAGINAL,,30,,,$766.79,$0.00,1,0,1,20180101, 76831,CPT,SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 76856,CPT,US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE,,30,,,$766.79,$0.00,1,0,1,20180101, 76857,CPT,US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U,,30,,,$766.79,$0.00,1,0,1,20180101, 76870,CPT,US SCROTUM & CONTENTS,,30,,,$766.79,$0.00,1,0,1,20180101, 76872,CPT,US TRANSRECTAL,,30,,,$766.79,$0.00,1,0,1,20180101, 76873,CPT,US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX,,30,,,$766.79,$0.00,1,0,1,20180101, 76881,CPT,US EXTREMITY NON-VASC REAL-TIME IMG COMPL,,30,,,$766.79,$0.00,1,0,1,20180101, 76882,CPT,US EXTREMITY NON-VASC REAL-TIME IMG LMTD,,30,,,$766.79,$0.00,1,0,1,20180101, 76885,CPT,US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ,,30,,,$383.69,$0.00,1,0,1,20180101, 76886,CPT,US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ,,30,,,$383.69,$0.00,1,0,1,20180101, 76930,CPT,US GUIDANCE PERICARDIOCENTESIS RS&I,,30,,,"$1,032.13",$0.00,1,0,1,20180101, 76932,CPT,US ENDOMYOCARDIAL BIOPSY RS&I,,30,,,"$1,154.68",$0.00,1,0,1,20180101, 76936,CPT,US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 76937,CPT,US VASC ACCESS SITS VSL PATENCY NDL ENTRY,,30,,,$689.94,$0.00,1,0,1,20180101, 76940,CPT,US &MNTR PARENCHYMAL TISSUE ABLATION,,30,,,"$1,360.99",$0.00,1,0,1,20180101, 76941,CPT,US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I,,30,,,"$1,133.82",$0.00,1,0,1,20180101, 76942,CPT,US GUIDANCE NEEDLE PLACEMENT IMG S&I,,30,,,"$1,272.58",$0.00,1,0,1,20180101, 76945,CPT,US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I,,30,,,$906.15,$0.00,1,0,1,20180101, 76946,CPT,US GUIDANCE AMNIOCENTESIS IMG S&I,,30,,,$921.45,$0.00,1,0,1,20180101, 76948,CPT,US GUIDANCE ASPIRATION OVA IMG S&I,,30,,,$446.33,$0.00,1,0,1,20180101, 76965,CPT,US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION,,30,,,"$1,608.76",$0.00,1,0,1,20180101, 76970,CPT,US STUDY FOLLOW UP,,30,,,$766.79,$0.00,1,0,1,20180101, 76975,CPT,GI ENDOSCOPIC US S&I,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 76977,CPT,US BONE DENSITY MEAS & INTERP PERIPH ANY METHO,,30,,,$766.79,$0.00,1,0,1,20180101, 76998,CPT,ULTRASONIC GUIDANCE INTRAOPERATIVE,,30,,,"$1,300.56",$0.00,1,0,1,20180101, 76999,CPT,UNLISTED US PROCEDURE,,30,,,$383.69,$0.00,1,0,1,20180101, 77001,CPT,FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT,,30,,,"$1,095.32",$0.00,1,0,1,20180101, 77002,CPT,FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT,,30,,,"$1,038.88",$0.00,1,0,1,20180101, 77003,CPT,FLUORO NEEDLE/CATH SPINE/PARASPINAL DX/THER,,30,,,$947.02,$0.00,1,0,1,20180101, 77011,CPT,CT GUIDANCE STEREOTACTIC LOCALIZATION,,30,,,"$3,472.59",$0.00,1,0,1,20180101, 77012,CPT,CT GUIDANCE NEEDLE PLACEMENT,,30,,,"$2,919.89",$0.00,1,0,1,20180101, 77013,CPT,CT GUIDANCE &MONITORING VISC TISS ABLATION,,30,,,"$3,177.55",$0.00,1,0,1,20180101, 77014,CPT,CT GUIDANCE RADIATION THERAPY FLDS PLACEMENT,,30,,,"$1,616.14",$0.00,1,0,1,20180101, 77021,CPT,MR GUIDANCE NEEDLE PLACEMENT,,30,,,"$3,754.02",$0.00,1,0,1,20180101, 77022,CPT,MR GUIDANCE &MONITORING TISSUE ABLATION,,30,,,"$6,333.97",$0.00,1,0,1,20180101, 77053,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 77054,CPT,MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 77058,CPT,MRI BREAST UNILATERAL,,30,,,"$3,693.91",$0.00,1,0,1,20180101, 77059,CPT,MRI BREAST BILATERAL,,30,,,"$5,799.15",$0.00,1,0,1,20180101, 77061,CPT,DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,,30,,,$341.43,$0.00,1,0,1,20180101, 77062,CPT,DIGITAL BREAST TOMOSYNTHESIS BILATERAL,,30,,,$339.88,$0.00,1,0,1,20180101, 77065,CPT,DX MAMMO INCL CAD UNI,,30,,,"$2,104.76",$0.00,1,0,1,20180101, 77066,CPT,DX MAMMO INCL CAD BI,,30,,,"$2,536.69",$0.00,1,0,1,20180101, 77067,CPT,SCR MAMMO BI INCL CAD,,30,,,"$2,144.36",$0.00,1,0,1,20180101, 77071,CPT,MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS,,30,,,$383.69,$0.00,1,0,1,20180101, 77072,CPT,BONE AGE STUDIES,,30,,,$766.79,$0.00,1,0,1,20180101, 77073,CPT,BONE LENGTH STUDIES,,30,,,$766.79,$0.00,1,0,1,20180101, 77074,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED,,30,,,$766.79,$0.00,1,0,1,20180101, 77075,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL,,30,,,$766.79,$0.00,1,0,1,20180101, 77076,CPT,RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT,,30,,,$766.79,$0.00,1,0,1,20180101, 77077,CPT,JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,,30,,,$766.79,$0.00,1,0,1,20180101, 77078,CPT,CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE,,30,,,$383.69,$0.00,1,0,1,20180101, 77080,CPT,DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL,,30,,,$766.79,$0.00,1,0,1,20180101, 77081,CPT,DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL,,30,,,$383.69,$0.00,1,0,1,20180101, 77084,CPT,BONE MARROW BLOOD SUPPLY,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 77085,CPT,DXA BONE DENSITY STUDY AXIAL SKELETON,,30,,,$766.79,$0.00,1,0,1,20180101, 77086,CPT,VERTEBRAL FRACTURE ASSESSMENT VIA DXA,,30,,,$383.69,$0.00,1,0,1,20180101, 77261,CPT,THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE,,30,,,$768.48,$0.00,1,0,1,20180101, 77262,CPT,THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE,,30,,,"$1,031.23",$0.00,1,0,1,20180101, 77280,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE,,30,,,$790.03,$0.00,1,0,1,20180101, 77285,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED,,30,,,"$2,009.47",$0.00,1,0,1,20180101, 77290,CPT,THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX,,30,,,"$2,009.47",$0.00,1,0,1,20180101, 77293,CPT,RESPIRATORY MOTION MANAGEMENT SIMULATION,,30,,,"$2,498.93",$0.00,1,0,1,20180101, 77295,CPT,3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS,,30,,,"$6,939.43",$0.00,1,0,1,20180101, 77299,CPT,UNLIS PX THER RADIOL CLINICAL TX PLANNING,,30,,,$790.03,$0.00,1,0,1,20180101, 77300,CPT,BASIC RADIATION DOSIMETRY CALCULATION,,30,,,$790.03,$0.00,1,0,1,20180101, 77301,CPT,NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS,,30,,,"$6,939.43",$0.00,1,0,1,20180101, 77306,CPT,TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION,,30,,,"$2,009.47",$0.00,1,0,1,20180101, 77307,CPT,TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY,,30,,,"$2,009.47",$0.00,1,0,1,20180101, 77316,CPT,BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL,,30,,,"$2,009.47",$0.00,1,0,1,20180101, 77317,CPT,BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL,,30,,,"$2,009.47",$0.00,1,0,1,20180101, 77318,CPT,BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL,,30,,,"$2,009.47",$0.00,1,0,1,20180101, 77321,CPT,SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY,,30,,,"$2,009.47",$0.00,1,0,1,20180101, 77331,CPT,SPEC DOSIM ONLY PRESCRIBED TREATING PHYS,,30,,,$790.03,$0.00,1,0,1,20180101, 77332,CPT,TX DEVICES DESIGN & CONSTRUCTION SIMPLE,,30,,,$790.03,$0.00,1,0,1,20180101, 77333,CPT,TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE,,30,,,$790.03,$0.00,1,0,1,20180101, 77334,CPT,TX DEVICES DESIGN & CONSTRUCTION COMPLEX,,30,,,"$2,009.47",$0.00,1,0,1,20180101, 77336,CPT,CONTINUING MEDICAL PHYSICS CONSLTJ PR WK,,30,,,$790.03,$0.00,1,0,1,20180101, 77338,CPT,MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN,,30,,,"$2,009.47",$0.00,1,0,1,20180101, 77370,CPT,SPEC MEDICAL RADJ PHYSICS CONSLTJ,,30,,,$790.03,$0.00,1,0,1,20180101, 77371,CPT,RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT,,30,,,"$23,488.52",$0.00,1,0,1,20180101, 77372,CPT,RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR,,30,,,"$23,488.52",$0.00,1,0,1,20180101, 77373,CPT,STEREOTACTIC BODY RADIATION DELIVERY,,30,,,"$9,442.94",$0.00,1,0,1,20180101, 77385,CPT,INTENSITY MODULATED RADIATION TX DLVR SIMPLE,,30,,,"$3,213.52",$0.00,1,0,1,20180101, 77386,CPT,INTENSITY MODULATED RADIATION TX DLVR COMPLEX,,30,,,"$3,213.52",$0.00,1,0,1,20180101, 77387,CPT,GUIDANCE FOR LOC OF TARGET VOL RADIAJ TX DLVR,,30,,,$869.60,$0.00,1,0,1,20180101, 77399,CPT,UNLIS MEDICAL RADJ DOSIM TX DEV SPEC SVCS,,30,,,$790.03,$0.00,1,0,1,20180101, 77401,CPT,RADIATION TX DELIVERY SUPERFICIAL&/ORTHO VOLTA,,30,,,$803.34,$0.00,1,0,1,20180101, 77402,CPT,RADIATION TREATMENT DELIVERY 1 MEV >= SIMPLE,,30,,,$803.34,$0.00,1,0,1,20180101, 77407,CPT,RADIATION TX DELIVERY 1 MEV >= INTERMEDIATE,,30,,,$803.34,$0.00,1,0,1,20180101, 77412,CPT,RADIATION TREATMENT DELIVERY 1 MEV >= COMPLEX,,30,,,"$1,371.68",$0.00,1,0,1,20180101, 77417,CPT,THERAPEUTIC RADIOLOGY PORT IMAGES(S),,30,,,$431.87,$0.00,1,0,1,20180101, 77423,CPT,HIGH ENERGY NEUTRON RADJ TX DLVR 1/> ISOCENTER,,30,,,"$3,213.52",$0.00,1,0,1,20180101, 77424,CPT,INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION,,30,,,"$23,488.52",$0.00,1,0,1,20180101, 77425,CPT,INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS,,30,,,"$23,488.52",$0.00,1,0,1,20180101, 77431,CPT,RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY,,30,,,$964.65,$0.00,1,0,1,20180101, 77435,CPT,STEREOTACTIC BODY RADIATION MANAGEMENT,,30,,,"$3,149.65",$0.00,1,0,1,20180101, 77469,CPT,INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT,,30,,,"$2,167.75",$0.00,1,0,1,20180101, 77470,CPT,SPECIAL TREATMENT PROCEDURE,,30,,,"$3,213.52",$0.00,1,0,1,20180101, 77499,CPT,UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT,,30,,,$564.07,$0.00,1,0,1,20180101, 77520,CPT,PROTON TX DELIVERY SIMPLE W/O COMPENSATION,,30,,,"$3,213.52",$0.00,1,0,1,20180101, 77522,CPT,PROTON TX DELIVERY SIMPLE W/COMPENSATION,,30,,,"$5,732.01",$0.00,1,0,1,20180101, 77523,CPT,PROTON TX DELIVERY INTERMEDIATE,,30,,,"$5,732.01",$0.00,1,0,1,20180101, 77525,CPT,PROTON TX DELIVERY COMPLEX,,30,,,"$5,732.01",$0.00,1,0,1,20180101, 77600,CPT,HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL,,30,,,"$1,371.68",$0.00,1,0,1,20180101, 77605,CPT,HYPERTHERMIA EXTERNAL GENERATED DEEP,,30,,,"$4,304.08",$0.00,1,0,1,20180101, 77610,CPT,HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS,,30,,,"$3,213.52",$0.00,1,0,1,20180101, 77615,CPT,HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS,,30,,,"$3,213.52",$0.00,1,0,1,20180101, 77620,CPT,HYPERTHERMIA INTRACAVITARY PROBES,,30,,,"$3,213.52",$0.00,1,0,1,20180101, 77750,CPT,NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE,,30,,,"$1,371.68",$0.00,1,0,1,20180101, 77761,CPT,INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE,,30,,,"$3,213.52",$0.00,1,0,1,20180101, 77762,CPT,INTRACAVITARY RADIATION SOURCE APPLIC INTERMED,,30,,,"$3,213.52",$0.00,1,0,1,20180101, 77763,CPT,INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX,,30,,,"$4,304.08",$0.00,1,0,1,20180101, 77767,CPT,HDR RDNCL SKN SURF BRACHYTX LES 2CM&2CHAN/MLT LES,,30,,,"$1,371.68",$0.00,1,0,1,20180101, 77770,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL,,30,,,"$4,304.08",$0.00,1,0,1,20180101, 77771,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL,,30,,,"$4,304.08",$0.00,1,0,1,20180101, 77772,CPT,HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS,,30,,,"$4,304.08",$0.00,1,0,1,20180101, 77778,CPT,INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX,,30,,,"$4,304.08",$0.00,1,0,1,20180101, 77789,CPT,SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE,,30,,,$803.34,$0.00,1,0,1,20180101, 77790,CPT,SUPERVISION HANDLING LOADING RADIATION SOURCE,,30,,,$844.96,$0.00,1,0,1,20180101, 77799,CPT,UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY,,30,,,$803.34,$0.00,1,0,1,20180101, 78012,CPT,THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78013,CPT,THYROID IMAGING WITH VASCULAR FLOW,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78014,CPT,THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78015,CPT,THYROID CARCINOMA METASTASES IMG LMTD AREA,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78016,CPT,THYROID CARCINOMA METASTASES IMG ADDL STUDY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78018,CPT,THYROID CARCINOMA METASTASES IMG WHOLE BODY,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78020,CPT,THYROID CARCINOMA METASTASES UPTAKE,,30,,,$975.71,$0.00,1,0,1,20180101, 78070,CPT,PARATHYROID PLANAR IMAGING,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78071,CPT,PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78072,CPT,PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78075,CPT,ADRENAL IMAGING CORTEX &/MEDULLA,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78099,CPT,UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78102,CPT,BONE MARROW IMAGING LIMITED AREA,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78103,CPT,BONE MARROW IMAGING MULTIPLE AREAS,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78104,CPT,BONE MARROW IMAGING WHOLE BODY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78110,CPT,PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78111,CPT,PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78120,CPT,RED CELL VOLUME DETERMINATION SPX 1 SAMPLING,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78121,CPT,RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78122,CPT,WHOLE BLOOD VOLUME DETERM PLASMA&RED CELL VOLU,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78130,CPT,RED CELL SURVIVAL STUDY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78135,CPT,RBC SURVIVAL STUDY DIFFERNTL ORGAN/TISS KINETICS,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78140,CPT,LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78185,CPT,SPLEEN IMAGING ONLY W/WO VASCULAR FLOW,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78191,CPT,PLATELET SURVIVAL STUDY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78195,CPT,LYMPHATICS & LYMPH NODES IMAGING,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78199,CPT,UNLIS HEMATOP RET/ENDO&LYMPHATIC DX NUC MED,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78201,CPT,LIVER IMAGING STATIC ONLY,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78202,CPT,LIVER IMAGING W/VASCULAR FLOW,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78205,CPT,LIVER IMAGING SPECT,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78206,CPT,LIVER IMAGING SPECT W/VASCULAR FLOW,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78215,CPT,LIVER & SPLEEN IMAGING STATIC ONLY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78216,CPT,LIVER & SPLEEN IMAGING W/VASCULAR FLOW,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78226,CPT,HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78227,CPT,HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78230,CPT,SALIVARY GLAND IMAGING,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78231,CPT,SALIVARY GLAND IMAGING SERIAL IMAGES,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78232,CPT,SALIVARY GLAND FUNCTION STUDY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78258,CPT,ESOPHAGEAL MOTILITY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78261,CPT,GASTRIC MUCOSA IMAGING,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78262,CPT,GASTROESOPHAGEAL REFLUX STUDY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78264,CPT,GASTRIC EMPTYING IMAGING STUDY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78265,CPT,GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78266,CPT,GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78270,CPT,VITAMIN B-12 ABSRPJ STUDY W/O INTRINSIC FACTOR,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78271,CPT,VITAMIN B-12 ABSRPJ STUDY W/INTRINSIC FACTOR,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78272,CPT,VITAMIN B-12 ABSRPJ STDY W/WO INTRINSIC FACT,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78278,CPT,ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78282,CPT,GASTROINTESTINAL PROTEIN LOSS,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78290,CPT,INTESTINE IMAGING,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78291,CPT,PERITONEAL-VENOUS SHUNT PATENCY TEST,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78299,CPT,UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78300,CPT,BONE &/JOINT IMAGING LIMITED AREA,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78305,CPT,BONE &/JOINT IMAGING MULTIPLE AREAS,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78306,CPT,BONE &/JOINT IMAGING WHOLE BODY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78315,CPT,BONE &/JOINT IMAGING 3 PHASE STUDY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78320,CPT,BONE &/JOINT IMAGING TOMOGRAPHIC SPECT,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78350,CPT,BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY,,30,,,$256.46,$0.00,1,0,1,20180101, 78351,CPT,BONE DENSTY 1/> SITES DUAL PHOTON ABSORPTIOMETR,,30,,,$493.36,$0.00,1,0,1,20180101, 78399,CPT,UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78414,CPT,CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78428,CPT,CARDIAC SHUNT DETECTION,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78445,CPT,NONCARDIAC VASCULAR FLOW IMAGING,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78451,CPT,MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78452,CPT,MYOCARDIAL SPECT MULTIPLE STUDIES,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78453,CPT,MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78454,CPT,MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78456,CPT,ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78457,CPT,VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78458,CPT,VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78459,CPT,MYOCARDIAL IMAGING PET METABOLIC EVALUATION,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78466,CPT,MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78468,CPT,MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78469,CPT,MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78472,CPT,CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78473,CPT,CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78481,CPT,CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78483,CPT,CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78491,CPT,MYOCRD IMAGE PET PERFUS SINGLE STUDY REST/STRESS,,30,,,"$7,860.41",$0.00,1,0,1,20180101, 78492,CPT,MYOCRD IMAGE PET PERFUS MULTPL STUDY REST/STRESS,,30,,,"$7,860.41",$0.00,1,0,1,20180101, 78494,CPT,CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78496,CPT,CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT,,30,,,"$1,578.51",$0.00,1,0,1,20180101, 78499,CPT,UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78579,CPT,PULMONARY VENTILATION IMAGING,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78580,CPT,PULMONARY PERFUSION IMAGING PARTICULATE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78582,CPT,PULMONARY VENTILATION & PERFUSION IMAGING,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78597,CPT,QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78598,CPT,QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGIN,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78599,CPT,UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78600,CPT,BRAIN IMAGING <4 STATIC VIEWS,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78601,CPT,BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78605,CPT,BRAIN IMAGING MINIMUM 4 STATIC VIEWS,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78606,CPT,BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78607,CPT,BRAIN IMAGING TOMOGRAPHIC SPECT,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78608,CPT,BRAIN IMAGING PET METABOLIC EVALUATION,,30,,,"$7,860.41",$0.00,1,0,1,20180101, 78609,CPT,BRAIN IMAGING PET PERFUSION EVALUATION,,30,,,"$10,567.00",$0.00,1,0,1,20180101, 78610,CPT,BRAIN IMAGING VASCULAR FLOW ONLY,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78630,CPT,CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78635,CPT,CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78645,CPT,CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78647,CPT,CEREBROSPINAL FLUID FLOW W/O MATL TOMOG SPECT,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78650,CPT,CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATIO,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78660,CPT,RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78699,CPT,UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78700,CPT,KIDNEY IMAGING MORPHOLOGY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78701,CPT,KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78707,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78708,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78709,CPT,KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78710,CPT,KIDNEY IMAGING MORPHOLOGY TOMOGRAPHIC,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78725,CPT,KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78730,CPT,URINARY BLADDER RESIDUAL STUDY,,30,,,"$1,076.23",$0.00,1,0,1,20180101, 78740,CPT,URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78761,CPT,TESTICULAR IMAGING WITH VASCULAR FLOW,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78799,CPT,UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78800,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT LIMITED AREA,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78801,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT MULTIPLE AREAS,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78802,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT WHOLE BDY 1 DAY,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78803,CPT,RP LOCLZJ TUMOR/DSTRBJ AGENT TOMOG SPECT,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78804,CPT,RP LOCLZJ TUMOR/DSTRBJ AGT WHOL BDY REQ 2/> DAY,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78805,CPT,RP LOCLZJ INFLAMMATORY PROCESS LIMITED AREA,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78806,CPT,RP LOCLZJ INFLAMMATORY PROCESS WHOLE BODY,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78807,CPT,RP LOCLZJ INFLAMMATORY PROCESS TOMOG SPECT,,30,,,"$2,774.93",$0.00,1,0,1,20180101, 78808,CPT,NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 78811,CPT,PET IMAGING LIMITED AREA CHEST HEAD/NECK,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 78812,CPT,PET IMAGING SKULL BASE TO MID-THIGH,,30,,,"$7,860.41",$0.00,1,0,1,20180101, 78813,CPT,PET IMAGING WHOLE BODY,,30,,,"$7,860.41",$0.00,1,0,1,20180101, 78814,CPT,PET IMAGING CT FOR ATTENUATION LIMITED AREA,,30,,,"$7,860.41",$0.00,1,0,1,20180101, 78815,CPT,PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,,30,,,"$7,860.41",$0.00,1,0,1,20180101, 78816,CPT,PET IMAGING FOR CT ATTENUATION WHOLE BODY,,30,,,"$7,860.41",$0.00,1,0,1,20180101, 78999,CPT,UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE,,30,,,"$2,144.68",$0.00,1,0,1,20180101, 79005,CPT,RP THERAPY ORAL ADMINISTRATION,,30,,,"$1,476.31",$0.00,1,0,1,20180101, 79101,CPT,RP THERAPY INTRAVENOUS ADMINISTRATION,,30,,,"$1,476.31",$0.00,1,0,1,20180101, 79200,CPT,RP THERAPY INRACAVITARY ADMINISTRATION,,30,,,"$1,476.31",$0.00,1,0,1,20180101, 79300,CPT,RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN,,30,,,"$1,476.31",$0.00,1,0,1,20180101, 79403,CPT,RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS,,30,,,"$1,476.31",$0.00,1,0,1,20180101, 79440,CPT,RP THERAPY INTRA-ARTICULAR ADMINISTRATION,,30,,,"$1,476.31",$0.00,1,0,1,20180101, 79445,CPT,RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN,,30,,,"$1,476.31",$0.00,1,0,1,20180101, 79999,CPT,RP THERAPY UNLISTED PROCEDURE,,30,,,"$1,476.31",$0.00,1,0,1,20180101, 80047,CPT,BASIC METABOLIC PANEL CALCIUM IONIZED,,30,,,$342.50,$0.00,1,0,1,20180101, 80048,CPT,BASIC METABOLIC PANEL CALCIUM TOTAL,,30,,,$291.08,$0.00,1,0,1,20180101, 80050,CPT,GENERAL HEALTH PANEL,,30,,,$560.11,$0.00,1,0,1,20180101, 80051,CPT,ELECTROLYTE PANEL,,30,,,$190.00,$0.00,1,0,1,20180101, 80053,CPT,COMPREHENSIVE METABOLIC PANEL,,30,,,$368.07,$0.00,1,0,1,20180101, 80055,CPT,OBSTETRIC PANEL,,30,,,$520.06,$0.00,1,0,1,20180101, 80061,CPT,LIPID PANEL,,30,,,$218.43,$0.00,1,0,1,20180101, 80069,CPT,RENAL FUNCTION PANEL,,30,,,$441.58,$0.00,1,0,1,20180101, 80074,CPT,ACUTE HEPATITIS PANEL,,30,,,$609.35,$0.00,1,0,1,20180101, 80076,CPT,HEPATIC FUNCTION PANEL,,30,,,$258.55,$0.00,1,0,1,20180101, 80081,CPT,OBSTETRIC PANEL,,30,,,$706.19,$0.00,1,0,1,20180101, 80150,CPT,DRUG SCREEN QUANTITATIVE AMIKACIN,,30,,,$229.58,$0.00,1,0,1,20180101, 80155,CPT,DRUG ASSAY CAFFEINE,,30,,,$227.32,$0.00,1,0,1,20180101, 80156,CPT,DRUG ASSAY CARBAMAZEPINE TOTAL,,30,,,$257.84,$0.00,1,0,1,20180101, 80157,CPT,DRUG ASSAY CARBAMAZEPINE FREE,,30,,,$220.97,$0.00,1,0,1,20180101, 80158,CPT,DRUG ASSAY CYCLOSPORINE,,30,,,$300.31,$0.00,1,0,1,20180101, 80159,CPT,DRUG ASSAY CLOZAPINE,,30,,,$203.38,$0.00,1,0,1,20180101, 80162,CPT,DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL,,30,,,$216.64,$0.00,1,0,1,20180101, 80163,CPT,DRUG SCREEN QUANTITATIVE DIGOXIN FREE,,30,,,$411.92,$0.00,1,0,1,20180101, 80164,CPT,DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL,,30,,,$236.93,$0.00,1,0,1,20180101, 80165,CPT,DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE,,30,,,$244.16,$0.00,1,0,1,20180101, 80168,CPT,DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE,,30,,,$215.68,$0.00,1,0,1,20180101, 80169,CPT,DRUG ASSAY EVEROLIMUS,,30,,,$299.66,$0.00,1,0,1,20180101, 80170,CPT,DRUG SCREEN QUANTITATIVE GENTAMICIN,,30,,,$280.42,$0.00,1,0,1,20180101, 80171,CPT,DRUG SCREEN QUANTITATIVE GABAPENTIN,,30,,,$187.63,$0.00,1,0,1,20180101, 80173,CPT,DRUG SCREEN QUANTITATIVE HALOPRIDOL,,30,,,$162.04,$0.00,1,0,1,20180101, 80175,CPT,DRUG SCREEN QUANTITATIVE LAMOTRIGINE,,30,,,$182.23,$0.00,1,0,1,20180101, 80176,CPT,DRUG SCREEN QUANTITATIVE LIDOCAINE,,30,,,$295.03,$0.00,1,0,1,20180101, 80177,CPT,DRUG SCREEN QUANTITATIVE LEVETIRACETAM,,30,,,$195.30,$0.00,1,0,1,20180101, 80178,CPT,DRUG SCREEN QUANTITATIVE LITHIUM,,30,,,$153.36,$0.00,1,0,1,20180101, 80180,CPT,DRUG SCREEN QUANTITATIVE MYCOPHENOLATE,,30,,,$263.15,$0.00,1,0,1,20180101, 80183,CPT,DRUG SCREEN QUANTITATIVE OXCARBAZEPINE,,30,,,$226.75,$0.00,1,0,1,20180101, 80184,CPT,DRUG SCREEN QUANTITATIVE PHENOBARBITAL,,30,,,$229.24,$0.00,1,0,1,20180101, 80185,CPT,DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL,,30,,,$243.37,$0.00,1,0,1,20180101, 80186,CPT,DRUG SCREEN QUANTITATIVE PHENYTOIN FREE,,30,,,$210.65,$0.00,1,0,1,20180101, 80188,CPT,DRUG SCREEN QUANTITATIVE PRIMIDONE,,30,,,$194.87,$0.00,1,0,1,20180101, 80190,CPT,DRUG SCREEN QUANTITATIVE PROCAINAMIDE,,30,,,$181.55,$0.00,1,0,1,20180101, 80192,CPT,DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE,,30,,,$271.53,$0.00,1,0,1,20180101, 80194,CPT,DRUG SCREEN QUANTITATIVE QUINIDINE,,30,,,$305.75,$0.00,1,0,1,20180101, 80195,CPT,DRUG SCREEN QUANTITATIVE SIROLIMUS,,30,,,$268.72,$0.00,1,0,1,20180101, 80197,CPT,DRUG SCREEN QUANTITATIVE TACROLIMUS,,30,,,$295.84,$0.00,1,0,1,20180101, 80198,CPT,DRUG SCREEN QUANTITATIVE THEOPHYLLINE,,30,,,$228.03,$0.00,1,0,1,20180101, 80199,CPT,DRUG SCREEN QUANTITATIVE TIAGABINE,,30,,,$235.97,$0.00,1,0,1,20180101, 80200,CPT,DRUG SCREEN QUANTITATIVE TOBRAMYCIN,,30,,,$311.92,$0.00,1,0,1,20180101, 80201,CPT,DRUG SCREEN QUANTITATIVE TOPIRAMATE,,30,,,$218.78,$0.00,1,0,1,20180101, 80202,CPT,DRUG SCREEN QUANTITATIVE VANCOMYCIN,,30,,,$278.68,$0.00,1,0,1,20180101, 80203,CPT,DRUG SCREEN QUANTITATIVE ZONISAMIDE,,30,,,$232.70,$0.00,1,0,1,20180101, 80299,CPT,QUANTITATION DRUG NOT ELSEWHERE SPECIFIED,,30,,,$228.54,$0.00,1,0,1,20180101, 80305,CPT,DRUG TEST PRSMV DIR OPT OBS,,30,,,$235.75,$0.00,1,0,1,20180101, 80306,CPT,DRUG TEST PRSMV INSTRMNT,,30,,,$282.06,$0.00,1,0,1,20180101, 80307,CPT,DRUG TEST PRSMV CHEM ANLYZR,,30,,,$672.51,$0.00,1,0,1,20180101, 80320,CPT,DRUG SCREEN QUANTITATIVE ALCOHOLS,,30,,,$218.86,$0.00,1,0,1,20180101, 80321,CPT,DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2,,30,,,$159.82,$0.00,1,0,1,20180101, 80322,CPT,DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE,,30,,,$347.23,$0.00,1,0,1,20180101, 80323,CPT,ALKALOIDS NOT OTHERWISE SPECIFIED,,30,,,$223.30,$0.00,1,0,1,20180101, 80324,CPT,DRUG SCREEN QUANT AMPHETAMINES 1 OR 2,,30,,,$118.35,$0.00,1,0,1,20180101, 80325,CPT,DRUG SCREEN QUANT AMPHETAMINES 3 OR 4,,30,,,$254.77,$0.00,1,0,1,20180101, 80326,CPT,DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE,,30,,,$263.61,$0.00,1,0,1,20180101, 80327,CPT,DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2,,30,,,$309.29,$0.00,1,0,1,20180101, 80328,CPT,DRUG SCREEN QUANT ANABOLIC STEROID 3 OR MORE,,30,,,$542.56,$0.00,1,0,1,20180101, 80329,CPT,DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2,,30,,,$285.67,$0.00,1,0,1,20180101, 80330,CPT,DRUG SCREEN ANALGESICS NON-OPIOID 3-5,,30,,,$172.17,$0.00,1,0,1,20180101, 80331,CPT,DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE,,30,,,$228.74,$0.00,1,0,1,20180101, 80332,CPT,ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2,,30,,,$386.71,$0.00,1,0,1,20180101, 80333,CPT,ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5,,30,,,$288.97,$0.00,1,0,1,20180101, 80334,CPT,ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE,,30,,,$238.83,$0.00,1,0,1,20180101, 80335,CPT,ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,,30,,,$425.09,$0.00,1,0,1,20180101, 80336,CPT,ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5,,30,,,$325.96,$0.00,1,0,1,20180101, 80337,CPT,ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE,,30,,,$448.97,$0.00,1,0,1,20180101, 80338,CPT,ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED,,30,,,$201.82,$0.00,1,0,1,20180101, 80339,CPT,ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3,,30,,,$252.73,$0.00,1,0,1,20180101, 80340,CPT,ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6,,30,,,$639.57,$0.00,1,0,1,20180101, 80341,CPT,ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE,,30,,,$33.96,$0.00,1,0,1,20180101, 80342,CPT,ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3,,30,,,$256.80,$0.00,1,0,1,20180101, 80343,CPT,ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6,,30,,,$427.83,$0.00,1,0,1,20180101, 80344,CPT,ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE,,30,,,$37.93,$0.00,1,0,1,20180101, 80345,CPT,DRUG SCREENING BARBITURATES,,30,,,$259.81,$0.00,1,0,1,20180101, 80346,CPT,DRUG SCREENING BENZODIAZEPINES 1-12,,30,,,$411.02,$0.00,1,0,1,20180101, 80347,CPT,DRUG SCREENING BENZODIAZEPINES 13 OR MORE,,30,,,$456.81,$0.00,1,0,1,20180101, 80348,CPT,DRUG SCREENING BUPRENORPHINE,,30,,,$214.96,$0.00,1,0,1,20180101, 80349,CPT,DRUG SCREENING CANNABINOIDS NATURAL,,30,,,$237.59,$0.00,1,0,1,20180101, 80350,CPT,DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3,,30,,,$206.89,$0.00,1,0,1,20180101, 80351,CPT,DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6,,30,,,$227.57,$0.00,1,0,1,20180101, 80352,CPT,DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE,,30,,,$248.27,$0.00,1,0,1,20180101, 80353,CPT,DRUG SCREENING COCAINE,,30,,,$247.64,$0.00,1,0,1,20180101, 80354,CPT,DRUG SCREENING FENTANYL,,30,,,$233.13,$0.00,1,0,1,20180101, 80355,CPT,DRUG SCREENING GABAPENTIN NON-BLOOD,,30,,,$26.49,$0.00,1,0,1,20180101, 80356,CPT,DRUG SCREENING HEROIN METABOLITE,,30,,,$219.75,$0.00,1,0,1,20180101, 80357,CPT,DRUG SCREENING KETAMINE AND NORKETAMINE,,30,,,$202.30,$0.00,1,0,1,20180101, 80358,CPT,DRUG SCREENING METHADONE,,30,,,$235.89,$0.00,1,0,1,20180101, 80359,CPT,DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,,30,,,$227.38,$0.00,1,0,1,20180101, 80360,CPT,DRUG SCREENING METHYLPHENIDATE,,30,,,$220.61,$0.00,1,0,1,20180101, 80361,CPT,DRUG SCREENING OPIATES 1 OR MORE,,30,,,$246.01,$0.00,1,0,1,20180101, 80362,CPT,DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2,,30,,,$215.21,$0.00,1,0,1,20180101, 80363,CPT,DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4,,30,,,$241.81,$0.00,1,0,1,20180101, 80364,CPT,DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE,,30,,,$263.89,$0.00,1,0,1,20180101, 80365,CPT,DRUG SCREENING OXYCODONE,,30,,,$235.76,$0.00,1,0,1,20180101, 80366,CPT,DRUG SCREENING PREGABALIN,,30,,,$211.26,$0.00,1,0,1,20180101, 80367,CPT,DRUG SCREENING PROPOXYPHENE,,30,,,$201.91,$0.00,1,0,1,20180101, 80368,CPT,DRUG SCREENING SEDATIVE HYPNOTICS,,30,,,$222.17,$0.00,1,0,1,20180101, 80369,CPT,DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2,,30,,,$262.81,$0.00,1,0,1,20180101, 80370,CPT,DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE,,30,,,$224.51,$0.00,1,0,1,20180101, 80371,CPT,DRUG SCREENING STIMULANTS SYNTHETIC,,30,,,$211.36,$0.00,1,0,1,20180101, 80372,CPT,DRUG SCREENING TAPENTADOL,,30,,,$202.06,$0.00,1,0,1,20180101, 80373,CPT,DRUG SCREENING TRAMADOL,,30,,,$214.36,$0.00,1,0,1,20180101, 80374,CPT,DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS,,30,,,$258.91,$0.00,1,0,1,20180101, 80375,CPT,DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,,30,,,$276.28,$0.00,1,0,1,20180101, 80376,CPT,DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6,,30,,,$406.91,$0.00,1,0,1,20180101, 80377,CPT,DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,,30,,,$248.43,$0.00,1,0,1,20180101, 80400,CPT,ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY,,30,,,$555.83,$0.00,1,0,1,20180101, 80402,CPT,ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY,,30,,,$730.87,$0.00,1,0,1,20180101, 80406,CPT,ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY,,30,,,$686.19,$0.00,1,0,1,20180101, 80408,CPT,ALDOSTERONE SUPPRESSION EVALUATION PANEL,,30,,,$911.42,$0.00,1,0,1,20180101, 80410,CPT,CALCITONIN STIMULATION PANEL,,30,,,$696.72,$0.00,1,0,1,20180101, 80412,CPT,CORTICOTROPIC RELEASING HORM STIMJ PANEL,,30,,,"$1,628.13",$0.00,1,0,1,20180101, 80414,CPT,CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE,,30,,,$534.64,$0.00,1,0,1,20180101, 80415,CPT,CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE,,30,,,$559.90,$0.00,1,0,1,20180101, 80416,CPT,RENAL VEIN RENIN STIMULATION PANEL,,30,,,$938.78,$0.00,1,0,1,20180101, 80417,CPT,PERIPHERAL VEIN RENIN STIMULATION PANEL,,30,,,$485.18,$0.00,1,0,1,20180101, 80418,CPT,COMBINED RAPID ANT PITUITARY EVALUATION PANEL,,30,,,"$2,284.86",$0.00,1,0,1,20180101, 80420,CPT,DEXMETHASONE SUPPRESSION PANEL 48 HR,,30,,,$650.15,$0.00,1,0,1,20180101, 80422,CPT,GLUCOSE TOLERANCE PANEL INSULINOMA,,30,,,$457.81,$0.00,1,0,1,20180101, 80424,CPT,GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA,,30,,,$526.49,$0.00,1,0,1,20180101, 80426,CPT,GONADOTROPIN RELEASING HORMONE STIMJ PANEL,,30,,,"$1,008.24",$0.00,1,0,1,20180101, 80428,CPT,GROWTH HORMONE STIMULATION PANEL,,30,,,$623.05,$0.00,1,0,1,20180101, 80430,CPT,GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN,,30,,,$687.25,$0.00,1,0,1,20180101, 80432,CPT,INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL,,30,,,$952.46,$0.00,1,0,1,20180101, 80434,CPT,INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY,,30,,,$799.86,$0.00,1,0,1,20180101, 80435,CPT,INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY,,30,,,$809.33,$0.00,1,0,1,20180101, 80436,CPT,METYRAPONE PANEL,,30,,,$751.45,$0.00,1,0,1,20180101, 80438,CPT,THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR,,30,,,$527.27,$0.00,1,0,1,20180101, 80439,CPT,THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR,,30,,,$625.62,$0.00,1,0,1,20180101, 80500,CPT,CLINICAL PATHOLOGY CONSULTATION LIMITED,,30,,,$275.27,$0.00,1,0,1,20180101, 80502,CPT,CLINICAL PATHOLOGY CONSULTATION COMPREHENSIVE,,30,,,$275.27,$0.00,1,0,1,20180101, 81000,CPT,URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY,,30,,,$86.45,$0.00,1,0,1,20180101, 81001,CPT,URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY,,30,,,$127.39,$0.00,1,0,1,20180101, 81002,CPT,URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP,,30,,,$46.63,$0.00,1,0,1,20180101, 81003,CPT,URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY,,30,,,$90.36,$0.00,1,0,1,20180101, 81005,CPT,URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS,,30,,,$75.67,$0.00,1,0,1,20180101, 81007,CPT,URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK,,30,,,$96.34,$0.00,1,0,1,20180101, 81015,CPT,URINALYSIS MICROSCOPIC ONLY,,30,,,$64.36,$0.00,1,0,1,20180101, 81020,CPT,URINALYSIS 2/3 GLASS TEST,,30,,,$109.45,$0.00,1,0,1,20180101, 81025,CPT,URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS,,30,,,$164.66,$0.00,1,0,1,20180101, 81050,CPT,VOLUME MEASUREMENT TIMED COLLECTION EACH,,30,,,$43.56,$0.00,1,0,1,20180101, 81099,CPT,UNLISTED URINALYSIS PROCEDURE,,30,,,$37.77,$0.00,1,0,1,20180101, 81162,CPT,BRCA1&BRCA2 FULL SEQ ANALYS/FULL DUP/DEL ANALYS,,30,,,"$5,815.81",$0.00,1,0,1,20180101, 81170,CPT,ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS,,30,,,"$1,532.36",$0.00,1,0,1,20180101, 81176,CPT,ASXL1 GENE TARGET SEQ ALYS,,30,,,"$1,532.36",$0.00,1,0,1,20180101, 81201,CPT,APC GENE ANALYSIS FULL GENE SEQUENCE,,30,,,"$2,116.56",$0.00,1,0,1,20180101, 81203,CPT,APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS,,30,,,"$1,217.17",$0.00,1,0,1,20180101, 81211,CPT,BRCA1&BRCA2 FULL SEQ ANALYS/COMM DUP/DEL BRCA,,30,,,"$8,281.26",$0.00,1,0,1,20180101, 81213,CPT,BRCA1&BRCA2 ANAL UNCOMMON DUP/DEL VARIANTS,,30,,,"$2,841.37",$0.00,1,0,1,20180101, 81218,CPT,CEBPA GENE ANALYSIS FULL GENE SEQUENCE,,30,,,"$1,532.36",$0.00,1,0,1,20180101, 81220,CPT,CFTR GENE ANALYSIS COMMON VARIANTS,,30,,,"$1,832.69",$0.00,1,0,1,20180101, 81235,CPT,EGFR GENE ANALYSIS COMMON VARIANTS,,30,,,"$2,242.94",$0.00,1,0,1,20180101, 81256,CPT,HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS,,30,,,$672.20,$0.00,1,0,1,20180101, 81257,CPT,HBA1/HBA2 ANALYSIS FOR COMMON DELETIONS/VARIANT,,30,,,"$1,472.78",$0.00,1,0,1,20180101, 81272,CPT,KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS,,30,,,"$1,532.36",$0.00,1,0,1,20180101, 81314,CPT,PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS,,30,,,"$1,532.36",$0.00,1,0,1,20180101, 81324,CPT,PMP22 GENE ANAL DUPLICATION/DELETION ANALYSIS,,30,,,"$2,997.36",$0.00,1,0,1,20180101, 81325,CPT,PMP22 GENE ANALYSIS FULL SEQUENCE ANALYSIS,,30,,,"$3,067.87",$0.00,1,0,1,20180101, 81417,CPT,EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ,,30,,,$97.04,$0.00,1,0,1,20180101, 81420,CPT,FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS,,30,,,"$2,003.85",$0.00,1,0,1,20180101, 81425,CPT,GENOME SEQUENCE ANALYSIS,,30,,,$97.04,$0.00,1,0,1,20180101, 81426,CPT,GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME,,30,,,$97.04,$0.00,1,0,1,20180101, 81427,CPT,GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ,,30,,,$97.04,$0.00,1,0,1,20180101, 81479,CPT,UNLISTED MOLELCULAR PATHOLOGY PROCEDURE,,30,,,"$1,118.33",$0.00,1,0,1,20180101, 81490,CPT,AUTOIMMUNE RHEUMATOID ARTHRTS ANALYS 12 BIOMRKRS,,30,,,"$3,420.67",$0.00,1,0,1,20180101, 81503,CPT,ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS,,30,,,"$1,436.61",$0.00,1,0,1,20180101, 81508,CPT,FETAL CONGENITAL ABNOR ASSAY TWO PROTEINS,,30,,,$353.62,$0.00,1,0,1,20180101, 81509,CPT,FETAL CONGENITAL ABNOR ASSAY 3 PROTEINS,,30,,,$273.03,$0.00,1,0,1,20180101, 81511,CPT,FETAL CONGENITAL ABNOR ASSAY FOUR ANAL,,30,,,$550.86,$0.00,1,0,1,20180101, 81528,CPT,ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS,,30,,,"$2,041.74",$0.00,1,0,1,20180101, 81535,CPT,ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP 1ST,,30,,,"$2,224.87",$0.00,1,0,1,20180101, 81536,CPT,ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP ADD,,30,,,"$1,018.77",$0.00,1,0,1,20180101, 81538,CPT,ONCOLOGY LUNG MS 8-PROTEIN SIGNATURE,,30,,,"$3,018.23",$0.00,1,0,1,20180101, 81539,CPT,ONCOLOGY PROSTATE PROB SCORE,,30,,,"$2,382.73",$0.00,1,0,1,20180101, 81599,CPT,UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS,,30,,,"$2,300.24",$0.00,1,0,1,20180101, 82009,CPT,KETONE BODIES SERUM QUALITATIVE,,30,,,$115.99,$0.00,1,0,1,20180101, 82010,CPT,KETONE BODIES SERUM QUANTITATIVE,,30,,,$155.66,$0.00,1,0,1,20180101, 82013,CPT,ASSAY OF ACETYLCHOLINESTERASE,,30,,,$472.75,$0.00,1,0,1,20180101, 82016,CPT,ACYLCARNITINES QUALITATIVE EACH SPECIMEN,,30,,,$242.06,$0.00,1,0,1,20180101, 82017,CPT,ACYLCARNITINES QUANTIATIVE EACH SPECIMEN,,30,,,$392.89,$0.00,1,0,1,20180101, 82024,CPT,ADRENOCORTICOTROPIC HORMONE ACTH,,30,,,$349.95,$0.00,1,0,1,20180101, 82030,CPT,ADENOSINE 5-MONOPHOSPHATE CYCLIC,,30,,,$386.93,$0.00,1,0,1,20180101, 82040,CPT,ALBUMIN SERUM PLASMA/WHOLE BLOOD,,30,,,$108.76,$0.00,1,0,1,20180101, 82042,CPT,ALBUMIN URINE/OTHER SOURCE QUAN EACH SPECIMEN,,30,,,$103.19,$0.00,1,0,1,20180101, 82043,CPT,ALBUMIN URINE MICROALBUMIN QUANTIATIVE,,30,,,$114.44,$0.00,1,0,1,20180101, 82044,CPT,ALBUMIN URINE MICROALBUMIN SEMIQUANTITATIVE,,30,,,$73.62,$0.00,1,0,1,20180101, 82045,CPT,ALBUMIN ISCHEMIA MODIFIED,,30,,,$456.83,$0.00,1,0,1,20180101, 82075,CPT,ASSAY OF ALCOHOL BREATH,,30,,,$153.70,$0.00,1,0,1,20180101, 82085,CPT,ASSAY OF ALDOLASE,,30,,,$122.09,$0.00,1,0,1,20180101, 82088,CPT,ASSAY OF ALDOSTERONE,,30,,,$337.54,$0.00,1,0,1,20180101, 82103,CPT,ALPHA-1-ANTITRYPSIN TOTAL,,30,,,$175.66,$0.00,1,0,1,20180101, 82104,CPT,ALPHA-1-ANTITRYPSIN PHENOTYPE,,30,,,$232.27,$0.00,1,0,1,20180101, 82105,CPT,ALPHA-FETOPROTEIN SERUM,,30,,,$214.00,$0.00,1,0,1,20180101, 82106,CPT,ALPHA-FETOPROTEIN AMNIOTIC FLUID,,30,,,$233.64,$0.00,1,0,1,20180101, 82107,CPT,AFP-L3 FRACTION ISOFORM & TOTAL AFP W/RATIO,,30,,,$512.21,$0.00,1,0,1,20180101, 82108,CPT,ASSAY OF ALUMINUM,,30,,,$563.76,$0.00,1,0,1,20180101, 82120,CPT,AMINES VAGINAL FLUID QUALITATIVE,,30,,,$55.72,$0.00,1,0,1,20180101, 82127,CPT,AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN,,30,,,$520.65,$0.00,1,0,1,20180101, 82128,CPT,AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN,,30,,,$315.77,$0.00,1,0,1,20180101, 82131,CPT,AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN,,30,,,$388.36,$0.00,1,0,1,20180101, 82135,CPT,AMINOLEVULINIC ACID DELTA,,30,,,$364.57,$0.00,1,0,1,20180101, 82136,CPT,AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC,,30,,,$434.46,$0.00,1,0,1,20180101, 82139,CPT,AMINO ACIDS 6/> AMINO ACIDS QUANTITATIVE EA SPE,,30,,,$746.05,$0.00,1,0,1,20180101, 82140,CPT,ASSAY OF AMMONIA,,30,,,$249.90,$0.00,1,0,1,20180101, 82143,CPT,AMNIOTIC FLU SCAN,,30,,,$158.92,$0.00,1,0,1,20180101, 82150,CPT,ASSAY OF AMYLASE,,30,,,$196.25,$0.00,1,0,1,20180101, 82154,CPT,ANDROSTANEDIOL GLUCURONIDE,,30,,,$123.14,$0.00,1,0,1,20180101, 82157,CPT,ANDROSTENEDIONE,,30,,,$375.02,$0.00,1,0,1,20180101, 82160,CPT,ANDROSTERONE,,30,,,$345.20,$0.00,1,0,1,20180101, 82163,CPT,ANGIOTENSIN II,,30,,,$389.82,$0.00,1,0,1,20180101, 82164,CPT,ANGIOTENSIN I-CONVERTING ENZYME,,30,,,$171.97,$0.00,1,0,1,20180101, 82172,CPT,APOLIPOPROTEIN EACH,,30,,,$152.22,$0.00,1,0,1,20180101, 82175,CPT,ASSAY OF ARSENIC,,30,,,$177.34,$0.00,1,0,1,20180101, 82180,CPT,ASSAY OF ASCORBIC ACID BLOOD,,30,,,$165.11,$0.00,1,0,1,20180101, 82190,CPT,ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE,,30,,,$255.29,$0.00,1,0,1,20180101, 82232,CPT,BETA-2 MICROGLOBULIN,,30,,,$184.83,$0.00,1,0,1,20180101, 82239,CPT,BILE ACIDS TOTAL,,30,,,$164.45,$0.00,1,0,1,20180101, 82240,CPT,BILE ACIDS CHOLYLGLYCINE,,30,,,$358.88,$0.00,1,0,1,20180101, 82247,CPT,BILIRUBIN TOTAL,,30,,,$85.18,$0.00,1,0,1,20180101, 82248,CPT,BILIRUBIN DIRECT,,30,,,$99.37,$0.00,1,0,1,20180101, 82252,CPT,BILIRUBIN FECES QUALITATIVE,,30,,,$124.19,$0.00,1,0,1,20180101, 82261,CPT,BIOTINIDASE EACH SPECIMEN,,30,,,$295.00,$0.00,1,0,1,20180101, 82270,CPT,BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER,,30,,,$71.34,$0.00,1,0,1,20180101, 82271,CPT,BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES,,30,,,$77.04,$0.00,1,0,1,20180101, 82272,CPT,BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC,,30,,,$69.62,$0.00,1,0,1,20180101, 82274,CPT,BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3,,30,,,$125.92,$0.00,1,0,1,20180101, 82286,CPT,BRADYKININ,,30,,,$74.72,$0.00,1,0,1,20180101, 82300,CPT,CADMIUM,,30,,,$184.76,$0.00,1,0,1,20180101, 82306,CPT,25 HYDROXY INCLUDES FRACTIONS IF PERFORMED,,30,,,$296.63,$0.00,1,0,1,20180101, 82308,CPT,CALCITONIN,,30,,,$312.12,$0.00,1,0,1,20180101, 82310,CPT,CALCIUM TOTAL,,30,,,$118.36,$0.00,1,0,1,20180101, 82330,CPT,CALCIUM IONIZED,,30,,,$197.76,$0.00,1,0,1,20180101, 82331,CPT,CALCIUM AFTER CALCIUM INFUSION TEST,,30,,,$29.47,$0.00,1,0,1,20180101, 82340,CPT,CALCIUM URINE QUANTITATIVE TIMED SPECIMEN,,30,,,$101.95,$0.00,1,0,1,20180101, 82355,CPT,CALCULUS QUALITATIVE ANALYSIS,,30,,,$265.07,$0.00,1,0,1,20180101, 82360,CPT,CALCULUS QUANTITATIVE CHEMICAL,,30,,,$235.57,$0.00,1,0,1,20180101, 82365,CPT,CALCULUS INFRARED SPECTROSCOPY,,30,,,$156.85,$0.00,1,0,1,20180101, 82370,CPT,CALCULUS XRAY DIFFRACTION,,30,,,$200.37,$0.00,1,0,1,20180101, 82373,CPT,CARBOHYDRATE DEFICIENT TRANSFERRIN,,30,,,$371.21,$0.00,1,0,1,20180101, 82374,CPT,CARBON DIOXIDE BICARBONATE,,30,,,$88.72,$0.00,1,0,1,20180101, 82375,CPT,CARBOXYHEMOGLOBIN QUANTITATIVE,,30,,,$179.46,$0.00,1,0,1,20180101, 82376,CPT,CARBOXYHEMOGLOBIN QUALITATIVE,,30,,,$210.85,$0.00,1,0,1,20180101, 82378,CPT,CARCINOEMBRYONIC ANTIGEN CEA,,30,,,$260.27,$0.00,1,0,1,20180101, 82379,CPT,CARNITINE QUANTITATIVE EACH SPECIMEN,,30,,,$326.47,$0.00,1,0,1,20180101, 82380,CPT,CAROTENE,,30,,,$129.47,$0.00,1,0,1,20180101, 82382,CPT,CATECHOLAMINES TOTAL URINE,,30,,,$345.72,$0.00,1,0,1,20180101, 82383,CPT,CATECHOLAMINES BLOOD,,30,,,$486.92,$0.00,1,0,1,20180101, 82384,CPT,CATECHOLAMINES FRACTIONATED,,30,,,$281.84,$0.00,1,0,1,20180101, 82387,CPT,CATHEPSIN-D,,30,,,$132.00,$0.00,1,0,1,20180101, 82390,CPT,CERULOPLASMIN,,30,,,$155.43,$0.00,1,0,1,20180101, 82397,CPT,CHEMILUMINESCENT ASSAY,,30,,,$216.70,$0.00,1,0,1,20180101, 82415,CPT,CHLORAMPHENICOL,,30,,,$229.43,$0.00,1,0,1,20180101, 82435,CPT,CHLORIDE BLD,,30,,,$72.36,$0.00,1,0,1,20180101, 82436,CPT,CHLORIDE URINE,,30,,,$102.18,$0.00,1,0,1,20180101, 82438,CPT,CHLORIDE OTHER SOURCE,,30,,,$110.92,$0.00,1,0,1,20180101, 82441,CPT,CHLORINATED HYDROCARBONS SCREEN,,30,,,$70.89,$0.00,1,0,1,20180101, 82465,CPT,CHOLESTEROL SERUM/WHOLE BLOOD TOTAL,,30,,,$77.67,$0.00,1,0,1,20180101, 82480,CPT,CHOLINESTERASE SERUM,,30,,,$158.65,$0.00,1,0,1,20180101, 82482,CPT,CHOLINESTERASE RBC,,30,,,$193.65,$0.00,1,0,1,20180101, 82485,CPT,CHONDROITIN B SULFATE QUANTITATIVE,,30,,,$308.37,$0.00,1,0,1,20180101, 82495,CPT,ASSAY OF CHROMIUM,,30,,,$207.54,$0.00,1,0,1,20180101, 82507,CPT,ASSAY OF CITRATE,,30,,,$269.07,$0.00,1,0,1,20180101, 82523,CPT,COLLAGEN CROSS LINKS ANY METHOD,,30,,,$225.97,$0.00,1,0,1,20180101, 82525,CPT,ASSAY OF COPPER,,30,,,$144.70,$0.00,1,0,1,20180101, 82528,CPT,CORTICOSTERONE,,30,,,$489.39,$0.00,1,0,1,20180101, 82530,CPT,CORTISOL FREE,,30,,,$227.07,$0.00,1,0,1,20180101, 82533,CPT,CORTISOL TOTAL,,30,,,$235.64,$0.00,1,0,1,20180101, 82540,CPT,ASSAY OF CREATINE,,30,,,$96.39,$0.00,1,0,1,20180101, 82542,CPT,COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,,30,,,$248.18,$0.00,1,0,1,20180101, 82550,CPT,CREATINE KINASE TOTAL,,30,,,$165.79,$0.00,1,0,1,20180101, 82552,CPT,CREATINE KINASE ISOENZYMES,,30,,,$199.91,$0.00,1,0,1,20180101, 82553,CPT,CREATINE KINASE MB FRACTION ONLY,,30,,,$260.29,$0.00,1,0,1,20180101, 82554,CPT,CREATINE KINASE ISOFORMS,,30,,,$221.30,$0.00,1,0,1,20180101, 82565,CPT,CREATININE BLOOD,,30,,,$102.64,$0.00,1,0,1,20180101, 82570,CPT,CREATININE OTHER SOURCE,,30,,,$93.57,$0.00,1,0,1,20180101, 82575,CPT,CREATININE CLEARANCE,,30,,,$215.53,$0.00,1,0,1,20180101, 82585,CPT,ASSAY OF CRYOFIBRN,,30,,,$133.88,$0.00,1,0,1,20180101, 82595,CPT,CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE,,30,,,$116.81,$0.00,1,0,1,20180101, 82600,CPT,ASSAY OF CYANIDE,,30,,,$259.95,$0.00,1,0,1,20180101, 82607,CPT,CYANOCOBALAMIN VITAMIN B-12,,30,,,$211.22,$0.00,1,0,1,20180101, 82608,CPT,CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY,,30,,,$206.06,$0.00,1,0,1,20180101, 82610,CPT,CYSTATIN C,,30,,,$206.84,$0.00,1,0,1,20180101, 82615,CPT,CSTINE&HOMOCSTINE URINE QUALITATIVE,,30,,,$121.16,$0.00,1,0,1,20180101, 82626,CPT,DEHYDROEPIANDROSTERONE,,30,,,$259.06,$0.00,1,0,1,20180101, 82627,CPT,DEHYDROEPIANDROSTERONE-SULFATE,,30,,,$243.07,$0.00,1,0,1,20180101, 82633,CPT,DESOXYCORTICOSTERONE 11-,,30,,,$425.19,$0.00,1,0,1,20180101, 82634,CPT,DEOXYCORTISOL 11-,,30,,,$261.01,$0.00,1,0,1,20180101, 82638,CPT,ASSAY OF DIBUCAINE NUMBER,,30,,,$127.35,$0.00,1,0,1,20180101, 82652,CPT,1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED,,30,,,$336.28,$0.00,1,0,1,20180101, 82656,CPT,ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN,,30,,,$425.12,$0.00,1,0,1,20180101, 82657,CPT,NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA,,30,,,$459.16,$0.00,1,0,1,20180101, 82658,CPT,NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA,,30,,,$263.11,$0.00,1,0,1,20180101, 82664,CPT,ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED,,30,,,$262.57,$0.00,1,0,1,20180101, 82668,CPT,ASSAY OF ERYTHROPOIETIN,,30,,,$211.70,$0.00,1,0,1,20180101, 82670,CPT,ASSAY OF ESTRADIOL,,30,,,$297.06,$0.00,1,0,1,20180101, 82671,CPT,ASSAY OF ESTROGENS FRACTIONATED,,30,,,$259.52,$0.00,1,0,1,20180101, 82672,CPT,ASSAY OF ESTROGENS TOTAL,,30,,,$261.79,$0.00,1,0,1,20180101, 82677,CPT,ASSAY OF ESTRIOL,,30,,,$222.75,$0.00,1,0,1,20180101, 82679,CPT,ASSAY OF ESTRONE,,30,,,$211.61,$0.00,1,0,1,20180101, 82693,CPT,ASSAY OF ETHYLENE GLYCOL,,30,,,$260.27,$0.00,1,0,1,20180101, 82696,CPT,ASSAY OF ETIOCHOLANOLONE,,30,,,$333.62,$0.00,1,0,1,20180101, 82705,CPT,FAT/LIPIDS FECES QUALITATIVE,,30,,,$105.24,$0.00,1,0,1,20180101, 82710,CPT,FAT/LIPIDS FECES QUANTITATIVE,,30,,,$278.95,$0.00,1,0,1,20180101, 82715,CPT,FAT DIFFIAL FECES QUANTITATIVE,,30,,,$270.48,$0.00,1,0,1,20180101, 82725,CPT,FATTY ACIDS NONESTERIFIED,,30,,,$250.26,$0.00,1,0,1,20180101, 82726,CPT,VERY LONG CHAIN FATTY ACIDS,,30,,,$616.75,$0.00,1,0,1,20180101, 82728,CPT,ASSAY OF FERRITIN,,30,,,$269.76,$0.00,1,0,1,20180101, 82731,CPT,FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN,,30,,,"$1,062.18",$0.00,1,0,1,20180101, 82735,CPT,ASSAY OF FLUORIDE,,30,,,$183.13,$0.00,1,0,1,20180101, 82746,CPT,ASSAY OF FOLIC ACID SERUM,,30,,,$217.28,$0.00,1,0,1,20180101, 82747,CPT,ASSAY OF FOLIC ACID RBC,,30,,,$193.14,$0.00,1,0,1,20180101, 82757,CPT,ASSAY OF FRUCTOSE SEMEN,,30,,,$277.85,$0.00,1,0,1,20180101, 82759,CPT,ASSAY OF GALACTOKINASE RBC,,30,,,$315.73,$0.00,1,0,1,20180101, 82760,CPT,ASSAY OF GALACTOSE,,30,,,$213.74,$0.00,1,0,1,20180101, 82775,CPT,GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN,,30,,,$311.52,$0.00,1,0,1,20180101, 82776,CPT,GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN,,30,,,$115.77,$0.00,1,0,1,20180101, 82777,CPT,GALECTIN-3,,30,,,$342.28,$0.00,1,0,1,20180101, 82784,CPT,ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH,,30,,,$133.96,$0.00,1,0,1,20180101, 82785,CPT,ASSAY OF GAMMAGLOBULIN IGE,,30,,,$179.25,$0.00,1,0,1,20180101, 82787,CPT,GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES,,30,,,$134.77,$0.00,1,0,1,20180101, 82800,CPT,GASES BLOOD PH ONLY,,30,,,$172.37,$0.00,1,0,1,20180101, 82803,CPT,BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3,,30,,,$424.45,$0.00,1,0,1,20180101, 82805,CPT,GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY,,30,,,$439.09,$0.00,1,0,1,20180101, 82810,CPT,GASES BLOOD O2 SATURATION ONLY DIRECT MEAS,,30,,,$205.77,$0.00,1,0,1,20180101, 82820,CPT,HGB-O2 AFFINITY PO2 50% SATURATION OXYGEN,,30,,,$154.35,$0.00,1,0,1,20180101, 82930,CPT,GASTRIC ACID ANALYIS W/PH EACH SPECIMEN,,30,,,$88.19,$0.00,1,0,1,20180101, 82938,CPT,GASTRIN AFTER SECRETIN STIMULATION,,30,,,$280.68,$0.00,1,0,1,20180101, 82941,CPT,ASSAY OF GASTRIN,,30,,,$204.00,$0.00,1,0,1,20180101, 82943,CPT,ASSAY OF GLUCAGON,,30,,,$242.06,$0.00,1,0,1,20180101, 82945,CPT,GLUCOSE BODY FLUID OTHER THAN BLOOD,,30,,,$118.13,$0.00,1,0,1,20180101, 82946,CPT,GLUCOSE TOLERANCE TEST,,30,,,$254.69,$0.00,1,0,1,20180101, 82947,CPT,GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP,,30,,,$74.73,$0.00,1,0,1,20180101, 82948,CPT,GLUCOSE BLOOD REAGENT STRIP,,30,,,$50.81,$0.00,1,0,1,20180101, 82950,CPT,GLUCOSE POST GLUCOSE DOSE,,30,,,$96.70,$0.00,1,0,1,20180101, 82951,CPT,GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS,,30,,,$224.20,$0.00,1,0,1,20180101, 82952,CPT,GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS,,30,,,$78.06,$0.00,1,0,1,20180101, 82955,CPT,GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE,,30,,,$148.74,$0.00,1,0,1,20180101, 82960,CPT,GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN,,30,,,$123.11,$0.00,1,0,1,20180101, 82962,CPT,GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE,,30,,,$60.51,$0.00,1,0,1,20180101, 82963,CPT,ASSAY OF GLUCOSIDASE BETA,,30,,,$126.29,$0.00,1,0,1,20180101, 82965,CPT,ASSAY OF GLUTAMATE DEHYDROGENASE,,30,,,$32.49,$0.00,1,0,1,20180101, 82977,CPT,ASSAY OF GLUTAMYLTRASE GAMMA,,30,,,$111.61,$0.00,1,0,1,20180101, 82978,CPT,ASSAY OF GLUTATHIONE,,30,,,$293.70,$0.00,1,0,1,20180101, 82979,CPT,ASSAY OF GLUTATHIONE REDUCTASE RBC,,30,,,$158.92,$0.00,1,0,1,20180101, 82985,CPT,ASSAY OF GLYCATED PROTEIN,,30,,,$136.56,$0.00,1,0,1,20180101, 83001,CPT,GONADOTROPIN FOLLICLE STIMULATING HORMONE,,30,,,$239.41,$0.00,1,0,1,20180101, 83002,CPT,GONADOTROPIN LUTEINIZING HORMONE,,30,,,$239.91,$0.00,1,0,1,20180101, 83003,CPT,ASSAY OF GROWTH HORMONE HUMAN,,30,,,$213.48,$0.00,1,0,1,20180101, 83006,CPT,GROWTH STIMULATION EXPRESSED GENE 2,,30,,,$467.42,$0.00,1,0,1,20180101, 83009,CPT,HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE,,30,,,$524.28,$0.00,1,0,1,20180101, 83010,CPT,ASSAY OF HAPTOGLOBIN QUANTITATIVE,,30,,,$174.85,$0.00,1,0,1,20180101, 83012,CPT,ASSAY OF HAPTOGLOBIN PHENOTYPES,,30,,,$275.74,$0.00,1,0,1,20180101, 83013,CPT,HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE,,30,,,$447.63,$0.00,1,0,1,20180101, 83014,CPT,HPYLORI DRUG ADMINISTRATION,,30,,,$122.81,$0.00,1,0,1,20180101, 83015,CPT,HEAVY METAL SCREEN,,30,,,$405.32,$0.00,1,0,1,20180101, 83018,CPT,HEAVY METAL QUANTIATIVE EACH,,30,,,$241.31,$0.00,1,0,1,20180101, 83020,CPT,HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS,,30,,,$230.38,$0.00,1,0,1,20180101, 83021,CPT,HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY,,30,,,$183.89,$0.00,1,0,1,20180101, 83026,CPT,HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED,,30,,,$34.66,$0.00,1,0,1,20180101, 83030,CPT,HEMOGLOBIN F FETAL CHEMICAL,,30,,,$227.23,$0.00,1,0,1,20180101, 83033,CPT,HEMOGLOBIN F FETAL QUALITATIVE,,30,,,$146.29,$0.00,1,0,1,20180101, 83036,CPT,HEMOGLOBIN GLYCOSYLATED A1C,,30,,,$143.92,$0.00,1,0,1,20180101, 83037,CPT,HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE,,30,,,$92.67,$0.00,1,0,1,20180101, 83045,CPT,HEMOGLOBIN METHEMOGLOBIN QUALITATIVE,,30,,,$152.58,$0.00,1,0,1,20180101, 83050,CPT,HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE,,30,,,$125.70,$0.00,1,0,1,20180101, 83051,CPT,ASSAY OF HEMOGLOBIN PLASMA,,30,,,$156.69,$0.00,1,0,1,20180101, 83060,CPT,HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE,,30,,,$155.21,$0.00,1,0,1,20180101, 83065,CPT,HEMOGLOBIN THERMOLABILE,,30,,,$42.10,$0.00,1,0,1,20180101, 83068,CPT,HEMOGLOBIN UNSTABLE SCREEN,,30,,,$166.24,$0.00,1,0,1,20180101, 83069,CPT,ASSAY OF HEMOGLOBIN URINE,,30,,,$46.89,$0.00,1,0,1,20180101, 83070,CPT,ASSAY OF HEMOSIDERIN QUALITATIVE,,30,,,$112.57,$0.00,1,0,1,20180101, 83080,CPT,ASSAY OF B-HEXOSAMINIDASE EACH ASSAY,,30,,,$467.29,$0.00,1,0,1,20180101, 83088,CPT,ASSAY OF HISTAMINE,,30,,,$389.27,$0.00,1,0,1,20180101, 83090,CPT,ASSAY OF HOMOCYSTEINE,,30,,,$250.48,$0.00,1,0,1,20180101, 83150,CPT,ASSAY OF HOMOVANILLIC ACID,,30,,,$188.39,$0.00,1,0,1,20180101, 83491,CPT,HYDROXYCORTICOSTEROIDS 17,,30,,,$286.21,$0.00,1,0,1,20180101, 83497,CPT,ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA,,30,,,$174.94,$0.00,1,0,1,20180101, 83498,CPT,ASSAY OF HYDROXYPROGESTERONE 17-D,,30,,,$303.02,$0.00,1,0,1,20180101, 83500,CPT,ASSAY OF HYDROXYPROLINE FREE,,30,,,$297.41,$0.00,1,0,1,20180101, 83505,CPT,ASSAY OF HYDROXYPROLINE TOTAL,,30,,,$339.94,$0.00,1,0,1,20180101, 83516,CPT,IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,,30,,,$153.21,$0.00,1,0,1,20180101, 83518,CPT,IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP,,30,,,$47.35,$0.00,1,0,1,20180101, 83519,CPT,IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,,30,,,$264.69,$0.00,1,0,1,20180101, 83520,CPT,IMMUNOASSAY ANALYTE QUANTITATIVE NOS,,30,,,$215.11,$0.00,1,0,1,20180101, 83525,CPT,ASSAY OF INSULIN TOTAL,,30,,,$144.87,$0.00,1,0,1,20180101, 83527,CPT,ASSAY OF INSULIN FREE,,30,,,$175.36,$0.00,1,0,1,20180101, 83528,CPT,ASSAY OF INTRINSIC FACTOR,,30,,,$263.11,$0.00,1,0,1,20180101, 83540,CPT,ASSAY OF IRON,,30,,,$146.96,$0.00,1,0,1,20180101, 83550,CPT,IRON BINDING CAPACITY,,30,,,$190.23,$0.00,1,0,1,20180101, 83570,CPT,ISOCITRIC DEHYDROGENASE,,30,,,$134.71,$0.00,1,0,1,20180101, 83582,CPT,ASSAY OF KETOGENIC STEROIDS FRACTIONATION,,30,,,$246.27,$0.00,1,0,1,20180101, 83586,CPT,ASSAY OF KETOSTEROIDS 17- TOTAL,,30,,,$229.23,$0.00,1,0,1,20180101, 83593,CPT,KETOSTEROIDS 17- FRACTIONATION,,30,,,$356.78,$0.00,1,0,1,20180101, 83605,CPT,ASSAY OF LACTATE,,30,,,$215.18,$0.00,1,0,1,20180101, 83615,CPT,LACTATE DEHYDROGENASE LDH,,30,,,$112.57,$0.00,1,0,1,20180101, 83625,CPT,LACTATE DEHYDROGENASE ISOENZYMES SEP&QUAN,,30,,,$173.42,$0.00,1,0,1,20180101, 83630,CPT,LACTOFERRIN FECAL QUALITATIVE,,30,,,$181.37,$0.00,1,0,1,20180101, 83631,CPT,LACTOFERRIN FECAL QUANTITATIVE,,30,,,$294.56,$0.00,1,0,1,20180101, 83632,CPT,LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN,,30,,,$304.16,$0.00,1,0,1,20180101, 83633,CPT,LACTOSE URINE QUALITATIVE,,30,,,$138.92,$0.00,1,0,1,20180101, 83655,CPT,ASSAY OF LEAD,,30,,,$133.01,$0.00,1,0,1,20180101, 83661,CPT,FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO,,30,,,$319.94,$0.00,1,0,1,20180101, 83662,CPT,FETAL LUNG MATURITY FOAM STABILITY TEST,,30,,,$292.58,$0.00,1,0,1,20180101, 83663,CPT,FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,,30,,,$292.58,$0.00,1,0,1,20180101, 83664,CPT,FETAL LUNG MATURITY LAMELLAR BODY DENSITY,,30,,,$216.80,$0.00,1,0,1,20180101, 83670,CPT,LEUCINE AMINOPEPTIDASE LAP,,30,,,$316.79,$0.00,1,0,1,20180101, 83690,CPT,ASSAY OF LIPASE,,30,,,$203.38,$0.00,1,0,1,20180101, 83695,CPT,LIPOPROTEIN (A),,30,,,$142.97,$0.00,1,0,1,20180101, 83698,CPT,LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,,30,,,$374.46,$0.00,1,0,1,20180101, 83700,CPT,LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP&QUAN,,30,,,$215.58,$0.00,1,0,1,20180101, 83701,CPT,LIPOPROTEIN BLOOD HIGH RESOLTJ&QUANTJ SUBCLASS,,30,,,$179.52,$0.00,1,0,1,20180101, 83704,CPT,LIPOPROTEIN BLOOD QUAN NUMBERS&SUBCLASSES,,30,,,$245.56,$0.00,1,0,1,20180101, 83718,CPT,LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL,,30,,,$143.07,$0.00,1,0,1,20180101, 83719,CPT,LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL,,30,,,$134.81,$0.00,1,0,1,20180101, 83721,CPT,LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL,,30,,,$118.55,$0.00,1,0,1,20180101, 83727,CPT,LUTEINIZING RELEASING FACTOR,,30,,,$567.33,$0.00,1,0,1,20180101, 83735,CPT,ASSAY OF MAGNESIUM,,30,,,$148.06,$0.00,1,0,1,20180101, 83775,CPT,ASSAY OF MALATE DEHYDROGENASE,,30,,,$166.29,$0.00,1,0,1,20180101, 83785,CPT,ASSAY OF MANGANESE,,30,,,$239.13,$0.00,1,0,1,20180101, 83789,CPT,MASS SPECT&TANDEM MASS SPECT NONDRG ANAL NES EA,,30,,,$276.22,$0.00,1,0,1,20180101, 83825,CPT,ASSAY OF MERCURY QUANTITATIVE,,30,,,$158.15,$0.00,1,0,1,20180101, 83835,CPT,METANEPHRINES,,30,,,$285.11,$0.00,1,0,1,20180101, 83857,CPT,METHEMALBUMIN,,30,,,$208.38,$0.00,1,0,1,20180101, 83861,CPT,MICROFLUIDIC ANALYSIS TEAR OSMOLARITY,,30,,,$120.87,$0.00,1,0,1,20180101, 83864,CPT,MUCOPOLYSACCHARIDES ACID QUANTITATIVE,,30,,,$301.00,$0.00,1,0,1,20180101, 83872,CPT,MUCIN SYNOVIAL FLUID ROPES TEST,,30,,,$86.48,$0.00,1,0,1,20180101, 83873,CPT,MYELIN BASIC PROTEIN CEREBROSPINAL FLUID,,30,,,$257.18,$0.00,1,0,1,20180101, 83874,CPT,MYOGLOBIN,,30,,,$257.46,$0.00,1,0,1,20180101, 83876,CPT,MYELOPEROXIDASE MPO,,30,,,$273.93,$0.00,1,0,1,20180101, 83880,CPT,NATRIURETIC PEPTIDE,,30,,,$371.62,$0.00,1,0,1,20180101, 83883,CPT,ASSAY OF NEPHELOMETRY EACH ANALYTE NES,,30,,,$163.66,$0.00,1,0,1,20180101, 83885,CPT,ASSAY OF NICKEL,,30,,,$242.75,$0.00,1,0,1,20180101, 83915,CPT,ASSAY OF NUCLEOTIDASE 5'-,,30,,,$154.75,$0.00,1,0,1,20180101, 83916,CPT,OLIGOCLONAL IMMUNE,,30,,,$258.89,$0.00,1,0,1,20180101, 83918,CPT,ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN,,30,,,$541.43,$0.00,1,0,1,20180101, 83919,CPT,ORGANIC ACIDS QUALITATIVE EACH SPECIMEN,,30,,,$456.64,$0.00,1,0,1,20180101, 83921,CPT,ORGANIC ACID 1 QUANTITATIVE,,30,,,$239.75,$0.00,1,0,1,20180101, 83930,CPT,ASSAY OF OSMOLALITY BLOOD,,30,,,$146.35,$0.00,1,0,1,20180101, 83935,CPT,ASSAY OF OSMOLALITY URINE,,30,,,$141.58,$0.00,1,0,1,20180101, 83937,CPT,ASSAY OF OSTEOCALCIN,,30,,,$281.93,$0.00,1,0,1,20180101, 83945,CPT,ASSAY OF OXALATE,,30,,,$152.33,$0.00,1,0,1,20180101, 83950,CPT,ONCOPROTEIN HER-2/NEU,,30,,,$678.38,$0.00,1,0,1,20180101, 83951,CPT,ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP,,30,,,$459.28,$0.00,1,0,1,20180101, 83970,CPT,ASSAY OF PARATHORMONE,,30,,,$852.23,$0.00,1,0,1,20180101, 83986,CPT,PH BODY FLUID NOT ELSEWHERE SPECIFIED,,30,,,$79.62,$0.00,1,0,1,20180101, 83987,CPT,PH EXHALED BREATH CONDENSATE,,30,,,$216.54,$0.00,1,0,1,20180101, 83992,CPT,ASSAY OF PHENCYCLIDINE,,30,,,$142.63,$0.00,1,0,1,20180101, 83993,CPT,ASSAY OF CALPROTECTIN FECAL,,30,,,$421.27,$0.00,1,0,1,20180101, 84030,CPT,ASSAY OF PHENYLALANINE BLOOD,,30,,,$227.27,$0.00,1,0,1,20180101, 84035,CPT,ASSAY OF PHENYLKETONES QUALITATIVE,,30,,,$109.45,$0.00,1,0,1,20180101, 84060,CPT,ASSAY OF PHOSPHATASE ACID TOTAL,,30,,,$208.08,$0.00,1,0,1,20180101, 84066,CPT,ASSAY OF PHOSPHATASE ACID PROSTATIC,,30,,,$166.52,$0.00,1,0,1,20180101, 84075,CPT,ASSAY OF PHOSPHATASE ALKALINE,,30,,,$110.45,$0.00,1,0,1,20180101, 84078,CPT,ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE,,30,,,$186.19,$0.00,1,0,1,20180101, 84080,CPT,ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES,,30,,,$165.05,$0.00,1,0,1,20180101, 84081,CPT,PHOSPHATIDYLGLYCEROL,,30,,,$207.33,$0.00,1,0,1,20180101, 84085,CPT,PHOSPHOGLUCONATE 6-DEHYD RBC,,30,,,$156.81,$0.00,1,0,1,20180101, 84087,CPT,ASSAY OF PHOSPHOHEXOSE ISOMERASE,,30,,,$203.12,$0.00,1,0,1,20180101, 84100,CPT,ASSAY OF PHOSPHORUS INORGANIC,,30,,,$109.84,$0.00,1,0,1,20180101, 84105,CPT,ASSAY OF PHOSPHORUS INORGANIC URINE,,30,,,$91.32,$0.00,1,0,1,20180101, 84106,CPT,PORPHOBILINOGEN URINE QUALITATIVE,,30,,,$114.72,$0.00,1,0,1,20180101, 84110,CPT,ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE,,30,,,$154.16,$0.00,1,0,1,20180101, 84112,CPT,EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN,,30,,,$494.05,$0.00,1,0,1,20180101, 84119,CPT,PORPHYRINS URINE QUALITATAIVE,,30,,,$195.75,$0.00,1,0,1,20180101, 84120,CPT,PORPHYRINS URINE QUANTITATION & FRACTIONATION,,30,,,$246.74,$0.00,1,0,1,20180101, 84126,CPT,PORPHYRINS FECES QUANTITATIVE,,30,,,$346.63,$0.00,1,0,1,20180101, 84132,CPT,POTASSIUM SERUM PLASMA/WHOLE BLOOD,,30,,,$101.62,$0.00,1,0,1,20180101, 84133,CPT,POTASSIUM URINE,,30,,,$98.14,$0.00,1,0,1,20180101, 84134,CPT,PREALBUMIN,,30,,,$188.49,$0.00,1,0,1,20180101, 84135,CPT,PREGNANEDIOL,,30,,,$294.68,$0.00,1,0,1,20180101, 84138,CPT,PREGNANETRIOL,,30,,,$292.58,$0.00,1,0,1,20180101, 84140,CPT,PREGNENOLONE,,30,,,$217.34,$0.00,1,0,1,20180101, 84143,CPT,17-HYDROXYPREGNENOLONE,,30,,,$257.90,$0.00,1,0,1,20180101, 84144,CPT,ASSAY OF PROGESTERONE,,30,,,$234.09,$0.00,1,0,1,20180101, 84145,CPT,PROCALCITONIN (PCT),,30,,,$334.01,$0.00,1,0,1,20180101, 84146,CPT,ASSAY OF PROLACTIN,,30,,,$265.43,$0.00,1,0,1,20180101, 84150,CPT,ASSAY OF PROSTAGLNDIN EACH,,30,,,$618.88,$0.00,1,0,1,20180101, 84152,CPT,ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED,,30,,,$250.99,$0.00,1,0,1,20180101, 84153,CPT,ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL,,30,,,$215.19,$0.00,1,0,1,20180101, 84154,CPT,ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE,,30,,,$178.75,$0.00,1,0,1,20180101, 84155,CPT,PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD,,30,,,$82.85,$0.00,1,0,1,20180101, 84156,CPT,PROTEIN TOTAL XCPT REFRACTOMETRY URINE,,30,,,$104.44,$0.00,1,0,1,20180101, 84157,CPT,PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC,,30,,,$132.55,$0.00,1,0,1,20180101, 84160,CPT,PROTEIN TOTAL REFRACTOMETRY ANY SRC,,30,,,$55.30,$0.00,1,0,1,20180101, 84163,CPT,PREGNANCY-ASSOCIATED PLASMA PROTEIN-A,,30,,,$247.08,$0.00,1,0,1,20180101, 84165,CPT,PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM,,30,,,$173.34,$0.00,1,0,1,20180101, 84166,CPT,PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATI,,30,,,$198.52,$0.00,1,0,1,20180101, 84181,CPT,PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID,,30,,,$393.45,$0.00,1,0,1,20180101, 84182,CPT,PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL,,30,,,$347.51,$0.00,1,0,1,20180101, 84202,CPT,PROTOPORPHYRIN RBC QUANTITATIVE,,30,,,$213.90,$0.00,1,0,1,20180101, 84203,CPT,PROTOPORPHYRIN RBC SCREEN,,30,,,$137.78,$0.00,1,0,1,20180101, 84206,CPT,ASSAY OF PROINSULIN,,30,,,$274.47,$0.00,1,0,1,20180101, 84207,CPT,ASSAY OF PYRIDOXAL PHOSPHATE,,30,,,$243.36,$0.00,1,0,1,20180101, 84210,CPT,ASSAY OF PYRUVATE,,30,,,$236.26,$0.00,1,0,1,20180101, 84220,CPT,ASSAY OF PYRUVATE KINASE,,30,,,$249.52,$0.00,1,0,1,20180101, 84228,CPT,ASSAY OF QUININE,,30,,,$217.86,$0.00,1,0,1,20180101, 84233,CPT,ASSAY OF RECEPTOR ASSAY ESTROGEN,,30,,,"$1,109.49",$0.00,1,0,1,20180101, 84234,CPT,ASSAY OF RECEPTOR ASSAY PROGESTERONE,,30,,,$827.99,$0.00,1,0,1,20180101, 84235,CPT,RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST,,30,,,$833.59,$0.00,1,0,1,20180101, 84238,CPT,RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR,,30,,,$382.10,$0.00,1,0,1,20180101, 84244,CPT,ASSAY OF RENIN,,30,,,$235.95,$0.00,1,0,1,20180101, 84252,CPT,ASSAY OF RIBOFLAVIN-VITAMIN B-2,,30,,,$264.70,$0.00,1,0,1,20180101, 84255,CPT,ASSAY OF SELENIUM,,30,,,$237.87,$0.00,1,0,1,20180101, 84260,CPT,ASSAY OF SEROTONIN,,30,,,$331.77,$0.00,1,0,1,20180101, 84270,CPT,ASSAY OF SEX HORMONE BINDING GLOBULIN,,30,,,$157.87,$0.00,1,0,1,20180101, 84275,CPT,ASSAY OF SIALIC ACID,,30,,,$253.96,$0.00,1,0,1,20180101, 84285,CPT,ASSAY OF SILICA,,30,,,$333.62,$0.00,1,0,1,20180101, 84295,CPT,SODIUM SERUM PLASMA OR WHOLE BLOOD,,30,,,$86.21,$0.00,1,0,1,20180101, 84300,CPT,ASSAY OF URINE SODIUM,,30,,,$106.31,$0.00,1,0,1,20180101, 84302,CPT,ASSAY OF SODIUM OTHER SOURCE,,30,,,$89.28,$0.00,1,0,1,20180101, 84305,CPT,ASSAY OF SOMATOMEDIN,,30,,,$249.16,$0.00,1,0,1,20180101, 84307,CPT,ASSAY OF SOMATOSTATIN,,30,,,$430.88,$0.00,1,0,1,20180101, 84311,CPT,SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED,,30,,,$97.28,$0.00,1,0,1,20180101, 84315,CPT,SPECIFIC GRAVITY EXCEPT URINE,,30,,,$44.62,$0.00,1,0,1,20180101, 84375,CPT,SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY,,30,,,$290.51,$0.00,1,0,1,20180101, 84376,CPT,SUGARS MONO DI&OLIGOS 1 QUALITATAIVE EACH SPEC,,30,,,$140.41,$0.00,1,0,1,20180101, 84377,CPT,SUGARS MONO DI&OLIGOS MLT QUALITATIVE EACH SPE,,30,,,$133.94,$0.00,1,0,1,20180101, 84378,CPT,SUGARS MONO DI&OLIGOS 1 QUANTITATIVE EACH SPEC,,30,,,$175.13,$0.00,1,0,1,20180101, 84379,CPT,SUGARS MONO DI&OLIGOS MLT QUANTITATIVE EA SPEC,,30,,,$328.35,$0.00,1,0,1,20180101, 84392,CPT,ASSAY OF SULFATE URINE,,30,,,$76.83,$0.00,1,0,1,20180101, 84402,CPT,ASSAY OF TESTOSTERONE FREE,,30,,,$233.01,$0.00,1,0,1,20180101, 84403,CPT,ASSAY OF TESTOSTERONE TOTAL,,30,,,$260.57,$0.00,1,0,1,20180101, 84410,CPT,TESTOSTERONE BIOAVAILABLE,,30,,,$633.57,$0.00,1,0,1,20180101, 84425,CPT,ASSAY OF THIAMINE-VITAMIN B-1,,30,,,$200.75,$0.00,1,0,1,20180101, 84430,CPT,ASSAY OF THIOCYANATE,,30,,,$113.66,$0.00,1,0,1,20180101, 84431,CPT,THROMBOXANE METABOLITE W/WO THROMBOXANE URINE,,30,,,$184.37,$0.00,1,0,1,20180101, 84432,CPT,ASSAY OF THYROGLOBULIN,,30,,,$188.18,$0.00,1,0,1,20180101, 84436,CPT,ASSAY OF THYROXINE TOTAL,,30,,,$131.78,$0.00,1,0,1,20180101, 84437,CPT,ASSAY OF THYROXINE REQUIRING ELUTION,,30,,,$90.51,$0.00,1,0,1,20180101, 84439,CPT,ASSAY OF FREE THYROXINE,,30,,,$166.13,$0.00,1,0,1,20180101, 84442,CPT,ASSAY OF THYROXINE BINDING GLOBULIN,,30,,,$195.82,$0.00,1,0,1,20180101, 84443,CPT,ASSAY OF THYROID STIMULATING HORMONE TSH,,30,,,$227.24,$0.00,1,0,1,20180101, 84445,CPT,THYROID STIMULATING IMMUNE GLOBULINS TSI,,30,,,$448.90,$0.00,1,0,1,20180101, 84446,CPT,ASSAY OF TOCOPHEROL ALPHA VITAMIN E,,30,,,$167.51,$0.00,1,0,1,20180101, 84449,CPT,ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN,,30,,,$216.80,$0.00,1,0,1,20180101, 84450,CPT,TRANSFERASE ASPARTATE AMINO AST SGOT,,30,,,$84.66,$0.00,1,0,1,20180101, 84460,CPT,TRANSFERASE ALANINE AMINO ALT SGPT,,30,,,$89.60,$0.00,1,0,1,20180101, 84466,CPT,ASSAY OF L7383TRANSFERRIN,,30,,,$252.23,$0.00,1,0,1,20180101, 84478,CPT,ASSAY OF TRIGLYCERIDES,,30,,,$98.19,$0.00,1,0,1,20180101, 84479,CPT,THYROID HORM UPTK/THYROID HORMONE BINDING RATIO,,30,,,$125.75,$0.00,1,0,1,20180101, 84480,CPT,ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3,,30,,,$183.90,$0.00,1,0,1,20180101, 84481,CPT,ASSAY OF TRIIODOTHYRONINE T3 FREE,,30,,,$218.86,$0.00,1,0,1,20180101, 84482,CPT,TRIIODOTHYRONINE T3 REVERSE,,30,,,$217.95,$0.00,1,0,1,20180101, 84484,CPT,ASSAY OF TROPONIN QUANTITATIVE,,30,,,$286.38,$0.00,1,0,1,20180101, 84485,CPT,ASSAY OF TRYPSIN DUODENAL FLUID,,30,,,$167.34,$0.00,1,0,1,20180101, 84488,CPT,ASSAY OF TRYPSIN FECES QUALITATIVE,,30,,,$143.17,$0.00,1,0,1,20180101, 84490,CPT,TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION,,30,,,$169.44,$0.00,1,0,1,20180101, 84510,CPT,ASSAY OF TYROSINE,,30,,,$177.90,$0.00,1,0,1,20180101, 84512,CPT,ASSAY OF TROPONIN QUALITATIVE,,30,,,$227.42,$0.00,1,0,1,20180101, 84520,CPT,ASSAY OF UREA NITROGEN QUANTITATIVE,,30,,,$84.93,$0.00,1,0,1,20180101, 84525,CPT,ASSAY OF UREA NITROGEN SEMIQUANTITATIVE,,30,,,$122.19,$0.00,1,0,1,20180101, 84540,CPT,ASSAY OF UREA NITROGEN URINE,,30,,,$102.46,$0.00,1,0,1,20180101, 84545,CPT,UREA NITROGEN CLEARANCE,,30,,,$121.26,$0.00,1,0,1,20180101, 84550,CPT,ASSAY OF BLOOD/URIC ACID,,30,,,$96.26,$0.00,1,0,1,20180101, 84560,CPT,ASSAY OF URIC ACID OTHER SOURCE,,30,,,$93.52,$0.00,1,0,1,20180101, 84577,CPT,ASSAY OF UROBILINOGEN FECES QUANTITATIVE,,30,,,$227.33,$0.00,1,0,1,20180101, 84578,CPT,ASSAY OF UROBILINOGEN URINE QUALITATIVE,,30,,,$59.99,$0.00,1,0,1,20180101, 84580,CPT,UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN,,30,,,$162.08,$0.00,1,0,1,20180101, 84583,CPT,ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE,,30,,,$131.56,$0.00,1,0,1,20180101, 84585,CPT,ASSAY OF VANILLYLMANDELIC ACID URINE,,30,,,$221.66,$0.00,1,0,1,20180101, 84586,CPT,ASSAY OF VASOACTIVE INTESTINAL PEPTIDE,,30,,,$399.98,$0.00,1,0,1,20180101, 84588,CPT,ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE,,30,,,$313.96,$0.00,1,0,1,20180101, 84590,CPT,ASSAY OF VITAMIN A,,30,,,$159.82,$0.00,1,0,1,20180101, 84591,CPT,ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED,,30,,,$241.18,$0.00,1,0,1,20180101, 84597,CPT,ASSAY OF VITAMIN K,,30,,,$269.85,$0.00,1,0,1,20180101, 84600,CPT,ASSAY OF VOLATILES,,30,,,$240.43,$0.00,1,0,1,20180101, 84620,CPT,XYLOSE ABSORPTION TEST BLOOD &/URINE,,30,,,$192.60,$0.00,1,0,1,20180101, 84630,CPT,ASSAY OF ZINC,,30,,,$128.97,$0.00,1,0,1,20180101, 84681,CPT,ASSAY OF C-PEPTIDE,,30,,,$202.40,$0.00,1,0,1,20180101, 84702,CPT,GONADOTROPIN CHORIONIC QUANTITATIVE,,30,,,$307.01,$0.00,1,0,1,20180101, 84703,CPT,GONADOTROPIN CHORIONIC QUALITATIVE,,30,,,$208.27,$0.00,1,0,1,20180101, 84704,CPT,GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN,,30,,,$222.00,$0.00,1,0,1,20180101, 84830,CPT,OVULATION TEST VISUAL COLOR COMPARISON HLH,,30,,,$199.96,$0.00,1,0,1,20180101, 84999,CPT,UNLISTED CHEMISTRY PROCEDURE,,30,,,$549.05,$0.00,1,0,1,20180101, 85002,CPT,BLEEDING TIME TEST,,30,,,$183.75,$0.00,1,0,1,20180101, 85004,CPT,BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT,,30,,,$87.21,$0.00,1,0,1,20180101, 85007,CPT,BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT,,30,,,$82.82,$0.00,1,0,1,20180101, 85008,CPT,BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,,30,,,$67.72,$0.00,1,0,1,20180101, 85009,CPT,BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT,,30,,,$76.99,$0.00,1,0,1,20180101, 85013,CPT,BLOOD COUNT SPUN MICROHEMATOCRIT,,30,,,$50.43,$0.00,1,0,1,20180101, 85014,CPT,BLOOD COUNT HEMATOCRIT,,30,,,$63.21,$0.00,1,0,1,20180101, 85018,CPT,BLOOD COUNT HEMOGLOBIN,,30,,,$71.54,$0.00,1,0,1,20180101, 85025,CPT,BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC,,30,,,$164.38,$0.00,1,0,1,20180101, 85027,CPT,BLOOD COUNT COMPLETE AUTOMATED,,30,,,$157.54,$0.00,1,0,1,20180101, 85032,CPT,BLOOD COUNT MANUAL CELL COUNT EACH,,30,,,$136.23,$0.00,1,0,1,20180101, 85041,CPT,BLOOD COUNT RED BLOOD CELL AUTOMATED,,30,,,$50.36,$0.00,1,0,1,20180101, 85044,CPT,BLOOD COUNT RETICULOCYTE AUTOMATED,,30,,,$95.50,$0.00,1,0,1,20180101, 85045,CPT,BLOOD COUNT RETICULOCYTE AUTOMATED,,30,,,$82.95,$0.00,1,0,1,20180101, 85046,CPT,BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS,,30,,,$120.02,$0.00,1,0,1,20180101, 85048,CPT,BLOOD COUNT LEUKOCYTE WBC AUTOMATED,,30,,,$43.44,$0.00,1,0,1,20180101, 85049,CPT,BLOOD COUNT PLATELET AUTOMATED,,30,,,$101.09,$0.00,1,0,1,20180101, 85055,CPT,RETICULATED PLATELET ASSAY,,30,,,$177.35,$0.00,1,0,1,20180101, 85060,CPT,BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,,30,,,$175.18,$0.00,1,0,1,20180101, 85097,CPT,BONE MARROW SMEAR INTERPRETATION,,30,,,"$1,459.19",$0.00,1,0,1,20180101, 85130,CPT,CHROMOGENIC SUBSTRATE ASSAY,,30,,,$271.68,$0.00,1,0,1,20180101, 85170,CPT,BLOOD CLOT RETRACTION,,30,,,$107.62,$0.00,1,0,1,20180101, 85175,CPT,CLOT LYSIS TIME WHOLE BLOOD DILUTION,,30,,,$152.97,$0.00,1,0,1,20180101, 85210,CPT,CLOTTING FACTOR II PROTHROMBIN SPECIFIC,,30,,,$149.94,$0.00,1,0,1,20180101, 85220,CPT,CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR,,30,,,$418.95,$0.00,1,0,1,20180101, 85230,CPT,CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR,,30,,,$437.29,$0.00,1,0,1,20180101, 85240,CPT,CLOTTING FACTOR VIII AHG 1 STAGE,,30,,,$390.55,$0.00,1,0,1,20180101, 85244,CPT,CLOTTING FACTOR VIII RELATED ANTIGEN,,30,,,$459.86,$0.00,1,0,1,20180101, 85245,CPT,CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT,,30,,,$418.23,$0.00,1,0,1,20180101, 85246,CPT,CLOTTING FACTOR VIII VW FACTOR ANTIGEN,,30,,,$383.66,$0.00,1,0,1,20180101, 85247,CPT,CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS,,30,,,$372.37,$0.00,1,0,1,20180101, 85250,CPT,CLOTTING FACTOR IX PTC/CHRISTMAS,,30,,,$428.86,$0.00,1,0,1,20180101, 85260,CPT,CLOTTING FACTOR X STUART-PROWER,,30,,,$392.66,$0.00,1,0,1,20180101, 85270,CPT,CLOTTING FACTOR XI PTA,,30,,,$414.15,$0.00,1,0,1,20180101, 85280,CPT,CLOTTING FACTOR XII HAGEMAN,,30,,,$399.97,$0.00,1,0,1,20180101, 85290,CPT,CLOTTING FACTOR XIII FIBRIN STABILIZING,,30,,,$380.49,$0.00,1,0,1,20180101, 85291,CPT,CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB,,30,,,$197.65,$0.00,1,0,1,20180101, 85292,CPT,CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY,,30,,,$437.82,$0.00,1,0,1,20180101, 85293,CPT,CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY,,30,,,$292.58,$0.00,1,0,1,20180101, 85300,CPT,CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY,,30,,,$272.71,$0.00,1,0,1,20180101, 85301,CPT,CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY,,30,,,$214.94,$0.00,1,0,1,20180101, 85302,CPT,CLOTTING INHIBITORS PROTEIN C ANTIGEN,,30,,,$245.89,$0.00,1,0,1,20180101, 85303,CPT,CLOTTING INHIBITORS PROTEIN C ACTIVITY,,30,,,$311.40,$0.00,1,0,1,20180101, 85305,CPT,CLOTTING INHIBITORS PROTEIN S TOTAL,,30,,,$225.97,$0.00,1,0,1,20180101, 85306,CPT,CLOTTING INHIBITORS PROTEIN S FREE,,30,,,$306.31,$0.00,1,0,1,20180101, 85307,CPT,ACTIVATED PROTEIN C APC RESISTANCE ASSAY,,30,,,$332.97,$0.00,1,0,1,20180101, 85335,CPT,FACTOR INHIBITOR TEST,,30,,,$410.65,$0.00,1,0,1,20180101, 85337,CPT,THROMBOMODULIN,,30,,,$204.17,$0.00,1,0,1,20180101, 85345,CPT,COAGULATION TIME LEE AND WHITE,,30,,,$76.49,$0.00,1,0,1,20180101, 85347,CPT,COAGULATION TIME ACTIVATED,,30,,,$133.77,$0.00,1,0,1,20180101, 85348,CPT,COAGULATION TIME OTHER METHODS,,30,,,$190.74,$0.00,1,0,1,20180101, 85360,CPT,EUGLOBULIN LYSIS,,30,,,$165.45,$0.00,1,0,1,20180101, 85362,CPT,FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN,,30,,,$213.39,$0.00,1,0,1,20180101, 85366,CPT,FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ,,30,,,$138.86,$0.00,1,0,1,20180101, 85370,CPT,FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE,,30,,,$169.55,$0.00,1,0,1,20180101, 85378,CPT,FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN,,30,,,$231.94,$0.00,1,0,1,20180101, 85379,CPT,FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE,,30,,,$258.79,$0.00,1,0,1,20180101, 85380,CPT,FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE,,30,,,$259.30,$0.00,1,0,1,20180101, 85384,CPT,FIBRINOGEN ACTIVITY,,30,,,$195.59,$0.00,1,0,1,20180101, 85385,CPT,FIBRINOGEN ANTIGEN,,30,,,$197.06,$0.00,1,0,1,20180101, 85390,CPT,FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP&REPOR,,30,,,$162.43,$0.00,1,0,1,20180101, 85396,CPT,COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY,,30,,,$350.99,$0.00,1,0,1,20180101, 85397,CPT,COAGJ&FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL,,30,,,$473.41,$0.00,1,0,1,20180101, 85400,CPT,FIBRINOLYTIC FACTORS & INHIBITORS PLASMIN,,30,,,$185.23,$0.00,1,0,1,20180101, 85410,CPT,FBRNLYC FACTORS&INHIBITORS ALPHA-2 ANTIPLASMIN,,30,,,$311.39,$0.00,1,0,1,20180101, 85415,CPT,FBRNLYC FACTORS&INHIBITORS PLSMNG ACTIVATOR,,30,,,$321.13,$0.00,1,0,1,20180101, 85420,CPT,FBRNLYC FACTORS&INHIBITRS PLSMNG XCPT AGIC ASS,,30,,,$244.72,$0.00,1,0,1,20180101, 85421,CPT,FBRNLYC FACTORS&INHIBITORS PLSMNG AGIC ASSAY,,30,,,$201.10,$0.00,1,0,1,20180101, 85441,CPT,HEINZ BODIES DIRECT,,30,,,$118.93,$0.00,1,0,1,20180101, 85445,CPT,HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE,,30,,,$157.87,$0.00,1,0,1,20180101, 85460,CPT,HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS,,30,,,$254.69,$0.00,1,0,1,20180101, 85461,CPT,HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE,,30,,,$188.39,$0.00,1,0,1,20180101, 85475,CPT,HEMOLYSIN ACID,,30,,,$185.23,$0.00,1,0,1,20180101, 85520,CPT,HEPARIN ASSAY,,30,,,$305.81,$0.00,1,0,1,20180101, 85525,CPT,HEPARIN NEUTRALIZATION,,30,,,$231.93,$0.00,1,0,1,20180101, 85530,CPT,HEPARIN-PROTAMINE TOLERANCE TST,,30,,,$246.27,$0.00,1,0,1,20180101, 85536,CPT,IRON STAIN PERIPHERAL BLOOD,,30,,,$151.41,$0.00,1,0,1,20180101, 85540,CPT,WBC ALKALINE PHOSPHATASE COUNT,,30,,,$217.16,$0.00,1,0,1,20180101, 85547,CPT,MECHANICAL FRAGILITY RBC,,30,,,$182.07,$0.00,1,0,1,20180101, 85549,CPT,MURAMIDASE,,30,,,$226.68,$0.00,1,0,1,20180101, 85555,CPT,OSMOTIC FRAGILITY RBC UNINCUBATED,,30,,,$236.80,$0.00,1,0,1,20180101, 85557,CPT,OSMOTIC FRAGILITY RBC INCUBATED,,30,,,$311.52,$0.00,1,0,1,20180101, 85576,CPT,PLATELET AGGREGATION IN VITRO EACH AGENT,,30,,,$265.43,$0.00,1,0,1,20180101, 85597,CPT,PHOSPHOLIPID NEUTRALIZATION PLATELET,,30,,,$230.60,$0.00,1,0,1,20180101, 85598,CPT,PHOSPHOLIPID NEUTRALIZATION HEXAGONAL,,30,,,$225.68,$0.00,1,0,1,20180101, 85610,CPT,PROTHROMBIN TIME,,30,,,$109.67,$0.00,1,0,1,20180101, 85611,CPT,PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH,,30,,,$85.08,$0.00,1,0,1,20180101, 85612,CPT,RUSSELL VIPER VENON TIME UNDILUTED,,30,,,$182.28,$0.00,1,0,1,20180101, 85613,CPT,RUSSELL VIPER VENOM TIME DILUTED,,30,,,$155.99,$0.00,1,0,1,20180101, 85635,CPT,REPTILASE TEST,,30,,,$222.08,$0.00,1,0,1,20180101, 85651,CPT,SEDIMENTATION RATE RBC NON-AUTOMATED,,30,,,$101.88,$0.00,1,0,1,20180101, 85652,CPT,SEDIMENTATION RATE RBC AUTOMATED,,30,,,$83.36,$0.00,1,0,1,20180101, 85660,CPT,SICKLING RBC REDUCTION,,30,,,$120.46,$0.00,1,0,1,20180101, 85670,CPT,THROMBIN TIME PLASMA,,30,,,$126.92,$0.00,1,0,1,20180101, 85675,CPT,THROMBIN TIME TITER,,30,,,$158.92,$0.00,1,0,1,20180101, 85705,CPT,THROMBOPLASTIN INHIBITION TISSUE,,30,,,$166.69,$0.00,1,0,1,20180101, 85730,CPT,THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD,,30,,,$165.12,$0.00,1,0,1,20180101, 85732,CPT,THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA,,30,,,$143.41,$0.00,1,0,1,20180101, 85810,CPT,VISCOSITY,,30,,,$157.45,$0.00,1,0,1,20180101, 85999,CPT,UNLISTED HEMATOLOGY & COAGULATION PROCEDURE,,30,,,$138.71,$0.00,1,0,1,20180101, 86000,CPT,AGGLUTININS FEBRILE EACH ANTIGEN,,30,,,$171.34,$0.00,1,0,1,20180101, 86001,CPT,ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN,,30,,,$62.37,$0.00,1,0,1,20180101, 86003,CPT,ALLERGEN SPECIFIC IGE QUAN/SEMIQUAN EA ALLERGEN,,30,,,$50.96,$0.00,1,0,1,20180101, 86005,CPT,ALLERGEN SPECIFIC IGE QUAL MULTIALLERGEN SCREEN,,30,,,$95.61,$0.00,1,0,1,20180101, 86008,CPT,ALLG SPEC IGE RECOMB EA,,30,,,$160.46,$0.00,1,0,1,20180101, 86021,CPT,ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES,,30,,,$260.39,$0.00,1,0,1,20180101, 86022,CPT,ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,,30,,,$411.36,$0.00,1,0,1,20180101, 86023,CPT,ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY,,30,,,$200.63,$0.00,1,0,1,20180101, 86038,CPT,ANTINUCLEAR ANTIBODIES ANA,,30,,,$177.07,$0.00,1,0,1,20180101, 86039,CPT,ANTINUCLEAR ANTIBODIES ANA TITER,,30,,,$154.53,$0.00,1,0,1,20180101, 86060,CPT,ANTISTREPTOLYSIN O TITER,,30,,,$139.37,$0.00,1,0,1,20180101, 86063,CPT,ANTISTREPTOLYSIN O SCREEN,,30,,,$166.97,$0.00,1,0,1,20180101, 86077,CPT,BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REP,,30,,,$192.66,$0.00,1,0,1,20180101, 86078,CPT,BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT,,30,,,$442.48,$0.00,1,0,1,20180101, 86079,CPT,BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT,,30,,,$275.27,$0.00,1,0,1,20180101, 86140,CPT,C-REACTIVE PROTEIN,,30,,,$134.53,$0.00,1,0,1,20180101, 86141,CPT,C-REACTIVE PROTEIN HIGH SENSITIVITY,,30,,,$171.11,$0.00,1,0,1,20180101, 86146,CPT,BETA 2 GLYCOPROTEIN I ANTIBODY EACH,,30,,,$167.98,$0.00,1,0,1,20180101, 86147,CPT,CARDIOLIPIN ANTIBODY EACH IG CLASS,,30,,,$197.27,$0.00,1,0,1,20180101, 86148,CPT,ANTI-PHOSPHATIDYLSERINE ANTIBODY,,30,,,$196.59,$0.00,1,0,1,20180101, 86152,CPT,CELL ENUMERATION IMMUNE SELECTJ & ID FLUID SPEC,,30,,,"$1,530.73",$0.00,1,0,1,20180101, 86155,CPT,CHEMOTAXIS ASSAY SPECIFY METHOD,,30,,,$264.16,$0.00,1,0,1,20180101, 86156,CPT,COLD AGGLUTININ SCREEN,,30,,,$126.95,$0.00,1,0,1,20180101, 86157,CPT,COLD AGGLUTININ TITER,,30,,,$145.70,$0.00,1,0,1,20180101, 86160,CPT,COMPLEMENT ANTIGEN EACH COMPONENT,,30,,,$181.02,$0.00,1,0,1,20180101, 86161,CPT,COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT,,30,,,$202.31,$0.00,1,0,1,20180101, 86162,CPT,COMPLEMENT TOTAL HEMOLYTIC,,30,,,$248.10,$0.00,1,0,1,20180101, 86171,CPT,COMPLEMENT FIXATION TESTS EACH ANTIGEN,,30,,,$138.17,$0.00,1,0,1,20180101, 86200,CPT,CYCLIC CITRULLINATED PEPTIDE ANTIBODY,,30,,,$154.16,$0.00,1,0,1,20180101, 86215,CPT,DEOXYRIBONUCLEASE ANTIBODY,,30,,,$184.59,$0.00,1,0,1,20180101, 86225,CPT,DNA ANTIBODY NATIVE/DOUBLE STRANDED,,30,,,$172.24,$0.00,1,0,1,20180101, 86226,CPT,DNA ANTIBODY SINGLE STRANDED,,30,,,$241.58,$0.00,1,0,1,20180101, 86235,CPT,EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,,30,,,$160.46,$0.00,1,0,1,20180101, 86255,CPT,FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY,,30,,,$195.67,$0.00,1,0,1,20180101, 86256,CPT,FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY,,30,,,$173.31,$0.00,1,0,1,20180101, 86277,CPT,GROWTH HORMONE HUMAN ANTIBODY,,30,,,$164.18,$0.00,1,0,1,20180101, 86280,CPT,HEMAGGLUTINATION INHIBITION TEST HAI,,30,,,$176.81,$0.00,1,0,1,20180101, 86294,CPT,IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE,,30,,,$150.28,$0.00,1,0,1,20180101, 86300,CPT,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3,,30,,,$219.62,$0.00,1,0,1,20180101, 86301,CPT,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9,,30,,,$232.46,$0.00,1,0,1,20180101, 86304,CPT,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125,,30,,,$264.82,$0.00,1,0,1,20180101, 86305,CPT,HUMAN EPIDIDYMIS PROTEIN 4 (HE4),,30,,,$494.44,$0.00,1,0,1,20180101, 86308,CPT,HETEROPHILE ANTIBODIES SCREEN,,30,,,$153.20,$0.00,1,0,1,20180101, 86309,CPT,HETEROPHILE ANTIBODIES TITER,,30,,,$194.57,$0.00,1,0,1,20180101, 86310,CPT,HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION,,30,,,$182.94,$0.00,1,0,1,20180101, 86316,CPT,IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE,,30,,,$247.39,$0.00,1,0,1,20180101, 86317,CPT,IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,,30,,,$127.42,$0.00,1,0,1,20180101, 86318,CPT,IMMUNOASSAY NFCT AGT ANTB QUAL/SEMIQUAN 1 STEP,,30,,,$215.71,$0.00,1,0,1,20180101, 86320,CPT,IMMUNOELECTROPHORESIS SERUM,,30,,,$426.68,$0.00,1,0,1,20180101, 86325,CPT,IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION,,30,,,$449.51,$0.00,1,0,1,20180101, 86327,CPT,IMMUNOELECTROPHORESIS CROSSED,,30,,,$264.21,$0.00,1,0,1,20180101, 86329,CPT,IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED,,30,,,$338.10,$0.00,1,0,1,20180101, 86331,CPT,IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY,,30,,,$107.10,$0.00,1,0,1,20180101, 86332,CPT,IMMUNE COMPLEX ASSAY,,30,,,$292.16,$0.00,1,0,1,20180101, 86334,CPT,IMMUNOFIXJ ELECTROPHORESIS SERUM,,30,,,$257.67,$0.00,1,0,1,20180101, 86335,CPT,IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS,,30,,,$280.62,$0.00,1,0,1,20180101, 86336,CPT,INHIBIN A,,30,,,$259.89,$0.00,1,0,1,20180101, 86337,CPT,INSULIN ANTIBODIES,,30,,,$306.15,$0.00,1,0,1,20180101, 86340,CPT,INTRINSIC FACTOR ANTIBODIES,,30,,,$183.10,$0.00,1,0,1,20180101, 86341,CPT,ISLET CELL ANTIBODY,,30,,,$258.76,$0.00,1,0,1,20180101, 86343,CPT,LEUKOCYTE HISTAMINE RELEASE TEST LHR,,30,,,$294.46,$0.00,1,0,1,20180101, 86344,CPT,LEUKOCYTE PHAGOCYTOSIS,,30,,,$205.87,$0.00,1,0,1,20180101, 86352,CPT,CELLULAR FUNCTION ASSAY STIMUL&DETECT BIOMARKE,,30,,,$813.00,$0.00,1,0,1,20180101, 86353,CPT,LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS,,30,,,$971.97,$0.00,1,0,1,20180101, 86355,CPT,B CELLS TOTAL COUNT,,30,,,$284.21,$0.00,1,0,1,20180101, 86356,CPT,MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA,,30,,,$282.42,$0.00,1,0,1,20180101, 86357,CPT,NATURAL KILLER CELLS TOTAL COUNT,,30,,,$276.19,$0.00,1,0,1,20180101, 86359,CPT,T CELLS TOTAL COUNT,,30,,,$279.21,$0.00,1,0,1,20180101, 86360,CPT,T CELLS ABSOLUTE CD4&CD8 COUNT RATIO,,30,,,$361.86,$0.00,1,0,1,20180101, 86361,CPT,T CELLS ABSOLUTE CD4 COUNT,,30,,,$317.47,$0.00,1,0,1,20180101, 86367,CPT,STEM CELLS TOTAL COUNT,,30,,,$615.81,$0.00,1,0,1,20180101, 86376,CPT,MICROSOMAL ANTIBODIES EACH,,30,,,$161.03,$0.00,1,0,1,20180101, 86382,CPT,NEUTRALIZATION TEST VIRAL,,30,,,$344.37,$0.00,1,0,1,20180101, 86384,CPT,NITROBLUE TETRAZOLIUM DYE TEST NTD,,30,,,$215.00,$0.00,1,0,1,20180101, 86386,CPT,NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE,,30,,,$179.93,$0.00,1,0,1,20180101, 86403,CPT,PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY,,30,,,$172.24,$0.00,1,0,1,20180101, 86406,CPT,PARTICLE AGGLUTINATION TITER EACH ANTIBODY,,30,,,$368.20,$0.00,1,0,1,20180101, 86430,CPT,RHEUMATOID FACTOR QUALITATIVE,,30,,,$120.57,$0.00,1,0,1,20180101, 86431,CPT,RHEUMATOID FACTOR QUANTITATIVE,,30,,,$108.36,$0.00,1,0,1,20180101, 86480,CPT,TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON,,30,,,$352.07,$0.00,1,0,1,20180101, 86481,CPT,TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP,,30,,,$448.90,$0.00,1,0,1,20180101, 86485,CPT,SKIN TEST CANDIDA,,30,,,$192.66,$0.00,1,0,1,20180101, 86486,CPT,SKIN TEST UNLISTED ANTIGEN EACH,,30,,,$113.56,$0.00,1,0,1,20180101, 86490,CPT,SKIN TEST COCCIDIOIDOMYCOSIS,,30,,,$345.25,$0.00,1,0,1,20180101, 86510,CPT,SKIN TEST HISTOPLASMOSIS,,30,,,$345.25,$0.00,1,0,1,20180101, 86580,CPT,SKIN TEST TUBERCULOSIS INTRADERMAL,,30,,,$113.56,$0.00,1,0,1,20180101, 86590,CPT,STREPTOKINASE ANTIBODY,,30,,,$211.54,$0.00,1,0,1,20180101, 86592,CPT,SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL,,30,,,$94.43,$0.00,1,0,1,20180101, 86593,CPT,SYPHILIS TEST QUANTITATIVE,,30,,,$91.39,$0.00,1,0,1,20180101, 86602,CPT,ANTIBODY ACTINOMYCES,,30,,,$143.14,$0.00,1,0,1,20180101, 86603,CPT,ANTIBODY ADENOVIRUS,,30,,,$186.09,$0.00,1,0,1,20180101, 86606,CPT,ANTIBODY ASPERGILLUS,,30,,,$130.87,$0.00,1,0,1,20180101, 86609,CPT,ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED,,30,,,$114.42,$0.00,1,0,1,20180101, 86611,CPT,ANTIBODY BARTONELLA,,30,,,$136.43,$0.00,1,0,1,20180101, 86612,CPT,ANTIBODY BLASTOMYCES,,30,,,$155.26,$0.00,1,0,1,20180101, 86615,CPT,ANTIBODY BORDETELLA,,30,,,$160.92,$0.00,1,0,1,20180101, 86617,CPT,ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST,,30,,,$220.91,$0.00,1,0,1,20180101, 86618,CPT,ANTIBODY BORRELIA BURGDORFERI LYME DISEASE,,30,,,$201.87,$0.00,1,0,1,20180101, 86619,CPT,ANTIBODY BORRELIA RELAPSING FEVER,,30,,,$191.69,$0.00,1,0,1,20180101, 86622,CPT,ANTIBODY BRUCELLA,,30,,,$152.73,$0.00,1,0,1,20180101, 86625,CPT,ANTIBODY CAMPYLOBACTER,,30,,,$185.46,$0.00,1,0,1,20180101, 86628,CPT,ANTIBODY CANDIDA,,30,,,$141.63,$0.00,1,0,1,20180101, 86631,CPT,ANTIBODY CHLAMYDIA,,30,,,$87.41,$0.00,1,0,1,20180101, 86632,CPT,ANTIBODY CHLAMYDIA IGM,,30,,,$99.32,$0.00,1,0,1,20180101, 86635,CPT,ANTIBODY COCCIDIOIDES,,30,,,$123.33,$0.00,1,0,1,20180101, 86638,CPT,ANTIBODY COXIELLA BURNETII Q FEVER,,30,,,$146.62,$0.00,1,0,1,20180101, 86641,CPT,ANTIBODY CRYPTOCOCCUS,,30,,,$226.90,$0.00,1,0,1,20180101, 86644,CPT,ANTIBODY CYTOMEGALOVIRUS CMV,,30,,,$186.81,$0.00,1,0,1,20180101, 86645,CPT,ANTIBODY CYTOMEGALOVIRUS CMV IGM,,30,,,$202.96,$0.00,1,0,1,20180101, 86648,CPT,ANTIBODY DIPHTHERIA,,30,,,$246.24,$0.00,1,0,1,20180101, 86651,CPT,ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE,,30,,,$114.62,$0.00,1,0,1,20180101, 86652,CPT,ANTIBODY ENCEPHALITIS EASTERN EQUINE,,30,,,$185.23,$0.00,1,0,1,20180101, 86653,CPT,ANTIBODY ENCEPHALITIS ST. LOUIS,,30,,,$177.94,$0.00,1,0,1,20180101, 86654,CPT,ANTIBODY ENCEPHALITIS WESTRN EQUINE,,30,,,$171.72,$0.00,1,0,1,20180101, 86658,CPT,ANTIBODY ENTEROVIRUS,,30,,,$158.35,$0.00,1,0,1,20180101, 86663,CPT,ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA,,30,,,$180.41,$0.00,1,0,1,20180101, 86664,CPT,ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA,,30,,,$176.51,$0.00,1,0,1,20180101, 86665,CPT,ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA,,30,,,$192.23,$0.00,1,0,1,20180101, 86666,CPT,ANTIBODY EHRLICHIA,,30,,,$218.02,$0.00,1,0,1,20180101, 86668,CPT,ANTIBODY FRANCISELLA TULARENSIS,,30,,,$221.89,$0.00,1,0,1,20180101, 86671,CPT,ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED,,30,,,$173.53,$0.00,1,0,1,20180101, 86674,CPT,ANTIBODY GIARDIA LAMBLIA,,30,,,$214.20,$0.00,1,0,1,20180101, 86677,CPT,ANTIBODY HELICOBACTER PYLORI,,30,,,$201.58,$0.00,1,0,1,20180101, 86682,CPT,ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED,,30,,,$232.39,$0.00,1,0,1,20180101, 86684,CPT,ANTIBODY HAEMOPHILUS INFLUENZA,,30,,,$332.81,$0.00,1,0,1,20180101, 86687,CPT,ANTIBODY HTLV-I,,30,,,$158.93,$0.00,1,0,1,20180101, 86688,CPT,ANTIBODY HTLV-II,,30,,,$140.03,$0.00,1,0,1,20180101, 86689,CPT,ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST,,30,,,$316.61,$0.00,1,0,1,20180101, 86692,CPT,ANTIBODY HEP DELTA AGENT,,30,,,$244.10,$0.00,1,0,1,20180101, 86694,CPT,ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST,,30,,,$164.04,$0.00,1,0,1,20180101, 86695,CPT,ANTIBODY HERPES SMPLX TYPE 1,,30,,,$152.86,$0.00,1,0,1,20180101, 86696,CPT,ANTIBODY HERPES SMPLX TYPE 2,,30,,,$165.94,$0.00,1,0,1,20180101, 86698,CPT,ANTIBODY HISTOPLASMA,,30,,,$125.13,$0.00,1,0,1,20180101, 86701,CPT,ANTIBODY HIV-1,,30,,,$178.33,$0.00,1,0,1,20180101, 86702,CPT,ANTIBODY HIV-2,,30,,,$208.26,$0.00,1,0,1,20180101, 86703,CPT,ANTIBODY HIV-1&HIV-2 SINGLE RESULT,,30,,,$184.46,$0.00,1,0,1,20180101, 86704,CPT,HEPATITIS B CORE ANTIBODY HBCAB TOTAL,,30,,,$247.30,$0.00,1,0,1,20180101, 86705,CPT,HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY,,30,,,$227.47,$0.00,1,0,1,20180101, 86706,CPT,HEPATITIS B SURF ANTIBODY HBSAB,,30,,,$247.62,$0.00,1,0,1,20180101, 86707,CPT,HEPATITIS BE ANTIBODY HBEAB,,30,,,$144.95,$0.00,1,0,1,20180101, 86708,CPT,HEPATITIS A ANTIBODY HAAB,,30,,,$164.49,$0.00,1,0,1,20180101, 86709,CPT,HEPATITIS ANTIBODY HAAB IGM ANTIBODY,,30,,,$175.10,$0.00,1,0,1,20180101, 86710,CPT,ANTIBODY INFLUENZA VIRUS,,30,,,$197.85,$0.00,1,0,1,20180101, 86711,CPT,ANTIBODY JOHN CUNNINGHAM VIRUS,,30,,,"$1,738.71",$0.00,1,0,1,20180101, 86713,CPT,ANTIBODY LEGIONELLA,,30,,,$204.81,$0.00,1,0,1,20180101, 86717,CPT,ANTIBODY LEISHMANIA,,30,,,$197.23,$0.00,1,0,1,20180101, 86720,CPT,ANTIBODY LEPTOSPIRA,,30,,,$195.75,$0.00,1,0,1,20180101, 86723,CPT,ANTIBODY LISTERIA MONOCYTOGENES,,30,,,$235.75,$0.00,1,0,1,20180101, 86727,CPT,ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS,,30,,,$120.70,$0.00,1,0,1,20180101, 86732,CPT,ANTIBODY MUCORMYCOSIS,,30,,,$235.75,$0.00,1,0,1,20180101, 86735,CPT,ANTIBODY MUMPS,,30,,,$172.62,$0.00,1,0,1,20180101, 86738,CPT,ANTIBODY MYCOPLSM,,30,,,$186.38,$0.00,1,0,1,20180101, 86741,CPT,ANTIBODY NEISSERIA MENINGITIDIS,,30,,,$186.39,$0.00,1,0,1,20180101, 86744,CPT,ANTIBODY NOCARDIA,,30,,,$100.86,$0.00,1,0,1,20180101, 86747,CPT,ANTIBODY PARVOVIRUS,,30,,,$190.15,$0.00,1,0,1,20180101, 86750,CPT,ANTIBODY PLASMODIUM MALARIA,,30,,,$193.56,$0.00,1,0,1,20180101, 86753,CPT,ANTIBODY PROTOZOA NES,,30,,,$192.22,$0.00,1,0,1,20180101, 86756,CPT,ANTIBODY RESPIRATORY SYNCTIAL VIRUS,,30,,,$206.97,$0.00,1,0,1,20180101, 86757,CPT,ANTIBODY RICKETTSIA,,30,,,$221.36,$0.00,1,0,1,20180101, 86759,CPT,ANTIBODY ROTAVIRUS,,30,,,$253.24,$0.00,1,0,1,20180101, 86762,CPT,ANTIBODY RUBELLA,,30,,,$161.77,$0.00,1,0,1,20180101, 86765,CPT,ANTIBODY RUBEOLA,,30,,,$170.49,$0.00,1,0,1,20180101, 86768,CPT,ANTIBODY SALMONELLA,,30,,,$114.15,$0.00,1,0,1,20180101, 86771,CPT,ANTIBODY SHIGELLA,,30,,,$217.13,$0.00,1,0,1,20180101, 86774,CPT,ANTIBODY TETANUS,,30,,,$235.39,$0.00,1,0,1,20180101, 86777,CPT,ANTIBODY TOXOPLASMA,,30,,,$224.33,$0.00,1,0,1,20180101, 86778,CPT,ANTIBODY TOXOPLASMA IGM,,30,,,$243.94,$0.00,1,0,1,20180101, 86780,CPT,ANTIBODY TREPONEMA PALLIDUM,,30,,,$132.25,$0.00,1,0,1,20180101, 86784,CPT,ANTIBODY TRICHINELLA,,30,,,$240.55,$0.00,1,0,1,20180101, 86787,CPT,ANTIBODY VARICELLA-ZOSTER,,30,,,$171.11,$0.00,1,0,1,20180101, 86788,CPT,ANTIBODY WEST NILE VIRUS IGM,,30,,,$193.68,$0.00,1,0,1,20180101, 86789,CPT,ANTIBODY WEST NILE VIRUS,,30,,,$186.65,$0.00,1,0,1,20180101, 86790,CPT,ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED,,30,,,$197.90,$0.00,1,0,1,20180101, 86793,CPT,ANTIBODY YERSINIA,,30,,,$189.64,$0.00,1,0,1,20180101, 86794,CPT,ZIKA VIRUS IGM ANTIBODY,,30,,,$193.68,$0.00,1,0,1,20180101, 86800,CPT,THYROGLOBULIN ANTIBODY,,30,,,$162.01,$0.00,1,0,1,20180101, 86803,CPT,HEPATITIS C ANTIBODY,,30,,,$206.86,$0.00,1,0,1,20180101, 86804,CPT,HEPATITIS C ANTIBODY CONFIRMATORY TEST,,30,,,$190.11,$0.00,1,0,1,20180101, 86805,CPT,LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ,,30,,,$948.10,$0.00,1,0,1,20180101, 86806,CPT,LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT,,30,,,$768.20,$0.00,1,0,1,20180101, 86807,CPT,SERUM SCREENING % REACTIVE ANTIBODY STANDRD METH,,30,,,"$1,199.88",$0.00,1,0,1,20180101, 86808,CPT,SERUM SCREENING % REACTIVE ANTIBODY QUICK METH,,30,,,$615.12,$0.00,1,0,1,20180101, 86812,CPT,HLA TYPING A/B/C SINGLE ANTIGEN,,30,,,$302.81,$0.00,1,0,1,20180101, 86813,CPT,HLA TYPING A/B/C MULTIPLE ANTIGENS,,30,,,$931.39,$0.00,1,0,1,20180101, 86816,CPT,HLA TYPING DR/DQ SINGLE ANTIGEN,,30,,,$587.09,$0.00,1,0,1,20180101, 86817,CPT,HLA TYPING DR/DQ MULTIPLE ANTIGENS,,30,,,"$1,230.17",$0.00,1,0,1,20180101, 86821,CPT,HLA TYPING LYMPHOCYTE CULTURE MIXED,,30,,,"$1,679.77",$0.00,1,0,1,20180101, 86825,CPT,HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION,,30,,,"$1,081.12",$0.00,1,0,1,20180101, 86826,CPT,HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION,,30,,,$279.52,$0.00,1,0,1,20180101, 86828,CPT,ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL,,30,,,"$1,034.03",$0.00,1,0,1,20180101, 86829,CPT,ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL,,30,,,$278.38,$0.00,1,0,1,20180101, 86830,CPT,ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE,,30,,,$768.08,$0.00,1,0,1,20180101, 86831,CPT,ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL,,30,,,$713.57,$0.00,1,0,1,20180101, 86832,CPT,ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL,,30,,,"$1,243.67",$0.00,1,0,1,20180101, 86833,CPT,ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL,,30,,,"$1,153.89",$0.00,1,0,1,20180101, 86834,CPT,ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL,,30,,,"$2,876.64",$0.00,1,0,1,20180101, 86835,CPT,ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL,,30,,,"$2,644.42",$0.00,1,0,1,20180101, 86849,CPT,UNLISTED IMMUNOLOGY,,30,,,$522.00,$0.00,1,0,1,20180101, 86850,CPT,ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE,,30,,,$275.27,$0.00,1,0,1,20180101, 86860,CPT,ANTIBODY ELUTION RBC EACH ELUTION,,30,,,$442.48,$0.00,1,0,1,20180101, 86870,CPT,ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 86880,CPT,ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM,,30,,,$192.66,$0.00,1,0,1,20180101, 86885,CPT,ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL,,30,,,$442.48,$0.00,1,0,1,20180101, 86886,CPT,ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER,,30,,,$442.48,$0.00,1,0,1,20180101, 86890,CPT,AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 86891,CPT,AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE,,30,,,"$1,459.19",$0.00,1,0,1,20180101, 86900,CPT,BLOOD TYPING SEROLOGIC ABO,,30,,,$536.04,$0.00,1,0,1,20180101, 86901,CPT,BLOOD TYPING SEROLOGIC RH (D),,30,,,$192.66,$0.00,1,0,1,20180101, 86902,CPT,BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 86904,CPT,BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT,,30,,,$192.66,$0.00,1,0,1,20180101, 86905,CPT,BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 86906,CPT,BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE,,30,,,$192.66,$0.00,1,0,1,20180101, 86910,CPT,BLOOD TYPING PATERNITY PR INDIV ABO RH&MN,,30,,,$439.92,$0.00,1,0,1,20180101, 86911,CPT,BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS,,30,,,$181.02,$0.00,1,0,1,20180101, 86920,CPT,COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE,,30,,,$442.48,$0.00,1,0,1,20180101, 86921,CPT,COMPATIBILITY EACH UNIT INCUBATION,,30,,,$442.48,$0.00,1,0,1,20180101, 86922,CPT,COMPATIBILITY EACH UNIT ANTIGLOBULIN,,30,,,$442.48,$0.00,1,0,1,20180101, 86923,CPT,COMPATIBILITY EACH UNIT ELECTRONIC,,30,,,$442.48,$0.00,1,0,1,20180101, 86927,CPT,FRESH FROZEN PLASMA THAWING EACH UNIT,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 86930,CPT,FROZEN BLOOD EACH UNIT FREEZING,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 86931,CPT,FROZEN BLOOD EACH UNIT THAWING,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 86932,CPT,FROZEN BLOOD EACH UNIT FREEZING & THAWING,,30,,,$192.66,$0.00,1,0,1,20180101, 86940,CPT,HEMOLYSINS&AGGLUTININS AUTO SCREEN EACH,,30,,,$168.10,$0.00,1,0,1,20180101, 86941,CPT,HEMOLYSINS&AGGLUTININS INCUBATED,,30,,,$203.89,$0.00,1,0,1,20180101, 86945,CPT,IRRADIATION BLOOD PRODUCT EACH UNIT,,30,,,$192.66,$0.00,1,0,1,20180101, 86950,CPT,LEUKOCYTE TRANSFUSION,,30,,,$442.48,$0.00,1,0,1,20180101, 86960,CPT,VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT,,30,,,$442.48,$0.00,1,0,1,20180101, 86965,CPT,POOLING PLATELETS/OTHER BLOOD PRODUCTS,,30,,,$442.48,$0.00,1,0,1,20180101, 86970,CPT,PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA,,30,,,$192.66,$0.00,1,0,1,20180101, 86971,CPT,PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 86972,CPT,PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP,,30,,,$442.48,$0.00,1,0,1,20180101, 86975,CPT,PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH,,30,,,$192.66,$0.00,1,0,1,20180101, 86976,CPT,PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION,,30,,,$113.56,$0.00,1,0,1,20180101, 86977,CPT,PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA,,30,,,$442.48,$0.00,1,0,1,20180101, 86978,CPT,PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ,,30,,,$192.66,$0.00,1,0,1,20180101, 86985,CPT,SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT,,30,,,$442.48,$0.00,1,0,1,20180101, 86999,CPT,UNLISTED TRANSFUSION MEDICINE PROCEDURE,,30,,,$113.56,$0.00,1,0,1,20180101, 87003,CPT,ANIMAL INOCULATION SMALL ANIMAL W/OBS&DSJ,,30,,,$272.58,$0.00,1,0,1,20180101, 87015,CPT,CONCENTRATION INFECTIOUS AGENTS,,30,,,$91.89,$0.00,1,0,1,20180101, 87040,CPT,CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES,,30,,,$328.77,$0.00,1,0,1,20180101, 87045,CPT,CUL BACT STOOL AEROBIC ISOL SALMONELLA&SHIGELL,,30,,,$227.19,$0.00,1,0,1,20180101, 87046,CPT,CUL BACT STOOL AEROBIC ADDL PATHOGENS&ID EA,,30,,,$105.44,$0.00,1,0,1,20180101, 87070,CPT,CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL,,30,,,$260.67,$0.00,1,0,1,20180101, 87071,CPT,CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL,,30,,,$212.84,$0.00,1,0,1,20180101, 87073,CPT,CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL,,30,,,$241.66,$0.00,1,0,1,20180101, 87075,CPT,CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO&ID,,30,,,$279.53,$0.00,1,0,1,20180101, 87076,CPT,CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL,,30,,,$159.38,$0.00,1,0,1,20180101, 87077,CPT,CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL,,30,,,$134.70,$0.00,1,0,1,20180101, 87081,CPT,CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ,,30,,,$158.52,$0.00,1,0,1,20180101, 87084,CPT,CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART,,30,,,$140.49,$0.00,1,0,1,20180101, 87086,CPT,CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE,,30,,,$188.57,$0.00,1,0,1,20180101, 87088,CPT,CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE,,30,,,$149.04,$0.00,1,0,1,20180101, 87101,CPT,CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL,,30,,,$183.99,$0.00,1,0,1,20180101, 87102,CPT,CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD,,30,,,$240.20,$0.00,1,0,1,20180101, 87103,CPT,CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD,,30,,,$274.23,$0.00,1,0,1,20180101, 87106,CPT,CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST,,30,,,$158.88,$0.00,1,0,1,20180101, 87107,CPT,CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD,,30,,,$176.23,$0.00,1,0,1,20180101, 87109,CPT,CULTURE MYCOPLASMA ANY SOURCE,,30,,,$285.60,$0.00,1,0,1,20180101, 87110,CPT,CULTURE CHLAMYDIA ANY SOURCE,,30,,,$296.60,$0.00,1,0,1,20180101, 87116,CPT,CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL,,30,,,$235.28,$0.00,1,0,1,20180101, 87118,CPT,CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL,,30,,,$204.17,$0.00,1,0,1,20180101, 87140,CPT,CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM,,30,,,$104.81,$0.00,1,0,1,20180101, 87143,CPT,CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY,,30,,,$206.37,$0.00,1,0,1,20180101, 87147,CPT,CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES,,30,,,$83.71,$0.00,1,0,1,20180101, 87149,CPT,CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM,,30,,,$218.23,$0.00,1,0,1,20180101, 87150,CPT,CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM,,30,,,$440.18,$0.00,1,0,1,20180101, 87152,CPT,CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING,,30,,,$134.71,$0.00,1,0,1,20180101, 87153,CPT,CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE,,30,,,$722.28,$0.00,1,0,1,20180101, 87158,CPT,CULTURE TYPING OTHER METHODS,,30,,,$184.78,$0.00,1,0,1,20180101, 87164,CPT,DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION,,30,,,$110.49,$0.00,1,0,1,20180101, 87166,CPT,DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT,,30,,,$101.86,$0.00,1,0,1,20180101, 87168,CPT,MACROSCOPIC EXAMINATION ARTHROPOD,,30,,,$98.20,$0.00,1,0,1,20180101, 87169,CPT,MACROSCOPIC EXAMINATION PARASITE,,30,,,$105.48,$0.00,1,0,1,20180101, 87172,CPT,PINWORM EXAMINATION,,30,,,$109.33,$0.00,1,0,1,20180101, 87176,CPT,HOMOGENIZATION TISSUE CULTURE,,30,,,$101.24,$0.00,1,0,1,20180101, 87177,CPT,OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID,,30,,,$157.30,$0.00,1,0,1,20180101, 87181,CPT,SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ,,30,,,$99.15,$0.00,1,0,1,20180101, 87184,CPT,SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD,,30,,,$133.58,$0.00,1,0,1,20180101, 87185,CPT,SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ,,30,,,$69.95,$0.00,1,0,1,20180101, 87186,CPT,SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ,,30,,,$177.50,$0.00,1,0,1,20180101, 87187,CPT,SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA,,30,,,$155.33,$0.00,1,0,1,20180101, 87188,CPT,SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT,,30,,,$128.54,$0.00,1,0,1,20180101, 87190,CPT,SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD,,30,,,$90.69,$0.00,1,0,1,20180101, 87197,CPT,SERUM BACTERICIDAL TITER,,30,,,$467.03,$0.00,1,0,1,20180101, 87205,CPT,SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL,,30,,,$110.40,$0.00,1,0,1,20180101, 87206,CPT,SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT,,30,,,$118.69,$0.00,1,0,1,20180101, 87207,CPT,SMR PRIM SRC SPEC STAIN BODIES/PARASITS,,30,,,$147.25,$0.00,1,0,1,20180101, 87209,CPT,SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS,,30,,,$142.69,$0.00,1,0,1,20180101, 87210,CPT,SMR PRIM SRC WET MOUNT NFCT AGT,,30,,,$107.90,$0.00,1,0,1,20180101, 87220,CPT,TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT,,30,,,$96.77,$0.00,1,0,1,20180101, 87230,CPT,TOXIN/ANTITOXIN ASSAY TISSUE CULTURE,,30,,,$286.20,$0.00,1,0,1,20180101, 87250,CPT,VIRUS INOCULATION EGGS/SM ANIMAL OBS&DSJ,,30,,,$404.99,$0.00,1,0,1,20180101, 87252,CPT,VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT,,30,,,$352.99,$0.00,1,0,1,20180101, 87253,CPT,VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE,,30,,,$309.67,$0.00,1,0,1,20180101, 87254,CPT,VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA,,30,,,$206.28,$0.00,1,0,1,20180101, 87255,CPT,VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC,,30,,,$334.85,$0.00,1,0,1,20180101, 87260,CPT,IAADI ADENOVIRUS,,30,,,$192.31,$0.00,1,0,1,20180101, 87265,CPT,IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS,,30,,,$267.06,$0.00,1,0,1,20180101, 87267,CPT,IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY,,30,,,$154.55,$0.00,1,0,1,20180101, 87269,CPT,IAADI GIARDIA,,30,,,$149.22,$0.00,1,0,1,20180101, 87270,CPT,IAADI CHLAMYDIA TRACHOMATIS,,30,,,$325.14,$0.00,1,0,1,20180101, 87271,CPT,IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY,,30,,,$451.88,$0.00,1,0,1,20180101, 87272,CPT,IAADI CRYPTOSPORIDIUM,,30,,,$154.19,$0.00,1,0,1,20180101, 87273,CPT,IAADI HERPES SMPLX VIRUS TYPE 2,,30,,,$206.64,$0.00,1,0,1,20180101, 87274,CPT,IAADI HERPES SMPLX VIRUS TYPE 1,,30,,,$225.71,$0.00,1,0,1,20180101, 87275,CPT,IAADI INFLUENZA B VIRUS,,30,,,$156.95,$0.00,1,0,1,20180101, 87276,CPT,IAADI INFFLUENZA A VIRUS,,30,,,$164.93,$0.00,1,0,1,20180101, 87278,CPT,IAADI LEGIONELLA PNEUMOPHILA,,30,,,$277.98,$0.00,1,0,1,20180101, 87279,CPT,IAADI PARAINFLUENZA VIRUS EACH TYPE,,30,,,$150.37,$0.00,1,0,1,20180101, 87280,CPT,IAADI RESPIRATORY SYNCTIAL VIRUS,,30,,,$185.13,$0.00,1,0,1,20180101, 87281,CPT,IAADI PNEUMOCUSTIS CARINII,,30,,,$258.38,$0.00,1,0,1,20180101, 87283,CPT,IAADI RUBEOLA,,30,,,$222.07,$0.00,1,0,1,20180101, 87285,CPT,IAADI TREPONEMA PALLIDUM,,30,,,$218.78,$0.00,1,0,1,20180101, 87290,CPT,IAADI VARICELLA ZOSTER VIRUS,,30,,,$209.39,$0.00,1,0,1,20180101, 87299,CPT,IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM,,30,,,$183.57,$0.00,1,0,1,20180101, 87300,CPT,IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM,,30,,,$197.63,$0.00,1,0,1,20180101, 87301,CPT,IAAD IA ADENOVIRUS ENTERIC TYP 40/41,,30,,,$160.59,$0.00,1,0,1,20180101, 87305,CPT,IAAD IA QUAL/SEMIQUAN MULTIPLE STEP ASPERGILLUS,,30,,,$214.82,$0.00,1,0,1,20180101, 87320,CPT,IAAD IA CHLAMYDIA TRACHOMATIS,,30,,,$194.93,$0.00,1,0,1,20180101, 87324,CPT,IAAD IA CLOSTRIDIUM DIFFICILE TOXIN,,30,,,$213.17,$0.00,1,0,1,20180101, 87327,CPT,IAAD IA CRYPTOCOCCUS NEOFORMANS,,30,,,$192.99,$0.00,1,0,1,20180101, 87328,CPT,IAAD IA CRYPTOSPORIDIUM,,30,,,$149.30,$0.00,1,0,1,20180101, 87329,CPT,IAAD IA GIARDIA,,30,,,$144.31,$0.00,1,0,1,20180101, 87332,CPT,IAAD IA CYTOMEGALOVIRUS,,30,,,$135.06,$0.00,1,0,1,20180101, 87335,CPT,IAAD IA ESCHERICHIA COLI 0157,,30,,,$178.93,$0.00,1,0,1,20180101, 87336,CPT,IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP,,30,,,$206.95,$0.00,1,0,1,20180101, 87337,CPT,IAAD IA ENTAMOEBA HISTOLYTICA GRP,,30,,,$154.15,$0.00,1,0,1,20180101, 87338,CPT,IAAD IA HPYLORI STOOL,,30,,,$222.92,$0.00,1,0,1,20180101, 87339,CPT,IAAD IA HPYLORI,,30,,,$223.59,$0.00,1,0,1,20180101, 87340,CPT,IAAD IA HEPATITIS B SURFACE ANTIGEN,,30,,,$240.31,$0.00,1,0,1,20180101, 87341,CPT,IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION,,30,,,$190.31,$0.00,1,0,1,20180101, 87350,CPT,IAAD IA HEPATITIS BE ANTIGEN,,30,,,$147.17,$0.00,1,0,1,20180101, 87380,CPT,IAAD IA HEPATITIS DELTA ANTIGEN,,30,,,$263.49,$0.00,1,0,1,20180101, 87385,CPT,IAAD IA HISTOPLASM CAPSULATUM,,30,,,$363.52,$0.00,1,0,1,20180101, 87389,CPT,IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE,,30,,,$195.07,$0.00,1,0,1,20180101, 87390,CPT,IAAD IA HIV-1,,30,,,$213.00,$0.00,1,0,1,20180101, 87391,CPT,IAAD IA HIV-2,,30,,,$162.02,$0.00,1,0,1,20180101, 87400,CPT,IAAD IA INFLUENZA A/B EACH,,30,,,$164.15,$0.00,1,0,1,20180101, 87420,CPT,IAAD IA RESPIRATORY SYNCTIAL VIRUS,,30,,,$317.48,$0.00,1,0,1,20180101, 87425,CPT,IAAD IA ROTAVIRUS,,30,,,$215.86,$0.00,1,0,1,20180101, 87427,CPT,IAAD IA SHIGA-LIKE TOXIN,,30,,,$118.76,$0.00,1,0,1,20180101, 87430,CPT,IAAD IA STREPTOCOCCUS GROUP A,,30,,,$162.86,$0.00,1,0,1,20180101, 87449,CPT,IAAD IA MULT STEP METHOD NOS EACH ORGANISM,,30,,,$172.38,$0.00,1,0,1,20180101, 87450,CPT,IAAD IA SINGLE STEP METHOD NOS EA ORGANISM,,30,,,$185.04,$0.00,1,0,1,20180101, 87451,CPT,IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM,,30,,,$168.65,$0.00,1,0,1,20180101, 87471,CPT,IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE,,30,,,$752.32,$0.00,1,0,1,20180101, 87472,CPT,IADNA BARTONELLA HENSELAE&QUINTANA QUANTJ,,30,,,$477.81,$0.00,1,0,1,20180101, 87475,CPT,IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ,,30,,,$303.10,$0.00,1,0,1,20180101, 87476,CPT,IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ,,30,,,$675.14,$0.00,1,0,1,20180101, 87480,CPT,IADNA CANDIDA SPECIES DIRECT PROBE TQ,,30,,,$159.81,$0.00,1,0,1,20180101, 87481,CPT,IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ,,30,,,$296.61,$0.00,1,0,1,20180101, 87482,CPT,IADNA CANDIDA SPECIES QUANTIFICATION,,30,,,$470.44,$0.00,1,0,1,20180101, 87483,CPT,CNS DNA AMP PROBE TYPE 12-25,,30,,,"$2,306.96",$0.00,1,0,1,20180101, 87485,CPT,IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ,,30,,,$302.89,$0.00,1,0,1,20180101, 87486,CPT,IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ,,30,,,$396.13,$0.00,1,0,1,20180101, 87487,CPT,IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION,,30,,,$476.81,$0.00,1,0,1,20180101, 87490,CPT,IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ,,30,,,$210.88,$0.00,1,0,1,20180101, 87491,CPT,IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ,,30,,,$257.57,$0.00,1,0,1,20180101, 87492,CPT,IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION,,30,,,$256.79,$0.00,1,0,1,20180101, 87493,CPT,INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE,,30,,,$284.31,$0.00,1,0,1,20180101, 87495,CPT,IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ,,30,,,$655.35,$0.00,1,0,1,20180101, 87496,CPT,IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ,,30,,,$710.34,$0.00,1,0,1,20180101, 87497,CPT,IADNA CYTOMEGALOVIRUS QUANTIFICATION,,30,,,$572.12,$0.00,1,0,1,20180101, 87498,CPT,IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP,,30,,,$493.82,$0.00,1,0,1,20180101, 87500,CPT,INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE,,30,,,$335.16,$0.00,1,0,1,20180101, 87501,CPT,INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE,,30,,,$641.85,$0.00,1,0,1,20180101, 87502,CPT,INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES,,30,,,$582.29,$0.00,1,0,1,20180101, 87503,CPT,NFCT AGENT DNA/RNA INFLUENZA >2 TYPES EA ADDL,,30,,,$198.68,$0.00,1,0,1,20180101, 87505,CPT,NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN,,30,,,$662.11,$0.00,1,0,1,20180101, 87506,CPT,IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11,,30,,,"$1,187.64",$0.00,1,0,1,20180101, 87507,CPT,IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25,,30,,,"$1,319.99",$0.00,1,0,1,20180101, 87510,CPT,IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ,,30,,,$156.40,$0.00,1,0,1,20180101, 87511,CPT,IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ,,30,,,$203.30,$0.00,1,0,1,20180101, 87512,CPT,IADNA GARDNERELLA VAGINALIS QUANTIFICATION,,30,,,$323.99,$0.00,1,0,1,20180101, 87516,CPT,IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ,,30,,,$503.20,$0.00,1,0,1,20180101, 87517,CPT,IADNA HEPATITIS B VIRUS QUANTIFICATION,,30,,,$544.97,$0.00,1,0,1,20180101, 87520,CPT,IADNA HEPATITIS C DIRECT PROBE TECHNIQUE,,30,,,$773.35,$0.00,1,0,1,20180101, 87521,CPT,IADNA HEPATITIS C AMPLIFIED PROBE&REVRSE TRANSCR,,30,,,$552.12,$0.00,1,0,1,20180101, 87522,CPT,IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION,,30,,,$566.27,$0.00,1,0,1,20180101, 87525,CPT,IADNA HEPATITIS G DIRECT PROBE TECHNIQUE,,30,,,$303.10,$0.00,1,0,1,20180101, 87526,CPT,IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE,,30,,,$424.13,$0.00,1,0,1,20180101, 87527,CPT,IADNA HEPATITIS G QUANTIFICATION,,30,,,$470.44,$0.00,1,0,1,20180101, 87528,CPT,IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ,,30,,,$857.48,$0.00,1,0,1,20180101, 87529,CPT,IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ,,30,,,$401.97,$0.00,1,0,1,20180101, 87530,CPT,IADNA HERPES SOMPLX VIRUS QUANTIFICATION,,30,,,$464.41,$0.00,1,0,1,20180101, 87531,CPT,IADNA HERPES VIRUS-6 DIRECT PROBE TQ,,30,,,$303.10,$0.00,1,0,1,20180101, 87532,CPT,IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ,,30,,,$516.37,$0.00,1,0,1,20180101, 87533,CPT,IADNA HERPES VIRUS-6 QUANTIFICATION,,30,,,$845.29,$0.00,1,0,1,20180101, 87534,CPT,IADNA HIV-1 DIRECT PROBE TECHNIQUE,,30,,,$197.77,$0.00,1,0,1,20180101, 87535,CPT,IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ,,30,,,$440.80,$0.00,1,0,1,20180101, 87536,CPT,IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION,,30,,,$635.55,$0.00,1,0,1,20180101, 87537,CPT,IADNA HIV-2 DIRECT PROBE TECHNIQUE,,30,,,$212.59,$0.00,1,0,1,20180101, 87538,CPT,IADNA HIV-2 AMPLIFIED PROBE & REVERSE TRANSCRIPJ,,30,,,$383.02,$0.00,1,0,1,20180101, 87539,CPT,IADNA HIV-2 QUANT & REVERSE TRANSCRIPTION,,30,,,$478.47,$0.00,1,0,1,20180101, 87540,CPT,IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ,,30,,,$320.57,$0.00,1,0,1,20180101, 87541,CPT,IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ,,30,,,$522.38,$0.00,1,0,1,20180101, 87542,CPT,IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION,,30,,,$470.42,$0.00,1,0,1,20180101, 87550,CPT,IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ,,30,,,$297.48,$0.00,1,0,1,20180101, 87551,CPT,IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ,,30,,,$485.07,$0.00,1,0,1,20180101, 87552,CPT,IADNA MYCOBACTERIA SPECIES QUANTIFICATION,,30,,,$349.81,$0.00,1,0,1,20180101, 87555,CPT,IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB,,30,,,$370.09,$0.00,1,0,1,20180101, 87556,CPT,IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB,,30,,,$571.10,$0.00,1,0,1,20180101, 87557,CPT,IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION,,30,,,$326.27,$0.00,1,0,1,20180101, 87560,CPT,IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB,,30,,,$317.10,$0.00,1,0,1,20180101, 87561,CPT,IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB,,30,,,$649.88,$0.00,1,0,1,20180101, 87562,CPT,IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT,,30,,,$477.81,$0.00,1,0,1,20180101, 87580,CPT,IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ,,30,,,$303.10,$0.00,1,0,1,20180101, 87581,CPT,IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ,,30,,,$382.42,$0.00,1,0,1,20180101, 87582,CPT,IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION,,30,,,$470.44,$0.00,1,0,1,20180101, 87590,CPT,IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ,,30,,,$218.28,$0.00,1,0,1,20180101, 87591,CPT,IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ,,30,,,$248.57,$0.00,1,0,1,20180101, 87592,CPT,IADNA NEISSERIA GONORRHOEAE QUANTIFICATION,,30,,,$321.82,$0.00,1,0,1,20180101, 87623,CPT,IADNA HUMAN PAPILLOMAVIRUS LOW-RISK TYPES,,30,,,$238.35,$0.00,1,0,1,20180101, 87624,CPT,IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES,,30,,,$250.41,$0.00,1,0,1,20180101, 87625,CPT,IADNA HUMAN PAPILLOMAVIRUS TYPES 16 & 18 ONLY,,30,,,$313.11,$0.00,1,0,1,20180101, 87631,CPT,IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS,,30,,,$733.76,$0.00,1,0,1,20180101, 87632,CPT,IADNA RESPIRATRY PROBE & REV TRNSCR 6-11 TARGETS,,30,,,"$2,151.36",$0.00,1,0,1,20180101, 87633,CPT,IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET,,30,,,"$2,322.50",$0.00,1,0,1,20180101, 87634,CPT,RSV DNA/RNA AMP PROBE,,30,,,$519.68,$0.00,1,0,1,20180101, 87640,CPT,IADNA S AUREUS AMPLIFIED PROBE TQ,,30,,,$325.95,$0.00,1,0,1,20180101, 87641,CPT,IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ,,30,,,$308.92,$0.00,1,0,1,20180101, 87650,CPT,IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ,,30,,,$214.51,$0.00,1,0,1,20180101, 87651,CPT,IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ,,30,,,$241.92,$0.00,1,0,1,20180101, 87652,CPT,IADNA STREPTOCOCCUS GROUP A QUANTIFICATION,,30,,,$470.44,$0.00,1,0,1,20180101, 87653,CPT,IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ,,30,,,$355.83,$0.00,1,0,1,20180101, 87660,CPT,IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ,,30,,,$156.30,$0.00,1,0,1,20180101, 87661,CPT,IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH,,30,,,$391.85,$0.00,1,0,1,20180101, 87662,CPT,ZIKA VIRUS DNA/RNA AMP PROBE,,30,,,$641.85,$0.00,1,0,1,20180101, 87797,CPT,IADNA NOS DIRECT PROBE TQ EACH ORGANISM,,30,,,$288.65,$0.00,1,0,1,20180101, 87798,CPT,IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,,30,,,$339.16,$0.00,1,0,1,20180101, 87799,CPT,IADNA NOS QUANTIFICATION EACH ORGANISM,,30,,,$572.77,$0.00,1,0,1,20180101, 87800,CPT,IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ,,30,,,$383.48,$0.00,1,0,1,20180101, 87801,CPT,IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,,30,,,$519.68,$0.00,1,0,1,20180101, 87802,CPT,IAADIADOO STREPTOCOCCUS GROUP B,,30,,,$200.32,$0.00,1,0,1,20180101, 87803,CPT,IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN,,30,,,$271.32,$0.00,1,0,1,20180101, 87804,CPT,IAADIADOO INFLUENZA,,30,,,$159.51,$0.00,1,0,1,20180101, 87806,CPT,IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES,,30,,,$215.97,$0.00,1,0,1,20180101, 87807,CPT,IAADIADOO RESPIRATORY SYNCTIAL VIRUS,,30,,,$207.62,$0.00,1,0,1,20180101, 87808,CPT,IAADIADOO TRICHOMONAS VAGINALIS,,30,,,$143.32,$0.00,1,0,1,20180101, 87809,CPT,INFECTIOUS AGENT IMMUNOASSAY OPTICAL ADENOVIRUS,,30,,,$222.07,$0.00,1,0,1,20180101, 87810,CPT,CHLAMYDIA TRACHOMATIS,,30,,,$234.02,$0.00,1,0,1,20180101, 87850,CPT,IAADIADOO NEISSERIA GONORRHOEAE,,30,,,$222.07,$0.00,1,0,1,20180101, 87880,CPT,IAADIADOO STREPTOCOCCUS GROUP A,,30,,,$146.69,$0.00,1,0,1,20180101, 87899,CPT,IAADIADOO NOT OTHERWISE SPECIFIED,,30,,,$119.31,$0.00,1,0,1,20180101, 87900,CPT,NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION,,30,,,"$1,114.99",$0.00,1,0,1,20180101, 87901,CPT,NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR&PROTEAS,,30,,,"$1,759.69",$0.00,1,0,1,20180101, 87902,CPT,NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS,,30,,,"$1,290.07",$0.00,1,0,1,20180101, 87903,CPT,NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS,,30,,,"$3,054.58",$0.00,1,0,1,20180101, 87904,CPT,NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG,,30,,,$265.20,$0.00,1,0,1,20180101, 87905,CPT,INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS,,30,,,$196.99,$0.00,1,0,1,20180101, 87906,CPT,NFCT GEXYP DNA/RNA HIV 1 OTHER REGION,,30,,,"$1,064.05",$0.00,1,0,1,20180101, 87910,CPT,NFCT AGT GENOTYPE NUCLEIC ACID CYTOMEGALOVIRUS,,30,,,"$1,854.63",$0.00,1,0,1,20180101, 87912,CPT,NFCT AGENT GENOTYPE HEPATITIS B VIRUS,,30,,,"$2,148.97",$0.00,1,0,1,20180101, 87999,CPT,UNLISTED MICROBIOLOGY,,30,,,$359.50,$0.00,1,0,1,20180101, 88005,CPT,NECROPSY GROSS EXAMINATION W/BRAIN,,30,,,"$1,680.75",$0.00,1,0,1,20180101, 88007,CPT,NECROPSY GROSS EXAMINATION W/BRAIN&SPINAL CORD,,30,,,"$1,790.21",$0.00,1,0,1,20180101, 88025,CPT,NECROPSY GROSS & MICROSCOPIC W/BRAIN,,30,,,"$1,895.45",$0.00,1,0,1,20180101, 88027,CPT,NECROPSY GROSS&MCRSCP BRAIN & SPINAL CORD,,30,,,"$1,997.54",$0.00,1,0,1,20180101, 88036,CPT,NECROPSY LIMITED GROSS&/MCRSCP REGIONAL,,30,,,"$1,635.50",$0.00,1,0,1,20180101, 88037,CPT,NECROPSY LIMITD GROSS&/MCRSCP SINGLE ORGAN,,30,,,"$1,443.95",$0.00,1,0,1,20180101, 88104,CPT,CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ,,30,,,$192.66,$0.00,1,0,1,20180101, 88106,CPT,CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ,,30,,,$113.56,$0.00,1,0,1,20180101, 88108,CPT,CYTP CONCENTRATION SMEARS & INTERPRETATION,,30,,,$192.66,$0.00,1,0,1,20180101, 88112,CPT,CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V,,30,,,$275.27,$0.00,1,0,1,20180101, 88120,CPT,CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL,,30,,,$442.48,$0.00,1,0,1,20180101, 88121,CPT,CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88125,CPT,CYTOPATHOLOGY FORENSIC,,30,,,$275.27,$0.00,1,0,1,20180101, 88130,CPT,SEX CHROMATIN IDENTIFICATION BARR BODIES,,30,,,$254.69,$0.00,1,0,1,20180101, 88140,CPT,SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR,,30,,,$129.06,$0.00,1,0,1,20180101, 88141,CPT,CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN,,30,,,$146.75,$0.00,1,0,1,20180101, 88142,CPT,CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN,,30,,,$180.01,$0.00,1,0,1,20180101, 88143,CPT,CYTP C/V FLU AUTO THIN MNL SCR&RESCR PHYS,,30,,,$305.29,$0.00,1,0,1,20180101, 88147,CPT,CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV,,30,,,$92.62,$0.00,1,0,1,20180101, 88148,CPT,CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS,,30,,,$256.80,$0.00,1,0,1,20180101, 88150,CPT,CYTP SLIDES C/V MNL SCR UNDER PHYS,,30,,,$71.48,$0.00,1,0,1,20180101, 88152,CPT,CYTP SLIDES C/V MNL SCR&CPTR RESCR PHYS,,30,,,$206.28,$0.00,1,0,1,20180101, 88153,CPT,CYTP SLIDES C/V MNL SCR&RESCR PHYS,,30,,,$206.28,$0.00,1,0,1,20180101, 88155,CPT,CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL,,30,,,$46.31,$0.00,1,0,1,20180101, 88160,CPT,CYTP SMRS ANY OTH SRC SCR&INTERPJ,,30,,,$113.56,$0.00,1,0,1,20180101, 88161,CPT,CYTP SMRS ANY OTH SRC PREPJ SCR&INTERPJ,,30,,,$192.66,$0.00,1,0,1,20180101, 88162,CPT,CYTP SMRS ANY OTH SRC EXTND STD > 5 SLIDES,,30,,,$275.27,$0.00,1,0,1,20180101, 88164,CPT,CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV,,30,,,$109.62,$0.00,1,0,1,20180101, 88165,CPT,CYTP SLIDES C/V MNL SCR&RESCR PHYS SUPV,,30,,,$220.68,$0.00,1,0,1,20180101, 88166,CPT,CYTP SLIDES C/V MNL SCR&CPTR RESCR PHYS SUPV,,30,,,$206.28,$0.00,1,0,1,20180101, 88167,CPT,CYTP SLIDES C/V MNL SCR&CPTR RESCR CELL S&I,,30,,,$206.28,$0.00,1,0,1,20180101, 88172,CPT,CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST,,30,,,$442.48,$0.00,1,0,1,20180101, 88173,CPT,CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT,,30,,,$275.27,$0.00,1,0,1,20180101, 88174,CPT,CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS,,30,,,$226.18,$0.00,1,0,1,20180101, 88175,CPT,CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS,,30,,,$218.82,$0.00,1,0,1,20180101, 88177,CPT,CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL,,30,,,$125.92,$0.00,1,0,1,20180101, 88182,CPT,FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS,,30,,,$275.27,$0.00,1,0,1,20180101, 88184,CPT,FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88185,CPT,FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA,,30,,,$163.34,$0.00,1,0,1,20180101, 88187,CPT,FLOW CYTOMETRY INTERPJ 2-8 MARKERS,,30,,,$217.67,$0.00,1,0,1,20180101, 88188,CPT,FLOW CYTOMETRY INTERPJ 9-15 MARKERS,,30,,,$329.00,$0.00,1,0,1,20180101, 88189,CPT,FLOW CYTOMETRY INTERPRETATION 16/> MARKERS,,30,,,$314.43,$0.00,1,0,1,20180101, 88199,CPT,UNLISTED CYTOPATHOLOGY PROCEDURE,,30,,,$275.27,$0.00,1,0,1,20180101, 88230,CPT,TISS CUL NON-NEO DISORDERS LYMPHOCYTE,,30,,,$986.19,$0.00,1,0,1,20180101, 88233,CPT,TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX,,30,,,"$1,097.46",$0.00,1,0,1,20180101, 88235,CPT,TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS,,30,,,"$1,193.47",$0.00,1,0,1,20180101, 88237,CPT,TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS,,30,,,$891.62,$0.00,1,0,1,20180101, 88239,CPT,TISS CUL NEO DISORDERS SOLID TUMOR,,30,,,"$1,397.69",$0.00,1,0,1,20180101, 88240,CPT,CRYOPRSRV FRZING&STORAGE CELLS EA CELL LINE,,30,,,$232.62,$0.00,1,0,1,20180101, 88241,CPT,THAWING&EXPANSION FROZEN CELLS EACH ALIQUOT,,30,,,$444.38,$0.00,1,0,1,20180101, 88245,CPT,CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL,,30,,,"$1,009.29",$0.00,1,0,1,20180101, 88248,CPT,CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL,,30,,,"$1,106.12",$0.00,1,0,1,20180101, 88249,CPT,CHRMSM BREAKAGE SYNDS SCORE 100 CLL,,30,,,"$1,106.12",$0.00,1,0,1,20180101, 88261,CPT,CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING,,30,,,"$2,073.15",$0.00,1,0,1,20180101, 88262,CPT,CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,,30,,,"$1,498.83",$0.00,1,0,1,20180101, 88263,CPT,CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE,,30,,,"$1,015.61",$0.00,1,0,1,20180101, 88264,CPT,CHRMSM ANALYZE 20-25 CELLS,,30,,,$985.30,$0.00,1,0,1,20180101, 88267,CPT,CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE,,30,,,"$1,779.68",$0.00,1,0,1,20180101, 88269,CPT,CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP,,30,,,"$1,456.58",$0.00,1,0,1,20180101, 88271,CPT,MOLECULAR CYTOGENETICS DNA PROBE EACH,,30,,,$310.82,$0.00,1,0,1,20180101, 88272,CPT,MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS,,30,,,$148.85,$0.00,1,0,1,20180101, 88273,CPT,MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL,,30,,,$637.86,$0.00,1,0,1,20180101, 88274,CPT,MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL,,30,,,$541.64,$0.00,1,0,1,20180101, 88275,CPT,MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL,,30,,,$456.32,$0.00,1,0,1,20180101, 88280,CPT,CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY,,30,,,$268.48,$0.00,1,0,1,20180101, 88283,CPT,CHRMSM ANALYSIS ADDL SPECIALIZED BANDING,,30,,,$561.12,$0.00,1,0,1,20180101, 88285,CPT,CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY,,30,,,$249.06,$0.00,1,0,1,20180101, 88289,CPT,CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY,,30,,,$607.29,$0.00,1,0,1,20180101, 88299,CPT,UNLISTED CYTOGENETIC STUDY,,30,,,$275.27,$0.00,1,0,1,20180101, 88300,CPT,LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY,,30,,,$113.56,$0.00,1,0,1,20180101, 88302,CPT,LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,,30,,,$192.66,$0.00,1,0,1,20180101, 88304,CPT,LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,,30,,,$275.27,$0.00,1,0,1,20180101, 88305,CPT,LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,,30,,,$275.27,$0.00,1,0,1,20180101, 88307,CPT,LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88309,CPT,LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,,30,,,"$1,459.19",$0.00,1,0,1,20180101, 88311,CPT,DECALCIFICATION PROCEDURE,,30,,,$134.70,$0.00,1,0,1,20180101, 88312,CPT,SPECIAL STAIN GROUP 1 MICROORGANISMS I&R,,30,,,$275.27,$0.00,1,0,1,20180101, 88313,CPT,SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT,,30,,,$192.66,$0.00,1,0,1,20180101, 88314,CPT,SPECIAL STAIN I&R HISTOCHEMICAL W/FROZEN TISSU,,30,,,$338.22,$0.00,1,0,1,20180101, 88319,CPT,SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS,,30,,,"$1,459.19",$0.00,1,0,1,20180101, 88321,CPT,CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE,,30,,,$192.66,$0.00,1,0,1,20180101, 88323,CPT,CONSLTJ&REPRT MATERIAL REQUIRING PREPJ SLIDES,,30,,,$275.27,$0.00,1,0,1,20180101, 88325,CPT,CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL,,30,,,$275.27,$0.00,1,0,1,20180101, 88329,CPT,PATHOLOGY CONSULTATION DURING SURGERY,,30,,,$192.66,$0.00,1,0,1,20180101, 88331,CPT,PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC,,30,,,$442.48,$0.00,1,0,1,20180101, 88332,CPT,PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION,,30,,,$204.37,$0.00,1,0,1,20180101, 88333,CPT,PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE,,30,,,"$1,459.19",$0.00,1,0,1,20180101, 88334,CPT,PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE,,30,,,$177.34,$0.00,1,0,1,20180101, 88341,CPT,IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE,,30,,,$347.52,$0.00,1,0,1,20180101, 88342,CPT,IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88344,CPT,IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88346,CPT,IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88348,CPT,ELECTRON MICROSCOPY DIAGNOSTIC,,30,,,"$1,459.19",$0.00,1,0,1,20180101, 88350,CPT,IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN,,30,,,$563.06,$0.00,1,0,1,20180101, 88355,CPT,MORPHOMETRIC ANALYSIS SKELETAL MUSCLE,,30,,,$442.48,$0.00,1,0,1,20180101, 88356,CPT,MORPHOMETRIC ANALYSIS NERVE,,30,,,$275.27,$0.00,1,0,1,20180101, 88358,CPT,MORPHOMETRIC ANALYSIS TUMOR,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88360,CPT,M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88361,CPT,M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88362,CPT,NERVE TEASING PREPARATIONS,,30,,,"$1,459.19",$0.00,1,0,1,20180101, 88363,CPT,EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSI,,30,,,$113.56,$0.00,1,0,1,20180101, 88364,CPT,IN SITU HYBRIDIZATION EA ADDL PROBE STAIN,,30,,,$517.10,$0.00,1,0,1,20180101, 88365,CPT,IN SITU HYBRIDIZATION 1ST PROBE STAIN,,30,,,$442.48,$0.00,1,0,1,20180101, 88366,CPT,IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88367,CPT,M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88368,CPT,M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 88369,CPT,M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH,,30,,,$670.00,$0.00,1,0,1,20180101, 88371,CPT,PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP&REPO,,30,,,$322.05,$0.00,1,0,1,20180101, 88372,CPT,PROTEIN ALYS WSTRN BLOT I&R IMMUNOLOGICAL EA,,30,,,$326.26,$0.00,1,0,1,20180101, 88373,CPT,M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH,,30,,,$476.77,$0.00,1,0,1,20180101, 88374,CPT,M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB,,30,,,$442.48,$0.00,1,0,1,20180101, 88375,CPT,OPTICAL ENDOMICROSCOPIC IMAGE INTERP & REPORT,,30,,,$151.61,$0.00,1,0,1,20180101, 88377,CPT,M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB,,30,,,$442.48,$0.00,1,0,1,20180101, 88380,CPT,MICRODISSECTION PREP IDENTIFIED TARGET LASER,,30,,,"$1,293.53",$0.00,1,0,1,20180101, 88381,CPT,MICRODISSECTION PREP IDENTIFIED TARGET MANUAL,,30,,,$651.47,$0.00,1,0,1,20180101, 88387,CPT,MACRO EXAM DISSECT&PREP TISS NONMICRO STD EA,,30,,,$147.95,$0.00,1,0,1,20180101, 88388,CPT,MACR EXM DISS&PRP NONMICR IMPRNT/CONSLT/FRZ SE,,30,,,$133.83,$0.00,1,0,1,20180101, 88399,CPT,UNLISTED SURGICAL PATHOLOGY PROCEDURE,,30,,,$275.27,$0.00,1,0,1,20180101, 88720,CPT,BILIRUBIN TOTAL TRANSCUTANEOUS,,30,,,$132.65,$0.00,1,0,1,20180101, 88738,CPT,HGB QUANTITATIVE TRANSCUTANEOUS,,30,,,$56.05,$0.00,1,0,1,20180101, 88740,CPT,HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN,,30,,,$101.93,$0.00,1,0,1,20180101, 88741,CPT,HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN,,30,,,$131.56,$0.00,1,0,1,20180101, 88749,CPT,UNLISTED IN VIVO LABORTORY SERVICE,,30,,,$30.21,$0.00,1,0,1,20180101, 89049,CPT,CAFFEINE HALOTHANE CONTRACTURE TEST,,30,,,$442.48,$0.00,1,0,1,20180101, 89050,CPT,CELL COUNT MISCELLANEOUS BODY FLUIDS,,30,,,$155.32,$0.00,1,0,1,20180101, 89051,CPT,CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT,,30,,,$202.54,$0.00,1,0,1,20180101, 89055,CPT,LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE,,30,,,$94.99,$0.00,1,0,1,20180101, 89060,CPT,CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID,,30,,,$137.71,$0.00,1,0,1,20180101, 89125,CPT,FAT STAIN FECES URINE/RESPIR SECRETIONS,,30,,,$126.46,$0.00,1,0,1,20180101, 89160,CPT,MEAT FIBERS FECES,,30,,,$70.98,$0.00,1,0,1,20180101, 89190,CPT,NASAL SMEAR EOSINOPHILS,,30,,,$97.48,$0.00,1,0,1,20180101, 89220,CPT,SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX,,30,,,$442.48,$0.00,1,0,1,20180101, 89230,CPT,SWEAT COLLECTION IONTOPHORESIS,,30,,,$275.27,$0.00,1,0,1,20180101, 89240,CPT,UNLIS MISC PATH,,30,,,$275.27,$0.00,1,0,1,20180101, 89250,CPT,CUL OOCYTE/EMBRYO <4 DAYS,,30,,,$442.48,$0.00,1,0,1,20180101, 89251,CPT,CUL OOCYTE/EMBRYO < 4 D CO-CULT OCYTE/EMBRY,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 89253,CPT,ASSTD EMBRYO HATCHING MICROTQS ANY METH,,30,,,$442.48,$0.00,1,0,1,20180101, 89254,CPT,OOCYTE ID FROM FOLLICULAR FLU,,30,,,$442.48,$0.00,1,0,1,20180101, 89255,CPT,PREPJ EMBRYO TR,,30,,,$275.27,$0.00,1,0,1,20180101, 89257,CPT,SPRM ID FROM ASPIR OTH/THN SEMINAL,,30,,,$275.27,$0.00,1,0,1,20180101, 89258,CPT,CRYOPRSRV EMBRYO,,30,,,"$1,459.19",$0.00,1,0,1,20180101, 89259,CPT,CRYOPRSRV SPRM,,30,,,$442.48,$0.00,1,0,1,20180101, 89260,CPT,SPRM ISOL SMPL PREP INSEMINATION/DX SEMEN ALYS,,30,,,$275.27,$0.00,1,0,1,20180101, 89261,CPT,SPRM ISOL CPLX PREP INSEMINATION/DX SEMEN ALYS,,30,,,$275.27,$0.00,1,0,1,20180101, 89264,CPT,SPRM ID FROM TSTIS TISS FRSH/CRYOPRSRVD,,30,,,$275.27,$0.00,1,0,1,20180101, 89268,CPT,INSEMINATION OOCYTES,,30,,,$442.48,$0.00,1,0,1,20180101, 89272,CPT,EXTND CUL OOCYTE/EMBRYO 4-7 DAYS,,30,,,"$1,459.19",$0.00,1,0,1,20180101, 89280,CPT,ASSTD FERTILIZATION MICROTQ 10 OOCYTES,,30,,,$442.48,$0.00,1,0,1,20180101, 89290,CPT,BX OOCYTE MICROTQ 5 EMBRY,,30,,,$442.48,$0.00,1,0,1,20180101, 89300,CPT,SEMEN ALYS PRESENCE&/MOTILITY SPRM HUHNER,,30,,,$186.28,$0.00,1,0,1,20180101, 89310,CPT,SEMEN ALYS MOTILITY&CNT X W/HUHNER TST,,30,,,$177.86,$0.00,1,0,1,20180101, 89320,CPT,SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT,,30,,,$303.10,$0.00,1,0,1,20180101, 89321,CPT,SEMEN ANALYSIS SPERM PRESENCE&/MOTILITY SPRM,,30,,,$196.81,$0.00,1,0,1,20180101, 89322,CPT,SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA,,30,,,$460.49,$0.00,1,0,1,20180101, 89325,CPT,SPERM ANTIBODIES,,30,,,$207.33,$0.00,1,0,1,20180101, 89329,CPT,SPERM EVALUATION HAMSTER PENETRATION TEST,,30,,,$553.84,$0.00,1,0,1,20180101, 89330,CPT,SPERM EVALUATION CERVICAL MUCOUS PENETRATION,,30,,,$197.86,$0.00,1,0,1,20180101, 89331,CPT,SPERM EVALUATION RETROGRADE EJACULATION URINE,,30,,,$297.84,$0.00,1,0,1,20180101, 89335,CPT,CRYOPRSRV REPRODUCTIVE TISSUE TESTICULAR,,30,,,$275.27,$0.00,1,0,1,20180101, 89337,CPT,CRYOPRESERVATION MATURE OOCYTE(S),,30,,,$442.48,$0.00,1,0,1,20180101, 89342,CPT,STORAGE PER YEAR EMBRYO,,30,,,$442.48,$0.00,1,0,1,20180101, 89343,CPT,STORAGE PER YEAR SPERM/SEMEN,,30,,,$442.48,$0.00,1,0,1,20180101, 89344,CPT,STORAGE PER YR REPRDTVE TISS TSTICULAR/OVARIAN,,30,,,$442.48,$0.00,1,0,1,20180101, 89346,CPT,STORAGE PER YEAR OOCYTE,,30,,,"$1,110.25",$0.00,1,0,1,20180101, 89352,CPT,THAWING CRYOPRESERVED EMBRYO,,30,,,$442.48,$0.00,1,0,1,20180101, 89353,CPT,THAWING CRYOPRESERVED SPERM/SEMEN EACH ALIQUOT,,30,,,$275.27,$0.00,1,0,1,20180101, 89354,CPT,THAWING CRYOPRESERVED TESTICULAR/OVARIAN,,30,,,$442.48,$0.00,1,0,1,20180101, 89356,CPT,THAWING CRYOPRESERVED OOCYTES EACH ALIQUOT,,30,,,$442.48,$0.00,1,0,1,20180101, 89398,CPT,UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE,,30,,,$275.27,$0.00,1,0,1,20180101, 90281,CPT,IMMUNE GLOBULIN IG HUMAN IM USE,,30,,,$101.61,$0.00,1,0,1,20180101, 90283,CPT,IMMUNE GLOBULIN IGIV HUMAN IV USE,,30,,,$187.60,$0.00,1,0,1,20180101, 90287,CPT,BOTULINUM ANTITOXIN EQUINE ANY ROUTE,,30,,,$101.49,$0.00,1,0,1,20180101, 90291,CPT,CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV,,30,,,$101.49,$0.00,1,0,1,20180101, 90371,CPT,HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM,,30,,,$723.32,$0.00,1,0,1,20180101, 90375,CPT,RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ,,30,,,"$1,892.22",$0.00,1,0,1,20180101, 90376,CPT,RABIES IG HEAT-TREATED HUMAN IM/SUBQ,,30,,,"$1,889.92",$0.00,1,0,1,20180101, 90378,CPT,RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E,,30,,,"$8,591.37",$0.00,1,0,1,20180101, 90384,CPT,RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM,,30,,,$381.26,$0.00,1,0,1,20180101, 90385,CPT,RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM,,30,,,$156.21,$0.00,1,0,1,20180101, 90386,CPT,RHO(D) IMMUNE GLOBULIN HUMAN IV,,30,,,$525.89,$0.00,1,0,1,20180101, 90389,CPT,TETANUS IMMUNE GLOBULIN TIG HUMAN IM,,30,,,$304.48,$0.00,1,0,1,20180101, 90393,CPT,VACCINIA IMMUNE GLOBULIN HUMAN IM,,30,,,$480.85,$0.00,1,0,1,20180101, 90396,CPT,VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM,,30,,,$930.49,$0.00,1,0,1,20180101, 90460,CPT,IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX,,30,,,$92.39,$0.00,1,0,1,20180101, 90461,CPT,IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT,,30,,,$30.89,$0.00,1,0,1,20180101, 90471,CPT,IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE,,30,,,$364.77,$0.00,1,0,1,20180101, 90472,CPT,IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE,,30,,,$63.38,$0.00,1,0,1,20180101, 90473,CPT,IM ADM INTRANSL/ORAL 1 VACCINE,,30,,,$364.77,$0.00,1,0,1,20180101, 90474,CPT,IM ADM INTRANSL/ORAL EA VACCINE,,30,,,$45.88,$0.00,1,0,1,20180101, 90476,CPT,ADENOVIRUS VACCINE TYPE 4 LIVE ORAL,,30,,,$101.36,$0.00,1,0,1,20180101, 90581,CPT,ANTHRAX VACCINE SUBCUTANEOUS/IM USE,,30,,,$605.43,$0.00,1,0,1,20180101, 90585,CPT,BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ,,30,,,"$1,276.14",$0.00,1,0,1,20180101, 90586,CPT,BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL,,30,,,$867.36,$0.00,1,0,1,20180101, 90620,CPT,MENB RECOMBINANT PROT W/OUT MEMBR VESIC VACC IM,,30,,,$850.78,$0.00,1,0,1,20180101, 90621,CPT,MENB RECOMBINANT LIPOPROTEIN VACCINE IM,,30,,,$880.11,$0.00,1,0,1,20180101, 90630,CPT,INFLUENZA VACC IIV4 SPLIT VIRUS PRSRV FREE ID,,30,,,$52.86,$0.00,1,0,1,20180101, 90632,CPT,HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE,,30,,,$210.64,$0.00,1,0,1,20180101, 90633,CPT,HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE,,30,,,$135.72,$0.00,1,0,1,20180101, 90634,CPT,HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE,,30,,,$204.75,$0.00,1,0,1,20180101, 90636,CPT,HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM,,30,,,$340.83,$0.00,1,0,1,20180101, 90644,CPT,HIB-MENCY VACC 4 DOSE SCHEDULE 2-18 MONTHS IM,,30,,,$262.12,$0.00,1,0,1,20180101, 90647,CPT,HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE,,30,,,$168.41,$0.00,1,0,1,20180101, 90648,CPT,HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE,,30,,,$165.72,$0.00,1,0,1,20180101, 90649,CPT,4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE,,30,,,$510.65,$0.00,1,0,1,20180101, 90650,CPT,2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE,,30,,,$663.68,$0.00,1,0,1,20180101, 90651,CPT,9VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE,,30,,,$393.47,$0.00,1,0,1,20180101, 90653,CPT,IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE,,30,,,$70.58,$0.00,1,0,1,20180101, 90654,CPT,INFLUENZA VACC IIV3 SPLIT VIRUS PRSRV FREE ID,,30,,,$53.51,$0.00,1,0,1,20180101, 90655,CPT,IIV3 VACC PRESRV FREE CHILD 6-35 MONTHS IM USE,,30,,,$45.55,$0.00,1,0,1,20180101, 90656,CPT,IIV3 VACC PRESERVATIVE FREE 3 YRS & OLDER IM USE,,30,,,$125.95,$0.00,1,0,1,20180101, 90657,CPT,IIV3 VACCINE TO CHILD 6-35 MONTHS FOR IM USE,,30,,,$36.92,$0.00,1,0,1,20180101, 90658,CPT,IIV3 VACCINE 3 YRS & OLDER FOR IM USE,,30,,,$37.47,$0.00,1,0,1,20180101, 90660,CPT,LAIV3 VACCINE LIVE FOR INTRANASAL USE,,30,,,$170.46,$0.00,1,0,1,20180101, 90661,CPT,CCIIV3 VACCINE PRESERVATIVE FREE FOR IM USE,,30,,,$75.89,$0.00,1,0,1,20180101, 90662,CPT,IIV VACCINE PRESERV FREE INCREASED AG COUNT IM,,30,,,$96.22,$0.00,1,0,1,20180101, 90664,CPT,LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE,,30,,,$160.63,$0.00,1,0,1,20180101, 90666,CPT,INFLUENZA VACCINE PANDEMIC SPLT PRSRV FREE IM,,30,,,$159.74,$0.00,1,0,1,20180101, 90667,CPT,IIV VACCINE PANDEMIC ADJUVANT FOR IM USE,,30,,,$101.41,$0.00,1,0,1,20180101, 90668,CPT,IIV VACCINE PANDEMIC FOR INTRAMUSCULAR USE,,30,,,$38.96,$0.00,1,0,1,20180101, 90670,CPT,PCV13 VACCINE FOR INTRAMUSCULAR USE,,30,,,$472.71,$0.00,1,0,1,20180101, 90672,CPT,LAIV4 VACCINE FOR INTRANASAL USE,,30,,,$60.63,$0.00,1,0,1,20180101, 90673,CPT,RIV3 VACCINE PRESERVATIVE FREE FOR IM USE,,30,,,$74.23,$0.00,1,0,1,20180101, 90674,CPT,CCIIV4 VAC NO PRSV 0.5 ML IM,,30,,,$238.29,$0.00,1,0,1,20180101, 90675,CPT,RABIES VACCINE INTRAMUSCULAR,,30,,,"$1,263.33",$0.00,1,0,1,20180101, 90676,CPT,RABIES VACCINE INTRADERMAL,,30,,,$909.25,$0.00,1,0,1,20180101, 90680,CPT,RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE,,30,,,$455.40,$0.00,1,0,1,20180101, 90681,CPT,RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE,,30,,,$555.13,$0.00,1,0,1,20180101, 90682,CPT,RIV4 VACC RECOMBINANT DNA IM,,30,,,$83.02,$0.00,1,0,1,20180101, 90685,CPT,IIV4 PRESRV FREE VACC CHILD 6-35 MO FOR IM USE,,30,,,$100.82,$0.00,1,0,1,20180101, 90686,CPT,IIV4 VACC PRESRV FREE 3 YRS & OLDER IM USE,,30,,,$95.21,$0.00,1,0,1,20180101, 90687,CPT,IIV4 VACCINE CHILD 6-35 MO FOR IM USE,,30,,,$57.34,$0.00,1,0,1,20180101, 90688,CPT,IIV4 VACCINE 3 YRS & OLDER FOR IM USE,,30,,,$67.32,$0.00,1,0,1,20180101, 90690,CPT,TYPHOID VACCINE LIVE ORAL,,30,,,$123.23,$0.00,1,0,1,20180101, 90691,CPT,TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM,,30,,,$219.14,$0.00,1,0,1,20180101, 90696,CPT,DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE,,30,,,$169.45,$0.00,1,0,1,20180101, 90697,CPT,DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR,,30,,,$258.95,$0.00,1,0,1,20180101, 90698,CPT,DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE,,30,,,$365.57,$0.00,1,0,1,20180101, 90700,CPT,DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM,,30,,,$244.03,$0.00,1,0,1,20180101, 90702,CPT,DT VACCINE YOUNGER THAN 7 YRS FOR IM USE,,30,,,$222.27,$0.00,1,0,1,20180101, 90707,CPT,MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ,,30,,,$273.11,$0.00,1,0,1,20180101, 90710,CPT,MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ,,30,,,$495.11,$0.00,1,0,1,20180101, 90713,CPT,POLIOVIRUS VACCINE INACTIVATED SUBQ/IM,,30,,,$204.47,$0.00,1,0,1,20180101, 90714,CPT,TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE,,30,,,$167.11,$0.00,1,0,1,20180101, 90715,CPT,TDAP VACCINE 7 YRS/> IM,,30,,,$257.82,$0.00,1,0,1,20180101, 90716,CPT,VAR VACCINE LIVE FOR SUBCUTANEOUS USE,,30,,,$363.94,$0.00,1,0,1,20180101, 90717,CPT,YELLOW FEVER VACCINE LIVE SUBQ,,30,,,$309.82,$0.00,1,0,1,20180101, 90723,CPT,DTAP-HEPB-IPV VACCINE INTRAMUSCULAR,,30,,,$278.81,$0.00,1,0,1,20180101, 90732,CPT,PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,,30,,,$342.46,$0.00,1,0,1,20180101, 90733,CPT,MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE,,30,,,$587.96,$0.00,1,0,1,20180101, 90734,CPT,MENACWY CONJUGATE VACCINE GROUPS ACYW-135 IM USE,,30,,,$501.78,$0.00,1,0,1,20180101, 90736,CPT,ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE,,30,,,$517.93,$0.00,1,0,1,20180101, 90738,CPT,JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM,,30,,,$800.48,$0.00,1,0,1,20180101, 90739,CPT,HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE,,30,,,$596.61,$0.00,1,0,1,20180101, 90740,CPT,HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM,,30,,,"$2,161.53",$0.00,1,0,1,20180101, 90743,CPT,HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM,,30,,,$277.45,$0.00,1,0,1,20180101, 90744,CPT,HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM,,30,,,$171.23,$0.00,1,0,1,20180101, 90746,CPT,HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE,,30,,,$242.06,$0.00,1,0,1,20180101, 90747,CPT,HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM,,30,,,"$1,954.82",$0.00,1,0,1,20180101, 90748,CPT,HIB-HEPB VACCINE FOR INTRAMUSCULAR USE,,30,,,$263.88,$0.00,1,0,1,20180101, 90749,CPT,UNLISTED VACCINE/TOXOID,,30,,,$425.65,$0.00,1,0,1,20180101, 90756,CPT,CCIIV4 VACC ABX FREE IM,,30,,,$131.48,$0.00,1,0,1,20180101, 90785,CPT,PSYCHOTHERAPY COMPLEX INTERACTIVE,,30,,,$202.16,$0.00,1,0,1,20180101, 90791,CPT,PSYCHIATRIC DIAGNOSTIC EVALUATION,,30,,,$330.45,$0.00,1,0,1,20180101, 90792,CPT,PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,,30,,,$330.45,$0.00,1,0,1,20180101, 90832,CPT,PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES,,30,,,$330.45,$0.00,1,0,1,20180101, 90833,CPT,PSYCHOTHERAPY PT&/FAMILY W/E&M SRVCS 30 MIN,,30,,,$170.36,$0.00,1,0,1,20180101, 90834,CPT,PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES,,30,,,$330.45,$0.00,1,0,1,20180101, 90836,CPT,PSYCHOTHERAPY PT&/FAMILY W/E&M SRVCS 45 MIN,,30,,,$296.61,$0.00,1,0,1,20180101, 90837,CPT,PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES,,30,,,$330.45,$0.00,1,0,1,20180101, 90838,CPT,PSYCHOTHERAPY PT&/FAMILY W/E&M SRVCS 60 MIN,,30,,,$358.01,$0.00,1,0,1,20180101, 90839,CPT,PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES,,30,,,$330.45,$0.00,1,0,1,20180101, 90840,CPT,PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES,,30,,,$313.88,$0.00,1,0,1,20180101, 90845,CPT,PSYCHOANALYSIS,,30,,,$330.45,$0.00,1,0,1,20180101, 90846,CPT,FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT,,30,,,$330.45,$0.00,1,0,1,20180101, 90847,CPT,FAMILY PSYCHOTHERAPY W/PATIENT PRESENT,,30,,,$330.45,$0.00,1,0,1,20180101, 90849,CPT,MULTIPLE FAMILY GROUP PSYCHOTHERAPY,,30,,,$330.45,$0.00,1,0,1,20180101, 90853,CPT,GROUP PSYCHOTHERAPY,,30,,,$298.71,$0.00,1,0,1,20180101, 90863,CPT,PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY,,30,,,$238.69,$0.00,1,0,1,20180101, 90865,CPT,NARCOSYNTHESIS PSYC DX&THER PURPOSES,,30,,,$330.45,$0.00,1,0,1,20180101, 90867,CPT,REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 90868,CPT,THERAP REPETITIVE TMS TX SUBSEQ DELIVERY & MNG,,30,,,$831.97,$0.00,1,0,1,20180101, 90869,CPT,REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV & MN,,30,,,$831.97,$0.00,1,0,1,20180101, 90870,CPT,ELECTROCONVULSIVE THERAPY,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 90875,CPT,INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,,30,,,$352.14,$0.00,1,0,1,20180101, 90876,CPT,INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,,30,,,$378.51,$0.00,1,0,1,20180101, 90880,CPT,HYPNOTHERAPY,,30,,,$298.71,$0.00,1,0,1,20180101, 90882,CPT,ENVIRONMENTAL IVNTJ MGMT PURPOSES PSYC PT,,30,,,$241.87,$0.00,1,0,1,20180101, 90885,CPT,PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES,,30,,,$587.78,$0.00,1,0,1,20180101, 90887,CPT,INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY,,30,,,$302.74,$0.00,1,0,1,20180101, 90889,CPT,PREP REPORT PT PSYCH STATUS AGENCY/PAYER,,30,,,$294.68,$0.00,1,0,1,20180101, 90899,CPT,UNLISTED PSYCHIATRIC SERVICE/PROCEDURE,,30,,,$173.33,$0.00,1,0,1,20180101, 90901,CPT,BIOFEEDBACK TRAINING ANY MODALITY,,30,,,$214.02,$0.00,1,0,1,20180101, 90911,CPT,BIOFDBK TRNG PERINL MUSC ANORECT/URO SPHX W/EMG,,30,,,$831.97,$0.00,1,0,1,20180101, 90935,CPT,HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION,,30,,,"$3,611.01",$0.00,1,0,1,20180101, 90937,CPT,HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX,,30,,,"$1,853.80",$0.00,1,0,1,20180101, 90940,CPT,HEMODIALYSIS ACCESS FLOW STUDY,,30,,,$83.58,$0.00,1,0,1,20180101, 90945,CPT,DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL,,30,,,"$2,201.37",$0.00,1,0,1,20180101, 90947,CPT,DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS,,30,,,"$1,187.12",$0.00,1,0,1,20180101, 90954,CPT,ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS,,30,,,$957.62,$0.00,1,0,1,20180101, 90955,CPT,ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS,,30,,,$545.18,$0.00,1,0,1,20180101, 90956,CPT,ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT,,30,,,$148.45,$0.00,1,0,1,20180101, 90960,CPT,ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS,,30,,,"$1,060.50",$0.00,1,0,1,20180101, 90961,CPT,ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS,,30,,,$847.17,$0.00,1,0,1,20180101, 90962,CPT,ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT,,30,,,"$5,070.70",$0.00,1,0,1,20180101, 90964,CPT,ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD,,30,,,"$1,430.94",$0.00,1,0,1,20180101, 90966,CPT,ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD,,30,,,$763.77,$0.00,1,0,1,20180101, 90968,CPT,ESRD RELATED SVC YR OLD,,30,,,$681.40,$0.00,1,0,1,20180101, 90989,CPT,DIALYSIS TRAINING PATIENT COMPLETED COURSE,,30,,,$988.50,$0.00,1,0,1,20180101, 90993,CPT,DIALYSIS TRAINING PATIENT PER TRAINING SESSION,,30,,,"$5,564.93",$0.00,1,0,1,20180101, 90997,CPT,HEMOPERFUSION,,30,,,$485.41,$0.00,1,0,1,20180101, 90999,CPT,UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT,,30,,,"$5,070.70",$0.00,1,0,1,20180101, 91010,CPT,ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 91013,CPT,ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION,,30,,,$885.48,$0.00,1,0,1,20180101, 91020,CPT,GASTRIC MOTILITY MANOMETRIC STUDIES,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 91022,CPT,DUODENAL MOTILITY MANOMETRIC STUDY,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 91030,CPT,ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 91034,CPT,GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 91035,CPT,GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 91037,CPT,GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 91038,CPT,ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 91040,CPT,ESOPHGL BALO DISTENSION DX STD W/PROVOCATION,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 91065,CPT,BREATH HYDROGEN/METHANE TEST,,30,,,$831.97,$0.00,1,0,1,20180101, 91110,CPT,GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 91111,CPT,GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I&R,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 91112,CPT,GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP,,30,,,"$4,410.61",$0.00,1,0,1,20180101, 91117,CPT,COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 91120,CPT,RECTAL SESATION TONE & COMPLIANCE TEST,,30,,,$831.97,$0.00,1,0,1,20180101, 91122,CPT,ANORECTAL MANOMETRY,,30,,,"$1,427.06",$0.00,1,0,1,20180101, 91132,CPT,ELECTROGASTROGRAPHY DX TRANSCUTANEOUS,,30,,,$831.97,$0.00,1,0,1,20180101, 91133,CPT,ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG,,30,,,$536.04,$0.00,1,0,1,20180101, 91200,CPT,LIVER ELASTOGRAPHY W/O IMAG W/I&R,,30,,,$831.97,$0.00,1,0,1,20180101, 91299,CPT,UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE,,30,,,$831.97,$0.00,1,0,1,20180101, 92002,CPT,OPHTH MEDICAL XM&EVAL INTERMEDIATE NEW PT,,30,,,$334.60,$0.00,1,0,1,20180101, 92004,CPT,OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST,,30,,,$334.60,$0.00,1,0,1,20180101, 92012,CPT,OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT,,30,,,$334.60,$0.00,1,0,1,20180101, 92014,CPT,OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>,,30,,,$334.60,$0.00,1,0,1,20180101, 92015,CPT,DETERMINATION REFRACTIVE STATE,,30,,,$70.48,$0.00,1,0,1,20180101, 92018,CPT,OPHTH XM&EVAL ANES W/WO MANJ GLOBE COMPL,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 92019,CPT,OPHTH XM&EVAL ANES W/WO MANJ GLOBE LMTD,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 92020,CPT,GONIOSCOPY SEPARATE PROCEDURE,,30,,,$536.04,$0.00,1,0,1,20180101, 92025,CPT,COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI,,30,,,$345.25,$0.00,1,0,1,20180101, 92060,CPT,SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX,,30,,,$345.25,$0.00,1,0,1,20180101, 92065,CPT,ORTHOPTIC &/PLEOPTIC TRAINING W/MEDICAL DIRECTJ,,30,,,$345.25,$0.00,1,0,1,20180101, 92071,CPT,FIT CONTACT LENS TX OCULAR SURFACE DISEASE,,30,,,$193.10,$0.00,1,0,1,20180101, 92072,CPT,FITTING CONTACT LENS FOR MNGT OF KERATOCONUS,,30,,,$324.27,$0.00,1,0,1,20180101, 92081,CPT,VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM,,30,,,$345.25,$0.00,1,0,1,20180101, 92082,CPT,VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM,,30,,,$345.25,$0.00,1,0,1,20180101, 92083,CPT,VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM,,30,,,$536.04,$0.00,1,0,1,20180101, 92100,CPT,SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES,,30,,,$237.63,$0.00,1,0,1,20180101, 92132,CPT,CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I&R UNI/BI,,30,,,$345.25,$0.00,1,0,1,20180101, 92133,CPT,COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE,,30,,,$345.25,$0.00,1,0,1,20180101, 92134,CPT,COMPUTERIZED OPHTHALMIC IMAGING RETINA,,30,,,$345.25,$0.00,1,0,1,20180101, 92136,CPT,OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL,,30,,,$536.04,$0.00,1,0,1,20180101, 92145,CPT,CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI,,30,,,$192.66,$0.00,1,0,1,20180101, 92225,CPT,OPHTHALMOSCPY EXTENDED RETINAL DRAWING I&R 1ST,,30,,,$345.25,$0.00,1,0,1,20180101, 92226,CPT,OPHTHALMOSCPY EXTENDED RETINAL DRAWING I&R SBS,,30,,,$536.04,$0.00,1,0,1,20180101, 92227,CPT,REMOTE IMG DX RETINL DIS W/ALYS & REPORT UNI/B,,30,,,$192.66,$0.00,1,0,1,20180101, 92228,CPT,REMOTE IMAGING MGT RETINAL DISEASE W/I&R UNI/B,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 92230,CPT,FLUORESCEIN ANGIOSCOPY INTERPRETATION & REPORT,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 92235,CPT,FLUORESCEIN ANGIOSCOPY INTERPRETATION & REPORT,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 92240,CPT,INDOCYANINE GREEN ANGIOGRAPHY W/INTERP & REPOR,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 92242,CPT,FLUORESCEIN ICG ANGIOGRAPHY,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 92250,CPT,FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT,,30,,,$536.04,$0.00,1,0,1,20180101, 92260,CPT,OPHTHALMODYNAMOMETRY,,30,,,$192.66,$0.00,1,0,1,20180101, 92265,CPT,NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I&R,,30,,,$345.25,$0.00,1,0,1,20180101, 92270,CPT,ELECTRO-OCULOGRAPY W/INTERPRETATION & REPORT,,30,,,$536.04,$0.00,1,0,1,20180101, 92275,CPT,ELECTRORETINOGRAPY W/INTERPRETATION & REPORT,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 92283,CPT,COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV,,30,,,$536.04,$0.00,1,0,1,20180101, 92284,CPT,DARK ADAPTATION XM W/INTERPRETATION & REPORT,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 92285,CPT,XTRNL OCULAR PHOTOG W/I&R DOCMT MEDICAL PROGRE,,30,,,$345.25,$0.00,1,0,1,20180101, 92286,CPT,ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY,,30,,,$536.04,$0.00,1,0,1,20180101, 92287,CPT,ANT SGM IMAGING W/FLUOROSCEIN ANGIO & I&R,,30,,,$536.04,$0.00,1,0,1,20180101, 92310,CPT,RX&FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK,,30,,,$142.97,$0.00,1,0,1,20180101, 92311,CPT,RX&FITG CONTACT CORNEAL LENS APHAKIA 1 EYE,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 92312,CPT,RX&FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES,,30,,,$536.04,$0.00,1,0,1,20180101, 92313,CPT,RX&FITG CORNEOSCLERAL LENS,,30,,,$536.04,$0.00,1,0,1,20180101, 92314,CPT,RX&FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA,,30,,,$213.55,$0.00,1,0,1,20180101, 92315,CPT,RX CONTACT CORNEAL LENS APHAKIA 1 EYE,,30,,,$536.04,$0.00,1,0,1,20180101, 92316,CPT,RX CONTACT CORNEAL LENS APHAKIA BOTH EYES,,30,,,$345.25,$0.00,1,0,1,20180101, 92317,CPT,RX CONTACT CORNEOSCLERAL LENS,,30,,,$192.66,$0.00,1,0,1,20180101, 92325,CPT,MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION,,30,,,$536.04,$0.00,1,0,1,20180101, 92326,CPT,REPLACEMENT CONTACT LENS,,30,,,$536.04,$0.00,1,0,1,20180101, 92340,CPT,FITTING SPECTACLES XCPT APHAKIA MONOFOCAL,,30,,,$77.44,$0.00,1,0,1,20180101, 92341,CPT,FITTING SPECTACLES XCPT APHAKIA BIFOCAL,,30,,,$87.23,$0.00,1,0,1,20180101, 92342,CPT,FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL,,30,,,$123.45,$0.00,1,0,1,20180101, 92352,CPT,FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL,,30,,,$345.25,$0.00,1,0,1,20180101, 92353,CPT,FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL,,30,,,$345.25,$0.00,1,0,1,20180101, 92354,CPT,FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT,,30,,,$192.66,$0.00,1,0,1,20180101, 92355,CPT,FITTING SPECTACLE MOUNTED LW VIS AID TLSCP,,30,,,$192.66,$0.00,1,0,1,20180101, 92358,CPT,PROSTHESIS SERVICE APHAKIA TEMPORARY,,30,,,$345.25,$0.00,1,0,1,20180101, 92370,CPT,RPR&REFITG SPECTACLES EXCEPT APHAKIA,,30,,,$107.60,$0.00,1,0,1,20180101, 92371,CPT,RPR&REFITG SPECTACLE PROSTHESIS APHAKIA,,30,,,$345.25,$0.00,1,0,1,20180101, 92499,CPT,UNLIVSTED OPHTHALMOLOGICAL SERVICE/PROCEDURE,,30,,,$113.56,$0.00,1,0,1,20180101, 92502,CPT,OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA,,30,,,"$2,059.26",$0.00,1,0,1,20180101, 92504,CPT,BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE,,30,,,$102.14,$0.00,1,0,1,20180101, 92511,CPT,NASOPHARYNGOSCOPY W/ENDOSCOPE SPX,,30,,,$631.66,$0.00,1,0,1,20180101, 92512,CPT,NASAL FUNCTION STUDIES,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 92516,CPT,FACIAL NERVE FUNCTION STUDIES,,30,,,$831.97,$0.00,1,0,1,20180101, 92520,CPT,LARYNGEAL FUNCTION STUDIES,,30,,,$536.04,$0.00,1,0,1,20180101, 92526,CPT,TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING,,30,,,$178.42,$0.00,1,0,1,20180101, 92531,CPT,SPONTANEOUS NYSTAGMUS W/GAZE,,30,,,$316.70,$0.00,1,0,1,20180101, 92532,CPT,POSITIONAL NYSTAGMUS TEST,,30,,,$149.92,$0.00,1,0,1,20180101, 92533,CPT,CALORIC VESTIBULAR TEST EACH IRRIGATION,,30,,,$97.23,$0.00,1,0,1,20180101, 92534,CPT,OPTOKINETIC NYSTAGMUS TEST,,30,,,$338.77,$0.00,1,0,1,20180101, 92537,CPT,CALORIC VESTIBULAR TEST W/REC BI BITHERMAL,,30,,,$831.97,$0.00,1,0,1,20180101, 92538,CPT,CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL,,30,,,$831.97,$0.00,1,0,1,20180101, 92540,CPT,VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRK,,30,,,$831.97,$0.00,1,0,1,20180101, 92541,CPT,SPONTANEOUS NYSTAGMUS TEST,,30,,,$536.04,$0.00,1,0,1,20180101, 92542,CPT,POSITIONAL NYSTAGMUS TEST,,30,,,$536.04,$0.00,1,0,1,20180101, 92544,CPT,OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC,,30,,,$831.97,$0.00,1,0,1,20180101, 92545,CPT,OSCILLATING TRACKING TEST W/RECORDING,,30,,,$831.97,$0.00,1,0,1,20180101, 92546,CPT,SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING,,30,,,$831.97,$0.00,1,0,1,20180101, 92547,CPT,USE VERTICAL ELECTRODES,,30,,,$323.02,$0.00,1,0,1,20180101, 92548,CPT,COMPUTERIZED DYNAMIC POSTUROGRAPY,,30,,,$536.04,$0.00,1,0,1,20180101, 92550,CPT,TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS,,30,,,$831.97,$0.00,1,0,0,20180101, 92551,CPT,SCREENING TEST PURE TONE AIR ONLY,,30,,,$68.13,$0.00,1,0,0,20180101, 92552,CPT,PURE TONE AUDIOMETRY AIR ONLY,,30,,,$536.04,$0.00,1,0,0,20180101, 92553,CPT,PURE TONE AUDIOMETRY AIR & BONE,,30,,,$831.97,$0.00,1,0,0,20180101, 92555,CPT,SPEECH AUDIOMETRY THRESHOLD,,30,,,$192.66,$0.00,1,0,0,20180101, 92556,CPT,SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ,,30,,,$192.66,$0.00,1,0,0,20180101, 92557,CPT,COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ,,30,,,$831.97,$0.00,1,0,0,20180101, 92558,CPT,EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS,,30,,,$338.02,$0.00,1,0,0,20180101, 92559,CPT,AUDIOMETRIC TESTING GROUPS,,30,,,$97.08,$0.00,1,0,0,20180101, 92560,CPT,BEKESY AUDIOMETRY SCREENING,,30,,,$58.25,$0.00,1,0,0,20180101, 92561,CPT,BEKESY AUDIOMETRY DIAGNOSTIC,,30,,,$536.04,$0.00,1,0,0,20180101, 92562,CPT,LOUDNESS BALANCE BINAURAL/MONAURAL,,30,,,$831.97,$0.00,1,0,0,20180101, 92563,CPT,TONE DECAY TEST,,30,,,$192.66,$0.00,1,0,0,20180101, 92564,CPT,SHORT INCREMENT SENSITIVITY INDEX,,30,,,$113.56,$0.00,1,0,0,20180101, 92565,CPT,STENGER TEST PURE TONE,,30,,,$192.66,$0.00,1,0,0,20180101, 92567,CPT,TYMPANOMETRY,,30,,,$192.66,$0.00,1,0,0,20180101, 92568,CPT,ACOUSTIC REFLEX THRESHOLD,,30,,,$192.66,$0.00,1,0,0,20180101, 92570,CPT,ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY,,30,,,$831.97,$0.00,1,0,0,20180101, 92571,CPT,FILTERED SPEECH TEST,,30,,,$192.66,$0.00,1,0,0,20180101, 92572,CPT,STAGGERED SPONDAIC WORD,,30,,,$831.97,$0.00,1,0,0,20180101, 92575,CPT,SENSORINEURAL ACUITY LEVEL,,30,,,$192.66,$0.00,1,0,0,20180101, 92576,CPT,SYNTHETIC SENTENCE IDENTIFICATION TEST,,30,,,$192.66,$0.00,1,0,0,20180101, 92577,CPT,STENGER TEST SPEECH,,30,,,"$2,387.06",$0.00,1,0,0,20180101, 92579,CPT,VISUAL REINFORCEMENT AUDIOMETRY,,30,,,$831.97,$0.00,1,0,0,20180101, 92582,CPT,CONDITIONING PLAY AUDIOMETRY,,30,,,$831.97,$0.00,1,0,0,20180101, 92583,CPT,SELECT PICTURE AUDIOMETRY,,30,,,$192.66,$0.00,1,0,0,20180101, 92584,CPT,ELECTROCOCHLEOGRAPHY,,30,,,$831.97,$0.00,1,0,0,20180101, 92585,CPT,AUDITORY EVOKED POTENTIALS COMPREHENSIVE,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 92586,CPT,AUDITORY EVOKED POTENTIALS LIMITED,,30,,,$831.97,$0.00,1,0,0,20180101, 92587,CPT,DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 92588,CPT,DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 92590,CPT,HEARING AID EXAMINATION & SELECTION MONAURAL,,30,,,$235.91,$0.00,1,0,0,20180101, 92591,CPT,HEARING AID EXAMINATION & SELECTION BINAURAL,,30,,,$373.28,$0.00,1,0,0,20180101, 92592,CPT,HEARING AID CHECK MONAURAL,,30,,,$140.09,$0.00,1,0,0,20180101, 92593,CPT,HEARING AID CHECK BINAURAL,,30,,,$180.71,$0.00,1,0,0,20180101, 92594,CPT,ELECTROACOUS EVAL HEARING AID MONAURAL,,30,,,$96.53,$0.00,1,0,0,20180101, 92595,CPT,ELECTROACOUS EVAL HEARING AID BINAURAL,,30,,,$177.39,$0.00,1,0,0,20180101, 92596,CPT,EAR PROTECTOR ATTENUATION MEASUREMENTS,,30,,,$192.66,$0.00,1,0,0,20180101, 92601,CPT,ANALYSIS COCHLEAR IMPLT PT <7 YR PRGRMG,,30,,,$831.97,$0.00,1,0,0,20180101, 92602,CPT,ANALYSIS COCHLEAR IMPLT PT <7 YR SBSQ REPRGRMG,,30,,,$831.97,$0.00,1,0,0,20180101, 92603,CPT,ANALYSIS COCHLEAR IMPLT 7 YR/> PRGRMG,,30,,,$831.97,$0.00,1,0,0,20180101, 92604,CPT,ANALYSIS COCHLEAR IMPLT 7 YR/> SBSQ REPRGRMG,,30,,,$831.97,$0.00,1,0,0,20180101, 92613,CPT,FLX FIBOPT NDSC EVAL SWLNG C/V REC PHYS I&R,,30,,,$226.95,$0.00,1,0,1,20180101, 92615,CPT,FLX FIBOPT NDSC EVAL LARYN SENS PHYS I&R,,30,,,$199.46,$0.00,1,0,1,20180101, 92617,CPT,FLX FIBOPT NDSC EVAL SWLNG&LARYN SENS PHYS I&R,,30,,,$243.59,$0.00,1,0,1,20180101, 92620,CPT,EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN,,30,,,$831.97,$0.00,1,0,1,20180101, 92621,CPT,EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN,,30,,,$118.96,$0.00,1,0,1,20180101, 92625,CPT,ASSESSMENT TINNITUS,,30,,,$831.97,$0.00,1,0,1,20180101, 92626,CPT,EVALUATION AUDITORY REHAB STATUS 1ST HR,,30,,,$831.97,$0.00,1,0,1,20180101, 92627,CPT,EVALUATION AUDITORY REHAB STATUS EA 15 MIN,,30,,,$135.67,$0.00,1,0,1,20180101, 92630,CPT,AUDITORY REHABILITATION PRELINGUAL HEARING LOSS,,30,,,$473.34,$0.00,1,0,1,20180101, 92633,CPT,AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS,,30,,,$295.61,$0.00,1,0,1,20180101, 92640,CPT,ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR,,30,,,$831.97,$0.00,1,0,1,20180101, 92700,CPT,UNLISTED OTORHINOLARYNGOLOGICAL SERVICE,,30,,,$113.56,$0.00,1,0,1,20180101, 92920,CPT,PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 92921,CPT,PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH,,30,,,"$11,472.43",$0.00,1,0,1,20180101, 92924,CPT,PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 92925,CPT,PRQ TRLUML CORONARY ANGIO/ATHEREC ADDL ART/BRNCH,,30,,,"$24,112.30",$0.00,1,0,1,20180101, 92928,CPT,PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 92929,CPT,PRQ TRLUML CORONARY STENT W/ANGIO ADDL ART/BRNCH,,30,,,"$21,011.94",$0.00,1,0,1,20180101, 92933,CPT,PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH,,30,,,"$31,145.92",$0.00,1,0,1,20180101, 92934,CPT,PRQ TRLUML CORONARY STENT/ATH/ANGIO ADDL BRANCH,,30,,,"$22,289.84",$0.00,1,0,1,20180101, 92937,CPT,PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 92938,CPT,PRQ TRLUML CORONARY BYP GRFT REVASC ADDL VESSEL,,30,,,"$20,543.19",$0.00,1,0,1,20180101, 92941,CPT,PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL,,30,,,"$23,203.04",$0.00,1,0,1,20180101, 92943,CPT,PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 92944,CPT,PRQ TRLUML CORONRY CHRNIC OCCLUS REVASC ADDL VSL,,30,,,"$18,962.62",$0.00,1,0,1,20180101, 92950,CPT,CARDIOPULMONARY RESUSCITATION,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 92953,CPT,TEMPORARY TRANSCUTANEOUS PACING,,30,,,"$3,137.65",$0.00,1,0,1,20180101, 92960,CPT,CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL,,30,,,"$3,137.65",$0.00,1,0,1,20180101, 92961,CPT,CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,,30,,,"$3,137.65",$0.00,1,0,1,20180101, 92973,CPT,PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY,,30,,,"$10,083.58",$0.00,1,0,1,20180101, 92974,CPT,TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX,,30,,,"$11,091.04",$0.00,1,0,1,20180101, 92977,CPT,THROMBOLYSIS CORONARY INTRAVENOUS INFUSION,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 92978,CPT,INTRAVASC US CORONARY INTERP&RPT INITIAL VESSE,,30,,,"$6,324.14",$0.00,1,0,1,20180101, 92979,CPT,INTRAVASC US CORONARY INTERP&RPT ADDL VESSEL,,30,,,"$4,380.24",$0.00,1,0,1,20180101, 92986,CPT,PRQ BALLOON VALVULOPLASTY AORTIC VALVE,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 92987,CPT,PRQ BALLOON VALVULOPLASTY MITRAL VALVE,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 92990,CPT,PRQ BALLOON VALVULOPLASTY PULMONARY VALVE,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 92997,CPT,PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 92998,CPT,PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL,,30,,,"$15,278.81",$0.00,1,0,1,20180101, 93005,CPT,ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R,,30,,,$345.25,$0.00,1,0,1,20180101, 93017,CPT,CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 93024,CPT,ERGONOVINE PROVOCATION TST,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 93025,CPT,MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS,,30,,,$831.97,$0.00,1,0,1,20180101, 93041,CPT,RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I&R,,30,,,$345.25,$0.00,1,0,1,20180101, 93050,CPT,ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE,,30,,,$192.66,$0.00,1,0,1,20180101, 93225,CPT,XTRNL ECG & 48 HR RECORDING,,30,,,$536.04,$0.00,1,0,1,20180101, 93226,CPT,EXTERNAL ECG SCANNING ANALYSIS REPORT,,30,,,$536.04,$0.00,1,0,1,20180101, 93228,CPT,XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS,,30,,,$375.42,$0.00,1,0,1,20180101, 93229,CPT,XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT,,30,,,$831.97,$0.00,1,0,1,20180101, 93260,CPT,PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM,,30,,,$238.36,$0.00,1,0,1,20180101, 93261,CPT,INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB,,30,,,$238.36,$0.00,1,0,1,20180101, 93270,CPT,XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS,,30,,,$238.36,$0.00,1,0,1,20180101, 93271,CPT,XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS,,30,,,$721.81,$0.00,1,0,1,20180101, 93278,CPT,SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG,,30,,,$345.25,$0.00,1,0,1,20180101, 93279,CPT,PROGRAM EVAL IMPLANTABLE IN PRSN 1 LD PACEMAKER,,30,,,$238.36,$0.00,1,0,1,20180101, 93280,CPT,PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER,,30,,,$238.36,$0.00,1,0,1,20180101, 93281,CPT,PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER,,30,,,$238.36,$0.00,1,0,1,20180101, 93282,CPT,PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB,,30,,,$238.36,$0.00,1,0,1,20180101, 93283,CPT,PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB,,30,,,$238.36,$0.00,1,0,1,20180101, 93284,CPT,PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB,,30,,,$238.36,$0.00,1,0,1,20180101, 93285,CPT,PROGRAM EVAL IMPLANTABLE DEV IN PRSN ILR SYSTEM,,30,,,$238.36,$0.00,1,0,1,20180101, 93286,CPT,PERI-PX EVAL&PROGRAM IN PRSN PACEMAKER SYSTEM,,30,,,$300.66,$0.00,1,0,1,20180101, 93287,CPT,PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB,,30,,,$307.43,$0.00,1,0,1,20180101, 93288,CPT,INTERROGATION EVAL IN PERSON 1/DUAL/MLT LEAD PM,,30,,,$238.36,$0.00,1,0,1,20180101, 93289,CPT,INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB,,30,,,$238.36,$0.00,1,0,1,20180101, 93290,CPT,INTERROGATION EVAL F2F IMPLANTABLE CV MNTR SYS,,30,,,$238.36,$0.00,1,0,1,20180101, 93291,CPT,INTERROGATION EVALUATION IN PERSON ILR SYSTEM,,30,,,$113.56,$0.00,1,0,1,20180101, 93292,CPT,INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR,,30,,,$238.36,$0.00,1,0,1,20180101, 93293,CPT,TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL,,30,,,$238.36,$0.00,1,0,1,20180101, 93296,CPT,INTERROGATION REMOTE HR REC ONL,,30,,,$536.04,$0.00,1,0,1,20180101, 93788,CPT,AMBL BLD PRESS W/TAPE/DISK 24/>HR ALYS W/REPRT,,30,,,$536.04,$0.00,1,0,1,20180101, 93790,CPT,AMBL BLD PRESS TAPE&/DISK 24/> HR REVIEW,,30,,,$77.78,$0.00,1,0,1,20180101, 93792,CPT,PT/CAREGIVER TRAINJ HOME INR,,30,,,$299.18,$0.00,1,0,1,20180101, 93793,CPT,ANTICOAG MGMT PT WARFARIN,,30,,,$217.96,$0.00,1,0,1,20180101, 93797,CPT,OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR,,30,,,$350.74,$0.00,1,0,1,20180101, 93798,CPT,OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING,,30,,,$350.74,$0.00,1,0,1,20180101, 93799,CPT,UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE,,30,,,$831.97,$0.00,1,0,1,20180101, 93880,CPT,DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY,,30,,,$766.79,$0.00,1,0,1,20180101, 93882,CPT,DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY,,30,,,$766.79,$0.00,1,0,1,20180101, 93886,CPT,TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL,,30,,,$766.79,$0.00,1,0,1,20180101, 93888,CPT,TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD,,30,,,$766.79,$0.00,1,0,1,20180101, 93890,CPT,TRANSCRANIAL DOPPLER INTRACRAN ART VASOREAC STDY,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 93892,CPT,TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT,,30,,,$766.79,$0.00,1,0,1,20180101, 93893,CPT,TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ,,30,,,$766.79,$0.00,1,0,1,20180101, 93895,CPT,CAROTID INTIMA MEDIA & CAROTID ATHEROMA EVAL BI,,30,,,$302.78,$0.00,1,0,1,20180101, 93922,CPT,NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL,,30,,,$536.04,$0.00,1,0,1,20180101, 93923,CPT,NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS,,30,,,$831.97,$0.00,1,0,1,20180101, 93924,CPT,N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI,,30,,,$831.97,$0.00,1,0,1,20180101, 93925,CPT,DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 93926,CPT,DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY,,30,,,$766.79,$0.00,1,0,1,20180101, 93930,CPT,DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY,,30,,,$766.79,$0.00,1,0,1,20180101, 93931,CPT,DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY,,30,,,$766.79,$0.00,1,0,1,20180101, 93970,CPT,DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 93971,CPT,DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY,,30,,,$766.79,$0.00,1,0,1,20180101, 93975,CPT,DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM,,30,,,"$1,569.57",$0.00,1,0,1,20180101, 93976,CPT,DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT,,30,,,$766.79,$0.00,1,0,1,20180101, 93978,CPT,DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE,,30,,,$766.79,$0.00,1,0,1,20180101, 93979,CPT,DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD,,30,,,$766.79,$0.00,1,0,1,20180101, 93980,CPT,DUP-SCAN ARTL INFL&VEN O/F PEN VSL COMPL,,30,,,$766.79,$0.00,1,0,1,20180101, 93981,CPT,DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD,,30,,,$766.79,$0.00,1,0,1,20180101, 93990,CPT,DUPLEX SCAN HEMODIALYSIS ACCESS,,30,,,$766.79,$0.00,1,0,1,20180101, 93998,CPT,UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY,,30,,,$113.56,$0.00,1,0,1,20180101, 94002,CPT,VENTILATION ASSIST & MGMT INPATIENT 1ST DAY,,30,,,"$2,758.48",$0.00,1,0,1,20180101, 94003,CPT,VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DA,,30,,,"$2,758.48",$0.00,1,0,1,20180101, 94004,CPT,VENTILATION ASSIST & MGMT NURSING FAC PR DAY,,30,,,$198.53,$0.00,1,0,1,20180101, 94005,CPT,HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN/>,,30,,,$509.23,$0.00,1,0,1,20180101, 94010,CPT,SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ,,30,,,$831.97,$0.00,1,0,1,20180101, 94011,CPT,MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT&/2 Y,,30,,,$831.97,$0.00,1,0,1,20180101, 94012,CPT,MEAS SPIRO FRCD EXP FLO PRE&POST BRONCH INF/2YRS,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 94013,CPT,MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 94014,CPT,PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R&I,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 94015,CPT,PATIENT-INITIATED SPIROMETRIC RECORDING,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 94060,CPT,BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 94070,CPT,BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 94150,CPT,VITAL CAPACITY TOTAL SEPARATE PROCEDURE,,30,,,$831.97,$0.00,1,0,1,20180101, 94200,CPT,MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ,,30,,,$536.04,$0.00,1,0,1,20180101, 94250,CPT,EXPIRED GAS COLLECTION QUANT 1 PROCEDURE SPX,,30,,,$345.25,$0.00,1,0,1,20180101, 94375,CPT,RESPIRATORY FLOW VOLUME LOOP,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 94400,CPT,BREATHING RESPONSE TO CO2,,30,,,$831.97,$0.00,1,0,1,20180101, 94450,CPT,BREATHING RESPONSE TO HYPOXIA,,30,,,$831.97,$0.00,1,0,1,20180101, 94452,CPT,HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP&REPORT,,30,,,$536.04,$0.00,1,0,1,20180101, 94453,CPT,HIGH ALTITUDE SIMULATJ W/PHYS I&R W/O2 TITRATION,,30,,,$536.04,$0.00,1,0,1,20180101, 94610,CPT,INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP,,30,,,$387.29,$0.00,1,0,1,20180101, 94617,CPT,EXERCISE TST BRNCSPSM,,30,,,$536.04,$0.00,1,0,1,20180101, 94618,CPT,PULMONARY STRESS TESTING,,30,,,$536.04,$0.00,1,0,1,20180101, 94621,CPT,PULMONARY STRESS TESTING COMPLEX,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 94640,CPT,PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT,,30,,,$387.29,$0.00,1,0,0,20180101, 94642,CPT,PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH,,30,,,$387.29,$0.00,1,0,0,20180101, 94644,CPT,CONTINUOUS INHALATION TREATMENT 1ST HR,,30,,,$536.04,$0.00,1,0,0,20180101, 94645,CPT,CONTINUOUS INHALATION TREATMENT EA ADDL HR,,30,,,$354.07,$0.00,1,0,0,20180101, 94660,CPT,CPAP VENTILATION CPAP INITIATION&MGMT,,30,,,$387.29,$0.00,1,0,1,20180101, 94662,CPT,CONTINUOUS NEGATIVE PRESSURE VENTJ INITIAT&MGM,,30,,,"$2,758.48",$0.00,1,0,1,20180101, 94664,CPT,DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP,,30,,,$387.29,$0.00,1,0,0,20180101, 94667,CPT,MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL,,30,,,$536.04,$0.00,1,0,0,20180101, 94668,CPT,MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ,,30,,,$536.04,$0.00,1,0,0,20180101, 94669,CPT,MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION,,30,,,$387.29,$0.00,1,0,0,20180101, 94680,CPT,O2 UPTK EXP GAS ANALYSIS REST&XERS DIRECT SIMP,,30,,,$831.97,$0.00,1,0,1,20180101, 94681,CPT,O2 UPTK EXP GAS ALYS W/CO2 OUTPUT % O2 XTRC,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 94690,CPT,O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX,,30,,,$192.66,$0.00,1,0,1,20180101, 94726,CPT,PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 94727,CPT,GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&V,,30,,,$831.97,$0.00,1,0,1,20180101, 94728,CPT,AIRWAY RESISTANCE BY IMPULSE OSCILLOMETRY,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 94729,CPT,CO DIFFUSING CAPACITY,,30,,,$536.03,$0.00,1,0,1,20180101, 94750,CPT,PULMONARY COMPLIANCE STUDY,,30,,,$831.97,$0.00,1,0,1,20180101, 94760,CPT,NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER,,30,,,$138.72,$0.00,1,0,1,20180101, 94761,CPT,NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER,,30,,,$266.28,$0.00,1,0,1,20180101, 94762,CPT,NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR,,30,,,$831.97,$0.00,1,0,1,20180101, 94770,CPT,CARBON DIOXIDE EXP GAS DETER INFRARED ANALYZER,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 94772,CPT,CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 94775,CPT,PEDIATRIC APNEA MONITOR ATTACHMENT,,30,,,$831.97,$0.00,1,0,1,20180101, 94776,CPT,PEDIATRIC APNEA MONITOR ANALYSES COMPUTER,,30,,,$831.97,$0.00,1,0,1,20180101, 94780,CPT,CAR SEAT/BED TESTING W/INTERP & REPORT 60 MIN,,30,,,$192.66,$0.00,1,0,1,20180101, 94781,CPT,CAR SEAT/BED TESTNG W/INTERP & REPORT ADDL 30MIN,,30,,,$287.71,$0.00,1,0,1,20180101, 94799,CPT,UNLISTED PULMONARY SERVICE/PROCEDURE,,30,,,$831.97,$0.00,1,0,1,20180101, 95004,CPT,PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS,,30,,,$70.83,$0.00,1,0,1,20180101, 95012,CPT,NITRIC OXIDE EXPIRED GAS DETERMINATION,,30,,,$192.66,$0.00,1,0,1,20180101, 95017,CPT,ALLG TSTG PERQ & IC VENOMS IMMED REACT W/I&R,,30,,,$192.66,$0.00,1,0,1,20180101, 95018,CPT,ALLG TEST PERQ & IC DRUG/BIOL IMMED REACT W/I&R,,30,,,$192.66,$0.00,1,0,1,20180101, 95024,CPT,INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS,,30,,,$345.25,$0.00,1,0,1,20180101, 95027,CPT,INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE,,30,,,$113.56,$0.00,1,0,1,20180101, 95028,CPT,IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING,,30,,,$192.66,$0.00,1,0,1,20180101, 95044,CPT,PATCH/APPLICATION TEST SPECIFY NUMBER TESTS,,30,,,$77.71,$0.00,1,0,1,20180101, 95052,CPT,PHOTO PATCH TEST SPECIFY NUMBER TSTS,,30,,,$192.66,$0.00,1,0,1,20180101, 95056,CPT,PHOTO TESTS,,30,,,$536.04,$0.00,1,0,1,20180101, 95060,CPT,OPHTHALMIC MUCOUS MEMBRANE TESTS,,30,,,$536.04,$0.00,1,0,1,20180101, 95065,CPT,DIRECT NASAL MUCOUS MEMBRANE TEST,,30,,,$192.66,$0.00,1,0,1,20180101, 95070,CPT,INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95071,CPT,INHLJ BRNCL CHALLENGE TSTG W/AGS/GASES,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95076,CPT,INGESTION CHALLENGE TEST INITIAL 120 MINUTES,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95079,CPT,INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES,,30,,,$423.49,$0.00,1,0,1,20180101, 95115,CPT,PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX,,30,,,$232.07,$0.00,1,0,1,20180101, 95117,CPT,PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS,,30,,,$232.07,$0.00,1,0,1,20180101, 95120,CPT,PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX,,30,,,$179.16,$0.00,1,0,1,20180101, 95125,CPT,PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2/> NJX,,30,,,$103.23,$0.00,1,0,1,20180101, 95130,CPT,PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT,,30,,,$37.17,$0.00,1,0,1,20180101, 95131,CPT,PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT,,30,,,$77.52,$0.00,1,0,1,20180101, 95132,CPT,PROF SVCS ALLG IMMNTX W/PRV XTRC 3 STING INSECT,,30,,,$99.01,$0.00,1,0,1,20180101, 95133,CPT,PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT,,30,,,$112.53,$0.00,1,0,1,20180101, 95144,CPT,PREPJ& ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO,,30,,,$232.07,$0.00,1,0,1,20180101, 95145,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT,,30,,,$232.07,$0.00,1,0,1,20180101, 95146,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT,,30,,,$232.07,$0.00,1,0,1,20180101, 95147,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT,,30,,,$364.77,$0.00,1,0,1,20180101, 95148,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT,,30,,,$364.77,$0.00,1,0,1,20180101, 95149,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT,,30,,,$364.77,$0.00,1,0,1,20180101, 95165,CPT,PREPJ& ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN,,30,,,$232.07,$0.00,1,0,1,20180101, 95170,CPT,PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE,,30,,,$232.07,$0.00,1,0,1,20180101, 95180,CPT,RAPID DESENSITIZATION PROCEDURE EACH HOUR,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 95199,CPT,UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SRVC/PX,,30,,,$113.56,$0.00,1,0,1,20180101, 95249,CPT,CONT GLUC MNTR PT PROV EQP,,30,,,$345.25,$0.00,1,0,1,20180101, 95250,CPT,GLUC MNTR CONT REC FROM INTERSTITIAL TISS FLUID,,30,,,$334.60,$0.00,1,0,1,20180101, 95251,CPT,GLUC MNTR CONT REC FROM NTRSTL TISS FLU I&R,,30,,,$133.86,$0.00,1,0,1,20180101, 95782,CPT,POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95783,CPT,POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95800,CPT,SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME,,30,,,$831.97,$0.00,1,0,1,20180101, 95801,CPT,SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL,,30,,,$536.04,$0.00,1,0,1,20180101, 95803,CPT,ACTIGRAPHY TESTING RECORDING ANALYSIS I&R,,30,,,$345.25,$0.00,1,0,1,20180101, 95805,CPT,MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95806,CPT,SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,,30,,,$831.97,$0.00,1,0,1,20180101, 95807,CPT,SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95808,CPT,POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95810,CPT,POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95811,CPT,POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95812,CPT,ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95813,CPT,ELECTROENCEPHALOGRAM EXTND MNTR >1 HR,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95816,CPT,ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95819,CPT,ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95822,CPT,ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95824,CPT,ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95827,CPT,ELECTROENCEPHALOGRAM ALL NIGHT RECORDING,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95829,CPT,ELECTROCORTICOGRAM SURGERY SPX,,30,,,"$8,007.01",$0.00,1,0,1,20180101, 95830,CPT,INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP,,30,,,$498.64,$0.00,1,0,1,20180101, 95831,CPT,MUSC TSTG MNL W/REPRT XTR EX HAND/TRNK,,30,,,$137.49,$0.00,1,0,1,20180101, 95832,CPT,MUSC TSTG MNL W/REPRT HAND W/WO CMPRSN NRML SIDE,,30,,,$194.09,$0.00,1,0,1,20180101, 95833,CPT,MUSC TSTG MNL W/REPRT TOTAL EVAL BODY EX HANDS,,30,,,$202.58,$0.00,1,0,1,20180101, 95834,CPT,MUSC TSTG MNL W/REPRT TOTAL EVAL BODY W/HANDS,,30,,,$315.08,$0.00,1,0,1,20180101, 95851,CPT,ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPI,,30,,,$110.24,$0.00,1,0,1,20180101, 95852,CPT,ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID,,30,,,$82.82,$0.00,1,0,1,20180101, 95857,CPT,CHOLINESTERASE INHIBITOR CHALLENGE TEST,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95860,CPT,NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS,,30,,,$536.04,$0.00,1,0,1,20180101, 95861,CPT,NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS,,30,,,$536.04,$0.00,1,0,1,20180101, 95863,CPT,NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS,,30,,,$831.97,$0.00,1,0,1,20180101, 95864,CPT,NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS,,30,,,$831.97,$0.00,1,0,1,20180101, 95865,CPT,NEEDLE ELECTROMYOGRAPHY LARYNX,,30,,,$536.04,$0.00,1,0,1,20180101, 95866,CPT,NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM,,30,,,$831.97,$0.00,1,0,1,20180101, 95867,CPT,NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI,,30,,,$831.97,$0.00,1,0,1,20180101, 95868,CPT,NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI,,30,,,$831.97,$0.00,1,0,1,20180101, 95869,CPT,NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12,,30,,,$831.97,$0.00,1,0,1,20180101, 95870,CPT,NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI,,30,,,$345.25,$0.00,1,0,1,20180101, 95872,CPT,NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER,,30,,,$831.97,$0.00,1,0,1,20180101, 95873,CPT,ELECTRICAL STIMULATION GUID W/CHEMODENERVATION,,30,,,$311.93,$0.00,1,0,1,20180101, 95874,CPT,NEEDLE EMG GUID W/CHEMODENERVATION,,30,,,$312.05,$0.00,1,0,1,20180101, 95875,CPT,ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB,,30,,,$831.97,$0.00,1,0,1,20180101, 95885,CPT,NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED,,30,,,$470.53,$0.00,1,0,1,20180101, 95886,CPT,NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE,,30,,,$525.13,$0.00,1,0,1,20180101, 95887,CPT,NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION,,30,,,$400.23,$0.00,1,0,1,20180101, 95905,CPT,MOTOR &/SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB,,30,,,$536.04,$0.00,1,0,1,20180101, 95907,CPT,NERVE CONDUCTION STUDIES 1-2 STUDIES,,30,,,$831.97,$0.00,1,0,1,20180101, 95908,CPT,NERVE CONDUCTION STUDIES 3-4 STUDIES,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95909,CPT,NERVE CONDUCTION STUDIES 5-6 STUDIES,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95910,CPT,NERVE CONDUCTION STUDIES 7-8 STUDIES,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95911,CPT,NERVE CONDUCTION STUDIES 9-10 STUDIES,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95912,CPT,NERVE CONDUCTION STUDIES 11-12 STUDIES,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95913,CPT,NERVE CONDUCTION STUDIES 13/> STUDIES,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95921,CPT,TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP,,30,,,$831.97,$0.00,1,0,1,20180101, 95922,CPT,TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ,,30,,,$536.04,$0.00,1,0,1,20180101, 95923,CPT,TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION,,30,,,$536.04,$0.00,1,0,1,20180101, 95924,CPT,TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT,,30,,,$831.97,$0.00,1,0,1,20180101, 95925,CPT,SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95926,CPT,SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 95927,CPT,SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD,,30,,,$831.97,$0.00,1,0,1,20180101, 95928,CPT,CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95929,CPT,CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95930,CPT,VISUAL EP TSTG CNS CHECKERBOARD/FLASH,,30,,,$831.97,$0.00,1,0,1,20180101, 95933,CPT,ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST,,30,,,$536.04,$0.00,1,0,1,20180101, 95937,CPT,NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH,,30,,,$831.97,$0.00,1,0,1,20180101, 95938,CPT,SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95939,CPT,CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LI,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95940,CPT,IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES,,30,,,$380.17,$0.00,1,0,1,20180101, 95941,CPT,IONM REMOTE/NEARBY/>1 PATIENT IN OR PER HOUR,,30,,,"$1,534.96",$0.00,1,0,1,20180101, 95943,CPT,PARASYMP & SYMP NRV FUNCJ HRT RATE VARIABILITY,,30,,,$831.97,$0.00,1,0,1,20180101, 95950,CPT,MONITOR ID& LATERALIZATION SEIZURE FOCUS EEG,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95951,CPT,LOCALIZE CEREBRAL SEIZURE CABLE/RADIO EEG/VIDEO,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95953,CPT,LOCALIZE CEREBRAL SEIZURE CPTR PORTABLE EEG,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95954,CPT,RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95955,CPT,EEG NONINTRACRANIAL SURGERY,,30,,,"$2,111.14",$0.00,1,0,1,20180101, 95956,CPT,MNTR SEIZURE CMPTR 16CHAN EEG ATND EA 24 HR,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 95957,CPT,DIGITAL ANALYSIS ELECTROENCEPHALOGRAM,,30,,,$956.52,$0.00,1,0,1,20180101, 95958,CPT,WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95961,CPT,FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95962,CPT,FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR,,30,,,$941.55,$0.00,1,0,1,20180101, 95965,CPT,MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95966,CPT,MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 95967,CPT,MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL,,30,,,"$4,260.23",$0.00,1,0,1,20180101, 95970,CPT,ELEC ALYS NSTIM PLS GEN BRN/SC/PERPH W/O REPRGRM,,30,,,$536.04,$0.00,1,0,1,20180101, 95971,CPT,ELEC ALYS NSTIM PLS GEN SMPL SC/PERPH W/PRGRMG,,30,,,$721.81,$0.00,1,0,1,20180101, 95972,CPT,ELEC ALYS NSTIM PLS GEN CPLX SC/PERPH W/PRGRMG,,30,,,$721.81,$0.00,1,0,1,20180101, 95974,CPT,ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV 1ST HR,,30,,,$721.81,$0.00,1,0,1,20180101, 95975,CPT,ELEC ALYS NSTIM PLS GEN CPLX CRNL NRV EA 30 MIN,,30,,,$804.01,$0.00,1,0,1,20180101, 95978,CPT,ELEC ALYS NSTIM PLS GEN CPLX DP BRN 1ST HR,,30,,,$721.81,$0.00,1,0,1,20180101, 95979,CPT,ELEC ALYS NSTIM PLS GEN CPLX DP BRN EA 30 MIN,,30,,,$626.61,$0.00,1,0,1,20180101, 95980,CPT,ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG,,30,,,"$1,639.13",$0.00,1,0,1,20180101, 95981,CPT,ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG,,30,,,$536.04,$0.00,1,0,1,20180101, 95982,CPT,ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG,,30,,,$238.36,$0.00,1,0,1,20180101, 95990,CPT,REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 95991,CPT,RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP,,30,,,"$1,089.33",$0.00,1,0,1,20180101, 95992,CPT,CANALITH REPOSITIONING PROCEDURE,,30,,,$183.45,$0.00,1,0,1,20180101, 95999,CPT,UNLIS NEUROLOGICAL/NEUROMUSCULAR DX PX,,30,,,$831.97,$0.00,1,0,1,20180101, 96000,CPT,COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS,,30,,,"$2,387.06",$0.00,1,0,1,20180101, 96001,CPT,COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 96002,CPT,DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC,,30,,,$831.97,$0.00,1,0,1,20180101, 96003,CPT,DYN FINE WIRE EMG WALKG/FUNCJAL ACTV 1 MUSC,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 96020,CPT,TEST SELECT & ADMN FUNCTL BRAIN MAP PHYS/QHP,,30,,,"$2,072.54",$0.00,1,0,1,20180101, 96040,CPT,MEDICAL GENETICS COUNSELING EACH 30 MINUTES,,30,,,$274.93,$0.00,1,0,1,20180101, 96101,CPT,PSYCHOLOGICAL TESTING PR HR WITH PATIENT,,30,,,$831.97,$0.00,1,0,1,20180101, 96102,CPT,PSYCHOLOGICAL TESTING ADMN BY TECH PR HR,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 96103,CPT,PSYCHOLOGICAL TESTING COMPUTER W/PROF I&R,,30,,,$536.04,$0.00,1,0,1,20180101, 96105,CPT,ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR,,30,,,$554.50,$0.00,1,0,1,20180101, 96110,CPT,DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM,,30,,,$126.68,$0.00,1,0,1,20180101, 96111,CPT,DEVELOPMENTAL TESTING W/INTERP & REPORT,,30,,,$831.97,$0.00,1,0,1,20180101, 96116,CPT,NUBHVL STATUS XM PR HR W/PT INTERPJ&PREPJ,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 96118,CPT,NUROPSYC TESTING PR HR W/PT & INTERPJ TIME,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 96119,CPT,NEUROPSYC TSTG W/PROF I&R ADMN BY TECH PR HR,,30,,,"$1,550.63",$0.00,1,0,1,20180101, 96120,CPT,NEUROPSYCHOLOG TESTING COMPUTER W/PROF I&R,,30,,,$831.97,$0.00,1,0,1,20180101, 96127,CPT,BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT,,30,,,$192.66,$0.00,1,0,1,20180101, 96150,CPT,HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT 1ST ASSMT,,30,,,$298.71,$0.00,1,0,1,20180101, 96151,CPT,HLTH&BEHAVIOR ASSMT EA 15 MIN W/PT RE-ASSMT,,30,,,$298.71,$0.00,1,0,1,20180101, 96152,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV,,30,,,$298.71,$0.00,1,0,1,20180101, 96153,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN GRP 2/>PTS,,30,,,$173.33,$0.00,1,0,1,20180101, 96154,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN FAM W/PT,,30,,,$298.71,$0.00,1,0,1,20180101, 96155,CPT,HLTH&BEHAVIOR IVNTJ EA 15 MIN FAM W/O PT,,30,,,$142.97,$0.00,1,0,1,20180101, 96160,CPT,PT-FOCUSED HLTH RISK ASSMT,,30,,,$173.33,$0.00,1,0,1,20180101, 96161,CPT,CAREGIVER HEALTH RISK ASSMT,,30,,,$173.33,$0.00,1,0,1,20180101, 96360,CPT,IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR,,30,,,$830.16,$0.00,1,0,0,20180101, 96361,CPT,IV INFUSION HYDRATION EACH ADDITIONAL HOUR,,30,,,$232.07,$0.00,1,0,0,20180101, 96365,CPT,IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR,,30,,,$830.16,$0.00,1,0,0,20180101, 96366,CPT,IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR,,30,,,$232.07,$0.00,1,0,0,20180101, 96367,CPT,IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR,,30,,,$364.77,$0.00,1,0,0,20180101, 96368,CPT,IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS,,30,,,$302.21,$0.00,1,0,0,20180101, 96369,CPT,SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP,,30,,,$830.16,$0.00,1,0,0,20180101, 96370,CPT,SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR,,30,,,$232.07,$0.00,1,0,0,20180101, 96371,CPT,SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE,,30,,,$364.77,$0.00,1,0,0,20180101, 96372,CPT,THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM,,30,,,$364.77,$0.00,1,0,0,20180101, 96373,CPT,THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL,,30,,,$830.16,$0.00,1,0,0,20180101, 96374,CPT,THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,,30,,,$830.16,$0.00,1,0,0,20180101, 96375,CPT,THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG,,30,,,$232.07,$0.00,1,0,0,20180101, 96376,CPT,THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC,,30,,,$265.66,$0.00,1,0,0,20180101, 96377,CPT,APPLICATON ON-BODY INJECTOR,,30,,,$232.07,$0.00,1,0,1,20180101, 96379,CPT,UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,,30,,,$232.07,$0.00,1,0,1,20180101, 96401,CPT,CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO,,30,,,$364.77,$0.00,1,0,1,20180101, 96402,CPT,CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO,,30,,,$364.77,$0.00,1,0,1,20180101, 96405,CPT,CHEMOTHERAPY ADMINISTRATION INTRALESIONAL 7,,30,,,$830.16,$0.00,1,0,1,20180101, 96409,CPT,CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG,,30,,,$830.16,$0.00,1,0,1,20180101, 96411,CPT,CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG,,30,,,$364.77,$0.00,1,0,1,20180101, 96413,CPT,CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 96415,CPT,CHEMOTHERAPY ADMN IV INFUSION TQ EA HR,,30,,,$364.77,$0.00,1,0,1,20180101, 96416,CPT,CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 96417,CPT,CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR,,30,,,$364.77,$0.00,1,0,1,20180101, 96420,CPT,CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 96422,CPT,CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS 8 HR PRTBLE IMPLTBL PMP,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 96440,CPT,CHEMOTX ADMN PLEURAL CAVITY REQ&W/THORACNTS,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 96446,CPT,CHEMOTX ADMN PRTL CAVITY PORT/CATH,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 96450,CPT,CHEMOTX ADMN CNS REQ SPINAL PUNCTURE,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 96521,CPT,REFILLING & MAINTENANCE PORTABLE PUMP,,30,,,$830.16,$0.00,1,1,1,20180101, 96522,CPT,REFILL&MAINTENANCE PUMP DRUG DLVR SYSTEMIC,,30,,,$830.16,$0.00,1,1,1,20180101, 96523,CPT,IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,,30,,,$345.25,$0.00,1,1,1,20180101, 96542,CPT,CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT,,30,,,$830.16,$0.00,1,0,1,20180101, 96549,CPT,UNLISTED CHEMOTHERAPY PROCEDURE,,30,,,$232.07,$0.00,1,0,1,20180101, 96567,CPT,PDT XTRNL APPL LIGHT DSTR LES SKN BY ACTIVJ RX,,30,,,$622.76,$0.00,1,0,1,20180101, 96570,CPT,PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN,,30,,,"$1,369.73",$0.00,1,0,1,20180101, 96571,CPT,PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN,,30,,,$576.31,$0.00,1,0,1,20180101, 96573,CPT,PDT DSTR PRMLG LES PHYS/QHP,,30,,,$622.76,$0.00,1,0,1,20180101, 96574,CPT,DBRDMT PRMLG LES W/PDT,,30,,,$622.76,$0.00,1,0,1,20180101, 96900,CPT,ACTINOTHERAPY ULTRAVIOLET LIGHT,,30,,,$192.66,$0.00,1,0,1,20180101, 96904,CPT,WHOLE BODY INTEGUMENTARY PHOTOGRAPHY,,30,,,$395.28,$0.00,1,0,1,20180101, 96910,CPT,PHOTOCHEMOTX TAR&UVB/PETROLATUM/UVB,,30,,,$345.25,$0.00,1,0,1,20180101, 96912,CPT,PHOTOCHEMOTX PSORALENS&ULTRAVIOLET PUVA,,30,,,$345.25,$0.00,1,0,1,20180101, 96913,CPT,PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 96920,CPT,LASER SKIN DISEASE PSORIASIS TOT AREA <250 SQ CM,,30,,,$622.76,$0.00,1,0,1,20180101, 96921,CPT,LASER SKIN DISEASE PSORIASIS 250-500 SQ CM,,30,,,$622.76,$0.00,1,0,1,20180101, 96922,CPT,LASER SKIN DISEASE PSORIASIS >500 SQ CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 96932,CPT,RCM CELULR & SUBCELULR SKN IMGNG IMG ACQUISITION,,30,,,$113.56,$0.00,1,0,1,20180101, 96999,CPT,UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PROCED,,30,,,$622.76,$0.00,1,0,1,20180101, 97014,CPT,APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED,,30,,,$107.93,$0.00,1,0,0,20180101, 97127,CPT,THER IVNTJ W/FOCUS COG FUNCJ,,30,,,$71.90,$0.00,1,0,0,20180101, 97161,CPT,PT EVAL LOW COMPLEX 20 MIN,,30,,,$781.06,$0.00,1,0,0,20180101, 97162,CPT,PT EVAL MOD COMPLEX 30 MIN,,30,,,$781.06,$0.00,1,0,0,20180101, 97163,CPT,PT EVAL HIGH COMPLEX 45 MIN,,30,,,$781.06,$0.00,1,0,0,20180101, 97164,CPT,PT RE-EVAL EST PLAN CARE,,30,,,$544.54,$0.00,1,0,0,20180101, 97165,CPT,OT EVAL LOW COMPLEX 30 MIN,,30,,,$759.00,$0.00,1,0,0,20180101, 97166,CPT,OT EVAL MOD COMPLEX 45 MIN,,30,,,$759.00,$0.00,1,0,0,20180101, 97167,CPT,OT EVAL HIGH COMPLEX 60 MIN,,30,,,$759.00,$0.00,1,0,0,20180101, 97168,CPT,OT RE-EVAL EST PLAN CARE,,30,,,$515.41,$0.00,1,0,0,20180101, 97169,CPT,ATHLETIC TRN EVAL LOW CMPLX,,30,,,$61.75,$0.00,1,0,0,20180101, 97170,CPT,ATHLETIC TRN EVAL MOD CMPLX,,30,,,$104.33,$0.00,1,0,0,20180101, 97171,CPT,ATHLETIC TRN EVAL HIGH CMPLX,,30,,,$130.69,$0.00,1,0,0,20180101, 97172,CPT,ATHLETIC TRN RE-EVAL PLAN CR,,30,,,$132.42,$0.00,1,0,0,20180101, 97597,CPT,DEBRIDEMENT OPEN WOUND 20 SQ CM/<,,30,,,$622.76,$0.00,1,0,1,20180101, 97598,CPT,DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM,,30,,,$383.65,$0.00,1,0,1,20180101, 97602,CPT,RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS,,30,,,$622.76,$0.00,1,0,1,20180101, 97605,CPT,NEGATIVE PRESSURE WOUND THERAPY DME 50 SQ CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 97607,CPT,NEG PRESSURE WOUND THERAPY NON DME 50 SQ CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 97610,CPT,LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY,,30,,,$622.76,$0.00,1,0,0,20180101, 97810,CPT,ACUPUNCTURE 1/> NDLES W/O ELEC STIMJ INIT 15 MIN,,30,,,$95.01,$0.00,1,0,1,20180101, 97811,CPT,ACUPUNCTURE 1/> NDLS W/O ELEC STIMJ EA 15 MIN,,30,,,$77.61,$0.00,1,0,1,20180101, 97813,CPT,ACUPUNCTURE 1/> NDLS W/ELEC STIMJ 1ST 15 MIN,,30,,,$90.67,$0.00,1,0,1,20180101, 97814,CPT,ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ,,30,,,$100.36,$0.00,1,0,1,20180101, 98925,CPT,OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS,,30,,,$81.66,$0.00,1,0,1,20180101, 98926,CPT,OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS,,30,,,$81.66,$0.00,1,0,1,20180101, 98927,CPT,OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS,,30,,,$81.66,$0.00,1,0,1,20180101, 98928,CPT,OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS,,30,,,$81.66,$0.00,1,0,1,20180101, 98929,CPT,OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS,,30,,,$81.66,$0.00,1,0,1,20180101, 98940,CPT,CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS,,30,,,$81.66,$0.00,1,0,1,20180101, 98941,CPT,CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS,,30,,,$81.66,$0.00,1,0,1,20180101, 98942,CPT,CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS,,30,,,$81.66,$0.00,1,0,1,20180101, 98943,CPT,CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION,,30,,,$76.78,$0.00,1,0,1,20180101, 98960,CPT,EDUCATION&TRAINING SELF-MGMT NONPHYS 1 PT,,30,,,$181.56,$0.00,1,0,1,20180101, 98961,CPT,EDUCATION&TRAINING SELF-MGMT NONPHYS 2-4 PTS,,30,,,$85.41,$0.00,1,0,1,20180101, 98962,CPT,EDUCATION&TRAINING SELF-MGMT NONPHYS 5-8 PTS,,30,,,$53.81,$0.00,1,0,1,20180101, 98969,CPT,NONPHYSICIAN ONLINE ASSESSMENT AND MANAGEMENT,,30,,,$82.96,$0.00,1,0,1,20180101, 99000,CPT,HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB,,30,,,$48.27,$0.00,1,0,1,20180101, 99001,CPT,HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB,,30,,,$55.45,$0.00,1,0,1,20180101, 99002,CPT,HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP,,30,,,$130.48,$0.00,1,0,1,20180101, 99024,CPT,POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX,,30,,,$343.35,$0.00,1,0,1,20180101, 99026,CPT,HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR,,30,,,$72.31,$0.00,1,0,1,20180101, 99050,CPT,SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS,,30,,,$107.85,$0.00,1,0,1,20180101, 99051,CPT,SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS,,30,,,$90.44,$0.00,1,0,1,20180101, 99053,CPT,SERVICES PROVIDED BTW 10 PM&8 AM AT 24-HR FACI,,30,,,$94.57,$0.00,1,0,1,20180101, 99056,CPT,SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT,,30,,,$20.41,$0.00,1,0,1,20180101, 99058,CPT,SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS,,30,,,$71.26,$0.00,1,0,1,20180101, 99060,CPT,SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC,,30,,,"$1,769.62",$0.00,1,0,1,20180101, 99070,CPT,SUPPLIES&MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP,,30,,,$204.20,$0.00,1,0,0,20180101, 99071,CPT,EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST,,30,,,$40.60,$0.00,1,0,0,20180101, 99075,CPT,MEDICAL TESTIMONY,,30,,,$363.61,$0.00,1,0,1,20180101, 99078,CPT,PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING,,30,,,$203.16,$0.00,1,0,1,20180101, 99080,CPT,SPEC REPORTS > USUAL MED COMUNICAJ/STAND RPRTG,,30,,,$21.59,$0.00,1,0,1,20180101, 99082,CPT,UNUSUAL TRAVEL,,30,,,$312.42,$0.00,1,0,1,20180101, 99090,CPT,ANALYSIS CLINICAL DATA STORED IN COMPUTERS,,30,,,$271.68,$0.00,1,0,1,20180101, 99091,CPT,COLLJ&INTERPJ PHYS/QHP PHYSIO COMPUTR DATA 30 MI,,30,,,$291.90,$0.00,1,0,1,20180101, 99100,CPT,ANESTHESIA EXTREME AGE PATIENT UNDER 1 YR/<,,30,,,$224.14,$0.00,1,0,1,20180101, 99116,CPT,ANES COMPLICJ UTILIZATION TOTAL BODY HYPOTHERMIA,,30,,,$486.29,$0.00,1,0,1,20180101, 99140,CPT,ANES COMPLICJ EMERGENCY CONDITIONS SPECIFY,,30,,,$352.32,$0.00,1,0,1,20180101, 99151,CPT,MOD SED SAME PHYS/QHP <5 YRS,,30,,,$503.94,$0.00,1,0,1,20180101, 99152,CPT,MOD SED SAME PHYS/QHP 5/>YRS,,30,,,$328.31,$0.00,1,0,1,20180101, 99153,CPT,MOD SED SAME PHYS/QHP EA,,30,,,$121.79,$0.00,1,0,1,20180101, 99155,CPT,MOD SED OTH PHYS/QHP <5 YRS,,30,,,$892.26,$0.00,1,0,1,20180101, 99156,CPT,MOD SED OTH PHYS/QHP 5/>YRS,,30,,,$739.58,$0.00,1,0,1,20180101, 99157,CPT,MOD SED OTHER PHYS/QHP EA,,30,,,$571.01,$0.00,1,0,1,20180101, 99170,CPT,ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG,,30,,,$842.30,$0.00,1,0,1,20180101, 99172,CPT,VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM,,30,,,$274.47,$0.00,1,0,1,20180101, 99173,CPT,SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT,,30,,,$36.62,$0.00,1,0,1,20180101, 99174,CPT,INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT,,30,,,$91.86,$0.00,1,0,1,20180101, 99175,CPT,IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED,,30,,,$109.44,$0.00,1,0,1,20180101, 99183,CPT,PHYS/QHP ATTN&SUPVJ HYPRBARIC OXYGEN TX/SESSION,,30,,,"$1,567.59",$0.00,1,0,1,20180101, 99195,CPT,PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE,,30,,,$536.04,$0.00,1,0,1,20180101, 99199,CPT,UNLISTED SPECIAL SERVICE PROCEDURE/REPORT,,30,,,$337.38,$0.00,1,0,1,20180101, 99201,CPT,OFFICE OUTPATIENT NEW 10 MINUTES,,30,,,$255.07,$0.00,1,0,1,20180101, 99202,CPT,OFFICE OUTPATIENT NEW 20 MINUTES,,30,,,$327.17,$0.00,1,0,1,20180101, 99203,CPT,OFFICE OUTPATIENT NEW 30 MINUTES,,30,,,$426.38,$0.00,1,0,1,20180101, 99204,CPT,OFFICE OUTPATIENT NEW 45 MINUTES,,30,,,$560.75,$0.00,1,0,1,20180101, 99205,CPT,OFFICE OUTPATIENT NEW 60 MINUTES,,30,,,$762.36,$0.00,1,0,1,20180101, 99211,CPT,OFFICE OUTPATIENT VISIT 5 MINUTES,,30,,,$255.07,$0.00,1,0,1,20180101, 99212,CPT,OFFICE OUTPATIENT VISIT 10 MINUTES,,30,,,$327.17,$0.00,1,0,1,20180101, 99213,CPT,OFFICE OUTPATIENT VISIT 15 MINUTES,,30,,,$327.17,$0.00,1,0,1,20180101, 99214,CPT,OFFICE OUTPATIENT VISIT 25 MINUTES,,30,,,$426.38,$0.00,1,0,1,20180101, 99215,CPT,OFFICE OUTPATIENT VISIT 40 MINUTES,,30,,,$560.75,$0.00,1,0,1,20180101, 99217,CPT,OBSERVATION CARE DISCHARGE MANAGEMENT,,30,,,$134.00,$0.00,1,1,1,20180101, 99218,CPT,INITIAL OBSERVATION CARE/DAY 30 MINUTES,,30,,,$134.00,$409.48,2,1,1,20180101, 99219,CPT,INITIAL OBSERVATION CARE/DAY 50 MINUTES,,30,,,$134.00,$409.48,2,1,1,20180101, 99220,CPT,INITIAL OBSERVATION CARE/DAY 70 MINUTES,,30,,,$134.00,$409.48,2,1,1,20180101, 99224,CPT,SBSQ OBSERVATION CARE/DAY 15 MINUTES,,30,,,$134.00,$0.00,1,1,1,20180101, 99225,CPT,SBSQ OBSERVATION CARE/DAY 25 MINUTES,,30,,,$134.00,$0.00,1,1,1,20180101, 99226,CPT,SBSQ OBSERVATION CARE/DAY 35 MINUTES,,30,,,$134.00,$0.00,1,1,1,20180101, 99231,CPT,SBSQ HOSPITAL CARE/DAY 15 MINUTES,,30,,,$128.77,$0.00,1,0,1,20180101, 99232,CPT,SBSQ HOSPITAL CARE/DAY 25 MINUTES,,30,,,$234.23,$0.00,1,0,1,20180101, 99233,CPT,SBSQ HOSPITAL CARE/DAY 35 MINUTES,,30,,,$360.52,$0.00,1,0,1,20180101, 99234,CPT,OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES,,30,,,$134.00,$409.48,2,1,1,20180101, 99235,CPT,OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES,,30,,,$134.00,$409.48,2,1,1,20180101, 99236,CPT,OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES,,30,,,$134.00,$409.48,2,1,1,20180101, 99238,CPT,HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN/<,,30,,,$264.98,$0.00,1,0,1,20180101, 99239,CPT,HOSPITAL DISCHARGE DAY MANAGEMENT > 30 MIN,,30,,,$387.20,$0.00,1,0,1,20180101, 99241,CPT,OFFICE CONSULTATION NEW/ESTAB PATIENT 15 MIN,,30,,,$203.44,$0.00,1,0,1,20180101, 99242,CPT,OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN,,30,,,$299.16,$0.00,1,0,1,20180101, 99243,CPT,OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN,,30,,,$366.71,$0.00,1,0,1,20180101, 99244,CPT,OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN,,30,,,$628.81,$0.00,1,0,1,20180101, 99245,CPT,OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN,,30,,,$775.61,$0.00,1,0,1,20180101, 99252,CPT,INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN,,30,,,$637.93,$0.00,1,0,1,20180101, 99253,CPT,INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN,,30,,,$806.04,$0.00,1,0,1,20180101, 99254,CPT,INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN,,30,,,$986.15,$0.00,1,0,1,20180101, 99281,CPT,EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB,,30,,,$233.56,$0.00,1,1,1,20180101, 99282,CPT,EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY,,30,,,$726.92,$0.00,1,1,1,20180101, 99283,CPT,EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY,,30,,,"$1,372.82",$0.00,1,1,1,20180101, 99284,CPT,EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY,,30,,,"$2,201.37",$0.00,1,1,1,20180101, 99285,CPT,EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ,,30,,,"$3,178.29",$0.00,1,1,1,20180101, 99288,CPT,PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS,,30,,,$619.99,$0.00,1,1,1,20180101, 99291,CPT,CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN,,30,,,"$4,428.10",$0.00,1,1,1,20180101, 99292,CPT,CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN,,30,,,"$1,307.58",$0.00,1,1,1,20180101, 99304,CPT,INITIAL NURSING FACILITY CARE/DAY 25 MINUTES,,30,,,$251.22,$0.00,1,0,1,20180101, 99305,CPT,INITIAL NURSING FACILITY CARE/DAY 35 MINUTES,,30,,,$326.60,$0.00,1,0,1,20180101, 99306,CPT,INITIAL NURSING FACILITY CARE/DAY 45 MINUTES,,30,,,$386.48,$0.00,1,0,1,20180101, 99307,CPT,SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN,,30,,,$137.81,$0.00,1,0,1,20180101, 99308,CPT,SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN,,30,,,$187.31,$0.00,1,0,1,20180101, 99309,CPT,SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN,,30,,,$251.08,$0.00,1,0,1,20180101, 99310,CPT,SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN,,30,,,$350.00,$0.00,1,0,1,20180101, 99315,CPT,NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES,,30,,,$229.98,$0.00,1,0,1,20180101, 99316,CPT,NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES,,30,,,$289.54,$0.00,1,0,1,20180101, 99318,CPT,E/M ANNUAL NURSING FACILITY ASSESS STABLE 30 MIN,,30,,,$261.71,$0.00,1,0,1,20180101, 99324,CPT,DOMICIL/REST HOME NEW PT VISIT LOW SEVER 20 MIN,,30,,,$170.74,$0.00,1,0,1,20180101, 99325,CPT,DOMICIL/REST HOME NEW PT VISIT MOD SEVER 30 MIN,,30,,,$298.87,$0.00,1,0,1,20180101, 99326,CPT,DOMICIL/REST HOME NEW PT HI-MOD SEVER 45 MINUTES,,30,,,$364.45,$0.00,1,0,1,20180101, 99327,CPT,DOMICIL/REST HOME NEW PT VISIT HI SEVER 60 MIN,,30,,,$565.91,$0.00,1,0,1,20180101, 99328,CPT,DOM/R-HOME E/M NEW PT SIGNIF NEW PROB 75 MINUTES,,30,,,$465.07,$0.00,1,0,1,20180101, 99334,CPT,DOM/R-HOME E/M EST PT SELF-LMTD/MINOR 15 MINUTES,,30,,,$179.05,$0.00,1,0,1,20180101, 99335,CPT,DOM/R-HOME E/M EST PT LW MOD SEVERITY 25 MINUTES,,30,,,$239.70,$0.00,1,0,1,20180101, 99336,CPT,DOM/R-HOME E/M EST PT MOD HI SEVERITY 40 MINUTES,,30,,,$319.52,$0.00,1,0,1,20180101, 99337,CPT,DOM/R-HOME E/M EST PT SIGNIF NEW PROB 60 MINUTES,,30,,,$377.10,$0.00,1,0,1,20180101, 99339,CPT,INDIV PHYS SUPVJ HOME/DOM/R-HOME MO 15-29 MIN,,30,,,$277.56,$0.00,1,0,1,20180101, 99341,CPT,HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES,,30,,,$196.30,$0.00,1,0,1,20180101, 99342,CPT,HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES,,30,,,$303.25,$0.00,1,0,1,20180101, 99343,CPT,HOME VST NEW PATIENT MOD-HI SEVERITY 45 MINUTES,,30,,,$416.05,$0.00,1,0,1,20180101, 99344,CPT,HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES,,30,,,$524.66,$0.00,1,0,1,20180101, 99345,CPT,HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN,,30,,,$632.25,$0.00,1,0,1,20180101, 99347,CPT,HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES,,30,,,$202.88,$0.00,1,0,1,20180101, 99348,CPT,HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES,,30,,,$254.75,$0.00,1,0,1,20180101, 99349,CPT,HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES,,30,,,$380.61,$0.00,1,0,1,20180101, 99350,CPT,HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS,,30,,,$505.39,$0.00,1,0,1,20180101, 99354,CPT,PROLNG E&M/PSYCTX SVC OFFICE O/P DIR CON 1ST HR,,30,,,$309.05,$0.00,1,0,1,20180101, 99355,CPT,PROLNG E&M/PSYCTX SVC OFFICE O/P DIR CON ADDL 30,,30,,,$208.11,$0.00,1,0,1,20180101, 99358,CPT,PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR,,30,,,$406.42,$0.00,1,0,1,20180101, 99359,CPT,PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES,,30,,,$169.42,$0.00,1,0,1,20180101, 99360,CPT,PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES,,30,,,$204.56,$0.00,1,0,1,20180101, 99366,CPT,TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN,,30,,,$345.74,$0.00,1,0,1,20180101, 99367,CPT,TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN,,30,,,$244.74,$0.00,1,0,1,20180101, 99368,CPT,TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN,,30,,,$322.46,$0.00,1,0,1,20180101, 99374,CPT,SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES,,30,,,$143.85,$0.00,1,0,1,20180101, 99375,CPT,SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN/>,,30,,,$220.68,$0.00,1,0,1,20180101, 99381,CPT,INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR,,30,,,$267.64,$0.00,1,0,1,20180101, 99382,CPT,INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS,,30,,,$287.47,$0.00,1,0,1,20180101, 99383,CPT,INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS,,30,,,$308.19,$0.00,1,0,1,20180101, 99384,CPT,INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR,,30,,,$376.68,$0.00,1,0,1,20180101, 99385,CPT,INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,,30,,,$347.49,$0.00,1,0,1,20180101, 99386,CPT,INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,,30,,,$367.90,$0.00,1,0,1,20180101, 99387,CPT,INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>,,30,,,$388.31,$0.00,1,0,1,20180101, 99391,CPT,PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y,,30,,,$239.70,$0.00,1,0,1,20180101, 99392,CPT,PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS,,30,,,$267.64,$0.00,1,0,1,20180101, 99393,CPT,PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS,,30,,,$304.59,$0.00,1,0,1,20180101, 99394,CPT,PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS,,30,,,$283.86,$0.00,1,0,1,20180101, 99395,CPT,PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS,,30,,,$410.66,$0.00,1,0,1,20180101, 99396,CPT,PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS,,30,,,$284.00,$0.00,1,0,1,20180101, 99397,CPT,PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER,,30,,,$298.00,$0.00,1,0,1,20180101, 99401,CPT,PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 15 MIN,,30,,,$339.35,$0.00,1,0,1,20180101, 99402,CPT,PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 30 MIN,,30,,,$293.33,$0.00,1,0,1,20180101, 99403,CPT,PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 45 MIN,,30,,,$556.46,$0.00,1,0,1,20180101, 99404,CPT,PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 60 MIN,,30,,,$370.56,$0.00,1,0,1,20180101, 99406,CPT,TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,,30,,,$173.33,$0.00,1,0,0,20180101, 99407,CPT,TOBACCO USE CESSATION INTENSIVE >10 MINUTES,,30,,,$173.33,$0.00,1,0,0,20180101, 99408,CPT,ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN,,30,,,$142.40,$0.00,1,0,1,20180101, 99409,CPT,ALCOHOL/SUBSTANCE SCREEN & INTERVENTION >30 MIN,,30,,,$224.39,$0.00,1,0,1,20180101, 99411,CPT,PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 30 M,,30,,,$132.59,$0.00,1,0,1,20180101, 99412,CPT,PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 60 M,,30,,,$220.99,$0.00,1,0,1,20180101, 99429,CPT,UNLISTED PREVENTIVE MEDICINE SERVICE,,30,,,$52.30,$0.00,1,0,1,20180101, 99444,CPT,PHYS/QHP ONLINE EVALUATION & MANAGEMENT SERVICE,,30,,,$89.21,$0.00,1,0,1,20180101, 99446,CPT,INTERPROF PHONE/INTERNET ASSESS/MANAGE 5-10,,30,,,$131.90,$0.00,1,0,1,20180101, 99447,CPT,INTERPROF PHONE/INTERNET ASSESS/MANAGE 11-20,,30,,,$188.71,$0.00,1,0,1,20180101, 99448,CPT,INTERPROF PHONE/INTERNET ASSESS/MANAGE 21-30,,30,,,$246.68,$0.00,1,0,1,20180101, 99449,CPT,INTERPROF PHONE/INTERNET ASSESS/MANAGE 31/>,,30,,,$296.21,$0.00,1,0,1,20180101, 99450,CPT,BASIC LIFE AND/OR DISABILITY EXAMINATION,,30,,,$728.13,$0.00,1,0,1,20180101, 99455,CPT,WORK RELATED/MED DBLT XM TREATING PHYS,,30,,,$189.31,$0.00,1,0,1,20180101, 99456,CPT,WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS,,30,,,$893.04,$0.00,1,0,1,20180101, 99460,CPT,1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB,,30,,,$334.60,$0.00,1,0,1,20180101, 99461,CPT,1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER,,30,,,$298.55,$0.00,1,0,1,20180101, 99463,CPT,1ST HOSP/BIRTHING CENTER NB ADMIT & DSCHG SM DAT,,30,,,$334.60,$0.00,1,0,1,20180101, 99465,CPT,DELIVERY/BIRTHING ROOM RESUSCITATION,,30,,,"$3,137.65",$0.00,1,0,1,20180101, 99483,CPT,ASSMT & CARE PLN PT COG IMP,,30,,,$298.71,$0.00,1,0,1,20180101, 99484,CPT,CARE MGMT SVC BHVL HLTH COND,,30,,,$173.33,$0.00,1,0,1,20180101, 99487,CPT,CMPLX CHRON CARE MGMT W/O PT VST 1ST HR PER MO,,30,,,$298.71,$0.00,1,0,1,20180101, 99489,CPT,CMPLX CHRON CARE MGMT EA ADDL 30 MIN PER MONTH,,30,,,$150.17,$0.00,1,0,1,20180101, 99490,CPT,CHRON CARE MANAGEMENT SRVC 20 MIN PER MONTH,,30,,,$298.71,$0.00,1,0,1,20180101, 99492,CPT,1ST PSYC COLLAB CARE MGMT,,30,,,$298.71,$0.00,1,0,1,20180101, 99493,CPT,SBSQ PSYC COLLAB CARE MGMT,,30,,,$298.71,$0.00,1,0,1,20180101, 99495,CPT,TRANSITIONAL CARE MANAGE SRVC 14 DAY DISCHARGE,,30,,,$334.60,$0.00,1,0,1,20180101, 99496,CPT,TRANSITIONAL CARE MANAGE SRVC 7 DAY DISCHARGE,,30,,,$334.60,$0.00,1,0,1,20180101, 99497,CPT,ADVANCE CARE PLANNING FIRST 30 MINS,,30,,,$298.71,$0.00,1,0,1,20180101, 99498,CPT,ADVANCE CARE PLANNING EA ADDL 30 MINS,,30,,,$146.30,$0.00,1,0,1,20180101, 99499,CPT,UNLISTED EVALUATION AND MANAGEMENT SERVICE,,30,,,$260.08,$0.00,1,0,1,20180101, 99500,CPT,HOME VISIT PRENATAL MONITORING & ASSESSMENT,,30,,,$938.21,$0.00,1,1,1,20180101, 99501,CPT,HOME VISIT POSTNATAL ASSMT&F-UP CARE,,30,,,$305.16,$0.00,1,1,1,20180101, 99502,CPT,HOME VISIT NEWBORN CARE & ASSESSMENT,,30,,,$219.62,$0.00,1,1,1,20180101, 99503,CPT,HOME VISIT RESPIRATORY THERAPY CARE,,30,,,$255.18,$0.00,1,1,1,20180101, 99504,CPT,HOME VISIT MECHANICAL VENTILATION CARE,,30,,,$501.14,$0.00,1,1,1,20180101, 99505,CPT,HOME VISIT STOMA CARE&MAINT CLST&CSTOST,,30,,,$215.72,$0.00,1,1,1,20180101, 99506,CPT,HOME VISIT INTRAMUSCULAR INJECTIONS,,30,,,$446.55,$0.00,1,1,1,20180101, 99507,CPT,HOME VISIT CARE&MAINT CATH,,30,,,$191.38,$0.00,1,1,1,20180101, 99509,CPT,HOME VISIT ASSISTANCE DAILY LIV&PRSONAL CARE,,30,,,$294.78,$0.00,1,1,1,20180101, 99510,CPT,HOME VISIT INDIV FAM/MARRIAGE COUNSELING,,30,,,$357.24,$0.00,1,1,1,20180101, 99512,CPT,HOME VISIT HEMODIALYSIS,,30,,,"$5,753.29",$0.00,1,1,1,20180101, 99600,CPT,UNLISTED HOME VISIT SERVICE/PROCEDURE,,30,,,$320.88,$0.00,1,1,1,20180101, 99601,CPT,HOME NFS/SPECTY DRUG ADMN PR VST /EQUAL 200 CC TISS,,30,,,"$11,289.14",$0.00,1,0,1,20180101, 0085T,CPT,BREATH TEST HEART TRANSPLANT REJECTION,,30,,,$83.86,$0.00,1,0,1,20180101, 0100T,CPT,PLMT SCJNCL RTA PROSTH&PLS&IMPLTJ INTRA-OC RTA,,30,,,"$245,001.00",$0.00,1,0,1,20180101, 0101T,CPT,EXTRCORPL SHOCK WAVE MUSCSKELE NOS HIGH ENERGY,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 0102T,CPT,EXTRCRPL SHOCK WAVE W/ANES LAT HUMERL EPICONDYLE,,30,,,"$13,461.41",$0.00,1,0,1,20180101, 0106T,CPT,QUANT SENSORY TEST&INTERPJ/XTR W/TOUCH STIMULI,,30,,,$192.66,$0.00,1,0,1,20180101, 0107T,CPT,QUANT SENSORY TEST&INTERPJ/XTR W/VIBRJ STIMULI,,30,,,$192.66,$0.00,1,0,1,20180101, 0108T,CPT,QUANT SENSORY TEST&INTERPJ/XTR W/COOL STIMULI,,30,,,$345.25,$0.00,1,0,1,20180101, 0126T,CPT,COMMON CAROTID INTIMA MEDIA THICKNESS STUDY,,30,,,$192.66,$0.00,1,0,1,20180101, 0159T,CPT,COMPUTER AIDED DETECTION BREAST MRI,,30,,,$409.19,$0.00,1,0,1,20180101, 0174T,CPT,CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION,,30,,,$33.40,$0.00,1,0,1,20180101, 0184T,CPT,RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC,,30,,,"$19,166.80",$0.00,1,0,1,20180101, 0190T,CPT,INTRAOCULAR RADIATION SRC APPLICATOR PLACEMENT,,30,,,"$10,160.87",$0.00,1,0,1,20180101, 0191T,CPT,ANT SEGMENT INSERTION DRAINAGE W/O RESERVOIR INT,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 0198T,CPT,MEAS OCULAR BLOOD FLOW REPEAT IO PRES SAMP W/I&R,,30,,,$536.04,$0.00,1,0,1,20180101, 0200T,CPT,PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 0201T,CPT,PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 0206T,CPT,CPTR DBS ALYS MLT CYCLS CAR ELEC DTA 2/> ECG LDS,,30,,,$345.25,$0.00,1,0,1,20180101, 0207T,CPT,EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI,,30,,,$345.25,$0.00,1,0,1,20180101, 0208T,CPT,PURE TONE AUDIOMETRY AUTOMATED AIR ONLY,,30,,,$192.66,$0.00,1,0,1,20180101, 0209T,CPT,PURE TONE AUDIOMETRY AUTOMATED AIR & BONE,,30,,,$192.66,$0.00,1,0,1,20180101, 0210T,CPT,SPEECH AUDIOMETRY THRESHOLD AUTOMATED,,30,,,$192.66,$0.00,1,0,1,20180101, 0211T,CPT,SPEECH AUDIOM THRESHLD AUTO W/SPEECH RECOGNITION,,30,,,$192.66,$0.00,1,0,1,20180101, 0212T,CPT,COMPRE AUDIOM THRESHOLD EVAL & SPEECH RECOG,,30,,,$831.97,$0.00,1,0,1,20180101, 0213T,CPT,NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 0214T,CPT,NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL,,30,,,"$1,266.55",$0.00,1,0,1,20180101, 0215T,CPT,NJX PARAVERTBRL FACET JT W/US CER/THOR 3RD&> LVL,,30,,,"$1,266.55",$0.00,1,0,1,20180101, 0216T,CPT,NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 0217T,CPT,NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2,,30,,,"$1,266.55",$0.00,1,0,1,20180101, 0218T,CPT,NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD&> LVL,,30,,,"$1,266.55",$0.00,1,0,1,20180101, 0221T,CPT,PLMT POST FACET IMPLT UNI/BI W/IMG & GRFT LUMB,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 0222T,CPT,PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT,,30,,,"$15,965.19",$0.00,1,0,1,20180101, 0228T,CPT,NJX ANES/STEROID TFRML EDRL W/US CER/THOR 1 LVL,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 0229T,CPT,NJX ANES/STERD TFRML EDRL W/US CER/THOR EA ADDL,,30,,,"$2,024.49",$0.00,1,0,1,20180101, 0230T,CPT,NJX ANES/STEROID TFRML EDRL W/US LUM/SAC 1 LVL,,30,,,"$4,089.34",$0.00,1,0,1,20180101, 0231T,CPT,NJX ANES/STEROID TFRML EDRL W/US LUM/SAC EA ADDL,,30,,,"$2,024.49",$0.00,1,0,1,20180101, 0232T,CPT,NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 0234T,CPT,TRLUML PERIPHERAL ATHERECTOMY RENAL ARTERY EA,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 0236T,CPT,TRLUML PERIPH ATHRC W/RS&I ABDOM AORTA,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 0237T,CPT,TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL,,30,,,"$20,436.08",$0.00,1,0,1,20180101, 0238T,CPT,TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA,,30,,,"$31,145.92",$0.00,1,0,1,20180101, 0249T,CPT,LIGATION HEMORRHOID BUNDLE W/US,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 0253T,CPT,INSERT ANT SGM DRAINAGE DEV W/O RESERVR INT APPR,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 0263T,CPT,AUTO BONE MARRW CELL RX COMPLT BONE MARRW HARVST,,30,,,"$12,260.83",$0.00,1,0,1,20180101, 0264T,CPT,AUTO BONE MARRW CELL RX COMP W/O BONE MAR HARVST,,30,,,"$12,260.83",$0.00,1,0,1,20180101, 0265T,CPT,BONE MAR HARVST ONLY FOR INTMUSC AUTOLO CELL RX,,30,,,"$12,260.83",$0.00,1,0,1,20180101, 0267T,CPT,IM/REPL CARTD SINS BAROREFLX ACTIV DEV LEAD ONLY,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0268T,CPT,IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 0269T,CPT,REV/REMVL CARTD SINS BARREFLX ACT DEV TOT SYSTEM,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 0270T,CPT,REV/REMVL CARTD SINS BARREFLX ACT DEV LEAD ONLY,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0271T,CPT,REV/REM CARTD SINS BARREFLX ACT DEV PLS GEN ONLY,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0272T,CPT,INTRGORTION DEV EVAL CARTD SINS BARREFLX W/I&R,,30,,,$831.97,$0.00,1,0,1,20180101, 0273T,CPT,INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM,,30,,,$831.97,$0.00,1,0,1,20180101, 0274T,CPT,PERC LAMINO-/LAMINECTOMY IMAGE GUIDE CERV/THORAC,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 0275T,CPT,PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 0278T,CPT,TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS,,30,,,$831.97,$0.00,1,0,1,20180101, 0296T,CPT,EXT ECG > 48HR TO 21 DAY RCRD W/CONECT INTL RCRD,,30,,,$536.04,$0.00,1,0,1,20180101, 0297T,CPT,EXT ECG > 48HR TO 21 DAY SCAN ANALYSIS W/REPORT,,30,,,$536.04,$0.00,1,0,1,20180101, 0308T,CPT,INSJ OC TLSCP PROSTH RMVL CRYSTALLINE/IO LENS,,30,,,"$33,926.78",$0.00,1,0,1,20180101, 0312T,CPT,LAPS IMPLTJ NSTIM ELTRD ARRAY&PLS GEN VAGUS NRV,,30,,,"$54,249.34",$0.00,1,0,1,20180101, 0313T,CPT,LAPS REVJ/REPLCMT NSTIM ELTRD ARRAY VAGUS NRV,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0314T,CPT,LAPS RMVL NSTIM ELTRD ARRAY & PLS GEN VAGUS NRV,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0315T,CPT,REMOVAL PULSE GENERATOR VAGUS NERVE,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0316T,CPT,REPLACEMENT PULSE GENERATOR VAGUS NERVE,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 0317T,CPT,ELEC ALYS NSTIM PLS GEN VAGUS NRV W/REPRGRMG,,30,,,$238.36,$0.00,1,0,1,20180101, 0330T,CPT,TEAR FILM IMAGING UNILATERAL OR BILATERAL W/I&R,,30,,,$192.66,$0.00,1,0,1,20180101, 0331T,CPT,MYOCRD SYMPATHETIC INNERVAJ IMG PLNR QUAL&QUANT,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 0332T,CPT,MYOCRD SYMP INNERVAJ IMG PLNR QUAL&QUANT W/SPECT,,30,,,"$6,964.07",$0.00,1,0,1,20180101, 0335T,CPT,EXTRA-OSSEOUS JOINT IMPLANT TALOTARSAL STABILIZE,,30,,,"$21,981.71",$0.00,1,0,1,20180101, 0337T,CPT,ENDOTHELIAL FUNCTION ASSESSMENT NON-INVASIVE,,30,,,$345.25,$0.00,1,0,1,20180101, 0338T,CPT,TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 0339T,CPT,TRANSCATHETER RENAL SYMPATH DENERVATION BILAT,,30,,,"$21,276.92",$0.00,1,0,1,20180101, 0342T,CPT,THERAPEUTIC APHERESIS W/SELECTIVE HDL DELIP,,30,,,"$12,260.83",$0.00,1,0,1,20180101, 0346T,CPT,ULTRASOUND ELASTOGRAPHY,,30,,,$471.61,$0.00,1,0,1,20180101, 0347T,CPT,PLACE INTERSTITIAL DEVICE(S) IN BONE FOR RSA,,30,,,$345.25,$0.00,1,0,1,20180101, 0348T,CPT,RADIOSTEREOMETRIC ANALYSIS SPINE EXAM,,30,,,$766.79,$0.00,1,0,1,20180101, 0349T,CPT,RADIOSTEREOMETRIC ANALYSIS UPPER EXTREMITY EXAM,,30,,,$766.79,$0.00,1,0,1,20180101, 0350T,CPT,RADIOSTEREOMETRIC ANALYSIS LOWER EXTREMITY EXAM,,30,,,$383.69,$0.00,1,0,1,20180101, 0355T,CPT,GI TRACT IMAGING INTRALUMINAL COLON WITH I&R,,30,,,"$8,100.25",$0.00,1,0,1,20180101, 0356T,CPT,INSERT DRUG IMPLANT INTO LACRIMAL CANAL FOR IOP,,30,,,$345.25,$0.00,1,0,1,20180101, 0357T,CPT,CRYOPRESERVATION IMMATURE OOCYTE(S),,30,,,$442.48,$0.00,1,0,1,20180101, 0358T,CPT,BIA WHOLE BODY COMPOSITION ASSESSMENT W/I&R,,30,,,$192.66,$0.00,1,0,1,20180101, 0359T,CPT,BEHAVIORAL IDENTIFICATION ASSESSMENT,,30,,,$298.71,$0.00,1,0,1,20180101, 0360T,CPT,OBSERVATIONAL BEHAV ASSESSMENT FIRST 30 MIN,,30,,,$298.71,$0.00,1,0,1,20180101, 0361T,CPT,OBSERVATIONAL BEHAV ASSESSMENT ADDL 30 MIN,,30,,,$232.77,$0.00,1,0,1,20180101, 0362T,CPT,EXPOSURE BEHAV ASSESSMENT FIRST 30 MIN,,30,,,$298.71,$0.00,1,0,1,20180101, 0363T,CPT,EXPOSURE BEHAV ASSESSMENT ADDL 30 MIN,,30,,,$232.77,$0.00,1,0,1,20180101, 0364T,CPT,ADAPTIVE BEHAVIOR TX BY PROTOCOL FIRST 30 MIN,,30,,,$330.45,$0.00,1,0,1,20180101, 0365T,CPT,ADAPTIVE BEHAVIOR TX BY PROTOCOL ADDL 30 MIN,,30,,,$467.46,$0.00,1,0,1,20180101, 0366T,CPT,GROUP BEHAVIOR TREATMENT FIRST 30 MIN,,30,,,$330.45,$0.00,1,0,1,20180101, 0367T,CPT,GROUP BEHAVIOR TREATMENT ADDL 30 MIN,,30,,,$385.27,$0.00,1,0,1,20180101, 0368T,CPT,BEHAVIOR TX WITH MODIFICATION FIRST 30 MIN,,30,,,$330.45,$0.00,1,0,1,20180101, 0369T,CPT,BEHAVIOR TREATMENT WITH MODIFICATION ADDL 30 MIN,,30,,,$467.46,$0.00,1,0,1,20180101, 0370T,CPT,FAMILY BEHAVIOR TREATMENT GUIDANCE,,30,,,$330.45,$0.00,1,0,1,20180101, 0371T,CPT,MULTIPLE FAMILY GROUP BEHAV TREATMENT GUIDANCE,,30,,,$330.45,$0.00,1,0,1,20180101, 0372T,CPT,BEHAVIOR TREATMENT SOCIAL SKILLS TRAINING GROUP,,30,,,$330.45,$0.00,1,0,1,20180101, 0373T,CPT,EXPOSURE BEHAVIOR TREATMENT FIRST 60 MIN,,30,,,$330.45,$0.00,1,0,1,20180101, 0374T,CPT,EXPOSURE BEHAVIOR TREATMENT ADDL 30 MIN,,30,,,$318.16,$0.00,1,0,1,20180101, 0377T,CPT,ANOSCOPY W/BULKING AGENT INJ FOR FECAL INCONT,,30,,,"$10,930.39",$0.00,1,0,1,20180101, 0379T,CPT,VISUAL FIELD ASSESSMENT TECH SUPPORT W/INSTRUCT,,30,,,$192.66,$0.00,1,0,1,20180101, 0380T,CPT,COMP ANIMATION RETINA IMAGE TIME SERIES ANALYSIS,,30,,,$192.66,$0.00,1,0,1,20180101, 0387T,CPT,TRANSCATH INSERT OR REPLACE LEADLESS PM VENTR,,30,,,"$31,145.92",$0.00,1,0,1,20180101, 0388T,CPT,TRANSCATH REMOVAL LEADLESS PM VENTRICULAR,,30,,,"$12,765.24",$0.00,1,0,1,20180101, 0389T,CPT,PROG DEVICE EVAL IN PERSON LEADLESS PM SYSTEM,,30,,,$238.36,$0.00,1,0,1,20180101, 0391T,CPT,INTERROG DEVICE EVAL IN PERSON LEADLESS PM SYST,,30,,,$238.36,$0.00,1,0,1,20180101, 0394T,CPT,HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE,,30,,,"$1,371.68",$0.00,1,0,1,20180101, 0395T,CPT,HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV,,30,,,"$4,304.08",$0.00,1,0,1,20180101, 0398T,CPT,MRGFUS STEREOTACTIC ABLATION LESION INTRACRANIAL,,30,,,"$35,001.00",$0.00,1,0,1,20180101, 0402T,CPT,COLLAGEN CROSS-LINKING OF CORNEA,,30,,,"$8,719.13",$0.00,1,0,1,20180101, 0404T,CPT,TRANSCERVICAL UTERINE FIBROID ABLTJ W/US GDN RF,,30,,,"$22,809.24",$0.00,1,0,1,20180101, 0406T,CPT,NSL NDSC SURG ETHMD SIN PLMT DRUG ELUTNG IMPLNT,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 0407T,CPT,NSL NDSC SURG ETHMD PLMT DRUG ELUTNG IMPLNT W/BX,,30,,,"$7,507.45",$0.00,1,0,1,20180101, 0408T,CPT,INSJ/RPLC CARDIAC MODULJ SYS,,30,,,"$43,703.16",$0.00,1,0,1,20180101, 0409T,CPT,INSJ/RPLC CAR MODULJ PLS GN,,30,,,"$43,703.16",$0.00,1,0,1,20180101, 0410T,CPT,INSJ/RPLC CAR MODULJ ATR ELT,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 0411T,CPT,INSJ/RPLC CAR MODULJ VNT ELT,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 0412T,CPT,RMVL CARDIAC MODULJ PLS GEN,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 0413T,CPT,RMVL CAR MODULJ TRANVNS ELT,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 0414T,CPT,RMVL & RPL CAR MODULJ PLS GN,,30,,,"$43,703.16",$0.00,1,0,1,20180101, 0415T,CPT,REPOS CAR MODULJ TRANVNS ELT,,30,,,"$3,661.23",$0.00,1,0,1,20180101, 0416T,CPT,RELOC SKIN POCKET PLS GEN,,30,,,"$8,526.45",$0.00,1,0,1,20180101, 0417T,CPT,PRGRMG EVAL CARDIAC MODULJ,,30,,,$238.36,$0.00,1,0,1,20180101, 0418T,CPT,INTERRO EVAL CARDIAC MODULJ,,30,,,$238.36,$0.00,1,0,1,20180101, 0419T,CPT,DSTRJ NEUROFIBROMA XTNSV,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 0420T,CPT,DSTRJ NEUROFIBROMA XTNSV,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 0421T,CPT,WATERJET PROSTATE ABLTJ CMPL,,30,,,"$17,586.31",$0.00,1,0,1,20180101, 0422T,CPT,TACTILE BREAST IMG UNI/BI,,30,,,$383.69,$0.00,1,0,1,20180101, 0424T,CPT,INSJ/RPLC NSTIM APNEA COMPL,,30,,,"$54,249.34",$0.00,1,0,1,20180101, 0425T,CPT,INSJ/RPLC NSTIM APNEA SEN LD,,30,,,"$22,808.91",$0.00,1,0,1,20180101, 0426T,CPT,INSJ/RPLC NSTIM APNEA STM LD,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 0427T,CPT,INSJ/RPLC NSTIM APNEA PLS GN,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 0428T,CPT,RMVL NSTIM APNEA PLS GEN,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0429T,CPT,RMVL NSTIM APNEA SEN LD,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0430T,CPT,RMVL NSTIM APNEA STIMJ LD,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0431T,CPT,RMVL/RPLC NSTIM APNEA PLS GN,,30,,,"$35,940.58",$0.00,1,0,1,20180101, 0432T,CPT,REPOS NSTIM APNEA STIMJ LD,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0433T,CPT,REPOS NSTIM APNEA SENSING LD,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0434T,CPT,INTERRO EVAL NPGS APNEA,,30,,,$721.81,$0.00,1,0,1,20180101, 0435T,CPT,PRGRMG EVAL NPGS APNEA 1 SES,,30,,,$721.81,$0.00,1,0,1,20180101, 0436T,CPT,PRGRMG EVAL NPGS APNEA STUDY,,30,,,"$5,367.25",$0.00,1,0,1,20180101, 0440T,CPT,ABLTJ PERC UXTR/PERPH NRV,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 0441T,CPT,ABLTJ PERC LXTR/PERPH NRV,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 0442T,CPT,ABLTJ PERC PLEX/TRNCL NRV,,30,,,"$20,178.83",$0.00,1,0,1,20180101, 0443T,CPT,R-T SPCTRL ALYS PRST8 TISS,,30,,,"$9,485.44",$0.00,1,0,1,20180101, 0446T,CPT,INSJ IMPLTBL GLUCOSE SENSOR,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 0447T,CPT,RMVL IMPLTBL GLUCOSE SENSOR,,30,,,$622.76,$0.00,1,0,1,20180101, 0448T,CPT,REMVL INSJ IMPLTBL GLUC SENS,,30,,,"$2,599.88",$0.00,1,0,1,20180101, 0449T,CPT,INSJ AQUEOUS DRAIN DEV 1ST,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 0453T,CPT,INSJ/RPLCMT MECH-ELEC NTRFCE,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 0454T,CPT,INSJ/RPLCMT SUBQ ELECTRODE,,30,,,"$23,494.40",$0.00,1,0,1,20180101, 0457T,CPT,REMVL MECH-ELEC SKIN NTRFCE,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 0458T,CPT,REMVL SUBQ ELECTRODE,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 0460T,CPT,REPOS AORTIC VENTR DEV ELTRD,,30,,,"$14,005.17",$0.00,1,0,1,20180101, 0462T,CPT,PRGRMG EVAL AORTIC VENTR SYS,,30,,,"$1,248.22",$0.00,1,0,1,20180101, 0463T,CPT,INTERROG AORTIC VENTR SYS,,30,,,"$1,248.22",$0.00,1,0,1,20180101, 0464T,CPT,VISUAL EP TEST FOR GLAUCOMA,,30,,,$831.97,$0.00,1,0,1,20180101, 0465T,CPT,SUPCHRDL NJX RX W/O SUPPLY,,30,,,"$1,552.59",$0.00,1,0,1,20180101, 0467T,CPT,REVJ/RPLMNT CH RESPIR ELTRD,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0468T,CPT,RMVL CH WAL RESPIR ELTRD/RA,,30,,,"$13,789.14",$0.00,1,0,1,20180101, 0472T,CPT,PRGRMG IO RTA ELTRD RA,,30,,,"$1,248.22",$0.00,1,0,1,20180101, 0473T,CPT,REPRGRMG IO RTA ELTRD RA,,30,,,$721.81,$0.00,1,0,1,20180101, 0474T,CPT,INSJ AQUEOUS DRG DEV IO RSVR,,30,,,"$14,025.77",$0.00,1,0,1,20180101, 0476T,CPT,REC FTL CAR SGL ELEC TR DATA,,30,,,$536.04,$0.00,1,0,1,20180101, 0477T,CPT,REC FTL CAR SGL XRTJ ALYS,,30,,,$536.04,$0.00,1,0,1,20180101, 0479T,CPT,FXJL ABL LSR 1ST 100 SQ CM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 0481T,CPT,NJX AUTOL WBC CONCENTRATE,,30,,,"$2,099.53",$0.00,1,0,1,20180101, 0485T,CPT,OCT MID EAR I&R UNILATERAL,,30,,,$192.66,$0.00,1,0,1,20180101, 0486T,CPT,OCT MID EAR I&R BILATERAL,,30,,,$192.66,$0.00,1,0,1,20180101, 0487T,CPT,TRVG BIOMCHN MAPG W/REPRT,,30,,,$536.04,$0.00,1,0,1,20180101, 0491T,CPT,ABL LSR OPN WND 1ST 20 SQCM,,30,,,"$1,719.36",$0.00,1,0,1,20180101, 0497T,CPT,XTRNL PT ACT ECG IN-OFF CONN,,30,,,$238.36,$0.00,1,0,1,20180101, 0503T,CPT,COR FFR ALYS GNRJ FFR MDL,,30,,,"$8,495.46",$0.00,1,0,1,20180101, A0380,HCPCS,BLS MILEAGE (PER MILE),,30,,,$20.97,$0.00,4,1,1,20180101, A0382,HCPCS,BLS ROUTINE DISPOSABLE SUPPLIES,,30,,,$109.23,$0.00,1,1,1,20180101, A0384,HCPCS,BLS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; DEFIBRILLATION (USED BY ALS AMBULANCES AND BLS AMBULANCES IN JURISDICTIONS WHERE DEFIBRILLATION IS PERMITTED IN BLS AMBULANCES),,30,,,$77.33,$0.00,1,1,1,20180101, A0390,HCPCS,ALS MILEAGE (PER MILE),,30,,,$20.97,$0.00,4,1,1,20180101, A0392,HCPCS,ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; DEFIBRILLATION (TO BE USED ONLY IN JURISDICTIONS WHERE DEFIBRILLATION CANNOT BE PERFORMED IN BLS AMBULANCES),,30,,,$127.04,$0.00,1,1,1,20180101, A0394,HCPCS,ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; IV DRUG THERAPY,,30,,,$158.99,$0.00,1,1,1,20180101, A0396,HCPCS,ALS SPECIALIZED SERVICE DISPOSABLE SUPPLIES; ESOPHAGEAL INTUBATION,,30,,,$227.05,$0.00,1,1,1,20180101, A0420,HCPCS,"AMBULANCE WAITING TIME (ALS OR BLS), ONE HALF (1/2) HOUR INCREMENTS",,30,,,$178.59,$0.00,1,1,1,20180101, A0424,HCPCS,"EXTRA AMBULANCE ATTENDANT, GROUND (ALS OR BLS) OR AIR (FIXED OR ROTARY WINGED); (REQUIRES MEDICAL REVIEW)",,30,,,$604.39,$0.00,1,1,1,20180101, A0425,HCPCS,"GROUND MILEAGE, PER STATUTE MILE",,30,,,$20.97,$0.00,4,1,1,20180101, A0426,HCPCS,"AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, NON-EMERGENCY TRANSPORT, LEVEL 1 (ALS 1)",,30,,,"$1,287.87",$0.00,1,1,1,20180101, A0427,HCPCS,"AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 - EMERGENCY)",,30,,,"$1,502.67",$0.00,1,1,1,20180101, A0428,HCPCS,"AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT, (BLS)",,30,,,$891.20,$0.00,1,1,1,20180101, A0429,HCPCS,"AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS-EMERGENCY)",,30,,,"$1,055.36",$0.00,1,1,1,20180101, A0430,HCPCS,"AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (FIXED WING)",,30,,,"$26,584.10",$0.00,1,1,1,20180101, A0431,HCPCS,"AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (ROTARY WING)",,30,,,"$32,244.77",$0.00,1,1,1,20180101, A0432,HCPCS,"PARAMEDIC INTERCEPT (PI), RURAL AREA, TRANSPORT FURNISHED BY A VOLUNTEER AMBULANCE COMPANY WHICH IS PROHIBITED BY STATE LAW FROM BILLING THIRD PARTY PAYERS",,30,,,"$1,127.00",$0.00,1,1,1,20180101, A0433,HCPCS,"ADVANCED LIFE SUPPORT, LEVEL 2 (ALS 2)",,30,,,"$1,756.80",$0.00,1,1,1,20180101, A0434,HCPCS,SPECIALTY CARE TRANSPORT (SCT),,30,,,"$3,409.90",$0.00,1,1,1,20180101, A0435,HCPCS,"FIXED WING AIR MILEAGE, PER STATUTE MILE",,30,,,$264.04,$0.00,4,1,1,20180101, A0436,HCPCS,"ROTARY WING AIR MILEAGE, PER STATUTE MILE",,30,,,$334.05,$0.00,4,1,1,20180101, A0998,HCPCS,"AMBULANCE RESPONSE AND TREATMENT, NO TRANSPORT",,30,,,$380.00,$0.00,1,1,1,20180101, A0999,HCPCS,UNLISTED AMBULANCE SERVICE,,30,,,$847.33,$0.00,1,1,1,20180101, A4641,HCPCS,RADIOPHARM DX AGENT NOC,,30,,,$45.11,$0.00,1,0,0,20180101, A4642,HCPCS,IN111 SATUMOMAB,,30,,,$30.13,$0.00,1,0,0,20180101, A4648,HCPCS,IMPLANTABLE TISSUE MARKER,,30,,,$413.95,$0.00,1,0,0,20180101, A9150,HCPCS,MISC/EXPER NON-PRESCRIPT DRU,,30,,,$17.96,$0.00,1,0,0,20180101, A9152,HCPCS,SINGLE VITAMIN NOS,,30,,,$27.71,$0.00,1,0,0,20180101, A9153,HCPCS,MULTI-VITAMIN NOS,,30,,,$27.71,$0.00,1,0,0,20180101, A9500,HCPCS,TC99M SESTAMIBI,,30,,,$319.58,$0.00,1,0,0,20180101, A9502,HCPCS,TC99M TETROFOSMIN,,30,,,$299.96,$0.00,1,0,0,20180101, A9503,HCPCS,TC99M MEDRONATE,,30,,,$88.02,$0.00,1,0,0,20180101, A9505,HCPCS,TL201 THALLIUM,,30,,,$264.10,$0.00,1,0,0,20180101, A9507,HCPCS,IN111 CAPROMAB,,30,,,"$4,452.24",$0.00,1,0,0,20180101, A9508,HCPCS,"I131 IODOBENGUATE, DX",,30,,,$51.11,$0.00,1,0,0,20180101, A9509,HCPCS,IODINE I-123 SOD IODIDE MIL,,30,,,$374.46,$0.00,1,0,0,20180101, A9510,HCPCS,TC99M DISOFENIN,,30,,,$140.16,$0.00,1,0,0,20180101, A9512,HCPCS,TC99M PERTECHNETATE,,30,,,$17.06,$0.00,1,0,0,20180101, A9515,HCPCS,CHOLINE C-11,,30,,,"$22,457.14",$0.00,1,0,0,20180101, A9516,HCPCS,IODINE I-123 SOD IODIDE MIC,,30,,,$212.51,$0.00,1,0,0,20180101, A9517,HCPCS,"I131 IODIDE CAP, RX",,30,,,$170.74,$0.00,1,0,0,20180101, A9520,HCPCS,TC99 TILMANOCEPT DIAG 0.5MCI,,30,,,$887.71,$0.00,1,0,0,20180101, A9521,HCPCS,TC99M EXAMETAZIME,,30,,,"$1,612.65",$0.00,1,0,0,20180101, A9524,HCPCS,"I131 SERUM ALBUMIN, DX",,30,,,$261.06,$0.00,1,0,0,20180101, A9526,HCPCS,NITROGEN N-13 AMMONIA,,30,,,"$1,217.22",$0.00,1,0,0,20180101, A9527,HCPCS,IODINE I-125 SODIUM IODIDE,,30,,,$169.51,$0.00,1,0,0,20180101, A9528,HCPCS,"IODINE I-131 IODIDE CAP, DX",,30,,,$446.31,$0.00,1,0,0,20180101, A9529,HCPCS,"I131 IODIDE SOL, DX",,30,,,$80.69,$0.00,1,0,0,20180101, A9530,HCPCS,"I131 IODIDE SOL, RX",,30,,,$81.64,$0.00,1,0,0,20180101, A9531,HCPCS,I131 MAX 100UCI,,30,,,$18.66,$0.00,1,0,0,20180101, A9537,HCPCS,TC99M MEBROFENIN,,30,,,$135.44,$0.00,1,0,0,20180101, A9538,HCPCS,TC99M PYROPHOSPHATE,,30,,,$114.77,$0.00,1,0,0,20180101, A9539,HCPCS,TC99M PENTETATE,,30,,,$76.52,$0.00,1,0,0,20180101, A9540,HCPCS,TC99M MAA,,30,,,$39.79,$0.00,1,0,0,20180101, A9541,HCPCS,TC99M SULFUR COLLOID,,30,,,$176.53,$0.00,1,0,0,20180101, A9542,HCPCS,"IN111 IBRITUMOMAB, DX",,30,,,"$16,559.31",$0.00,1,0,0,20180101, A9543,HCPCS,"Y90 IBRITUMOMAB, RX",,30,,,"$94,223.79",$0.00,1,0,0,20180101, A9547,HCPCS,IN111 OXYQUINOLINE,,30,,,"$1,394.90",$0.00,1,0,0,20180101, A9548,HCPCS,IN111 PENTETATE,,30,,,$836.94,$0.00,1,0,0,20180101, A9551,HCPCS,TC99M SUCCIMER,,30,,,$443.02,$0.00,1,0,0,20180101, A9552,HCPCS,F18 FDG,,30,,,$840.04,$0.00,1,0,0,20180101, A9553,HCPCS,CR51 CHROMATE,,30,,,"$3,269.97",$0.00,1,0,0,20180101, A9554,HCPCS,"I125 IOTHALAMATE, DX",,30,,,"$1,492.09",$0.00,1,0,0,20180101, A9555,HCPCS,RB82 RUBIDIUM,,30,,,"$1,065.26",$0.00,1,0,0,20180101, A9556,HCPCS,GA67 GALLIUM,,30,,,$104.56,$0.00,1,0,0,20180101, A9557,HCPCS,TC99M BICISATE,,30,,,$395.55,$0.00,1,0,0,20180101, A9558,HCPCS,XE133 XENON 10MCI,,30,,,$134.73,$0.00,1,0,0,20180101, A9560,HCPCS,TC99M LABELED RBC,,30,,,$266.32,$0.00,1,0,0,20180101, A9561,HCPCS,TC99M OXIDRONATE,,30,,,$83.15,$0.00,1,0,0,20180101, A9562,HCPCS,TC99M MERTIATIDE,,30,,,$589.08,$0.00,1,0,0,20180101, A9563,HCPCS,P32 NA PHOSPHATE,,30,,,$909.08,$0.00,1,0,0,20180101, A9564,HCPCS,P32 CHROMIC PHOSPHATE,,30,,,$714.19,$0.00,1,0,0,20180101, A9567,HCPCS,TECHNETIUM TC-99M AEROSOL,,30,,,$64.27,$0.00,1,0,0,20180101, A9568,HCPCS,TECHNETIUM TC99M ARCITUMOMAB,,30,,,$273.03,$0.00,1,0,0,20180101, A9569,HCPCS,TECHNETIUM TC-99M AUTO WBC,,30,,,$3.73,$0.00,1,0,0,20180101, A9570,HCPCS,INDIUM IN-111 AUTO WBC,,30,,,$366.53,$0.00,1,0,0,20180101, A9572,HCPCS,INDIUM IN-111 PENTETREOTIDE,,30,,,"$5,838.29",$0.00,1,0,0,20180101, A9575,HCPCS,INJ GADOTERATE MEGLUMI 0.1ML,,30,,,$3.30,$0.00,1,0,0,20180101, A9576,HCPCS,INJ PROHANCE MULTIPACK,,30,,,$7.61,$0.00,1,0,0,20180101, A9577,HCPCS,INJ MULTIHANCE,,30,,,$10.79,$0.00,1,0,0,20180101, A9578,HCPCS,INJ MULTIHANCE MULTIPACK,,30,,,$10.65,$0.00,1,0,0,20180101, A9579,HCPCS,"GAD-BASE MR CONTRAST NOS,1ML",,30,,,$8.92,$0.00,1,0,0,20180101, A9580,HCPCS,SODIUM FLUORIDE F-18,,30,,,$760.90,$0.00,1,0,0,20180101, A9582,HCPCS,IODINE I-123 IOBENGUANE,,30,,,"$7,932.39",$0.00,1,0,0,20180101, A9583,HCPCS,GADOFOSVESET TRISODIUM INJ,,30,,,$48.36,$0.00,1,0,0,20180101, A9584,HCPCS,IODINE I-123 IOFLUPANE,,30,,,"$3,636.11",$0.00,1,0,0,20180101, A9585,HCPCS,GADOBUTROL INJECTION,,30,,,$1.67,$0.00,1,0,0,20180101, A9586,HCPCS,FLORBETAPIR F18,,30,,,"$15,375.12",$0.00,1,0,0,20180101, A9587,HCPCS,GALLIUM GA-68,,30,,,$432.56,$0.00,1,0,0,20180101, A9588,HCPCS,FLUCICLOVINE F-18,,30,,,"$2,468.01",$0.00,1,0,0,20180101, A9600,HCPCS,SR89 STRONTIUM,,30,,,"$7,569.09",$0.00,1,0,0,20180101, A9604,HCPCS,SM 153 LEXIDRONAM,,30,,,"$24,111.81",$0.00,1,0,0,20180101, A9606,HCPCS,RADIUM RA223 DICHLORIDE THER,,30,,,$477.40,$0.00,1,0,0,20180101, A9698,HCPCS,NON-RAD CONTRAST MATERIALNOC,,30,,,$35.11,$0.00,1,0,0,20180101, A9699,HCPCS,RADIOPHARM RX AGENT NOC,,30,,,$35.11,$0.00,1,0,0,20180101, A9700,HCPCS,ECHOCARDIOGRAPHY CONTRAST,,30,,,$461.43,$0.00,1,0,0,20180101, A9999,HCPCS,"DME SUPPLY OR ACCESSORY, NOS",,30,,,"$1,022.07",$0.00,1,0,0,20180101, B4100,HCPCS,FOOD THICKENER ORAL,,30,,,$0.99,$0.00,1,0,0,20180101, B4102,HCPCS,EF ADULT FLUIDS AND ELECTRO,,30,,,$4.10,$0.00,1,0,0,20180101, B4103,HCPCS,EF PED FLUID AND ELECTROLYTE,,30,,,$14.03,$0.00,1,0,0,20180101, B4104,HCPCS,ADDITIVE FOR ENTERAL FORMULA,,30,,,$10.87,$0.00,1,0,0,20180101, B4149,HCPCS,EF BLENDERIZED FOODS,,30,,,$2.82,$0.00,1,0,0,20180101, B4150,HCPCS,EF COMPLET W/INTACT NUTRIENT,,30,,,$1.36,$0.00,1,0,0,20180101, B4152,HCPCS,EF CALORIE DENSE>/=1.5KCAL,,30,,,$1.13,$0.00,1,0,0,20180101, B4153,HCPCS,EF HYDROLYZED/AMINO ACIDS,,30,,,$3.25,$0.00,1,0,0,20180101, B4154,HCPCS,EF SPEC METABOLIC NONINHERIT,,30,,,$2.00,$0.00,1,0,0,20180101, B4155,HCPCS,EF INCOMPLETE/MODULAR,,30,,,$2.16,$0.00,1,0,0,20180101, B4157,HCPCS,EF SPECIAL METABOLIC INHERIT,,30,,,$10.97,$0.00,1,0,0,20180101, B4158,HCPCS,EF PED COMPLETE INTACT NUT,,30,,,$4.84,$0.00,1,0,0,20180101, B4159,HCPCS,EF PED COMPLETE SOY BASED,,30,,,$5.38,$0.00,1,0,0,20180101, B4160,HCPCS,EF PED CALORIC DENSE>/=0.7KC,,30,,,$4.52,$0.00,1,0,0,20180101, B4161,HCPCS,EF PED HYDROLYZED/AMINO ACID,,30,,,$10.10,$0.00,1,0,0,20180101, B4162,HCPCS,EF PED SPECMETABOLIC INHERIT,,30,,,$16.70,$0.00,1,0,0,20180101, B4164,HCPCS,PARENTERAL 50% DEXTROSE SOLU,,30,,,$44.91,$0.00,1,0,0,20180101, B4168,HCPCS,PARENTERAL SOL AMINO ACID 3.,,30,,,$65.26,$0.00,1,0,0,20180101, B4172,HCPCS,PARENTERAL SOL AMINO ACID 5.,,30,,,$114.85,$0.00,1,0,0,20180101, B4176,HCPCS,PARENTERAL SOL AMINO ACID 7-,,30,,,$125.81,$0.00,1,0,0,20180101, B4178,HCPCS,PARENTERAL SOL AMINO ACID >,,30,,,$150.88,$0.00,1,0,0,20180101, B4180,HCPCS,PARENTERAL SOL CARB > 50%,,30,,,$64.26,$0.00,1,0,0,20180101, B4185,HCPCS,PARENTERAL SOL 10 GM LIPIDS,,30,,,$29.88,$0.00,1,0,0,20180101, B4189,HCPCS,PARENTERAL SOL AMINO ACID &,,30,,,$465.10,$0.00,1,0,0,20180101, B4193,HCPCS,PARENTERAL SOL 52-73 GM PROT,,30,,,$600.82,$0.00,1,0,0,20180101, B4197,HCPCS,PARENTERAL SOL 74-100 GM PRO,,30,,,$731.36,$0.00,1,0,0,20180101, B4199,HCPCS,PARENTERAL SOL > 100GM PROTE,,30,,,$835.63,$0.00,1,0,0,20180101, B5000,HCPCS,PARENTERAL SOL RENAL-AMIROSY,,30,,,$31.59,$0.00,1,0,0,20180101, B5100,HCPCS,PARENTERAL SOLUTION HEPATIC,,30,,,$12.65,$0.00,1,0,0,20180101, B5200,HCPCS,PARENTERAL SOL HEPATIC FREAM,,30,,,$654.15,$0.00,1,0,0,20180101, C1716,HCPCS,"BRACHYTX, NON-STR, GOLD-198",,30,,,$794.83,$0.00,1,0,0,20180101, C1717,HCPCS,"BRACHYTX, NON-STR,HDR IR-192",,30,,,"$1,199.34",$0.00,1,0,0,20180101, C1719,HCPCS,"BRACHYTX, NS, NON-HDRIR-192",,30,,,$129.94,$0.00,1,0,0,20180101, C1749,HCPCS,"ENDO, COLON, RETRO IMAGING",,30,,,"$4,705.38",$0.00,1,0,1,20180101, C1773,HCPCS,"RET DEV, INSERTABLE",,30,,,"$1,742.29",$0.00,1,0,0,20180101, C1814,HCPCS,"RETINAL TAMP, SILICONE OIL",,30,,,"$2,458.34",$0.00,1,0,0,20180101, C1819,HCPCS,TISSUE LOCALIZATION-EXCISION,,30,,,"$2,474.78",$0.00,1,0,0,20180101, C1886,HCPCS,"CATHETER, ABLATION",,30,,,"$7,946.81",$0.00,1,0,0,20180101, C2616,HCPCS,"BRACHYTX, NON-STR,YTTRIUM-90",,30,,,"$33,081.76",$0.00,1,0,0,20180101, C2629,HCPCS,"INTRO/SHEATH, LASER",,30,,,$515.00,$0.00,1,0,0,20180101, C2630,HCPCS,"CATH, EP, COOL-TIP",,30,,,"$12,015.57",$0.00,1,0,0,20180101, C2634,HCPCS,"BRACHYTX, NON-STR, HA, I-125",,30,,,$741.36,$0.00,1,0,0,20180101, C2635,HCPCS,"BRACHYTX, NON-STR, HA, P-103",,30,,,$165.81,$0.00,1,0,0,20180101, C2636,HCPCS,"BRACHY LINEAR, NON-STR,P-103",,30,,,$192.01,$0.00,1,0,0,20180101, C2638,HCPCS,"BRACHYTX, STRANDED, I-125",,30,,,$238.94,$0.00,1,0,0,20180101, C2639,HCPCS,"BRACHYTX, NON-STRANDED,I-125",,30,,,$225.79,$0.00,1,0,0,20180101, C2640,HCPCS,"BRACHYTX, STRANDED, P-103",,30,,,$489.03,$0.00,1,0,0,20180101, C2641,HCPCS,"BRACHYTX, NON-STRANDED,P-103",,30,,,$431.78,$0.00,1,0,0,20180101, C2642,HCPCS,"BRACHYTX, STRANDED, C-131",,30,,,$552.84,$0.00,1,0,0,20180101, C2643,HCPCS,"BRACHYTX, NON-STRANDED,C-131",,30,,,$545.31,$0.00,1,0,0,20180101, C2644,HCPCS,BRACHYTX CESIUM-131 CHLORIDE,,30,,,$652.84,$0.00,1,0,0,20180101, C2645,HCPCS,"BRACHYTX PLANAR, P-103",,30,,,$30.49,$0.00,1,0,0,20180101, C2698,HCPCS,"BRACHYTX, STRANDED, NOS",,30,,,$238.94,$0.00,1,0,0,20180101, C2699,HCPCS,"BRACHYTX, NON-STRANDED, NOS",,30,,,$129.94,$0.00,1,0,0,20180101, C5271,HCPCS,LOW COST SKIN SUBSTITUTE APP,,30,,,"$2,599.88",$0.00,1,0,0,20180101, C5273,HCPCS,LOW COST SKIN SUBSTITUTE APP,,30,,,"$8,526.45",$0.00,1,0,0,20180101, C5275,HCPCS,LOW COST SKIN SUBSTITUTE APP,,30,,,"$2,599.88",$0.00,1,0,0,20180101, C5277,HCPCS,LOW COST SKIN SUBSTITUTE APP,,30,,,"$2,599.88",$0.00,1,0,0,20180101, C8900,HCPCS,"MRA W/CONT, ABD",,30,,,"$1,457.02",$0.00,1,0,1,20180101, C8901,HCPCS,"MRA W/O CONT, ABD",,30,,,"$1,569.57",$0.00,1,0,1,20180101, C8902,HCPCS,"MRA W/O FOL W/CONT, ABD",,30,,,"$2,877.41",$0.00,1,0,1,20180101, C8903,HCPCS,"MRI W/CONT, BREAST, UNI",,30,,,"$1,457.02",$0.00,1,0,1,20180101, C8904,HCPCS,"MRI W/O CONT, BREAST, UNI",,30,,,"$1,569.57",$0.00,1,0,1,20180101, C8905,HCPCS,"MRI W/O FOL W/CONT, BRST, UN",,30,,,"$2,877.41",$0.00,1,0,1,20180101, C8906,HCPCS,"MRI W/CONT, BREAST, BI",,30,,,"$2,877.41",$0.00,1,0,1,20180101, C8907,HCPCS,"MRI W/O CONT, BREAST, BI",,30,,,"$1,569.57",$0.00,1,0,1,20180101, C8908,HCPCS,"MRI W/O FOL W/CONT, BREAST,",,30,,,"$2,877.41",$0.00,1,0,1,20180101, C8909,HCPCS,"MRA W/CONT, CHEST",,30,,,"$1,457.02",$0.00,1,0,1,20180101, C8910,HCPCS,"MRA W/O CONT, CHEST",,30,,,"$1,569.57",$0.00,1,0,1,20180101, C8911,HCPCS,"MRA W/O FOL W/CONT, CHEST",,30,,,"$2,877.41",$0.00,1,0,1,20180101, C8912,HCPCS,"MRA W/CONT, LWR EXT",,30,,,"$2,877.41",$0.00,1,0,1,20180101, C8913,HCPCS,"MRA W/O CONT, LWR EXT",,30,,,"$1,569.57",$0.00,1,0,1,20180101, C8914,HCPCS,"MRA W/O FOL W/CONT, LWR EXT",,30,,,"$2,877.41",$0.00,1,0,1,20180101, C8918,HCPCS,"MRA W/CONT, PELVIS",,30,,,"$1,457.02",$0.00,1,0,1,20180101, C8919,HCPCS,"MRA W/O CONT, PELVIS",,30,,,"$1,569.57",$0.00,1,0,1,20180101, C8920,HCPCS,"MRA W/O FOL W/CONT, PELVIS",,30,,,"$2,877.41",$0.00,1,0,1,20180101, C8921,HCPCS,"TTE W OR W/O FOL W/CONT, COM",,30,,,"$4,229.86",$0.00,1,0,1,20180101, C8922,HCPCS,"TTE W OR W/O FOL W/CONT, F/U",,30,,,"$4,229.86",$0.00,1,0,1,20180101, C8923,HCPCS,"2D TTE W OR W/O FOL W/CON,CO",,30,,,"$4,229.86",$0.00,1,0,1,20180101, C8924,HCPCS,"2D TTE W OR W/O FOL W/CON,FU",,30,,,"$2,877.41",$0.00,1,0,1,20180101, C8925,HCPCS,"2D TEE W OR W/O FOL W/CON,IN",,30,,,"$4,229.86",$0.00,1,0,1,20180101, C8926,HCPCS,"TEE W OR W/O FOL W/CONT,CONG",,30,,,"$4,229.86",$0.00,1,0,1,20180101, C8927,HCPCS,"TEE W OR W/O FOL W/CONT, MON",,30,,,"$4,229.86",$0.00,1,0,1,20180101, C8928,HCPCS,"TTE W OR W/O FOL W/CON,STRES",,30,,,"$4,229.86",$0.00,1,0,1,20180101, C8929,HCPCS,"TTE W OR WO FOL WCON,DOPPLER",,30,,,"$4,229.86",$0.00,1,0,1,20180101, C8930,HCPCS,"TTE W OR W/O CONTR, CONT ECG",,30,,,"$4,229.86",$0.00,1,0,1,20180101, C8931,HCPCS,"MRA, W/DYE, SPINAL CANAL",,30,,,"$2,877.41",$0.00,1,0,1,20180101, C8932,HCPCS,"MRA, W/O DYE, SPINAL CANAL",,30,,,"$1,569.57",$0.00,1,0,1,20180101, C8933,HCPCS,"MRA, W/O&W/DYE, SPINAL CANAL",,30,,,"$1,457.02",$0.00,1,0,1,20180101, C8934,HCPCS,"MRA, W/DYE, UPPER EXTREMITY",,30,,,"$1,457.02",$0.00,1,0,1,20180101, C8935,HCPCS,"MRA, W/O DYE, UPPER EXTR",,30,,,$766.79,$0.00,1,0,1,20180101, C8936,HCPCS,"MRA, W/O&W/DYE, UPPER EXTR",,30,,,"$1,457.02",$0.00,1,0,1,20180101, C8957,HCPCS,"PROLONGED IV INF, REQ PUMP",,30,,,"$1,552.59",$0.00,1,0,1,20180101, C9014,HCPCS,"INJECTION, CERLIPONASE ALFA",,30,,,$617.07,$0.00,1,0,0,20180101, C9015,HCPCS,"C-1 ESTERASE, HAEGARDA",,30,,,$64.77,$0.00,1,0,0,20180101, C9016,HCPCS,"INJ, TRIPTORELIN EXT REL",,30,,,"$14,800.68",$0.00,1,0,0,20180101, C9024,HCPCS,"INJ, DAUNORUBICIN-CYTARABINE",,30,,,"$1,199.96",$0.00,1,0,0,20180101, C9028,HCPCS,INJ. INOTUZUMAB OZOGAMICIN,,30,,,"$12,152.41",$0.00,1,0,0,20180101, C9029,HCPCS,"INJECTION, GUSELKUMAB",,30,,,$663.63,$0.00,1,0,0,20180101, C9113,HCPCS,"INJ PANTOPRAZOLE SODIUM, VIA",,30,,,$199.03,$0.00,1,0,0,20180101, C9132,HCPCS,"KCENTRA, PER I.U.",,30,,,$12.00,$0.00,1,0,0,20180101, C9248,HCPCS,"INJ, CLEVIDIPINE BUTYRATE",,30,,,$12.21,$0.00,1,0,0,20180101, C9250,HCPCS,ARTISS FIBRIN SEALANT,,30,,,$721.57,$0.00,1,0,0,20180101, C9254,HCPCS,"INJECTION, LACOSAMIDE",,30,,,$1.31,$0.00,1,0,0,20180101, C9257,HCPCS,BEVACIZUMAB INJECTION,,30,,,$11.96,$0.00,1,0,0,20180101, C9275,HCPCS,HEXAMINOLEVULINATE HCL,,30,,,"$4,446.37",$0.00,1,0,0,20180101, C9285,HCPCS,"PATCH, LIDOCAINE/TETRACAINE",,30,,,$108.35,$0.00,1,0,0,20180101, C9290,HCPCS,"INJ, BUPIVACAINE LIPOSOME",,30,,,$8.39,$0.00,1,0,0,20180101, C9293,HCPCS,"INJECTION, GLUCARPIDASE",,30,,,"$1,814.16",$0.00,1,0,0,20180101, C9352,HCPCS,"NEURAGEN NERVE GUIDE, PER CM",,30,,,"$7,487.95",$0.00,1,0,0,20180101, C9353,HCPCS,"NEURAWRAP NERVE PROTECTOR,CM",,30,,,"$9,044.90",$0.00,1,0,0,20180101, C9354,HCPCS,"VERITAS COLLAGEN MATRIX, CM2",,30,,,"$6,133.06",$0.00,1,0,0,20180101, C9356,HCPCS,"TENOGLIDE TENDON PROT, CM2",,30,,,"$8,668.20",$0.00,1,0,0,20180101, C9447,HCPCS,"INJ, PHENYLEPHRINE KETOROLAC",,30,,,"$1,778.83",$0.00,1,0,0,20180101, C9460,HCPCS,"INJECTION, CANGRELOR",,30,,,$99.88,$0.00,1,0,0,20180101, C9482,HCPCS,SOTALOL HYDROCHLORIDE IV,,30,,,$64.90,$0.00,1,0,0,20180101, C9488,HCPCS,CONIVAPTAN HCL,,30,,,$194.46,$0.00,1,0,0,20180101, C9492,HCPCS,"INJECTION, DURVALUMAB",,30,,,$477.76,$0.00,1,0,0,20180101, C9493,HCPCS,"INJECTION, EDARAVONE",,30,,,$124.71,$0.00,1,0,0,20180101, C9497,HCPCS,"LOXAPINE, INHALATION POWDER",,30,,,$966.82,$0.00,1,0,0,20180101, C9600,HCPCS,PERC DRUG-EL COR STENT SING,,30,,,"$20,436.08",$0.00,1,0,0,20180101, C9601,HCPCS,PERC DRUG-EL COR STENT BRAN,,30,,,"$27,495.37",$0.00,1,0,0,20180101, C9602,HCPCS,PERC D-E COR STENT ATHER S,,30,,,"$31,145.92",$0.00,1,0,0,20180101, C9603,HCPCS,PERC D-E COR STENT ATHER BR,,30,,,"$28,343.23",$0.00,1,0,0,20180101, C9604,HCPCS,PERC D-E COR REVASC T CABG S,,30,,,"$20,436.08",$0.00,1,0,0,20180101, C9605,HCPCS,PERC D-E COR REVASC T CABG B,,30,,,"$28,343.23",$0.00,1,0,0,20180101, C9606,HCPCS,PERC D-E COR REVASC W AMI S,,30,,,"$31,145.92",$0.00,1,0,0,20180101, C9607,HCPCS,PERC D-E COR REVASC CHRO SIN,,30,,,"$31,145.92",$0.00,1,0,0,20180101, C9608,HCPCS,PERC D-E COR REVASC CHRO ADD,,30,,,"$28,343.23",$0.00,1,0,0,20180101, C9725,HCPCS,PLACE ENDORECTAL APP,,30,,,"$3,997.26",$0.00,1,0,1,20180101, C9726,HCPCS,RXT BREAST APPL PLACE/REMOV,,30,,,"$28,525.70",$0.00,1,0,1,20180101, C9727,HCPCS,INSERT PALATE IMPLANTS,,30,,,"$5,312.99",$0.00,1,0,1,20180101, C9728,HCPCS,"PLACE DEVICE/MARKER, NON PRO",,30,,,"$6,939.43",$0.00,1,0,1,20180101, C9733,HCPCS,NON-OPHTHALMIC FVA,,30,,,"$1,569.57",$0.00,1,0,1,20180101, C9734,HCPCS,"U/S TRTMT, NOT LEIOMYOMATA",,30,,,"$21,981.71",$0.00,1,0,1,20180101, C9738,HCPCS,BLUE LIGHT CYSTO IMAG AGENT,,30,,,"$4,446.37",$0.00,1,0,1,20180101, C9739,HCPCS,CYSTOSCOPY PROSTATIC IMP 1-3,,30,,,"$17,586.31",$0.00,1,0,1,20180101, C9740,HCPCS,CYSTO IMPL 4 OR MORE,,30,,,"$23,470.70",$0.00,1,0,1,20180101, C9741,HCPCS,IMPL PRESSURE SENSOR W/ANGIO         ,,30,,,"$65,113.20",$0.00,1,0,1,20180101, C9744,HCPCS,ABD US W/CONTRAST,,30,,,"$1,457.02",$0.00,1,0,1,20180101, C9745,HCPCS,NASAL ENDO EUSTACHIAN TUBE,,30,,,"$19,087.30",$0.00,1,0,1,20180101, C9746,HCPCS,TRANS IMP BALLOON CONT,,30,,,"$30,441.66",$0.00,1,0,1,20180101, C9747,HCPCS,"ABLATION, HIFU, PROSTATE",,30,,,"$23,470.70",$0.00,1,0,1,20180101, C9748,HCPCS,PROSTATIC RF WATER VAPOR TX,,30,,,"$9,468.56",$0.00,1,0,1,20180101, C9898,HCPCS,INPNT STAY RADIOLABELED ITEM,,30,,,$1.28,$0.00,1,0,1,20180101, G0008,HCPCS,ADMIN INFLUENZA VIRUS VAC,,30,,,$232.07,$0.00,1,0,1,20180101, G0009,HCPCS,ADMIN PNEUMOCOCCAL VACCINE,,30,,,$232.07,$0.00,1,0,1,20180101, G0010,HCPCS,ADMIN HEPATITIS B VACCINE,,30,,,$232.07,$0.00,1,0,1,20180101, G0027,HCPCS,SEMEN ANALYSIS,,30,,,$38.27,$0.00,1,0,1,20180101, G0101,HCPCS,CA SCREEN;PELVIC/BREAST EXAM,,30,,,$298.71,$0.00,1,0,1,20180101, G0102,HCPCS,PROSTATE CA SCREENING; DRE,,30,,,$58.95,$0.00,1,0,1,20180101, G0103,HCPCS,PSA SCREENING,,30,,,$206.73,$0.00,1,0,1,20180101, G0104,HCPCS,CA SCREEN;FLEXI SIGMOIDSCOPE,,30,,,"$3,997.26",$0.00,1,0,1,20180101, G0105,HCPCS,COLORECTAL SCRN; HI RISK IND,,30,,,"$3,997.26",$0.00,1,0,1,20180101, G0106,HCPCS,COLON CA SCREEN;BARIUM ENEMA,,30,,,"$1,457.02",$0.00,1,0,1,20180101, G0117,HCPCS,GLAUCOMA SCRN HGH RISK DIREC,,30,,,$192.66,$0.00,1,0,1,20180101, G0118,HCPCS,GLAUCOMA SCRN HGH RISK DIREC,,30,,,$192.66,$0.00,1,0,1,20180101, G0120,HCPCS,COLON CA SCRN; BARIUM ENEMA,,30,,,"$1,457.02",$0.00,1,0,1,20180101, G0121,HCPCS,COLON CA SCRN NOT HI RSK IND,,30,,,"$3,997.26",$0.00,1,0,1,20180101, G0123,HCPCS,SCREEN CERV/VAG THIN LAYER,,30,,,$150.27,$0.00,1,0,1,20180101, G0124,HCPCS,SCREEN C/V THIN LAYER BY MD,,30,,,$127.94,$0.00,1,0,1,20180101, G0127,HCPCS,TRIM NAIL(S),,30,,,$345.25,$0.00,1,0,1,20180101, G0128,HCPCS,CORF SKILLED NURSING SERVICE,,30,,,"$1,089.53",$0.00,1,0,1,20180101, G0130,HCPCS,SINGLE ENERGY X-RAY STUDY,,30,,,$766.79,$0.00,1,0,1,20180101, G0141,HCPCS,"SCR C/V CYTO,AUTOSYS AND MD",,30,,,$157.62,$0.00,1,0,1,20180101, G0143,HCPCS,"SCR C/V CYTO,THINLAYER,RESCR",,30,,,$230.02,$0.00,1,0,1,20180101, G0144,HCPCS,"SCR C/V CYTO,THINLAYER,RESCR",,30,,,$73.65,$0.00,1,0,1,20180101, G0145,HCPCS,"SCR C/V CYTO,THINLAYER,RESCR",,30,,,$251.99,$0.00,1,0,1,20180101, G0147,HCPCS,"SCR C/V CYTO, AUTOMATED SYS",,30,,,$92.01,$0.00,1,0,1,20180101, G0148,HCPCS,"SCR C/V CYTO, AUTOSYS, RESCR",,30,,,$224.24,$0.00,1,0,1,20180101, G0151,HCPCS,"HHCP-SERV OF PT,EA 15 MIN",,30,,,$63.00,$0.00,1,0,0,20180101, G0152,HCPCS,"HHCP-SERV OF OT,EA 15 MIN",,30,,,$61.84,$0.00,1,0,0,20180101, G0153,HCPCS,"HHCP-SVS OF S/L PATH,EA 15MN",,30,,,$63.93,$0.00,1,0,0,20180101, G0155,HCPCS,"HHCP-SVS OF CSW,EA 15 MIN",,30,,,$78.02,$0.00,1,1,1,20180101, G0156,HCPCS,"HHCP-SVS OF AIDE,EA 15 MIN",,30,,,$30.34,$0.00,1,1,1,20180101, G0157,HCPCS,HHC PT ASSISTANT EA 15,,30,,,$57.80,$0.00,1,1,1,20180101, G0158,HCPCS,HHC OT ASSISTANT EA 15,,30,,,$56.35,$0.00,1,1,1,20180101, G0159,HCPCS,HHC PT MAINT EA 15 MIN,,30,,,$72.24,$0.00,1,1,1,20180101, G0160,HCPCS,HHC OCCUP THERAPY EA 15,,30,,,$61.84,$0.00,1,1,1,20180101, G0161,HCPCS,HHC SLP EA 15 MIN,,30,,,$63.93,$0.00,1,1,1,20180101, G0162,HCPCS,"HHC RN E&M PLAN SVS, 15 MIN",,30,,,$63.58,$0.00,1,1,1,20180101, G0166,HCPCS,"EXTRNL COUNTERPULSE, PER TX",,30,,,$536.04,$0.00,1,0,0,20180101, G0168,HCPCS,WOUND CLOSURE BY ADHESIVE,,30,,,$298.22,$0.00,1,0,1,20180101, G0175,HCPCS,"OPPS SERVICE,SCHED TEAM CONF",,30,,,"$2,201.37",$0.00,1,0,1,20180101, G0177,HCPCS,OPPS/PHP; TRAIN & EDUC SERV,,30,,,$307.47,$0.00,1,0,1,20180101, G0179,HCPCS,MD RECERTIFICATION HHA PT,,30,,,$237.31,$0.00,1,0,1,20180101, G0180,HCPCS,MD CERTIFICATION HHA PATIENT,,30,,,$218.76,$0.00,1,0,1,20180101, G0182,HCPCS,HOSPICE CARE SUPERVISION,,30,,,$252.30,$0.00,1,0,1,20180101, G0186,HCPCS,"DSTRY EYE LESN,FDR VSSL TECH",,30,,,"$2,742.58",$0.00,1,0,1,20180101, G0219,HCPCS,PET IMG WHOLBOD MELANO NONCO,,30,,,"$2,674.03",$0.00,1,0,1,20180101, G0235,HCPCS,PET NOT OTHERWISE SPECIFIED,,30,,,"$5,002.65",$0.00,1,0,1,20180101, G0237,HCPCS,THERAPEUTIC PROCD STRG ENDUR,,30,,,$192.66,$0.00,1,0,0,20180101, G0238,HCPCS,"OTH RESP PROC, INDIV",,30,,,$192.66,$0.00,1,0,0,20180101, G0239,HCPCS,"OTH RESP PROC, GROUP",,30,,,$192.66,$0.00,1,0,0,20180101, G0245,HCPCS,INITIAL FOOT EXAM PT LOPS,,30,,,$334.60,$0.00,1,0,1,20180101, G0246,HCPCS,FOLLOWUP EVAL OF FOOT PT LOP,,30,,,$334.60,$0.00,1,0,1,20180101, G0247,HCPCS,ROUTINE FOOTCARE PT W LOPS,,30,,,$622.76,$0.00,1,0,1,20180101, G0248,HCPCS,DEMONSTRATE USE HOME INR MON,,30,,,$334.60,$0.00,1,0,1,20180101, G0249,HCPCS,PROVIDE INR TEST MATER/EQUIP,,30,,,$334.60,$0.00,1,0,1,20180101, G0250,HCPCS,MD INR TEST REVIE INTER MGMT,,30,,,$66.54,$0.00,1,0,1,20180101, G0257,HCPCS,UNSCHED DIALYSIS ESRD PT HOS,,30,,,"$3,611.01",$0.00,1,0,1,20180101, G0259,HCPCS,INJECT FOR SACROILIAC JOINT,,30,,,"$2,258.28",$0.00,1,0,1,20180101, G0260,HCPCS,INJ FOR SACROILIAC JT ANESTH,,30,,,"$2,980.00",$0.00,1,0,1,20180101, G0268,HCPCS,REMOVAL OF IMPACTED WAX MD,,30,,,$336.80,$0.00,1,0,1,20180101, G0269,HCPCS,OCCLUSIVE DEVICE IN VEIN ART,,30,,,"$1,322.35",$0.00,1,0,1,20180101, G0276,HCPCS,PILD/PLACEBO CONTROL CLIN TR,,30,,,"$21,981.71",$0.00,1,0,1,20180101, G0277,HCPCS,"HBOT, FULL BODY CHAMBER, 30M",,30,,,$723.03,$0.00,1,0,1,20180101, G0278,HCPCS,"ILIAC ART ANGIO,CARDIAC CATH",,30,,,"$3,368.82",$0.00,1,0,1,20180101, G0282,HCPCS,ELECT STIM WOUND CARE NOT PD,,30,,,$252.94,$0.00,1,0,0,20180101, G0288,HCPCS,"RECON, CTA FOR SURG PLAN",,30,,,"$1,908.39",$0.00,1,0,1,20180101, G0289,HCPCS,"ARTHRO, LOOSE BODY + CHONDRO",,30,,,"$7,628.93",$0.00,1,0,1,20180101, G0293,HCPCS,"NON-COV SURG PROC,CLIN TRIAL",,30,,,$192.66,$0.00,1,0,1,20180101, G0294,HCPCS,"NON-COV PROC, CLINICAL TRIAL",,30,,,$192.66,$0.00,1,0,1,20180101, G0296,HCPCS,VISIT TO DETERM LDCT ELIG,,30,,,$298.71,$0.00,1,0,1,20180101, G0297,HCPCS,LDCT FOR LUNG CA SCREEN,,30,,,$383.69,$0.00,1,0,1,20180101, G0299,HCPCS,HHS/HOSPICE OF RN EA 15 MIN,,30,,,$247.52,$0.00,1,1,1,20180101, G0300,HCPCS,HHS/HOSPICE OF LPN EA 15 MIN,,30,,,$247.52,$0.00,1,1,1,20180101, G0302,HCPCS,PRE-OP SERVICE LVRS COMPLETE,,30,,,"$5,367.25",$0.00,1,0,1,20180101, G0303,HCPCS,PRE-OP SERVICE LVRS 10-15DOS,,30,,,$831.97,$0.00,1,0,1,20180101, G0304,HCPCS,PRE-OP SERVICE LVRS 1-9 DOS,,30,,,"$5,367.25",$0.00,1,0,1,20180101, G0305,HCPCS,POST OP SERVICE LVRS MIN 6,,30,,,"$5,367.25",$0.00,1,0,1,20180101, G0306,HCPCS,CBC/DIFFWBC W/O PLATELET,,30,,,$126.62,$0.00,1,0,1,20180101, G0307,HCPCS,CBC WITHOUT PLATELET,,30,,,$105.36,$0.00,1,0,1,20180101, G0328,HCPCS,FECAL BLOOD SCRN IMMUNOASSAY,,30,,,$105.66,$0.00,1,0,1,20180101, G0339,HCPCS,"ROBOT LIN-RADSURG COM, FIRST",,30,,,"$40,541.34",$0.00,1,0,1,20180101, G0340,HCPCS,ROBT LIN-RADSURG FRACTX 2-5,,30,,,"$30,489.15",$0.00,1,0,1,20180101, G0365,HCPCS,VESSEL MAPPING HEMO ACCESS,,30,,,$766.79,$0.00,1,0,1,20180101, G0378,HCPCS," HOSPITAL OBSERVATION PER HR",,30,,,$134.00,$0.00,1,1,1,20180101, G0379,HCPCS," DIRECT REFER HOSPITAL OBSERV",,30,,,$134.00,$0.00,1,1,1,20180101, G0380,HCPCS,LEV 1 HOSP TYPE B ED VISIT,,30,,,$339.27,$0.00,1,1,1,20180101, G0381,HCPCS,LEV 2 HOSP TYPE B ED VISIT,,30,,,$493.07,$0.00,1,1,1,20180101, G0382,HCPCS,LEV 3 HOSP TYPE B ED VISIT,,30,,,$942.28,$0.00,1,1,1,20180101, G0383,HCPCS,LEV 4 HOSP TYPE B ED VISIT,,30,,,"$1,279.40",$0.00,1,1,1,20180101, G0384,HCPCS,LEV 5 HOSP TYPE B ED VISIT,,30,,,"$1,760.62",$0.00,1,1,1,20180101, G0390,HCPCS,TRAUMA RESPONS W/HOSP CRITI,,30,,,"$5,668.99",$0.00,1,1,1,20180101, G0396,HCPCS,ALCOHOL/SUBS INTERV 15-30MN,,30,,,$173.33,$0.00,1,0,1,20180101, G0397,HCPCS,ALCOHOL/SUBS INTERV >30 MIN,,30,,,$298.71,$0.00,1,0,1,20180101, G0398,HCPCS,HOME SLEEP TEST/TYPE 2 PORTA,,30,,,$831.97,$0.00,1,0,1,20180101, G0399,HCPCS,HOME SLEEP TEST/TYPE 3 PORTA,,30,,,$831.97,$0.00,1,0,1,20180101, G0400,HCPCS,HOME SLEEP TEST/TYPE 4 PORTA,,30,,,$831.97,$0.00,1,0,1,20180101, G0402,HCPCS,INITIAL PREVENTIVE EXAM,,30,,,$334.60,$0.00,1,0,1,20180101, G0404,HCPCS,EKG TRACING FOR INITIAL PREV,,30,,,$113.56,$0.00,1,0,1,20180101, G0405,HCPCS,EKG INTERPRET & REPORT PREVE,,30,,,$144.17,$0.00,1,0,1,20180101, G0409,HCPCS,CORF RELATED SERV 15 MINS EA,,30,,,$63.79,$0.00,1,0,1,20180101, G0413,HCPCS,PELVIC RING FRACTURE UNI/BIL,,30,,,"$7,492.78",$0.00,1,0,1,20180101, G0416,HCPCS,"PROSTATE BIOPSY, ANY MTHD",,30,,,"$1,110.25",$0.00,1,0,1,20180101, G0422,HCPCS,INTENS CARDIAC REHAB W/EXERC,,30,,,$350.74,$0.00,1,0,1,20180101, G0423,HCPCS,INTENS CARDIAC REHAB NO EXER,,30,,,$350.74,$0.00,1,0,1,20180101, G0424,HCPCS,PULMONARY REHAB W EXER,,30,,,$345.25,$0.00,1,0,1,20180101, G0429,HCPCS,DERMAL FILLER INJECTION(S),,30,,,"$8,526.45",$0.00,1,0,0,20180101, G0432,HCPCS,EIA HIV-1/HIV-2 SCREEN,,30,,,$175.41,$0.00,1,0,1,20180101, G0433,HCPCS,ELISA HIV-1/HIV-2 SCREEN,,30,,,$241.58,$0.00,1,0,1,20180101, G0435,HCPCS,ORAL HIV-1/HIV-2 SCREEN,,30,,,$270.36,$0.00,1,0,1,20180101, G0442,HCPCS,ANNUAL ALCOHOL SCREEN 15 MIN,,30,,,$173.33,$0.00,1,0,1,20180101, G0443,HCPCS,BRIEF ALCOHOL MISUSE COUNSEL,,30,,,$298.71,$0.00,1,0,1,20180101, G0444,HCPCS,DEPRESSION SCREEN ANNUAL,,30,,,$173.33,$0.00,1,0,1,20180101, G0445,HCPCS,HIGH INTEN BEH COUNS STD 30M,,30,,,$298.71,$0.00,1,0,1,20180101, G0446,HCPCS,INTENS BEHAVE THER CARDIO DX,,30,,,$173.33,$0.00,1,0,1,20180101, G0447,HCPCS,BEHAVIOR COUNSEL OBESITY 15M,,30,,,$298.71,$0.00,1,0,1,20180101, G0451,HCPCS,DEVLOPMENT TEST INTERPT&REP,,30,,,$298.71,$0.00,1,0,1,20180101, G0452,HCPCS,MOLECULAR PATHOLOGY INTERPR,,30,,,$286.86,$0.00,1,0,1,20180101, G0453,HCPCS,CONT INTRAOP NEURO MONITOR,,30,,,$243.69,$0.00,1,0,1,20180101, G0454,HCPCS,MD DOCUMENT VISIT BY NPP,,30,,,$177.90,$0.00,1,0,1,20180101, G0455,HCPCS,FECAL MICROBIOTA PREP INSTIL,,30,,,"$4,410.61",$0.00,1,0,1,20180101, G0459,HCPCS,TELEHEALTH INPT PHARM MGMT,,30,,,$215.55,$0.00,1,0,1,20180101, G0460,HCPCS,AUTOLOGOUS PRP FOR ULCERS,,30,,,"$8,526.45",$0.00,1,0,1,20180101, G0463,HCPCS,HOSPITAL OUTPT CLINIC VISIT,,30,,,$334.60,$0.00,1,0,1,20180101, G0473,HCPCS,GROUP BEHAVE COUNS 2-10,,30,,,$298.71,$0.00,1,0,1,20180101, G0476,HCPCS,HPV COMBO ASSAY CA SCREEN,,30,,,$635.29,$0.00,1,0,1,20180101, G0480,HCPCS,DRUG TEST DEF 1-7 CLASSES,,30,,,$450.99,$0.00,1,0,1,20180101, G0481,HCPCS,DRUG TEST DEF 8-14 CLASSES,,30,,,$693.85,$0.00,1,0,1,20180101, G0482,HCPCS,DRUG TEST DEF 15-21 CLASSES,,30,,,$936.66,$0.00,1,0,1,20180101, G0483,HCPCS,DRUG TEST DEF 22+ CLASSES,,30,,,"$1,214.23",$0.00,1,0,1,20180101, G0498,HCPCS,CHEMO EXTEND IV INFUS W/PUMP,,30,,,"$1,552.59",$0.00,1,0,1,20180101, G0516,HCPCS,"INSERT DRUG DEL IMPLANT, >4",,30,,,"$2,099.53",$0.00,1,0,1,20180101, G0517,HCPCS,REMOVE DRUG IMPLANT,,30,,,"$2,099.53",$0.00,1,0,1,20180101, G0518,HCPCS,REMOVE W INSERT DRUG IMPLANT,,30,,,"$2,099.53",$0.00,1,0,1,20180101, G0659,HCPCS,DRUG TEST DEF SIMPLE ALL CL,,30,,,$672.51,$0.00,1,0,1,20180101, G6001,HCPCS,ECHO GUIDANCE RADIOTHERAPY,,30,,,$752.13,$0.00,1,0,1,20180101, G6002,HCPCS,STEREOSCOPIC X-RAY GUIDANCE,,30,,,"$1,820.54",$0.00,1,0,1,20180101, G6003,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,$766.91,$0.00,1,0,1,20180101, G6004,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,$766.91,$0.00,1,0,1,20180101, G6005,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,$766.91,$0.00,1,0,1,20180101, G6006,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,"$1,466.48",$0.00,1,0,1,20180101, G6007,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,$766.91,$0.00,1,0,1,20180101, G6008,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,"$1,466.48",$0.00,1,0,1,20180101, G6009,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,"$1,466.48",$0.00,1,0,1,20180101, G6010,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,"$1,466.48",$0.00,1,0,1,20180101, G6011,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,"$1,129.43",$0.00,1,0,1,20180101, G6012,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,"$1,466.48",$0.00,1,0,1,20180101, G6013,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,"$1,466.48",$0.00,1,0,1,20180101, G6014,HCPCS,RADIATION TREATMENT DELIVERY,,30,,,"$1,466.48",$0.00,1,0,1,20180101, G6015,HCPCS,RADIATION TX DELIVERY IMRT,,30,,,"$5,430.23",$0.00,1,0,1,20180101, G6016,HCPCS,DELIVERY COMP IMRT,,30,,,"$3,762.07",$0.00,1,0,1,20180101, G6017,HCPCS,INTRAFRACTION TRACK MOTION,,30,,,$774.16,$0.00,1,0,1,20180101, G8978,HCPCS,MOBILITY CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8979,HCPCS,MOBILITY GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8980,HCPCS,MOBILITY D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8981,HCPCS,BODY POS CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8982,HCPCS,BODY POS GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8983,HCPCS,BODY POS D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8984,HCPCS,CARRY CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8985,HCPCS,CARRY GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8986,HCPCS,CARRY D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8987,HCPCS,SELF CARE CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8988,HCPCS,SELF CARE GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8989,HCPCS,SELF CARE D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8990,HCPCS,OTHER PT/OT CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8991,HCPCS,OTHER PT/OT GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8992,HCPCS,OTHER PT/OT D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8993,HCPCS,SUB PT/OT CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8994,HCPCS,SUB PT/OT GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8995,HCPCS,SUB PT/OT D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8996,HCPCS,SWALLOW CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8997,HCPCS,SWALLOW GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8998,HCPCS,SWALLOW D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G8999,HCPCS,MOTOR SPEECH CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9157,HCPCS,TRANSESOPH DOPPL CARDIAC MON,,30,,,$531.48,$0.00,1,0,1,20180101, G9158,HCPCS,MOTOR SPEECH D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9159,HCPCS,LANG COMP CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9160,HCPCS,LANG COMP GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9161,HCPCS,LANG COMP D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9162,HCPCS,LANG EXPRESS CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9163,HCPCS,LANG EXPRESS GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9164,HCPCS,LANG EXPRESS D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9165,HCPCS,ATTEN CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9166,HCPCS,ATTEN GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9167,HCPCS,ATTEN D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9168,HCPCS,MEMORY CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9169,HCPCS,MEMORY GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9170,HCPCS,MEMORY D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9171,HCPCS,VOICE CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9172,HCPCS,VOICE GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9173,HCPCS,VOICE D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9174,HCPCS,SPEECH LANG CURRENT STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9175,HCPCS,SPEECH LANG GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9176,HCPCS,SPEECH LANG D/C STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9186,HCPCS,MOTOR SPEECH GOAL STATUS,,30,,,$0.01,$0.00,1,0,0,20180101, G9187,HCPCS,BPCI HOME VISIT,,30,,,$320.88,$0.00,1,0,1,20180101, J0120,HCPCS,TETRACYCLIN INJECTION,,30,,,$101.59,$0.00,1,0,0,20180101, J0129,HCPCS,ABATACEPT INJECTION,,30,,,$185.53,$0.00,1,0,0,20180101, J0130,HCPCS,ABCIXIMAB INJECTION,,30,,,"$2,328.87",$0.00,1,0,0,20180101, J0131,HCPCS,ACETAMINOPHEN INJECTION,,30,,,$1.79,$0.00,1,0,0,20180101, J0132,HCPCS,ACETYLCYSTEINE INJECTION,,30,,,$15.67,$0.00,1,0,0,20180101, J0133,HCPCS,ACYCLOVIR INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J0135,HCPCS,ADALIMUMAB INJECTION,,30,,,"$7,038.41",$0.00,1,0,0,20180101, J0153,HCPCS,ADENOSINE INJ 1MG,,30,,,$14.23,$0.00,1,0,0,20180101, J0171,HCPCS,ADRENALIN EPINEPHRINE INJECT,,30,,,$7.11,$0.00,1,0,0,20180101, J0178,HCPCS,AFLIBERCEPT INJECTION,,30,,,"$3,700.35",$0.00,1,0,0,20180101, J0180,HCPCS,AGALSIDASE BETA INJECTION,,30,,,"$1,068.81",$0.00,1,0,0,20180101, J0200,HCPCS,ALATROFLOXACIN MESYLATE,,30,,,$39.21,$0.00,1,0,0,20180101, J0202,HCPCS,"INJECTION, ALEMTUZUMAB",,30,,,"$10,028.05",$0.00,1,0,0,20180101, J0205,HCPCS,ALGLUCERASE INJECTION,,30,,,$79.89,$0.00,1,0,0,20180101, J0207,HCPCS,AMIFOSTINE,,30,,,"$5,834.00",$0.00,1,0,0,20180101, J0210,HCPCS,METHYLDOPATE HCL INJECTION,,30,,,$33.71,$0.00,1,0,0,20180101, J0215,HCPCS,ALEFACEPT,,30,,,$69.06,$0.00,1,0,0,20180101, J0220,HCPCS,ALGLUCOSIDASE ALFA INJECTION,,30,,,"$1,326.61",$0.00,1,0,0,20180101, J0221,HCPCS,LUMIZYME INJECTION,,30,,,"$1,028.57",$0.00,1,0,0,20180101, J0256,HCPCS,ALPHA 1 PROTEINASE INHIBITOR,,30,,,$31.31,$0.00,1,0,0,20180101, J0257,HCPCS,GLASSIA INJECTION,,30,,,$28.32,$0.00,1,0,0,20180101, J0270,HCPCS,ALPROSTADIL FOR INJECTION,,30,,,$17.83,$0.00,1,0,0,20180101, J0275,HCPCS,ALPROSTADIL URETHRAL SUPPOS,,30,,,$67.30,$0.00,1,0,0,20180101, J0278,HCPCS,AMIKACIN SULFATE INJECTION,,30,,,$16.39,$0.00,1,0,0,20180101, J0280,HCPCS,AMINOPHYLLIN 250 MG INJ,,30,,,$30.10,$0.00,1,0,0,20180101, J0282,HCPCS,AMIODARONE HCL,,30,,,$14.23,$0.00,1,0,0,20180101, J0285,HCPCS,AMPHOTERICIN B,,30,,,$79.16,$0.00,1,0,0,20180101, J0287,HCPCS,AMPHOTERICIN B LIPID COMPLEX,,30,,,$85.68,$0.00,1,0,0,20180101, J0288,HCPCS,AMPHO B CHOLESTERYL SULFATE,,30,,,$170.80,$0.00,1,0,0,20180101, J0289,HCPCS,AMPHOTERICIN B LIPOSOME INJ,,30,,,$126.96,$0.00,1,0,0,20180101, J0290,HCPCS,AMPICILLIN 500 MG INJ,,30,,,$14.95,$0.00,1,0,0,20180101, J0295,HCPCS,AMPICILLIN SODIUM PER 1.5 GM,,30,,,$17.83,$0.00,1,0,0,20180101, J0300,HCPCS,AMOBARBITAL 125 MG INJ,,30,,,"$1,247.84",$0.00,1,0,0,20180101, J0330,HCPCS,SUCCINYCHOLINE CHLORIDE INJ,,30,,,$14.23,$0.00,1,0,0,20180101, J0348,HCPCS,ANIDULAFUNGIN INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J0360,HCPCS,HYDRALAZINE HCL INJECTION,,30,,,$19.28,$0.00,1,0,0,20180101, J0365,HCPCS,"APROTONIN, 10,000 KIU",,30,,,$18.56,$0.00,1,0,0,20180101, J0380,HCPCS,INJ METARAMINOL BITARTRATE,,30,,,$14.95,$0.00,1,0,0,20180101, J0395,HCPCS,ARBUTAMINE HCL INJECTION,,30,,,$32.80,$0.00,1,0,0,20180101, J0400,HCPCS,ARIPIPRAZOLE INJECTION,,30,,,$5.33,$0.00,1,0,0,20180101, J0401,HCPCS,INJ ARIPIPRAZOLE EXT REL 1MG,,30,,,$29.80,$0.00,1,0,0,20180101, J0456,HCPCS,AZITHROMYCIN,,30,,,$20.00,$0.00,1,0,0,20180101, J0461,HCPCS,ATROPINE SULFATE INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J0470,HCPCS,DIMECAPROL INJECTION,,30,,,$341.85,$0.00,1,0,0,20180101, J0475,HCPCS,BACLOFEN 10 MG INJECTION,,30,,,"$1,085.53",$0.00,1,0,0,20180101, J0476,HCPCS,BACLOFEN INTRATHECAL TRIAL,,30,,,$497.64,$0.00,1,0,0,20180101, J0480,HCPCS,BASILIXIMAB,,30,,,"$16,775.59",$0.00,1,0,0,20180101, J0485,HCPCS,BELATACEPT INJECTION,,30,,,$24.87,$0.00,1,0,0,20180101, J0490,HCPCS,BELIMUMAB INJECTION,,30,,,$276.44,$0.00,1,0,0,20180101, J0500,HCPCS,DICYCLOMINE INJECTION,,30,,,$152.04,$0.00,1,0,0,20180101, J0515,HCPCS,INJ BENZTROPINE MESYLATE,,30,,,$64.01,$0.00,1,0,0,20180101, J0558,HCPCS,PENG BENZATHINE/PROCAINE INJ,,30,,,$30.10,$0.00,1,0,0,20180101, J0561,HCPCS,PENICILLIN G BENZATHINE INJ,,30,,,$69.85,$0.00,1,0,0,20180101, J0565,HCPCS,"INJ, BEZLOTOXUMAB, 10 MG",,30,,,$261.54,$0.00,1,0,0,20180101, J0570,HCPCS,BUPRENORPHINE IMPLANT 74.2MG,,30,,,"$7,491.18",$0.00,1,0,0,20180101, J0574,HCPCS,BUPREN/NAL 6.1 TO 10MG BUPRE,,30,,,"$1,098.10",$0.00,1,0,0,20180101, J0583,HCPCS,BIVALIRUDIN,,30,,,$15.67,$0.00,1,0,0,20180101, J0585,HCPCS,"INJECTION,ONABOTULINUMTOXINA",,30,,,$30.88,$0.00,1,0,0,20180101, J0586,HCPCS,ABOBOTULINUMTOXINA,,30,,,$51.77,$0.00,1,0,0,20180101, J0587,HCPCS,"INJ, RIMABOTULINUMTOXINB",,30,,,$76.36,$0.00,1,0,0,20180101, J0588,HCPCS,INCOBOTULINUMTOXIN A,,30,,,$32.06,$0.00,1,0,0,20180101, J0592,HCPCS,BUPRENORPHINE HYDROCHLORIDE,,30,,,$20.00,$0.00,1,0,0,20180101, J0594,HCPCS,BUSULFAN INJECTION,,30,,,$237.07,$0.00,1,0,0,20180101, J0595,HCPCS,BUTORPHANOL TARTRATE 1 MG,,30,,,$17.11,$0.00,1,0,0,20180101, J0596,HCPCS,"INJECTION, RUCONEST",,30,,,$181.56,$0.00,1,0,0,20180101, J0597,HCPCS,"C-1 ESTERASE, BERINERT",,30,,,$316.00,$0.00,1,0,0,20180101, J0598,HCPCS,"C-1 ESTERASE, CINRYZE",,30,,,$360.18,$0.00,1,0,0,20180101, J0600,HCPCS,EDETATE CALCIUM DISODIUM INJ,,30,,,"$22,307.64",$0.00,1,0,0,20180101, J0606,HCPCS,"INJ, ETELCALCETIDE, 0.1 MG",,30,,,$22.53,$0.00,1,0,0,20180101, J0610,HCPCS,CALCIUM GLUCONATE INJECTION,,30,,,$20.00,$0.00,1,0,0,20180101, J0620,HCPCS,CALCIUM GLYCER & LACT/10 ML,,30,,,$37.32,$0.00,1,0,0,20180101, J0630,HCPCS,CALCITONIN SALMON INJECTION,,30,,,"$12,446.57",$0.00,1,0,0,20180101, J0636,HCPCS,INJ CALCITRIOL PER 0.1 MCG,,30,,,$14.23,$0.00,1,0,0,20180101, J0637,HCPCS,CASPOFUNGIN ACETATE,,30,,,$81.00,$0.00,1,0,0,20180101, J0638,HCPCS,CANAKINUMAB INJECTION,,30,,,$598.47,$0.00,1,0,0,20180101, J0640,HCPCS,LEUCOVORIN CALCIUM INJECTION,,30,,,$18.56,$0.00,1,0,0,20180101, J0641,HCPCS,LEVOLEUCOVORIN INJECTION,,30,,,$3.46,$0.00,1,0,0,20180101, J0670,HCPCS,INJ MEPIVACAINE HCL/10 ML,,30,,,$18.56,$0.00,1,0,0,20180101, J0690,HCPCS,CEFAZOLIN SODIUM INJECTION,,30,,,$14.23,$0.00,1,0,0,20180101, J0692,HCPCS,CEFEPIME HCL FOR INJECTION,,30,,,$17.11,$0.00,1,0,0,20180101, J0694,HCPCS,CEFOXITIN SODIUM INJECTION,,30,,,$22.16,$0.00,1,0,0,20180101, J0695,HCPCS,INJ CEFTOLOZANE TAZOBACTAM,,30,,,$30.81,$0.00,1,0,0,20180101, J0696,HCPCS,CEFTRIAXONE SODIUM INJECTION,,30,,,$14.23,$0.00,1,0,0,20180101, J0697,HCPCS,STERILE CEFUROXIME INJECTION,,30,,,$17.83,$0.00,1,0,0,20180101, J0698,HCPCS,CEFOTAXIME SODIUM INJECTION,,30,,,$28.66,$0.00,1,0,0,20180101, J0702,HCPCS,BETAMETHASONE ACET&SOD PHOSP,,30,,,$25.05,$0.00,1,0,0,20180101, J0706,HCPCS,CAFFEINE CITRATE INJECTION,,30,,,$19.28,$0.00,1,0,0,20180101, J0710,HCPCS,CEPHAPIRIN SODIUM INJECTION,,30,,,$17.36,$0.00,1,0,0,20180101, J0712,HCPCS,CEFTAROLINE FOSAMIL INJ,,30,,,$16.02,$0.00,1,0,0,20180101, J0713,HCPCS,INJ CEFTAZIDIME PER 500 MG,,30,,,$17.11,$0.00,1,0,0,20180101, J0714,HCPCS,CEFTAZIDIME AND AVIBACTAM,,30,,,$499.54,$0.00,1,0,0,20180101, J0715,HCPCS,CEFTIZOXIME SODIUM / 500 MG,,30,,,$75.46,$0.00,1,0,0,20180101, J0716,HCPCS,CENTRUROIDES IMMUNE F(AB),,30,,,"$19,515.57",$0.00,1,0,0,20180101, J0717,HCPCS,CERTOLIZUMAB PEGOL INJ 1MG,,30,,,$22.14,$0.00,1,0,0,20180101, J0720,HCPCS,CHLORAMPHENICOL SODIUM INJEC,,30,,,$92.15,$0.00,1,0,0,20180101, J0725,HCPCS,CHORIONIC GONADOTROPIN/1000U,,30,,,$56.80,$0.00,1,0,0,20180101, J0735,HCPCS,CLONIDINE HYDROCHLORIDE,,30,,,$40.92,$0.00,1,0,0,20180101, J0740,HCPCS,CIDOFOVIR INJECTION,,30,,,"$3,276.66",$0.00,1,0,0,20180101, J0743,HCPCS,CILASTATIN SODIUM INJECTION,,30,,,$20.72,$0.00,1,0,0,20180101, J0744,HCPCS,CIPROFLOXACIN IV,,30,,,$15.67,$0.00,1,0,0,20180101, J0745,HCPCS,INJ CODEINE PHOSPHATE /30 MG,,30,,,$14.95,$0.00,1,0,0,20180101, J0770,HCPCS,COLISTIMETHATE SODIUM INJ,,30,,,$38.76,$0.00,1,0,0,20180101, J0775,HCPCS,"COLLAGENASE, CLOST HIST INJ",,30,,,$264.21,$0.00,1,0,0,20180101, J0780,HCPCS,PROCHLORPERAZINE INJECTION,,30,,,$38.04,$0.00,1,0,0,20180101, J0795,HCPCS,CORTICORELIN OVINE TRIFLUTAL,,30,,,$52.79,$0.00,1,0,0,20180101, J0800,HCPCS,CORTICOTROPIN INJECTION,,30,,,"$17,386.92",$0.00,1,0,0,20180101, J0833,HCPCS,COSYNTROPIN INJECTION NOS,,30,,,$216.25,$0.00,1,0,0,20180101, J0834,HCPCS,COSYNTROPIN CORTROSYN INJ,,30,,,$105.14,$0.00,1,0,0,20180101, J0840,HCPCS,CROTALIDAE POLY IMMUNE FAB,,30,,,"$14,971.18",$0.00,1,0,0,20180101, J0850,HCPCS,CYTOMEGALOVIRUS IMM IV /VIAL,,30,,,"$6,769.29",$0.00,1,0,0,20180101, J0875,HCPCS,"INJECTION, DALBAVANCIN",,30,,,$95.73,$0.00,1,0,0,20180101, J0878,HCPCS,DAPTOMYCIN INJECTION,,30,,,$4.39,$0.00,1,0,0,20180101, J0881,HCPCS,"DARBEPOETIN ALFA, NON-ESRD",,30,,,$25.05,$0.00,1,0,0,20180101, J0882,HCPCS,"DARBEPOETIN ALFA, ESRD USE",,30,,,$25.05,$0.00,1,0,0,20180101, J0883,HCPCS,ARGATROBAN NONESRD USE 1MG,,30,,,$8.40,$0.00,1,0,0,20180101, J0884,HCPCS,ARGATROBAN ESRD DIALYSIS 1MG,,30,,,$8.40,$0.00,1,0,0,20180101, J0885,HCPCS,"EPOETIN ALFA, NON-ESRD",,30,,,$88.52,$0.00,1,0,0,20180101, J0888,HCPCS,EPOETIN BETA NON ESRD,,30,,,$10.58,$0.00,1,0,0,20180101, J0890,HCPCS,PEGINESATIDE INJECTION,,30,,,$28.12,$0.00,1,0,0,20180101, J0894,HCPCS,DECITABINE INJECTION,,30,,,$116.73,$0.00,1,0,0,20180101, J0895,HCPCS,DEFEROXAMINE MESYLATE INJ,,30,,,$29.38,$0.00,1,0,0,20180101, J0897,HCPCS,DENOSUMAB INJECTION,,30,,,$100.05,$0.00,1,0,0,20180101, J1000,HCPCS,DEPO-ESTRADIOL CYPIONATE INJ,,30,,,$48.14,$0.00,1,0,0,20180101, J1020,HCPCS,METHYLPREDNISOLONE 20 MG INJ,,30,,,$22.89,$0.00,1,0,0,20180101, J1030,HCPCS,METHYLPREDNISOLONE 40 MG INJ,,30,,,$24.33,$0.00,1,0,0,20180101, J1040,HCPCS,METHYLPREDNISOLONE 80 MG INJ,,30,,,$34.43,$0.00,1,0,0,20180101, J1050,HCPCS,MEDROXYPROGESTERONE ACETATE,,30,,,$7.11,$0.00,1,0,0,20180101, J1071,HCPCS,INJ TESTOSTERONE CYPIONATE,,30,,,$7.11,$0.00,1,0,0,20180101, J1094,HCPCS,INJ DEXAMETHASONE ACETATE,,30,,,$7.11,$0.00,1,0,0,20180101, J1100,HCPCS,DEXAMETHASONE SODIUM PHOS,,30,,,$7.11,$0.00,1,0,0,20180101, J1110,HCPCS,INJ DIHYDROERGOTAMINE MESYLT,,30,,,$682.68,$0.00,1,0,0,20180101, J1120,HCPCS,ACETAZOLAMID SODIUM INJECTIO,,30,,,$62.57,$0.00,1,0,0,20180101, J1130,HCPCS,INJ DICLOFENAC SODIUM 0.5MG,,30,,,$1.07,$0.00,1,0,0,20180101, J1160,HCPCS,DIGOXIN INJECTION,,30,,,$24.33,$0.00,1,0,0,20180101, J1162,HCPCS,DIGOXIN IMMUNE FAB (OVINE),,30,,,"$16,459.25",$0.00,1,0,0,20180101, J1165,HCPCS,PHENYTOIN SODIUM INJECTION,,30,,,$14.23,$0.00,1,0,0,20180101, J1170,HCPCS,HYDROMORPHONE INJECTION,,30,,,$16.39,$0.00,1,0,0,20180101, J1190,HCPCS,DEXRAZOXANE HCL INJECTION,,30,,,"$1,324.27",$0.00,1,0,0,20180101, J1200,HCPCS,DIPHENHYDRAMINE HCL INJECTIO,,30,,,$14.23,$0.00,1,0,0,20180101, J1205,HCPCS,CHLOROTHIAZIDE SODIUM INJ,,30,,,$169.35,$0.00,1,0,0,20180101, J1212,HCPCS,DIMETHYL SULFOXIDE 50% 50 ML,,30,,,"$3,346.70",$0.00,1,0,0,20180101, J1230,HCPCS,METHADONE INJECTION,,30,,,$51.02,$0.00,1,0,0,20180101, J1240,HCPCS,DIMENHYDRINATE INJECTION,,30,,,$27.21,$0.00,1,0,0,20180101, J1245,HCPCS,DIPYRIDAMOLE INJECTION,,30,,,$14.23,$0.00,1,0,0,20180101, J1250,HCPCS,INJ DOBUTAMINE HCL/250 MG,,30,,,$23.61,$0.00,1,0,0,20180101, J1260,HCPCS,DOLASETRON MESYLATE,,30,,,$18.71,$0.00,1,0,0,20180101, J1265,HCPCS,DOPAMINE INJECTION,,30,,,$14.23,$0.00,1,0,0,20180101, J1267,HCPCS,DORIPENEM INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J1270,HCPCS,"INJECTION, DOXERCALCIFEROL",,30,,,$14.23,$0.00,1,0,0,20180101, J1290,HCPCS,ECALLANTIDE INJECTION,,30,,,"$2,665.11",$0.00,1,0,0,20180101, J1300,HCPCS,ECULIZUMAB INJECTION,,30,,,"$1,452.47",$0.00,1,0,0,20180101, J1322,HCPCS,"ELOSULFASE ALFA, INJECTION",,30,,,"$1,438.24",$0.00,1,0,0,20180101, J1324,HCPCS,ENFUVIRTIDE INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J1325,HCPCS,EPOPROSTENOL INJECTION,,30,,,$43.81,$0.00,1,0,0,20180101, J1327,HCPCS,EPTIFIBATIDE INJECTION,,30,,,$153.45,$0.00,1,0,0,20180101, J1330,HCPCS,ERGONOVINE MALEATE INJECTION,,30,,,$16.33,$0.00,1,0,0,20180101, J1335,HCPCS,ERTAPENEM INJECTION,,30,,,$109.47,$0.00,1,0,0,20180101, J1364,HCPCS,ERYTHRO LACTOBIONATE /500 MG,,30,,,$385.46,$0.00,1,0,0,20180101, J1380,HCPCS,ESTRADIOL VALERATE 10 MG INJ,,30,,,$27.94,$0.00,1,0,0,20180101, J1410,HCPCS,INJ ESTROGEN CONJUGATE 25 MG,,30,,,"$1,777.71",$0.00,1,0,0,20180101, J1428,HCPCS,"INJ, ETEPLIRSEN, 10 MG",,30,,,"$1,091.34",$0.00,1,0,0,20180101, J1430,HCPCS,ETHANOLAMINE OLEATE 100 MG,,30,,,"$2,669.70",$0.00,1,0,0,20180101, J1435,HCPCS,INJECTION ESTRONE PER 1 MG,,30,,,$7.11,$0.00,1,0,0,20180101, J1438,HCPCS,ETANERCEPT INJECTION,,30,,,"$3,676.04",$0.00,1,0,0,20180101, J1439,HCPCS,INJ FERRIC CARBOXYMALTOS 1MG,,30,,,$6.87,$0.00,1,0,0,20180101, J1442,HCPCS,INJ FILGRASTIM EXCL BIOSIMIL,,30,,,$6.56,$0.00,1,0,0,20180101, J1443,HCPCS,INJ FERRIC PYROPHOSPHATE CIT,,30,,,$3.15,$0.00,1,0,0,20180101, J1447,HCPCS,INJ TBO FILGRASTIM 1 MICROG,,30,,,$4.32,$0.00,1,0,0,20180101, J1450,HCPCS,FLUCONAZOLE,,30,,,$21.44,$0.00,1,0,0,20180101, J1451,HCPCS,"FOMEPIZOLE, 15 MG",,30,,,$50.56,$0.00,1,0,0,20180101, J1452,HCPCS,INTRAOCULAR FOMIVIRSEN NA,,30,,,"$2,616.33",$0.00,1,0,0,20180101, J1453,HCPCS,FOSAPREPITANT INJECTION,,30,,,$12.61,$0.00,1,0,0,20180101, J1455,HCPCS,FOSCARNET SODIUM INJECTION,,30,,,$486.92,$0.00,1,0,0,20180101, J1457,HCPCS,GALLIUM NITRATE INJECTION,,30,,,$15.67,$0.00,1,0,0,20180101, J1458,HCPCS,GALSULFASE INJECTION,,30,,,"$2,343.82",$0.00,1,0,0,20180101, J1459,HCPCS,INJ IVIG PRIVIGEN 500 MG,,30,,,$252.39,$0.00,1,0,0,20180101, J1460,HCPCS,GAMMA GLOBULIN 1 CC INJ,,30,,,$232.12,$0.00,1,0,0,20180101, J1555,HCPCS,"INJ CUVITRU, 100 MG",,30,,,$85.70,$0.00,1,0,0,20180101, J1556,HCPCS,"INJ, IMM GLOB BIVIGAM, 500MG",,30,,,$248.78,$0.00,1,0,0,20180101, J1557,HCPCS,GAMMAPLEX INJECTION,,30,,,$270.19,$0.00,1,0,0,20180101, J1559,HCPCS,HIZENTRA INJECTION,,30,,,$63.87,$0.00,1,0,0,20180101, J1560,HCPCS,GAMMA GLOBULIN > 10 CC INJ,,30,,,"$2,269.39",$0.00,1,0,0,20180101, J1561,HCPCS,GAMUNEX-C/GAMMAKED,,30,,,$220.41,$0.00,1,0,0,20180101, J1562,HCPCS,"VIVAGLOBIN, INJ",,30,,,$32.99,$0.00,1,0,0,20180101, J1566,HCPCS,"IMMUNE GLOBULIN, POWDER",,30,,,$212.03,$0.00,1,0,0,20180101, J1568,HCPCS,OCTAGAM INJECTION,,30,,,$234.39,$0.00,1,0,0,20180101, J1569,HCPCS,GAMMAGARD LIQUID INJECTION,,30,,,$243.16,$0.00,1,0,0,20180101, J1570,HCPCS,GANCICLOVIR SODIUM INJECTION,,30,,,$147.71,$0.00,1,0,0,20180101, J1571,HCPCS,HEPAGAM B IM INJECTION,,30,,,$380.30,$0.00,1,0,0,20180101, J1572,HCPCS,FLEBOGAMMA INJECTION,,30,,,$196.07,$0.00,1,0,0,20180101, J1573,HCPCS,"HEPAGAM B INTRAVENOUS, INJ",,30,,,$380.30,$0.00,1,0,0,20180101, J1575,HCPCS,HYQVIA 100MG IMMUNEGLOBULIN,,30,,,$84.21,$0.00,1,0,0,20180101, J1580,HCPCS,GARAMYCIN GENTAMICIN INJ,,30,,,$15.67,$0.00,1,0,0,20180101, J1595,HCPCS,INJECTION GLATIRAMER ACETATE,,30,,,"$1,270.92",$0.00,1,0,0,20180101, J1599,HCPCS,"IVIG NON-LYOPHILIZED, NOS",,30,,,$102.26,$0.00,1,0,0,20180101, J1600,HCPCS,GOLD SODIUM THIOMALEATE INJ,,30,,,$42.37,$0.00,1,0,0,20180101, J1602,HCPCS,GOLIMUMAB FOR IV USE 1MG,,30,,,$162.44,$0.00,1,0,0,20180101, J1610,HCPCS,GLUCAGON HYDROCHLORIDE/1 MG,,30,,,"$1,096.13",$0.00,1,0,0,20180101, J1620,HCPCS,GONADORELIN HYDROCH/ 100 MCG,,30,,,$739.69,$0.00,1,0,0,20180101, J1626,HCPCS,GRANISETRON HCL INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J1627,HCPCS,"INJ, GRANISETRON, XR, 0.1 MG",,30,,,$33.72,$0.00,1,0,0,20180101, J1630,HCPCS,HALOPERIDOL INJECTION,,30,,,$14.95,$0.00,1,0,0,20180101, J1631,HCPCS,HALOPERIDOL DECANOATE INJ,,30,,,$48.86,$0.00,1,0,0,20180101, J1640,HCPCS,"HEMIN, 1 MG",,30,,,$148.58,$0.00,1,0,0,20180101, J1642,HCPCS,INJ HEPARIN SODIUM PER 10 U,,30,,,$7.11,$0.00,1,0,0,20180101, J1644,HCPCS,INJ HEPARIN SODIUM PER 1000U,,30,,,$7.11,$0.00,1,0,0,20180101, J1645,HCPCS,DALTEPARIN SODIUM,,30,,,$43.81,$0.00,1,0,0,20180101, J1650,HCPCS,INJ ENOXAPARIN SODIUM,,30,,,$14.95,$0.00,1,0,0,20180101, J1652,HCPCS,FONDAPARINUX SODIUM,,30,,,$17.11,$0.00,1,0,0,20180101, J1670,HCPCS,TETANUS IMMUNE GLOBULIN INJ,,30,,,"$3,489.55",$0.00,1,0,0,20180101, J1700,HCPCS,HYDROCORTISONE ACETATE INJ,,30,,,$12.34,$0.00,1,0,0,20180101, J1710,HCPCS,HYDROCORTISONE SODIUM PH INJ,,30,,,$25.64,$0.00,1,0,0,20180101, J1720,HCPCS,HYDROCORTISONE SODIUM SUCC I,,30,,,$30.82,$0.00,1,0,0,20180101, J1726,HCPCS,"MAKENA, 10 MG",,30,,,$17.68,$0.00,1,0,0,20180101, J1730,HCPCS,DIAZOXIDE INJECTION,,30,,,$232.13,$0.00,1,0,0,20180101, J1740,HCPCS,IBANDRONATE SODIUM INJECTION,,30,,,$507.01,$0.00,1,0,0,20180101, J1741,HCPCS,IBUPROFEN INJECTION,,30,,,$13.08,$0.00,1,0,0,20180101, J1742,HCPCS,IBUTILIDE FUMARATE INJECTION,,30,,,"$1,236.70",$0.00,1,0,0,20180101, J1743,HCPCS,IDURSULFASE INJECTION,,30,,,"$3,276.03",$0.00,1,0,0,20180101, J1744,HCPCS,ICATIBANT INJECTION,,30,,,"$2,072.29",$0.00,1,0,0,20180101, J1745,HCPCS,INFLIXIMAB NOT BIOSIMIL 10MG,,30,,,$511.54,$0.00,1,0,0,20180101, J1750,HCPCS,INJ IRON DEXTRAN,,30,,,$80.96,$0.00,1,0,0,20180101, J1756,HCPCS,IRON SUCROSE INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J1786,HCPCS,IMUGLUCERASE INJECTION,,30,,,$271.37,$0.00,1,0,0,20180101, J1790,HCPCS,DROPERIDOL INJECTION,,30,,,$19.28,$0.00,1,0,0,20180101, J1800,HCPCS,PROPRANOLOL INJECTION,,30,,,$17.11,$0.00,1,0,0,20180101, J1810,HCPCS,DROPERIDOL/FENTANYL INJ,,30,,,$165.12,$0.00,1,0,0,20180101, J1815,HCPCS,INSULIN INJECTION,,30,,,$14.23,$0.00,1,0,0,20180101, J1817,HCPCS,INSULIN FOR INSULIN PUMP USE,,30,,,$32.27,$0.00,1,0,0,20180101, J1826,HCPCS,INTERFERON BETA-1A INJ,,30,,,"$3,034.90",$0.00,1,0,0,20180101, J1830,HCPCS,INTERFERON BETA-1B / .25 MG,,30,,,"$2,386.31",$0.00,1,0,0,20180101, J1833,HCPCS,"INJECTION, ISAVUCONAZONIUM",,30,,,$4.12,$0.00,1,0,0,20180101, J1835,HCPCS,ITRACONAZOLE INJECTION,,30,,,"$2,041.70",$0.00,1,0,0,20180101, J1840,HCPCS,KANAMYCIN SULFATE 500 MG INJ,,30,,,$23.61,$0.00,1,0,0,20180101, J1885,HCPCS,KETOROLAC TROMETHAMINE INJ,,30,,,$14.23,$0.00,1,0,0,20180101, J1890,HCPCS,CEPHALOTHIN SODIUM INJECTION,,30,,,$22.05,$0.00,1,0,0,20180101, J1930,HCPCS,LANREOTIDE INJECTION,,30,,,$350.36,$0.00,1,0,0,20180101, J1931,HCPCS,LARONIDASE INJECTION,,30,,,$198.89,$0.00,1,0,0,20180101, J1940,HCPCS,FUROSEMIDE INJECTION,,30,,,$14.95,$0.00,1,0,0,20180101, J1942,HCPCS,ARIPIPRAZOLE LAUROXIL 1MG,,30,,,$15.51,$0.00,1,0,0,20180101, J1945,HCPCS,LEPIRUDIN,,30,,,$336.75,$0.00,1,0,0,20180101, J1950,HCPCS,LEUPROLIDE ACETATE /3.75 MG,,30,,,"$6,197.57",$0.00,1,0,0,20180101, J1953,HCPCS,LEVETIRACETAM INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J1955,HCPCS,INJ LEVOCARNITINE PER 1 GM,,30,,,$52.47,$0.00,1,0,0,20180101, J1956,HCPCS,LEVOFLOXACIN INJECTION,,30,,,$15.67,$0.00,1,0,0,20180101, J1980,HCPCS,HYOSCYAMINE SULFATE INJ,,30,,,$68.34,$0.00,1,0,0,20180101, J2001,HCPCS,LIDOCAINE INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J2010,HCPCS,LINCOMYCIN INJECTION,,30,,,$37.32,$0.00,1,0,0,20180101, J2020,HCPCS,LINEZOLID INJECTION,,30,,,$45.97,$0.00,1,0,0,20180101, J2060,HCPCS,LORAZEPAM INJECTION,,30,,,$14.23,$0.00,1,0,0,20180101, J2150,HCPCS,MANNITOL INJECTION,,30,,,$16.39,$0.00,1,0,0,20180101, J2170,HCPCS,MECASERMIN INJECTION,,30,,,"$1,348.42",$0.00,1,0,0,20180101, J2175,HCPCS,MEPERIDINE HYDROCHL /100 MG,,30,,,$22.16,$0.00,1,0,0,20180101, J2180,HCPCS,MEPERIDINE/PROMETHAZINE INJ,,30,,,$29.38,$0.00,1,0,0,20180101, J2182,HCPCS,"INJECTION, MEPOLIZUMAB, 1MG",,30,,,$173.23,$0.00,1,0,0,20180101, J2185,HCPCS,MEROPENEM,,30,,,$14.95,$0.00,1,0,0,20180101, J2210,HCPCS,METHYLERGONOVIN MALEATE INJ,,30,,,$40.92,$0.00,1,0,0,20180101, J2212,HCPCS,METHYLNALTREXONE INJECTION,,30,,,$1.12,$0.00,1,0,0,20180101, J2248,HCPCS,MICAFUNGIN SODIUM INJECTION,,30,,,$14.95,$0.00,1,0,0,20180101, J2250,HCPCS,INJ MIDAZOLAM HYDROCHLORIDE,,30,,,$7.11,$0.00,1,0,0,20180101, J2260,HCPCS,INJ MILRINONE LACTATE / 5 MG,,30,,,$71.63,$0.00,1,0,0,20180101, J2265,HCPCS,MINOCYCLINE HYDROCHLORIDE,,30,,,$9.78,$0.00,1,0,0,20180101, J2270,HCPCS,MORPHINE SULFATE INJECTION,,30,,,$15.67,$0.00,1,0,0,20180101, J2274,HCPCS,INJ MORPHINE PF EPID ITHC,,30,,,$34.43,$0.00,1,0,0,20180101, J2278,HCPCS,ZICONOTIDE INJECTION,,30,,,$47.63,$0.00,1,0,0,20180101, J2280,HCPCS,"INJ, MOXIFLOXACIN 100 MG",,30,,,$29.38,$0.00,1,0,0,20180101, J2300,HCPCS,INJ NALBUPHINE HYDROCHLORIDE,,30,,,$17.83,$0.00,1,0,0,20180101, J2310,HCPCS,INJ NALOXONE HYDROCHLORIDE,,30,,,$67.62,$0.00,1,0,0,20180101, J2315,HCPCS,"NALTREXONE, DEPOT FORM",,30,,,$21.11,$0.00,1,0,0,20180101, J2320,HCPCS,NANDROLONE DECANOATE 50 MG,,30,,,$860.32,$0.00,1,0,0,20180101, J2323,HCPCS,NATALIZUMAB INJECTION,,30,,,$122.18,$0.00,1,0,0,20180101, J2325,HCPCS,NESIRITIDE INJECTION,,30,,,$474.09,$0.00,1,0,0,20180101, J2326,HCPCS,"INJ, NUSINERSEN, 0.1MG",,30,,,"$6,639.53",$0.00,1,0,0,20180101, J2350,HCPCS,"INJECTION, OCRELIZUMAB, 1 MG",,30,,,$372.37,$0.00,1,0,0,20180101, J2353,HCPCS,"OCTREOTIDE INJECTION, DEPOT",,30,,,$848.84,$0.00,1,0,0,20180101, J2354,HCPCS,"OCTREOTIDE INJ, NON-DEPOT",,30,,,$14.95,$0.00,1,0,0,20180101, J2355,HCPCS,OPRELVEKIN INJECTION,,30,,,"$2,943.70",$0.00,1,0,0,20180101, J2357,HCPCS,OMALIZUMAB INJECTION,,30,,,$148.26,$0.00,1,0,0,20180101, J2358,HCPCS,OLANZAPINE LONG-ACTING INJ,,30,,,$18.56,$0.00,1,0,0,20180101, J2360,HCPCS,ORPHENADRINE INJECTION,,30,,,$23.61,$0.00,1,0,0,20180101, J2370,HCPCS,PHENYLEPHRINE HCL INJECTION,,30,,,$16.39,$0.00,1,0,0,20180101, J2400,HCPCS,CHLOROPROCAINE HCL INJECTION,,30,,,$71.23,$0.00,1,0,0,20180101, J2405,HCPCS,ONDANSETRON HCL INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J2407,HCPCS,"INJECTION, ORITAVANCIN",,30,,,$159.65,$0.00,1,0,0,20180101, J2410,HCPCS,OXYMORPHONE HCL INJECTION,,30,,,$18.56,$0.00,1,0,0,20180101, J2425,HCPCS,PALIFERMIN INJECTION,,30,,,$114.91,$0.00,1,0,0,20180101, J2426,HCPCS,PALIPERIDONE PALMITATE INJ,,30,,,$61.78,$0.00,1,0,0,20180101, J2430,HCPCS,PAMIDRONATE DISODIUM /30 MG,,30,,,$32.99,$0.00,1,0,0,20180101, J2440,HCPCS,PAPAVERIN HCL INJECTION,,30,,,$18.56,$0.00,1,0,0,20180101, J2469,HCPCS,PALONOSETRON HCL,,30,,,$147.08,$0.00,1,0,0,20180101, J2501,HCPCS,PARICALCITOL,,30,,,$14.95,$0.00,1,0,0,20180101, J2502,HCPCS,"INJ, PASIREOTIDE LONG ACTING",,30,,,"$1,667.19",$0.00,1,0,0,20180101, J2503,HCPCS,PEGAPTANIB SODIUM INJECTION,,30,,,"$4,509.74",$0.00,1,0,0,20180101, J2504,HCPCS,"PEGADEMASE BOVINE, 25 IU",,30,,,"$2,194.11",$0.00,1,0,0,20180101, J2505,HCPCS,"INJECTION, PEGFILGRASTIM 6MG",,30,,,"$19,365.88",$0.00,1,0,0,20180101, J2507,HCPCS,PEGLOTICASE INJECTION,,30,,,"$10,363.65",$0.00,1,0,0,20180101, J2510,HCPCS,PENICILLIN G PROCAINE INJ,,30,,,$66.90,$0.00,1,0,0,20180101, J2515,HCPCS,PENTOBARBITAL SODIUM INJ,,30,,,$307.25,$0.00,1,0,0,20180101, J2540,HCPCS,PENICILLIN G POTASSIUM INJ,,30,,,$14.95,$0.00,1,0,0,20180101, J2543,HCPCS,PIPERACILLIN/TAZOBACTAM,,30,,,$18.56,$0.00,1,0,0,20180101, J2545,HCPCS,PENTAMIDINE NON-COMP UNIT,,30,,,$258.82,$0.00,1,0,0,20180101, J2547,HCPCS,"INJECTION, PERAMIVIR",,30,,,$10.53,$0.00,1,0,0,20180101, J2550,HCPCS,PROMETHAZINE HCL INJECTION,,30,,,$17.11,$0.00,1,0,0,20180101, J2560,HCPCS,PHENOBARBITAL SODIUM INJ,,30,,,$249.15,$0.00,1,0,0,20180101, J2562,HCPCS,PLERIXAFOR INJECTION,,30,,,"$1,988.21",$0.00,1,0,0,20180101, J2590,HCPCS,OXYTOCIN INJECTION,,30,,,$20.72,$0.00,1,0,0,20180101, J2597,HCPCS,INJ DESMOPRESSIN ACETATE,,30,,,$85.50,$0.00,1,0,0,20180101, J2650,HCPCS,PREDNISOLONE ACETATE INJ,,30,,,$8.15,$0.00,1,0,0,20180101, J2670,HCPCS,TOTAZOLINE HCL INJECTION,,30,,,$13.50,$0.00,1,0,0,20180101, J2675,HCPCS,INJ PROGESTERONE PER 50 MG,,30,,,$15.67,$0.00,1,0,0,20180101, J2680,HCPCS,FLUPHENAZINE DECANOATE 25 MG,,30,,,$55.35,$0.00,1,0,0,20180101, J2690,HCPCS,PROCAINAMIDE HCL INJECTION,,30,,,$131.84,$0.00,1,0,0,20180101, J2700,HCPCS,OXACILLIN SODIUM INJECITON,,30,,,$7.11,$0.00,1,0,0,20180101, J2704,HCPCS,"INJ, PROPOFOL, 10 MG",,30,,,$7.11,$0.00,1,0,0,20180101, J2710,HCPCS,NEOSTIGMINE METHYLSLFTE INJ,,30,,,$7.11,$0.00,1,0,0,20180101, J2720,HCPCS,INJ PROTAMINE SULFATE/10 MG,,30,,,$14.95,$0.00,1,0,0,20180101, J2724,HCPCS,PROTEIN C CONCENTRATE,,30,,,$98.78,$0.00,1,0,0,20180101, J2725,HCPCS,INJ PROTIRELIN PER 250 MCG,,30,,,$177.53,$0.00,1,0,0,20180101, J2730,HCPCS,PRALIDOXIME CHLORIDE INJ,,30,,,$188.84,$0.00,1,0,0,20180101, J2760,HCPCS,PHENTOLAINE MESYLATE INJ,,30,,,"$2,130.17",$0.00,1,0,0,20180101, J2765,HCPCS,METOCLOPRAMIDE HCL INJECTION,,30,,,$14.23,$0.00,1,0,0,20180101, J2770,HCPCS,QUINUPRISTIN/DALFOPRISTIN,,30,,,"$2,757.88",$0.00,1,0,0,20180101, J2778,HCPCS,RANIBIZUMAB INJECTION,,30,,,"$1,461.40",$0.00,1,0,0,20180101, J2780,HCPCS,RANITIDINE HYDROCHLORIDE INJ,,30,,,$15.67,$0.00,1,0,0,20180101, J2783,HCPCS,RASBURICASE,,30,,,"$1,657.12",$0.00,1,0,0,20180101, J2785,HCPCS,REGADENOSON INJECTION,,30,,,$123.90,$0.00,1,0,0,20180101, J2786,HCPCS,"INJECTION, RESLIZUMAB, 1MG",,30,,,$57.50,$0.00,1,0,0,20180101, J2788,HCPCS,RHO D IMMUNE GLOBULIN 50 MCG,,30,,,$63.29,$0.00,1,0,0,20180101, J2790,HCPCS,RHO D IMMUNE GLOBULIN INJ,,30,,,$170.80,$0.00,1,0,0,20180101, J2791,HCPCS,RHOPHYLAC INJECTION,,30,,,$22.16,$0.00,1,0,0,20180101, J2792,HCPCS,"RHO(D) IMMUNE GLOBULIN H, SD",,30,,,$147.54,$0.00,1,0,0,20180101, J2793,HCPCS,RILONACEPT INJECTION,,30,,,$156.59,$0.00,1,0,0,20180101, J2794,HCPCS,"RISPERIDONE, LONG ACTING",,30,,,$53.11,$0.00,1,0,0,20180101, J2795,HCPCS,ROPIVACAINE HCL INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J2796,HCPCS,ROMIPLOSTIM INJECTION,,30,,,$305.27,$0.00,1,0,0,20180101, J2800,HCPCS,METHOCARBAMOL INJECTION,,30,,,$90.71,$0.00,1,0,0,20180101, J2805,HCPCS,SINCALIDE INJECTION,,30,,,$209.76,$0.00,1,0,0,20180101, J2810,HCPCS,INJ THEOPHYLLINE PER 40 MG,,30,,,$7.11,$0.00,1,0,0,20180101, J2820,HCPCS,SARGRAMOSTIM INJECTION,,30,,,$240.85,$0.00,1,0,0,20180101, J2840,HCPCS,INJ SEBELIPASE ALFA 1 MG,,30,,,"$3,324.26",$0.00,1,0,0,20180101, J2850,HCPCS,INJ SECRETIN SYNTHETIC HUMAN,,30,,,$225.92,$0.00,1,0,0,20180101, J2860,HCPCS,"INJECTION, SILTUXIMAB",,30,,,$582.51,$0.00,1,0,0,20180101, J2916,HCPCS,NA FERRIC GLUCONATE COMPLEX,,30,,,$17.11,$0.00,1,0,0,20180101, J2920,HCPCS,METHYLPREDNISOLONE INJECTION,,30,,,$20.72,$0.00,1,0,0,20180101, J2930,HCPCS,METHYLPREDNISOLONE INJECTION,,30,,,$24.33,$0.00,1,0,0,20180101, J2940,HCPCS,SOMATREM INJECTION,,30,,,$146.97,$0.00,1,0,0,20180101, J2941,HCPCS,SOMATROPIN INJECTION,,30,,,$528.25,$0.00,1,0,0,20180101, J2950,HCPCS,PROMAZINE HCL INJECTION,,30,,,$31.84,$0.00,1,0,0,20180101, J2993,HCPCS,RETEPLASE INJECTION,,30,,,"$12,597.94",$0.00,1,0,0,20180101, J2997,HCPCS,ALTEPLASE RECOMBINANT,,30,,,$526.71,$0.00,1,0,0,20180101, J3000,HCPCS,STREPTOMYCIN INJECTION,,30,,,$39.48,$0.00,1,0,0,20180101, J3010,HCPCS,FENTANYL CITRATE INJECTION,,30,,,$7.11,$0.00,1,0,0,20180101, J3030,HCPCS,SUMATRIPTAN SUCCINATE / 6 MG,,30,,,$128.23,$0.00,1,0,0,20180101, J3060,HCPCS,"INJ, TALIGLUCERASE ALFA 10 U",,30,,,$262.32,$0.00,1,0,0,20180101, J3070,HCPCS,PENTAZOCINE INJECTION,,30,,,$463.02,$0.00,1,0,0,20180101, J3090,HCPCS,INJ TEDIZOLID PHOSPHATE,,30,,,$8.26,$0.00,1,0,0,20180101, J3095,HCPCS,TELAVANCIN INJECTION,,30,,,$32.53,$0.00,1,0,0,20180101, J3101,HCPCS,TENECTEPLASE INJECTION,,30,,,$662.14,$0.00,1,0,0,20180101, J3105,HCPCS,TERBUTALINE SULFATE INJ,,30,,,$20.72,$0.00,1,0,0,20180101, J3110,HCPCS,TERIPARATIDE INJECTION,,30,,,$30.10,$0.00,1,0,0,20180101, J3121,HCPCS,INJ TESTOSTERO ENANTHATE 1MG,,30,,,$7.11,$0.00,1,0,0,20180101, J3145,HCPCS,TESTOSTERONE UNDECANOATE 1MG,,30,,,$8.37,$0.00,1,0,0,20180101, J3230,HCPCS,CHLORPROMAZINE HCL INJECTION,,30,,,$66.90,$0.00,1,0,0,20180101, J3240,HCPCS,THYROTROPIN INJECTION,,30,,,"$6,693.36",$0.00,1,0,0,20180101, J3243,HCPCS,TIGECYCLINE INJECTION,,30,,,$20.66,$0.00,1,0,0,20180101, J3246,HCPCS,TIROFIBAN HCL,,30,,,$63.77,$0.00,1,0,0,20180101, J3250,HCPCS,TRIMETHOBENZAMIDE HCL INJ,,30,,,$67.62,$0.00,1,0,0,20180101, J3260,HCPCS,TOBRAMYCIN SULFATE INJECTION,,30,,,$18.56,$0.00,1,0,0,20180101, J3262,HCPCS,TOCILIZUMAB INJECTION,,30,,,$26.61,$0.00,1,0,0,20180101, J3265,HCPCS,INJECTION TORSEMIDE 10 MG/ML,,30,,,$16.30,$0.00,1,0,0,20180101, J3285,HCPCS,TREPROSTINIL INJECTION,,30,,,$397.04,$0.00,1,0,0,20180101, J3300,HCPCS,TRIAMCINOLONE A INJ PRS-FREE,,30,,,$14.66,$0.00,1,0,0,20180101, J3301,HCPCS,TRIAMCINOLONE ACET INJ NOS,,30,,,$16.39,$0.00,1,0,0,20180101, J3302,HCPCS,TRIAMCINOLONE DIACETATE INJ,,30,,,$7.11,$0.00,1,0,0,20180101, J3303,HCPCS,TRIAMCINOLONE HEXACETONL INJ,,30,,,$17.83,$0.00,1,0,0,20180101, J3305,HCPCS,INJ TRIMETREXATE GLUCORONATE,,30,,,$123.00,$0.00,1,0,0,20180101, J3315,HCPCS,TRIPTORELIN PAMOATE,,30,,,"$1,951.48",$0.00,1,0,0,20180101, J3320,HCPCS,SPECTINOMYCN DI-HCL INJ,,30,,,$99.20,$0.00,1,0,0,20180101, J3350,HCPCS,UREA INJECTION,,30,,,$34.44,$0.00,1,0,0,20180101, J3355,HCPCS,"UROFOLLITROPIN, 75 IU",,30,,,$144.82,$0.00,1,0,0,20180101, J3357,HCPCS,"USTEKINUMAB SUB CU INJ, 1 MG",,30,,,"$1,120.60",$0.00,1,0,0,20180101, J3358,HCPCS,"USTEKINUMAB, IV INJECT, 1 MG",,30,,,$83.08,$0.00,1,0,0,20180101, J3360,HCPCS,DIAZEPAM INJECTION,,30,,,$31.54,$0.00,1,0,0,20180101, J3364,HCPCS,UROKINASE 5000 IU INJECTION,,30,,,$27.23,$0.00,1,0,0,20180101, J3365,HCPCS,"UROKINASE 250,000 IU INJ",,30,,,"$1,340.34",$0.00,1,0,0,20180101, J3370,HCPCS,VANCOMYCIN HCL INJECTION,,30,,,$18.56,$0.00,1,0,0,20180101, J3380,HCPCS,"INJECTION, VEDOLIZUMAB",,30,,,$117.83,$0.00,1,0,0,20180101, J3385,HCPCS,VELAGLUCERASE ALFA,,30,,,"$2,178.40",$0.00,1,0,0,20180101, J3396,HCPCS,VERTEPORFIN INJECTION,,30,,,$69.93,$0.00,1,0,0,20180101, J3410,HCPCS,HYDROXYZINE HCL INJECTION,,30,,,$17.11,$0.00,1,0,0,20180101, J3411,HCPCS,THIAMINE HCL 100 MG,,30,,,$19.28,$0.00,1,0,0,20180101, J3415,HCPCS,PYRIDOXINE HCL 100 MG,,30,,,$35.15,$0.00,1,0,0,20180101, J3420,HCPCS,VITAMIN B12 INJECTION,,30,,,$19.28,$0.00,1,0,0,20180101, J3430,HCPCS,VITAMIN K PHYTONADIONE INJ,,30,,,$20.00,$0.00,1,0,0,20180101, J3465,HCPCS,"INJECTION, VORICONAZOLE",,30,,,$17.53,$0.00,1,0,0,20180101, J3470,HCPCS,HYALURONIDASE INJECTION,,30,,,$64.01,$0.00,1,0,0,20180101, J3471,HCPCS,"OVINE, UP TO 999 USP UNITS",,30,,,$7.11,$0.00,1,0,0,20180101, J3472,HCPCS,"OVINE, 1000 USP UNITS",,30,,,$250.16,$0.00,1,0,0,20180101, J3473,HCPCS,HYALURONIDASE RECOMBINANT,,30,,,$7.11,$0.00,1,0,0,20180101, J3475,HCPCS,INJ MAGNESIUM SULFATE,,30,,,$7.11,$0.00,1,0,0,20180101, J3480,HCPCS,INJ POTASSIUM CHLORIDE,,30,,,$7.11,$0.00,1,0,0,20180101, J3485,HCPCS,ZIDOVUDINE,,30,,,$15.67,$0.00,1,0,0,20180101, J3486,HCPCS,ZIPRASIDONE MESYLATE,,30,,,$52.47,$0.00,1,0,0,20180101, J3489,HCPCS,ZOLEDRONIC ACID 1MG,,30,,,$39.48,$0.00,1,0,0,20180101, J3490,HCPCS,DRUGS UNCLASSIFIED INJECTION,,30,,,$5.36,$0.00,1,0,0,20180101, J3535,HCPCS,METERED DOSE INHALER DRUG,,30,,,$13.90,$0.00,1,0,0,20180101, J3590,HCPCS,UNCLASSIFIED BIOLOGICS,,30,,,$122.43,$0.00,1,0,0,20180101, J7030,HCPCS,NORMAL SALINE SOLUTION INFUS,,30,,,$17.11,$0.00,1,0,0,20180101, J7040,HCPCS,NORMAL SALINE SOLUTION INFUS,,30,,,$14.95,$0.00,1,0,0,20180101, J7042,HCPCS,5% DEXTROSE/NORMAL SALINE,,30,,,$14.23,$0.00,1,0,0,20180101, J7050,HCPCS,NORMAL SALINE SOLUTION INFUS,,30,,,$7.11,$0.00,1,0,0,20180101, J7060,HCPCS,5% DEXTROSE/WATER,,30,,,$16.39,$0.00,1,0,0,20180101, J7070,HCPCS,D5W INFUSION,,30,,,$20.00,$0.00,1,0,0,20180101, J7100,HCPCS,DEXTRAN 40 INFUSION,,30,,,$181.62,$0.00,1,0,0,20180101, J7110,HCPCS,DEXTRAN 75 INFUSION,,30,,,$201.63,$0.00,1,0,0,20180101, J7120,HCPCS,RINGERS LACTATE INFUSION,,30,,,$17.11,$0.00,1,0,0,20180101, J7121,HCPCS,5% DEXTROSE IN LAC RINGERS,,30,,,$37.34,$0.00,1,0,0,20180101, J7131,HCPCS,HYPERTONIC SALINE SOL,,30,,,$2.13,$0.00,1,0,0,20180101, J7175,HCPCS,"INJ, FACTOR X, (HUMAN), 1IU",,30,,,$42.35,$0.00,1,0,0,20180101, J7178,HCPCS,HUMAN FIBRINOGEN CONC INJ,,30,,,$7.48,$0.00,1,0,0,20180101, J7179,HCPCS,VONVENDI INJ 1 IU VWF:RCO,,30,,,$14.74,$0.00,1,0,0,20180101, J7180,HCPCS,FACTOR XIII ANTI-HEM FACTOR,,30,,,$53.25,$0.00,1,0,0,20180101, J7181,HCPCS,FACTOR XIII RECOMB A-SUBUNIT,,30,,,$95.82,$0.00,1,0,0,20180101, J7182,HCPCS,FACTOR VIII RECOMB NOVOEIGHT,,30,,,$8.37,$0.00,1,0,0,20180101, J7183,HCPCS,WILATE INJECTION,,30,,,$6.57,$0.00,1,0,0,20180101, J7185,HCPCS,XYNTHA INJ,,30,,,$7.94,$0.00,1,0,0,20180101, J7186,HCPCS,ANTIHEMOPHILIC VIII/VWF COMP,,30,,,$6.41,$0.00,1,0,0,20180101, J7187,HCPCS,"HUMATE-P, INJ",,30,,,$7.06,$0.00,1,0,0,20180101, J7188,HCPCS,FACTOR VIII RECOMB OBIZUR,,30,,,$34.43,$0.00,1,0,0,20180101, J7189,HCPCS,FACTOR VIIA,,30,,,$12.51,$0.00,1,0,0,20180101, J7190,HCPCS,FACTOR VIII,,30,,,$6.58,$0.00,1,0,0,20180101, J7191,HCPCS,FACTOR VIII (PORCINE),,30,,,$7.19,$0.00,1,0,0,20180101, J7192,HCPCS,FACTOR VIII RECOMBINANT NOS,,30,,,$7.79,$0.00,1,0,0,20180101, J7193,HCPCS,FACTOR IX NON-RECOMBINANT,,30,,,$7.52,$0.00,1,0,0,20180101, J7194,HCPCS,FACTOR IX COMPLEX,,30,,,$8.70,$0.00,1,0,0,20180101, J7195,HCPCS,FACTOR IX RECOMBINANT NOS,,30,,,$9.79,$0.00,1,0,0,20180101, J7196,HCPCS,ANTITHROMBIN RECOMBINANT,,30,,,$9.48,$0.00,1,0,0,20180101, J7197,HCPCS,ANTITHROMBIN III INJECTION,,30,,,$20.94,$0.00,1,0,0,20180101, J7198,HCPCS,ANTI-INHIBITOR,,30,,,$12.56,$0.00,1,0,0,20180101, J7199,HCPCS,HEMOPHILIA CLOT FACTOR NOC,,30,,,$1.57,$0.00,1,0,0,20180101, J7200,HCPCS,FACTOR IX RECOMBINAN RIXUBIS,,30,,,$8.13,$0.00,1,0,0,20180101, J7201,HCPCS,FACTOR IX ALPROLIX RECOMB,,30,,,$19.02,$0.00,1,0,0,20180101, J7202,HCPCS,FACTOR IX IDELVION INJ,,30,,,$26.98,$0.00,1,0,0,20180101, J7205,HCPCS,FACTOR VIII FC FUSION RECOMB,,30,,,$12.85,$0.00,1,0,0,20180101, J7207,HCPCS,FACTOR VIII PEGYLATED RECOMB,,30,,,$11.12,$0.00,1,0,0,20180101, J7209,HCPCS,FACTOR VIII NUWIQ RECOMB 1IU,,30,,,$10.60,$0.00,1,0,0,20180101, J7210,HCPCS,"INJ, AFSTYLA, 1 I.U.",,30,,,$9.21,$0.00,1,0,0,20180101, J7211,HCPCS,"INJ, KOVALTRY, 1 I.U.",,30,,,$8.06,$0.00,1,0,0,20180101, J7297,HCPCS,"LILETTA, 52 MG",,30,,,"$1,713.64",$0.00,1,0,0,20180101, J7298,HCPCS,"MIRENA, 52 MG",,30,,,"$1,778.64",$0.00,1,0,0,20180101, J7300,HCPCS,INTRAUT COPPER CONTRACEPTIVE,,30,,,$818.00,$0.00,1,1,1,20180101, J7301,HCPCS,"SKYLA, 13.5 MG",,30,,,"$1,814.33",$0.00,1,1,1,20180101, J7306,HCPCS,LEVONORGESTREL IMPLANT SYS,,30,,,$851.19,$0.00,1,1,1,20180101, J7307,HCPCS,ETONOGESTREL IMPLANT SYSTEM,,30,,,"$1,837.72",$0.00,1,1,1,20180101, J7308,HCPCS,AMINOLEVULINIC ACID HCL TOP,,30,,,$633.47,$0.00,1,0,0,20180101, J7309,HCPCS,"METHYL AMINOLEVULINATE, TOP",,30,,,$230.71,$0.00,1,0,0,20180101, J7310,HCPCS,GANCICLOVIR LONG ACT IMPLANT,,30,,,"$9,168.88",$0.00,1,0,0,20180101, J7311,HCPCS,FLUOCINOLONE ACETONIDE IMPLT,,30,,,"$40,220.78",$0.00,1,0,0,20180101, J7312,HCPCS,DEXAMETHASONE INTRA IMPLANT,,30,,,"$1,289.15",$0.00,1,0,0,20180101, J7313,HCPCS,FLUOCINOL ACET INTRAVIT IMP,,30,,,"$3,087.96",$0.00,1,0,0,20180101, J7315,HCPCS,OPHTHALMIC MITOMYCIN,,30,,,$911.42,$0.00,1,0,0,20180101, J7316,HCPCS,"INJ, OCRIPLASMIN, 0.125 MG",,30,,,"$6,321.39",$0.00,1,0,0,20180101, J7320,HCPCS,"GENVISC 850, INJ, 1MG",,30,,,$48.23,$0.00,1,0,0,20180101, J7321,HCPCS,HYALGAN SUPARTZ VISCO-3 DOSE,,30,,,$564.09,$0.00,1,0,0,20180101, J7322,HCPCS,HYMOVIS INJECTION 1 MG,,30,,,$108.96,$0.00,1,0,0,20180101, J7323,HCPCS,EUFLEXXA INJ PER DOSE,,30,,,$668.66,$0.00,1,0,0,20180101, J7324,HCPCS,ORTHOVISC INJ PER DOSE,,30,,,$684.87,$0.00,1,0,0,20180101, J7325,HCPCS,SYNVISC OR SYNVISC-ONE,,30,,,$81.50,$0.00,1,0,0,20180101, J7326,HCPCS,GEL-ONE,,30,,,"$3,406.28",$0.00,1,0,0,20180101, J7327,HCPCS,MONOVISC INJ PER DOSE,,30,,,"$5,467.11",$0.00,1,0,0,20180101, J7328,HCPCS,GELSYN-3 INJECTION 0.1 MG,,30,,,$14.15,$0.00,1,0,0,20180101, J7336,HCPCS,CAPSAICIN 8% PATCH,,30,,,$19.36,$0.00,1,0,0,20180101, J7340,HCPCS,CARBIDOPA LEVODOPA ENT 100ML,,30,,,$14.59,$0.00,1,0,0,20180101, J7342,HCPCS,CIPROFLOXACIN OTIC SUSP 6 MG,,30,,,$194.60,$0.00,1,0,0,20180101, J7345,HCPCS,"AMINOLEVULINIC ACID, 10% GEL",,30,,,$9.30,$0.00,1,0,0,20180101, J7500,HCPCS,AZATHIOPRINE ORAL 50MG,,30,,,$7.11,$0.00,1,0,0,20180101, J7501,HCPCS,AZATHIOPRINE PARENTERAL,,30,,,"$1,602.44",$0.00,1,0,0,20180101, J7502,HCPCS,CYCLOSPORINE ORAL 100 MG,,30,,,$18.56,$0.00,1,0,0,20180101, J7503,HCPCS,TACROL ENVARSUS EX REL ORAL,,30,,,$8.00,$0.00,1,0,0,20180101, J7504,HCPCS,LYMPHOCYTE IMMUNE GLOBULIN,,30,,,"$8,642.33",$0.00,1,0,0,20180101, J7505,HCPCS,MONOCLONAL ANTIBODIES,,30,,,"$1,481.42",$0.00,1,0,0,20180101, J7507,HCPCS,TACROLIMUS IMME REL ORAL 1MG,,30,,,$14.23,$0.00,1,0,0,20180101, J7508,HCPCS,TACROL ASTAGRAF EX REL ORAL,,30,,,$7.11,$0.00,1,0,0,20180101, J7509,HCPCS,METHYLPREDNISOLONE ORAL,,30,,,$7.11,$0.00,1,0,0,20180101, J7510,HCPCS,PREDNISOLONE ORAL PER 5 MG,,30,,,$7.11,$0.00,1,0,0,20180101, J7511,HCPCS,ANTITHYMOCYTE GLOBULN RABBIT,,30,,,"$4,264.86",$0.00,1,0,0,20180101, J7512,HCPCS,PREDNISONE IR OR DR ORAL 1MG,,30,,,$7.11,$0.00,1,0,0,20180101, J7513,HCPCS,"DACLIZUMAB, PARENTERAL",,30,,,$849.03,$0.00,1,0,0,20180101, J7515,HCPCS,CYCLOSPORINE ORAL 25 MG,,30,,,$14.23,$0.00,1,0,0,20180101, J7516,HCPCS,CYCLOSPORIN PARENTERAL 250MG,,30,,,$92.15,$0.00,1,0,0,20180101, J7517,HCPCS,MYCOPHENOLATE MOFETIL ORAL,,30,,,$14.95,$0.00,1,0,0,20180101, J7518,HCPCS,MYCOPHENOLIC ACID,,30,,,$18.56,$0.00,1,0,0,20180101, J7520,HCPCS,"SIROLIMUS, ORAL",,30,,,$28.66,$0.00,1,0,0,20180101, J7525,HCPCS,TACROLIMUS INJECTION,,30,,,"$1,099.26",$0.00,1,0,0,20180101, J7527,HCPCS,ORAL EVEROLIMUS,,30,,,$28.66,$0.00,1,0,0,20180101, J7599,HCPCS,IMMUNOSUPPRESSIVE DRUG NOC,,30,,,$9.08,$0.00,1,0,0,20180101, J7606,HCPCS,"FORMOTEROL FUMARATE, INH",,30,,,$33.71,$0.00,1,0,0,20180101, J7607,HCPCS,LEVALBUTEROL COMP CON,,30,,,$44.59,$0.00,1,0,0,20180101, J7608,HCPCS,ACETYLCYSTEINE NON-COMP UNIT,,30,,,$21.44,$0.00,1,0,0,20180101, J7609,HCPCS,ALBUTEROL COMP UNIT,,30,,,$17.23,$0.00,1,0,0,20180101, J7610,HCPCS,ALBUTEROL COMP CON,,30,,,$17.79,$0.00,1,0,0,20180101, J7611,HCPCS,ALBUTEROL NON-COMP CON,,30,,,$7.11,$0.00,1,0,0,20180101, J7612,HCPCS,LEVALBUTEROL NON-COMP CON,,30,,,$7.11,$0.00,1,0,0,20180101, J7613,HCPCS,ALBUTEROL NON-COMP UNIT,,30,,,$7.11,$0.00,1,0,0,20180101, J7614,HCPCS,LEVALBUTEROL NON-COMP UNIT,,30,,,$7.11,$0.00,1,0,0,20180101, J7615,HCPCS,LEVALBUTEROL COMP UNIT,,30,,,$17.11,$0.00,1,0,0,20180101, J7620,HCPCS,ALBUTEROL IPRATROP NON-COMP,,30,,,$7.11,$0.00,1,0,0,20180101, J7626,HCPCS,BUDESONIDE NON-COMP UNIT,,30,,,$20.00,$0.00,1,0,0,20180101, J7627,HCPCS,BUDESONIDE COMP UNIT,,30,,,$22.89,$0.00,1,0,0,20180101, J7633,HCPCS,BUDESONIDE NON-COMP CON,,30,,,$27.62,$0.00,1,0,0,20180101, J7636,HCPCS,ATROPINE COMP UNIT,,30,,,$31.21,$0.00,1,0,0,20180101, J7637,HCPCS,DEXAMETHASONE COMP CON,,30,,,$5.69,$0.00,1,0,0,20180101, J7638,HCPCS,DEXAMETHASONE COMP UNIT,,30,,,$5.69,$0.00,1,0,0,20180101, J7639,HCPCS,DORNASE ALFA NON-COMP UNIT,,30,,,$97.92,$0.00,1,0,0,20180101, J7642,HCPCS,GLYCOPYRROLATE COMP CON,,30,,,$2.56,$0.00,1,0,0,20180101, J7643,HCPCS,GLYCOPYRROLATE COMP UNIT,,30,,,$2.56,$0.00,1,0,0,20180101, J7644,HCPCS,IPRATROPIUM BROMIDE NON-COMP,,30,,,$7.11,$0.00,1,0,0,20180101, J7645,HCPCS,IPRATROPIUM BROMIDE COMP,,30,,,$18.43,$0.00,1,0,0,20180101, J7649,HCPCS,ISOETHARINE NON-COMP UNIT,,30,,,$2.44,$0.00,1,0,0,20180101, J7658,HCPCS,ISOPROTERENOL NON-COMP CON,,30,,,$13.50,$0.00,1,0,0,20180101, J7659,HCPCS,ISOPROTERENOL NON-COMP UNIT,,30,,,$13.50,$0.00,1,0,0,20180101, J7660,HCPCS,ISOPROTERENOL COMP UNIT,,30,,,$1.63,$0.00,1,0,0,20180101, J7665,HCPCS,MANNITOL FOR INHALER,,30,,,$6.05,$0.00,1,0,0,20180101, J7674,HCPCS,"METHACHOLINE CHLORIDE, NEB",,30,,,$7.11,$0.00,1,0,0,20180101, J7676,HCPCS,PENTAMIDINE COMP UNIT DOSE,,30,,,$594.60,$0.00,1,0,0,20180101, J7680,HCPCS,TERBUTALINE SULF COMP CON,,30,,,$40.92,$0.00,1,0,0,20180101, J7682,HCPCS,TOBRAMYCIN NON-COMP UNIT,,30,,,$97.92,$0.00,1,0,0,20180101, J7699,HCPCS,INHALATION SOLUTION FOR DME,,30,,,$5.64,$0.00,1,0,0,20180101, J7799,HCPCS,NON-INHALATION DRUG FOR DME,,30,,,$7.07,$0.00,1,0,0,20180101, J7999,HCPCS,"COMPOUNDED DRUG, NOC",,30,,,$3.15,$0.00,1,0,0,20180101, J8498,HCPCS,ANTIEMETIC RECTAL/SUPP NOS,,30,,,$1.57,$0.00,1,0,0,20180101, J8499,HCPCS,ORAL PRESCRIP DRUG NON CHEMO,,30,,,$1.63,$0.00,1,0,0,20180101, J8501,HCPCS,ORAL APREPITANT,,30,,,$49.80,$0.00,1,0,0,20180101, J8510,HCPCS,ORAL BUSULFAN,,30,,,$107.89,$0.00,1,0,0,20180101, J8520,HCPCS,"CAPECITABINE, ORAL, 150 MG",,30,,,$18.71,$0.00,1,0,0,20180101, J8521,HCPCS,"CAPECITABINE, ORAL, 500 MG",,30,,,$52.73,$0.00,1,0,0,20180101, J8530,HCPCS,CYCLOPHOSPHAMIDE ORAL 25 MG,,30,,,$15.31,$0.00,1,0,0,20180101, J8540,HCPCS,ORAL DEXAMETHASONE,,30,,,$7.11,$0.00,1,0,0,20180101, J8560,HCPCS,ETOPOSIDE ORAL 50 MG,,30,,,$481.00,$0.00,1,0,0,20180101, J8562,HCPCS,ORAL FLUDARABINE PHOSPHATE,,30,,,$293.23,$0.00,1,0,0,20180101, J8565,HCPCS,GEFITINIB ORAL,,30,,,$128.23,$0.00,1,0,0,20180101, J8597,HCPCS,ANTIEMETIC DRUG ORAL NOS,,30,,,$151.33,$0.00,1,0,0,20180101, J8610,HCPCS,METHOTREXATE ORAL 2.5 MG,,30,,,$3.40,$0.00,1,0,0,20180101, J8650,HCPCS,NABILONE ORAL,,30,,,$46.70,$0.00,1,0,0,20180101, J8655,HCPCS,NETUPITANT PALONOSETRON ORAL,,30,,,"$2,807.63",$0.00,1,0,0,20180101, J8670,HCPCS,"ROLAPITANT, ORAL, 1MG",,30,,,$13.96,$0.00,1,0,0,20180101, J8700,HCPCS,TEMOZOLOMIDE,,30,,,$8.50,$0.00,1,0,0,20180101, J8705,HCPCS,TOPOTECAN ORAL,,30,,,$670.92,$0.00,1,0,0,20180101, J8999,HCPCS,ORAL PRESCRIPTION DRUG CHEMO,,30,,,$55.14,$0.00,1,0,0,20180101, J9000,HCPCS,DOXORUBICIN HCL INJECTION,,30,,,$23.81,$0.00,1,0,0,20180101, J9015,HCPCS,ALDESLEUKIN INJECTION,,30,,,"$15,728.96",$0.00,1,0,0,20180101, J9017,HCPCS,ARSENIC TRIOXIDE INJECTION,,30,,,$273.02,$0.00,1,0,0,20180101, J9019,HCPCS,ERWINAZE INJECTION,,30,,,"$2,549.20",$0.00,1,0,0,20180101, J9020,HCPCS,"ASPARAGINASE, NOS",,30,,,$239.27,$0.00,1,0,0,20180101, J9022,HCPCS,"INJ, ATEZOLIZUMAB,10 MG",,30,,,$489.81,$0.00,1,0,0,20180101, J9023,HCPCS,"INJECTION, AVELUMAB, 10 MG",,30,,,$514.40,$0.00,1,0,0,20180101, J9025,HCPCS,AZACITIDINE INJECTION,,30,,,$10.77,$0.00,1,0,0,20180101, J9027,HCPCS,CLOFARABINE INJECTION,,30,,,$981.64,$0.00,1,0,0,20180101, J9031,HCPCS,BCG LIVE INTRAVESICAL VAC,,30,,,$809.20,$0.00,1,0,0,20180101, J9032,HCPCS,"INJECTION, BELINOSTAT, 10MG",,30,,,$223.40,$0.00,1,0,0,20180101, J9033,HCPCS,"INJ., TREANDA 1 MG",,30,,,$181.76,$0.00,1,0,0,20180101, J9034,HCPCS,"INJ., BENDEKA 1 MG",,30,,,$152.47,$0.00,1,0,0,20180101, J9035,HCPCS,BEVACIZUMAB INJECTION,,30,,,$468.73,$0.00,1,0,0,20180101, J9039,HCPCS,"INJECTION, BLINATUMOMAB",,30,,,$639.12,$0.00,1,0,0,20180101, J9040,HCPCS,BLEOMYCIN SULFATE INJECTION,,30,,,$196.43,$0.00,1,0,0,20180101, J9041,HCPCS,BORTEZOMIB INJECTION,,30,,,$290.44,$0.00,1,0,0,20180101, J9042,HCPCS,BRENTUXIMAB VEDOTIN INJ,,30,,,$865.39,$0.00,1,0,0,20180101, J9043,HCPCS,CABAZITAXEL INJECTION,,30,,,$604.18,$0.00,1,0,0,20180101, J9045,HCPCS,CARBOPLATIN INJECTION,,30,,,$17.01,$0.00,1,0,0,20180101, J9047,HCPCS,"INJECTION, CARFILZOMIB, 1 MG",,30,,,$152.47,$0.00,1,0,0,20180101, J9050,HCPCS,CARMUSTINE INJECTION,,30,,,"$18,372.35",$0.00,1,0,0,20180101, J9055,HCPCS,CETUXIMAB INJECTION,,30,,,$346.15,$0.00,1,0,0,20180101, J9060,HCPCS,CISPLATIN 10 MG INJECTION,,30,,,$10.21,$0.00,1,0,0,20180101, J9065,HCPCS,INJ CLADRIBINE PER 1 MG,,30,,,$130.21,$0.00,1,0,0,20180101, J9070,HCPCS,CYCLOPHOSPHAMIDE 100 MG INJ,,30,,,$274.66,$0.00,1,0,0,20180101, J9098,HCPCS,CYTARABINE LIPOSOME INJ,,30,,,"$3,708.45",$0.00,1,0,0,20180101, J9100,HCPCS,CYTARABINE HCL 100 MG INJ,,30,,,$3.40,$0.00,1,0,0,20180101, J9120,HCPCS,DACTINOMYCIN INJECTION,,30,,,"$7,575.90",$0.00,1,0,0,20180101, J9130,HCPCS,DACARBAZINE 100 MG INJ,,30,,,$18.71,$0.00,1,0,0,20180101, J9145,HCPCS,"INJECTION, DARATUMUMAB 10 MG",,30,,,$312.18,$0.00,1,0,0,20180101, J9150,HCPCS,DAUNORUBICIN INJECTION,,30,,,$254.82,$0.00,1,0,0,20180101, J9151,HCPCS,DAUNORUBICIN CITRATE INJ,,30,,,$242.13,$0.00,1,0,0,20180101, J9155,HCPCS,DEGARELIX INJECTION,,30,,,$23.62,$0.00,1,0,0,20180101, J9160,HCPCS,DENILEUKIN DIFTITOX INJ,,30,,,"$2,820.94",$0.00,1,0,0,20180101, J9165,HCPCS,DIETHYLSTILBESTROL INJECTION,,30,,,$67.26,$0.00,1,0,0,20180101, J9171,HCPCS,DOCETAXEL INJECTION,,30,,,$12.27,$0.00,1,0,0,20180101, J9175,HCPCS,ELLIOTTS B SOLUTION PER ML,,30,,,$20.72,$0.00,1,0,0,20180101, J9176,HCPCS,"INJECTION, ELOTUZUMAB, 1MG",,30,,,$40.37,$0.00,1,0,0,20180101, J9178,HCPCS,"INJ, EPIRUBICIN HCL, 2 MG",,30,,,$15.67,$0.00,1,0,0,20180101, J9179,HCPCS,ERIBULIN MESYLATE INJECTION,,30,,,$591.31,$0.00,1,0,0,20180101, J9181,HCPCS,ETOPOSIDE INJECTION,,30,,,$3.40,$0.00,1,0,0,20180101, J9185,HCPCS,FLUDARABINE PHOSPHATE INJ,,30,,,$677.99,$0.00,1,0,0,20180101, J9190,HCPCS,FLUOROURACIL INJECTION,,30,,,$8.50,$0.00,1,0,0,20180101, J9200,HCPCS,FLOXURIDINE INJECTION,,30,,,$254.98,$0.00,1,0,0,20180101, J9201,HCPCS,GEMCITABINE HCL INJECTION,,30,,,$30.62,$0.00,1,0,0,20180101, J9202,HCPCS,GOSERELIN ACETATE IMPLANT,,30,,,"$2,022.50",$0.00,1,0,0,20180101, J9203,HCPCS,GEMTUZUMAB OZOGAMICIN 0.1 MG,,30,,,"$1,240.86",$0.00,1,0,0,20180101, J9205,HCPCS,INJ IRINOTECAN LIPOSOME 1 MG,,30,,,$256.38,$0.00,1,0,0,20180101, J9206,HCPCS,IRINOTECAN INJECTION,,30,,,$17.01,$0.00,1,0,0,20180101, J9207,HCPCS,IXABEPILONE INJECTION,,30,,,$488.15,$0.00,1,0,0,20180101, J9208,HCPCS,IFOSFAMIDE INJECTION,,30,,,$125.03,$0.00,1,0,0,20180101, J9209,HCPCS,MESNA INJECTION,,30,,,$10.21,$0.00,1,0,0,20180101, J9211,HCPCS,IDARUBICIN HCL INJECTION,,30,,,$269.68,$0.00,1,0,0,20180101, J9212,HCPCS,INTERFERON ALFACON-1 INJ,,30,,,$26.49,$0.00,1,0,0,20180101, J9213,HCPCS,INTERFERON ALFA-2A INJ,,30,,,$163.59,$0.00,1,0,0,20180101, J9214,HCPCS,INTERFERON ALFA-2B INJ,,30,,,$185.35,$0.00,1,0,0,20180101, J9215,HCPCS,INTERFERON ALFA-N3 INJ,,30,,,$86.47,$0.00,1,0,0,20180101, J9216,HCPCS,INTERFERON GAMMA 1-B INJ,,30,,,"$23,122.49",$0.00,1,0,0,20180101, J9217,HCPCS,LEUPROLIDE ACETATE SUSPNSION,,30,,,"$1,385.44",$0.00,1,0,0,20180101, J9218,HCPCS,LEUPROLIDE ACETATE INJECITON,,30,,,$168.81,$0.00,1,0,0,20180101, J9219,HCPCS,LEUPROLIDE ACETATE IMPLANT,,30,,,"$7,476.76",$0.00,1,0,0,20180101, J9225,HCPCS,VANTAS IMPLANT,,30,,,"$15,956.24",$0.00,1,0,0,20180101, J9226,HCPCS,SUPPRELIN LA IMPLANT,,30,,,"$55,473.85",$0.00,1,0,0,20180101, J9228,HCPCS,IPILIMUMAB INJECTION,,30,,,$932.47,$0.00,1,0,0,20180101, J9230,HCPCS,MECHLORETHAMINE HCL INJ,,30,,,"$1,699.38",$0.00,1,0,0,20180101, J9245,HCPCS,INJ MELPHALAN HYDROCHL 50 MG,,30,,,"$8,070.89",$0.00,1,0,0,20180101, J9250,HCPCS,METHOTREXATE SODIUM INJ,,30,,,$1.70,$0.00,1,0,0,20180101, J9260,HCPCS,METHOTREXATE SODIUM INJ,,30,,,$11.91,$0.00,1,0,0,20180101, J9261,HCPCS,NELARABINE INJECTION,,30,,,$979.48,$0.00,1,0,0,20180101, J9262,HCPCS,"INJ, OMACETAXINE MEP, 0.01MG",,30,,,$17.66,$0.00,1,0,0,20180101, J9263,HCPCS,OXALIPLATIN,,30,,,$1.70,$0.00,1,0,0,20180101, J9264,HCPCS,PACLITAXEL PROTEIN BOUND,,30,,,$67.91,$0.00,1,0,0,20180101, J9266,HCPCS,PEGASPARGASE INJECTION,,30,,,"$27,824.39",$0.00,1,0,0,20180101, J9267,HCPCS,PACLITAXEL INJECTION,,30,,,$1.70,$0.00,1,0,0,20180101, J9268,HCPCS,PENTOSTATIN INJECTION,,30,,,"$10,661.77",$0.00,1,0,0,20180101, J9271,HCPCS,INJ PEMBROLIZUMAB,,30,,,$306.97,$0.00,1,0,0,20180101, J9280,HCPCS,MITOMYCIN INJECTION,,30,,,$468.33,$0.00,1,0,0,20180101, J9285,HCPCS,"INJ, OLARATUMAB, 10 MG",,30,,,$324.64,$0.00,1,0,0,20180101, J9293,HCPCS,MITOXANTRONE HYDROCHL / 5 MG,,30,,,$213.40,$0.00,1,0,0,20180101, J9295,HCPCS,"INJECTION, NECITUMUMAB, 1 MG",,30,,,$34.14,$0.00,1,0,0,20180101, J9299,HCPCS,"INJECTION, NIVOLUMAB",,30,,,$171.76,$0.00,1,0,0,20180101, J9301,HCPCS,OBINUTUZUMAB INJ,,30,,,$372.01,$0.00,1,0,0,20180101, J9302,HCPCS,OFATUMUMAB INJECTION,,30,,,$346.33,$0.00,1,0,0,20180101, J9303,HCPCS,PANITUMUMAB INJECTION,,30,,,$592.06,$0.00,1,0,0,20180101, J9305,HCPCS,PEMETREXED INJECTION,,30,,,$347.72,$0.00,1,0,0,20180101, J9306,HCPCS,"INJECTION, PERTUZUMAB, 1 MG",,30,,,$70.73,$0.00,1,0,0,20180101, J9307,HCPCS,PRALATREXATE INJECTION,,30,,,"$1,528.41",$0.00,1,0,0,20180101, J9308,HCPCS,"INJECTION, RAMUCIRUMAB",,30,,,$364.97,$0.00,1,0,0,20180101, J9310,HCPCS,RITUXIMAB INJECTION,,30,,,"$3,788.83",$0.00,1,0,0,20180101, J9315,HCPCS,ROMIDEPSIN INJECTION,,30,,,"$2,022.33",$0.00,1,0,0,20180101, J9320,HCPCS,STREPTOZOCIN INJECTION,,30,,,"$2,038.73",$0.00,1,0,0,20180101, J9325,HCPCS,INJ TALIMOGENE LAHERPAREPVEC,,30,,,$298.84,$0.00,1,0,0,20180101, J9328,HCPCS,TEMOZOLOMIDE INJECTION,,30,,,$58.16,$0.00,1,0,0,20180101, J9330,HCPCS,TEMSIROLIMUS INJECTION,,30,,,$395.81,$0.00,1,0,0,20180101, J9340,HCPCS,THIOTEPA INJECTION,,30,,,"$5,335.63",$0.00,1,0,0,20180101, J9351,HCPCS,TOPOTECAN INJECTION,,30,,,$6.80,$0.00,1,0,0,20180101, J9352,HCPCS,INJECTION TRABECTEDIN 0.1MG,,30,,,"$1,809.34",$0.00,1,0,0,20180101, J9354,HCPCS,"INJ, ADO-TRASTUZUMAB EMT 1MG",,30,,,$191.85,$0.00,1,0,0,20180101, J9355,HCPCS,TRASTUZUMAB INJECTION,,30,,,$447.91,$0.00,1,0,0,20180101, J9357,HCPCS,VALRUBICIN INJECTION,,30,,,"$6,935.70",$0.00,1,0,0,20180101, J9360,HCPCS,VINBLASTINE SULFATE INJ,,30,,,$17.01,$0.00,1,0,0,20180101, J9370,HCPCS,VINCRISTINE SULFATE 1 MG INJ,,30,,,$20.41,$0.00,1,0,0,20180101, J9371,HCPCS,"INJ, VINCRISTINE SUL LIP 1MG",,30,,,"$13,881.21",$0.00,1,0,0,20180101, J9390,HCPCS,VINORELBINE TARTRATE INJ,,30,,,$35.72,$0.00,1,0,0,20180101, J9395,HCPCS,"INJECTION, FULVESTRANT",,30,,,$550.08,$0.00,1,0,0,20180101, J9400,HCPCS,"INJ, ZIV-AFLIBERCEPT, 1MG",,30,,,$52.79,$0.00,1,0,0,20180101, J9600,HCPCS,PORFIMER SODIUM INJECTION,,30,,,"$42,439.14",$0.00,1,0,0,20180101, P3001,HCPCS,SCREENING PAP SMEAR BY PHYS,,30,,,$223.94,$0.00,1,0,1,20180101, P7001,HCPCS,CULTURE BACTERIAL URINE,,30,,,$132.74,$0.00,1,0,1,20180101, P9010,HCPCS,WHOLE BLOOD FOR TRANSFUSION,,30,,,"$1,010.58",$0.00,1,0,1,20180101, P9011,HCPCS,BLOOD SPLIT UNIT,,30,,,$633.71,$0.00,1,0,1,20180101, P9012,HCPCS,CRYOPRECIPITATE EACH UNIT,,30,,,$248.66,$0.00,1,0,1,20180101, P9016,HCPCS,RBC LEUKOCYTES REDUCED,,30,,,"$1,184.26",$0.00,1,0,1,20180101, P9017,HCPCS,PLASMA 1 DONOR FRZ W/IN 8 HR,,30,,,$466.22,$0.00,1,0,1,20180101, P9019,HCPCS,"PLATELETS, EACH UNIT",,30,,,$733.73,$0.00,1,0,1,20180101, P9020,HCPCS,PLAELET RICH PLASMA UNIT,,30,,,$778.19,$0.00,1,0,1,20180101, P9021,HCPCS,RED BLOOD CELLS UNIT,,30,,,$923.61,$0.00,1,0,1,20180101, P9022,HCPCS,WASHED RED BLOOD CELLS UNIT,,30,,,"$2,334.93",$0.00,1,0,1,20180101, P9023,HCPCS,"FROZEN PLASMA, POOLED, SD",,30,,,$394.28,$0.00,1,0,1,20180101, P9031,HCPCS,PLATELETS LEUKOCYTES REDUCED,,30,,,$769.48,$0.00,1,0,1,20180101, P9032,HCPCS,"PLATELETS, IRRADIATED",,30,,,"$1,084.09",$0.00,1,0,1,20180101, P9033,HCPCS,PLATELETS LEUKOREDUCED IRRAD,,30,,,$649.32,$0.00,1,0,1,20180101, P9034,HCPCS,"PLATELETS, PHERESIS",,30,,,"$2,752.43",$0.00,1,0,1,20180101, P9035,HCPCS,PLATELET PHERES LEUKOREDUCED,,30,,,"$2,741.86",$0.00,1,0,1,20180101, P9036,HCPCS,PLATELET PHERESIS IRRADIATED,,30,,,"$3,391.95",$0.00,1,0,1,20180101, P9037,HCPCS,PLATE PHERES LEUKOREDU IRRAD,,30,,,"$3,325.18",$0.00,1,0,1,20180101, P9038,HCPCS,RBC IRRADIATED,,30,,,"$1,379.83",$0.00,1,0,1,20180101, P9039,HCPCS,RBC DEGLYCEROLIZED,,30,,,"$2,609.82",$0.00,1,0,1,20180101, P9040,HCPCS,RBC LEUKOREDUCED IRRADIATED,,30,,,"$1,495.91",$0.00,1,0,1,20180101, P9041,HCPCS,"ALBUMIN (HUMAN),5%, 50ML",,30,,,$76.69,$0.00,1,0,1,20180101, P9043,HCPCS,"PLASMA PROTEIN FRACT,5%,50ML",,30,,,$98.15,$0.00,1,0,1,20180101, P9044,HCPCS,CRYOPRECIPITATEREDUCEDPLASMA,,30,,,$657.21,$0.00,1,0,1,20180101, P9045,HCPCS,"ALBUMIN (HUMAN), 5%, 250 ML",,30,,,$354.95,$0.00,1,0,1,20180101, P9046,HCPCS,"ALBUMIN (HUMAN), 25%, 20 ML",,30,,,$146.17,$0.00,1,0,1,20180101, P9047,HCPCS,"ALBUMIN (HUMAN), 25%, 50ML",,30,,,$346.66,$0.00,1,0,1,20180101, P9048,HCPCS,"PLASMAPROTEIN FRACT,5%,250ML",,30,,,$307.43,$0.00,1,0,1,20180101, P9050,HCPCS,"GRANULOCYTES, PHERESIS UNIT",,30,,,"$9,585.56",$0.00,1,0,1,20180101, P9051,HCPCS,"BLOOD, L/R, CMV-NEG",,30,,,"$1,218.64",$0.00,1,0,1,20180101, P9052,HCPCS,"PLATELETS, HLA-M, L/R, UNIT",,30,,,"$4,635.83",$0.00,1,0,1,20180101, P9053,HCPCS,"PLT, PHER, L/R CMV-NEG, IRR",,30,,,"$3,682.64",$0.00,1,0,1,20180101, P9054,HCPCS,"BLOOD, L/R, FROZ/DEGLY/WASH",,30,,,"$1,574.60",$0.00,1,0,1,20180101, P9055,HCPCS,"PLT, APH/PHER, L/R, CMV-NEG",,30,,,"$2,093.26",$0.00,1,0,1,20180101, P9056,HCPCS,"BLOOD, L/R, IRRADIATED",,30,,,$932.48,$0.00,1,0,1,20180101, P9057,HCPCS,"RBC, FRZ/DEG/WSH, L/R, IRRAD",,30,,,"$1,772.77",$0.00,1,0,1,20180101, P9058,HCPCS,"RBC, L/R, CMV-NEG, IRRAD",,30,,,"$1,606.98",$0.00,1,0,1,20180101, P9059,HCPCS,"PLASMA, FRZ BETWEEN 8-24HOUR",,30,,,$489.03,$0.00,1,0,1,20180101, P9060,HCPCS,FR FRZ PLASMA DONOR RETESTED,,30,,,$366.51,$0.00,1,0,1,20180101, P9070,HCPCS,PATHOGEN REDUCED PLASMA POOL,,30,,,$480.85,$0.00,1,0,1,20180101, P9071,HCPCS,PATHOGEN REDUCED PLASMA SING,,30,,,$469.12,$0.00,1,0,1,20180101, P9073,HCPCS,"PLATELETS, PATHOGEN REDUCED",,30,,,"$3,908.55",$0.00,1,0,1,20180101, P9100,HCPCS,PATHOGEN TEST FOR PLATELETS,,30,,,$165.74,$0.00,1,0,1,20180101, P9615,HCPCS,URINE SPECIMEN COLLECT MULT,,30,,,$23.12,$0.00,1,0,1,20180101, PHOSP,PHOSP,PARTIAL HOSPITALIZATION,,30,,,$564.21,$0.00,1,0,0,20180101, Q0035,HCPCS,CARDIOKYMOGRAPHY,,30,,,$192.66,$0.00,1,0,1,20180101, Q0081,HCPCS,INFUSION THER OTHER THAN CHE,,30,,,$509.14,$0.00,1,0,0,20180101, Q0083,HCPCS,CHEMO BY OTHER THAN INFUSION,,30,,,$203.34,$0.00,1,0,1,20180101, Q0084,HCPCS,CHEMOTHERAPY BY INFUSION,,30,,,$509.83,$0.00,1,0,1,20180101, Q0085,HCPCS,CHEMO BY BOTH INFUSION AND O,,30,,,$485.34,$0.00,1,0,1,20180101, Q0091,HCPCS,OBTAINING SCREEN PAP SMEAR,,30,,,$113.56,$0.00,1,0,1,20180101, Q0092,HCPCS,SET UP PORT XRAY EQUIPMENT,,30,,,$127.15,$0.00,1,0,1,20180101, Q0138,HCPCS,"FERUMOXYTOL, NON-ESRD",,30,,,$5.80,$0.00,1,0,0,20180101, Q0139,HCPCS,"FERUMOXYTOL, ESRD USE",,30,,,$5.80,$0.00,1,0,0,20180101, Q0144,HCPCS,"AZITHROMYCIN DIHYDRATE, ORAL",,30,,,$40.92,$0.00,1,0,0,20180101, Q0161,HCPCS,CHLORPROMAZINE HCL 5MG ORAL,,30,,,$1.73,$0.00,1,0,0,20180101, Q0162,HCPCS,ONDANSETRON ORAL,,30,,,$1.70,$0.00,1,0,0,20180101, Q0163,HCPCS,DIPHENHYDRAMINE HCL 50MG,,30,,,$1.70,$0.00,1,0,0,20180101, Q0164,HCPCS,PROCHLORPERAZINE MALEATE 5MG,,30,,,$1.70,$0.00,1,0,0,20180101, Q0166,HCPCS,GRANISETRON HCL 1 MG ORAL,,30,,,$11.91,$0.00,1,0,0,20180101, Q0167,HCPCS,DRONABINOL 2.5MG ORAL,,30,,,$27.21,$0.00,1,0,0,20180101, Q0169,HCPCS,PROMETHAZINE HCL 12.5MG ORAL,,30,,,$1.70,$0.00,1,0,0,20180101, Q0175,HCPCS,PERPHENAZINE 4MG ORAL,,30,,,$3.40,$0.00,1,0,0,20180101, Q0177,HCPCS,HYDROXYZINE PAMOATE 25MG,,30,,,$10.21,$0.00,1,0,0,20180101, Q0180,HCPCS,DOLASETRON MESYLATE ORAL,,30,,,$257.83,$0.00,1,0,0,20180101, Q0181,HCPCS,UNSPECIFIED ORAL ANTI-EMETIC,,30,,,$54.58,$0.00,1,0,0,20180101, Q0512,HCPCS,PX SUP FEE ANTI-CAN SUB PRES,,30,,,$26.12,$0.00,1,0,0,20180101, Q0515,HCPCS,SERMORELIN ACETATE INJECTION,,30,,,$15.67,$0.00,1,0,0,20180101, Q2009,HCPCS,FOSPHENYTOIN INJ PE,,30,,,$32.33,$0.00,1,0,0,20180101, Q2017,HCPCS,"TENIPOSIDE, 50 MG",,30,,,"$13,849.65",$0.00,1,0,0,20180101, Q2026,HCPCS,RADIESSE INJECTION,,30,,,$785.32,$0.00,1,0,0,20180101, Q2034,HCPCS,AGRIFLU VACCINE,,30,,,$33.65,$0.00,1,0,1,20180101, Q2035,HCPCS,"AFLURIA VACC, 3 YRS & >, IM",,30,,,$92.47,$0.00,1,0,1,20180101, Q2036,HCPCS,"FLULAVAL VACC, 3 YRS & >, IM",,30,,,$52.02,$0.00,1,0,1,20180101, Q2037,HCPCS,"FLUVIRIN VACC, 3 YRS & >, IM",,30,,,$101.66,$0.00,1,0,1,20180101, Q2038,HCPCS,"FLUZONE VACC, 3 YRS & >, IM",,30,,,$116.86,$0.00,1,0,1,20180101, Q2039,HCPCS,"INFLUENZA VIRUS VACCINE, NOS",,30,,,$131.48,$0.00,1,0,1,20180101, Q2040,HCPCS,TISAGENLECLEUCEL CAR-POS T,,30,,,"$1,007,000.00",$0.00,1,0,0,20180101, Q2043,HCPCS,SIPULEUCEL-T AUTO CD54+,,30,,,"$79,838.01",$0.00,1,0,0,20180101, Q2049,HCPCS,IMPORTED LIPODOX INJ,,30,,,"$3,193.91",$0.00,1,0,0,20180101, Q2050,HCPCS,DOXORUBICIN INJ 10MG,,30,,,"$2,582.45",$0.00,1,0,0,20180101, Q3001,HCPCS,BRACHYTHERAPY RADIOELEMENTS,,30,,,$91.96,$0.00,1,0,0,20180101, Q3027,HCPCS,INJ BETA INTERFERON IM 1 MCG,,30,,,$172.41,$0.00,1,0,0,20180101, Q3028,HCPCS,INJ BETA INTERFERON SQ 1 MCG,,30,,,$17.93,$0.00,1,0,0,20180101, Q4074,HCPCS,ILOPROST NON-COMP UNIT DOSE,,30,,,$261.71,$0.00,1,0,0,20180101, Q4081,HCPCS,"EPOETIN ALFA, 100 UNITS ESRD",,30,,,$15.67,$0.00,1,0,0,20180101, Q4100,HCPCS,"SKIN SUBSTITUTE, NOS",,30,,,"$3,121.42",$0.00,1,0,0,20180101, Q4101,HCPCS,APLIGRAF,,30,,,$74.84,$0.00,1,0,0,20180101, Q4102,HCPCS,OASIS WOUND MATRIX,,30,,,$34.43,$0.00,1,0,0,20180101, Q4103,HCPCS,OASIS BURN MATRIX,,30,,,$34.43,$0.00,1,0,0,20180101, Q4104,HCPCS,INTEGRA BMWD,,30,,,$89.27,$0.00,1,0,0,20180101, Q4105,HCPCS,INTEGRA DRT OR OMNIGRAFT,,30,,,$89.27,$0.00,1,0,0,20180101, Q4106,HCPCS,DERMAGRAFT,,30,,,$78.44,$0.00,1,0,0,20180101, Q4107,HCPCS,GRAFTJACKET,,30,,,$195.33,$0.00,1,0,0,20180101, Q4108,HCPCS,INTEGRA MATRIX,,30,,,$89.27,$0.00,1,0,0,20180101, Q4110,HCPCS,PRIMATRIX,,30,,,$73.39,$0.00,1,0,0,20180101, Q4111,HCPCS,GAMMAGRAFT,,30,,,$27.21,$0.00,1,0,0,20180101, Q4112,HCPCS,CYMETRA INJECTABLE,,30,,,$906.75,$0.00,1,0,0,20180101, Q4113,HCPCS,GRAFTJACKET XPRESS,,30,,,$906.75,$0.00,1,0,0,20180101, Q4114,HCPCS,INTEGRA FLOWABLE WOUND MATRI,,30,,,"$3,579.73",$0.00,1,0,0,20180101, Q4115,HCPCS,ALLOSKIN,,30,,,$30.10,$0.00,1,0,0,20180101, Q4116,HCPCS,ALLODERM,,30,,,$76.28,$0.00,1,0,0,20180101, Q4118,HCPCS,MATRISTEM MICROMATRIX,,30,,,$7.86,$0.00,1,0,0,20180101, Q4121,HCPCS,THERASKIN,,30,,,$97.92,$0.00,1,0,0,20180101, Q4122,HCPCS,DERMACELL,,30,,,"$2,045.26",$0.00,1,0,0,20180101, Q4123,HCPCS,ALLOSKIN,,30,,,$63.29,$0.00,1,0,0,20180101, Q4124,HCPCS,OASIS TRI-LAYER WOUND MATRIX,,30,,,"$3,177.79",$0.00,1,0,0,20180101, Q4125,HCPCS,ARTHROFLEX,,30,,,"$2,721.58",$0.00,1,0,0,20180101, Q4126,HCPCS,MEMODERM/DERMA/TRANZ/INTEGUP,,30,,,$422.28,$0.00,1,0,0,20180101, Q4127,HCPCS,TALYMED,,30,,,$3.16,$0.00,1,0,0,20180101, Q4128,HCPCS,FLEXHD/ALLOPATCHHD/MATRIXHD,,30,,,$332.23,$0.00,1,0,0,20180101, Q4130,HCPCS,STRATTICE TM,,30,,,"$20,502.91",$0.00,1,0,0,20180101, Q4131,HCPCS,EPIFIX OR EPICORD,,30,,,$331.70,$0.00,1,0,0,20180101, Q4132,HCPCS,"GRAFIX CORE, GRAFIXPL CORE",,30,,,$188.31,$0.00,1,0,0,20180101, Q4133,HCPCS,GRAFIX PRIME GRAFIX PL PRIME,,30,,,$165.87,$0.00,1,0,0,20180101, Q4134,HCPCS,HMATRIX,,30,,,"$4,389.12",$0.00,1,0,0,20180101, Q4135,HCPCS,MEDISKIN,,30,,,"$4,995.87",$0.00,1,0,0,20180101, Q4136,HCPCS,EZDERM,,30,,,"$1,322.47",$0.00,1,0,0,20180101, Q4137,HCPCS,"AMNIOEXCEL OR BIODEXCEL, 1CM",,30,,,$66.42,$0.00,1,0,0,20180101, Q4139,HCPCS,"AMNIO OR BIODMATRIX, INJ 1CC",,30,,,"$3,373.22",$0.00,1,0,0,20180101, Q4141,HCPCS,"ALLOSKIN AC, 1 CM",,30,,,$29.95,$0.00,1,0,0,20180101, Q4145,HCPCS,"EPIFIX, INJ, 1MG",,30,,,$63.67,$0.00,1,0,0,20180101, Q4148,HCPCS,NEOX NEOX RT OR CLARIX CORD,,30,,,$170.48,$0.00,1,0,0,20180101, Q4166,HCPCS,"CYTAL, PER SQUARE CENTIMETER",,30,,,$16.11,$0.00,1,0,0,20180101, Q4172,HCPCS,PURAPLY OR PURAPLY AM,,30,,,$475.95,$0.00,1,0,0,20180101, Q5001,HCPCS,HOSPICE OR HOME HLTH IN HOME,,30,,,$231.18,$0.00,1,1,1,20180101, Q5002,HCPCS,HOSPICE/HOME HLTH IN ASST LV,,30,,,$554.20,$0.00,1,1,1,20180101, Q5003,HCPCS,HOSPICE IN LT/NON-SKILLED NF,,30,,,$276.98,$0.00,1,1,1,20180101, Q5004,HCPCS,HOSPICE IN SNF,,30,,,$396.47,$0.00,1,1,1,20180101, Q5005,HCPCS,"HOSPICE, INPATIENT HOSPITAL",,30,,,"$1,040.31",$0.00,1,1,1,20180101, Q5006,HCPCS,HOSPICE IN HOSPICE FACILITY,,30,,,"$1,103.88",$0.00,1,1,1,20180101, Q5007,HCPCS,HOSPICE IN LTCH,,30,,,$950.52,$0.00,1,1,1,20180101, Q5009,HCPCS,"HOSPICE/HOME HLTH, PLACE NOS",,30,,,$230.94,$0.00,1,1,1,20180101, Q5010,HCPCS,HOSPICE HOME CARE IN HOSPICE,,30,,,$375.67,$0.00,1,0,1,20180101, Q5101,HCPCS,INJ FILGRASTIM GCSF BIOSIMIL,,30,,,$4.91,$0.00,1,0,0,20180101, Q5102,HCPCS,"INJ., INFLIXIMAB BIOSIMILAR",,30,,,$509.80,$0.00,1,0,0,20180101, Q9950,HCPCS,INJ SULF HEXA LIPID MICROSPH,,30,,,$160.55,$0.00,1,0,0,20180101, Q9951,HCPCS,"LOCM >= 400 MG/ML IODINE,1ML",,30,,,$6.12,$0.00,1,0,0,20180101, Q9953,HCPCS,"INJ FE-BASED MR CONTRAST,1ML",,30,,,$45.91,$0.00,1,0,0,20180101, Q9954,HCPCS,"ORAL MR CONTRAST, 100 ML",,30,,,$15.34,$0.00,1,0,0,20180101, Q9955,HCPCS,"INJ PERFLEXANE LIP MICROS,ML",,30,,,$4.75,$0.00,1,0,0,20180101, Q9956,HCPCS,"INJ OCTAFLUOROPROPANE MIC,ML",,30,,,$114.77,$0.00,1,0,0,20180101, Q9957,HCPCS,"INJ PERFLUTREN LIP MICROS,ML",,30,,,$200.99,$0.00,1,0,0,20180101, Q9958,HCPCS,"HOCM <=149 MG/ML IODINE, 1ML",,30,,,$0.28,$0.00,1,0,0,20180101, Q9959,HCPCS,"HOCM 150-199MG/ML IODINE,1ML",,30,,,$0.60,$0.00,1,0,0,20180101, Q9960,HCPCS,"HOCM 200-249MG/ML IODINE,1ML",,30,,,$1.19,$0.00,1,0,0,20180101, Q9961,HCPCS,"HOCM 250-299MG/ML IODINE,1ML",,30,,,$1.52,$0.00,1,0,0,20180101, Q9962,HCPCS,"HOCM 300-349MG/ML IODINE,1ML",,30,,,$1.84,$0.00,1,0,0,20180101, Q9963,HCPCS,"HOCM 350-399MG/ML IODINE,1ML",,30,,,$2.34,$0.00,1,0,0,20180101, Q9964,HCPCS,"HOCM>= 400MG/ML IODINE, 1ML",,30,,,$2.81,$0.00,1,0,0,20180101, Q9965,HCPCS,"LOCM 100-199MG/ML IODINE,1ML",,30,,,$3.42,$0.00,1,0,0,20180101, Q9966,HCPCS,"LOCM 200-299MG/ML IODINE,1ML",,30,,,$3.04,$0.00,1,0,0,20180101, Q9967,HCPCS,"LOCM 300-399MG/ML IODINE,1ML",,30,,,$1.52,$0.00,1,0,0,20180101, Q9968,HCPCS,VISUALIZATION ADJUNCT,,30,,,$15.28,$0.00,1,0,0,20180101, Q9969,HCPCS,NON-HEU TC-99M ADD-ON/DOSE,,30,,,$10.00,$0.00,1,0,0,20180101, Q9982,HCPCS,FLUTEMETAMOL F18 DIAGNOSTIC,,30,,,"$17,256.45",$0.00,1,0,0,20180101, Q9983,HCPCS,FLORBETABEN F18 DIAGNOSTIC,,30,,,"$15,351.48",$0.00,1,0,0,20180101, R0070,HCPCS,TRANSPORT PORTABLE X-RAY,,30,,,$252.54,$0.00,1,0,1,20180101, R0075,HCPCS,TRANSPORT PORT X-RAY MULTIPL,,30,,,$63.79,$0.00,1,0,1,20180101, S0017,HCPCS,"INJECTION, AMINOCAPROIC ACID",,30,,,$35.15,$0.00,1,0,0,20180101, S0020,HCPCS,"INJECTION, BUPIVICAINE HYDRO",,30,,,$16.40,$0.00,1,0,0,20180101, S0023,HCPCS,"INJECTION, CIMETIDINE HYDROC",,30,,,$14.94,$0.00,1,0,0,20180101, S0028,HCPCS,"INJECTION, FAMOTIDINE, 20 MG",,30,,,$11.14,$0.00,1,0,0,20180101, S0030,HCPCS,"INJECTION, METRONIDAZOLE",,30,,,$55.25,$0.00,1,0,0,20180101, S0032,HCPCS,"INJECTION, NAFCILLIN SODIUM",,30,,,$87.11,$0.00,1,0,0,20180101, S0034,HCPCS,"INJECTION, OFLOXACIN, 400 MG",,30,,,$35.72,$0.00,1,0,0,20180101, S0039,HCPCS,"INJECTION, SULFAMETHOXAZOLE",,30,,,$11.84,$0.00,1,0,0,20180101, S0040,HCPCS,"INJECTION, TICARCILLIN DISOD",,30,,,$79.44,$0.00,1,0,0,20180101, S0073,HCPCS,"INJECTION, AZTREONAM, 500 MG",,30,,,$98.12,$0.00,1,0,0,20180101, S0074,HCPCS,"INJECTION, CEFOTETAN DISODIU",,30,,,$62.02,$0.00,1,0,0,20180101, S0077,HCPCS,"INJECTION, CLINDAMYCIN PHOSP",,30,,,$17.73,$0.00,1,0,0,20180101, S0078,HCPCS,"INJECTION, FOSPHENYTOIN SODI",,30,,,$962.31,$0.00,1,0,0,20180101, S0080,HCPCS,"INJECTION, PENTAMIDINE ISETH",,30,,,$374.09,$0.00,1,0,0,20180101, S0091,HCPCS,GRANISETRON 1MG,,30,,,$295.87,$0.00,1,0,0,20180101, S0092,HCPCS,HYDROMORPHONE 250 MG,,30,,,$564.33,$0.00,1,0,0,20180101, S0093,HCPCS,MORPHINE 500 MG,,30,,,"$1,297.76",$0.00,1,0,0,20180101, S0106,HCPCS,BUPROPION HCL SR 60 TABLETS,,30,,,$596.97,$0.00,1,0,0,20180101, S0108,HCPCS,MERCAPTOPURINE 50 MG,,30,,,$20.60,$0.00,1,0,0,20180101, S0109,HCPCS,METHADONE ORAL 5MG,,30,,,$1.52,$0.00,1,0,0,20180101, S0119,HCPCS,ONDANSETRON 4 MG,,30,,,$50.24,$0.00,1,0,0,20180101, S0132,HCPCS,INJ GANIRELIX ACETAT 250 MCG,,30,,,$576.67,$0.00,1,0,0,20180101, S0136,HCPCS,"CLOZAPINE, 25 MG",,30,,,$7.08,$0.00,1,0,0,20180101, S0137,HCPCS,"DIDANOSINE, 25 MG",,30,,,$17.88,$0.00,1,0,0,20180101, S0138,HCPCS,"FINASTERIDE, 5 MG",,30,,,$15.39,$0.00,1,0,0,20180101, S0145,HCPCS,PEG INTERFERON ALFA-2A/180,,30,,,$59.84,$0.00,1,0,0,20180101, S0157,HCPCS,"BECAPLERMIN GEL 1%, 0.5 GM",,30,,,$96.01,$0.00,1,0,0,20180101, S0164,HCPCS,INJECTION PANTROPRAZOLE,,30,,,$70.79,$0.00,1,0,0,20180101, S0166,HCPCS,INJ OLANZAPINE 2.5MG,,30,,,$32.15,$0.00,1,0,0,20180101, S0169,HCPCS,CALCITROL,,30,,,$7.36,$0.00,1,0,0,20180101, S0170,HCPCS,ANASTROZOLE 1 MG,,30,,,$44.14,$0.00,1,0,0,20180101, S0171,HCPCS,BUMETANIDE 0.5 MG,,30,,,$6.49,$0.00,1,0,0,20180101, S0174,HCPCS,DOLASETRON 50 MG,,30,,,$282.76,$0.00,1,0,0,20180101, S0179,HCPCS,MEGESTROL 20 MG,,30,,,$2.10,$0.00,1,0,0,20180101, S0183,HCPCS,PROCHLORPERAZINE 5 MG,,30,,,$3.59,$0.00,1,0,0,20180101, S0187,HCPCS,TAMOXIFEN 10 MG,,30,,,$7.79,$0.00,1,0,0,20180101, S0189,HCPCS,TESTOSTERONE PELLET 75 MG,,30,,,$141.29,$0.00,1,0,0,20180101, S0191,HCPCS,"MISOPROSTOL, ORAL, 200 MCG",,30,,,$11.33,$0.00,1,0,0,20180101, S0199,HCPCS,MED ABORTION INC ALL EX DRUG,,30,,,"$2,204.32",$0.00,1,0,1,20180101, S0201,HCPCS,PARTIAL HOSPITALIZATION SERV,,30,,,"$2,196.21",$0.00,1,0,0,20180101, S0208,HCPCS,PARAMED INTRCEPT NONVOL,,30,,,"$1,852.86",$0.00,1,0,1,20180101, S0220,HCPCS,MEDICAL CONFERENCE BY PHYSIC,,30,,,$222.00,$0.00,1,0,1,20180101, S0221,HCPCS,"MEDICAL CONFERENCE, 60 MIN",,30,,,$445.28,$0.00,1,0,1,20180101, S0255,HCPCS,HOSPICE REFER VISIT NONMD,,30,,,$174.35,$0.00,1,0,1,20180101, S0257,HCPCS,END OF LIFE COUNSELING,,30,,,$244.13,$0.00,1,0,1,20180101, S0260,HCPCS,H&P FOR SURGERY,,30,,,$119.70,$0.00,1,0,1,20180101, S0265,HCPCS,GENETIC COUNSEL 15 MINS,,30,,,$119.70,$0.00,1,0,1,20180101, S0302,HCPCS,COMPLETED EPSDT,,30,,,$103.88,$0.00,1,0,1,20180101, S0315,HCPCS,DISEASE MANAGEMENT PROGRAM,,30,,,$119.70,$0.00,1,0,1,20180101, S0316,HCPCS,FOLLOW-UP/REASSESSMENT,,30,,,$247.62,$0.00,1,0,1,20180101, S0320,HCPCS,RN TELEPHONE CALLS TO DMP,,30,,,$112.28,$0.00,1,0,1,20180101, S0390,HCPCS,ROUT FOOT CARE PER VISIT,,30,,,$31.90,$0.00,1,0,1,20180101, S0400,HCPCS,GLOBAL ESWL KIDNEY,,30,,,"$28,497.63",$0.00,1,0,1,20180101, S0512,HCPCS,DAILY CONT LENS,,30,,,$92.20,$0.00,1,1,1,20180101, S0592,HCPCS,COMP CONT LENS EVAL,,30,,,"$1,564.49",$0.00,1,0,1,20180101, S0601,HCPCS,SCREENING PROCTOSCOPY,,30,,,$413.09,$0.00,1,0,1,20180101, S0610,HCPCS,ANNUAL GYNECOLOGICAL EXAMINA,,30,,,$374.67,$0.00,1,0,1,20180101, S0612,HCPCS,ANNUAL GYNECOLOGICAL EXAMINA,,30,,,$340.04,$0.00,1,0,1,20180101, S0613,HCPCS,ANN BREAST EXAM,,30,,,$119.70,$0.00,1,0,1,20180101, S0618,HCPCS,AUDIOMETRY FOR HEARING AID,,30,,,$95.09,$0.00,1,0,0,20180101, S0620,HCPCS,ROUTINE OPHTHALMOLOGICAL EXA,,30,,,$67.73,$0.00,1,0,1,20180101, S0621,HCPCS,ROUTINE OPHTHALMOLOGICAL EXA,,30,,,$345.29,$0.00,1,0,1,20180101, S0622,HCPCS,PHYS EXAM FOR COLLEGE,,30,,,$119.70,$0.00,1,0,1,20180101, S0630,HCPCS,REMOVAL OF SUTURES,,30,,,$109.41,$0.00,1,0,1,20180101, S0810,HCPCS,PHOTOREFRACTIVE KERATECTOMY,,30,,,"$4,014.95",$0.00,1,0,1,20180101, S0812,HCPCS,PHOTOTHERAP KERATECT,,30,,,"$4,014.95",$0.00,1,0,1,20180101, S1015,HCPCS,IV TUBING EXTENSION SET,,30,,,$42.82,$0.00,1,0,0,20180101, S1016,HCPCS,NON-PVC INTRAVENOUS ADMINIST,,30,,,$60.10,$0.00,1,0,0,20180101, S1040,HCPCS,CRANIAL REMOLDING ORTHOSIS,,30,,,$461.66,$0.00,1,0,0,20180101, S1090,HCPCS,MOMETASONE SINUS IMPLANT,,30,,,"$5,164.56",$0.00,1,0,0,20180101, S2070,HCPCS,CYSTO LASER TX URETERAL CALC,,30,,,"$5,766.91",$0.00,1,0,1,20180101, S2080,HCPCS,LAUP,,30,,,"$14,272.40",$0.00,1,0,1,20180101, S2083,HCPCS,ADJUSTMENT GASTRIC BAND,,30,,,"$4,279.31",$0.00,1,0,1,20180101, S2095,HCPCS,TRANSCATH EMBOLIZ MICROSPHER,,30,,,"$14,624.10",$0.00,1,0,1,20180101, S2117,HCPCS,"ARTHROEREISIS, SUBTALAR",,30,,,"$7,977.32",$0.00,1,0,1,20180101, S2118,HCPCS,TOTAL HIP RESURFACING,,30,,,$184.58,$0.00,1,0,1,20180101, S2120,HCPCS,LOW DENSITY LIPOPROTEIN(LDL),,30,,,"$24,603.09",$0.00,1,0,1,20180101, S2140,HCPCS,CORD BLOOD HARVESTING,,30,,,"$1,686.18",$0.00,1,0,1,20180101, S2142,HCPCS,CORD BLOOD-DERIVED STEM-CELL,,30,,,"$4,025.85",$0.00,1,0,1,20180101, S2150,HCPCS,BMT HARV/TRANSPL 28D PKG,,30,,,"$1,414.50",$0.00,1,0,1,20180101, S2202,HCPCS,ECHOSCLEROTHERAPY,,30,,,$177.88,$0.00,1,0,1,20180101, S2225,HCPCS,MYRINGOTOMY LASER-ASSIST,,30,,,"$9,961.55",$0.00,1,0,1,20180101, S2230,HCPCS,IMPLANT SEMI-IMP HEAR,,30,,,"$6,588.42",$0.00,1,0,1,20180101, S2235,HCPCS,IMPLANT AUDITORY BRAIN IMP,,30,,,"$61,215.50",$0.00,1,0,1,20180101, S2300,HCPCS,"ARTHROSCOPY, SHOULDER, SURGI",,30,,,"$17,894.96",$0.00,1,0,1,20180101, S2325,HCPCS,HIP CORE DECOMPRESSION,,30,,,"$3,037.55",$0.00,1,0,1,20180101, S2340,HCPCS,CHEMODENERVATION OF ABDUCTOR,,30,,,"$9,084.09",$0.00,1,0,1,20180101, S2341,HCPCS,CHEMODENERV ADDUCT VOCAL,,30,,,"$9,084.09",$0.00,1,0,1,20180101, S2342,HCPCS,NASAL ENDOSCOP PO DEBRID,,30,,,"$13,342.38",$0.00,1,0,1,20180101, S2348,HCPCS,DECOMPRESS DISC RF LUMBAR,,30,,,"$10,829.08",$0.00,1,0,1,20180101, S2900,HCPCS,ROBOTIC SURGICAL SYSTEM,,30,,,"$12,617.79",$0.00,1,0,1,20180101, S3000,HCPCS,BILAT DIL RETINAL EXAM,,30,,,$328.41,$0.00,1,0,1,20180101, S3005,HCPCS,EVAL SELF-ASSESS DEPRESSION,,30,,,$119.70,$0.00,1,0,1,20180101, S3600,HCPCS,STAT LAB,,30,,,$75.36,$0.00,1,0,1,20180101, S3620,HCPCS,NEWBORN METABOLIC SCREENING,,30,,,$246.21,$0.00,1,0,1,20180101, S3630,HCPCS,EOSINOPHIL BLOOD COUNT,,30,,,$63.38,$0.00,1,0,1,20180101, S3708,HCPCS,GASTROINTESTINAL FAT ABSORPT,,30,,,$527.60,$0.00,1,0,1,20180101, S3870,HCPCS,CGH TEST DEVELOPMENTAL DELAY,,30,,,"$2,703.55",$0.00,1,0,1,20180101, S3900,HCPCS,SURFACE EMG,,30,,,"$1,593.94",$0.00,1,0,1,20180101, S4005,HCPCS,INTERIM LABOR FACILITY GLOBA,,30,,,$882.00,$0.00,1,0,1,20180101, S4011,HCPCS,IVF PACKAGE,,30,,,"$1,913.79",$0.00,1,0,1,20180101, S4015,HCPCS,COMPLETE IVF NOS CASE RATE,,30,,,"$19,405.86",$0.00,1,0,1,20180101, S4021,HCPCS,IVF CANC P ASPIR CASE RATE,,30,,,"$1,404.37",$0.00,1,0,1,20180101, S4981,HCPCS,INSERT LEVONORGESTREL IUS,,30,,,"$1,758.94",$0.00,1,0,1,20180101, S4989,HCPCS,CONTRACEPT IUD,,30,,,$747.33,$0.00,1,1,1,20180101, S4990,HCPCS,NICOTINE PATCH LEGEND,,30,,,$34.28,$0.00,1,0,0,20180101, S4991,HCPCS,NICOTINE PATCH NONLEGEND,,30,,,$31.65,$0.00,1,0,0,20180101, S4993,HCPCS,CONTRACEPTIVE PILLS FOR BC,,30,,,$37.18,$0.00,1,1,1,20180101, S4995,HCPCS,SMOKING CESSATION GUM,,30,,,$73.00,$0.00,1,0,0,20180101, S5000,HCPCS,"PRESCRIPTION DRUG, GENERIC",,30,,,$25.52,$0.00,1,0,0,20180101, S5001,HCPCS,"PRESCRIPTION DRUG,BRAND NAME",,30,,,$109.07,$0.00,1,0,0,20180101, S5010,HCPCS,5% DEXTROSE AND 0.45% SALINE,,30,,,$26.13,$0.00,1,0,0,20180101, S5012,HCPCS,5% DEXTROSE WITH POTASSIUM,,30,,,$90.86,$0.00,1,0,0,20180101, S5013,HCPCS,5%DEXTROSE/0.45%SALINE1000ML,,30,,,$25.34,$0.00,1,0,0,20180101, S5014,HCPCS,D5W/0.45NS W KCL AND MGS04,,30,,,$15.27,$0.00,1,0,0,20180101, S5105,HCPCS,CENTERBASED DAY CARE PERDIEM,,30,,,$403.98,$0.00,1,1,1,20180101, S5130,HCPCS,HOMAKER SERVICE NOS PER 15M,,30,,,$6.78,$0.00,1,1,1,20180101, S5131,HCPCS,HOMEMAKER SERVICE NOS /DIEM,,30,,,$28.06,$0.00,1,1,1,20180101, S5140,HCPCS,ADULT FOSTER CARE PER DIEM,,30,,,$84.80,$0.00,1,1,1,20180101, S5161,HCPCS,EMER RSPNS SYS SERV PERMONTH,,30,,,$57.81,$0.00,1,1,1,20180101, S5190,HCPCS,WELLNESS ASSESSMENT BY NONPH,,30,,,$385.84,$0.00,1,0,0,20180101, S5199,HCPCS,PERSONAL CARE ITEM NOS EACH,,30,,,$87.10,$0.00,1,0,0,20180101, S5497,HCPCS,HIT CATH CARE NOC,,30,,,$87.10,$0.00,1,1,1,20180101, S5498,HCPCS,HIT SIMPLE CATH CARE,,30,,,$44.24,$0.00,1,1,1,20180101, S5501,HCPCS,HIT COMPLEX CATH CARE,,30,,,$47.70,$0.00,1,1,1,20180101, S5502,HCPCS,HIT INTERIM CATH CARE,,30,,,$84.02,$0.00,1,1,1,20180101, S5517,HCPCS,HIT DECLOTTING KIT,,30,,,$97.14,$0.00,1,1,1,20180101, S5520,HCPCS,HIT PICC INSERT KIT,,30,,,$117.61,$0.00,1,1,1,20180101, S5523,HCPCS,HIP MIDLINE CATH INSERT KIT,,30,,,$178.62,$0.00,1,1,1,20180101, S5550,HCPCS,INSULIN RAPID 5 U,,30,,,$0.17,$0.00,1,0,0,20180101, S5551,HCPCS,INSULIN MOST RAPID 5 U,,30,,,$0.17,$0.00,1,0,0,20180101, S5553,HCPCS,INSULIN LONG ACTING 5 U,,30,,,$0.17,$0.00,1,0,0,20180101, S8030,HCPCS,TANTALUM RING APPLICATION,,30,,,"$11,406.80",$0.00,1,0,1,20180101, S8037,HCPCS,MRCP,,30,,,"$4,665.58",$0.00,1,0,1,20180101, S8040,HCPCS,TOPOGRAPHIC BRAIN MAPPING,,30,,,"$1,654.38",$0.00,1,0,1,20180101, S8055,HCPCS,US GUIDANCE FETAL REDUCT,,30,,,"$1,353.16",$0.00,1,0,1,20180101, S8080,HCPCS,SCINTIMAMMOGRAPHY,,30,,,"$1,150.96",$0.00,1,0,1,20180101, S8092,HCPCS,ELECTRON BEAM COMPUTED TOMOG,,30,,,$292.73,$0.00,1,0,1,20180101, S8096,HCPCS,PORTABLE PEAK FLOW METER,,30,,,$63.67,$0.00,1,1,1,20180101, S8100,HCPCS,SPACER WITHOUT MASK,,30,,,$65.64,$0.00,1,0,0,20180101, S8101,HCPCS,SPACER WITH MASK,,30,,,$214.05,$0.00,1,0,0,20180101, S8210,HCPCS,MUCUS TRAP,,30,,,$1.49,$0.00,1,0,0,20180101, S8423,HCPCS,CUSTOM GRAD SLEEVE HEAVY,,30,,,$243.39,$0.00,1,0,0,20180101, S8424,HCPCS,READY GRADIENT SLEEVE,,30,,,$64.95,$0.00,1,0,0,20180101, S8426,HCPCS,CUSTOM GRAD GLOVE HEAVY,,30,,,$149.41,$0.00,1,0,0,20180101, S8427,HCPCS,READY GRADIENT GLOVE,,30,,,$34.13,$0.00,1,0,0,20180101, S8431,HCPCS,COMPRESSION BANDAGE,,30,,,$18.85,$0.00,1,0,0,20180101, S8450,HCPCS,SPLINT DIGIT,,30,,,$40.21,$0.00,1,0,0,20180101, S8451,HCPCS,SPLINT WRIST OR ANKLE,,30,,,$51.92,$0.00,1,0,0,20180101, S8490,HCPCS,100 INSULIN SYRINGES,,30,,,$1.49,$0.00,1,1,1,20180101, S8948,HCPCS,LOW-LEVEL LASER TRMT 15 MIN,,30,,,$449.57,$0.00,1,0,0,20180101, S8950,HCPCS,"COMPLEX LYMPHEDEMA THERAPY,",,30,,,$149.27,$0.00,1,0,0,20180101, S8990,HCPCS,PT OR MANIP FOR MAINT,,30,,,$83.47,$0.00,1,0,0,20180101, S9024,HCPCS,PARANASAL SINUS ULTRASOUND,,30,,,$879.50,$0.00,1,0,0,20180101, S9034,HCPCS,ESWL FOR GALLSTONES,,30,,,"$5,508.99",$0.00,1,0,0,20180101, S9061,HCPCS,MEDICAL SUPPLIES AND EQUIPME,,30,,,$79.58,$0.00,1,0,0,20180101, S9083,HCPCS,URGENT CARE CENTER GLOBAL,,30,,,$409.48,$0.00,1,0,0,20180101, S9088,HCPCS,SERVICES PROVIDED IN URGENT,,30,,,$86.69,$0.00,1,0,0,20180101, S9097,HCPCS,HOME VISIT WOUND CARE,,30,,,$173.38,$0.00,1,1,1,20180101, S9098,HCPCS,HOME PHOTOTHERAPY VISIT,,30,,,$318.96,$0.00,1,1,1,20180101, S9110,HCPCS,TELEMONITORING/HOME PER MNTH,,30,,,$121.97,$0.00,1,1,1,20180101, S9117,HCPCS,BACK SCHOOL VISIT,,30,,,$119.70,$0.00,1,0,0,20180101, S9122,HCPCS,HOME HEALTH AIDE OR CERTIFIE,,30,,,$173.38,$0.00,1,1,1,20180101, S9123,HCPCS,NURSING CARE IN HOME RN,,30,,,$260.08,$0.00,1,1,1,20180101, S9124,HCPCS,"NURSING CARE, IN THE HOME; B",,30,,,$891.43,$0.00,1,1,1,20180101, S9125,HCPCS,"RESPITE CARE, IN THE HOME, P",,30,,,$202.53,$0.00,1,1,1,20180101, S9126,HCPCS,"HOSPICE CARE, IN THE HOME, P",,30,,,$241.58,$0.00,1,1,1,20180101, S9127,HCPCS,"SOCIAL WORK VISIT, IN THE HO",,30,,,$288.97,$0.00,1,0,0,20180101, S9128,HCPCS,"SPEECH THERAPY, IN THE HOME,",,30,,,$231.18,$0.00,1,0,0,20180101, S9129,HCPCS,"OCCUPATIONAL THERAPY, IN THE",,30,,,$248.52,$0.00,1,0,0,20180101, S9131,HCPCS,PT IN THE HOME PER DIEM,,30,,,$248.52,$0.00,1,0,0,20180101, S9140,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$110.99,$0.00,1,1,1,20180101, S9145,HCPCS,INSULIN PUMP INITIATION,,30,,,$431.56,$0.00,1,1,1,20180101, S9152,HCPCS,"SPEECH THERAPY, RE-EVAL",,30,,,$267.93,$0.00,1,0,0,20180101, S9208,HCPCS,HOME MGMT PRETERM LABOR,,30,,,$297.44,$0.00,1,1,1,20180101, S9211,HCPCS,HOME MGMT GEST HYPERTENSION,,30,,,$126.07,$0.00,1,1,1,20180101, S9213,HCPCS,HM PREECLAMP PER DIEM,,30,,,$294.10,$0.00,1,1,1,20180101, S9214,HCPCS,HM GEST DM PER DIEM,,30,,,$272.33,$0.00,1,1,1,20180101, S9326,HCPCS,HIT CONT PAIN PER DIEM,,30,,,$215.70,$0.00,1,1,1,20180101, S9327,HCPCS,HIT INT PAIN PER DIEM,,30,,,$214.03,$0.00,1,1,1,20180101, S9329,HCPCS,HIT CHEMO PER DIEM,,30,,,$231.95,$0.00,1,1,1,20180101, S9330,HCPCS,HIT CONT CHEM DIEM,,30,,,$228.12,$0.00,1,1,1,20180101, S9331,HCPCS,HIT INTERMIT CHEMO DIEM,,30,,,$254.02,$0.00,1,1,1,20180101, S9335,HCPCS,HT HEMODIALYSIS DIEM,,30,,,$696.54,$0.00,1,1,1,20180101, S9336,HCPCS,HIT CONT ANTICOAG DIEM,,30,,,$218.16,$0.00,1,1,1,20180101, S9338,HCPCS,HIT IMMUNOTHERAPY DIEM,,30,,,$270.31,$0.00,1,1,1,20180101, S9340,HCPCS,HIT ENTERAL PER DIEM,,30,,,$90.15,$0.00,1,1,1,20180101, S9341,HCPCS,HIT ENTERAL GRAV DIEM,,30,,,$61.88,$0.00,1,1,1,20180101, S9342,HCPCS,HIT ENTERAL PUMP DIEM,,30,,,$66.48,$0.00,1,1,1,20180101, S9343,HCPCS,HIT ENTERAL BOLUS NURS,,30,,,$41.24,$0.00,1,1,1,20180101, S9345,HCPCS,HIT ANTI-HEMOPHIL DIEM,,30,,,$137.59,$0.00,1,1,1,20180101, S9346,HCPCS,HIT ALPHA-1-PROTEINAS DIEM,,30,,,$96.29,$0.00,1,1,1,20180101, S9348,HCPCS,HIT SYMPATHOMIM DIEM,,30,,,$238.15,$0.00,1,1,1,20180101, S9349,HCPCS,HIT TOCOLYSIS DIEM,,30,,,$343.51,$0.00,1,1,1,20180101, S9351,HCPCS,HIT CONT ANTIEMETIC DIEM,,30,,,$437.00,$0.00,1,1,1,20180101, S9353,HCPCS,HIT CONT INSULIN DIEM,,30,,,$597.53,$0.00,1,1,1,20180101, S9355,HCPCS,HIT CHELATION DIEM,,30,,,$178.45,$0.00,1,1,1,20180101, S9357,HCPCS,HIT ENZYME REPLACE DIEM,,30,,,$193.90,$0.00,1,1,1,20180101, S9359,HCPCS,HIT ANTI-TNF PER DIEM,,30,,,$354.85,$0.00,1,1,1,20180101, S9364,HCPCS,HIT TPN TOTAL DIEM,,30,,,$406.17,$0.00,1,1,1,20180101, S9365,HCPCS,HIT TPN 1 LITER DIEM,,30,,,$468.11,$0.00,1,1,1,20180101, S9366,HCPCS,HIT TPN 2 LITER DIEM,,30,,,$571.24,$0.00,1,1,1,20180101, S9367,HCPCS,HIT TPN 3 LITER DIEM,,30,,,$636.05,$0.00,1,1,1,20180101, S9368,HCPCS,HIT TPN OVER 3L DIEM,,30,,,$814.86,$0.00,1,1,1,20180101, S9370,HCPCS,HT INJ ANTIEMETIC DIEM,,30,,,$165.07,$0.00,1,1,1,20180101, S9373,HCPCS,HIT HYDRA TOTAL DIEM,,30,,,$125.33,$0.00,1,1,1,20180101, S9374,HCPCS,HIT HYDRA 1 LITER DIEM,,30,,,$181.15,$0.00,1,1,1,20180101, S9375,HCPCS,HIT HYDRA 2 LITER DIEM,,30,,,$232.06,$0.00,1,1,1,20180101, S9376,HCPCS,HIT HYDRA 3 LITER DIEM,,30,,,$252.93,$0.00,1,1,1,20180101, S9377,HCPCS,HIT HYDRA OVER 3L DIEM,,30,,,$273.79,$0.00,1,1,1,20180101, S9379,HCPCS,HIT NOC PER DIEM,,30,,,$87.10,$0.00,1,1,1,20180101, S9401,HCPCS,ANTICOAG CLINIC PER SESSION,,30,,,$283.20,$0.00,1,0,0,20180101, S9430,HCPCS,PHARMACY COMP/DISP SERV,,30,,,$191.38,$0.00,1,0,0,20180101, S9436,HCPCS,LAMAZE CLASS,,30,,,$80.51,$0.00,1,0,0,20180101, S9441,HCPCS,ASTHMA EDUCATION,,30,,,$187.55,$0.00,1,0,0,20180101, S9442,HCPCS,BIRTHING CLASS,,30,,,$164.58,$0.00,1,0,0,20180101, S9443,HCPCS,LACTATION CLASS,,30,,,$238.98,$0.00,1,0,0,20180101, S9444,HCPCS,PARENTING CLASS,,30,,,$90.30,$0.00,1,0,1,20180101, S9445,HCPCS,PT EDUCATION NOC INDIVID,,30,,,$340.30,$0.00,1,0,1,20180101, S9446,HCPCS,PT EDUCATION NOC GROUP,,30,,,$225.75,$0.00,1,0,1,20180101, S9449,HCPCS,WEIGHT MGMT CLASS,,30,,,$112.86,$0.00,1,0,0,20180101, S9451,HCPCS,EXERCISE CLASS,,30,,,$127.48,$0.00,1,0,0,20180101, S9452,HCPCS,NUTRITION CLASS,,30,,,$185.91,$0.00,1,0,0,20180101, S9453,HCPCS,SMOKING CESSATION CLASS,,30,,,$242.29,$0.00,1,0,0,20180101, S9455,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$240.69,$0.00,1,1,1,20180101, S9460,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$253.21,$0.00,1,1,1,20180101, S9465,HCPCS,"DIABETIC MANAGEMENT PROGRAM,",,30,,,$182.18,$0.00,1,1,1,20180101, S9470,HCPCS,"NUTRITIONAL COUNSELING, DIET",,30,,,$239.27,$0.00,1,0,1,20180101, S9472,HCPCS,CARDIAC REHABILITATION PROGR,,30,,,$693.54,$0.00,1,0,0,20180101, S9473,HCPCS,PULMONARY REHABILITATION PRO,,30,,,$141.60,$0.00,1,0,0,20180101, S9474,HCPCS,ENTEROSTOMAL THERAPY BY A RE,,30,,,$287.74,$0.00,1,0,1,20180101, S9475,HCPCS,AMBULATORY SETTING SUBSTANCE,,30,,,"$1,528.28",$0.00,1,0,1,20180101, S9476,HCPCS,VESTIBULAR REHAB PER DIEM,,30,,,$169.69,$0.00,1,0,0,20180101, S9480,HCPCS,INTENSIVE OUTPATIENT PSYCHIA,,30,,,$780.23,$0.00,1,0,1,20180101, S9484,HCPCS,CRISIS INTERVENTION PER HOUR,,30,,,$207.24,$0.00,1,0,1,20180101, S9485,HCPCS,CRISIS INTERVENTION MENTAL H,,30,,,$749.02,$0.00,1,0,1,20180101, S9490,HCPCS,HIT CORTICOSTEROID/DIEM,,30,,,$280.80,$0.00,1,1,1,20180101, S9494,HCPCS,HIT ANTIBIOTIC TOTAL DIEM,,30,,,$224.10,$0.00,1,1,1,20180101, S9497,HCPCS,HIT ANTIBIOTIC Q3H DIEM,,30,,,$279.44,$0.00,1,1,1,20180101, S9500,HCPCS,HIT ANTIBIOTIC Q24H DIEM,,30,,,$320.75,$0.00,1,1,1,20180101, S9501,HCPCS,HIT ANTIBIOTIC Q12H DIEM,,30,,,$313.49,$0.00,1,1,1,20180101, S9502,HCPCS,HIT ANTIBIOTIC Q8H DIEM,,30,,,$391.24,$0.00,1,1,1,20180101, S9503,HCPCS,HIT ANTIBIOTIC Q6H DIEM,,30,,,$360.73,$0.00,1,1,1,20180101, S9504,HCPCS,HIT ANTIBIOTIC Q4H DIEM,,30,,,$332.61,$0.00,1,1,1,20180101, S9529,HCPCS,VENIPUNCTURE HOME/SNF,,30,,,$111.75,$0.00,1,0,1,20180101, S9537,HCPCS,HT HEM HORM INJ DIEM,,30,,,$93.05,$0.00,1,1,1,20180101, S9542,HCPCS,HT INJ NOC PER DIEM,,30,,,$87.10,$0.00,1,1,1,20180101, S9560,HCPCS,HT INJ HORMONE DIEM,,30,,,$103.47,$0.00,1,1,1,20180101, S9562,HCPCS,HT INJ PALIVIZUMAB DIEM,,30,,,$103.47,$0.00,1,1,1,20180101, S9590,HCPCS,HT IRRIGATION DIEM,,30,,,$148.49,$0.00,1,1,1,20180101, V5008,HCPCS,HEARING SCREENING,,30,,,$263.99,$0.00,1,0,0,20180101, V5010,HCPCS,ASSESSMENT FOR HEARING AID,,30,,,$393.77,$0.00,1,0,0,20180101,