"Version 3.1 Update - Professional Services and Supplies Charge Table, Including Ambulance",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Item Code,Code Type,Decription,Modifier,"Technical, Professional Indicator",Service Category Code,Primary/Bundled Indicator,Charge Type Indicator,Work Expense Units,Provider-Based Practice Expense Units,Non-Provider-Based Practice Expense Units,Total Expense Units, Anesthesia Base Units,Unit Charge,Base Charge,Unit Type,Facility Indicator,Outpatient Indicator,Inpatient Indicator,Skilled Nursing Facility Carveout,Freestanding Carve-out,Start Date,,00100,CPT,Anes-Proc Salivary Glands Incl Bx,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00102,CPT,Anes-Proc Plastic Repair Cleft Lip,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00103,CPT,Anes-Reconstructive Proc Eyelid,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00104,CPT,Anes-Electroculvulsive Therapy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00120,CPT,Anes-Ext Mid&Innr Ear W/Bx; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00124,CPT,Anes-Ext Mid&Innr Ear W/Bx; Otscpy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00126,CPT,Anes-Ext Mid&Innr Ear W/Bx; Tympnot,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00140,CPT,Anesthesia Procedures On Eye; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00142,CPT,Anesthesia Proc Eye; Lens Surgery,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00144,CPT,Anes-Proc Eye; Corneal Transplant,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00145,CPT,Anes-Proc Eye; Vitreoretinal Surg,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00147,CPT,Anesthesia Proc Eye; Iridectomy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00148,CPT,Anesthesia Proc Eye; Ophthalmoscopy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00160,CPT,Anes-Proc Nose&Access Sinuses; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00162,CPT,Anes-Nse&Acss Sinuses; Radl Surg,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00164,CPT,Anes-Nse&Acss Sinuses; Bx Sft Tiss,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00170,CPT,Anes-Intraoral Including Bx; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00172,CPT,Anes-Intraorl W/Bx; Repr Clt Palate,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00174,CPT,Anes-Intraoral W/Bx; Exc Tumor,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00176,CPT,Anes-Intraorl Incl Bx; Radl Surgery,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00190,CPT,Anes-Proc Facial Bones/Skull; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00192,CPT,Anes-Proc Fce Bns/Skull; Radl Surg,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00210,CPT,Anes-Intracran; Nos,,,3 ,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00212,CPT,Anes-Intracran; Subdural Taps,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00214,CPT,Anes-Cran; Burr Holes-Ventricgrph,,,3 ,,Anesth,,,,,9.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00215,CPT,Anes-Intracran;Elev Skl Fx-Xtradurl,,,3 ,,Anesth,,,,,9.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00216,CPT,Anes-Intracran; Vascular Procedures,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00218,CPT,Anes-Intracran; Proc Sitting Pstn,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00220,CPT,Anes-Intracran;Cerebrosp Fl Shnting,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00222,CPT,Anes-Intracran;Elec-Coag Cran Nerv,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00300,CPT,Anes-Integ-Musc&Nerv-Head-Trunk;Nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00320,CPT,Anes-Esoph Thyrd Trachea;Nos 1 Yr/>,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00322,CPT,Anes-Esoph Thyroid Trach;Bx Thyroid,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00326,CPT,Anes-Larynx&Trach Chld < 1 Yr Age,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00350,CPT,Anes-Proc Major Vessels Neck; Nos,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00352,CPT,Anes-Proc Maj Ves Neck; Simple Lig,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00400,CPT,Anes-Integ Extrem Trnk Perin; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00402,CPT,Anes-Integ Extrem Trnk; Brst Recon,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00404,CPT,Anes-Integ Trunk; Radl Breast Proc,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00406,CPT,Anes-Integ;Radl Brst W/Node Dissect,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00410,CPT,Anes-Integ Extrm Trnk;Convrt Arryth,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00450,CPT,Anes-Proc Clavicle&Scapula; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00452,CPT,Anes-Proc Clav&Scapula; Radl Surg,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00454,CPT,Anes-Proc Clav&Scapula; Bx Clav,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00470,CPT,Anes-Partial Rib Resection; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00472,CPT,Anes-Part Rib Res; Thoracoplasty,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00474,CPT,Anes-Part Rib Resection; Radl Proc,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00500,CPT,Anes-On Esophagus,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00520,CPT,Anes-Closed Chest; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00522,CPT,Anes-Closed Chest; Needle Bx Pleura,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00524,CPT,Anes-Closed Chest; Pneumocentesis,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00528,CPT,Anes-Clo Chst;Mediastnscp No 1 Lung,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00529,CPT,Anes-Clos Chst; Mediastnscpy 1 Lung,,,3 ,,Anesth,,,,,11.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00530,CPT,Anes-Perm Trns Pacemkr Insertion,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00532,CPT,Anes-Access Cntrl Venous Circ,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00534,CPT,Anes-Trns Insrt/Repl Pacing Defib,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00537,CPT,Anes-Card Eps Incl Radiofreq Ablat,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00539,CPT,Anes-Tracheobronchial Reconstruct,,,3 ,,Anesth,,,,,18.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00540,CPT,Anes-Thoracot; Nos,,,3 ,,Anesth,,,,,12.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00541,CPT,Anes-Thoracot; Util 1 Lung Vent,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00542,CPT,Anes-Thoracot; Decortication,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00546,CPT,Anes-Thoracot Lungs;Thoracoplasty,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00548,CPT,Anes-Thoracot Lungs;Intrathor Trach,,,3 ,,Anesth,,,,,17.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00550,CPT,Anesthesia For Sternal Debridement,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00560,CPT,Anes-Hrt Pericard Sac; W/O Oxygntr,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00561,CPT,"Anesth, heart surg < age 1",,,3 ,,Anesth,,,,,25.0,$1.00,$0.00,3,0,0,1,1,1,20080101,,00562,CPT,Anes-Hrt Pericard Sac; W/Oxygntr,,,3 ,,Anesth,,,,,20.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00563,CPT,Anes-Hrt Pericard Sac;Oxygntr&Arrst,,,3 ,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00566,CPT,Anes-Direct Cabg W/O Pump Oxygenatr,,,3 ,,Anesth,,,,,25.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00580,CPT,Anes-Hrt Tplnt/Hrt/Lung Tplnt,,,3 ,,Anesth,,,,,20.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00600,CPT,Anesthesia Proc C-Spine&Cord; Nos,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00604,CPT,Anes-Cerv Spine&Cord; Pt Sit Pstn,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00620,CPT,Anesthesia Proc T-Spine&Cord; Nos,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00622,CPT,Anes-Thoracic;Thoracolum Sympathect,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00625,CPT,Anes spine tranthor w/o vent,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00626,CPT,"Anes, spine transthor w/vent",,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00630,CPT,Anesthesia Proc Lumbar Region; Nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00632,CPT,Anes-Proc Lumb Rgn; Lumb Sympathect,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00634,CPT,Anes-Lumb Rgn; Chemonucleolysis,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00635,CPT,Anes-Lumb Rgn; Dx/Tx Lumb Punct,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00640,CPT,Anes-Manip Spn/Clos Proc Spn,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00670,CPT,Anes-Exten Spine & Spinal Cord,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00700,CPT,Anes-Proc Upper Ant Abd Wall; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00702,CPT,Anes-Up Ant Abd Wall; Perq Livr Bx,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00730,CPT,Anes-Proc Upper Posterior Abd Wall,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00740,CPT,Anes-Ugi Endoscopy-Intro Prox Duod,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00750,CPT,Anes-Hernia Repairs Upper Abd; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00752,CPT,Anes-Hernia Repr Up Abd; &/Dehis,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00754,CPT,Anes-Hern Repr Up Abd; Omphalocele,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00756,CPT,Anes-Hernia Repr Up Abd;Transabd,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00770,CPT,Anes-On Major Abd Blood Vessels,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00790,CPT,Anes-Intraper Up Abd W/Lap;Nos,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00792,CPT,Anes-Intraper Up Abd W/Lap;Hepatec,,,3 ,,Anesth,,,,,13.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00794,CPT,Anes-Intraper Up W/Lap;Pancreatect,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00796,CPT,Anes-Intraper Up W/Lap;Liver Tplnt,,,3 ,,Anesth,,,,,30.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00797,CPT,Anes-Intraper W/Lap; Gastr Restirct,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00800,CPT,Anes-Proc Lower Ant Abd Wall; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00802,CPT,Anes-Lw Ant Abd Wall; Panniculect,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00810,CPT,Anes-Low Intest Endo-Dist To Duod,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00820,CPT,Anes-Proc Lower Posterior Abd Wall,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00830,CPT,Anes-Hernia Repairs Lower Abd; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00832,CPT,Anes-Hern Rep ; Ventral&Inci Hern S,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00834,CPT,Anes-Hern Repr Nos Under 1 Yr Age,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00836,CPT,Anes-Hern Nos<37Wk Brth &<50Wk Surg,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00840,CPT,Anes-Intraper W/Laparscpy; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00842,CPT,Anes-Intraper W/Laparscpy; Amnio,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00844,CPT,Anes-Intraper;Abd-Perinl Resection,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00846,CPT,Anes-Intraper Low W/Lap;Radl Hyst,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00848,CPT,Anes-Intraper W/Lap;Pelv Exentratn,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00851,CPT,Anes-Intraper W/Lap; Tubal Lig,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00860,CPT,Anes-Xtraper W/Urin Tract; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00862,CPT,Anes-Xtraper;Up 1/3 Ureter/Nephrect,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00864,CPT,Anes-Xtraper Low Abd;Tot Cystect,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00865,CPT,Anes-Xtraper Low;Radl Prostatect,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00866,CPT,Anes-Xtraper Low Abd;Adrenalectomy,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00868,CPT,Anes-Xtraper Low Abd;Renal Trsplnt,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00870,CPT,Anes-Xtraper Low Abd;Cystolithtomy,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00872,CPT,Anes-Lith Etracorp;W/Water Bath,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00873,CPT,Anes-Lith Xtracorp;W/O Water Bath,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00880,CPT,Anes-Proc Major Lower Abd Ves; Nos,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00882,CPT,Anes-Maj Ves; Inf Vena Cava Lig,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00902,CPT,Anesthesia For; Anorectal Procedure,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00904,CPT,Anes-For; Radical Perineal Proc,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00906,CPT,Anesthesia For; Vulvectomy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00908,CPT,Anes-For; Perineal Prostatectomy,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00910,CPT,Anes-Transurethral; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00912,CPT,Anes-Trnsureth;Resect Bladder Tumor,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00914,CPT,Anes-Transurethral ; Turp,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00916,CPT,Anes-Trnsureth;Post Resection Bleed,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00918,CPT,Anes-Trnsureth;W/Manip&/Remv Calcu,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00920,CPT,Anesthesia Proc Male Genitalia; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00921,CPT,Anes-Male Gnt; Vasect Unilat/Bilat,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00922,CPT,Anes-Proc Male Gnt; Seminl Vesicles,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00924,CPT,Anes-Male;Undescend Testis Uni/Bil,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00926,CPT,Anes-Male Gnt; Radl Orchect Ing,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00928,CPT,Anes-Male Gnt; Radl Orchect Abd,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00930,CPT,Anes-Male Genit;Orchiopexy Uni/Bil,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00932,CPT,Anes-Proc Male Gnt; Cmpl Amp Penis,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00934,CPT,Anes-Male;Radl Amp Penis-Ing Lymph,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00936,CPT,Anes Male;Radl Amp Penis-Ing&Iliac,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00938,CPT,Anes-Male Genit;Insrt Penile Prosth,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00940,CPT,Anes-Vag; Not Otherwise Specified,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00942,CPT,Anes-Vag; Colpot Vaginect&Opn Ureth,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00944,CPT,Anes-Vag; Vaginal Hysterectomy,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00948,CPT,Anes-Vag; Cervical Cerclage,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00950,CPT,Anes-Vag ; Culdoscopy,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,00952,CPT,Anes-Vag;Hysteroscopy&/Salpingraphy,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01112,CPT,Anes-Bn Marrow Asp&/Bx Iliac Crest,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01120,CPT,Anesthesia Procedures Bony Pelvis,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01130,CPT,Anes-Body Cast Application/Rev,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01140,CPT,Anesthesia Interpelviabd Amputation,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01150,CPT,Anes-Radl Tumor Pelv No Hndqtr Amp,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01160,CPT,Anes-Clos Proc Invlv Pubis/Si Jnt,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01170,CPT,Anes-Open Proc Invlv Pubis/Si Jnt,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01173,CPT,Anes-Opn Rep Fx Pelv/Column Acetab,,,3 ,,Anesth,,,,,12.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01180,CPT,Anes-Obtur Neurectomy; Extrapelvic,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01190,CPT,Anes-Obtur Neurectomy; Intrapelvic,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01200,CPT,Anes-All Clos Proc Invlv Hip Joint,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01202,CPT,Anes-Arthroscopic Proc Hip Joint,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01210,CPT,Anes-Open Proc Invlv Hip Joint; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01212,CPT,Anes-Open Proc Invlv Hip;Disartic,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01214,CPT,Anes-Opn Hip Jnt; Tot Hip Arthplsty,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01215,CPT,Anes-Open Invlv Hip;Total Hip Rev,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01220,CPT,Anes-All Clos Proc Invlv Up 2/3 Fem,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01230,CPT,Anes-Open Invlv Upper 2/3 Femur;Nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01232,CPT,Anes-Open Invlv Upper 2/3 Femur;Amp,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01234,CPT,Anes-Open Upper 2/3 Femur;Radl Res,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01250,CPT,Anes-All Nerv Musc Tend Fasc Up Leg,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01260,CPT,Anes-Invlv Vns Upper Leg Incl Expl,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01270,CPT,Anes-Invlv Artery Up Leg W/Gft;Nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01272,CPT,Anes-Invlv Art Up Leg W/Gft;Fem Lig,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01274,CPT,Anes-Invlv Art Up Leg W/Gft;Fem Emb,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01320,CPT,Anes-Nerv Musc Fasc Burs Knee&/Pop,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01340,CPT,Anes-All Clos Proc Lower 1/3 Femur,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01360,CPT,Anes-All Open Proc Lower 1/3 Femur,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01380,CPT,Anes-All Closed Proc Knee Joint,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01382,CPT,Anes-Dx Arthroscopic Proc Knee Jnt,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01390,CPT,Anes-All Clos Up Ends Tib Fib&/Pat,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01392,CPT,Anes-All Open Up Ends Tib Fib&/Pat,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01400,CPT,Anes-Open/Scope Proc Knee Jnt; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01402,CPT,Anes-Open/Scope Knee Jnt; Tot Plsty,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01404,CPT,Anes-Open/Scope Knee Jnt; Disartic,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01420,CPT,Anes-All Cast Applic/Repr W/Knee,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01430,CPT,Anes-Proc Veins Knee&Pop Area; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01432,CPT,Anes-Vns Knee&Pop Area; Av Fist,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01440,CPT,Anes-Proc Art Knee&Pop Area; Nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01442,CPT,Anes-Art Knee;Pop Thrombendartect,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01444,CPT,Anes-Art Knee;Pop Exc Occl/Aneur,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01462,CPT,Anes-All Clos Proc Low Leg Ank&Foot,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01464,CPT,Anes-Arthroscopic Proc Ank &Or Foot,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01470,CPT,Anes-Nerv Musc Fasc Leg Ank&Ft;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01472,CPT,Anes-Nerv Musc Leg&Ft;Repr Achilles,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01474,CPT,Anes-Nrv Musc Leg&Ft;Gastroc Recess,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01480,CPT,Anes-Open Bones Low Leg Ank&Ft;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01482,CPT,Anes-Open Bones Lw Leg;Radl Res/Amp,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01484,CPT,Anes-Open Bns Lw Leg;Osteot Tib Fib,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01486,CPT,Anes-Open Bones Lw Leg;Tot Ank Repl,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01490,CPT,Anes-Lw Leg Cast Applic Removl/Repr,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01500,CPT,Anes-Art Lw Leg W/Byps Gft; Nos,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01502,CPT,Anes-Art Low Leg W/Gft;Embolectomy,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01520,CPT,Anes-Proc Veins Lower Leg; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01522,CPT,Anes-Veins Lw Leg;Thrombect Direct,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01610,CPT,Anes-Nerv Musc Tend Fasc Burs Shldr,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01620,CPT,Anes-All Clos Hum Sc Ac&Shldr Jnt,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01622,CPT,Anes-Dx Arthroscopic Proc Shldr Jnt,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01630,CPT,Anes-Open/Scope Hum Sc Ac&Shldr;Nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01632,CPT,Anes-Opn/Scope Hum Sc&Shldr;Rad Res,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01634,CPT,Anes-Opn/Scope Hum Sc&Shldr;Disartc,,,3 ,,Anesth,,,,,9.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01636,CPT,Anes-Opn/Scope Hum Sc Ac&Shldr; Amp,,,3 ,,Anesth,,,,,15.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01650,CPT,Anes-Proc Art Shoulder&Axilla; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01652,CPT,Anes-Art Shldr&Ax; Ax-Brach Aneur,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01654,CPT,Anes-Proc Art Shldr&Ax; Byps Graft,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01656,CPT,Anes-Art Shldr&Ax; Ax-Fem Byps Gft,,,3 ,,Anesth,,,,,10.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01670,CPT,Anes-On Veins Of Shoulder&Axilla,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01680,CPT,Anes-Shldr Cast Applc/Remv/Repr;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01682,CPT,Anes-Shldr Cast Applic/Remv;Spica,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01710,CPT,Anes-Nrv Musc Burs Up Arm&Elb;Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01712,CPT,Anes-Nrv Musc Burs Up Arm&Elb;Tenot,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01714,CPT,Anes-Nrv Musc Up Arm&Elb;Tenoplasty,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01716,CPT,Anes-Nrv Musc Up Arm&Elb;Tenodesis,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01730,CPT,Anes-All Closed Proc Humerus&Elbow,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01732,CPT,Anes-Dx Arthroscopic Proc Elb Joint,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01740,CPT,Anes-Open/Surg Scope Proc Elb; Nos,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01742,CPT,Anes-Open/Scope Proc Elb;Osteot Hum,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01744,CPT,Anes-Open/Scope Elb;Rep Non/Mal Hum,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01756,CPT,Anes-Open/Scope Proc Elb; Radl Proc,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01758,CPT,Anes-Opn/Scope Elb;Exc Cyst/Tum Hum,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01760,CPT,Anes-Open/Scope Elb; Tot Elb Repl,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01770,CPT,Anes-Proc Art Upper Arm&Elbow; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01772,CPT,Anes-Proc Art Upper Arm&Elb; Embo,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01780,CPT,Anes-Proc Veins Upper Arm&Elb; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01782,CPT,Anes-Proc Vns Up Arm&Elb; Phleborr,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01810,CPT,Anes-All Nerv Musc Forarm Wrst&Hnd,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01820,CPT,Anes-Clos Radius Ulna Wrst/Hnd Bone,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01829,CPT,Anes-Dx Arthroscopic Proc Wrist,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01830,CPT,Anes-Opn/Scope/Endo Wrst/Hnd; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01832,CPT,Anes-Open/Scope/Endo Wrst/Hnd; Tot,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01840,CPT,Anes-Proc Art Forarm Wrst&Hand; Nos,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01842,CPT,Anes-Proc Art Forarm Wrst&Hnd; Embo,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01844,CPT,Anes-Vasc Shnt/Shnt Rev Any Type,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01850,CPT,Anes-Proc Vns Forarm Wrst&Hand; Nos,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01852,CPT,Anes-Vns Forarm Wrst&Hnd; Phleborr,,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01860,CPT,Anes-Forarm/Hand Cast Applic/Remv,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01916,CPT,Anes-Diagnostic Artrgrph/Venography,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01920,CPT,Anes-Card Cath Cor Angio&Ventrcgrph,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01922,CPT,Anes-Non-Invasive Imaging/Rad Tx,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01924,CPT,Anes-Tx Intrvn Rad Art Sys; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01925,CPT,Anes-Tx Intrvn Rad Art; Carotid/Cor,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01926,CPT,Anes-Tx Rad Art;Intrcran -Card/Aort,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01930,CPT,Anes-Tx Intrvn Rad Venus/Lymph; Nos,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01931,CPT,Anes-Tx Rad Venus; Intrahep/Portal,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01932,CPT,Anes-Tx Rad Venus; Intrathr/Jugular,,,3 ,,Anesth,,,,,6.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01933,CPT,Anes-Tx Rad Venus/Lymph; Intracran,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01951,CPT,Anes-2&3 Deg Brn Exc/Debrid; < 4%,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01952,CPT,Anes-2&3 Deg Brn Exc/Debrid; 4-9%,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01953,CPT,Anes-2-3 Deg Exc/Debrid;Ea Add 9%,,,3 ,,Anesth,,,,,1.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01958,CPT,Anes-External Cephalic Version Proc,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01960,CPT,Anesthesia Vaginal Delivery Only,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01961,CPT,Anesthesia Cesarean Delivery Only,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01962,CPT,Anes-Urgent Hyst Follow Deliv,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01963,CPT,Anes-C/S Hyst W/O Labr Analg/Anes,,,3 ,,Anesth,,,,,8.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01965,CPT,"Anesth, inc/missed ab proc",,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01966,CPT,"Anesth, induced ab procedure",,,3 ,,Anesth,,,,,4.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01967,CPT,Neurax Labr Anlg/Anes-Plan Vag Del,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01968,CPT,Anes-Cd Flw Neurax Labr Analg/Anes,,,3 ,,Anesth,,,,,2.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01969,CPT,Anes-C/S Hyst Flw Neurax Labr Analg,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01990,CPT,Physiolog Supp-Harv Org-Brain Dead,,,3 ,,Anesth,,,,,7.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01991,CPT,Anes-Dx/Tx Nrv Blks&Inj; Not Prone,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01992,CPT,Anes-Dx/Tx Nrv Blks&Inj; Prone Pstn,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01996,CPT,Daily Hos Epidurl/Subarach Cont Rx,,,3 ,,Anesth,,,,,3.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,01999,CPT,Unlisted Anesthsia Procedure,,,3 ,,Anesth,,,,,5.0,$1.00,$0.00,3,0,1,1,1,1,20080101,,10021,CPT,Fna w/o image,,,21 ,,RBRVS,1.27 ,0.37 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10022,CPT,Fna w/image,,,21 ,,RBRVS,1.27 ,0.41 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10040,CPT,Acne surgery,,,21 ,,RBRVS,1.19 ,0.98 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10060,CPT,Drainage of skin abscess,,,21 ,,RBRVS,1.19 ,1.08 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10061,CPT,Drainage of skin abscess,,,21 ,,RBRVS,2.42 ,1.51 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10080,CPT,Drainage of pilonidal cyst,,,21 ,,RBRVS,1.19 ,1.10 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10081,CPT,Drainage of pilonidal cyst,,,21 ,,RBRVS,2.47 ,1.45 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10120,CPT,Remove foreign body,,,21 ,,RBRVS,1.23 ,0.94 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10121,CPT,Remove foreign body,,,21 ,,RBRVS,2.71 ,1.65 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10140,CPT,Drainage of hematoma/fluid,,,21 ,,RBRVS,1.55 ,1.29 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10160,CPT,Puncture drainage of lesion,,,21 ,,RBRVS,1.22 ,1.08 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,10180,CPT,"Complex drainage, wound",,,21 ,,RBRVS,2.27 ,1.80 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,11000,CPT,Debride infected skin,,,21 ,,RBRVS,0.60 ,0.16 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,11001,CPT,Debride infected skin add-on,,,21 ,,RBRVS,0.30 ,0.08 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111004,CPT,Debride genitalia & perineum,,,21 ,,RBRVS,10.80 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010111005,CPT,Debride abdom wall,,,21 ,,RBRVS,14.24 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010111006,CPT,Debride genit/per/abdom wall,,,21 ,,RBRVS,13.10 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010111008,CPT,Remove mesh from abd wall,,,21 ,,RBRVS,5.00 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010111010,CPT,"Debride skin, fx",,,21 ,,RBRVS,4.19 ,2.34 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111011,CPT,"Debride skin/muscle, fx",,,21 ,,RBRVS,4.94 ,2.01 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111012,CPT,"Debride skin/muscle/bone, fx",,,21 ,,RBRVS,6.87 ,3.11 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111040,CPT,"Debride skin, partial",,,21 ,,RBRVS,0.50 ,0.16 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111041,CPT,"Debride skin, full",,,21 ,,RBRVS,0.60 ,0.19 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111042,CPT,Debride skin/tissue,,,21 ,,RBRVS,0.80 ,0.24 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111043,CPT,Debride tissue/muscle,,,21 ,,RBRVS,3.04 ,2.60 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111044,CPT,Debride tissue/muscle/bone,,,21 ,,RBRVS,4.11 ,3.58 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111055,CPT,Trim skin lesion,,,21 ,,RBRVS,0.43 ,0.11 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111056,CPT,"Trim skin lesions, 2 to 4",,,21 ,,RBRVS,0.61 ,0.16 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111057,CPT,"Trim skin lesions, over 4",,,21 ,,RBRVS,0.79 ,0.20 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111100,CPT,Biopsy of skin lesion,,,21 ,,RBRVS,0.81 ,0.38 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111101,CPT,"Biopsy, skin add-on",,,21 ,,RBRVS,0.41 ,0.20 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111200,CPT,Removal of skin tags,,,21 ,,RBRVS,0.79 ,0.90 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111201,CPT,Remove skin tags add-on,,,21 ,,RBRVS,0.29 ,0.11 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111300,CPT,Shave skin lesion,,,21 ,,RBRVS,0.51 ,0.21 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111301,CPT,Shave skin lesion,,,21 ,,RBRVS,0.85 ,0.38 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111302,CPT,Shave skin lesion,,,21 ,,RBRVS,1.05 ,0.48 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111303,CPT,Shave skin lesion,,,21 ,,RBRVS,1.24 ,0.55 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111305,CPT,Shave skin lesion,,,21 ,,RBRVS,0.67 ,0.20 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111306,CPT,Shave skin lesion,,,21 ,,RBRVS,0.99 ,0.38 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111307,CPT,Shave skin lesion,,,21 ,,RBRVS,1.14 ,0.47 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111308,CPT,Shave skin lesion,,,21 ,,RBRVS,1.41 ,0.49 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111310,CPT,Shave skin lesion,,,21 ,,RBRVS,0.73 ,0.31 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111311,CPT,Shave skin lesion,,,21 ,,RBRVS,1.05 ,0.48 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111312,CPT,Shave skin lesion,,,21 ,,RBRVS,1.20 ,0.56 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111313,CPT,Shave skin lesion,,,21 ,,RBRVS,1.62 ,0.73 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111400,CPT,Exc tr-ext b9+marg 0.5 < cm,,,21 ,,RBRVS,0.87 ,0.93 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111401,CPT,Exc tr-ext b9+marg 0.6-1 cm,,,21 ,,RBRVS,1.25 ,1.15 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111402,CPT,Exc tr-ext b9+marg 1.1-2 cm,,,21 ,,RBRVS,1.42 ,1.21 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111403,CPT,Exc tr-ext b9+marg 2.1-3 cm,,,21 ,,RBRVS,1.81 ,1.57 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111404,CPT,Exc tr-ext b9+marg 3.1-4 cm,,,21 ,,RBRVS,2.08 ,1.63 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111406,CPT,Exc tr-ext b9+marg > 4.0 cm,,,21 ,,RBRVS,3.47 ,2.10 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111420,CPT,Exc h-f-nk-sp b9+marg 0.5 <,,,21 ,,RBRVS,1.00 ,0.93 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111421,CPT,Exc h-f-nk-sp b9+marg 0.6-1,,,21 ,,RBRVS,1.44 ,1.16 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111422,CPT,Exc h-f-nk-sp b9+marg 1.1-2,,,21 ,,RBRVS,1.65 ,1.53 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111423,CPT,Exc h-f-nk-sp b9+marg 2.1-3,,,21 ,,RBRVS,2.03 ,1.66 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111424,CPT,Exc h-f-nk-sp b9+marg 3.1-4,,,21 ,,RBRVS,2.45 ,1.77 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111426,CPT,Exc h-f-nk-sp b9+marg > 4 cm,,,21 ,,RBRVS,4.04 ,2.31 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111440,CPT,Exc face-mm b9+marg 0.5 < cm,,,21 ,,RBRVS,1.02 ,1.31 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111441,CPT,Exc face-mm b9+marg 0.6-1 cm,,,21 ,,RBRVS,1.50 ,1.55 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111442,CPT,Exc face-mm b9+marg 1.1-2 cm,,,21 ,,RBRVS,1.74 ,1.66 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111443,CPT,Exc face-mm b9+marg 2.1-3 cm,,,21 ,,RBRVS,2.31 ,1.84 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111444,CPT,Exc face-mm b9+marg 3.1-4 cm,,,21 ,,RBRVS,3.16 ,2.10 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111446,CPT,Exc face-mm b9+marg > 4 cm,,,21 ,,RBRVS,4.75 ,2.68 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111450,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.14 ,2.41 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111451,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.35 ,2.91 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111462,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,2.92 ,2.47 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111463,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.35 ,2.94 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111470,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,3.66 ,2.63 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111471,CPT,"Removal, sweat gland lesion",,,21 ,,RBRVS,4.81 ,3.01 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111600,CPT,Exc tr-ext mlg+marg 0.5 < cm,,,21 ,,RBRVS,1.58 ,1.14 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111601,CPT,Exc tr-ext mlg+marg 0.6-1 cm,,,21 ,,RBRVS,2.02 ,1.51 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111602,CPT,Exc tr-ext mlg+marg 1.1-2 cm,,,21 ,,RBRVS,2.22 ,1.69 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111603,CPT,Exc tr-ext mlg+marg 2.1-3 cm,,,21 ,,RBRVS,2.77 ,1.87 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111604,CPT,Exc tr-ext mlg+marg 3.1-4 cm,,,21 ,,RBRVS,3.12 ,1.93 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111606,CPT,Exc tr-ext mlg+marg > 4 cm,,,21 ,,RBRVS,4.97 ,2.46 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111620,CPT,Exc h-f-nk-sp mlg+marg 0.5 <,,,21 ,,RBRVS,1.59 ,1.19 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111621,CPT,Exc h-f-nk-sp mlg+marg 0.6-1,,,21 ,,RBRVS,2.03 ,1.54 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111622,CPT,Exc h-f-nk-sp mlg+marg 1.1-2,,,21 ,,RBRVS,2.36 ,1.75 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111623,CPT,Exc h-f-nk-sp mlg+marg 2.1-3,,,21 ,,RBRVS,3.06 ,1.95 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111624,CPT,Exc h-f-nk-sp mlg+marg 3.1-4,,,21 ,,RBRVS,3.57 ,2.08 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111626,CPT,Exc h-f-nk-sp mlg+mar > 4 cm,,,21 ,,RBRVS,4.56 ,2.33 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111640,CPT,Exc face-mm malig+marg 0.5 <,,,21 ,,RBRVS,1.62 ,1.29 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111641,CPT,Exc face-mm malig+marg 0.6-1,,,21 ,,RBRVS,2.12 ,1.61 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111642,CPT,Exc face-mm malig+marg 1.1-2,,,21 ,,RBRVS,2.57 ,1.84 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111643,CPT,Exc face-mm malig+marg 2.1-3,,,21 ,,RBRVS,3.37 ,2.11 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111644,CPT,Exc face-mm malig+marg 3.1-4,,,21 ,,RBRVS,4.29 ,2.47 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111646,CPT,Exc face-mm mlg+marg > 4 cm,,,21 ,,RBRVS,6.21 ,3.14 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111719,CPT,Trim nail(s),,,21 ,,RBRVS,0.17 ,0.04 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111720,CPT,"Debride nail, 1-5",,,21 ,,RBRVS,0.32 ,0.08 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111721,CPT,"Debride nail, 6 or more",,,21 ,,RBRVS,0.54 ,0.14 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111730,CPT,Removal of nail plate,,,21 ,,RBRVS,1.10 ,0.28 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111732,CPT,"Remove nail plate, add-on",,,21 ,,RBRVS,0.57 ,0.15 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111740,CPT,Drain blood from under nail,,,21 ,,RBRVS,0.37 ,0.43 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111750,CPT,Removal of nail bed,,,21 ,,RBRVS,2.40 ,1.88 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111752,CPT,Remove nail bed/finger tip,,,21 ,,RBRVS,3.48 ,2.78 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111755,CPT,"Biopsy, nail unit",,,21 ,,RBRVS,1.31 ,0.76 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111760,CPT,Repair of nail bed,,,21 ,,RBRVS,1.60 ,1.43 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111762,CPT,Reconstruction of nail bed,,,21 ,,RBRVS,2.91 ,1.68 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111765,CPT,"Excision of nail fold, toe",,,21 ,,RBRVS,0.71 ,1.01 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111770,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,2.63 ,1.52 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111771,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,5.98 ,3.69 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111772,CPT,Removal of pilonidal lesion,,,21 ,,RBRVS,7.23 ,5.56 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111900,CPT,Injection into skin lesions,,,21 ,,RBRVS,0.52 ,0.25 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111901,CPT,Added skin lesions injection,,,21 ,,RBRVS,0.80 ,0.39 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111920,CPT,Correct skin color defects,,,21 ,,RBRVS,1.61 ,1.09 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111921,CPT,Correct skin color defects,,,21 ,,RBRVS,1.93 ,1.26 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111922,CPT,Correct skin color defects,,,21 ,,RBRVS,0.49 ,0.22 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111950,CPT,Therapy for contour defects,,,21 ,,RBRVS,0.84 ,0.36 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111951,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.19 ,0.36 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111952,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.69 ,0.77 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111954,CPT,Therapy for contour defects,,,21 ,,RBRVS,1.85 ,0.77 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111960,CPT,Insert tissue expander(s),,,21 ,,RBRVS,11.01 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111970,CPT,Replace tissue expander,,,21 ,,RBRVS,7.86 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111971,CPT,Remove tissue expander(s),,,21 ,,RBRVS,3.21 ,4.02 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111975,CPT,Insert contraceptive cap,,,21 ,,RBRVS,1.48 ,0.34 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111976,CPT,Removal of contraceptive cap,,,21 ,,RBRVS,1.78 ,0.48 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111977,CPT,Removal/reinsert contra cap,,,21 ,,RBRVS,3.30 ,0.76 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111980,CPT,Implant hormone pellet(s),,,21 ,,RBRVS,1.48 ,0.49 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111981,CPT,Insert drug implant device,,,21 ,,RBRVS,1.48 ,0.58 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111982,CPT,Remove drug implant device,,,21 ,,RBRVS,1.78 ,0.70 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010111983,CPT,Remove/insert drug implant,,,21 ,,RBRVS,3.30 ,1.32 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112001,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.72 ,0.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112002,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.88 ,0.84 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112004,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.26 ,0.92 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112005,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.88 ,1.06 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112006,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.68 ,1.30 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112007,CPT,Repair superficial wound(s),,,21 ,,RBRVS,4.13 ,1.46 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112011,CPT,Repair superficial wound(s),,,21 ,,RBRVS,1.78 ,0.76 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112013,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.01 ,0.89 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112014,CPT,Repair superficial wound(s),,,21 ,,RBRVS,2.48 ,0.98 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112015,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.21 ,1.12 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112016,CPT,Repair superficial wound(s),,,21 ,,RBRVS,3.94 ,1.28 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112017,CPT,Repair superficial wound(s),,,21 ,,RBRVS,4.72 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112018,CPT,Repair superficial wound(s),,,21 ,,RBRVS,5.54 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112020,CPT,Closure of split wound,,,21 ,,RBRVS,2.64 ,1.75 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112021,CPT,Closure of split wound,,,21 ,,RBRVS,1.86 ,1.33 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112031,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.17 ,1.77 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112032,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.49 ,2.28 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112034,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.94 ,2.00 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112035,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.44 ,2.11 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112036,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.06 ,2.23 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112037,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.68 ,2.63 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112041,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.39 ,1.78 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112042,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.76 ,2.13 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112044,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.16 ,1.95 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112045,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.65 ,2.06 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112046,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.26 ,2.29 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112047,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.66 ,2.66 ,6.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112051,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.49 ,1.92 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112052,CPT,Layer closure of wound(s),,,21 ,,RBRVS,2.81 ,2.56 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112053,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.14 ,2.13 ,5.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112054,CPT,Layer closure of wound(s),,,21 ,,RBRVS,3.47 ,2.06 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112055,CPT,Layer closure of wound(s),,,21 ,,RBRVS,4.44 ,2.09 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112056,CPT,Layer closure of wound(s),,,21 ,,RBRVS,5.25 ,2.58 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010112057,CPT,Layer closure of wound(s),,,21 ,,RBRVS,5.97 ,2.93 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113100,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.14 ,2.47 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113101,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.93 ,2.97 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113102,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,1.24 ,0.53 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113120,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.32 ,2.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113121,CPT,Repair of wound or lesion,,,21 ,,RBRVS,4.36 ,3.64 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113122,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,1.44 ,0.58 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113131,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.80 ,2.88 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113132,CPT,Repair of wound or lesion,,,21 ,,RBRVS,6.48 ,4.96 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113133,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,2.19 ,0.98 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113150,CPT,Repair of wound or lesion,,,21 ,,RBRVS,3.82 ,2.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113151,CPT,Repair of wound or lesion,,,21 ,,RBRVS,4.46 ,3.22 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113152,CPT,Repair of wound or lesion,,,21 ,,RBRVS,6.34 ,3.92 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113153,CPT,Repair wound/lesion add-on,,,21 ,,RBRVS,2.38 ,1.03 ,2.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010113160,CPT,Late closure of wound,,,21 ,,RBRVS,11.84 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010114000,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,6.83 ,6.04 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010114001,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,9.60 ,7.49 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010114020,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,7.66 ,6.89 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010114021,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,11.18 ,8.66 ,12.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010114040,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,8.44 ,6.99 ,10.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010114041,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,12.67 ,9.35 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010114060,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,9.07 ,7.18 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010114061,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,13.67 ,10.18 ,14.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010114300,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,13.26 ,9.45 ,13.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010114350,CPT,Skin tissue rearrangement,,,21 ,,RBRVS,10.82 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115002,CPT,"Wnd prep, ch/inf, trk/arm/lg",,,21 ,,RBRVS,3.65 ,1.69 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115003,CPT,"Wnd prep, ch/inf addl 100 cm",,,21 ,,RBRVS,0.80 ,0.26 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115004,CPT,"Wnd prep ch/inf, f/n/hf/g",,,21 ,,RBRVS,4.58 ,2.02 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115005,CPT,"Wnd prep, f/n/hf/g, addl cm",,,21 ,,RBRVS,1.60 ,0.53 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115040,CPT,Harvest cultured skin graft,,,21 ,,RBRVS,2.00 ,1.05 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115050,CPT,Skin pinch graft,,,21 ,,RBRVS,5.37 ,5.01 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115100,CPT,Skin split graft,,,21 ,,RBRVS,9.74 ,6.68 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115101,CPT,Skin split graft add-on,,,21 ,,RBRVS,1.72 ,0.85 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115110,CPT,Epidrm autogrft trnk/arm/leg,,,21 ,,RBRVS,10.88 ,6.36 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115111,CPT,Epidrm autogrft t/a/l add-on,,,21 ,,RBRVS,1.85 ,0.62 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115115,CPT,Epidrm a-grft face/nck/hf/g,,,21 ,,RBRVS,11.19 ,6.74 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115116,CPT,Epidrm a-grft f/n/hf/g addl,,,21 ,,RBRVS,2.50 ,0.86 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115120,CPT,Skin split graft,,,21 ,,RBRVS,10.96 ,7.45 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115121,CPT,Skin split graft add-on,,,21 ,,RBRVS,2.67 ,1.29 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115130,CPT,"Derm autograft, trnk/arm/leg",,,21 ,,RBRVS,7.41 ,5.58 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115131,CPT,Derm autograft t/a/l add-on,,,21 ,,RBRVS,1.50 ,0.48 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115135,CPT,Derm autograft face/nck/hf/g,,,21 ,,RBRVS,10.91 ,7.05 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115136,CPT,"Derm autograft, f/n/hf/g add",,,21 ,,RBRVS,1.50 ,0.51 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115150,CPT,Cult epiderm grft t/arm/leg,,,21 ,,RBRVS,9.30 ,5.76 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115151,CPT,Cult epiderm grft t/a/l addl,,,21 ,,RBRVS,2.00 ,0.67 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115152,CPT,Cult epiderm graft t/a/l +%,,,21 ,,RBRVS,2.50 ,0.84 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115155,CPT,"Cult epiderm graft, f/n/hf/g",,,21 ,,RBRVS,10.05 ,6.31 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115156,CPT,Cult epidrm grft f/n/hfg add,,,21 ,,RBRVS,2.75 ,0.94 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115157,CPT,Cult epiderm grft f/n/hfg +%,,,21 ,,RBRVS,3.00 ,1.03 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115170,CPT,Cell graft trunk/arms/legs,,,21 ,,RBRVS,5.99 ,2.60 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115171,CPT,Cell graft t/arm/leg add-on,,,21 ,,RBRVS,1.55 ,0.46 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115175,CPT,"Acellular graft, f/n/hf/g",,,21 ,,RBRVS,7.99 ,3.15 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115176,CPT,"Acell graft, f/n/hf/g add-on",,,21 ,,RBRVS,2.45 ,0.79 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115200,CPT,Skin full graft,,,21 ,,RBRVS,8.97 ,6.35 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115201,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.32 ,0.47 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115220,CPT,Skin full graft,,,21 ,,RBRVS,7.95 ,6.70 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115221,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.19 ,0.50 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115240,CPT,Skin full graft,,,21 ,,RBRVS,10.15 ,8.90 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115241,CPT,Skin full graft add-on,,,21 ,,RBRVS,1.86 ,0.81 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115260,CPT,Skin full graft,,,21 ,,RBRVS,11.39 ,9.34 ,13.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115261,CPT,Skin full graft add-on,,,21 ,,RBRVS,2.23 ,1.16 ,2.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115300,CPT,"Apply skinallogrft, t/arm/lg",,,21 ,,RBRVS,4.65 ,2.15 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115301,CPT,Apply sknallogrft t/a/l addl,,,21 ,,RBRVS,1.00 ,0.32 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115320,CPT,Apply skin allogrft f/n/hf/g,,,21 ,,RBRVS,5.36 ,2.36 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115321,CPT,Aply sknallogrft f/n/hfg add,,,21 ,,RBRVS,1.50 ,0.51 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115330,CPT,Aply acell alogrft t/arm/leg,,,21 ,,RBRVS,3.99 ,2.14 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115331,CPT,Aply acell grft t/a/l add-on,,,21 ,,RBRVS,1.00 ,0.36 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115335,CPT,"Apply acell graft, f/n/hf/g",,,21 ,,RBRVS,4.50 ,2.01 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115336,CPT,Aply acell grft f/n/hf/g add,,,21 ,,RBRVS,1.43 ,0.51 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115340,CPT,Apply cult skin substitute,,,21 ,,RBRVS,3.76 ,2.64 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115341,CPT,Apply cult skin sub add-on,,,21 ,,RBRVS,0.50 ,0.13 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115360,CPT,"Apply cult derm sub, t/a/l",,,21 ,,RBRVS,3.93 ,3.54 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115361,CPT,Aply cult derm sub t/a/l add,,,21 ,,RBRVS,1.15 ,0.32 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115365,CPT,Apply cult derm sub f/n/hf/g,,,21 ,,RBRVS,4.21 ,3.10 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115366,CPT,Apply cult derm f/hf/g add,,,21 ,,RBRVS,1.45 ,0.47 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115400,CPT,Skin heterograft,,,21 ,,RBRVS,4.38 ,3.76 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115401,CPT,Skin heterograft add-on,,,21 ,,RBRVS,1.00 ,0.33 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115420,CPT,"Apply skin xgraft, f/n/hf/g",,,21 ,,RBRVS,4.89 ,4.18 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115421,CPT,Apply skn xgrft f/n/hf/g add,,,21 ,,RBRVS,1.50 ,0.48 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115430,CPT,Apply acellular xenograft,,,21 ,,RBRVS,5.93 ,6.06 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115431,CPT,Apply acellular xgraft add,,,28 ,,NW,,,,,,$379.34,$0.00,1,0,1,1,1,1,2008010115570,CPT,Form skin pedicle flap,,,21 ,,RBRVS,10.00 ,6.27 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115572,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.94 ,6.66 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115574,CPT,Form skin pedicle flap,,,21 ,,RBRVS,10.52 ,7.04 ,10.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115576,CPT,Form skin pedicle flap,,,21 ,,RBRVS,9.24 ,6.52 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115600,CPT,Skin graft,,,21 ,,RBRVS,1.95 ,2.75 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115610,CPT,Skin graft,,,21 ,,RBRVS,2.46 ,3.05 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115620,CPT,Skin graft,,,21 ,,RBRVS,3.62 ,3.90 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115630,CPT,Skin graft,,,21 ,,RBRVS,3.95 ,4.32 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115650,CPT,Transfer skin pedicle flap,,,21 ,,RBRVS,4.64 ,4.39 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115731,CPT,Forehead flap w/vasc pedicle,,,21 ,,RBRVS,14.12 ,9.34 ,11.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115732,CPT,"Muscle-skin graft, head/neck",,,21 ,,RBRVS,19.70 ,11.10 ,14.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115734,CPT,"Muscle-skin graft, trunk",,,21 ,,RBRVS,19.62 ,11.85 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115736,CPT,"Muscle-skin graft, arm",,,21 ,,RBRVS,16.92 ,9.60 ,13.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115738,CPT,"Muscle-skin graft, leg",,,21 ,,RBRVS,18.92 ,10.20 ,13.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115740,CPT,Island pedicle flap graft,,,21 ,,RBRVS,11.57 ,9.43 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115750,CPT,Neurovascular pedicle graft,,,21 ,,RBRVS,12.73 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115756,CPT,Free myo/skin flap microvasc,,,21 ,,RBRVS,36.74 ,18.57 ,18.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115757,CPT,"Free skin flap, microvasc",,,21 ,,RBRVS,36.95 ,17.87 ,17.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115758,CPT,"Free fascial flap, microvasc",,,21 ,,RBRVS,36.70 ,17.58 ,17.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115760,CPT,Composite skin graft,,,21 ,,RBRVS,9.68 ,7.06 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115770,CPT,Derma-fat-fascia graft,,,21 ,,RBRVS,8.73 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115775,CPT,Hair transplant punch grafts,,,21 ,,RBRVS,3.95 ,1.23 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115776,CPT,Hair transplant punch grafts,,,21 ,,RBRVS,5.53 ,2.14 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115780,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,8.50 ,6.53 ,11.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115781,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.91 ,5.64 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115782,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.36 ,4.97 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115783,CPT,Abrasion treatment of skin,,,21 ,,RBRVS,4.33 ,4.97 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115786,CPT,"Abrasion, lesion, single",,,21 ,,RBRVS,2.05 ,1.25 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115787,CPT,"Abrasion, lesions, add-on",,,21 ,,RBRVS,0.33 ,0.08 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115788,CPT,"Chemical peel, face, epiderm",,,21 ,,RBRVS,2.09 ,4.13 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115789,CPT,"Chemical peel, face, dermal",,,21 ,,RBRVS,4.91 ,5.83 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115792,CPT,"Chemical peel, nonfacial",,,21 ,,RBRVS,1.86 ,4.58 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115793,CPT,"Chemical peel, nonfacial",,,21 ,,RBRVS,3.82 ,4.90 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115819,CPT,"Plastic surgery, neck",,,21 ,,RBRVS,10.45 ,6.68 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115820,CPT,Revision of lower eyelid,,,21 ,,RBRVS,6.09 ,5.20 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115821,CPT,Revision of lower eyelid,,,21 ,,RBRVS,6.66 ,5.28 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115822,CPT,Revision of upper eyelid,,,21 ,,RBRVS,4.51 ,4.09 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115823,CPT,Revision of upper eyelid,,,21 ,,RBRVS,8.12 ,6.11 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115824,CPT,Removal of forehead wrinkles,,,21 ,,TotalUnits,,,,17.87 ,,$0.00,$0.00,1,0,1,1,1,1,2008010115825,CPT,Removal of neck wrinkles,,,21 ,,TotalUnits,,,,20.42 ,,$0.00,$0.00,1,0,1,1,1,1,2008010115826,CPT,Removal of brow wrinkles,,,21 ,,TotalUnits,,,,17.87 ,,$0.00,$0.00,1,0,1,1,1,1,2008010115828,CPT,Removal of face wrinkles,,,21 ,,TotalUnits,,,,47.23 ,,$0.00,$0.00,1,0,1,1,1,1,2008010115829,CPT,Removal of skin wrinkles,,,21 ,,TotalUnits,,,,52.34 ,,$0.00,$0.00,1,0,1,1,1,1,2008010115830,CPT,Exc skin abd,,,21 ,,RBRVS,16.90 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115832,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,12.65 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115833,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,11.70 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115834,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,11.97 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115835,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,12.79 ,7.86 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115836,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,10.41 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115837,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,9.37 ,5.79 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115838,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,8.07 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115839,CPT,Excise excessive skin tissue,,,21 ,,RBRVS,10.32 ,6.47 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115840,CPT,Graft for face nerve palsy,,,21 ,,RBRVS,14.76 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115841,CPT,Graft for face nerve palsy,,,21 ,,RBRVS,25.69 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115842,CPT,Flap for face nerve palsy,,,21 ,,RBRVS,40.68 ,20.89 ,20.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115845,CPT,"Skin and muscle repair, face",,,21 ,,RBRVS,14.04 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115850,CPT,Removal of sutures,,,21 ,,RBRVS,0.78 ,0.18 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115851,CPT,Removal of sutures,,,21 ,,RBRVS,0.86 ,0.24 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115852,CPT,"Dressing change,not for burn",,,21 ,,RBRVS,0.86 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115860,CPT,Test for blood flow in graft,,,21 ,,RBRVS,1.95 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115876,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,11.19 ,,$0.00,$0.00,1,0,1,1,1,1,2008010115877,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,15.70 ,,$0.00,$0.00,1,0,1,1,1,1,2008010115878,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,14.19 ,,$0.00,$0.00,1,0,1,1,1,1,2008010115879,CPT,Suction assisted lipectomy,,,21 ,,TotalUnits,,,,13.98 ,,$0.00,$0.00,1,0,1,1,1,1,2008010115920,CPT,Removal of tail bone ulcer,,,21 ,,RBRVS,8.15 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115922,CPT,Removal of tail bone ulcer,,,21 ,,RBRVS,10.23 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115931,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,9.96 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115933,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,11.60 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115934,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,13.54 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115935,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,15.58 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115936,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,13.04 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115937,CPT,Remove sacrum pressure sore,,,21 ,,RBRVS,15.00 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115940,CPT,Remove hip pressure sore,,,21 ,,RBRVS,10.11 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115941,CPT,Remove hip pressure sore,,,21 ,,RBRVS,12.24 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115944,CPT,Remove hip pressure sore,,,21 ,,RBRVS,12.27 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115945,CPT,Remove hip pressure sore,,,21 ,,RBRVS,13.57 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115946,CPT,Remove hip pressure sore,,,21 ,,RBRVS,23.80 ,13.71 ,13.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115950,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,7.91 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115951,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,11.41 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115952,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,12.14 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115953,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,13.39 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115956,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,16.59 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115958,CPT,Remove thigh pressure sore,,,21 ,,RBRVS,16.55 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010115999,CPT,Removal of pressure sore,,,21 ,,TotalUnits,,,,20.99 ,,$0.00,$0.00,1,0,1,1,1,1,2008010116000,CPT,Initial treatment of burn(s),,,21 ,,RBRVS,0.89 ,0.23 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010116020,CPT,Treatment of burn(s),,,21 ,,RBRVS,0.80 ,0.56 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010116025,CPT,Treatment of burn(s),,,21 ,,RBRVS,1.85 ,0.86 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010116030,CPT,Treatment of burn(s),,,21 ,,RBRVS,2.08 ,1.02 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010116035,CPT,"Incision of burn scab, initi",,,21 ,,RBRVS,3.74 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010116036,CPT,"Incise burn scab, addl incis",,,21 ,,RBRVS,1.50 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117000,CPT,Destroy benign/premlg lesion,,,21 ,,RBRVS,0.62 ,0.74 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117003,CPT,"Destroy lesions, 2-14",,,21 ,,RBRVS,0.07 ,0.03 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117004,CPT,"Destroy lesions, 15 or more",,,21 ,,RBRVS,1.82 ,1.38 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117106,CPT,Destruction of skin lesions,,,21 ,,RBRVS,4.62 ,3.28 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117107,CPT,Destruction of skin lesions,,,21 ,,RBRVS,9.19 ,4.95 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117108,CPT,Destruction of skin lesions,,,21 ,,RBRVS,13.22 ,6.39 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117110,CPT,"Destruct lesion, 1-14",,,21 ,,RBRVS,0.67 ,0.88 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117111,CPT,"Destruct lesion, 15 or more",,,21 ,,RBRVS,0.94 ,1.11 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117250,CPT,"Chemical cautery, tissue",,,21 ,,RBRVS,0.50 ,0.38 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117260,CPT,Destruction of skin lesions,,,21 ,,RBRVS,0.93 ,0.71 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117261,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.19 ,1.07 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117262,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.60 ,1.27 ,2.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117263,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.81 ,1.37 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117264,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.96 ,1.44 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117266,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.36 ,1.59 ,3.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117270,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.34 ,1.10 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117271,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.51 ,1.22 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117272,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.79 ,1.37 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117273,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.07 ,1.49 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117274,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.61 ,1.74 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117276,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.22 ,1.97 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117280,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.19 ,1.03 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117281,CPT,Destruction of skin lesions,,,21 ,,RBRVS,1.74 ,1.33 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117282,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.06 ,1.49 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117283,CPT,Destruction of skin lesions,,,21 ,,RBRVS,2.66 ,1.77 ,3.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117284,CPT,Destruction of skin lesions,,,21 ,,RBRVS,3.23 ,2.03 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117286,CPT,Destruction of skin lesions,,,21 ,,RBRVS,4.45 ,2.49 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117311,CPT,"Mohs, 1 stage, h/n/hf/g",,,21 ,,RBRVS,6.20 ,3.05 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117312,CPT,Mohs addl stage,,,21 ,,RBRVS,3.30 ,1.62 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117313,CPT,"Mohs, 1 stage, t/a/l",,,21 ,,RBRVS,5.56 ,2.74 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117314,CPT,"Mohs, addl stage, t/a/l",,,21 ,,RBRVS,3.06 ,1.50 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117315,CPT,"Mohs surg, addl block",,,21 ,,RBRVS,0.87 ,0.43 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117340,CPT,Cryotherapy of skin,,,21 ,,RBRVS,0.76 ,0.38 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117360,CPT,Skin peel therapy,,,21 ,,RBRVS,1.44 ,1.01 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010117380,CPT,Hair removal by electrolysis,,,21 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,0,1,1,1,1,2008010117999,CPT,Skin tissue procedure,,,21 ,,TotalUnits,,,,1.74 ,,$0.00,$0.00,1,0,1,1,1,1,2008010119000,CPT,Drainage of breast lesion,,,21 ,,RBRVS,0.84 ,0.26 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119001,CPT,Drain breast lesion add-on,,,21 ,,RBRVS,0.42 ,0.14 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119020,CPT,Incision of breast lesion,,,21 ,,RBRVS,3.74 ,3.04 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119030,CPT,Injection for breast x-ray,,,21 ,,RBRVS,1.53 ,0.54 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119100,CPT,Bx breast percut w/o image,,,21 ,,RBRVS,1.27 ,0.33 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119101,CPT,"Biopsy of breast, open",,,21 ,,RBRVS,3.20 ,1.78 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119102,CPT,Bx breast percut w/image,,,21 ,,RBRVS,2.00 ,0.68 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119103,CPT,Bx breast percut w/device,,,21 ,,RBRVS,3.69 ,1.19 ,10.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119105,CPT,"Cryosurg ablate fa, each",,,21 ,,RBRVS,3.69 ,1.00 ,46.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119110,CPT,Nipple exploration,,,21 ,,RBRVS,4.35 ,3.10 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119112,CPT,Excise breast duct fistula,,,21 ,,RBRVS,3.72 ,3.13 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119120,CPT,Removal of breast lesion,,,21 ,,RBRVS,5.84 ,3.37 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119125,CPT,"Excision, breast lesion",,,21 ,,RBRVS,6.59 ,3.65 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119126,CPT,"Excision, addl breast lesion",,,21 ,,RBRVS,2.93 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119260,CPT,Removal of chest wall lesion,,,21 ,,RBRVS,17.60 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119271,CPT,Revision of chest wall,,,21 ,,RBRVS,21.86 ,15.83 ,15.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119272,CPT,Extensive chest wall surgery,,,21 ,,RBRVS,24.82 ,16.97 ,16.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119290,CPT,"Place needle wire, breast",,,21 ,,RBRVS,1.27 ,0.45 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119291,CPT,"Place needle wire, breast",,,21 ,,RBRVS,0.63 ,0.22 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119295,CPT,"Place breast clip, percut",,,21 ,,RBRVS,0.00 ,2.28 ,2.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010119296,CPT,Place po breast cath for rad,,,21 ,,RBRVS,3.63 ,1.19 ,86.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119297,CPT,Place breast cath for rad,,,21 ,,RBRVS,1.72 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119298,CPT,Place breast rad tube/caths,,,21 ,,RBRVS,6.00 ,2.11 ,22.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119300,CPT,Removal of breast tissue,,,21 ,,RBRVS,5.20 ,3.86 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010119301,CPT,Partical mastectomy,,,21 ,,RBRVS,10.00 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010119302,CPT,P-mastectomy w/ln removal,,,21 ,,RBRVS,13.88 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010119303,CPT,"Mast, simple, complete",,,21 ,,RBRVS,15.67 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010119304,CPT,"Mast, subq",,,21 ,,RBRVS,7.81 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010119305,CPT,"Mast, radical",,,21 ,,RBRVS,17.23 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119306,CPT,"Mast, rad, urban type",,,21 ,,RBRVS,17.85 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119307,CPT,"Mast, mod rad",,,21 ,,RBRVS,17.95 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119316,CPT,Suspension of breast,,,21 ,,RBRVS,10.98 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119318,CPT,Reduction of large breast,,,21 ,,RBRVS,15.91 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119324,CPT,Enlarge breast,,,21 ,,RBRVS,6.65 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119325,CPT,Enlarge breast with implant,,,21 ,,RBRVS,8.52 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119328,CPT,Removal of breast implant,,,21 ,,RBRVS,6.35 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119330,CPT,Removal of implant material,,,21 ,,RBRVS,8.39 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119340,CPT,Immediate breast prosthesis,,,21 ,,RBRVS,6.32 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119342,CPT,Delayed breast prosthesis,,,21 ,,RBRVS,12.40 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119350,CPT,Breast reconstruction,,,21 ,,RBRVS,8.99 ,6.59 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119355,CPT,Correct inverted nipple(s),,,21 ,,RBRVS,8.37 ,4.68 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119357,CPT,Breast reconstruction,,,21 ,,RBRVS,20.57 ,15.39 ,15.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119361,CPT,Breast reconstruction,,,21 ,,RBRVS,23.17 ,16.80 ,16.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119364,CPT,Breast reconstruction,,,21 ,,RBRVS,42.40 ,22.17 ,22.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119366,CPT,Breast reconstruction,,,21 ,,RBRVS,21.70 ,9.91 ,9.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119367,CPT,Breast reconstruction,,,21 ,,RBRVS,26.59 ,15.19 ,15.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119368,CPT,Breast reconstruction,,,21 ,,RBRVS,33.61 ,18.04 ,18.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119369,CPT,Breast reconstruction,,,21 ,,RBRVS,31.02 ,16.33 ,16.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119370,CPT,Surgery of breast capsule,,,21 ,,RBRVS,8.99 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119371,CPT,Removal of breast capsule,,,21 ,,RBRVS,10.42 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119380,CPT,Revise breast reconstruction,,,21 ,,RBRVS,10.21 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119396,CPT,Design custom breast implant,,,21 ,,RBRVS,2.17 ,1.28 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010119499,CPT,Breast surgery procedure,,,21 ,,TotalUnits,,,,8.77 ,,$0.00,$0.00,1,0,1,1,1,1,2008010120000,CPT,Incision of abscess,,,21 ,,RBRVS,2.14 ,1.53 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120005,CPT,Incision of deep abscess,,,21 ,,RBRVS,3.55 ,2.01 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120100,CPT,"Explore wound, neck",,,21 ,,RBRVS,10.33 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120101,CPT,"Explore wound, chest",,,21 ,,RBRVS,3.22 ,1.53 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120102,CPT,"Explore wound, abdomen",,,21 ,,RBRVS,3.95 ,1.84 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120103,CPT,"Explore wound, extremity",,,21 ,,RBRVS,5.31 ,2.79 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120150,CPT,Excise epiphyseal bar,,,21 ,,RBRVS,14.60 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120200,CPT,Muscle biopsy,,,21 ,,RBRVS,1.46 ,0.69 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120205,CPT,Deep muscle biopsy,,,21 ,,RBRVS,2.35 ,1.10 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120206,CPT,"Needle biopsy, muscle",,,21 ,,RBRVS,0.99 ,0.57 ,5.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120220,CPT,"Bone biopsy, trocar/needle",,,21 ,,RBRVS,1.27 ,0.68 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120225,CPT,"Bone biopsy, trocar/needle",,,21 ,,RBRVS,1.87 ,1.02 ,12.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120240,CPT,"Bone biopsy, excisional",,,21 ,,RBRVS,3.25 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120245,CPT,"Bone biopsy, excisional",,,21 ,,RBRVS,8.77 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120250,CPT,Open bone biopsy,,,21 ,,RBRVS,5.16 ,3.63 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120251,CPT,Open bone biopsy,,,21 ,,RBRVS,5.69 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120500,CPT,Injection of sinus tract,,,21 ,,RBRVS,1.25 ,0.88 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120501,CPT,Inject sinus tract for x-ray,,,21 ,,RBRVS,0.76 ,0.27 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120520,CPT,Removal of foreign body,,,21 ,,RBRVS,1.87 ,1.45 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120525,CPT,Removal of foreign body,,,21 ,,RBRVS,3.51 ,2.21 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120526,CPT,"Ther injection, carp tunnel",,,21 ,,RBRVS,0.94 ,0.41 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120550,CPT,Inj tendon sheath/ligament,,,21 ,,RBRVS,0.75 ,0.28 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120551,CPT,Inject tendon origin/insert,,,21 ,,RBRVS,0.75 ,0.29 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120552,CPT,"Inject trigger point, 1 or 2",,,21 ,,RBRVS,0.66 ,0.24 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120553,CPT,"Inject trigger points, =/> 3",,,21 ,,RBRVS,0.75 ,0.26 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120555,CPT,Place ndl musc/tis for rt,,,21 ,,RBRVS,6.00 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120600,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.66 ,0.31 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120605,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.68 ,0.32 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120610,CPT,"Drain/inject, joint/bursa",,,21 ,,RBRVS,0.79 ,0.40 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120612,CPT,Aspirate/inj ganglion cyst,,,21 ,,RBRVS,0.70 ,0.32 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120615,CPT,Treatment of bone cyst,,,21 ,,RBRVS,2.30 ,1.42 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120650,CPT,Insert and remove bone pin,,,21 ,,RBRVS,2.25 ,1.45 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120660,CPT,"Apply, rem fixation device",,,21 ,,RBRVS,4.00 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120661,CPT,Application of head brace,,,21 ,,RBRVS,5.14 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120662,CPT,Application of pelvis brace,,,21 ,,RBRVS,6.26 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120663,CPT,Application of thigh brace,,,21 ,,RBRVS,5.62 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120664,CPT,Halo brace application,,,21 ,,RBRVS,9.86 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120665,CPT,Removal of fixation device,,,21 ,,RBRVS,1.33 ,0.98 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120670,CPT,Removal of support implant,,,21 ,,RBRVS,1.76 ,1.67 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120680,CPT,Removal of support implant,,,21 ,,RBRVS,5.90 ,4.07 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120690,CPT,Apply bone fixation device,,,21 ,,RBRVS,8.65 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120692,CPT,Apply bone fixation device,,,21 ,,RBRVS,16.00 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120693,CPT,Adjust bone fixation device,,,21 ,,RBRVS,5.97 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120694,CPT,Remove bone fixation device,,,21 ,,RBRVS,4.20 ,3.53 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120802,CPT,"Replantation, arm, complete",,,21 ,,RBRVS,42.30 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120805,CPT,"Replant forearm, complete",,,21 ,,RBRVS,51.14 ,17.99 ,17.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120808,CPT,"Replantation hand, complete",,,21 ,,RBRVS,62.77 ,30.34 ,30.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120816,CPT,"Replantation digit, complete",,,21 ,,RBRVS,31.74 ,16.37 ,16.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120822,CPT,"Replantation digit, complete",,,21 ,,RBRVS,26.42 ,15.07 ,15.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120824,CPT,"Replantation thumb, complete",,,21 ,,RBRVS,31.74 ,16.21 ,16.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120827,CPT,"Replantation thumb, complete",,,21 ,,RBRVS,27.24 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120838,CPT,"Replantation foot, complete",,,21 ,,RBRVS,42.56 ,14.03 ,14.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120900,CPT,Removal of bone for graft,,,21 ,,RBRVS,5.77 ,4.90 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120902,CPT,Removal of bone for graft,,,21 ,,RBRVS,7.98 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120910,CPT,Remove cartilage for graft,,,21 ,,RBRVS,5.41 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120912,CPT,Remove cartilage for graft,,,21 ,,RBRVS,6.42 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120920,CPT,Removal of fascia for graft,,,21 ,,RBRVS,5.42 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120922,CPT,Removal of fascia for graft,,,21 ,,RBRVS,6.84 ,5.00 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120924,CPT,Removal of tendon for graft,,,21 ,,RBRVS,6.59 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120926,CPT,Removal of tissue for graft,,,21 ,,RBRVS,5.70 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120930,CPT,Spinal bone allograft,,,21 ,,TotalUnits,,,,3.65 ,,$0.00,$0.00,1,0,1,1,1,1,2008010120931,CPT,Spinal bone allograft,,,21 ,,RBRVS,1.81 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120936,CPT,Spinal bone autograft,,,21 ,,TotalUnits,,,,5.55 ,,$0.00,$0.00,1,0,1,1,1,1,2008010120937,CPT,Spinal bone autograft,,,21 ,,RBRVS,2.79 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120938,CPT,Spinal bone autograft,,,21 ,,RBRVS,3.02 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120950,CPT,"Fluid pressure, muscle",,,21 ,,RBRVS,1.26 ,0.88 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120955,CPT,"Fibula bone graft, microvasc",,,21 ,,RBRVS,40.02 ,18.55 ,18.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120956,CPT,"Iliac bone graft, microvasc",,,21 ,,RBRVS,40.93 ,20.34 ,20.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120957,CPT,"Mt bone graft, microvasc",,,21 ,,RBRVS,42.33 ,15.89 ,15.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120962,CPT,"Other bone graft, microvasc",,,21 ,,RBRVS,39.21 ,21.32 ,21.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120969,CPT,"Bone/skin graft, microvasc",,,21 ,,RBRVS,45.11 ,21.12 ,21.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120970,CPT,"Bone/skin graft, iliac crest",,,21 ,,RBRVS,44.26 ,20.92 ,20.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120972,CPT,"Bone/skin graft, metatarsal",,,21 ,,RBRVS,44.19 ,14.93 ,14.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120973,CPT,"Bone/skin graft, great toe",,,21 ,,RBRVS,46.95 ,14.16 ,14.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120974,CPT,Electrical bone stimulation,,,21 ,,RBRVS,0.62 ,0.48 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010120975,CPT,Electrical bone stimulation,,,21 ,,RBRVS,2.60 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120979,CPT,Us bone stimulation,,,21 ,,RBRVS,0.62 ,0.20 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010120982,CPT,"Ablate, bone tumor(s) perq",,,21 ,,RBRVS,7.27 ,2.69 ,80.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120985,CPT,Cptr-asst dir ms px,,,21 ,,RBRVS,2.50 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010120999,CPT,Musculoskeletal surgery,,,21 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,0,1,1,1,1,2008010121010,CPT,Incision of jaw joint,,,21 ,,RBRVS,10.90 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121015,CPT,Resection of facial tumor,,,21 ,,RBRVS,5.59 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121025,CPT,"Excision of bone, lower jaw",,,21 ,,RBRVS,11.07 ,8.75 ,12.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121026,CPT,Excision of facial bone(s),,,21 ,,RBRVS,5.54 ,5.94 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121029,CPT,Contour of face bone lesion,,,21 ,,RBRVS,8.26 ,6.52 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121030,CPT,Excise max/zygoma b9 tumor,,,21 ,,RBRVS,4.80 ,4.69 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121031,CPT,"Remove exostosis, mandible",,,21 ,,RBRVS,3.26 ,3.47 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121032,CPT,"Remove exostosis, maxilla",,,21 ,,RBRVS,3.28 ,3.37 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121034,CPT,Excise max/zygoma mlg tumor,,,21 ,,RBRVS,17.17 ,10.12 ,13.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121040,CPT,Excise mandible lesion,,,21 ,,RBRVS,4.80 ,4.64 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121044,CPT,Removal of jaw bone lesion,,,21 ,,RBRVS,12.61 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121045,CPT,Extensive jaw surgery,,,21 ,,RBRVS,18.13 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121046,CPT,Remove mandible cyst complex,,,21 ,,RBRVS,13.97 ,11.50 ,11.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121047,CPT,Excise lwr jaw cyst w/repair,,,21 ,,RBRVS,19.83 ,10.22 ,10.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121048,CPT,Remove maxilla cyst complex,,,21 ,,RBRVS,14.47 ,11.39 ,11.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121049,CPT,Excis uppr jaw cyst w/repair,,,21 ,,RBRVS,19.08 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121050,CPT,Removal of jaw joint,,,21 ,,RBRVS,11.54 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121060,CPT,Remove jaw joint cartilage,,,21 ,,RBRVS,10.91 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121070,CPT,Remove coronoid process,,,21 ,,RBRVS,8.50 ,6.27 ,6.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121073,CPT,Mnpj of tmj w/anesth,,,21 ,,RBRVS,3.33 ,2.31 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121076,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,13.40 ,4.69 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121077,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,33.70 ,11.83 ,18.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121079,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.31 ,8.10 ,13.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121080,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,25.06 ,9.02 ,16.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121081,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.85 ,8.41 ,15.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121082,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,20.84 ,8.27 ,14.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121083,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,19.27 ,7.78 ,14.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121084,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,22.48 ,8.95 ,16.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121085,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,8.99 ,3.52 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121086,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,24.88 ,8.45 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121087,CPT,Prepare face/oral prosthesis,,,21 ,,RBRVS,24.88 ,8.55 ,13.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121088,CPT,Prepare face/oral prosthesis,,,21 ,,TotalUnits,,,,10.85 ,,$0.00,$0.00,1,0,1,1,1,1,2008010121089,CPT,Prepare face/oral prosthesis,,,21 ,,TotalUnits,,,,16.97 ,,$0.00,$0.00,1,0,1,1,1,1,2008010121100,CPT,Maxillofacial fixation,,,21 ,,RBRVS,4.56 ,5.53 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121110,CPT,Interdental fixation,,,21 ,,RBRVS,5.80 ,9.74 ,13.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121116,CPT,"Injection, jaw joint x-ray",,,21 ,,RBRVS,0.81 ,0.23 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121120,CPT,Reconstruction of chin,,,21 ,,RBRVS,4.99 ,6.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121121,CPT,Reconstruction of chin,,,21 ,,RBRVS,7.70 ,7.59 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121122,CPT,Reconstruction of chin,,,21 ,,RBRVS,8.59 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121123,CPT,Reconstruction of chin,,,21 ,,RBRVS,11.22 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121125,CPT,"Augmentation, lower jaw bone",,,21 ,,RBRVS,10.68 ,6.43 ,64.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121127,CPT,"Augmentation, lower jaw bone",,,21 ,,RBRVS,12.24 ,7.50 ,85.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121137,CPT,Reduction of forehead,,,21 ,,RBRVS,10.12 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121138,CPT,Reduction of forehead,,,21 ,,RBRVS,12.73 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121139,CPT,Reduction of forehead,,,21 ,,RBRVS,14.90 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121141,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,19.27 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121142,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,19.98 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121143,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,20.75 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121145,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,23.64 ,12.98 ,12.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121146,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,24.54 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121147,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,26.14 ,14.31 ,14.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121150,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,25.78 ,16.93 ,16.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121151,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,28.84 ,11.61 ,11.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121154,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,31.05 ,17.89 ,17.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121155,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,34.98 ,18.17 ,18.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121159,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,42.90 ,15.13 ,15.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121160,CPT,"Reconstruct midface, lefort",,,21 ,,RBRVS,46.95 ,23.24 ,23.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121172,CPT,Reconstruct orbit/forehead,,,21 ,,RBRVS,28.07 ,13.75 ,13.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121175,CPT,Reconstruct orbit/forehead,,,21 ,,RBRVS,33.43 ,13.53 ,13.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121179,CPT,Reconstruct entire forehead,,,21 ,,RBRVS,22.53 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121180,CPT,Reconstruct entire forehead,,,21 ,,RBRVS,25.46 ,13.00 ,13.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121181,CPT,Contour cranial bone lesion,,,21 ,,RBRVS,10.18 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121182,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,32.45 ,15.27 ,15.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121183,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,35.57 ,19.23 ,19.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121184,CPT,Reconstruct cranial bone,,,21 ,,RBRVS,38.49 ,15.63 ,15.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121188,CPT,Reconstruction of midface,,,21 ,,RBRVS,22.97 ,15.65 ,15.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121193,CPT,Reconst lwr jaw w/o graft,,,21 ,,RBRVS,18.65 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121194,CPT,Reconst lwr jaw w/graft,,,21 ,,RBRVS,21.54 ,12.13 ,12.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121195,CPT,Reconst lwr jaw w/o fixation,,,21 ,,RBRVS,18.88 ,13.08 ,13.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121196,CPT,Reconst lwr jaw w/fixation,,,21 ,,RBRVS,20.55 ,13.95 ,13.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121198,CPT,Reconstr lwr jaw segment,,,21 ,,RBRVS,15.48 ,11.89 ,11.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121199,CPT,Reconstr lwr jaw w/advance,,,21 ,,RBRVS,16.62 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121206,CPT,Reconstruct upper jaw bone,,,21 ,,RBRVS,15.36 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121208,CPT,Augmentation of facial bones,,,21 ,,RBRVS,11.15 ,8.01 ,33.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121209,CPT,Reduction of facial bones,,,21 ,,RBRVS,7.58 ,7.40 ,12.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121210,CPT,Face bone graft,,,21 ,,RBRVS,11.40 ,7.64 ,43.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121215,CPT,Lower jaw bone graft,,,21 ,,RBRVS,11.94 ,7.97 ,86.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121230,CPT,Rib cartilage graft,,,21 ,,RBRVS,11.06 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121235,CPT,Ear cartilage graft,,,21 ,,RBRVS,7.31 ,6.19 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121240,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,15.77 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121242,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,14.32 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121243,CPT,Reconstruction of jaw joint,,,21 ,,RBRVS,24.03 ,14.16 ,14.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121244,CPT,Reconstruction of lower jaw,,,21 ,,RBRVS,13.35 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121245,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.88 ,8.62 ,14.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121246,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.78 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121247,CPT,Reconstruct lower jaw bone,,,21 ,,RBRVS,24.05 ,12.70 ,12.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121248,CPT,Reconstruction of jaw,,,21 ,,RBRVS,12.54 ,7.52 ,12.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121249,CPT,Reconstruction of jaw,,,21 ,,RBRVS,18.57 ,9.62 ,15.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121255,CPT,Reconstruct lower jaw bone,,,21 ,,RBRVS,18.14 ,14.05 ,14.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121256,CPT,Reconstruction of orbit,,,21 ,,RBRVS,17.42 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121260,CPT,Revise eye sockets,,,21 ,,RBRVS,17.74 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121261,CPT,Revise eye sockets,,,21 ,,RBRVS,33.78 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121263,CPT,Revise eye sockets,,,21 ,,RBRVS,30.72 ,14.05 ,14.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121267,CPT,Revise eye sockets,,,21 ,,RBRVS,20.45 ,16.05 ,16.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121268,CPT,Revise eye sockets,,,21 ,,RBRVS,26.78 ,13.14 ,13.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121270,CPT,"Augmentation, cheek bone",,,21 ,,RBRVS,10.52 ,5.90 ,11.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121275,CPT,"Revision, orbitofacial bones",,,21 ,,RBRVS,11.65 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121280,CPT,Revision of eyelid,,,21 ,,RBRVS,6.92 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121282,CPT,Revision of eyelid,,,21 ,,RBRVS,4.11 ,4.16 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121295,CPT,Revision of jaw muscle/bone,,,21 ,,RBRVS,1.82 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121296,CPT,Revision of jaw muscle/bone,,,21 ,,RBRVS,4.67 ,5.43 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121299,CPT,Cranio/maxillofacial surgery,,,21 ,,TotalUnits,,,,20.01 ,,$0.00,$0.00,1,0,1,1,1,1,2008010121310,CPT,Treatment of nose fracture,,,21 ,,RBRVS,0.58 ,0.11 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121315,CPT,Treatment of nose fracture,,,21 ,,RBRVS,1.78 ,1.78 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121320,CPT,Treatment of nose fracture,,,21 ,,RBRVS,1.86 ,1.36 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121325,CPT,Treatment of nose fracture,,,21 ,,RBRVS,4.07 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121330,CPT,Treatment of nose fracture,,,21 ,,RBRVS,5.68 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121335,CPT,Treatment of nose fracture,,,21 ,,RBRVS,8.91 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121336,CPT,Treat nasal septal fracture,,,21 ,,RBRVS,6.56 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121337,CPT,Treat nasal septal fracture,,,21 ,,RBRVS,3.26 ,3.56 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121338,CPT,Treat nasoethmoid fracture,,,21 ,,RBRVS,6.76 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121339,CPT,Treat nasoethmoid fracture,,,21 ,,RBRVS,8.39 ,9.84 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121340,CPT,Treatment of nose fracture,,,21 ,,RBRVS,11.33 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121343,CPT,Treatment of sinus fracture,,,21 ,,RBRVS,14.11 ,12.80 ,12.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121344,CPT,Treatment of sinus fracture,,,21 ,,RBRVS,21.36 ,13.06 ,13.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121345,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,8.87 ,6.56 ,10.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121346,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,11.29 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121347,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,13.37 ,11.74 ,11.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121348,CPT,Treat nose/jaw fracture,,,21 ,,RBRVS,17.36 ,11.00 ,11.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121355,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,4.32 ,3.25 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121356,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,4.70 ,4.06 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121360,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,7.03 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121365,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,16.52 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121366,CPT,Treat cheek bone fracture,,,21 ,,RBRVS,18.44 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121385,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.46 ,7.14 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121386,CPT,Treat eye socket fracture,,,21 ,,RBRVS,9.46 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121387,CPT,Treat eye socket fracture,,,21 ,,RBRVS,10.00 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121390,CPT,Treat eye socket fracture,,,21 ,,RBRVS,11.07 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121395,CPT,Treat eye socket fracture,,,21 ,,RBRVS,14.62 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121400,CPT,Treat eye socket fracture,,,21 ,,RBRVS,1.44 ,1.96 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121401,CPT,Treat eye socket fracture,,,21 ,,RBRVS,3.57 ,3.05 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121406,CPT,Treat eye socket fracture,,,21 ,,RBRVS,7.31 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121407,CPT,Treat eye socket fracture,,,21 ,,RBRVS,8.91 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121408,CPT,Treat eye socket fracture,,,21 ,,RBRVS,12.67 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121421,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,5.80 ,9.22 ,12.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121422,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,8.62 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121423,CPT,Treat mouth roof fracture,,,21 ,,RBRVS,10.71 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121431,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,7.74 ,10.85 ,10.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121432,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,8.76 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121433,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,26.13 ,12.14 ,12.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121435,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,20.02 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121436,CPT,Treat craniofacial fracture,,,21 ,,RBRVS,30.01 ,13.15 ,13.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121440,CPT,Treat dental ridge fracture,,,21 ,,RBRVS,3.28 ,7.46 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121445,CPT,Treat dental ridge fracture,,,21 ,,RBRVS,6.04 ,8.47 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121450,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,3.55 ,7.72 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121451,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,5.46 ,9.68 ,12.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121452,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,2.29 ,6.06 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121453,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,6.40 ,11.66 ,14.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121454,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,7.17 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121461,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,9.07 ,12.82 ,41.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121462,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,10.77 ,13.41 ,43.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121465,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,12.88 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121470,CPT,Treat lower jaw fracture,,,21 ,,RBRVS,17.24 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121480,CPT,Reset dislocated jaw,,,21 ,,RBRVS,0.61 ,0.18 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121485,CPT,Reset dislocated jaw,,,21 ,,RBRVS,4.58 ,9.11 ,12.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121490,CPT,Repair dislocated jaw,,,21 ,,RBRVS,12.71 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121495,CPT,Treat hyoid bone fracture,,,21 ,,RBRVS,6.55 ,10.48 ,10.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121497,CPT,Interdental wiring,,,21 ,,RBRVS,4.45 ,9.35 ,12.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121499,CPT,Head surgery procedure,,,21 ,,TotalUnits,,,,7.51 ,,$0.00,$0.00,1,0,1,1,1,1,2008010121501,CPT,Drain neck/chest lesion,,,21 ,,RBRVS,3.87 ,3.52 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121502,CPT,Drain chest lesion,,,21 ,,RBRVS,7.43 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121510,CPT,Drainage of bone lesion,,,21 ,,RBRVS,6.06 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121550,CPT,Biopsy of neck/chest,,,21 ,,RBRVS,2.08 ,1.79 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121555,CPT,"Remove lesion, neck/chest",,,21 ,,RBRVS,4.40 ,3.43 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121556,CPT,"Remove lesion, neck/chest",,,21 ,,RBRVS,5.63 ,4.14 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121557,CPT,"Remove tumor, neck/chest",,,21 ,,RBRVS,8.91 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121600,CPT,Partial removal of rib,,,21 ,,RBRVS,7.14 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121610,CPT,Partial removal of rib,,,21 ,,RBRVS,15.76 ,8.90 ,8.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121615,CPT,Removal of rib,,,21 ,,RBRVS,10.31 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121616,CPT,Removal of rib and nerves,,,21 ,,RBRVS,12.54 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121620,CPT,Partial removal of sternum,,,21 ,,RBRVS,7.16 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121627,CPT,Sternal debridement,,,21 ,,RBRVS,7.18 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121630,CPT,Extensive sternum surgery,,,21 ,,RBRVS,19.01 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121632,CPT,Extensive sternum surgery,,,21 ,,RBRVS,19.51 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121685,CPT,Hyoid myotomy & suspension,,,21 ,,RBRVS,14.89 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121700,CPT,Revision of neck muscle,,,21 ,,RBRVS,6.23 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121705,CPT,Revision of neck muscle/rib,,,21 ,,RBRVS,9.83 ,4.36 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121720,CPT,Revision of neck muscle,,,21 ,,RBRVS,5.72 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121725,CPT,Revision of neck muscle,,,21 ,,RBRVS,7.10 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121740,CPT,Reconstruction of sternum,,,21 ,,RBRVS,17.47 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121742,CPT,Repair stern/nuss w/o scope,,,21 ,,TotalUnits,,,,25.36 ,,$0.00,$0.00,1,0,1,1,1,1,2008010121743,CPT,Repair sternum/nuss w/scope,,,21 ,,TotalUnits,,,,33.37 ,,$0.00,$0.00,1,0,1,1,1,1,2008010121750,CPT,Repair of sternum separation,,,21 ,,RBRVS,11.35 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121800,CPT,Treatment of rib fracture,,,21 ,,RBRVS,0.98 ,1.43 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121805,CPT,Treatment of rib fracture,,,21 ,,RBRVS,2.80 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121810,CPT,Treatment of rib fracture(s),,,21 ,,RBRVS,6.92 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121820,CPT,Treat sternum fracture,,,21 ,,RBRVS,1.31 ,1.89 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121825,CPT,Treat sternum fracture,,,21 ,,RBRVS,7.65 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121899,CPT,Neck/chest surgery procedure,,,21 ,,TotalUnits,,,,7.88 ,,$0.00,$0.00,1,0,1,1,1,1,2008010121920,CPT,Biopsy soft tissue of back,,,21 ,,RBRVS,2.08 ,1.88 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121925,CPT,Biopsy soft tissue of back,,,21 ,,RBRVS,4.54 ,3.36 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121930,CPT,"Remove lesion, back or flank",,,21 ,,RBRVS,5.06 ,3.78 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010121935,CPT,"Remove tumor, back",,,21 ,,RBRVS,18.38 ,8.45 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122010,CPT,"I&d, p-spine, c/t/cerv-thor",,,21 ,,RBRVS,12.57 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010122015,CPT,"I&d, p-spine, l/s/ls",,,21 ,,RBRVS,12.46 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010122100,CPT,Remove part of neck vertebra,,,21 ,,RBRVS,10.80 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122101,CPT,"Remove part, thorax vertebra",,,21 ,,RBRVS,10.88 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122102,CPT,"Remove part, lumbar vertebra",,,21 ,,RBRVS,10.88 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122103,CPT,Remove extra spine segment,,,21 ,,RBRVS,2.34 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122110,CPT,Remove part of neck vertebra,,,21 ,,RBRVS,13.80 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122112,CPT,"Remove part, thorax vertebra",,,21 ,,RBRVS,13.87 ,9.03 ,9.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122114,CPT,"Remove part, lumbar vertebra",,,21 ,,RBRVS,13.87 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122116,CPT,Remove extra spine segment,,,21 ,,RBRVS,2.32 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122206,CPT,"Cut spine 3 col, thor",,,21 ,,RBRVS,37.00 ,17.73 ,17.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122207,CPT,"Cut spine 3 col, lumb",,,21 ,,RBRVS,36.50 ,17.61 ,17.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122208,CPT,"Cut spine 3 col, addl seg",,,21 ,,RBRVS,9.66 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122210,CPT,Revision of neck spine,,,21 ,,RBRVS,25.13 ,14.56 ,14.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122212,CPT,Revision of thorax spine,,,21 ,,RBRVS,20.74 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122214,CPT,Revision of lumbar spine,,,21 ,,RBRVS,20.77 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122216,CPT,"Revise, extra spine segment",,,21 ,,RBRVS,6.03 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122220,CPT,Revision of neck spine,,,21 ,,RBRVS,22.69 ,13.36 ,13.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122222,CPT,Revision of thorax spine,,,21 ,,RBRVS,22.84 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122224,CPT,Revision of lumbar spine,,,21 ,,RBRVS,22.84 ,12.90 ,12.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122226,CPT,"Revise, extra spine segment",,,21 ,,RBRVS,6.03 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122305,CPT,Treat spine process fracture,,,21 ,,RBRVS,2.08 ,1.80 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122310,CPT,Treat spine fracture,,,21 ,,RBRVS,3.69 ,2.50 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122315,CPT,Treat spine fracture,,,21 ,,RBRVS,9.91 ,7.44 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122318,CPT,Treat odontoid fx w/o graft,,,21 ,,RBRVS,22.54 ,13.27 ,13.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122319,CPT,Treat odontoid fx w/graft,,,21 ,,RBRVS,25.15 ,13.46 ,13.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122325,CPT,Treat spine fracture,,,21 ,,RBRVS,19.62 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122326,CPT,Treat neck spine fracture,,,21 ,,RBRVS,20.64 ,12.03 ,12.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122327,CPT,Treat thorax spine fracture,,,21 ,,RBRVS,20.52 ,12.34 ,12.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122328,CPT,Treat each add spine fx,,,21 ,,RBRVS,4.60 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122505,CPT,Manipulation of spine,,,21 ,,RBRVS,1.87 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122520,CPT,Percut vertebroplasty thor,,,21 ,,RBRVS,9.17 ,4.58 ,43.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122521,CPT,Percut vertebroplasty lumb,,,21 ,,RBRVS,8.60 ,4.36 ,45.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122522,CPT,Percut vertebroplasty addl,,,21 ,,RBRVS,4.30 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122523,CPT,"Percut kyphoplasty, thor",,,21 ,,RBRVS,9.21 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122524,CPT,"Percut kyphoplasty, lumbar",,,21 ,,RBRVS,8.81 ,4.53 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122525,CPT,"Percut kyphoplasty, add-on",,,21 ,,RBRVS,4.47 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122526,CPT,"Idet, single level",,,21 ,,RBRVS,6.07 ,2.05 ,46.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122527,CPT,"Idet, 1 or more levels",,,21 ,,RBRVS,3.03 ,0.70 ,40.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122532,CPT,Lat thorax spine fusion,,,21 ,,RBRVS,25.81 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122533,CPT,Lat lumbar spine fusion,,,21 ,,RBRVS,24.61 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122534,CPT,"Lat thor/lumb, add’l seg",,,21 ,,RBRVS,5.99 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122548,CPT,Neck spine fusion,,,21 ,,RBRVS,26.86 ,14.94 ,14.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122554,CPT,Neck spine fusion,,,21 ,,RBRVS,17.54 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122556,CPT,Thorax spine fusion,,,21 ,,RBRVS,24.50 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122558,CPT,Lumbar spine fusion,,,21 ,,RBRVS,23.33 ,11.44 ,11.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122585,CPT,Additional spinal fusion,,,21 ,,RBRVS,5.52 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122590,CPT,Spine & skull spinal fusion,,,21 ,,RBRVS,21.56 ,13.08 ,13.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122595,CPT,Neck spinal fusion,,,21 ,,RBRVS,20.44 ,12.65 ,12.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122600,CPT,Neck spine fusion,,,21 ,,RBRVS,17.20 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122610,CPT,Thorax spine fusion,,,21 ,,RBRVS,17.08 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122612,CPT,Lumbar spine fusion,,,21 ,,RBRVS,23.38 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122614,CPT,"Spine fusion, extra segment",,,21 ,,RBRVS,6.43 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122630,CPT,Lumbar spine fusion,,,21 ,,RBRVS,21.89 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122632,CPT,"Spine fusion, extra segment",,,21 ,,RBRVS,5.22 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122800,CPT,Fusion of spine,,,21 ,,RBRVS,19.30 ,11.16 ,11.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122802,CPT,Fusion of spine,,,21 ,,RBRVS,31.91 ,16.00 ,16.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122804,CPT,Fusion of spine,,,21 ,,RBRVS,37.30 ,18.13 ,18.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122808,CPT,Fusion of spine,,,21 ,,RBRVS,27.31 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122810,CPT,Fusion of spine,,,21 ,,RBRVS,31.30 ,14.92 ,14.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122812,CPT,Fusion of spine,,,21 ,,RBRVS,34.00 ,17.39 ,17.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122818,CPT,"Kyphectomy, 1-2 segments",,,21 ,,RBRVS,34.18 ,16.63 ,16.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122819,CPT,"Kyphectomy, 3 or more",,,21 ,,RBRVS,39.18 ,18.88 ,18.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122830,CPT,Exploration of spinal fusion,,,21 ,,RBRVS,11.13 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122840,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.52 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122841,CPT,Insert spine fixation device,,,21 ,,TotalUnits,,,,9.26 ,,$0.00,$0.00,1,0,1,1,1,1,2008010122842,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.56 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122843,CPT,Insert spine fixation device,,,21 ,,RBRVS,13.44 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122844,CPT,Insert spine fixation device,,,21 ,,RBRVS,16.42 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122845,CPT,Insert spine fixation device,,,21 ,,RBRVS,11.94 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122846,CPT,Insert spine fixation device,,,21 ,,RBRVS,12.40 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122847,CPT,Insert spine fixation device,,,21 ,,RBRVS,13.78 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122848,CPT,Insert pelv fixation device,,,21 ,,RBRVS,5.99 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122849,CPT,Reinsert spinal fixation,,,21 ,,RBRVS,19.08 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122850,CPT,Remove spine fixation device,,,21 ,,RBRVS,9.74 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122851,CPT,Apply spine prosth device,,,21 ,,RBRVS,6.70 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122852,CPT,Remove spine fixation device,,,21 ,,RBRVS,9.29 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122855,CPT,Remove spine fixation device,,,21 ,,RBRVS,15.77 ,9.18 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122857,CPT,Lumbar artif diskectomy,,,21 ,,RBRVS,26.93 ,14.82 ,14.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122862,CPT,Revise lumbar artif disc,,,21 ,,RBRVS,32.43 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122865,CPT,Remove lumb artif disc,,,21 ,,RBRVS,31.55 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122899,CPT,Spine surgery procedure,,,21 ,,TotalUnits,,,,19.09 ,,$0.00,$0.00,1,0,1,1,1,1,2008010122900,CPT,Remove abdominal wall lesion,,,21 ,,RBRVS,6.14 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010122999,CPT,Abdomen surgery procedure,,,21 ,,TotalUnits,,,,9.07 ,,$0.00,$0.00,1,0,1,1,1,1,2008010123000,CPT,Removal of calcium deposits,,,21 ,,RBRVS,4.40 ,3.74 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123020,CPT,Release shoulder joint,,,21 ,,RBRVS,9.24 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123030,CPT,Drain shoulder lesion,,,21 ,,RBRVS,3.44 ,2.40 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123031,CPT,Drain shoulder bursa,,,21 ,,RBRVS,2.76 ,2.22 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123035,CPT,Drain shoulder bone lesion,,,21 ,,RBRVS,9.04 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123040,CPT,Exploratory shoulder surgery,,,21 ,,RBRVS,9.63 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123044,CPT,Exploratory shoulder surgery,,,21 ,,RBRVS,7.48 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123065,CPT,Biopsy shoulder tissues,,,21 ,,RBRVS,2.28 ,1.74 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123066,CPT,Biopsy shoulder tissues,,,21 ,,RBRVS,4.21 ,3.61 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123075,CPT,Removal of shoulder lesion,,,21 ,,RBRVS,2.41 ,1.72 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123076,CPT,Removal of shoulder lesion,,,21 ,,RBRVS,7.77 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123077,CPT,Remove tumor of shoulder,,,21 ,,RBRVS,18.08 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123100,CPT,Biopsy of shoulder joint,,,21 ,,RBRVS,6.09 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123101,CPT,Shoulder joint surgery,,,21 ,,RBRVS,5.63 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123105,CPT,Remove shoulder joint lining,,,21 ,,RBRVS,8.36 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123106,CPT,Incision of collarbone joint,,,21 ,,RBRVS,6.02 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123107,CPT,Explore treat shoulder joint,,,21 ,,RBRVS,8.75 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123120,CPT,"Partial removal, collar bone",,,21 ,,RBRVS,7.23 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123125,CPT,Removal of collar bone,,,21 ,,RBRVS,9.52 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123130,CPT,"Remove shoulder bone, part",,,21 ,,RBRVS,7.63 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123140,CPT,Removal of bone lesion,,,21 ,,RBRVS,7.01 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123145,CPT,Removal of bone lesion,,,21 ,,RBRVS,9.28 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123146,CPT,Removal of bone lesion,,,21 ,,RBRVS,7.96 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123150,CPT,Removal of humerus lesion,,,21 ,,RBRVS,8.79 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123155,CPT,Removal of humerus lesion,,,21 ,,RBRVS,10.72 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123156,CPT,Removal of humerus lesion,,,21 ,,RBRVS,8.99 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123170,CPT,Remove collar bone lesion,,,21 ,,RBRVS,7.10 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123172,CPT,Remove shoulder blade lesion,,,21 ,,RBRVS,7.20 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123174,CPT,Remove humerus lesion,,,21 ,,RBRVS,9.90 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123180,CPT,Remove collar bone lesion,,,21 ,,RBRVS,8.85 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123182,CPT,Remove shoulder blade lesion,,,21 ,,RBRVS,8.47 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123184,CPT,Remove humerus lesion,,,21 ,,RBRVS,9.76 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123190,CPT,Partial removal of scapula,,,21 ,,RBRVS,7.36 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123195,CPT,Removal of head of humerus,,,21 ,,RBRVS,10.24 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123200,CPT,Removal of collar bone,,,21 ,,RBRVS,12.69 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123210,CPT,Removal of shoulder blade,,,21 ,,RBRVS,13.16 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123220,CPT,Partial removal of humerus,,,21 ,,RBRVS,15.36 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123221,CPT,Partial removal of humerus,,,21 ,,RBRVS,18.41 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123222,CPT,Partial removal of humerus,,,21 ,,RBRVS,25.44 ,13.35 ,13.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123330,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,1.87 ,1.51 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123331,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,7.51 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123332,CPT,Remove shoulder foreign body,,,21 ,,RBRVS,12.23 ,7.97 ,7.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123350,CPT,Injection for shoulder x-ray,,,21 ,,RBRVS,1.00 ,0.35 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123395,CPT,"Muscle transfer,shoulder/arm",,,21 ,,RBRVS,18.29 ,11.21 ,11.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123397,CPT,Muscle transfers,,,21 ,,RBRVS,16.62 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123400,CPT,Fixation of shoulder blade,,,21 ,,RBRVS,13.73 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123405,CPT,Incision of tendon & muscle,,,21 ,,RBRVS,8.43 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123406,CPT,Incise tendon(s) & muscle(s),,,21 ,,RBRVS,10.90 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123410,CPT,"Repair rotator cuff, acute",,,21 ,,RBRVS,12.63 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123412,CPT,"Repair rotator cuff, chronic",,,21 ,,RBRVS,13.55 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123415,CPT,Release of shoulder ligament,,,21 ,,RBRVS,10.09 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123420,CPT,Repair of shoulder,,,21 ,,RBRVS,14.75 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123430,CPT,Repair biceps tendon,,,21 ,,RBRVS,10.05 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123440,CPT,Remove/transplant tendon,,,21 ,,RBRVS,10.53 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123450,CPT,Repair shoulder capsule,,,21 ,,RBRVS,13.58 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123455,CPT,Repair shoulder capsule,,,21 ,,RBRVS,14.55 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123460,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.68 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123462,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.60 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123465,CPT,Repair shoulder capsule,,,21 ,,RBRVS,16.16 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123466,CPT,Repair shoulder capsule,,,21 ,,RBRVS,15.55 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123470,CPT,Reconstruct shoulder joint,,,21 ,,RBRVS,17.75 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123472,CPT,Reconstruct shoulder joint,,,21 ,,RBRVS,22.47 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123480,CPT,Revision of collar bone,,,21 ,,RBRVS,11.42 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123485,CPT,Revision of collar bone,,,21 ,,RBRVS,13.79 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123490,CPT,Reinforce clavicle,,,21 ,,RBRVS,12.04 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123491,CPT,Reinforce shoulder bones,,,21 ,,RBRVS,14.40 ,8.72 ,8.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123500,CPT,Treat clavicle fracture,,,21 ,,RBRVS,2.13 ,2.71 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123505,CPT,Treat clavicle fracture,,,21 ,,RBRVS,3.74 ,3.62 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123515,CPT,Treat clavicle fracture,,,21 ,,RBRVS,9.53 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123520,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,2.21 ,2.84 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123525,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,3.67 ,3.64 ,4.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123530,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,7.37 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123532,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,8.08 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123540,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,2.28 ,2.74 ,2.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123545,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,3.32 ,3.26 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123550,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,7.48 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123552,CPT,Treat clavicle dislocation,,,21 ,,RBRVS,8.70 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123570,CPT,Treat shoulder blade fx,,,21 ,,RBRVS,2.28 ,2.92 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123575,CPT,Treat shoulder blade fx,,,21 ,,RBRVS,4.12 ,4.08 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123585,CPT,Treat scapula fracture,,,21 ,,RBRVS,14.07 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123600,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.00 ,3.65 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123605,CPT,Treat humerus fracture,,,21 ,,RBRVS,4.94 ,4.60 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123615,CPT,Treat humerus fracture,,,21 ,,RBRVS,12.12 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123616,CPT,Treat humerus fracture,,,21 ,,RBRVS,18.19 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123620,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.46 ,3.15 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123625,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.99 ,3.92 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123630,CPT,Treat humerus fracture,,,21 ,,RBRVS,10.39 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123650,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,3.44 ,2.83 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123655,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,4.64 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123660,CPT,Treat shoulder dislocation,,,21 ,,RBRVS,7.55 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123665,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,4.54 ,4.27 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123670,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,12.12 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123675,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,6.13 ,5.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123680,CPT,Treat dislocation/fracture,,,21 ,,RBRVS,12.99 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123700,CPT,Fixation of shoulder,,,21 ,,RBRVS,2.54 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123800,CPT,Fusion of shoulder joint,,,21 ,,RBRVS,14.59 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123802,CPT,Fusion of shoulder joint,,,21 ,,RBRVS,18.17 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123900,CPT,Amputation of arm & girdle,,,21 ,,RBRVS,20.57 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123920,CPT,Amputation at shoulder joint,,,21 ,,RBRVS,16.03 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123921,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,5.61 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123929,CPT,Shoulder surgery procedure,,,21 ,,TotalUnits,,,,13.58 ,,$0.00,$0.00,1,0,1,1,1,1,2008010123930,CPT,Drainage of arm lesion,,,21 ,,RBRVS,2.96 ,1.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123931,CPT,Drainage of arm bursa,,,21 ,,RBRVS,1.81 ,1.75 ,4.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010123935,CPT,Drain arm/elbow bone lesion,,,21 ,,RBRVS,6.27 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124000,CPT,Exploratory elbow surgery,,,21 ,,RBRVS,5.99 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124006,CPT,Release elbow joint,,,21 ,,RBRVS,9.62 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124065,CPT,Biopsy arm/elbow soft tissue,,,21 ,,RBRVS,2.10 ,1.92 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124066,CPT,Biopsy arm/elbow soft tissue,,,21 ,,RBRVS,5.26 ,3.92 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124075,CPT,Remove arm/elbow lesion,,,21 ,,RBRVS,3.96 ,3.27 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124076,CPT,Remove arm/elbow lesion,,,21 ,,RBRVS,6.36 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124077,CPT,Remove tumor of arm/elbow,,,21 ,,RBRVS,11.95 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124100,CPT,Biopsy elbow joint lining,,,21 ,,RBRVS,4.98 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124101,CPT,Explore/treat elbow joint,,,21 ,,RBRVS,6.19 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124102,CPT,Remove elbow joint lining,,,21 ,,RBRVS,8.15 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124105,CPT,Removal of elbow bursa,,,21 ,,RBRVS,3.67 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124110,CPT,Remove humerus lesion,,,21 ,,RBRVS,7.46 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124115,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,10.00 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124116,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,12.11 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124120,CPT,Remove elbow lesion,,,21 ,,RBRVS,6.71 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124125,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,8.02 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124126,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,8.50 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124130,CPT,Removal of head of radius,,,21 ,,RBRVS,6.31 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124134,CPT,Removal of arm bone lesion,,,21 ,,RBRVS,10.10 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124136,CPT,Remove radius bone lesion,,,21 ,,RBRVS,8.29 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124138,CPT,Remove elbow bone lesion,,,21 ,,RBRVS,8.33 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124140,CPT,Partial removal of arm bone,,,21 ,,RBRVS,9.43 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124145,CPT,Partial removal of radius,,,21 ,,RBRVS,7.70 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124147,CPT,Partial removal of elbow,,,21 ,,RBRVS,7.69 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124149,CPT,Radical resection of elbow,,,21 ,,RBRVS,15.92 ,10.77 ,10.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124150,CPT,Extensive humerus surgery,,,21 ,,RBRVS,13.70 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124151,CPT,Extensive humerus surgery,,,21 ,,RBRVS,16.08 ,9.70 ,9.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124152,CPT,Extensive radius surgery,,,21 ,,RBRVS,10.24 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124153,CPT,Extensive radius surgery,,,21 ,,RBRVS,11.73 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124155,CPT,Removal of elbow joint,,,21 ,,RBRVS,11.97 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124160,CPT,Remove elbow joint implant,,,21 ,,RBRVS,7.89 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124164,CPT,Remove radius head implant,,,21 ,,RBRVS,6.34 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124200,CPT,Removal of arm foreign body,,,21 ,,RBRVS,1.78 ,1.36 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124201,CPT,Removal of arm foreign body,,,21 ,,RBRVS,4.61 ,3.66 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124220,CPT,Injection for elbow x-ray,,,21 ,,RBRVS,1.31 ,0.46 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124300,CPT,Manipulate elbow w/anesth,,,21 ,,RBRVS,3.86 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124301,CPT,Muscle/tendon transfer,,,21 ,,RBRVS,10.26 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124305,CPT,Arm tendon lengthening,,,21 ,,RBRVS,7.51 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124310,CPT,Revision of arm tendon,,,21 ,,RBRVS,6.03 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124320,CPT,Repair of arm tendon,,,21 ,,RBRVS,10.74 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124330,CPT,Revision of arm muscles,,,21 ,,RBRVS,9.67 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124331,CPT,Revision of arm muscles,,,21 ,,RBRVS,10.83 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124332,CPT,"Tenolysis, triceps",,,21 ,,RBRVS,7.77 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124340,CPT,Repair of biceps tendon,,,21 ,,RBRVS,7.96 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124341,CPT,Repair arm tendon/muscle,,,21 ,,RBRVS,9.24 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124342,CPT,Repair of ruptured tendon,,,21 ,,RBRVS,10.74 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124343,CPT,Repr elbow lat ligmnt w/tiss,,,21 ,,RBRVS,8.99 ,6.99 ,6.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124344,CPT,Reconstruct elbow lat ligmnt,,,21 ,,RBRVS,14.97 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124345,CPT,Repr elbw med ligmnt w/tissu,,,21 ,,RBRVS,8.99 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124346,CPT,Reconstruct elbow med ligmnt,,,21 ,,RBRVS,14.97 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124357,CPT,"Repair elbow, perc",,,21 ,,RBRVS,5.32 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124358,CPT,"Repair elbow w/deb, open",,,21 ,,RBRVS,6.54 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124359,CPT,Repair elbow deb/attch open,,,21 ,,RBRVS,8.86 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124360,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,12.53 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124361,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,14.27 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124362,CPT,Reconstruct elbow joint,,,21 ,,RBRVS,15.18 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124363,CPT,Replace elbow joint,,,21 ,,RBRVS,22.47 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124365,CPT,Reconstruct head of radius,,,21 ,,RBRVS,8.51 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124366,CPT,Reconstruct head of radius,,,21 ,,RBRVS,9.25 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124400,CPT,Revision of humerus,,,21 ,,RBRVS,11.19 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124410,CPT,Revision of humerus,,,21 ,,RBRVS,14.96 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124420,CPT,Revision of humerus,,,21 ,,RBRVS,13.58 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124430,CPT,Repair of humerus,,,21 ,,RBRVS,15.07 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124435,CPT,Repair humerus with graft,,,21 ,,RBRVS,14.74 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124470,CPT,Revision of elbow joint,,,21 ,,RBRVS,8.81 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124495,CPT,Decompression of forearm,,,21 ,,RBRVS,8.30 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124498,CPT,Reinforce humerus,,,21 ,,RBRVS,12.16 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124500,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.29 ,3.81 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124505,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.25 ,4.88 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124515,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.97 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124516,CPT,Treat humerus fracture,,,21 ,,RBRVS,12.07 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124530,CPT,Treat humerus fracture,,,21 ,,RBRVS,3.57 ,4.00 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124535,CPT,Treat humerus fracture,,,21 ,,RBRVS,6.96 ,5.86 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124538,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.63 ,7.19 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124545,CPT,Treat humerus fracture,,,21 ,,RBRVS,12.99 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124546,CPT,Treat humerus fracture,,,21 ,,RBRVS,14.73 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124560,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.87 ,3.43 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124565,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.64 ,5.05 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124566,CPT,Treat humerus fracture,,,21 ,,RBRVS,8.86 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124575,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.53 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124576,CPT,Treat humerus fracture,,,21 ,,RBRVS,2.94 ,3.71 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124577,CPT,Treat humerus fracture,,,21 ,,RBRVS,5.87 ,5.08 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124579,CPT,Treat humerus fracture,,,21 ,,RBRVS,11.26 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124582,CPT,Treat humerus fracture,,,21 ,,RBRVS,9.89 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124586,CPT,Treat elbow fracture,,,21 ,,RBRVS,15.64 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124587,CPT,Treat elbow fracture,,,21 ,,RBRVS,15.65 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124600,CPT,Treat elbow dislocation,,,21 ,,RBRVS,4.28 ,3.28 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124605,CPT,Treat elbow dislocation,,,21 ,,RBRVS,5.50 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124615,CPT,Treat elbow dislocation,,,21 ,,RBRVS,9.72 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124620,CPT,Treat elbow fracture,,,21 ,,RBRVS,7.07 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124635,CPT,Treat elbow fracture,,,21 ,,RBRVS,8.64 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124640,CPT,Treat elbow dislocation,,,21 ,,RBRVS,1.22 ,0.83 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124650,CPT,Treat radius fracture,,,21 ,,RBRVS,2.22 ,2.99 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124655,CPT,Treat radius fracture,,,21 ,,RBRVS,4.48 ,4.40 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124665,CPT,Treat radius fracture,,,21 ,,RBRVS,8.22 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124666,CPT,Treat radius fracture,,,21 ,,RBRVS,9.74 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124670,CPT,Treat ulnar fracture,,,21 ,,RBRVS,2.60 ,3.15 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124675,CPT,Treat ulnar fracture,,,21 ,,RBRVS,4.79 ,4.57 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124685,CPT,Treat ulnar fracture,,,21 ,,RBRVS,8.21 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124800,CPT,Fusion of elbow joint,,,21 ,,RBRVS,11.27 ,6.89 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124802,CPT,Fusion/graft of elbow joint,,,21 ,,RBRVS,14.18 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124900,CPT,Amputation of upper arm,,,21 ,,RBRVS,10.04 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124920,CPT,Amputation of upper arm,,,21 ,,RBRVS,10.02 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124925,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.19 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124930,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,10.72 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124931,CPT,Amputate upper arm & implant,,,21 ,,RBRVS,13.32 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124935,CPT,Revision of amputation,,,21 ,,RBRVS,16.30 ,10.47 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010124940,CPT,Revision of upper arm,,,21 ,,TotalUnits,,,,23.19 ,,$0.00,$0.00,1,0,1,1,1,1,2008010124999,CPT,Upper arm/elbow surgery,,,21 ,,TotalUnits,,,,8.53 ,,$0.00,$0.00,1,0,1,1,1,1,2008010125000,CPT,Incision of tendon sheath,,,21 ,,RBRVS,3.44 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125001,CPT,Incise flexor carpi radialis,,,21 ,,RBRVS,3.68 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125020,CPT,Decompress forearm 1 space,,,21 ,,RBRVS,5.97 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125023,CPT,Decompress forearm 1 space,,,21 ,,RBRVS,13.69 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125024,CPT,Decompress forearm 2 spaces,,,21 ,,RBRVS,10.62 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125025,CPT,Decompress forarm 2 spaces,,,21 ,,RBRVS,17.77 ,9.70 ,9.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125028,CPT,Drainage of forearm lesion,,,21 ,,RBRVS,5.30 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125031,CPT,Drainage of forearm bursa,,,21 ,,RBRVS,4.18 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125035,CPT,Treat forearm bone lesion,,,21 ,,RBRVS,7.54 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125040,CPT,Explore/treat wrist joint,,,21 ,,RBRVS,7.41 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125065,CPT,Biopsy forearm soft tissues,,,21 ,,RBRVS,2.01 ,1.98 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125066,CPT,Biopsy forearm soft tissues,,,21 ,,RBRVS,4.18 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125075,CPT,Removel forearm lesion subcu,,,21 ,,RBRVS,3.78 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125076,CPT,Removel forearm lesion deep,,,21 ,,RBRVS,4.97 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125077,CPT,"Remove tumor, forearm/wrist",,,21 ,,RBRVS,9.90 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125085,CPT,Incision of wrist capsule,,,21 ,,RBRVS,5.55 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125100,CPT,Biopsy of wrist joint,,,21 ,,RBRVS,3.94 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125101,CPT,Explore/treat wrist joint,,,21 ,,RBRVS,4.74 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125105,CPT,Remove wrist joint lining,,,21 ,,RBRVS,5.91 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125107,CPT,Remove wrist joint cartilage,,,21 ,,RBRVS,7.50 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125109,CPT,Excise tendon forearm/wrist,,,21 ,,RBRVS,6.81 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125110,CPT,Remove wrist tendon lesion,,,21 ,,RBRVS,3.96 ,3.62 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125111,CPT,Remove wrist tendon lesion,,,21 ,,RBRVS,3.44 ,3.62 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125112,CPT,Reremove wrist tendon lesion,,,21 ,,RBRVS,4.58 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125115,CPT,Remove wrist/forearm lesion,,,21 ,,RBRVS,9.89 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125116,CPT,Remove wrist/forearm lesion,,,21 ,,RBRVS,7.38 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125118,CPT,Excise wrist tendon sheath,,,21 ,,RBRVS,4.42 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125119,CPT,Partial removal of ulna,,,21 ,,RBRVS,6.10 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125120,CPT,Removal of forearm lesion,,,21 ,,RBRVS,6.16 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125125,CPT,Remove/graft forearm lesion,,,21 ,,RBRVS,7.55 ,5.68 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125126,CPT,Remove/graft forearm lesion,,,21 ,,RBRVS,7.62 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125130,CPT,Removal of wrist lesion,,,21 ,,RBRVS,5.32 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125135,CPT,Remove & graft wrist lesion,,,21 ,,RBRVS,6.96 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125136,CPT,Remove & graft wrist lesion,,,21 ,,RBRVS,6.03 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125145,CPT,Remove forearm bone lesion,,,21 ,,RBRVS,6.43 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125150,CPT,Partial removal of ulna,,,21 ,,RBRVS,7.27 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125151,CPT,Partial removal of radius,,,21 ,,RBRVS,7.57 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125170,CPT,Extensive forearm surgery,,,21 ,,RBRVS,11.34 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125210,CPT,Removal of wrist bone,,,21 ,,RBRVS,6.01 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125215,CPT,Removal of wrist bones,,,21 ,,RBRVS,8.02 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125230,CPT,Partial removal of radius,,,21 ,,RBRVS,5.28 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125240,CPT,Partial removal of ulna,,,21 ,,RBRVS,5.22 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125246,CPT,Injection for wrist x-ray,,,21 ,,RBRVS,1.45 ,0.53 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125248,CPT,Remove forearm foreign body,,,21 ,,RBRVS,5.20 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125250,CPT,Removal of wrist prosthesis,,,21 ,,RBRVS,6.66 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125251,CPT,Removal of wrist prosthesis,,,21 ,,RBRVS,9.70 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125259,CPT,Manipulate wrist w/anesthes,,,21 ,,RBRVS,3.86 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125260,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.89 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125263,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.90 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125265,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,9.96 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125270,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,6.06 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125272,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,7.10 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125274,CPT,Repair forearm tendon/muscle,,,21 ,,RBRVS,8.82 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125275,CPT,Repair forearm tendon sheath,,,21 ,,RBRVS,8.82 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125280,CPT,Revise wrist/forearm tendon,,,21 ,,RBRVS,7.28 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125290,CPT,Incise wrist/forearm tendon,,,21 ,,RBRVS,5.34 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125295,CPT,Release wrist/forearm tendon,,,21 ,,RBRVS,6.61 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125300,CPT,Fusion of tendons at wrist,,,21 ,,RBRVS,8.88 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125301,CPT,Fusion of tendons at wrist,,,21 ,,RBRVS,8.47 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125310,CPT,Transplant forearm tendon,,,21 ,,RBRVS,8.26 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125312,CPT,Transplant forearm tendon,,,21 ,,RBRVS,9.70 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125315,CPT,Revise palsy hand tendon(s),,,21 ,,RBRVS,10.56 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125316,CPT,Revise palsy hand tendon(s),,,21 ,,RBRVS,12.76 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125320,CPT,Repair/revise wrist joint,,,21 ,,RBRVS,12.38 ,9.87 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125332,CPT,Revise wrist joint,,,21 ,,RBRVS,11.60 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125335,CPT,Realignment of hand,,,21 ,,RBRVS,13.25 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125337,CPT,Reconstruct ulna/radioulnar,,,21 ,,RBRVS,11.44 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125350,CPT,Revision of radius,,,21 ,,RBRVS,8.97 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125355,CPT,Revision of radius,,,21 ,,RBRVS,10.41 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125360,CPT,Revision of ulna,,,21 ,,RBRVS,8.62 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125365,CPT,Revise radius & ulna,,,21 ,,RBRVS,12.77 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125370,CPT,Revise radius or ulna,,,21 ,,RBRVS,13.93 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125375,CPT,Revise radius & ulna,,,21 ,,RBRVS,13.41 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125390,CPT,Shorten radius or ulna,,,21 ,,RBRVS,10.58 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125391,CPT,Lengthen radius or ulna,,,21 ,,RBRVS,14.14 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125392,CPT,Shorten radius & ulna,,,21 ,,RBRVS,14.44 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125393,CPT,Lengthen radius & ulna,,,21 ,,RBRVS,16.42 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125394,CPT,"Repair carpal bone, shorten",,,21 ,,RBRVS,10.71 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125400,CPT,Repair radius or ulna,,,21 ,,RBRVS,11.16 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125405,CPT,Repair/graft radius or ulna,,,21 ,,RBRVS,14.87 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125415,CPT,Repair radius & ulna,,,21 ,,RBRVS,13.66 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125420,CPT,Repair/graft radius & ulna,,,21 ,,RBRVS,16.89 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125425,CPT,Repair/graft radius or ulna,,,21 ,,RBRVS,13.58 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125426,CPT,Repair/graft radius & ulna,,,21 ,,RBRVS,16.31 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125430,CPT,Vasc graft into carpal bone,,,21 ,,RBRVS,9.57 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125431,CPT,Repair nonunion carpal bone,,,21 ,,RBRVS,10.75 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125440,CPT,Repair/graft wrist bone,,,21 ,,RBRVS,10.56 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125441,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,13.15 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125442,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,10.98 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125443,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,10.52 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125444,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,11.28 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125445,CPT,Reconstruct wrist joint,,,21 ,,RBRVS,9.76 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125446,CPT,Wrist replacement,,,21 ,,RBRVS,17.16 ,9.99 ,9.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125447,CPT,Repair wrist joint(s),,,21 ,,RBRVS,10.95 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125449,CPT,Remove wrist joint implant,,,21 ,,RBRVS,14.80 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125450,CPT,Revision of wrist joint,,,21 ,,RBRVS,7.94 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125455,CPT,Revision of wrist joint,,,21 ,,RBRVS,9.57 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125490,CPT,Reinforce radius,,,21 ,,RBRVS,9.61 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125491,CPT,Reinforce ulna,,,21 ,,RBRVS,10.03 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125492,CPT,Reinforce radius and ulna,,,21 ,,RBRVS,12.52 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125500,CPT,Treat fracture of radius,,,21 ,,RBRVS,2.51 ,2.86 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125505,CPT,Treat fracture of radius,,,21 ,,RBRVS,5.30 ,4.98 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125515,CPT,Treat fracture of radius,,,21 ,,RBRVS,8.64 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125520,CPT,Treat fracture of radius,,,21 ,,RBRVS,6.35 ,5.14 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125525,CPT,Treat fracture of radius,,,21 ,,RBRVS,10.37 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125526,CPT,Treat fracture of radius,,,21 ,,RBRVS,12.96 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125530,CPT,Treat fracture of ulna,,,21 ,,RBRVS,2.15 ,2.98 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125535,CPT,Treat fracture of ulna,,,21 ,,RBRVS,5.22 ,4.84 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125545,CPT,Treat fracture of ulna,,,21 ,,RBRVS,7.78 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125560,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,2.50 ,2.85 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125565,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,5.71 ,4.93 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125574,CPT,Treat fracture radius & ulna,,,21 ,,RBRVS,8.64 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125575,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,12.10 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125600,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,2.69 ,3.17 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125605,CPT,Treat fracture radius/ulna,,,21 ,,RBRVS,7.02 ,6.14 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125606,CPT,Treat fx distal radial,,,21 ,,RBRVS,8.10 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125607,CPT,Treat fx rad extra-articul,,,21 ,,RBRVS,9.35 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125608,CPT,Treat fx rad intra-articul,,,21 ,,RBRVS,10.86 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125609,CPT,Treat fx radial 3+ frag,,,21 ,,RBRVS,14.12 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125622,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,2.68 ,3.36 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125624,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,4.62 ,4.78 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125628,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,9.51 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125630,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,2.94 ,3.25 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125635,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,4.47 ,4.34 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125645,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,7.31 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125650,CPT,Treat wrist bone fracture,,,21 ,,RBRVS,3.12 ,3.45 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125651,CPT,Pin ulnar styloid fracture,,,21 ,,RBRVS,5.68 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125652,CPT,Treat fracture ulnar styloid,,,21 ,,RBRVS,7.92 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125660,CPT,Treat wrist dislocation,,,21 ,,RBRVS,4.84 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125670,CPT,Treat wrist dislocation,,,21 ,,RBRVS,7.98 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125671,CPT,Pin radioulnar dislocation,,,21 ,,RBRVS,6.32 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125675,CPT,Treat wrist dislocation,,,21 ,,RBRVS,4.75 ,4.00 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125676,CPT,Treat wrist dislocation,,,21 ,,RBRVS,8.17 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125680,CPT,Treat wrist fracture,,,21 ,,RBRVS,6.08 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125685,CPT,Treat wrist fracture,,,21 ,,RBRVS,9.97 ,6.63 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125690,CPT,Treat wrist dislocation,,,21 ,,RBRVS,5.58 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125695,CPT,Treat wrist dislocation,,,21 ,,RBRVS,8.40 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125800,CPT,Fusion of wrist joint,,,21 ,,RBRVS,9.95 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125805,CPT,Fusion/graft of wrist joint,,,21 ,,RBRVS,11.59 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125810,CPT,Fusion/graft of wrist joint,,,21 ,,RBRVS,11.75 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125820,CPT,Fusion of hand bones,,,21 ,,RBRVS,7.52 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125825,CPT,Fuse hand bones with graft,,,21 ,,RBRVS,9.54 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125830,CPT,"Fusion, radioulnar jnt/ulna",,,21 ,,RBRVS,10.69 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125900,CPT,Amputation of forearm,,,21 ,,RBRVS,9.46 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125905,CPT,Amputation of forearm,,,21 ,,RBRVS,9.48 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125907,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.98 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125909,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,9.20 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125915,CPT,Amputation of forearm,,,21 ,,RBRVS,17.38 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125920,CPT,Amputate hand at wrist,,,21 ,,RBRVS,8.92 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125922,CPT,Amputate hand at wrist,,,21 ,,RBRVS,7.54 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125924,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.70 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125927,CPT,Amputation of hand,,,21 ,,RBRVS,8.98 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125929,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.71 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125931,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.93 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010125999,CPT,Forearm or wrist surgery,,,21 ,,TotalUnits,,,,8.21 ,,$0.00,$0.00,1,0,1,1,1,1,2008010126010,CPT,Drainage of finger abscess,,,21 ,,RBRVS,1.56 ,1.52 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126011,CPT,Drainage of finger abscess,,,21 ,,RBRVS,2.21 ,1.96 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126020,CPT,Drain hand tendon sheath,,,21 ,,RBRVS,4.97 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126025,CPT,Drainage of palm bursa,,,21 ,,RBRVS,4.99 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126030,CPT,Drainage of palm bursa(s),,,21 ,,RBRVS,6.16 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126034,CPT,Treat hand bone lesion,,,21 ,,RBRVS,6.49 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126035,CPT,Decompress fingers/hand,,,21 ,,RBRVS,11.14 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126037,CPT,Decompress fingers/hand,,,21 ,,RBRVS,7.48 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126040,CPT,Release palm contracture,,,21 ,,RBRVS,3.38 ,3.60 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126045,CPT,Release palm contracture,,,21 ,,RBRVS,5.62 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126055,CPT,Incise finger tendon sheath,,,21 ,,RBRVS,3.00 ,3.83 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126060,CPT,Incision of finger tendon,,,21 ,,RBRVS,2.85 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126070,CPT,Explore/treat hand joint,,,21 ,,RBRVS,3.73 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126075,CPT,Explore/treat finger joint,,,21 ,,RBRVS,3.83 ,3.37 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126080,CPT,Explore/treat finger joint,,,21 ,,RBRVS,4.36 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126100,CPT,Biopsy hand joint lining,,,21 ,,RBRVS,3.71 ,3.67 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126105,CPT,Biopsy finger joint lining,,,21 ,,RBRVS,3.75 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126110,CPT,Biopsy finger joint lining,,,21 ,,RBRVS,3.57 ,3.61 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126115,CPT,Removel hand lesion subcut,,,21 ,,RBRVS,3.92 ,4.23 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126116,CPT,"Removel hand lesion, deep",,,21 ,,RBRVS,5.61 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126117,CPT,"Remove tumor, hand/finger",,,21 ,,RBRVS,8.62 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126121,CPT,Release palm contracture,,,21 ,,RBRVS,7.61 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126123,CPT,Release palm contracture,,,21 ,,RBRVS,10.63 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126125,CPT,Release palm contracture,,,21 ,,RBRVS,4.60 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126130,CPT,Remove wrist joint lining,,,21 ,,RBRVS,5.48 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126135,CPT,"Revise finger joint, each",,,21 ,,RBRVS,7.02 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126140,CPT,"Revise finger joint, each",,,21 ,,RBRVS,6.23 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126145,CPT,"Tendon excision, palm/finger",,,21 ,,RBRVS,6.38 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126160,CPT,Remove tendon sheath lesion,,,21 ,,RBRVS,3.46 ,3.94 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126170,CPT,"Removal of palm tendon, each",,,21 ,,RBRVS,4.82 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126180,CPT,Removal of finger tendon,,,21 ,,RBRVS,5.24 ,4.71 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126185,CPT,Remove finger bone,,,21 ,,RBRVS,6.32 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126200,CPT,Remove hand bone lesion,,,21 ,,RBRVS,5.56 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126205,CPT,Remove/graft bone lesion,,,21 ,,RBRVS,7.82 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126210,CPT,Removal of finger lesion,,,21 ,,RBRVS,5.21 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126215,CPT,Remove/graft finger lesion,,,21 ,,RBRVS,7.16 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126230,CPT,Partial removal of hand bone,,,21 ,,RBRVS,6.38 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126235,CPT,"Partial removal, finger bone",,,21 ,,RBRVS,6.24 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126236,CPT,"Partial removal, finger bone",,,21 ,,RBRVS,5.37 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126250,CPT,Extensive hand surgery,,,21 ,,RBRVS,7.61 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126255,CPT,Extensive hand surgery,,,21 ,,RBRVS,12.80 ,8.29 ,8.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126260,CPT,Extensive finger surgery,,,21 ,,RBRVS,7.09 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126261,CPT,Extensive finger surgery,,,21 ,,RBRVS,9.28 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126262,CPT,Partial removal of finger,,,21 ,,RBRVS,5.72 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126320,CPT,Removal of implant from hand,,,21 ,,RBRVS,4.02 ,3.79 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126340,CPT,Manipulate finger w/anesth,,,21 ,,RBRVS,2.62 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126350,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,6.07 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126352,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,7.75 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126356,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,10.22 ,13.72 ,13.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126357,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.65 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126358,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,9.22 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126370,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,7.17 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126372,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,8.89 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126373,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,8.29 ,10.17 ,10.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126390,CPT,Revise hand/finger tendon,,,21 ,,RBRVS,9.31 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126392,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,10.38 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126410,CPT,Repair hand tendon,,,21 ,,RBRVS,4.68 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126412,CPT,Repair/graft hand tendon,,,21 ,,RBRVS,6.37 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126415,CPT,"Excision, hand/finger tendon",,,21 ,,RBRVS,8.40 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126416,CPT,Graft hand or finger tendon,,,21 ,,RBRVS,9.44 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126418,CPT,Repair finger tendon,,,21 ,,RBRVS,4.33 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126420,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,6.83 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126426,CPT,Repair finger/hand tendon,,,21 ,,RBRVS,6.21 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126428,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,7.28 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126432,CPT,Repair finger tendon,,,21 ,,RBRVS,4.07 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126433,CPT,Repair finger tendon,,,21 ,,RBRVS,4.61 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126434,CPT,Repair/graft finger tendon,,,21 ,,RBRVS,6.15 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126437,CPT,Realignment of tendons,,,21 ,,RBRVS,5.88 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126440,CPT,Release palm/finger tendon,,,21 ,,RBRVS,5.07 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126442,CPT,Release palm & finger tendon,,,21 ,,RBRVS,9.50 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126445,CPT,Release hand/finger tendon,,,21 ,,RBRVS,4.36 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126449,CPT,Release forearm/hand tendon,,,21 ,,RBRVS,8.34 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126450,CPT,Incision of palm tendon,,,21 ,,RBRVS,3.71 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126455,CPT,Incision of finger tendon,,,21 ,,RBRVS,3.68 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126460,CPT,Incise hand/finger tendon,,,21 ,,RBRVS,3.50 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126471,CPT,Fusion of finger tendons,,,21 ,,RBRVS,5.79 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126474,CPT,Fusion of finger tendons,,,21 ,,RBRVS,5.38 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126476,CPT,Tendon lengthening,,,21 ,,RBRVS,5.24 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126477,CPT,Tendon shortening,,,21 ,,RBRVS,5.21 ,7.58 ,7.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126478,CPT,Lengthening of hand tendon,,,21 ,,RBRVS,5.86 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126479,CPT,Shortening of hand tendon,,,21 ,,RBRVS,5.80 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126480,CPT,Transplant hand tendon,,,21 ,,RBRVS,6.76 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126483,CPT,Transplant/graft hand tendon,,,21 ,,RBRVS,8.36 ,10.23 ,10.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126485,CPT,Transplant palm tendon,,,21 ,,RBRVS,7.77 ,10.09 ,10.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126489,CPT,Transplant/graft palm tendon,,,21 ,,RBRVS,9.74 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126490,CPT,Revise thumb tendon,,,21 ,,RBRVS,8.48 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126492,CPT,Tendon transfer with graft,,,21 ,,RBRVS,9.70 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126494,CPT,Hand tendon/muscle transfer,,,21 ,,RBRVS,8.54 ,9.24 ,9.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126496,CPT,Revise thumb tendon,,,21 ,,RBRVS,9.66 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126497,CPT,Finger tendon transfer,,,21 ,,RBRVS,9.64 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126498,CPT,Finger tendon transfer,,,21 ,,RBRVS,14.07 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126499,CPT,Revision of finger,,,21 ,,RBRVS,9.05 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126500,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,6.02 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126502,CPT,Hand tendon reconstruction,,,21 ,,RBRVS,7.20 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126508,CPT,Release thumb contracture,,,21 ,,RBRVS,6.07 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126510,CPT,Thumb tendon transfer,,,21 ,,RBRVS,5.49 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126516,CPT,Fusion of knuckle joint,,,21 ,,RBRVS,7.21 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126517,CPT,Fusion of knuckle joints,,,21 ,,RBRVS,8.96 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126518,CPT,Fusion of knuckle joints,,,21 ,,RBRVS,9.15 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126520,CPT,Release knuckle contracture,,,21 ,,RBRVS,5.36 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126525,CPT,Release finger contracture,,,21 ,,RBRVS,5.39 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126530,CPT,Revise knuckle joint,,,21 ,,RBRVS,6.76 ,5.41 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126531,CPT,Revise knuckle with implant,,,21 ,,RBRVS,7.99 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126535,CPT,Revise finger joint,,,21 ,,RBRVS,5.30 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126536,CPT,Revise/implant finger joint,,,21 ,,RBRVS,6.44 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126540,CPT,Repair hand joint,,,21 ,,RBRVS,6.49 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126541,CPT,Repair hand joint with graft,,,21 ,,RBRVS,8.69 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126542,CPT,Repair hand joint with graft,,,21 ,,RBRVS,6.84 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126545,CPT,Reconstruct finger joint,,,21 ,,RBRVS,6.99 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126546,CPT,Repair nonunion hand,,,21 ,,RBRVS,10.53 ,11.43 ,11.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126548,CPT,Reconstruct finger joint,,,21 ,,RBRVS,8.10 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126550,CPT,Construct thumb replacement,,,21 ,,RBRVS,21.54 ,14.55 ,14.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126551,CPT,Great toe-hand transfer,,,21 ,,RBRVS,48.23 ,17.17 ,17.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126553,CPT,"Single transfer, toe-hand",,,21 ,,RBRVS,47.92 ,27.38 ,27.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126554,CPT,"Double transfer, toe-hand",,,21 ,,RBRVS,56.73 ,35.82 ,35.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126555,CPT,Positional change of finger,,,21 ,,RBRVS,16.94 ,14.01 ,14.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126556,CPT,Toe joint transfer,,,21 ,,RBRVS,49.43 ,18.05 ,18.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126560,CPT,Repair of web finger,,,21 ,,RBRVS,5.43 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126561,CPT,Repair of web finger,,,21 ,,RBRVS,10.98 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126562,CPT,Repair of web finger,,,21 ,,RBRVS,16.40 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126565,CPT,Correct metacarpal flaw,,,21 ,,RBRVS,6.80 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126567,CPT,Correct finger deformity,,,21 ,,RBRVS,6.88 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126568,CPT,Lengthen metacarpal/finger,,,21 ,,RBRVS,9.15 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126580,CPT,Repair hand deformity,,,21 ,,RBRVS,19.50 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126587,CPT,Reconstruct extra finger,,,21 ,,RBRVS,14.36 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126590,CPT,Repair finger deformity,,,21 ,,RBRVS,18.51 ,12.43 ,12.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126591,CPT,Repair muscles of hand,,,21 ,,RBRVS,3.30 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126593,CPT,Release muscles of hand,,,21 ,,RBRVS,5.38 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126596,CPT,Excision constricting tissue,,,21 ,,RBRVS,9.02 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126600,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,2.48 ,3.49 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126605,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,2.92 ,3.51 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126607,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.40 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126608,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,5.43 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126615,CPT,Treat metacarpal fracture,,,21 ,,RBRVS,6.91 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126641,CPT,Treat thumb dislocation,,,21 ,,RBRVS,4.01 ,3.40 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126645,CPT,Treat thumb fracture,,,21 ,,RBRVS,4.47 ,3.92 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126650,CPT,Treat thumb fracture,,,21 ,,RBRVS,5.19 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126665,CPT,Treat thumb fracture,,,21 ,,RBRVS,7.78 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126670,CPT,Treat hand dislocation,,,21 ,,RBRVS,3.74 ,3.03 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126675,CPT,Treat hand dislocation,,,21 ,,RBRVS,4.71 ,4.52 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126676,CPT,Pin hand dislocation,,,21 ,,RBRVS,5.60 ,5.57 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126685,CPT,Treat hand dislocation,,,21 ,,RBRVS,6.91 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126686,CPT,Treat hand dislocation,,,21 ,,RBRVS,8.06 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126700,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,3.74 ,2.93 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126705,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,4.26 ,4.04 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126706,CPT,Pin knuckle dislocation,,,21 ,,RBRVS,5.19 ,4.70 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126715,CPT,Treat knuckle dislocation,,,21 ,,RBRVS,6.87 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126720,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.70 ,2.30 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126725,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.39 ,3.41 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126727,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.30 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126735,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,7.26 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126740,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.99 ,2.72 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126742,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.90 ,3.57 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126746,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,9.59 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126750,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,1.74 ,2.26 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126755,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,3.15 ,2.94 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126756,CPT,"Pin finger fracture, each",,,21 ,,RBRVS,4.46 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126765,CPT,"Treat finger fracture, each",,,21 ,,RBRVS,5.70 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126770,CPT,Treat finger dislocation,,,21 ,,RBRVS,3.07 ,2.55 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126775,CPT,Treat finger dislocation,,,21 ,,RBRVS,3.78 ,3.88 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126776,CPT,Pin finger dislocation,,,21 ,,RBRVS,4.87 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126785,CPT,Treat finger dislocation,,,21 ,,RBRVS,6.44 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126820,CPT,Thumb fusion with graft,,,21 ,,RBRVS,8.33 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126841,CPT,Fusion of thumb,,,21 ,,RBRVS,7.21 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126842,CPT,Thumb fusion with graft,,,21 ,,RBRVS,8.37 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126843,CPT,Fusion of hand joint,,,21 ,,RBRVS,7.67 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126844,CPT,Fusion/graft of hand joint,,,21 ,,RBRVS,8.86 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126850,CPT,Fusion of knuckle,,,21 ,,RBRVS,7.03 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126852,CPT,Fusion of knuckle with graft,,,21 ,,RBRVS,8.59 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126860,CPT,Fusion of finger joint,,,21 ,,RBRVS,4.76 ,7.54 ,7.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126861,CPT,"Fusion of finger jnt, add-on",,,21 ,,RBRVS,1.74 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126862,CPT,Fusion/graft of finger joint,,,21 ,,RBRVS,7.44 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126863,CPT,Fuse/graft added joint,,,21 ,,RBRVS,3.89 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126910,CPT,Amputate metacarpal bone,,,21 ,,RBRVS,7.67 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126951,CPT,Amputation of finger/thumb,,,21 ,,RBRVS,5.85 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126952,CPT,Amputation of finger/thumb,,,21 ,,RBRVS,6.37 ,7.91 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126989,CPT,Hand/finger surgery,,,21 ,,TotalUnits,,,,7.89 ,,$0.00,$0.00,1,0,1,1,1,1,2008010126990,CPT,Drainage of pelvis lesion,,,21 ,,RBRVS,7.84 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126991,CPT,Drainage of pelvis bursa,,,21 ,,RBRVS,6.97 ,4.88 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010126992,CPT,Drainage of bone lesion,,,21 ,,RBRVS,13.37 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127000,CPT,Incision of hip tendon,,,21 ,,RBRVS,5.66 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127001,CPT,Incision of hip tendon,,,21 ,,RBRVS,7.05 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127003,CPT,Incision of hip tendon,,,21 ,,RBRVS,7.70 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127005,CPT,Incision of hip tendon,,,21 ,,RBRVS,9.96 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127006,CPT,Incision of hip tendons,,,21 ,,RBRVS,9.99 ,6.76 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127025,CPT,Incision of hip/thigh fascia,,,21 ,,RBRVS,12.66 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127030,CPT,Drainage of hip joint,,,21 ,,RBRVS,13.54 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127033,CPT,Exploration of hip joint,,,21 ,,RBRVS,13.99 ,8.40 ,8.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127035,CPT,Denervation of hip joint,,,21 ,,RBRVS,17.23 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127036,CPT,Excision of hip joint/muscle,,,21 ,,RBRVS,14.18 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127040,CPT,Biopsy of soft tissues,,,21 ,,RBRVS,2.89 ,1.87 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127041,CPT,Biopsy of soft tissues,,,21 ,,RBRVS,10.07 ,5.74 ,5.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127047,CPT,Remove hip/pelvis lesion,,,21 ,,RBRVS,7.51 ,4.50 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127048,CPT,Remove hip/pelvis lesion,,,21 ,,RBRVS,6.44 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127049,CPT,"Remove tumor, hip/pelvis",,,21 ,,RBRVS,15.20 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127050,CPT,Biopsy of sacroiliac joint,,,21 ,,RBRVS,4.65 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127052,CPT,Biopsy of hip joint,,,21 ,,RBRVS,7.27 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127054,CPT,Removal of hip joint lining,,,21 ,,RBRVS,9.09 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127060,CPT,Removal of ischial bursa,,,21 ,,RBRVS,5.78 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127062,CPT,Remove femur lesion/bursa,,,21 ,,RBRVS,5.66 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127065,CPT,Removal of hip bone lesion,,,21 ,,RBRVS,6.44 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127066,CPT,Removal of hip bone lesion,,,21 ,,RBRVS,11.06 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127067,CPT,Remove/graft hip bone lesion,,,21 ,,RBRVS,14.57 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127070,CPT,Partial removal of hip bone,,,21 ,,RBRVS,11.44 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127071,CPT,Partial removal of hip bone,,,21 ,,RBRVS,12.25 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127075,CPT,Extensive hip surgery,,,21 ,,RBRVS,36.77 ,16.15 ,16.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127076,CPT,Extensive hip surgery,,,21 ,,RBRVS,24.25 ,12.83 ,12.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127077,CPT,Extensive hip surgery,,,21 ,,RBRVS,42.54 ,19.95 ,19.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127078,CPT,Extensive hip surgery,,,21 ,,RBRVS,14.54 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127079,CPT,Extensive hip surgery,,,21 ,,RBRVS,14.91 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127080,CPT,Removal of tail bone,,,21 ,,RBRVS,6.80 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127086,CPT,Remove hip foreign body,,,21 ,,RBRVS,1.89 ,1.48 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127087,CPT,Remove hip foreign body,,,21 ,,RBRVS,8.72 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127090,CPT,Removal of hip prosthesis,,,21 ,,RBRVS,11.57 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127091,CPT,Removal of hip prosthesis,,,21 ,,RBRVS,24.15 ,12.91 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127093,CPT,Injection for hip x-ray,,,21 ,,RBRVS,1.30 ,0.47 ,3.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127095,CPT,Injection for hip x-ray,,,21 ,,RBRVS,1.50 ,0.51 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127096,CPT,Inject sacroiliac joint,,,21 ,,RBRVS,1.40 ,0.33 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127097,CPT,Revision of hip tendon,,,21 ,,RBRVS,9.16 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127098,CPT,Transfer tendon to pelvis,,,21 ,,RBRVS,9.20 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127100,CPT,Transfer of abdominal muscle,,,21 ,,RBRVS,11.21 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127105,CPT,Transfer of spinal muscle,,,21 ,,RBRVS,11.90 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127110,CPT,Transfer of iliopsoas muscle,,,21 ,,RBRVS,13.63 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127111,CPT,Transfer of iliopsoas muscle,,,21 ,,RBRVS,12.46 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127120,CPT,Reconstruction of hip socket,,,21 ,,RBRVS,19.10 ,10.82 ,10.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127122,CPT,Reconstruction of hip socket,,,21 ,,RBRVS,15.95 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127125,CPT,Partial hip replacement,,,21 ,,RBRVS,16.46 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127130,CPT,Total hip arthroplasty,,,21 ,,RBRVS,21.61 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127132,CPT,Total hip arthroplasty,,,21 ,,RBRVS,25.49 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127134,CPT,Revise hip joint replacement,,,21 ,,RBRVS,30.13 ,14.69 ,14.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127137,CPT,Revise hip joint replacement,,,21 ,,RBRVS,22.55 ,11.73 ,11.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127138,CPT,Revise hip joint replacement,,,21 ,,RBRVS,23.55 ,12.12 ,12.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127140,CPT,Transplant femur ridge,,,21 ,,RBRVS,12.66 ,7.88 ,7.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127146,CPT,Incision of hip bone,,,21 ,,RBRVS,18.72 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127147,CPT,Revision of hip bone,,,21 ,,RBRVS,21.87 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127151,CPT,Incision of hip bones,,,21 ,,RBRVS,23.92 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127156,CPT,Revision of hip bones,,,21 ,,RBRVS,26.03 ,13.72 ,13.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127158,CPT,Revision of pelvis,,,21 ,,RBRVS,20.89 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127161,CPT,Incision of neck of femur,,,21 ,,RBRVS,17.74 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127165,CPT,Incision/fixation of femur,,,21 ,,RBRVS,20.06 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127170,CPT,Repair/graft femur head/neck,,,21 ,,RBRVS,17.46 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127175,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,9.29 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127176,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,12.78 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127177,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,15.94 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127178,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,12.78 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127179,CPT,Revise head/neck of femur,,,21 ,,RBRVS,13.83 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127181,CPT,Treat slipped epiphysis,,,21 ,,RBRVS,15.98 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127185,CPT,Revision of femur epiphysis,,,21 ,,RBRVS,9.67 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127187,CPT,Reinforce hip bones,,,21 ,,RBRVS,14.09 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127193,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,5.98 ,4.76 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127194,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,10.08 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127200,CPT,Treat tail bone fracture,,,21 ,,RBRVS,1.87 ,2.22 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127202,CPT,Treat tail bone fracture,,,21 ,,RBRVS,7.25 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127215,CPT,Treat pelvic fracture(s),,,21 ,,RBRVS,10.45 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127216,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,15.73 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127217,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,14.65 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127218,CPT,Treat pelvic ring fracture,,,21 ,,RBRVS,20.93 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127220,CPT,Treat hip socket fracture,,,21 ,,RBRVS,6.72 ,5.15 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127222,CPT,Treat hip socket fracture,,,21 ,,RBRVS,13.97 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127226,CPT,Treat hip wall fracture,,,21 ,,RBRVS,15.45 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127227,CPT,Treat hip fracture(s),,,21 ,,RBRVS,25.21 ,13.38 ,13.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127228,CPT,Treat hip fracture(s),,,21 ,,RBRVS,29.13 ,14.85 ,14.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127230,CPT,Treat thigh fracture,,,21 ,,RBRVS,5.69 ,4.87 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127232,CPT,Treat thigh fracture,,,21 ,,RBRVS,11.66 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127235,CPT,Treat thigh fracture,,,21 ,,RBRVS,12.88 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127236,CPT,Treat thigh fracture,,,21 ,,RBRVS,17.43 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127238,CPT,Treat thigh fracture,,,21 ,,RBRVS,5.64 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127240,CPT,Treat thigh fracture,,,21 ,,RBRVS,13.66 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127244,CPT,Treat thigh fracture,,,21 ,,RBRVS,17.08 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127245,CPT,Treat thigh fracture,,,21 ,,RBRVS,21.09 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127246,CPT,Treat thigh fracture,,,21 ,,RBRVS,4.75 ,3.95 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127248,CPT,Treat thigh fracture,,,21 ,,RBRVS,10.64 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127250,CPT,Treat hip dislocation,,,21 ,,RBRVS,7.21 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127252,CPT,Treat hip dislocation,,,21 ,,RBRVS,10.92 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127253,CPT,Treat hip dislocation,,,21 ,,RBRVS,13.46 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127254,CPT,Treat hip dislocation,,,21 ,,RBRVS,18.80 ,10.54 ,10.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127256,CPT,Treat hip dislocation,,,21 ,,RBRVS,4.25 ,1.41 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127257,CPT,Treat hip dislocation,,,21 ,,RBRVS,5.35 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127258,CPT,Treat hip dislocation,,,21 ,,RBRVS,16.04 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127259,CPT,Treat hip dislocation,,,21 ,,RBRVS,23.03 ,12.78 ,12.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127265,CPT,Treat hip dislocation,,,21 ,,RBRVS,5.12 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127266,CPT,Treat hip dislocation,,,21 ,,RBRVS,7.67 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127267,CPT,Cltx thigh fx,,,21 ,,RBRVS,5.38 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127268,CPT,Cltx thigh fx w/mnpj,,,21 ,,RBRVS,7.00 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127269,CPT,Optx thigh fx,,,21 ,,RBRVS,18.75 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127275,CPT,Manipulation of hip joint,,,21 ,,RBRVS,2.29 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127280,CPT,Fusion of sacroiliac joint,,,21 ,,RBRVS,14.49 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127282,CPT,Fusion of pubic bones,,,21 ,,RBRVS,11.71 ,7.78 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127284,CPT,Fusion of hip joint,,,21 ,,RBRVS,24.91 ,12.01 ,12.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127286,CPT,Fusion of hip joint,,,21 ,,RBRVS,24.97 ,12.61 ,12.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127290,CPT,Amputation of leg at hip,,,21 ,,RBRVS,24.38 ,12.11 ,12.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127295,CPT,Amputation of leg at hip,,,21 ,,RBRVS,19.54 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127299,CPT,Pelvis/hip joint surgery,,,21 ,,TotalUnits,,,,33.30 ,,$0.00,$0.00,1,0,1,1,1,1,2008010127301,CPT,Drain thigh/knee lesion,,,21 ,,RBRVS,6.67 ,4.65 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127303,CPT,Drainage of bone lesion,,,21 ,,RBRVS,8.52 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127305,CPT,Incise thigh tendon & fascia,,,21 ,,RBRVS,6.09 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127306,CPT,Incision of thigh tendon,,,21 ,,RBRVS,4.66 ,4.08 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127307,CPT,Incision of thigh tendons,,,21 ,,RBRVS,5.97 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127310,CPT,Exploration of knee joint,,,21 ,,RBRVS,9.88 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127323,CPT,"Biopsy, thigh soft tissues",,,21 ,,RBRVS,2.30 ,1.93 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127324,CPT,"Biopsy, thigh soft tissues",,,21 ,,RBRVS,4.95 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127325,CPT,"Neurectomy, hamstring",,,21 ,,RBRVS,7.09 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127326,CPT,"Neurectomy, popliteal",,,21 ,,RBRVS,6.36 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127327,CPT,Removal of thigh lesion,,,21 ,,RBRVS,4.52 ,3.58 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127328,CPT,Removal of thigh lesion,,,21 ,,RBRVS,5.62 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127329,CPT,"Remove tumor, thigh/knee",,,21 ,,RBRVS,15.68 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127330,CPT,"Biopsy, knee joint lining",,,21 ,,RBRVS,5.02 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127331,CPT,Explore/treat knee joint,,,21 ,,RBRVS,5.93 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127332,CPT,Removal of knee cartilage,,,21 ,,RBRVS,8.34 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127333,CPT,Removal of knee cartilage,,,21 ,,RBRVS,7.43 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127334,CPT,Remove knee joint lining,,,21 ,,RBRVS,9.07 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127335,CPT,Remove knee joint lining,,,21 ,,RBRVS,10.43 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127340,CPT,Removal of kneecap bursa,,,21 ,,RBRVS,4.23 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127345,CPT,Removal of knee cyst,,,21 ,,RBRVS,5.98 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127347,CPT,Remove knee cyst,,,21 ,,RBRVS,6.58 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127350,CPT,Removal of kneecap,,,21 ,,RBRVS,8.54 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127355,CPT,Remove femur lesion,,,21 ,,RBRVS,7.89 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127356,CPT,Remove femur lesion/graft,,,21 ,,RBRVS,9.97 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127357,CPT,Remove femur lesion/graft,,,21 ,,RBRVS,11.02 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127358,CPT,Remove femur lesion/fixation,,,21 ,,RBRVS,4.73 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127360,CPT,"Partial removal, leg bone(s)",,,21 ,,RBRVS,11.34 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127365,CPT,Extensive leg surgery,,,21 ,,RBRVS,17.93 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127370,CPT,Injection for knee x-ray,,,21 ,,RBRVS,0.96 ,0.36 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127372,CPT,Removal of foreign body,,,21 ,,RBRVS,5.12 ,4.04 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127380,CPT,Repair of kneecap tendon,,,21 ,,RBRVS,7.34 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127381,CPT,Repair/graft kneecap tendon,,,21 ,,RBRVS,10.64 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127385,CPT,Repair of thigh muscle,,,21 ,,RBRVS,8.00 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127386,CPT,Repair/graft of thigh muscle,,,21 ,,RBRVS,10.99 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127390,CPT,Incision of thigh tendon,,,21 ,,RBRVS,5.44 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127391,CPT,Incision of thigh tendons,,,21 ,,RBRVS,7.38 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127392,CPT,Incision of thigh tendons,,,21 ,,RBRVS,9.51 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127393,CPT,Lengthening of thigh tendon,,,21 ,,RBRVS,6.50 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127394,CPT,Lengthening of thigh tendons,,,21 ,,RBRVS,8.68 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127395,CPT,Lengthening of thigh tendons,,,21 ,,RBRVS,12.10 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127396,CPT,Transplant of thigh tendon,,,21 ,,RBRVS,8.04 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127397,CPT,Transplants of thigh tendons,,,21 ,,RBRVS,12.46 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127400,CPT,Revise thigh muscles/tendons,,,21 ,,RBRVS,9.21 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127403,CPT,Repair of knee cartilage,,,21 ,,RBRVS,8.51 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127405,CPT,Repair of knee ligament,,,21 ,,RBRVS,8.96 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127407,CPT,Repair of knee ligament,,,21 ,,RBRVS,10.71 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127409,CPT,Repair of knee ligaments,,,21 ,,RBRVS,13.57 ,8.26 ,8.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127412,CPT,Autochondrocyte implant knee,,,21 ,,RBRVS,24.53 ,13.66 ,13.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127415,CPT,Osteochondral knee allograft,,,21 ,,RBRVS,19.79 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127416,CPT,Osteochondral knee autograft,,,21 ,,RBRVS,14.00 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127418,CPT,Repair degenerated kneecap,,,21 ,,RBRVS,11.46 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127420,CPT,Revision of unstable kneecap,,,21 ,,RBRVS,10.14 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127422,CPT,Revision of unstable kneecap,,,21 ,,RBRVS,10.09 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127424,CPT,Revision/removal of kneecap,,,21 ,,RBRVS,10.12 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127425,CPT,Lat retinacular release open,,,21 ,,RBRVS,5.28 ,4.70 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127427,CPT,"Reconstruction, knee",,,21 ,,RBRVS,9.67 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127428,CPT,"Reconstruction, knee",,,21 ,,RBRVS,15.33 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127429,CPT,"Reconstruction, knee",,,21 ,,RBRVS,17.24 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127430,CPT,Revision of thigh muscles,,,21 ,,RBRVS,10.04 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127435,CPT,Incision of knee joint,,,21 ,,RBRVS,10.68 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127437,CPT,Revise kneecap,,,21 ,,RBRVS,8.82 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127438,CPT,Revise kneecap with implant,,,21 ,,RBRVS,11.77 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127440,CPT,Revision of knee joint,,,21 ,,RBRVS,10.97 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127441,CPT,Revision of knee joint,,,21 ,,RBRVS,11.42 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127442,CPT,Revision of knee joint,,,21 ,,RBRVS,12.25 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127443,CPT,Revision of knee joint,,,21 ,,RBRVS,11.29 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127445,CPT,Revision of knee joint,,,21 ,,RBRVS,18.52 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127446,CPT,Revision of knee joint,,,21 ,,RBRVS,16.26 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127447,CPT,Total knee arthroplasty,,,21 ,,RBRVS,23.04 ,12.58 ,12.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127448,CPT,Incision of thigh,,,21 ,,RBRVS,11.48 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127450,CPT,Incision of thigh,,,21 ,,RBRVS,14.47 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127454,CPT,Realignment of thigh bone,,,21 ,,RBRVS,18.97 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127455,CPT,Realignment of knee,,,21 ,,RBRVS,13.24 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127457,CPT,Realignment of knee,,,21 ,,RBRVS,13.92 ,8.23 ,8.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127465,CPT,Shortening of thigh bone,,,21 ,,RBRVS,18.44 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127466,CPT,Lengthening of thigh bone,,,21 ,,RBRVS,17.13 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127468,CPT,Shorten/lengthen thighs,,,21 ,,RBRVS,19.82 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127470,CPT,Repair of thigh,,,21 ,,RBRVS,16.97 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127472,CPT,Repair/graft of thigh,,,21 ,,RBRVS,18.57 ,10.64 ,10.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127475,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,8.82 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127477,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,10.03 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127479,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,13.04 ,8.85 ,8.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127485,CPT,Surgery to stop leg growth,,,21 ,,RBRVS,9.02 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127486,CPT,Revise/replace knee joint,,,21 ,,RBRVS,20.92 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127487,CPT,Revise/replace knee joint,,,21 ,,RBRVS,26.91 ,13.98 ,13.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127488,CPT,Removal of knee prosthesis,,,21 ,,RBRVS,17.40 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127495,CPT,Reinforce thigh,,,21 ,,RBRVS,16.40 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127496,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,6.66 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127497,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,7.70 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127498,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,8.54 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127499,CPT,Decompression of thigh/knee,,,21 ,,RBRVS,9.31 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127500,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,6.21 ,4.58 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127501,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,6.34 ,4.92 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127502,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,11.24 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127503,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,11.13 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127506,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,19.42 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127507,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,14.39 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127508,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,6.08 ,5.05 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127509,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,8.02 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127510,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,9.68 ,6.27 ,6.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127511,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,14.97 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127513,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,19.11 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127514,CPT,Treatment of thigh fracture,,,21 ,,RBRVS,14.46 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127516,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,5.45 ,5.07 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127517,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,8.98 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127519,CPT,Treat thigh fx growth plate,,,21 ,,RBRVS,13.11 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127520,CPT,Treat kneecap fracture,,,21 ,,RBRVS,2.93 ,3.53 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127524,CPT,Treat kneecap fracture,,,21 ,,RBRVS,10.25 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127530,CPT,Treat knee fracture,,,21 ,,RBRVS,3.97 ,4.26 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127532,CPT,Treat knee fracture,,,21 ,,RBRVS,7.43 ,5.63 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127535,CPT,Treat knee fracture,,,21 ,,RBRVS,13.27 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127536,CPT,Treat knee fracture,,,21 ,,RBRVS,17.19 ,10.20 ,10.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127538,CPT,Treat knee fracture(s),,,21 ,,RBRVS,4.95 ,4.89 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127540,CPT,Treat knee fracture,,,21 ,,RBRVS,11.16 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127550,CPT,Treat knee dislocation,,,21 ,,RBRVS,5.84 ,4.51 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127552,CPT,Treat knee dislocation,,,21 ,,RBRVS,8.04 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127556,CPT,Treat knee dislocation,,,21 ,,RBRVS,12.86 ,7.26 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127557,CPT,Treat knee dislocation,,,21 ,,RBRVS,15.76 ,8.45 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127558,CPT,Treat knee dislocation,,,21 ,,RBRVS,18.25 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127560,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,3.88 ,3.72 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127562,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,5.86 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127566,CPT,Treat kneecap dislocation,,,21 ,,RBRVS,12.59 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127570,CPT,Fixation of knee joint,,,21 ,,RBRVS,1.76 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127580,CPT,Fusion of knee,,,21 ,,RBRVS,20.90 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127590,CPT,Amputate leg at thigh,,,21 ,,RBRVS,13.35 ,6.02 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127591,CPT,Amputate leg at thigh,,,21 ,,RBRVS,13.82 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127592,CPT,Amputate leg at thigh,,,21 ,,RBRVS,10.86 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127594,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,7.17 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127596,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,11.15 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127598,CPT,Amputate lower leg at knee,,,21 ,,RBRVS,11.08 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127599,CPT,Leg surgery procedure,,,21 ,,TotalUnits,,,,19.68 ,,$0.00,$0.00,1,0,1,1,1,1,2008010127600,CPT,Decompression of lower leg,,,21 ,,RBRVS,5.94 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127601,CPT,Decompression of lower leg,,,21 ,,RBRVS,5.94 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127602,CPT,Decompression of lower leg,,,21 ,,RBRVS,7.71 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127603,CPT,Drain lower leg lesion,,,21 ,,RBRVS,5.12 ,3.90 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127604,CPT,Drain lower leg bursa,,,21 ,,RBRVS,4.51 ,3.43 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127605,CPT,Incision of achilles tendon,,,21 ,,RBRVS,2.89 ,1.74 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127606,CPT,Incision of achilles tendon,,,21 ,,RBRVS,4.15 ,2.63 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127607,CPT,Treat lower leg bone lesion,,,21 ,,RBRVS,8.51 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127610,CPT,Explore/treat ankle joint,,,21 ,,RBRVS,9.01 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127612,CPT,Exploration of ankle joint,,,21 ,,RBRVS,8.01 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127613,CPT,Biopsy lower leg soft tissue,,,21 ,,RBRVS,2.19 ,1.78 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127614,CPT,Biopsy lower leg soft tissue,,,21 ,,RBRVS,5.71 ,3.94 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127615,CPT,"Remove tumor, lower leg",,,21 ,,RBRVS,12.93 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127618,CPT,Remove lower leg lesion,,,21 ,,RBRVS,5.14 ,3.80 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127619,CPT,Remove lower leg lesion,,,21 ,,RBRVS,8.47 ,5.28 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127620,CPT,Explore/treat ankle joint,,,21 ,,RBRVS,6.04 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127625,CPT,Remove ankle joint lining,,,21 ,,RBRVS,8.37 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127626,CPT,Remove ankle joint lining,,,21 ,,RBRVS,8.98 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127630,CPT,Removal of tendon lesion,,,21 ,,RBRVS,4.85 ,3.81 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127635,CPT,Remove lower leg bone lesion,,,21 ,,RBRVS,7.91 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127637,CPT,Remove/graft leg bone lesion,,,21 ,,RBRVS,10.17 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127638,CPT,Remove/graft leg bone lesion,,,21 ,,RBRVS,10.87 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127640,CPT,Partial removal of tibia,,,21 ,,RBRVS,12.10 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127641,CPT,Partial removal of fibula,,,21 ,,RBRVS,9.73 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127645,CPT,Extensive lower leg surgery,,,21 ,,RBRVS,14.78 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127646,CPT,Extensive lower leg surgery,,,21 ,,RBRVS,13.21 ,7.64 ,7.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127647,CPT,Extensive ankle/heel surgery,,,21 ,,RBRVS,12.85 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127648,CPT,Injection for ankle x-ray,,,21 ,,RBRVS,0.96 ,0.34 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127650,CPT,Repair achilles tendon,,,21 ,,RBRVS,9.94 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127652,CPT,Repair/graft achilles tendon,,,21 ,,RBRVS,10.64 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127654,CPT,Repair of achilles tendon,,,21 ,,RBRVS,10.32 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127656,CPT,Repair leg fascia defect,,,21 ,,RBRVS,4.62 ,3.58 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127658,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,5.03 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127659,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,6.99 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127664,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,4.64 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127665,CPT,"Repair of leg tendon, each",,,21 ,,RBRVS,5.46 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127675,CPT,Repair lower leg tendons,,,21 ,,RBRVS,7.24 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127676,CPT,Repair lower leg tendons,,,21 ,,RBRVS,8.61 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127680,CPT,Release of lower leg tendon,,,21 ,,RBRVS,5.79 ,4.16 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127681,CPT,Release of lower leg tendons,,,21 ,,RBRVS,6.94 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127685,CPT,Revision of lower leg tendon,,,21 ,,RBRVS,6.57 ,4.57 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127686,CPT,Revise lower leg tendons,,,21 ,,RBRVS,7.64 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127687,CPT,Revision of calf tendon,,,21 ,,RBRVS,6.30 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127690,CPT,Revise lower leg tendon,,,21 ,,RBRVS,8.96 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127691,CPT,Revise lower leg tendon,,,21 ,,RBRVS,10.28 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127692,CPT,Revise additional leg tendon,,,21 ,,RBRVS,1.87 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127695,CPT,Repair of ankle ligament,,,21 ,,RBRVS,6.58 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127696,CPT,Repair of ankle ligaments,,,21 ,,RBRVS,8.46 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127698,CPT,Repair of ankle ligament,,,21 ,,RBRVS,9.49 ,5.87 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127700,CPT,Revision of ankle joint,,,21 ,,RBRVS,9.54 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127702,CPT,Reconstruct ankle joint,,,21 ,,RBRVS,14.28 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127703,CPT,"Reconstruction, ankle joint",,,21 ,,RBRVS,16.79 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127704,CPT,Removal of ankle implant,,,21 ,,RBRVS,7.69 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127705,CPT,Incision of tibia,,,21 ,,RBRVS,10.74 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127707,CPT,Incision of fibula,,,21 ,,RBRVS,4.67 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127709,CPT,Incision of tibia & fibula,,,21 ,,RBRVS,17.32 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127712,CPT,Realignment of lower leg,,,21 ,,RBRVS,15.67 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127715,CPT,Revision of lower leg,,,21 ,,RBRVS,15.36 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127720,CPT,Repair of tibia,,,21 ,,RBRVS,12.22 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127722,CPT,Repair/graft of tibia,,,21 ,,RBRVS,12.31 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127724,CPT,Repair/graft of tibia,,,21 ,,RBRVS,19.18 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127725,CPT,Repair of lower leg,,,21 ,,RBRVS,17.15 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127726,CPT,Repair fibula nonunion,,,21 ,,RBRVS,14.20 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127727,CPT,Repair of lower leg,,,21 ,,RBRVS,14.69 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127730,CPT,Repair of tibia epiphysis,,,21 ,,RBRVS,7.59 ,5.31 ,5.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127732,CPT,Repair of fibula epiphysis,,,21 ,,RBRVS,5.37 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127734,CPT,Repair lower leg epiphyses,,,21 ,,RBRVS,8.72 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127740,CPT,Repair of leg epiphyses,,,21 ,,RBRVS,9.49 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127742,CPT,Repair of leg epiphyses,,,21 ,,RBRVS,10.49 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127745,CPT,Reinforce tibia,,,21 ,,RBRVS,10.37 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127750,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,3.26 ,3.74 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127752,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,6.15 ,5.11 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127756,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,7.33 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127758,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,12.40 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127759,CPT,Treatment of tibia fracture,,,21 ,,RBRVS,14.31 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127760,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,3.09 ,3.68 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127762,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.33 ,4.65 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127766,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,7.73 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127767,CPT,Cltx post ankle fx,,,21 ,,RBRVS,2.50 ,3.65 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127768,CPT,Cltx post ankle fx w/mnpj,,,21 ,,RBRVS,5.00 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127769,CPT,Optx post ankle fx,,,21 ,,RBRVS,10.00 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127780,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,2.72 ,3.31 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127781,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,4.47 ,4.26 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127784,CPT,Treatment of fibula fracture,,,21 ,,RBRVS,9.51 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127786,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.91 ,3.43 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127788,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,4.52 ,4.23 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127792,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,9.55 ,6.81 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127808,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.91 ,3.71 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127810,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.20 ,4.55 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127814,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,10.46 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127816,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.96 ,3.33 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127818,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,5.57 ,4.44 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127822,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,11.03 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127823,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,12.98 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127824,CPT,Treat lower leg fracture,,,21 ,,RBRVS,3.20 ,3.47 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127825,CPT,Treat lower leg fracture,,,21 ,,RBRVS,6.60 ,4.76 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127826,CPT,Treat lower leg fracture,,,21 ,,RBRVS,10.92 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127827,CPT,Treat lower leg fracture,,,21 ,,RBRVS,14.56 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127828,CPT,Treat lower leg fracture,,,21 ,,RBRVS,18.20 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127829,CPT,Treat lower leg joint,,,21 ,,RBRVS,8.64 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127830,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,3.85 ,3.56 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127831,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,4.62 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127832,CPT,Treat lower leg dislocation,,,21 ,,RBRVS,10.01 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127840,CPT,Treat ankle dislocation,,,21 ,,RBRVS,4.65 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127842,CPT,Treat ankle dislocation,,,21 ,,RBRVS,6.34 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127846,CPT,Treat ankle dislocation,,,21 ,,RBRVS,10.16 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127848,CPT,Treat ankle dislocation,,,21 ,,RBRVS,11.56 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127860,CPT,Fixation of ankle joint,,,21 ,,RBRVS,2.36 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127870,CPT,"Fusion of ankle joint, open",,,21 ,,RBRVS,15.21 ,9.08 ,9.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127871,CPT,Fusion of tibiofibular joint,,,21 ,,RBRVS,9.42 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127880,CPT,Amputation of lower leg,,,21 ,,RBRVS,15.24 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127881,CPT,Amputation of lower leg,,,21 ,,RBRVS,13.32 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127882,CPT,Amputation of lower leg,,,21 ,,RBRVS,9.67 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127884,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,8.64 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127886,CPT,Amputation follow-up surgery,,,21 ,,RBRVS,9.88 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127888,CPT,Amputation of foot at ankle,,,21 ,,RBRVS,10.23 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127889,CPT,Amputation of foot at ankle,,,21 ,,RBRVS,10.72 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127892,CPT,Decompression of leg,,,21 ,,RBRVS,7.82 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127893,CPT,Decompression of leg,,,21 ,,RBRVS,7.78 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127894,CPT,Decompression of leg,,,21 ,,RBRVS,12.42 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010127899,CPT,Leg/ankle surgery procedure,,,21 ,,TotalUnits,,,,11.65 ,,$0.00,$0.00,1,0,1,1,1,1,2008010128001,CPT,Drainage of bursa of foot,,,21 ,,RBRVS,2.75 ,1.61 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128002,CPT,Treatment of foot infection,,,21 ,,RBRVS,5.78 ,3.57 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128003,CPT,Treatment of foot infection,,,21 ,,RBRVS,8.95 ,4.56 ,7.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128005,CPT,Treat foot bone lesion,,,21 ,,RBRVS,9.30 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128008,CPT,Incision of foot fascia,,,21 ,,RBRVS,4.50 ,3.00 ,6.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128010,CPT,Incision of toe tendon,,,21 ,,RBRVS,2.89 ,2.35 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128011,CPT,Incision of toe tendons,,,21 ,,RBRVS,4.19 ,3.03 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128020,CPT,Exploration of foot joint,,,21 ,,RBRVS,5.06 ,3.58 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128022,CPT,Exploration of foot joint,,,21 ,,RBRVS,4.72 ,3.33 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128024,CPT,Exploration of toe joint,,,21 ,,RBRVS,4.43 ,3.12 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128035,CPT,Decompression of tibia nerve,,,21 ,,RBRVS,5.14 ,3.55 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128043,CPT,Excision of foot lesion,,,21 ,,RBRVS,3.58 ,2.73 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128045,CPT,Excision of foot lesion,,,21 ,,RBRVS,4.77 ,3.24 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128046,CPT,"Resection of tumor, foot",,,21 ,,RBRVS,10.55 ,5.76 ,10.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128050,CPT,Biopsy of foot joint lining,,,21 ,,RBRVS,4.30 ,3.30 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128052,CPT,Biopsy of foot joint lining,,,21 ,,RBRVS,3.98 ,2.87 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128054,CPT,Biopsy of toe joint lining,,,21 ,,RBRVS,3.49 ,2.80 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128055,CPT,"Neurectomy, foot",,,21 ,,RBRVS,6.20 ,3.44 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128060,CPT,"Partial removal, foot fascia",,,21 ,,RBRVS,5.29 ,3.54 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128062,CPT,Removal of foot fascia,,,21 ,,RBRVS,6.58 ,3.82 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128070,CPT,Removal of foot joint lining,,,21 ,,RBRVS,5.15 ,3.54 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128072,CPT,Removal of foot joint lining,,,21 ,,RBRVS,4.63 ,3.60 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128080,CPT,Removal of foot lesion,,,21 ,,RBRVS,4.65 ,4.19 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128086,CPT,Excise foot tendon sheath,,,21 ,,RBRVS,4.83 ,3.81 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128088,CPT,Excise foot tendon sheath,,,21 ,,RBRVS,3.90 ,3.19 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128090,CPT,Removal of foot lesion,,,21 ,,RBRVS,4.46 ,3.18 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128092,CPT,Removal of toe lesions,,,21 ,,RBRVS,3.69 ,2.99 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128100,CPT,Removal of ankle/heel lesion,,,21 ,,RBRVS,5.72 ,4.00 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128102,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,7.80 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128103,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,6.56 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128104,CPT,Removal of foot lesion,,,21 ,,RBRVS,5.17 ,3.47 ,7.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128106,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,7.23 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128107,CPT,Remove/graft foot lesion,,,21 ,,RBRVS,5.62 ,3.66 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128108,CPT,Removal of toe lesions,,,21 ,,RBRVS,4.21 ,2.99 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128110,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.13 ,3.06 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128111,CPT,Part removal of metatarsal,,,21 ,,RBRVS,5.06 ,3.20 ,7.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128112,CPT,Part removal of metatarsal,,,21 ,,RBRVS,4.54 ,3.24 ,7.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128113,CPT,Part removal of metatarsal,,,21 ,,RBRVS,5.88 ,4.61 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128114,CPT,Removal of metatarsal heads,,,21 ,,RBRVS,11.61 ,8.30 ,13.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128116,CPT,Revision of foot,,,21 ,,RBRVS,8.94 ,5.34 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128118,CPT,Removal of heel bone,,,21 ,,RBRVS,6.02 ,4.02 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128119,CPT,Removal of heel spur,,,21 ,,RBRVS,5.45 ,3.58 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128120,CPT,Part removal of ankle/heel,,,21 ,,RBRVS,5.64 ,3.97 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128122,CPT,Partial removal of foot bone,,,21 ,,RBRVS,7.56 ,4.78 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128124,CPT,Partial removal of toe,,,21 ,,RBRVS,4.88 ,3.46 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128126,CPT,Partial removal of toe,,,21 ,,RBRVS,3.56 ,2.66 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128130,CPT,Removal of ankle bone,,,21 ,,RBRVS,9.30 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128140,CPT,Removal of metatarsal,,,21 ,,RBRVS,7.03 ,4.12 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128150,CPT,Removal of toe,,,21 ,,RBRVS,4.14 ,2.98 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128153,CPT,Partial removal of toe,,,21 ,,RBRVS,3.71 ,2.89 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128160,CPT,Partial removal of toe,,,21 ,,RBRVS,3.79 ,2.93 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128171,CPT,Extensive foot surgery,,,21 ,,RBRVS,9.85 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128173,CPT,Extensive foot surgery,,,21 ,,RBRVS,9.05 ,4.61 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128175,CPT,Extensive foot surgery,,,21 ,,RBRVS,6.17 ,3.63 ,7.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128190,CPT,Removal of foot foreign body,,,21 ,,RBRVS,1.98 ,1.34 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128192,CPT,Removal of foot foreign body,,,21 ,,RBRVS,4.69 ,3.19 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128193,CPT,Removal of foot foreign body,,,21 ,,RBRVS,5.79 ,3.63 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128200,CPT,Repair of foot tendon,,,21 ,,RBRVS,4.65 ,3.23 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128202,CPT,Repair/graft of foot tendon,,,21 ,,RBRVS,6.96 ,3.94 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128208,CPT,Repair of foot tendon,,,21 ,,RBRVS,4.42 ,3.19 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128210,CPT,Repair/graft of foot tendon,,,21 ,,RBRVS,6.41 ,3.93 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128220,CPT,Release of foot tendon,,,21 ,,RBRVS,4.58 ,3.08 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128222,CPT,Release of foot tendons,,,21 ,,RBRVS,5.67 ,3.35 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128225,CPT,Release of foot tendon,,,21 ,,RBRVS,3.70 ,2.72 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128226,CPT,Release of foot tendons,,,21 ,,RBRVS,4.58 ,3.25 ,6.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128230,CPT,Incision of foot tendon(s),,,21 ,,RBRVS,4.28 ,2.88 ,6.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128232,CPT,Incision of toe tendon,,,21 ,,RBRVS,3.43 ,2.68 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128234,CPT,Incision of foot tendon,,,21 ,,RBRVS,3.43 ,3.06 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128238,CPT,Revision of foot tendon,,,21 ,,RBRVS,7.85 ,4.37 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128240,CPT,Release of big toe,,,21 ,,RBRVS,4.40 ,2.95 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128250,CPT,Revision of foot fascia,,,21 ,,RBRVS,5.97 ,3.82 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128260,CPT,Release of midfoot joint,,,21 ,,RBRVS,8.08 ,4.61 ,8.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128261,CPT,Revision of foot tendon,,,21 ,,RBRVS,12.91 ,6.33 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128262,CPT,Revision of foot and ankle,,,21 ,,RBRVS,17.01 ,9.74 ,15.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128264,CPT,Release of midfoot joint,,,21 ,,RBRVS,10.53 ,5.95 ,10.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128270,CPT,Release of foot contracture,,,21 ,,RBRVS,4.82 ,3.44 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128272,CPT,"Release of toe joint, each",,,21 ,,RBRVS,3.84 ,2.65 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128280,CPT,Fusion of toes,,,21 ,,RBRVS,5.24 ,3.54 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128285,CPT,Repair of hammertoe,,,21 ,,RBRVS,4.65 ,3.35 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128286,CPT,Repair of hammertoe,,,21 ,,RBRVS,4.61 ,3.06 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128288,CPT,Partial removal of foot bone,,,21 ,,RBRVS,5.81 ,4.69 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128289,CPT,Repair hallux rigidus,,,21 ,,RBRVS,8.11 ,5.34 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128290,CPT,Correction of bunion,,,21 ,,RBRVS,5.72 ,3.96 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128292,CPT,Correction of bunion,,,21 ,,RBRVS,8.72 ,6.16 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128293,CPT,Correction of bunion,,,21 ,,RBRVS,11.10 ,6.92 ,14.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128294,CPT,Correction of bunion,,,21 ,,RBRVS,8.63 ,4.77 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128296,CPT,Correction of bunion,,,21 ,,RBRVS,9.31 ,4.79 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128297,CPT,Correction of bunion,,,21 ,,RBRVS,9.31 ,5.33 ,10.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128298,CPT,Correction of bunion,,,21 ,,RBRVS,8.01 ,4.59 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128299,CPT,Correction of bunion,,,21 ,,RBRVS,11.39 ,5.73 ,10.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128300,CPT,Incision of heel bone,,,21 ,,RBRVS,9.61 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128302,CPT,Incision of ankle bone,,,21 ,,RBRVS,9.62 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128304,CPT,Incision of midfoot bones,,,21 ,,RBRVS,9.29 ,5.08 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128305,CPT,Incise/graft midfoot bones,,,21 ,,RBRVS,10.63 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128306,CPT,Incision of metatarsal,,,21 ,,RBRVS,5.91 ,3.89 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128307,CPT,Incision of metatarsal,,,21 ,,RBRVS,6.39 ,4.33 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128308,CPT,Incision of metatarsal,,,21 ,,RBRVS,5.36 ,3.83 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128309,CPT,Incision of metatarsals,,,21 ,,RBRVS,13.96 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128310,CPT,Revision of big toe,,,21 ,,RBRVS,5.48 ,3.42 ,7.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128312,CPT,Revision of toe,,,21 ,,RBRVS,4.60 ,3.23 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128313,CPT,Repair deformity of toe,,,21 ,,RBRVS,5.06 ,3.61 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128315,CPT,Removal of sesamoid bone,,,21 ,,RBRVS,4.91 ,3.22 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128320,CPT,Repair of foot bones,,,21 ,,RBRVS,9.25 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128322,CPT,Repair of metatarsals,,,21 ,,RBRVS,8.41 ,5.32 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128340,CPT,Resect enlarged toe tissue,,,21 ,,RBRVS,7.04 ,4.08 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128341,CPT,Resect enlarged toe,,,21 ,,RBRVS,8.60 ,4.42 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128344,CPT,Repair extra toe(s),,,21 ,,RBRVS,4.31 ,2.93 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128345,CPT,Repair webbed toe(s),,,21 ,,RBRVS,5.98 ,3.79 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128360,CPT,Reconstruct cleft foot,,,21 ,,RBRVS,14.67 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128400,CPT,Treatment of heel fracture,,,21 ,,RBRVS,2.22 ,2.92 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128405,CPT,Treatment of heel fracture,,,21 ,,RBRVS,4.63 ,3.68 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128406,CPT,Treatment of heel fracture,,,21 ,,RBRVS,6.44 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128415,CPT,Treat heel fracture,,,21 ,,RBRVS,15.96 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128420,CPT,Treat/graft heel fracture,,,21 ,,RBRVS,17.29 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128430,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,2.14 ,2.57 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128435,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,3.45 ,3.26 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128436,CPT,Treatment of ankle fracture,,,21 ,,RBRVS,4.78 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128445,CPT,Treat ankle fracture,,,21 ,,RBRVS,15.53 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128446,CPT,Osteochondral talus autogrft,,,21 ,,RBRVS,17.50 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128450,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,1.95 ,2.42 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128455,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,3.15 ,3.10 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128456,CPT,Treat midfoot fracture,,,21 ,,RBRVS,2.75 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128465,CPT,"Treat midfoot fracture, each",,,21 ,,RBRVS,8.64 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128470,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,1.99 ,2.36 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128475,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,2.97 ,2.52 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128476,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,3.46 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128485,CPT,Treat metatarsal fracture,,,21 ,,RBRVS,7.28 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128490,CPT,Treat big toe fracture,,,21 ,,RBRVS,1.12 ,1.67 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128495,CPT,Treat big toe fracture,,,21 ,,RBRVS,1.62 ,1.87 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128496,CPT,Treat big toe fracture,,,21 ,,RBRVS,2.39 ,2.99 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128505,CPT,Treat big toe fracture,,,21 ,,RBRVS,7.28 ,4.82 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128510,CPT,Treatment of toe fracture,,,21 ,,RBRVS,1.12 ,1.61 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128515,CPT,Treatment of toe fracture,,,21 ,,RBRVS,1.50 ,1.82 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128525,CPT,Treat toe fracture,,,21 ,,RBRVS,5.46 ,4.32 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128530,CPT,Treat sesamoid bone fracture,,,21 ,,RBRVS,1.08 ,1.34 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128531,CPT,Treat sesamoid bone fracture,,,21 ,,RBRVS,2.51 ,2.43 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128540,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.10 ,2.31 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128545,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.51 ,2.81 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128546,CPT,Treat foot dislocation,,,21 ,,RBRVS,3.28 ,3.64 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128555,CPT,Repair foot dislocation,,,21 ,,RBRVS,9.49 ,6.29 ,10.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128570,CPT,Treat foot dislocation,,,21 ,,RBRVS,1.70 ,1.91 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128575,CPT,Treat foot dislocation,,,21 ,,RBRVS,3.38 ,3.72 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128576,CPT,Treat foot dislocation,,,21 ,,RBRVS,4.48 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128585,CPT,Repair foot dislocation,,,21 ,,RBRVS,10.92 ,6.97 ,11.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128600,CPT,Treat foot dislocation,,,21 ,,RBRVS,1.94 ,2.37 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128605,CPT,Treat foot dislocation,,,21 ,,RBRVS,2.78 ,3.27 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128606,CPT,Treat foot dislocation,,,21 ,,RBRVS,4.97 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128615,CPT,Repair foot dislocation,,,21 ,,RBRVS,10.46 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128630,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.72 ,0.91 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128635,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.93 ,1.33 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128636,CPT,Treat toe dislocation,,,21 ,,RBRVS,2.77 ,2.05 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128645,CPT,Repair toe dislocation,,,21 ,,RBRVS,7.28 ,4.62 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128660,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.25 ,0.78 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128665,CPT,Treat toe dislocation,,,21 ,,RBRVS,1.94 ,1.33 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128666,CPT,Treat toe dislocation,,,21 ,,RBRVS,2.66 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128675,CPT,Repair of toe dislocation,,,21 ,,RBRVS,5.46 ,4.45 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128705,CPT,Fusion of foot bones,,,21 ,,RBRVS,20.12 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128715,CPT,Fusion of foot bones,,,21 ,,RBRVS,14.40 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128725,CPT,Fusion of foot bones,,,21 ,,RBRVS,11.97 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128730,CPT,Fusion of foot bones,,,21 ,,RBRVS,12.21 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128735,CPT,Fusion of foot bones,,,21 ,,RBRVS,12.03 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128737,CPT,Revision of foot bones,,,21 ,,RBRVS,10.83 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128740,CPT,Fusion of foot bones,,,21 ,,RBRVS,9.09 ,5.99 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128750,CPT,Fusion of big toe joint,,,21 ,,RBRVS,8.37 ,5.88 ,10.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128755,CPT,Fusion of big toe joint,,,21 ,,RBRVS,4.79 ,3.35 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128760,CPT,Fusion of big toe joint,,,21 ,,RBRVS,8.94 ,5.27 ,9.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128800,CPT,Amputation of midfoot,,,21 ,,RBRVS,8.65 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128805,CPT,Amputation thru metatarsal,,,21 ,,RBRVS,12.55 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128810,CPT,Amputation toe & metatarsal,,,21 ,,RBRVS,6.52 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128820,CPT,Amputation of toe,,,21 ,,RBRVS,4.89 ,3.55 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128825,CPT,Partial amputation of toe,,,21 ,,RBRVS,3.71 ,3.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128890,CPT,"High energy eswt, plantar f",,,21 ,,RBRVS,3.36 ,2.20 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010128899,CPT,Foot/toes surgery procedure,,,21 ,,TotalUnits,,,,9.04 ,,$0.00,$0.00,1,0,1,1,1,1,2008010129000,CPT,Application of body cast,,,21 ,,RBRVS,2.25 ,1.64 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129010,CPT,Application of body cast,,,21 ,,RBRVS,2.06 ,1.62 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129015,CPT,Application of body cast,,,21 ,,RBRVS,2.41 ,1.56 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129020,CPT,Application of body cast,,,21 ,,RBRVS,2.11 ,1.41 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129025,CPT,Application of body cast,,,21 ,,RBRVS,2.40 ,1.76 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129035,CPT,Application of body cast,,,21 ,,RBRVS,1.77 ,1.48 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129040,CPT,Application of body cast,,,21 ,,RBRVS,2.22 ,1.34 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129044,CPT,Application of body cast,,,21 ,,RBRVS,2.12 ,1.47 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129046,CPT,Application of body cast,,,21 ,,RBRVS,2.41 ,1.91 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129049,CPT,Application of figure eight,,,21 ,,RBRVS,0.89 ,0.59 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129055,CPT,Application of shoulder cast,,,21 ,,RBRVS,1.78 ,1.23 ,2.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129058,CPT,Application of shoulder cast,,,21 ,,RBRVS,1.31 ,0.67 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129065,CPT,Application of long arm cast,,,21 ,,RBRVS,0.87 ,0.70 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129075,CPT,Application of forearm cast,,,21 ,,RBRVS,0.77 ,0.66 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129085,CPT,Apply hand/wrist cast,,,21 ,,RBRVS,0.87 ,0.68 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129086,CPT,Apply finger cast,,,21 ,,RBRVS,0.62 ,0.55 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129105,CPT,Apply long arm splint,,,21 ,,RBRVS,0.87 ,0.53 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129125,CPT,Apply forearm splint,,,21 ,,RBRVS,0.59 ,0.42 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129126,CPT,Apply forearm splint,,,21 ,,RBRVS,0.77 ,0.48 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129130,CPT,Application of finger splint,,,21 ,,RBRVS,0.50 ,0.18 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129131,CPT,Application of finger splint,,,21 ,,RBRVS,0.55 ,0.24 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129200,CPT,Strapping of chest,,,21 ,,RBRVS,0.65 ,0.35 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129220,CPT,Strapping of low back,,,21 ,,RBRVS,0.64 ,0.38 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129240,CPT,Strapping of shoulder,,,21 ,,RBRVS,0.71 ,0.40 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129260,CPT,Strapping of elbow or wrist,,,21 ,,RBRVS,0.55 ,0.37 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129280,CPT,Strapping of hand or finger,,,21 ,,RBRVS,0.51 ,0.37 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129305,CPT,Application of hip cast,,,21 ,,RBRVS,2.03 ,1.56 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129325,CPT,Application of hip casts,,,21 ,,RBRVS,2.32 ,1.58 ,3.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129345,CPT,Application of long leg cast,,,21 ,,RBRVS,1.40 ,0.94 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129355,CPT,Application of long leg cast,,,21 ,,RBRVS,1.53 ,0.94 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129358,CPT,Apply long leg cast brace,,,21 ,,RBRVS,1.43 ,0.91 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129365,CPT,Application of long leg cast,,,21 ,,RBRVS,1.18 ,0.86 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129405,CPT,Apply short leg cast,,,21 ,,RBRVS,0.86 ,0.65 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129425,CPT,Apply short leg cast,,,21 ,,RBRVS,1.01 ,0.66 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129435,CPT,Apply short leg cast,,,21 ,,RBRVS,1.18 ,0.81 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129440,CPT,Addition of walker to cast,,,21 ,,RBRVS,0.57 ,0.26 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129445,CPT,Apply rigid leg cast,,,21 ,,RBRVS,1.78 ,0.89 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129450,CPT,Application of leg cast,,,21 ,,RBRVS,2.08 ,0.90 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129505,CPT,"Application, long leg splint",,,21 ,,RBRVS,0.69 ,0.45 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129515,CPT,Application lower leg splint,,,21 ,,RBRVS,0.73 ,0.46 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129520,CPT,Strapping of hip,,,21 ,,RBRVS,0.54 ,0.37 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129530,CPT,Strapping of knee,,,21 ,,RBRVS,0.57 ,0.37 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129540,CPT,Strapping of ankle and/or ft,,,21 ,,RBRVS,0.51 ,0.31 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129550,CPT,Strapping of toes,,,21 ,,RBRVS,0.47 ,0.30 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129580,CPT,Application of paste boot,,,21 ,,RBRVS,0.55 ,0.33 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129590,CPT,Application of foot splint,,,21 ,,RBRVS,0.76 ,0.26 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129700,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.57 ,0.25 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129705,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.76 ,0.36 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129710,CPT,Removal/revision of cast,,,21 ,,RBRVS,1.34 ,0.55 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129715,CPT,Removal/revision of cast,,,21 ,,RBRVS,0.94 ,0.43 ,1.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129720,CPT,Repair of body cast,,,21 ,,RBRVS,0.68 ,0.35 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129730,CPT,Windowing of cast,,,21 ,,RBRVS,0.75 ,0.34 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129740,CPT,Wedging of cast,,,21 ,,RBRVS,1.12 ,0.47 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129750,CPT,Wedging of clubfoot cast,,,21 ,,RBRVS,1.26 ,0.52 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129799,CPT,Casting/strapping procedure,,,21 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,0,1,1,1,1,2008010129800,CPT,Jaw arthroscopy/surgery,,,21 ,,RBRVS,6.73 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129804,CPT,Jaw arthroscopy/surgery,,,21 ,,RBRVS,8.71 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129805,CPT,"Shoulder arthroscopy, dx",,,21 ,,RBRVS,5.94 ,4.71 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129806,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,14.95 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129807,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,14.48 ,9.20 ,9.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129819,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.68 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129820,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.12 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129821,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.78 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129822,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.49 ,5.58 ,5.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129823,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.24 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129824,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,8.82 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129825,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,7.68 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129826,CPT,Shoulder arthroscopy/surgery,,,21 ,,RBRVS,9.05 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129827,CPT,Arthroscop rotator cuff repr,,,21 ,,RBRVS,15.44 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129828,CPT,Arthroscopy biceps tenodesis,,,21 ,,RBRVS,13.00 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129830,CPT,Elbow arthroscopy,,,21 ,,RBRVS,5.80 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129834,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.33 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129835,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.53 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129836,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,7.61 ,5.54 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129837,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,6.92 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129838,CPT,Elbow arthroscopy/surgery,,,21 ,,RBRVS,7.77 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129840,CPT,Wrist arthroscopy,,,21 ,,RBRVS,5.59 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129843,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.06 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129844,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.42 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129845,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,7.58 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129846,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,6.80 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129847,CPT,Wrist arthroscopy/surgery,,,21 ,,RBRVS,7.13 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129848,CPT,Wrist endoscopy/surgery,,,21 ,,RBRVS,6.24 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129850,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.18 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129851,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,13.08 ,8.22 ,8.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129855,CPT,Tibial arthroscopy/surgery,,,21 ,,RBRVS,10.60 ,7.28 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129856,CPT,Tibial arthroscopy/surgery,,,21 ,,RBRVS,14.12 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129860,CPT,"Hip arthroscopy, dx",,,21 ,,RBRVS,8.85 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129861,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,9.95 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129862,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,10.97 ,7.57 ,7.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129863,CPT,Hip arthroscopy/surgery,,,21 ,,RBRVS,10.97 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129866,CPT,"Autgrft implnt, knee w/scope",,,21 ,,RBRVS,14.48 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129867,CPT,"Allgrft implnt, knee w/scope",,,21 ,,RBRVS,18.18 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129868,CPT,"Meniscal trnspl, knee w/scpe",,,21 ,,RBRVS,24.89 ,13.80 ,13.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129870,CPT,"Knee arthroscopy, dx",,,21 ,,RBRVS,5.11 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129871,CPT,Knee arthroscopy/drainage,,,21 ,,RBRVS,6.60 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129873,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,6.09 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129874,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,7.10 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129875,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,6.36 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129876,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.72 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129877,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.15 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129879,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.84 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129880,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.30 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129881,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.56 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129882,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.45 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129883,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,11.61 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129884,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.13 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129885,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,10.03 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129886,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,8.34 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129887,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,9.98 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129888,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,14.14 ,8.27 ,8.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129889,CPT,Knee arthroscopy/surgery,,,21 ,,RBRVS,17.15 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129891,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,9.47 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129892,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,10.07 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129893,CPT,"Scope, plantar fasciotomy",,,21 ,,RBRVS,6.08 ,4.67 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129894,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.26 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129895,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.04 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129897,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,7.23 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129898,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,8.38 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129899,CPT,Ankle arthroscopy/surgery,,,21 ,,RBRVS,15.21 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129900,CPT,"Mcp joint arthroscopy, dx",,,21 ,,RBRVS,5.74 ,4.67 ,4.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129901,CPT,"Mcp joint arthroscopy, surg",,,21 ,,RBRVS,6.45 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129902,CPT,"Mcp joint arthroscopy, surg",,,21 ,,RBRVS,7.02 ,4.71 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129904,CPT,Subtalar arthro w/fb rmvl,,,21 ,,RBRVS,8.50 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129905,CPT,Subtalar arthro w/exc,,,21 ,,RBRVS,9.00 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129906,CPT,Subtalar arthro w/deb,,,21 ,,RBRVS,9.47 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129907,CPT,Subtalar arthro w/fusion,,,21 ,,RBRVS,12.00 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010129999,CPT,Arthroscopy of joint,,,21 ,,TotalUnits,,,,14.57 ,,$0.00,$0.00,1,0,1,1,1,1,2008010130000,CPT,Drainage of nose lesion,,,21 ,,RBRVS,1.45 ,1.34 ,4.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130020,CPT,Drainage of nose lesion,,,21 ,,RBRVS,1.45 ,1.39 ,4.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130100,CPT,Intranasal biopsy,,,21 ,,RBRVS,0.94 ,0.75 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130110,CPT,Removal of nose polyp(s),,,21 ,,RBRVS,1.65 ,1.45 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130115,CPT,Removal of nose polyp(s),,,21 ,,RBRVS,4.38 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130117,CPT,Removal of intranasal lesion,,,21 ,,RBRVS,3.20 ,4.92 ,18.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130118,CPT,Removal of intranasal lesion,,,21 ,,RBRVS,9.81 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130120,CPT,Revision of nose,,,21 ,,RBRVS,5.31 ,5.09 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130124,CPT,Removal of nose lesion,,,21 ,,RBRVS,3.14 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130125,CPT,Removal of nose lesion,,,21 ,,RBRVS,7.21 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130130,CPT,Removal of turbinate bones,,,21 ,,RBRVS,3.41 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130140,CPT,Removal of turbinate bones,,,21 ,,RBRVS,3.48 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130150,CPT,Partial removal of nose,,,21 ,,RBRVS,9.44 ,9.04 ,9.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130160,CPT,Removal of nose,,,21 ,,RBRVS,9.88 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130200,CPT,Injection treatment of nose,,,21 ,,RBRVS,0.78 ,0.67 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130210,CPT,Nasal sinus therapy,,,21 ,,RBRVS,1.10 ,1.27 ,2.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130220,CPT,Insert nasal septal button,,,21 ,,RBRVS,1.56 ,1.43 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130300,CPT,Remove nasal foreign body,,,21 ,,RBRVS,1.06 ,1.87 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130310,CPT,Remove nasal foreign body,,,21 ,,RBRVS,1.98 ,2.91 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130320,CPT,Remove nasal foreign body,,,21 ,,RBRVS,4.56 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130400,CPT,Reconstruction of nose,,,21 ,,RBRVS,10.58 ,13.92 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130410,CPT,Reconstruction of nose,,,21 ,,RBRVS,13.72 ,15.34 ,15.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130420,CPT,Reconstruction of nose,,,21 ,,RBRVS,16.62 ,15.84 ,15.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130430,CPT,Revision of nose,,,21 ,,RBRVS,7.96 ,13.25 ,13.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130435,CPT,Revision of nose,,,21 ,,RBRVS,12.45 ,15.43 ,15.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130450,CPT,Revision of nose,,,21 ,,RBRVS,19.38 ,16.90 ,16.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130460,CPT,Revision of nose,,,21 ,,RBRVS,10.24 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130462,CPT,Revision of nose,,,21 ,,RBRVS,20.12 ,14.66 ,14.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130465,CPT,Repair nasal stenosis,,,21 ,,RBRVS,12.20 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130520,CPT,Repair of nasal septum,,,21 ,,RBRVS,6.85 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130540,CPT,Repair nasal defect,,,21 ,,RBRVS,7.81 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130545,CPT,Repair nasal defect,,,21 ,,RBRVS,11.50 ,11.09 ,11.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130560,CPT,Release of nasal adhesions,,,21 ,,RBRVS,1.28 ,2.03 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130580,CPT,Repair upper jaw fistula,,,21 ,,RBRVS,6.76 ,4.69 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130600,CPT,Repair mouth/nose fistula,,,21 ,,RBRVS,6.07 ,4.18 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130620,CPT,Intranasal reconstruction,,,21 ,,RBRVS,6.04 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130630,CPT,Repair nasal septum defect,,,21 ,,RBRVS,7.18 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130801,CPT,"Cauterization, inner nose",,,21 ,,RBRVS,1.11 ,2.12 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130802,CPT,"Cauterization, inner nose",,,21 ,,RBRVS,2.05 ,2.51 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130901,CPT,Control of nosebleed,,,21 ,,RBRVS,1.21 ,0.31 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130903,CPT,Control of nosebleed,,,21 ,,RBRVS,1.54 ,0.43 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130905,CPT,Control of nosebleed,,,21 ,,RBRVS,1.97 ,0.51 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130906,CPT,Repeat control of nosebleed,,,21 ,,RBRVS,2.45 ,0.76 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130915,CPT,"Ligation, nasal sinus artery",,,21 ,,RBRVS,7.36 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130920,CPT,"Ligation, upper jaw artery",,,21 ,,RBRVS,11.03 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130930,CPT,"Therapy, fracture of nose",,,21 ,,RBRVS,1.28 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010130999,CPT,Nasal surgery procedure,,,21 ,,TotalUnits,,,,6.88 ,,$0.00,$0.00,1,0,1,1,1,1,2008010131000,CPT,"Irrigation, maxillary sinus",,,21 ,,RBRVS,1.17 ,1.34 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131002,CPT,"Irrigation, sphenoid sinus",,,21 ,,RBRVS,1.93 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131020,CPT,"Exploration, maxillary sinus",,,21 ,,RBRVS,2.99 ,5.55 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131030,CPT,"Exploration, maxillary sinus",,,21 ,,RBRVS,5.95 ,6.45 ,10.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131032,CPT,"Explore sinus, remove polyps",,,21 ,,RBRVS,6.61 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131040,CPT,Exploration behind upper jaw,,,21 ,,RBRVS,9.66 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131050,CPT,"Exploration, sphenoid sinus",,,21 ,,RBRVS,5.31 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131051,CPT,Sphenoid sinus surgery,,,21 ,,RBRVS,7.16 ,8.37 ,8.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131070,CPT,Exploration of frontal sinus,,,21 ,,RBRVS,4.32 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131075,CPT,Exploration of frontal sinus,,,21 ,,RBRVS,9.40 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131080,CPT,Removal of frontal sinus,,,21 ,,RBRVS,12.54 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131081,CPT,Removal of frontal sinus,,,21 ,,RBRVS,13.99 ,15.38 ,15.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131084,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.75 ,12.88 ,12.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131085,CPT,Removal of frontal sinus,,,21 ,,RBRVS,15.44 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131086,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.16 ,12.79 ,12.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131087,CPT,Removal of frontal sinus,,,21 ,,RBRVS,14.39 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131090,CPT,Exploration of sinuses,,,21 ,,RBRVS,10.88 ,13.41 ,13.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131200,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,5.03 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131201,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,8.49 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131205,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,10.47 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131225,CPT,Removal of upper jaw,,,21 ,,RBRVS,26.44 ,17.90 ,17.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131230,CPT,Removal of upper jaw,,,21 ,,RBRVS,30.56 ,19.50 ,19.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131231,CPT,"Nasal endoscopy, dx",,,21 ,,RBRVS,1.10 ,0.77 ,3.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131233,CPT,"Nasal/sinus endoscopy, dx",,,21 ,,RBRVS,2.18 ,1.12 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131235,CPT,"Nasal/sinus endoscopy, dx",,,21 ,,RBRVS,2.64 ,1.26 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131237,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,2.98 ,1.39 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131238,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,3.26 ,1.48 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131239,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,9.23 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131240,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,2.61 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131254,CPT,Revision of ethmoid sinus,,,21 ,,RBRVS,4.64 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131255,CPT,Removal of ethmoid sinus,,,21 ,,RBRVS,6.95 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131256,CPT,Exploration maxillary sinus,,,21 ,,RBRVS,3.29 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131267,CPT,"Endoscopy, maxillary sinus",,,21 ,,RBRVS,5.45 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131276,CPT,"Sinus endoscopy, surgical",,,21 ,,RBRVS,8.84 ,3.31 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131287,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,3.91 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131288,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,4.57 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131290,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,18.50 ,9.05 ,9.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131291,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,19.45 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131292,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,15.79 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131293,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,17.36 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131294,CPT,"Nasal/sinus endoscopy, surg",,,21 ,,RBRVS,20.20 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131299,CPT,Sinus surgery procedure,,,21 ,,TotalUnits,,,,5.43 ,,$0.00,$0.00,1,0,1,1,1,1,2008010131300,CPT,Removal of larynx lesion,,,21 ,,RBRVS,15.71 ,14.59 ,14.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131320,CPT,"Diagnostic incision, larynx",,,21 ,,RBRVS,5.62 ,10.15 ,10.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131360,CPT,Removal of larynx,,,21 ,,RBRVS,29.57 ,20.08 ,20.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131365,CPT,Removal of larynx,,,21 ,,RBRVS,38.47 ,23.00 ,23.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131367,CPT,Partial removal of larynx,,,21 ,,RBRVS,30.23 ,22.52 ,22.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131368,CPT,Partial removal of larynx,,,21 ,,RBRVS,33.85 ,24.61 ,24.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131370,CPT,Partial removal of larynx,,,21 ,,RBRVS,27.23 ,22.16 ,22.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131375,CPT,Partial removal of larynx,,,21 ,,RBRVS,25.73 ,21.16 ,21.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131380,CPT,Partial removal of larynx,,,21 ,,RBRVS,25.23 ,20.81 ,20.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131382,CPT,Partial removal of larynx,,,21 ,,RBRVS,28.23 ,22.71 ,22.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131390,CPT,Removal of larynx & pharynx,,,21 ,,RBRVS,42.17 ,25.99 ,25.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131395,CPT,Reconstruct larynx & pharynx,,,21 ,,RBRVS,43.46 ,28.53 ,28.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131400,CPT,Revision of larynx,,,21 ,,RBRVS,11.48 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131420,CPT,Removal of epiglottis,,,21 ,,RBRVS,11.32 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131500,CPT,Insert emergency airway,,,21 ,,RBRVS,2.33 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131502,CPT,Change of windpipe airway,,,21 ,,RBRVS,0.65 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131505,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,0.61 ,0.59 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131510,CPT,Laryngoscopy with biopsy,,,21 ,,RBRVS,1.92 ,1.00 ,3.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131511,CPT,"Remove foreign body, larynx",,,21 ,,RBRVS,2.16 ,1.03 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131512,CPT,Removal of larynx lesion,,,21 ,,RBRVS,2.07 ,1.06 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131513,CPT,Injection into vocal cord,,,21 ,,RBRVS,2.10 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131515,CPT,Laryngoscopy for aspiration,,,21 ,,RBRVS,1.80 ,0.88 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131520,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.56 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131525,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.63 ,1.23 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131526,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.57 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131527,CPT,Laryngoscopy for treatment,,,21 ,,RBRVS,3.27 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131528,CPT,Laryngoscopy and dilation,,,21 ,,RBRVS,2.37 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131529,CPT,Laryngoscopy and dilation,,,21 ,,RBRVS,2.68 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131530,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.38 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131531,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.58 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131535,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.16 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131536,CPT,Operative laryngoscopy,,,21 ,,RBRVS,3.55 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131540,CPT,Operative laryngoscopy,,,21 ,,RBRVS,4.12 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131541,CPT,Operative laryngoscopy,,,21 ,,RBRVS,4.52 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131545,CPT,Remove vc lesion w/scope,,,21 ,,RBRVS,6.30 ,2.52 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131546,CPT,Remove vc lesion scope/graft,,,21 ,,RBRVS,9.73 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131560,CPT,Operative laryngoscopy,,,21 ,,RBRVS,5.45 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131561,CPT,Operative laryngoscopy,,,21 ,,RBRVS,5.99 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131570,CPT,Laryngoscopy with injection,,,21 ,,RBRVS,3.86 ,1.65 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131571,CPT,Laryngoscopy with injection,,,21 ,,RBRVS,4.26 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131575,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,1.10 ,0.76 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131576,CPT,Laryngoscopy with biopsy,,,21 ,,RBRVS,1.97 ,1.04 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131577,CPT,"Remove foreign body, larynx",,,21 ,,RBRVS,2.47 ,1.17 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131578,CPT,Removal of larynx lesion,,,21 ,,RBRVS,2.84 ,1.34 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131579,CPT,Diagnostic laryngoscopy,,,21 ,,RBRVS,2.26 ,1.15 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131580,CPT,Revision of larynx,,,21 ,,RBRVS,14.46 ,13.83 ,13.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131582,CPT,Revision of larynx,,,21 ,,RBRVS,22.87 ,22.57 ,22.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131584,CPT,Treat larynx fracture,,,21 ,,RBRVS,20.35 ,15.28 ,15.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131587,CPT,Revision of larynx,,,21 ,,RBRVS,15.12 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131588,CPT,Revision of larynx,,,21 ,,RBRVS,14.62 ,12.52 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131590,CPT,Reinnervate larynx,,,21 ,,RBRVS,7.63 ,12.80 ,12.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131595,CPT,Larynx nerve surgery,,,21 ,,RBRVS,8.75 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131599,CPT,Larynx surgery procedure,,,21 ,,TotalUnits,,,,2.88 ,,$0.00,$0.00,1,0,1,1,1,1,2008010131600,CPT,Incision of windpipe,,,21 ,,RBRVS,7.17 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131601,CPT,Incision of windpipe,,,21 ,,RBRVS,4.44 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131603,CPT,Incision of windpipe,,,21 ,,RBRVS,4.14 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131605,CPT,Incision of windpipe,,,21 ,,RBRVS,3.57 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131610,CPT,Incision of windpipe,,,21 ,,RBRVS,9.29 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131611,CPT,Surgery/speech prosthesis,,,21 ,,RBRVS,5.92 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131612,CPT,Puncture/clear windpipe,,,21 ,,RBRVS,0.91 ,0.26 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131613,CPT,Repair windpipe opening,,,21 ,,RBRVS,4.63 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131614,CPT,Repair windpipe opening,,,21 ,,RBRVS,8.47 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131615,CPT,Visualization of windpipe,,,21 ,,RBRVS,2.09 ,1.05 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131620,CPT,Endobronchial us add-on,,,21 ,,RBRVS,1.40 ,0.33 ,6.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131622,CPT,Dx bronchoscope/wash,,,21 ,,RBRVS,2.78 ,0.90 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131623,CPT,Dx bronchoscope/brush,,,21 ,,RBRVS,2.88 ,0.89 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131624,CPT,Dx bronchoscope/lavage,,,21 ,,RBRVS,2.88 ,0.89 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131625,CPT,Bronchoscopy w/biopsy(s),,,21 ,,RBRVS,3.36 ,1.01 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131628,CPT,"Bronchoscopy/lung bx, each",,,21 ,,RBRVS,3.80 ,1.10 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131629,CPT,"Bronchoscopy/needle bx, each",,,21 ,,RBRVS,4.09 ,1.17 ,12.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131630,CPT,Bronchoscopy dilate/fx repr,,,21 ,,RBRVS,3.81 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131631,CPT,"Bronchoscopy, dilate w/stent",,,21 ,,RBRVS,4.36 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131632,CPT,"Bronchoscopy/lung bx, add’l",,,21 ,,RBRVS,1.03 ,0.24 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131633,CPT,Bronchoscopy/needle bx add’l,,,21 ,,RBRVS,1.32 ,0.31 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131635,CPT,Bronchoscopy w/fb removal,,,21 ,,RBRVS,3.67 ,1.13 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131636,CPT,"Bronchoscopy, bronch stents",,,21 ,,RBRVS,4.30 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131637,CPT,"Bronchoscopy, stent add-on",,,21 ,,RBRVS,1.58 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131638,CPT,"Bronchoscopy, revise stent",,,21 ,,RBRVS,4.88 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131640,CPT,Bronchoscopy w/tumor excise,,,21 ,,RBRVS,4.93 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131641,CPT,"Bronchoscopy, treat blockage",,,21 ,,RBRVS,5.02 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131643,CPT,Diag bronchoscope/catheter,,,21 ,,RBRVS,3.49 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131645,CPT,"Bronchoscopy, clear airways",,,21 ,,RBRVS,3.16 ,0.96 ,4.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131646,CPT,"Bronchoscopy, reclear airway",,,21 ,,RBRVS,2.72 ,0.85 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131656,CPT,"Bronchoscopy, inj for x-ray",,,21 ,,RBRVS,2.17 ,0.68 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131715,CPT,Injection for bronchus x-ray,,,21 ,,RBRVS,1.11 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131717,CPT,Bronchial brush biopsy,,,21 ,,RBRVS,2.12 ,0.72 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131720,CPT,Clearance of airways,,,21 ,,RBRVS,1.06 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131725,CPT,Clearance of airways,,,21 ,,RBRVS,1.96 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131730,CPT,"Intro, windpipe wire/tube",,,21 ,,RBRVS,2.85 ,0.74 ,25.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131750,CPT,Repair of windpipe,,,21 ,,RBRVS,15.19 ,17.46 ,17.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131755,CPT,Repair of windpipe,,,21 ,,RBRVS,17.19 ,24.00 ,24.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131760,CPT,Repair of windpipe,,,21 ,,RBRVS,23.36 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131766,CPT,Reconstruction of windpipe,,,21 ,,RBRVS,31.58 ,11.70 ,11.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131770,CPT,Repair/graft of bronchus,,,21 ,,RBRVS,23.48 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131775,CPT,Reconstruct bronchus,,,21 ,,RBRVS,24.51 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131780,CPT,Reconstruct windpipe,,,21 ,,RBRVS,19.70 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131781,CPT,Reconstruct windpipe,,,21 ,,RBRVS,24.77 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131785,CPT,Remove windpipe lesion,,,21 ,,RBRVS,18.29 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131786,CPT,Remove windpipe lesion,,,21 ,,RBRVS,25.34 ,9.62 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131800,CPT,Repair of windpipe injury,,,21 ,,RBRVS,8.10 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131805,CPT,Repair of windpipe injury,,,21 ,,RBRVS,13.34 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131820,CPT,Closure of windpipe lesion,,,21 ,,RBRVS,4.58 ,3.26 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131825,CPT,Repair of windpipe defect,,,21 ,,RBRVS,6.98 ,4.48 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131830,CPT,Revise windpipe scar,,,21 ,,RBRVS,4.54 ,3.56 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010131899,CPT,Airways surgical procedure,,,21 ,,TotalUnits,,,,4.39 ,,$0.00,$0.00,1,0,1,1,1,1,2008010132035,CPT,Exploration of chest,,,21 ,,RBRVS,11.20 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132036,CPT,Exploration of chest,,,21 ,,RBRVS,12.21 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132095,CPT,Biopsy through chest wall,,,21 ,,RBRVS,10.06 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132100,CPT,Exploration/biopsy of chest,,,21 ,,RBRVS,16.08 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132110,CPT,Explore/repair chest,,,21 ,,RBRVS,25.15 ,9.88 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132120,CPT,Re-exploration of chest,,,21 ,,RBRVS,14.27 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132124,CPT,Explore chest free adhesions,,,21 ,,RBRVS,15.33 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132140,CPT,Removal of lung lesion(s),,,21 ,,RBRVS,16.54 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132141,CPT,Remove/treat lung lesions,,,21 ,,RBRVS,27.10 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132150,CPT,Removal of lung lesion(s),,,21 ,,RBRVS,16.70 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132151,CPT,Remove lung foreign body,,,21 ,,RBRVS,16.82 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132160,CPT,Open chest heart massage,,,21 ,,RBRVS,13.02 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132200,CPT,"Drain, open, lung lesion",,,21 ,,RBRVS,18.48 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132201,CPT,"Drain, percut, lung lesion",,,21 ,,RBRVS,3.99 ,1.43 ,19.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132215,CPT,Treat chest lining,,,21 ,,RBRVS,12.93 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132220,CPT,Release of lung,,,21 ,,RBRVS,26.41 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132225,CPT,Partial release of lung,,,21 ,,RBRVS,16.63 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132310,CPT,Removal of chest lining,,,21 ,,RBRVS,15.16 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132320,CPT,Free/remove chest lining,,,21 ,,RBRVS,27.04 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132400,CPT,Needle biopsy chest lining,,,21 ,,RBRVS,1.76 ,0.57 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132402,CPT,Open biopsy chest lining,,,21 ,,RBRVS,8.89 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132405,CPT,"Biopsy, lung or mediastinum",,,21 ,,RBRVS,1.93 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132420,CPT,Puncture/clear lung,,,21 ,,RBRVS,2.18 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132421,CPT,Thoracentesis for aspiration,,,21 ,,RBRVS,1.54 ,0.47 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132422,CPT,Thoracentesis w/tube insert,,,21 ,,RBRVS,2.19 ,1.03 ,2.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132440,CPT,Removal of lung,,,21 ,,RBRVS,27.17 ,10.92 ,10.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132442,CPT,Sleeve pneumonectomy,,,21 ,,RBRVS,56.37 ,18.74 ,18.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132445,CPT,Removal of lung,,,21 ,,RBRVS,63.60 ,22.80 ,22.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132480,CPT,Partial removal of lung,,,21 ,,RBRVS,25.71 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132482,CPT,Bilobectomy,,,21 ,,RBRVS,27.28 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132484,CPT,Segmentectomy,,,21 ,,RBRVS,25.30 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132486,CPT,Sleeve lobectomy,,,21 ,,RBRVS,42.80 ,14.62 ,14.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132488,CPT,Completion pneumonectomy,,,21 ,,RBRVS,42.83 ,15.58 ,15.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132491,CPT,Lung volume reduction,,,21 ,,RBRVS,25.09 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132500,CPT,Partial removal of lung,,,21 ,,RBRVS,24.48 ,10.27 ,10.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132501,CPT,Repair bronchus add-on,,,21 ,,RBRVS,4.68 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132503,CPT,Resect apical lung tumor,,,21 ,,RBRVS,31.61 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010132504,CPT,Resect apical lung tum/chest,,,21 ,,RBRVS,36.41 ,13.48 ,13.48 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010132540,CPT,Removal of lung lesion,,,21 ,,RBRVS,30.22 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132550,CPT,Insert pleural cath,,,21 ,,RBRVS,4.17 ,1.51 ,14.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132551,CPT,Insertion of chest tube,,,21 ,,RBRVS,3.29 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132560,CPT,Treat lung lining chemically,,,21 ,,RBRVS,2.19 ,0.58 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132601,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,5.45 ,2.07 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132602,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,5.95 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132603,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,7.80 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132604,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,8.77 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132605,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,6.92 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132606,CPT,"Thoracoscopy, diagnostic",,,21 ,,RBRVS,8.39 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132650,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,10.77 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132651,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,18.70 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132652,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,29.00 ,11.14 ,11.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132653,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,18.09 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132654,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,20.44 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132655,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,16.09 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132656,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.18 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132657,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,12.85 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132658,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,11.65 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132659,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,11.86 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132660,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,17.69 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132661,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,13.27 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132662,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,14.91 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132663,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,24.56 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132664,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,14.22 ,5.62 ,5.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132665,CPT,"Thoracoscopy, surgical",,,21 ,,RBRVS,21.45 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132800,CPT,Repair lung hernia,,,21 ,,RBRVS,15.59 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132810,CPT,Close chest after drainage,,,21 ,,RBRVS,14.83 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132815,CPT,Close bronchial fistula,,,21 ,,RBRVS,49.79 ,18.60 ,18.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132820,CPT,Reconstruct injured chest,,,21 ,,RBRVS,22.33 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132851,CPT,"Lung transplant, single",,,21 ,,RBRVS,40.94 ,20.19 ,20.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132852,CPT,Lung transplant with bypass,,,21 ,,RBRVS,44.65 ,22.58 ,22.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132853,CPT,"Lung transplant, double",,,21 ,,RBRVS,50.11 ,22.80 ,22.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132854,CPT,Lung transplant with bypass,,,21 ,,RBRVS,53.88 ,25.79 ,25.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132900,CPT,Removal of rib(s),,,21 ,,RBRVS,23.69 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132905,CPT,Revise & repair chest wall,,,21 ,,RBRVS,23.17 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132906,CPT,Revise & repair chest wall,,,21 ,,RBRVS,29.18 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132940,CPT,Revision of lung,,,21 ,,RBRVS,21.22 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132960,CPT,Therapeutic pneumothorax,,,21 ,,RBRVS,1.84 ,0.68 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132997,CPT,Total lung lavage,,,21 ,,RBRVS,7.31 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132998,CPT,"Perq rf ablate tx, pul tumor",,,21 ,,RBRVS,5.68 ,1.99 ,70.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010132999,CPT,Chest surgery procedure,,,21 ,,TotalUnits,,,,5.42 ,,$0.00,$0.00,1,0,1,1,1,1,2008010133010,CPT,Drainage of heart sac,,,21 ,,RBRVS,2.24 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133011,CPT,Repeat drainage of heart sac,,,21 ,,RBRVS,2.24 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133015,CPT,Incision of heart sac,,,21 ,,RBRVS,8.44 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133020,CPT,Incision of heart sac,,,21 ,,RBRVS,14.87 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133025,CPT,Incision of heart sac,,,21 ,,RBRVS,13.65 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133030,CPT,Partial removal of heart sac,,,21 ,,RBRVS,22.27 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133031,CPT,Partial removal of heart sac,,,21 ,,RBRVS,25.30 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133050,CPT,Removal of heart sac lesion,,,21 ,,RBRVS,16.85 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133120,CPT,Removal of heart lesion,,,21 ,,RBRVS,27.33 ,10.57 ,10.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133130,CPT,Removal of heart lesion,,,21 ,,RBRVS,24.05 ,9.37 ,9.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133140,CPT,Heart revascularize (tmr),,,21 ,,RBRVS,28.26 ,10.31 ,10.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133141,CPT,Heart tmr w/other procedure,,,21 ,,RBRVS,2.54 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133202,CPT,"Insert epicard eltrd, open",,,21 ,,RBRVS,13.15 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133203,CPT,"Insert epicard eltrd, endo",,,21 ,,RBRVS,13.92 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133206,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,7.31 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133207,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,8.00 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133208,CPT,Insertion of heart pacemaker,,,21 ,,RBRVS,8.72 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133210,CPT,Insertion of heart electrode,,,21 ,,RBRVS,3.30 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133211,CPT,Insertion of heart electrode,,,21 ,,RBRVS,3.39 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133212,CPT,Insertion of pulse generator,,,21 ,,RBRVS,5.51 ,3.71 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133213,CPT,Insertion of pulse generator,,,21 ,,RBRVS,6.36 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133214,CPT,Upgrade of pacemaker system,,,21 ,,RBRVS,7.78 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133215,CPT,Reposition pacing-defib lead,,,21 ,,RBRVS,4.89 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133216,CPT,"Insert lead pace-defib, one",,,21 ,,RBRVS,5.81 ,4.54 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133217,CPT,"Insert lead pace-defib, dual",,,21 ,,RBRVS,5.78 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133218,CPT,"Repair lead pace-defib, one",,,21 ,,RBRVS,5.97 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133220,CPT,"Repair lead pace-defib, dual",,,21 ,,RBRVS,6.05 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133222,CPT,"Revise pocket, pacemaker",,,21 ,,RBRVS,5.01 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133223,CPT,"Revise pocket, pacing-defib",,,21 ,,RBRVS,6.49 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133224,CPT,Insert pacing lead & connect,,,21 ,,RBRVS,9.04 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133225,CPT,L ventric pacing lead add-on,,,21 ,,RBRVS,8.33 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133226,CPT,Reposition l ventric lead,,,21 ,,RBRVS,8.68 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133233,CPT,Removal of pacemaker system,,,21 ,,RBRVS,3.33 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133234,CPT,Removal of pacemaker system,,,21 ,,RBRVS,7.85 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133235,CPT,Removal pacemaker electrode,,,21 ,,RBRVS,9.93 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133236,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,12.64 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133237,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,13.75 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133238,CPT,Remove electrode/thoracotomy,,,21 ,,RBRVS,15.28 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133240,CPT,Insert pulse generator,,,21 ,,RBRVS,7.61 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133241,CPT,Remove pulse generator,,,21 ,,RBRVS,3.26 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133243,CPT,Remove eltrd/thoracotomy,,,21 ,,RBRVS,23.42 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133244,CPT,"Remove eltrd, transven",,,21 ,,RBRVS,13.84 ,9.44 ,9.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133249,CPT,Eltrd/insert pace-defib,,,21 ,,RBRVS,15.02 ,10.16 ,10.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133250,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,25.78 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133251,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,28.80 ,10.97 ,10.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133254,CPT,"Ablate atria, lmtd",,,21 ,,RBRVS,23.58 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133255,CPT,"Ablate atria w/o bypass, ext",,,21 ,,RBRVS,28.91 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133256,CPT,"Ablate atria w/bypass, exten",,,21 ,,RBRVS,34.77 ,13.12 ,13.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133257,CPT,"Ablate atria, lmtd, add-on",,,21 ,,RBRVS,9.63 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133258,CPT,"Ablate atria, x10sv, add-on",,,21 ,,RBRVS,11.00 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133259,CPT,Ablate atria w/bypass add-on,,,21 ,,RBRVS,14.14 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133261,CPT,Ablate heart dysrhythm focus,,,21 ,,RBRVS,28.80 ,11.69 ,11.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133265,CPT,"Ablate atria w/bypass, endo",,,21 ,,RBRVS,23.58 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133266,CPT,Ablate atria w/o bypass endo,,,21 ,,RBRVS,32.91 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133282,CPT,Implant pat-active ht record,,,21 ,,RBRVS,4.70 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133284,CPT,Remove pat-active ht record,,,21 ,,RBRVS,3.04 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133300,CPT,Repair of heart wound,,,21 ,,RBRVS,44.89 ,15.06 ,15.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133305,CPT,Repair of heart wound,,,21 ,,RBRVS,76.85 ,25.14 ,25.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133310,CPT,Exploratory heart surgery,,,21 ,,RBRVS,20.22 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133315,CPT,Exploratory heart surgery,,,21 ,,RBRVS,26.05 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133320,CPT,Repair major blood vessel(s),,,21 ,,RBRVS,18.46 ,8.01 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133321,CPT,Repair major vessel,,,21 ,,RBRVS,20.71 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133322,CPT,Repair major blood vessel(s),,,21 ,,RBRVS,24.30 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133330,CPT,Insert major vessel graft,,,21 ,,RBRVS,25.17 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133332,CPT,Insert major vessel graft,,,21 ,,RBRVS,24.46 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133335,CPT,Insert major vessel graft,,,21 ,,RBRVS,33.79 ,12.49 ,12.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133400,CPT,Repair of aortic valve,,,21 ,,RBRVS,41.37 ,14.58 ,14.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133401,CPT,"Valvuloplasty, open",,,21 ,,RBRVS,24.41 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133403,CPT,"Valvuloplasty, w/cp bypass",,,21 ,,RBRVS,25.39 ,12.53 ,12.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133404,CPT,Prepare heart-aorta conduit,,,21 ,,RBRVS,31.25 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133405,CPT,Replacement of aortic valve,,,21 ,,RBRVS,41.19 ,15.12 ,15.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133406,CPT,Replacement of aortic valve,,,21 ,,RBRVS,52.55 ,18.39 ,18.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133410,CPT,Replacement of aortic valve,,,21 ,,RBRVS,46.28 ,16.53 ,16.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133411,CPT,Replacement of aortic valve,,,21 ,,RBRVS,61.94 ,21.11 ,21.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133412,CPT,Replacement of aortic valve,,,21 ,,RBRVS,43.77 ,16.22 ,16.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133413,CPT,Replacement of aortic valve,,,21 ,,RBRVS,59.74 ,23.55 ,23.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133414,CPT,Repair of aortic valve,,,21 ,,RBRVS,39.29 ,14.29 ,14.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133415,CPT,"Revision, subvalvular tissue",,,21 ,,RBRVS,37.19 ,13.15 ,13.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133416,CPT,Revise ventricle muscle,,,21 ,,RBRVS,36.43 ,13.24 ,13.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133417,CPT,Repair of aortic valve,,,21 ,,RBRVS,29.17 ,11.71 ,11.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133420,CPT,Revision of mitral valve,,,21 ,,RBRVS,25.67 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133422,CPT,Revision of mitral valve,,,21 ,,RBRVS,29.61 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133425,CPT,Repair of mitral valve,,,21 ,,RBRVS,49.83 ,17.61 ,17.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133426,CPT,Repair of mitral valve,,,21 ,,RBRVS,43.15 ,15.76 ,15.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133427,CPT,Repair of mitral valve,,,21 ,,RBRVS,44.70 ,15.70 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133430,CPT,Replacement of mitral valve,,,21 ,,RBRVS,50.75 ,18.57 ,18.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133460,CPT,Revision of tricuspid valve,,,21 ,,RBRVS,44.62 ,14.72 ,14.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133463,CPT,"Valvuloplasty, tricuspid",,,21 ,,RBRVS,56.95 ,19.73 ,19.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133464,CPT,"Valvuloplasty, tricuspid",,,21 ,,RBRVS,44.49 ,15.85 ,15.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133465,CPT,Replace tricuspid valve,,,21 ,,RBRVS,50.59 ,17.65 ,17.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133468,CPT,Revision of tricuspid valve,,,21 ,,RBRVS,32.82 ,15.25 ,15.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133470,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,21.32 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133471,CPT,"Valvotomy, pulmonary valve",,,21 ,,RBRVS,22.83 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133472,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,22.90 ,8.79 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133474,CPT,Revision of pulmonary valve,,,21 ,,RBRVS,39.27 ,12.95 ,12.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133475,CPT,"Replacement, pulmonary valve",,,21 ,,RBRVS,42.27 ,15.07 ,15.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133476,CPT,Revision of heart chamber,,,21 ,,RBRVS,26.41 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133478,CPT,Revision of heart chamber,,,21 ,,RBRVS,27.38 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133496,CPT,"Repair, prosth valve clot",,,21 ,,RBRVS,29.71 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133500,CPT,Repair heart vessel fistula,,,21 ,,RBRVS,27.82 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133501,CPT,Repair heart vessel fistula,,,21 ,,RBRVS,19.43 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133502,CPT,Coronary artery correction,,,21 ,,RBRVS,21.69 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133503,CPT,Coronary artery graft,,,21 ,,RBRVS,22.29 ,12.33 ,12.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133504,CPT,Coronary artery graft,,,21 ,,RBRVS,25.30 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133505,CPT,Repair artery w/tunnel,,,21 ,,RBRVS,38.35 ,15.14 ,15.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133506,CPT,"Repair artery, translocation",,,21 ,,RBRVS,37.80 ,12.71 ,12.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133507,CPT,"Repair art, intramural",,,21 ,,RBRVS,31.35 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133508,CPT,Endoscopic vein harvest,,,21 ,,RBRVS,0.31 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133510,CPT,"CABG, vein, single",,,21 ,,RBRVS,34.87 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133511,CPT,"CABG, vein, two",,,21 ,,RBRVS,38.34 ,14.16 ,14.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133512,CPT,"CABG, vein, three",,,21 ,,RBRVS,43.87 ,15.95 ,15.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133513,CPT,"CABG, vein, four",,,21 ,,RBRVS,45.26 ,16.38 ,16.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133514,CPT,"CABG, vein, five",,,21 ,,RBRVS,47.97 ,17.36 ,17.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133516,CPT,"Cabg, vein, six or more",,,21 ,,RBRVS,49.65 ,17.97 ,17.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133517,CPT,"CABG, artery-vein, single",,,21 ,,RBRVS,3.61 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133518,CPT,"CABG, artery-vein, two",,,21 ,,RBRVS,7.93 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133519,CPT,"CABG, artery-vein, three",,,21 ,,RBRVS,10.49 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133521,CPT,"CABG, artery-vein, four",,,21 ,,RBRVS,12.59 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133522,CPT,"CABG, artery-vein, five",,,21 ,,RBRVS,14.14 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133523,CPT,"Cabg, art-vein, six or more",,,21 ,,RBRVS,16.08 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133530,CPT,"Coronary artery, bypass/reop",,,21 ,,RBRVS,10.13 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133533,CPT,"CABG, arterial, single",,,21 ,,RBRVS,33.64 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133534,CPT,"CABG, arterial, two",,,21 ,,RBRVS,39.77 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133535,CPT,"CABG, arterial, three",,,21 ,,RBRVS,44.64 ,16.31 ,16.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133536,CPT,"Cabg, arterial, four or more",,,21 ,,RBRVS,48.32 ,17.34 ,17.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133542,CPT,Removal of heart lesion,,,21 ,,RBRVS,48.08 ,16.90 ,16.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133545,CPT,Repair of heart damage,,,21 ,,RBRVS,56.93 ,20.16 ,20.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133548,CPT,"Restore/remodel, ventricle",,,21 ,,RBRVS,53.96 ,19.35 ,19.35 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133572,CPT,Open coronary endarterectomy,,,21 ,,RBRVS,4.44 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133600,CPT,Closure of valve,,,21 ,,RBRVS,30.15 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133602,CPT,Closure of valve,,,21 ,,RBRVS,29.18 ,11.17 ,11.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133606,CPT,Anastomosis/artery-aorta,,,21 ,,RBRVS,31.37 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133608,CPT,Repair anomaly w/conduit,,,21 ,,RBRVS,31.72 ,12.86 ,12.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133610,CPT,Repair by enlargement,,,21 ,,RBRVS,31.24 ,13.56 ,13.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133611,CPT,Repair double ventricle,,,21 ,,RBRVS,35.49 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133612,CPT,Repair double ventricle,,,21 ,,RBRVS,36.49 ,14.32 ,14.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133615,CPT,"Repair, modified fontan",,,21 ,,RBRVS,35.76 ,13.80 ,13.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133617,CPT,Repair single ventricle,,,21 ,,RBRVS,38.96 ,13.96 ,13.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133619,CPT,Repair single ventricle,,,21 ,,RBRVS,48.60 ,17.99 ,17.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133641,CPT,Repair heart septum defect,,,21 ,,RBRVS,29.50 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133645,CPT,Revision of heart veins,,,21 ,,RBRVS,27.98 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133647,CPT,Repair heart septum defects,,,21 ,,RBRVS,29.37 ,12.72 ,12.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133660,CPT,Repair of heart defects,,,21 ,,RBRVS,31.75 ,11.83 ,11.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133665,CPT,Repair of heart defects,,,21 ,,RBRVS,34.77 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133670,CPT,Repair of heart chambers,,,21 ,,RBRVS,36.58 ,15.64 ,15.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133675,CPT,Close mult vsd,,,21 ,,RBRVS,35.87 ,15.76 ,15.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133676,CPT,Close mult vsd w/resection,,,21 ,,RBRVS,36.87 ,16.06 ,16.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133677,CPT,Cl mult vsd w/rem pul band,,,21 ,,RBRVS,38.37 ,16.63 ,16.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133681,CPT,Repair heart septum defect,,,21 ,,RBRVS,32.16 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133684,CPT,Repair heart septum defect,,,21 ,,RBRVS,34.29 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133688,CPT,Repair heart septum defect,,,21 ,,RBRVS,34.67 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133690,CPT,Reinforce pulmonary artery,,,21 ,,RBRVS,20.20 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133692,CPT,Repair of heart defects,,,21 ,,RBRVS,31.38 ,19.59 ,19.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133694,CPT,Repair of heart defects,,,21 ,,RBRVS,35.49 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133697,CPT,Repair of heart defects,,,21 ,,RBRVS,37.49 ,16.95 ,16.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133702,CPT,Repair of heart defects,,,21 ,,RBRVS,27.11 ,10.53 ,10.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133710,CPT,Repair of heart defects,,,21 ,,RBRVS,30.28 ,11.26 ,11.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133720,CPT,Repair of heart defect,,,21 ,,RBRVS,27.13 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133722,CPT,Repair of heart defect,,,21 ,,RBRVS,29.05 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133724,CPT,Repair venous anomaly,,,21 ,,RBRVS,27.55 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133726,CPT,Repair pul venous stenosis,,,21 ,,RBRVS,37.04 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133730,CPT,Repair heart-vein defect(s),,,21 ,,RBRVS,36.01 ,12.87 ,12.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133732,CPT,Repair heart-vein defect,,,21 ,,RBRVS,28.80 ,12.66 ,12.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133735,CPT,Revision of heart chamber,,,21 ,,RBRVS,22.04 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133736,CPT,Revision of heart chamber,,,21 ,,RBRVS,24.16 ,12.07 ,12.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133737,CPT,Revision of heart chamber,,,21 ,,RBRVS,22.34 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133750,CPT,Major vessel shunt,,,21 ,,RBRVS,22.06 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133755,CPT,Major vessel shunt,,,21 ,,RBRVS,22.44 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133762,CPT,Major vessel shunt,,,21 ,,RBRVS,22.44 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133764,CPT,Major vessel shunt & graft,,,21 ,,RBRVS,22.44 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133766,CPT,Major vessel shunt,,,21 ,,RBRVS,23.41 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133767,CPT,Major vessel shunt,,,21 ,,RBRVS,25.14 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133768,CPT,Cavopulmonary Shunting,,,21 ,,RBRVS,8.00 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133770,CPT,Repair great vessels defect,,,21 ,,RBRVS,39.02 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133771,CPT,Repair great vessels defect,,,21 ,,RBRVS,40.58 ,13.09 ,13.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133774,CPT,Repair great vessels defect,,,21 ,,RBRVS,31.54 ,12.21 ,12.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133775,CPT,Repair great vessels defect,,,21 ,,RBRVS,32.83 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133776,CPT,Repair great vessels defect,,,21 ,,RBRVS,34.53 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133777,CPT,Repair great vessels defect,,,21 ,,RBRVS,33.95 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133778,CPT,Repair great vessels defect,,,21 ,,RBRVS,42.62 ,14.93 ,14.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133779,CPT,Repair great vessels defect,,,21 ,,RBRVS,43.15 ,12.46 ,12.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133780,CPT,Repair great vessels defect,,,21 ,,RBRVS,43.85 ,13.15 ,13.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133781,CPT,Repair great vessels defect,,,21 ,,RBRVS,43.16 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133786,CPT,Repair arterial trunk,,,21 ,,RBRVS,41.74 ,14.10 ,14.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133788,CPT,Revision of pulmonary artery,,,21 ,,RBRVS,27.26 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133800,CPT,Aortic suspension,,,21 ,,RBRVS,17.23 ,6.82 ,6.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133802,CPT,Repair vessel defect,,,21 ,,RBRVS,18.24 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133803,CPT,Repair vessel defect,,,21 ,,RBRVS,20.18 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133813,CPT,Repair septal defect,,,21 ,,RBRVS,21.23 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133814,CPT,Repair septal defect,,,21 ,,RBRVS,26.41 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133820,CPT,Revise major vessel,,,21 ,,RBRVS,16.61 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133822,CPT,Revise major vessel,,,21 ,,RBRVS,17.63 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133824,CPT,Revise major vessel,,,21 ,,RBRVS,20.10 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133840,CPT,Remove aorta constriction,,,21 ,,RBRVS,21.21 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133845,CPT,Remove aorta constriction,,,21 ,,RBRVS,22.77 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133851,CPT,Remove aorta constriction,,,21 ,,RBRVS,21.85 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133852,CPT,Repair septal defect,,,21 ,,RBRVS,24.28 ,14.77 ,14.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133853,CPT,Repair septal defect,,,21 ,,RBRVS,32.35 ,12.26 ,12.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133860,CPT,Ascending aortic graft,,,21 ,,RBRVS,59.33 ,20.22 ,20.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133861,CPT,Ascending aortic graft,,,21 ,,RBRVS,43.94 ,15.71 ,15.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133863,CPT,Ascending aortic graft,,,21 ,,RBRVS,58.71 ,19.61 ,19.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133864,CPT,Ascending aortic graft,,,21 ,,RBRVS,60.00 ,20.11 ,20.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133870,CPT,Transverse aortic arch graft,,,21 ,,RBRVS,45.93 ,16.29 ,16.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133875,CPT,Thoracic aortic graft,,,21 ,,RBRVS,35.68 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133877,CPT,Thoracoabdominal graft,,,21 ,,RBRVS,68.85 ,21.03 ,21.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133880,CPT,Endovasc taa repr incl subcl,,,21 ,,RBRVS,34.48 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133881,CPT,Endovasc taa repr w/o subcl,,,21 ,,RBRVS,29.48 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133883,CPT,"Insert endovasc prosth, taa",,,21 ,,RBRVS,20.99 ,7.24 ,7.24 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133884,CPT,"Endovasc prosth, taa, add-on",,,21 ,,RBRVS,8.20 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133886,CPT,"Endovasc prosth, delayed",,,21 ,,RBRVS,17.99 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133889,CPT,Artery transpose/endovas taa,,,21 ,,RBRVS,15.92 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133891,CPT,Car-car bp grft/endovas taa,,,21 ,,RBRVS,20.00 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133910,CPT,Remove lung artery emboli,,,21 ,,RBRVS,29.59 ,11.35 ,11.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133915,CPT,Remove lung artery emboli,,,21 ,,RBRVS,24.83 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133916,CPT,Surgery of great vessel,,,21 ,,RBRVS,28.30 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133917,CPT,Repair pulmonary artery,,,21 ,,RBRVS,25.14 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133920,CPT,Repair pulmonary atresia,,,21 ,,RBRVS,32.58 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133922,CPT,Transect pulmonary artery,,,21 ,,RBRVS,24.09 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133924,CPT,Remove pulmonary shunt,,,21 ,,RBRVS,5.49 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133925,CPT,Rpr pul art unifocal w/o cpb,,,21 ,,RBRVS,31.25 ,16.44 ,16.44 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133926,CPT,"Repr pul art, unifocal w/cpb",,,21 ,,RBRVS,44.68 ,14.81 ,14.81 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010133935,CPT,"Transplantation, heart/lung",,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133940,CPT,Removal of donor heart,,,21 ,,TotalUnits,,,,46.15 ,,$0.00,$0.00,1,0,1,1,1,1,2008010133945,CPT,Transplantation of heart,,,21 ,,RBRVS,89.08 ,30.40 ,30.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133960,CPT,External circulation assist,,,21 ,,RBRVS,19.33 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133961,CPT,External circulation assist,,,21 ,,RBRVS,10.91 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133967,CPT,Insert ia percut device,,,21 ,,RBRVS,4.84 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133968,CPT,Remove aortic assist device,,,21 ,,RBRVS,0.64 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133970,CPT,Aortic circulation assist,,,21 ,,RBRVS,6.74 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133971,CPT,Aortic circulation assist,,,21 ,,RBRVS,11.91 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133973,CPT,Insert balloon device,,,21 ,,RBRVS,9.75 ,3.94 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133974,CPT,Remove intra-aortic balloon,,,21 ,,RBRVS,14.93 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133975,CPT,Implant ventricular device,,,21 ,,RBRVS,20.97 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133976,CPT,Implant ventricular device,,,21 ,,RBRVS,22.97 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133977,CPT,Remove ventricular device,,,21 ,,RBRVS,20.07 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133978,CPT,Remove ventricular device,,,21 ,,RBRVS,22.51 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133979,CPT,Insert intracorporeal device,,,21 ,,RBRVS,45.93 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133980,CPT,Remove intracorporeal device,,,21 ,,RBRVS,64.86 ,23.09 ,23.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010133999,CPT,Cardiac surgery procedure,,,21 ,,TotalUnits,,,,40.06 ,,$0.00,$0.00,1,0,1,1,1,1,2008010134001,CPT,Removal of artery clot,,,21 ,,RBRVS,17.78 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134051,CPT,Removal of artery clot,,,21 ,,RBRVS,16.91 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134101,CPT,Removal of artery clot,,,21 ,,RBRVS,10.85 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134111,CPT,Removal of arm artery clot,,,21 ,,RBRVS,10.85 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134151,CPT,Removal of artery clot,,,21 ,,RBRVS,26.41 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134201,CPT,Removal of artery clot,,,21 ,,RBRVS,19.38 ,6.55 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134203,CPT,Removal of leg artery clot,,,21 ,,RBRVS,17.73 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134401,CPT,Removal of vein clot,,,21 ,,RBRVS,26.41 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134421,CPT,Removal of vein clot,,,21 ,,RBRVS,13.29 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134451,CPT,Removal of vein clot,,,21 ,,RBRVS,28.41 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134471,CPT,Removal of vein clot,,,21 ,,RBRVS,21.00 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134490,CPT,Removal of vein clot,,,21 ,,RBRVS,10.83 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134501,CPT,"Repair valve, femoral vein",,,21 ,,RBRVS,16.74 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134502,CPT,Reconstruct vena cava,,,21 ,,RBRVS,27.86 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134510,CPT,Transposition of vein valve,,,21 ,,RBRVS,19.80 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134520,CPT,Cross-over vein graft,,,21 ,,RBRVS,19.05 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134530,CPT,Leg vein fusion,,,21 ,,RBRVS,17.77 ,6.77 ,6.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134800,CPT,Endovasc abdo repair w/tube,,,21 ,,RBRVS,21.46 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134802,CPT,Endovasc abdo repr w/device,,,21 ,,RBRVS,23.71 ,8.18 ,8.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134803,CPT,Endovas aaa repr w/3-p part,,,21 ,,RBRVS,24.74 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010134804,CPT,Endovasc abdo repr w/device,,,21 ,,RBRVS,23.71 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134805,CPT,Endovasc abdo repair w/pros,,,21 ,,RBRVS,22.59 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134806,CPT,Aneurysm press sensor add-on,,,21 ,,RBRVS,2.06 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134808,CPT,Endovasc abdo occlud device,,,21 ,,RBRVS,4.12 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134812,CPT,"Xpose for endoprosth, femorl",,,21 ,,RBRVS,6.74 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134813,CPT,Femoral endovas graft add-on,,,21 ,,RBRVS,4.79 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134820,CPT,"Xpose for endoprosth, iliac",,,21 ,,RBRVS,9.74 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134825,CPT,"Endovasc extend prosth, init",,,21 ,,RBRVS,12.72 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134826,CPT,"Endovasc exten prosth, addl",,,21 ,,RBRVS,4.12 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134830,CPT,Open aortic tube prosth repr,,,21 ,,RBRVS,35.10 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134831,CPT,Open aortoiliac prosth repr,,,21 ,,RBRVS,37.85 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134832,CPT,Open aortofemor prosth repr,,,21 ,,RBRVS,37.85 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134833,CPT,"Xpose for endoprosth, iliac",,,21 ,,RBRVS,11.98 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134834,CPT,"Xpose, endoprosth, brachial",,,21 ,,RBRVS,5.34 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010134900,CPT,Endovasc iliac repr w/graft,,,21 ,,RBRVS,16.77 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135001,CPT,Repair defect of artery,,,21 ,,RBRVS,20.70 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135002,CPT,"Repair artery rupture, neck",,,21 ,,RBRVS,22.12 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135005,CPT,Repair defect of artery,,,21 ,,RBRVS,19.18 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135011,CPT,Repair defect of artery,,,21 ,,RBRVS,18.50 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135013,CPT,"Repair artery rupture, arm",,,21 ,,RBRVS,23.10 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135021,CPT,Repair defect of artery,,,21 ,,RBRVS,22.09 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135022,CPT,"Repair artery rupture, chest",,,21 ,,RBRVS,25.62 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135045,CPT,Repair defect of arm artery,,,21 ,,RBRVS,17.94 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135081,CPT,Repair defect of artery,,,21 ,,RBRVS,33.37 ,10.71 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135082,CPT,"Repair artery rupture, aorta",,,21 ,,RBRVS,41.93 ,12.78 ,12.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135091,CPT,Repair defect of artery,,,21 ,,RBRVS,35.35 ,10.00 ,10.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135092,CPT,"Repair artery rupture, aorta",,,21 ,,RBRVS,50.81 ,14.51 ,14.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135102,CPT,Repair defect of artery,,,21 ,,RBRVS,36.37 ,11.30 ,11.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135103,CPT,"Repair artery rupture, groin",,,21 ,,RBRVS,43.49 ,12.64 ,12.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135111,CPT,Repair defect of artery,,,21 ,,RBRVS,26.17 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135112,CPT,"Repair artery rupture,spleen",,,21 ,,RBRVS,32.44 ,10.08 ,10.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135121,CPT,Repair defect of artery,,,21 ,,RBRVS,31.41 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135122,CPT,"Repair artery rupture, belly",,,21 ,,RBRVS,37.76 ,11.52 ,11.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135131,CPT,Repair defect of artery,,,21 ,,RBRVS,26.29 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135132,CPT,"Repair artery rupture, groin",,,21 ,,RBRVS,32.44 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135141,CPT,Repair defect of artery,,,21 ,,RBRVS,20.83 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135142,CPT,"Repair artery rupture, thigh",,,21 ,,RBRVS,25.03 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135151,CPT,Repair defect of artery,,,21 ,,RBRVS,23.61 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135152,CPT,"Repair artery rupture, knee",,,21 ,,RBRVS,27.53 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135180,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.01 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135182,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,31.58 ,10.84 ,10.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135184,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.72 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135188,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.05 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135189,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,29.85 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135190,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,13.33 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135201,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,16.84 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135206,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,13.76 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135207,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,10.85 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135211,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,24.50 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135216,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,36.47 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135221,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,26.54 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135226,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.22 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135231,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,21.08 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135236,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.94 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135241,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,25.50 ,10.03 ,10.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135246,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,28.15 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135251,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,31.83 ,9.46 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135256,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.98 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135261,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,18.88 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135266,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,15.75 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135271,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,24.50 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135276,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,25.72 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135281,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,29.93 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135286,CPT,Repair blood vessel lesion,,,21 ,,RBRVS,17.06 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135301,CPT,Rechanneling of artery,,,21 ,,RBRVS,19.53 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135302,CPT,Rechanneling of artery,,,21 ,,RBRVS,21.27 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135303,CPT,Rechanneling of artery,,,21 ,,RBRVS,23.52 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135304,CPT,Rechanneling of artery,,,21 ,,RBRVS,24.52 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135305,CPT,Rechanneling of artery,,,21 ,,RBRVS,23.52 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135306,CPT,Rechanneling of artery,,,21 ,,RBRVS,9.25 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135311,CPT,Rechanneling of artery,,,21 ,,RBRVS,28.52 ,9.64 ,9.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135321,CPT,Rechanneling of artery,,,21 ,,RBRVS,16.51 ,5.78 ,5.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135331,CPT,Rechanneling of artery,,,21 ,,RBRVS,27.61 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135341,CPT,Rechanneling of artery,,,21 ,,RBRVS,26.10 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135351,CPT,Rechanneling of artery,,,21 ,,RBRVS,24.53 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135355,CPT,Rechanneling of artery,,,21 ,,RBRVS,19.78 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135361,CPT,Rechanneling of artery,,,21 ,,RBRVS,30.11 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135363,CPT,Rechanneling of artery,,,21 ,,RBRVS,32.22 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135371,CPT,Rechanneling of artery,,,21 ,,RBRVS,15.23 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135372,CPT,Rechanneling of artery,,,21 ,,RBRVS,18.50 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135390,CPT,"Reoperation, carotid add-on",,,21 ,,RBRVS,3.19 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135400,CPT,Angioscopy,,,21 ,,RBRVS,3.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135450,CPT,Repair arterial blockage,,,21 ,,RBRVS,10.05 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135452,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.90 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135454,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.03 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135456,CPT,Repair arterial blockage,,,21 ,,RBRVS,7.34 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135458,CPT,Repair arterial blockage,,,21 ,,RBRVS,9.48 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135459,CPT,Repair arterial blockage,,,21 ,,RBRVS,8.62 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135460,CPT,Repair venous blockage,,,21 ,,RBRVS,6.03 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135470,CPT,Repair arterial blockage,,,21 ,,RBRVS,8.62 ,3.44 ,61.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135471,CPT,Repair arterial blockage,,,21 ,,RBRVS,10.05 ,4.69 ,66.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135472,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.90 ,2.81 ,47.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135473,CPT,Repair arterial blockage,,,21 ,,RBRVS,6.03 ,2.50 ,46.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135474,CPT,Repair arterial blockage,,,21 ,,RBRVS,7.35 ,2.98 ,60.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135475,CPT,Repair arterial blockage,,,21 ,,RBRVS,9.48 ,3.39 ,48.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135476,CPT,Repair venous blockage,,,21 ,,RBRVS,6.03 ,2.23 ,37.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135480,CPT,"Atherectomy, open",,,21 ,,RBRVS,11.06 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135481,CPT,"Atherectomy, open",,,21 ,,RBRVS,7.60 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135482,CPT,"Atherectomy, open",,,21 ,,RBRVS,6.64 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135483,CPT,"Atherectomy, open",,,21 ,,RBRVS,8.09 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135484,CPT,"Atherectomy, open",,,21 ,,RBRVS,10.42 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135485,CPT,"Atherectomy, open",,,21 ,,RBRVS,9.48 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135490,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,11.06 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135491,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,7.60 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135492,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,6.64 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135493,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,8.09 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135494,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,10.42 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135495,CPT,"Atherectomy, percutaneous",,,21 ,,RBRVS,9.48 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135500,CPT,Harvest vein for bypass,,,21 ,,RBRVS,6.44 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135501,CPT,Artery bypass graft,,,21 ,,RBRVS,28.99 ,11.07 ,11.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135506,CPT,Artery bypass graft,,,21 ,,RBRVS,25.23 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135508,CPT,Artery bypass graft,,,21 ,,RBRVS,25.99 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135509,CPT,Artery bypass graft,,,21 ,,RBRVS,27.99 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135510,CPT,Artery bypass graft,,,21 ,,RBRVS,24.29 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135511,CPT,Artery bypass graft,,,21 ,,RBRVS,22.12 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135512,CPT,Artery bypass graft,,,21 ,,RBRVS,23.79 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135515,CPT,Artery bypass graft,,,21 ,,RBRVS,25.99 ,9.09 ,9.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135516,CPT,Artery bypass graft,,,21 ,,RBRVS,24.11 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135518,CPT,Artery bypass graft,,,21 ,,RBRVS,22.57 ,7.33 ,7.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135521,CPT,Artery bypass graft,,,21 ,,RBRVS,24.00 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135522,CPT,Artery bypass graft,,,21 ,,RBRVS,23.05 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135523,CPT,Artery bypass graft,,,21 ,,RBRVS,24.00 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135525,CPT,Artery bypass graft,,,21 ,,RBRVS,21.59 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135526,CPT,Artery bypass graft,,,21 ,,RBRVS,31.47 ,14.04 ,14.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135531,CPT,Artery bypass graft,,,21 ,,RBRVS,38.98 ,11.48 ,11.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135533,CPT,Artery bypass graft,,,21 ,,RBRVS,29.79 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135536,CPT,Artery bypass graft,,,21 ,,RBRVS,33.60 ,9.51 ,9.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135537,CPT,Artery bypass graft,,,21 ,,RBRVS,41.75 ,13.10 ,13.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135538,CPT,Artery bypass graft,,,21 ,,RBRVS,46.82 ,14.45 ,14.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135539,CPT,Artery bypass graft,,,21 ,,RBRVS,43.98 ,13.47 ,13.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135540,CPT,Artery bypass graft,,,21 ,,RBRVS,49.20 ,14.82 ,14.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135548,CPT,Artery bypass graft,,,21 ,,RBRVS,22.57 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135549,CPT,Artery bypass graft,,,21 ,,RBRVS,24.34 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135551,CPT,Artery bypass graft,,,21 ,,RBRVS,27.72 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135556,CPT,Artery bypass graft,,,21 ,,RBRVS,26.62 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135558,CPT,Artery bypass graft,,,21 ,,RBRVS,23.00 ,7.87 ,7.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135560,CPT,Artery bypass graft,,,21 ,,RBRVS,33.90 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135563,CPT,Artery bypass graft,,,21 ,,RBRVS,25.99 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135565,CPT,Artery bypass graft,,,21 ,,RBRVS,25.00 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135566,CPT,Artery bypass graft,,,21 ,,RBRVS,32.22 ,9.85 ,9.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135571,CPT,Artery bypass graft,,,21 ,,RBRVS,25.39 ,8.09 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135572,CPT,Harvest femoropopliteal vein,,,21 ,,RBRVS,6.81 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135583,CPT,Vein bypass graft,,,21 ,,RBRVS,27.62 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135585,CPT,Vein bypass graft,,,21 ,,RBRVS,32.22 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135587,CPT,Vein bypass graft,,,21 ,,RBRVS,26.08 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135600,CPT,Harvest artery for cabg,,,21 ,,RBRVS,4.94 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135601,CPT,Artery bypass graft,,,21 ,,RBRVS,26.99 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135606,CPT,Artery bypass graft,,,21 ,,RBRVS,22.36 ,7.30 ,7.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135612,CPT,Artery bypass graft,,,21 ,,RBRVS,16.71 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135616,CPT,Artery bypass graft,,,21 ,,RBRVS,21.74 ,7.13 ,7.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135621,CPT,Artery bypass graft,,,21 ,,RBRVS,20.95 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135623,CPT,"Bypass graft, not vein",,,21 ,,RBRVS,25.79 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135626,CPT,Artery bypass graft,,,21 ,,RBRVS,29.06 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135631,CPT,Artery bypass graft,,,21 ,,RBRVS,35.90 ,10.56 ,10.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135636,CPT,Artery bypass graft,,,21 ,,RBRVS,31.62 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135637,CPT,Artery bypass graft,,,21 ,,RBRVS,32.92 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010135638,CPT,Artery bypass graft,,,21 ,,RBRVS,33.47 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010135642,CPT,Artery bypass graft,,,21 ,,RBRVS,18.85 ,6.22 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135645,CPT,Artery bypass graft,,,21 ,,RBRVS,18.34 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135646,CPT,Artery bypass graft,,,21 ,,RBRVS,32.84 ,10.45 ,10.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135647,CPT,Artery bypass graft,,,21 ,,RBRVS,29.62 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135650,CPT,Artery bypass graft,,,21 ,,RBRVS,20.08 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135651,CPT,Artery bypass graft,,,21 ,,RBRVS,25.97 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135654,CPT,Artery bypass graft,,,21 ,,RBRVS,26.17 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135656,CPT,Artery bypass graft,,,21 ,,RBRVS,20.39 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135661,CPT,Artery bypass graft,,,21 ,,RBRVS,20.22 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135663,CPT,Artery bypass graft,,,21 ,,RBRVS,23.80 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135665,CPT,Artery bypass graft,,,21 ,,RBRVS,22.22 ,7.36 ,7.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135666,CPT,Artery bypass graft,,,21 ,,RBRVS,23.53 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135671,CPT,Artery bypass graft,,,21 ,,RBRVS,20.64 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135681,CPT,Composite bypass graft,,,21 ,,RBRVS,1.60 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135682,CPT,Composite bypass graft,,,21 ,,RBRVS,7.19 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135683,CPT,Composite bypass graft,,,21 ,,RBRVS,8.49 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135685,CPT,Bypass graft patency/patch,,,21 ,,RBRVS,4.04 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135686,CPT,Bypass graft/av fist patency,,,21 ,,RBRVS,3.34 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135691,CPT,Arterial transposition,,,21 ,,RBRVS,18.32 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135693,CPT,Arterial transposition,,,21 ,,RBRVS,15.64 ,6.12 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135694,CPT,Arterial transposition,,,21 ,,RBRVS,19.19 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135695,CPT,Arterial transposition,,,21 ,,RBRVS,19.97 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135697,CPT,Reimplant artery each,,,21 ,,RBRVS,3.00 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135700,CPT,"Reoperation, bypass graft",,,21 ,,RBRVS,3.08 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135701,CPT,"Exploration, carotid artery",,,21 ,,RBRVS,9.11 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135721,CPT,"Exploration, femoral artery",,,21 ,,RBRVS,7.66 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135741,CPT,Exploration popliteal artery,,,21 ,,RBRVS,8.61 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135761,CPT,Exploration of artery/vein,,,21 ,,RBRVS,5.84 ,3.44 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135800,CPT,Explore neck vessels,,,21 ,,RBRVS,7.99 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135820,CPT,Explore chest vessels,,,21 ,,RBRVS,36.81 ,12.91 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135840,CPT,Explore abdominal vessels,,,21 ,,RBRVS,10.87 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135860,CPT,Explore limb vessels,,,21 ,,RBRVS,6.72 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135870,CPT,Repair vessel graft defect,,,21 ,,RBRVS,24.39 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135875,CPT,Removal of clot in graft,,,21 ,,RBRVS,10.64 ,4.29 ,4.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135876,CPT,Removal of clot in graft,,,21 ,,RBRVS,17.74 ,5.95 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135879,CPT,Revise graft w/vein,,,21 ,,RBRVS,17.28 ,5.98 ,5.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135881,CPT,Revise graft w/vein,,,21 ,,RBRVS,19.22 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135883,CPT,Revise graft w/nonauto graft,,,21 ,,RBRVS,23.07 ,8.50 ,8.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135884,CPT,Revise graft w/vein,,,21 ,,RBRVS,24.57 ,8.94 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135901,CPT,"Excision, graft, neck",,,21 ,,RBRVS,8.26 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135903,CPT,"Excision, graft, extremity",,,21 ,,RBRVS,9.44 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135905,CPT,"Excision, graft, thorax",,,21 ,,RBRVS,33.39 ,10.66 ,10.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010135907,CPT,"Excision, graft, abdomen",,,21 ,,RBRVS,37.14 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136000,CPT,Place needle in vein,,,21 ,,RBRVS,0.18 ,0.06 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136002,CPT,Pseudoaneurysm injection trt,,,21 ,,RBRVS,1.96 ,0.86 ,2.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136005,CPT,Injection ext venography,,,21 ,,RBRVS,0.95 ,0.39 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136010,CPT,Place catheter in vein,,,21 ,,RBRVS,2.43 ,0.78 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136011,CPT,Place catheter in vein,,,21 ,,RBRVS,3.14 ,1.01 ,19.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136012,CPT,Place catheter in vein,,,21 ,,RBRVS,3.51 ,1.28 ,20.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136013,CPT,Place catheter in artery,,,21 ,,RBRVS,2.52 ,0.93 ,18.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136014,CPT,Place catheter in artery,,,21 ,,RBRVS,3.02 ,1.11 ,18.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136015,CPT,Place catheter in artery,,,21 ,,RBRVS,3.51 ,1.05 ,18.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136100,CPT,Establish access to artery,,,21 ,,RBRVS,3.02 ,1.21 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136120,CPT,Establish access to artery,,,21 ,,RBRVS,2.01 ,0.59 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136140,CPT,Establish access to artery,,,21 ,,RBRVS,2.01 ,0.71 ,10.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136145,CPT,Artery to vein shunt,,,21 ,,RBRVS,2.01 ,0.66 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136160,CPT,Establish access to aorta,,,21 ,,RBRVS,2.52 ,1.05 ,11.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136200,CPT,Place catheter in aorta,,,21 ,,RBRVS,3.02 ,1.02 ,13.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136215,CPT,Place catheter in artery,,,21 ,,RBRVS,4.67 ,1.89 ,25.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136216,CPT,Place catheter in artery,,,21 ,,RBRVS,5.27 ,2.09 ,28.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136217,CPT,Place catheter in artery,,,21 ,,RBRVS,6.29 ,2.43 ,45.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136218,CPT,Place catheter in artery,,,21 ,,RBRVS,1.01 ,0.39 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136245,CPT,Place catheter in artery,,,21 ,,RBRVS,4.67 ,2.12 ,28.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136246,CPT,Place catheter in artery,,,21 ,,RBRVS,5.27 ,1.99 ,27.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136247,CPT,Place catheter in artery,,,21 ,,RBRVS,6.29 ,2.36 ,45.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136248,CPT,Place catheter in artery,,,21 ,,RBRVS,1.01 ,0.38 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136260,CPT,Insertion of infusion pump,,,21 ,,RBRVS,9.82 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136261,CPT,Revision of infusion pump,,,21 ,,RBRVS,5.55 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136262,CPT,Removal of infusion pump,,,21 ,,RBRVS,4.05 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136299,CPT,Vessel injection procedure,,,21 ,,TotalUnits,,,,4.04 ,,$0.00,$0.00,1,0,1,1,1,1,2008010136400,CPT,Bl draw < 3 yrs fem/jugular,,,21 ,,RBRVS,0.38 ,0.09 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136405,CPT,Bl draw < 3 yrs scalp vein,,,21 ,,RBRVS,0.31 ,0.08 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136406,CPT,Bl draw < 3 yrs other vein,,,21 ,,RBRVS,0.18 ,0.04 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136410,CPT,Non-routine bl draw > 3 yrs,,,21 ,,RBRVS,0.18 ,0.05 ,0.32 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136415,CPT,Routine venipuncture,,,14 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010136416,CPT,Capillary blood draw,,,14 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010136420,CPT,Vein access cutdown < 1 yr,,,21 ,,RBRVS,1.01 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136425,CPT,Vein access cutdown > 1 yr,,,21 ,,RBRVS,0.76 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136430,CPT,Blood transfusion service,,,21 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136440,CPT,"Bl push transfuse, 2 yr or <",,,21 ,,RBRVS,1.03 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136450,CPT,"Bl exchange/transfuse, nb",,,21 ,,RBRVS,2.23 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136455,CPT,Bl exchange/transfuse non-nb,,,21 ,,RBRVS,2.43 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136460,CPT,"Transfusion service, fetal",,,21 ,,RBRVS,6.58 ,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136468,CPT,"Injection(s), spider veins",,,21 ,,TotalUnits,,,,1.97 ,,$0.00,$0.00,1,0,1,1,1,1,2008010136469,CPT,"Injection(s), spider veins",,,21 ,,TotalUnits,,,,2.10 ,,$0.00,$0.00,1,0,1,1,1,1,2008010136470,CPT,Injection therapy of vein,,,21 ,,RBRVS,1.09 ,0.64 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136471,CPT,Injection therapy of veins,,,21 ,,RBRVS,1.60 ,0.79 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136475,CPT,"Endovenous rf, 1st vein",,,21 ,,RBRVS,6.72 ,1.88 ,35.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136476,CPT,"Endovenous rf, vein add-on",,,21 ,,RBRVS,3.38 ,0.83 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136478,CPT,"Endovenous laser, 1st vein",,,21 ,,RBRVS,6.72 ,2.04 ,26.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136479,CPT,Endovenous laser vein addon,,,21 ,,RBRVS,3.38 ,0.95 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136481,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,6.98 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136500,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,3.51 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136510,CPT,"Insertion of catheter, vein",,,21 ,,RBRVS,1.09 ,0.30 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136511,CPT,Apheresis wbc,,,21 ,,RBRVS,1.74 ,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136512,CPT,Apheresis rbc,,,21 ,,RBRVS,1.74 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136513,CPT,Apheresis platelets,,,21 ,,RBRVS,1.74 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136514,CPT,Apheresis plasma,,,21 ,,RBRVS,1.74 ,0.53 ,10.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136515,CPT,"Apheresis, adsorp/reinfuse",,,21 ,,RBRVS,1.74 ,0.48 ,45.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136516,CPT,"Apheresis, selective",,,21 ,,RBRVS,1.22 ,0.39 ,49.59 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136522,CPT,Photopheresis,,,21 ,,RBRVS,1.67 ,0.94 ,37.44 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010136555,CPT,Insert non-tunnel cv cath,,,21 ,,RBRVS,2.68 ,0.59 ,3.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136556,CPT,Insert non-tunnel cv cath,,,21 ,,RBRVS,2.50 ,0.55 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136557,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.11 ,2.29 ,15.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136558,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,4.81 ,2.36 ,14.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136560,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.26 ,2.72 ,21.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136561,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.01 ,2.64 ,22.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136563,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.21 ,2.60 ,23.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136565,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.01 ,2.47 ,17.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136566,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,6.51 ,2.60 ,111.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136568,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,1.92 ,0.59 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136569,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,1.82 ,0.67 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136570,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.33 ,2.10 ,21.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136571,CPT,Insert tunneled cv cath,,,21 ,,RBRVS,5.31 ,2.45 ,24.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136575,CPT,Repair tunneled cv cath,,,21 ,,RBRVS,0.67 ,0.23 ,3.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136576,CPT,Repair tunneled cv cath,,,21 ,,RBRVS,3.21 ,1.57 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136578,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,3.51 ,2.00 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136580,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,1.31 ,0.43 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136581,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,3.45 ,1.74 ,15.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136582,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,5.21 ,2.46 ,21.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136583,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,5.26 ,2.49 ,21.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136584,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,1.20 ,0.61 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136585,CPT,Replace tunneled cv cath,,,21 ,,RBRVS,4.81 ,2.43 ,22.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136589,CPT,Removal tunneled cv cath,,,21 ,,RBRVS,2.27 ,1.23 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136590,CPT,Removal tunneled cv cath,,,21 ,,RBRVS,3.32 ,1.60 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136591,CPT,Draw blood off venous device,,,21 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136592,CPT,Collect blood from picc,,,21 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136593,CPT,Declot vascular device,,,21 ,,RBRVS,0.00 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136595,CPT,Mech remov tunneled cv cath,,,21 ,,RBRVS,3.59 ,1.38 ,10.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136596,CPT,Mech remov tunneled cv cath,,,21 ,,RBRVS,0.75 ,0.43 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136597,CPT,Reposition venous catheter,,,21 ,,RBRVS,1.21 ,0.46 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136598,CPT,"Inj w/fluor, eval cv device",,,21 ,,RBRVS,0.74 ,0.27 ,2.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136600,CPT,Withdrawal of arterial blood,,,21 ,,RBRVS,0.32 ,0.07 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136620,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,1.15 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136625,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,2.11 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136640,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,2.10 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136660,CPT,"Insertion catheter, artery",,,21 ,,RBRVS,1.40 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136680,CPT,"Insert needle, bone cavity",,,21 ,,RBRVS,1.20 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136800,CPT,Insertion of cannula,,,21 ,,RBRVS,2.43 ,1.53 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136810,CPT,Insertion of cannula,,,21 ,,RBRVS,3.96 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136815,CPT,Insertion of cannula,,,21 ,,RBRVS,2.62 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136818,CPT,"Av fuse, uppr arm, cephalic",,,21 ,,RBRVS,11.81 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136819,CPT,Av fusion/uppr arm vein,,,21 ,,RBRVS,14.39 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136820,CPT,Av fusion/forearm vein,,,21 ,,RBRVS,14.39 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136821,CPT,Av fusion direct any site,,,21 ,,RBRVS,9.15 ,3.94 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136822,CPT,Insertion of cannula(s),,,21 ,,RBRVS,5.51 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136823,CPT,Insertion of cannula(s),,,21 ,,RBRVS,22.82 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136825,CPT,Artery-vein autograft,,,21 ,,RBRVS,10.00 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136830,CPT,Artery-vein nonautograft,,,21 ,,RBRVS,12.00 ,4.13 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136831,CPT,Open thrombect av fistula,,,21 ,,RBRVS,8.01 ,3.19 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136832,CPT,"Av fistula revision, open",,,21 ,,RBRVS,10.50 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136833,CPT,Av fistula revision,,,21 ,,RBRVS,11.95 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136834,CPT,Repair A-V aneurysm,,,21 ,,RBRVS,11.11 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136835,CPT,Artery to vein shunt,,,21 ,,RBRVS,7.43 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136838,CPT,"Dist revas ligation, hemo",,,21 ,,RBRVS,21.59 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136860,CPT,External cannula declotting,,,21 ,,RBRVS,2.01 ,0.63 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136861,CPT,Cannula declotting,,,21 ,,RBRVS,2.52 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010136870,CPT,Percut thrombect av fistula,,,21 ,,RBRVS,5.17 ,2.76 ,40.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137140,CPT,Revision of circulation,,,21 ,,RBRVS,25.12 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137145,CPT,Revision of circulation,,,21 ,,RBRVS,26.13 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137160,CPT,Revision of circulation,,,21 ,,RBRVS,23.13 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137180,CPT,Revision of circulation,,,21 ,,RBRVS,26.13 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137181,CPT,Splice spleen/kidney veins,,,21 ,,RBRVS,28.26 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137182,CPT,Insert hepatic shunt (tips),,,21 ,,RBRVS,16.97 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137183,CPT,Remove hepatic shunt (tips),,,21 ,,RBRVS,7.99 ,3.09 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137184,CPT,Prim art mech thrombectomy,,,21 ,,RBRVS,8.66 ,3.24 ,49.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137185,CPT,Prim art m-thrombect add-on,,,21 ,,RBRVS,3.28 ,1.12 ,16.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137186,CPT,Sec art m-thrombect add-on,,,21 ,,RBRVS,4.92 ,1.79 ,34.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137187,CPT,Venous mech thrombectomy,,,21 ,,RBRVS,8.03 ,2.99 ,48.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137188,CPT,Venous m-thrombectomy add-on,,,21 ,,RBRVS,5.71 ,2.18 ,42.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137195,CPT,"Thrombolytic therapy, stroke",,,21 ,,RBRVS,4.99 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137200,CPT,Transcatheter biopsy,,,21 ,,RBRVS,4.55 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137201,CPT,Transcatheter therapy infuse,,,21 ,,RBRVS,4.99 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137202,CPT,Transcatheter therapy infuse,,,21 ,,RBRVS,5.67 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137203,CPT,Transcatheter retrieval,,,21 ,,RBRVS,5.02 ,2.07 ,30.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137204,CPT,Transcatheter occlusion,,,21 ,,RBRVS,18.11 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137205,CPT,Transcatheter stent,,,21 ,,RBRVS,8.27 ,3.25 ,108.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137206,CPT,Transcatheter stent add-on,,,21 ,,RBRVS,4.12 ,1.58 ,66.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137207,CPT,Transcatheter stent,,,21 ,,RBRVS,8.27 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137208,CPT,Transcatheter stent add-on,,,21 ,,RBRVS,4.12 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137209,CPT,Exchange arterial catheter,,,21 ,,RBRVS,2.27 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137210,CPT,Embolization uterine fibroid,,,21 ,,RBRVS,10.60 ,3.68 ,83.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137215,CPT,"Transcath stent, cca w/eps",,,21 ,,RBRVS,19.58 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010137216,CPT,"Transcath stent, cca w/o eps",,,21 ,,RBRVS,18.85 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010137250,CPT,Iv us first vessel add-on,,,21 ,,RBRVS,2.10 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137251,CPT,Iv us each add vessel add-on,,,21 ,,RBRVS,1.60 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137500,CPT,Endoscopy ligate perf veins,,,21 ,,RBRVS,11.54 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137501,CPT,Vascular endoscopy procedure,,,21 ,,TotalUnits,,,,18.10 ,,$0.00,$0.00,1,0,1,1,1,1,2008010137565,CPT,Ligation of neck vein,,,21 ,,RBRVS,11.97 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137600,CPT,Ligation of neck artery,,,21 ,,RBRVS,12.34 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137605,CPT,Ligation of neck artery,,,21 ,,RBRVS,14.20 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137606,CPT,Ligation of neck artery,,,21 ,,RBRVS,8.72 ,4.86 ,4.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137607,CPT,Ligation of a-v fistula,,,21 ,,RBRVS,6.19 ,3.03 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137609,CPT,Temporal artery procedure,,,21 ,,RBRVS,3.02 ,1.82 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137615,CPT,Ligation of neck artery,,,21 ,,RBRVS,7.72 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137616,CPT,Ligation of chest artery,,,21 ,,RBRVS,18.89 ,7.93 ,7.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137617,CPT,Ligation of abdomen artery,,,21 ,,RBRVS,23.71 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137618,CPT,Ligation of extremity artery,,,21 ,,RBRVS,5.95 ,3.37 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137620,CPT,Revision of major vein,,,21 ,,RBRVS,11.49 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137650,CPT,Revision of major vein,,,21 ,,RBRVS,8.41 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137660,CPT,Revision of major vein,,,21 ,,RBRVS,22.20 ,7.59 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137700,CPT,Revise leg vein,,,21 ,,RBRVS,3.76 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137718,CPT,Ligate/strip short leg vein,,,21 ,,RBRVS,7.05 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137722,CPT,Ligate/strip long leg vein,,,21 ,,RBRVS,8.08 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137735,CPT,Removal of leg veins/lesion,,,21 ,,RBRVS,10.81 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137760,CPT,"Ligation, leg veins, open",,,21 ,,RBRVS,10.69 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137765,CPT,Phleb veins - extrem - to 20,,,21 ,,RBRVS,7.63 ,3.57 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137766,CPT,Phleb veins - extrem 20+,,,21 ,,RBRVS,9.58 ,4.13 ,4.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137780,CPT,Revision of leg vein,,,21 ,,RBRVS,3.87 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137785,CPT,Revise secondary varicosity,,,21 ,,RBRVS,3.87 ,2.58 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137788,CPT,"Revascularization, penis",,,21 ,,RBRVS,23.21 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137790,CPT,Penile venous occlusion,,,21 ,,RBRVS,8.37 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010137799,CPT,Vascular surgery procedure,,,21 ,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,0,1,1,1,1,2008010138100,CPT,"Removal of spleen, total",,,21 ,,RBRVS,19.47 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138101,CPT,"Removal of spleen, partial",,,21 ,,RBRVS,19.47 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138102,CPT,"Removal of spleen, total",,,21 ,,RBRVS,4.79 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138115,CPT,Repair of ruptured spleen,,,21 ,,RBRVS,21.80 ,7.44 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138120,CPT,"Laparoscopy, splenectomy",,,21 ,,RBRVS,16.97 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138129,CPT,"Laparoscope proc, spleen",,,21 ,,TotalUnits,,,,24.40 ,,$0.00,$0.00,1,0,1,1,1,1,2008010138200,CPT,Injection for spleen x-ray,,,21 ,,RBRVS,2.64 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138204,CPT,MGMT RECIP HEM PROGNATOR CELLS DONR SEARCH&ACQN,,,21 ,,RBRVS,2.00 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138205,CPT,Harvest allogenic stem cells,,,21 ,,RBRVS,1.50 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138206,CPT,Harvest auto stem cells,,,21 ,,RBRVS,1.50 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138207,CPT,Cryopreserve stem cells,,,21 ,,RBRVS,0.89 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010138208,CPT,Thaw preserved stem cells,,,21 ,,RBRVS,0.56 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010138209,CPT,Wash harvest stem cells,,,21 ,,RBRVS,0.24 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010138210,CPT,T-cell depletion of harvest,,,21 ,,RBRVS,1.57 ,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010138211,CPT,Tumor cell deplete of harvst,,,21 ,,RBRVS,1.42 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010138212,CPT,Rbc depletion of harvest,,,21 ,,RBRVS,0.94 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010138213,CPT,Platelet deplete of harvest,,,21 ,,RBRVS,0.24 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010138214,CPT,Volume deplete of harvest,,,21 ,,RBRVS,0.81 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010138215,CPT,Harvest stem cell concentrte,,,21 ,,RBRVS,0.94 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010138220,CPT,Bone marrow aspiration,,,21 ,,RBRVS,1.08 ,0.45 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138221,CPT,Bone marrow biopsy,,,21 ,,RBRVS,1.37 ,0.57 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138230,CPT,Bone marrow collection,,,21 ,,RBRVS,4.80 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138240,CPT,Bone marrow/stem transplant,,,21 ,,RBRVS,2.24 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138241,CPT,Bone marrow/stem transplant,,,21 ,,RBRVS,2.24 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138242,CPT,Lymphocyte infuse transplant,,,21 ,,RBRVS,1.71 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138300,CPT,"Drainage, lymph node lesion",,,21 ,,RBRVS,2.28 ,2.04 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138305,CPT,"Drainage, lymph node lesion",,,21 ,,RBRVS,6.55 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138308,CPT,Incision of lymph channels,,,21 ,,RBRVS,6.73 ,3.54 ,3.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138380,CPT,Thoracic duct procedure,,,21 ,,RBRVS,8.34 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138381,CPT,Thoracic duct procedure,,,21 ,,RBRVS,13.32 ,6.08 ,6.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138382,CPT,Thoracic duct procedure,,,21 ,,RBRVS,10.51 ,5.43 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138500,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,3.76 ,2.03 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138505,CPT,"Needle biopsy, lymph nodes",,,21 ,,RBRVS,1.14 ,0.74 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138510,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.69 ,3.09 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138520,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.95 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138525,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,6.35 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138530,CPT,"Biopsy/removal, lymph nodes",,,21 ,,RBRVS,8.26 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138542,CPT,"Explore deep node(s), neck",,,21 ,,RBRVS,6.08 ,3.97 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138550,CPT,"Removal, neck/armpit lesion",,,21 ,,RBRVS,6.99 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138555,CPT,"Removal, neck/armpit lesion",,,21 ,,RBRVS,15.42 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138562,CPT,"Removal, pelvic lymph nodes",,,21 ,,RBRVS,10.92 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138564,CPT,"Removal, abdomen lymph nodes",,,21 ,,RBRVS,11.29 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138570,CPT,"Laparoscopy, lymph node biop",,,21 ,,RBRVS,9.28 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138571,CPT,"Laparoscopy, lymphadenectomy",,,21 ,,RBRVS,14.70 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138572,CPT,"Laparoscopy, lymphadenectomy",,,21 ,,RBRVS,16.86 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138589,CPT,"Laparoscope proc, lymphatic",,,21 ,,TotalUnits,,,,13.18 ,,$0.00,$0.00,1,0,1,1,1,1,2008010138700,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,12.68 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138720,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,21.72 ,10.18 ,10.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138724,CPT,"Removal of lymph nodes, neck",,,21 ,,RBRVS,23.72 ,10.93 ,10.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138740,CPT,Remove armpit lymph nodes,,,21 ,,RBRVS,10.57 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138745,CPT,Remove armpit lymph nodes,,,21 ,,RBRVS,13.71 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138746,CPT,Remove thoracic lymph nodes,,,21 ,,RBRVS,4.88 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138747,CPT,Remove abdominal lymph nodes,,,21 ,,RBRVS,4.88 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138760,CPT,Remove groin lymph nodes,,,21 ,,RBRVS,13.49 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138765,CPT,Remove groin lymph nodes,,,21 ,,RBRVS,21.78 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138770,CPT,Remove pelvis lymph nodes,,,21 ,,RBRVS,13.98 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138780,CPT,Remove abdomen lymph nodes,,,21 ,,RBRVS,17.56 ,7.99 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138790,CPT,Inject for lymphatic x-ray,,,21 ,,RBRVS,1.29 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138792,CPT,Identify sentinel node,,,21 ,,RBRVS,0.52 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138794,CPT,Access thoracic lymph duct,,,21 ,,RBRVS,4.51 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010138999,CPT,Blood/lymph system procedure,,,21 ,,TotalUnits,,,,5.81 ,,$0.00,$0.00,1,0,1,1,1,1,2008010139000,CPT,Exploration of chest,,,21 ,,RBRVS,7.49 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139010,CPT,Exploration of chest,,,21 ,,RBRVS,13.11 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139200,CPT,Removal chest lesion,,,21 ,,RBRVS,15.04 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139220,CPT,Removal chest lesion,,,21 ,,RBRVS,19.47 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139400,CPT,Visualization of chest,,,21 ,,RBRVS,8.00 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139499,CPT,Chest procedure,,,21 ,,TotalUnits,,,,10.47 ,,$0.00,$0.00,1,0,1,1,1,1,2008010139501,CPT,Repair diaphragm laceration,,,21 ,,RBRVS,13.89 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139502,CPT,Repair paraesophageal hernia,,,21 ,,RBRVS,17.09 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139503,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,108.67 ,27.41 ,27.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139520,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,16.63 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139530,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,16.22 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139531,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,17.23 ,6.58 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139540,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,14.51 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139541,CPT,Repair of diaphragm hernia,,,21 ,,RBRVS,15.67 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139545,CPT,Revision of diaphragm,,,21 ,,RBRVS,14.58 ,6.93 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139560,CPT,"Resect diaphragm, simple",,,21 ,,RBRVS,12.97 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139561,CPT,"Resect diaphragm, complex",,,21 ,,RBRVS,19.75 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010139599,CPT,Diaphragm surgery procedure,,,21 ,,TotalUnits,,,,21.04 ,,$0.00,$0.00,1,0,1,1,1,1,2008010140490,CPT,Biopsy of lip,,,21 ,,RBRVS,1.22 ,0.58 ,2.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140500,CPT,Partial excision of lip,,,21 ,,RBRVS,4.35 ,4.36 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140510,CPT,Partial excision of lip,,,21 ,,RBRVS,4.74 ,3.62 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140520,CPT,Partial excision of lip,,,21 ,,RBRVS,4.71 ,3.82 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140525,CPT,Reconstruct lip with flap,,,21 ,,RBRVS,7.61 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140527,CPT,Reconstruct lip with flap,,,21 ,,RBRVS,9.20 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140530,CPT,Partial removal of lip,,,21 ,,RBRVS,5.45 ,4.27 ,7.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140650,CPT,Repair lip,,,21 ,,RBRVS,3.69 ,3.17 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140652,CPT,Repair lip,,,21 ,,RBRVS,4.32 ,4.12 ,7.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140654,CPT,Repair lip,,,21 ,,RBRVS,5.37 ,4.68 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140700,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,13.97 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140701,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,17.03 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140702,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,14.09 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140720,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,14.54 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140761,CPT,Repair cleft lip/nasal,,,21 ,,RBRVS,15.69 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140799,CPT,Lip surgery procedure,,,21 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,1,1,1,2008010140800,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.19 ,1.88 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140801,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,2.57 ,2.58 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140804,CPT,"Removal, foreign body, mouth",,,21 ,,RBRVS,1.26 ,1.83 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140805,CPT,"Removal, foreign body, mouth",,,21 ,,RBRVS,2.73 ,2.66 ,5.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140806,CPT,Incision of lip fold,,,21 ,,RBRVS,0.31 ,0.51 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140808,CPT,Biopsy of mouth lesion,,,21 ,,RBRVS,0.98 ,1.62 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140810,CPT,Excision of mouth lesion,,,21 ,,RBRVS,1.33 ,1.72 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140812,CPT,Excise/repair mouth lesion,,,21 ,,RBRVS,2.33 ,2.28 ,4.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140814,CPT,Excise/repair mouth lesion,,,21 ,,RBRVS,3.45 ,3.70 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140816,CPT,Excision of mouth lesion,,,21 ,,RBRVS,3.70 ,3.77 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140818,CPT,Excise oral mucosa for graft,,,21 ,,RBRVS,2.72 ,3.75 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140819,CPT,Excise lip or cheek fold,,,21 ,,RBRVS,2.45 ,3.11 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140820,CPT,Treatment of mouth lesion,,,21 ,,RBRVS,1.30 ,2.94 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140830,CPT,Repair mouth laceration,,,21 ,,RBRVS,1.78 ,2.00 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140831,CPT,Repair mouth laceration,,,21 ,,RBRVS,2.50 ,2.70 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140840,CPT,Reconstruction of mouth,,,21 ,,RBRVS,9.03 ,5.59 ,10.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140842,CPT,Reconstruction of mouth,,,21 ,,RBRVS,9.03 ,5.72 ,10.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140843,CPT,Reconstruction of mouth,,,21 ,,RBRVS,12.62 ,5.75 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140844,CPT,Reconstruction of mouth,,,21 ,,RBRVS,16.57 ,9.12 ,15.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140845,CPT,Reconstruction of mouth,,,21 ,,RBRVS,19.13 ,10.22 ,16.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010140899,CPT,Mouth surgery procedure,,,21 ,,TotalUnits,,,,5.25 ,,$0.00,$0.00,1,0,1,1,1,1,2008010141000,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.32 ,1.33 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141005,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,1.28 ,1.77 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141006,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.28 ,2.82 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141007,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.14 ,2.72 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141008,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.40 ,2.85 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141009,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,3.63 ,3.15 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141010,CPT,Incision of tongue fold,,,21 ,,RBRVS,1.08 ,1.56 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141015,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.00 ,3.98 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141016,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.11 ,4.07 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141017,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,4.11 ,4.12 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141018,CPT,Drainage of mouth lesion,,,21 ,,RBRVS,5.14 ,4.48 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141019,CPT,Place needles h&n for rt,,,21 ,,RBRVS,8.84 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141100,CPT,Biopsy of tongue,,,21 ,,RBRVS,1.39 ,1.17 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141105,CPT,Biopsy of tongue,,,21 ,,RBRVS,1.44 ,1.20 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141108,CPT,Biopsy of floor of mouth,,,21 ,,RBRVS,1.07 ,1.08 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141110,CPT,Excision of tongue lesion,,,21 ,,RBRVS,1.53 ,1.65 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141112,CPT,Excision of tongue lesion,,,21 ,,RBRVS,2.77 ,3.24 ,5.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141113,CPT,Excision of tongue lesion,,,21 ,,RBRVS,3.23 ,3.39 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141114,CPT,Excision of tongue lesion,,,21 ,,RBRVS,8.71 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141115,CPT,Excision of tongue fold,,,21 ,,RBRVS,1.76 ,1.72 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141116,CPT,Excision of mouth lesion,,,21 ,,RBRVS,2.47 ,2.80 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141120,CPT,Partial removal of tongue,,,21 ,,RBRVS,10.91 ,14.34 ,14.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141130,CPT,Partial removal of tongue,,,21 ,,RBRVS,15.51 ,15.89 ,15.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141135,CPT,Tongue and neck surgery,,,21 ,,RBRVS,29.83 ,21.87 ,21.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141140,CPT,Removal of tongue,,,21 ,,RBRVS,28.81 ,23.59 ,23.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141145,CPT,"Tongue removal, neck surgery",,,21 ,,RBRVS,37.59 ,28.83 ,28.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141150,CPT,"Tongue, mouth, jaw surgery",,,21 ,,RBRVS,29.52 ,23.05 ,23.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141153,CPT,"Tongue, mouth, neck surgery",,,21 ,,RBRVS,33.28 ,23.95 ,23.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141155,CPT,"Tongue, jaw, & neck surgery",,,21 ,,RBRVS,43.96 ,27.62 ,27.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141250,CPT,Repair tongue laceration,,,21 ,,RBRVS,1.93 ,1.61 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141251,CPT,Repair tongue laceration,,,21 ,,RBRVS,2.29 ,1.78 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141252,CPT,Repair tongue laceration,,,21 ,,RBRVS,2.99 ,2.12 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141500,CPT,Fixation of tongue,,,21 ,,RBRVS,3.74 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141510,CPT,Tongue to lip surgery,,,21 ,,RBRVS,3.45 ,6.48 ,6.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141520,CPT,"Reconstruction, tongue fold",,,21 ,,RBRVS,2.77 ,3.26 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141599,CPT,Tongue and mouth surgery,,,21 ,,TotalUnits,,,,4.52 ,,$0.00,$0.00,1,0,1,1,1,1,2008010141800,CPT,Drainage of gum lesion,,,21 ,,RBRVS,1.21 ,2.12 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141805,CPT,"Removal foreign body, gum",,,21 ,,RBRVS,1.28 ,2.70 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141806,CPT,"Removal foreign body,jawbone",,,21 ,,RBRVS,2.73 ,3.34 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141820,CPT,"Excision, gum, each quadrant",,,21 ,,TotalUnits,,,,4.89 ,,$0.00,$0.00,1,0,1,1,1,1,2008010141821,CPT,Excision of gum flap,,,21 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,0,1,1,1,1,2008010141822,CPT,Excision of gum lesion,,,21 ,,RBRVS,2.35 ,1.85 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141823,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.63 ,3.73 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141825,CPT,Excision of gum lesion,,,21 ,,RBRVS,1.35 ,1.47 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141826,CPT,Excision of gum lesion,,,21 ,,RBRVS,2.35 ,2.58 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141827,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.72 ,3.38 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141828,CPT,Excision of gum lesion,,,21 ,,RBRVS,3.11 ,1.64 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141830,CPT,Removal of gum tissue,,,21 ,,RBRVS,3.38 ,3.12 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141850,CPT,Treatment of gum lesion,,,21 ,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,0,1,1,1,1,2008010141870,CPT,Gum graft,,,21 ,,TotalUnits,,,,6.12 ,,$0.00,$0.00,1,0,1,1,1,1,2008010141872,CPT,Repair gum,,,21 ,,RBRVS,2.90 ,3.31 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141874,CPT,Repair tooth socket,,,21 ,,RBRVS,3.13 ,2.72 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010141899,CPT,Dental surgery procedure,,,21 ,,TotalUnits,,,,5.92 ,,$0.00,$0.00,1,0,1,1,1,1,2008010142000,CPT,Drainage mouth roof lesion,,,21 ,,RBRVS,1.25 ,1.21 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142100,CPT,Biopsy roof of mouth,,,21 ,,RBRVS,1.33 ,1.26 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142104,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,1.66 ,1.67 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142106,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,2.12 ,2.07 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142107,CPT,"Excision lesion, mouth roof",,,21 ,,RBRVS,4.48 ,3.69 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142120,CPT,Remove palate/lesion,,,21 ,,RBRVS,11.70 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142140,CPT,Excision of uvula,,,21 ,,RBRVS,1.65 ,2.12 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142145,CPT,"Repair palate, pharynx/uvula",,,21 ,,RBRVS,9.63 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142160,CPT,Treatment mouth roof lesion,,,21 ,,RBRVS,1.82 ,1.69 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142180,CPT,Repair palate,,,21 ,,RBRVS,2.52 ,1.86 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142182,CPT,Repair palate,,,21 ,,RBRVS,3.84 ,2.40 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142200,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,12.41 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142205,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,13.57 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142210,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,14.91 ,10.25 ,10.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142215,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,8.88 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142220,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,7.07 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142225,CPT,Reconstruct cleft palate,,,21 ,,RBRVS,9.66 ,12.25 ,12.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142226,CPT,Lengthening of palate,,,21 ,,RBRVS,10.24 ,11.91 ,11.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142227,CPT,Lengthening of palate,,,21 ,,RBRVS,9.81 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142235,CPT,Repair palate,,,21 ,,RBRVS,7.92 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142260,CPT,Repair nose to lip fistula,,,21 ,,RBRVS,10.10 ,6.03 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142280,CPT,"Preparation, palate mold",,,21 ,,RBRVS,1.56 ,0.83 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142281,CPT,"Insertion, palate prosthesis",,,21 ,,RBRVS,1.95 ,1.69 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142299,CPT,Palate/uvula surgery,,,21 ,,TotalUnits,,,,14.65 ,,$0.00,$0.00,1,0,1,1,1,1,2008010142300,CPT,Drainage of salivary gland,,,21 ,,RBRVS,1.95 ,1.74 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142305,CPT,Drainage of salivary gland,,,21 ,,RBRVS,6.23 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142310,CPT,Drainage of salivary gland,,,21 ,,RBRVS,1.58 ,1.39 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142320,CPT,Drainage of salivary gland,,,21 ,,RBRVS,2.37 ,1.88 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142330,CPT,Removal of salivary stone,,,21 ,,RBRVS,2.23 ,1.73 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142335,CPT,Removal of salivary stone,,,21 ,,RBRVS,3.35 ,2.85 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142340,CPT,Removal of salivary stone,,,21 ,,RBRVS,4.64 ,3.48 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142400,CPT,Biopsy of salivary gland,,,21 ,,RBRVS,0.78 ,0.65 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142405,CPT,Biopsy of salivary gland,,,21 ,,RBRVS,3.31 ,2.15 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142408,CPT,Excision of salivary cyst,,,21 ,,RBRVS,4.58 ,3.27 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142409,CPT,Drainage of salivary cyst,,,21 ,,RBRVS,2.85 ,2.53 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142410,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,9.46 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142415,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,17.99 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142420,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,20.87 ,9.58 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142425,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,13.31 ,6.84 ,6.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142426,CPT,Excise parotid gland/lesion,,,21 ,,RBRVS,22.54 ,10.01 ,10.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142440,CPT,Excise submaxillary gland,,,21 ,,RBRVS,7.05 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142450,CPT,Excise sublingual gland,,,21 ,,RBRVS,4.66 ,4.03 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142500,CPT,Repair salivary duct,,,21 ,,RBRVS,4.34 ,3.86 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142505,CPT,Repair salivary duct,,,21 ,,RBRVS,6.23 ,4.71 ,7.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142507,CPT,Parotid duct diversion,,,21 ,,RBRVS,6.16 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142508,CPT,Parotid duct diversion,,,21 ,,RBRVS,9.22 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142509,CPT,Parotid duct diversion,,,21 ,,RBRVS,11.65 ,8.92 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142510,CPT,Parotid duct diversion,,,21 ,,RBRVS,8.26 ,6.90 ,6.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142550,CPT,Injection for salivary x-ray,,,21 ,,RBRVS,1.25 ,0.44 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142600,CPT,Closure of salivary fistula,,,21 ,,RBRVS,4.86 ,3.43 ,6.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142650,CPT,Dilation of salivary duct,,,21 ,,RBRVS,0.77 ,0.66 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142660,CPT,Dilation of salivary duct,,,21 ,,RBRVS,1.13 ,0.75 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142665,CPT,Ligation of salivary duct,,,21 ,,RBRVS,2.57 ,2.40 ,5.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142699,CPT,Salivary surgery procedure,,,21 ,,TotalUnits,,,,12.02 ,,$0.00,$0.00,1,0,1,1,1,1,2008010142700,CPT,Drainage of tonsil abscess,,,21 ,,RBRVS,1.64 ,1.65 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142720,CPT,Drainage of throat abscess,,,21 ,,RBRVS,6.31 ,3.17 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142725,CPT,Drainage of throat abscess,,,21 ,,RBRVS,12.28 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142800,CPT,Biopsy of throat,,,21 ,,RBRVS,1.41 ,1.30 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142802,CPT,Biopsy of throat,,,21 ,,RBRVS,1.56 ,1.67 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142804,CPT,Biopsy of upper nose/throat,,,21 ,,RBRVS,1.26 ,1.50 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142806,CPT,Biopsy of upper nose/throat,,,21 ,,RBRVS,1.60 ,1.61 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142808,CPT,Excise pharynx lesion,,,21 ,,RBRVS,2.32 ,1.60 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142809,CPT,Remove pharynx foreign body,,,21 ,,RBRVS,1.83 ,1.32 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142810,CPT,Excision of neck cyst,,,21 ,,RBRVS,3.30 ,3.73 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142815,CPT,Excision of neck cyst,,,21 ,,RBRVS,7.23 ,6.26 ,6.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142820,CPT,Remove tonsils and adenoids,,,21 ,,RBRVS,4.17 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142821,CPT,Remove tonsils and adenoids,,,21 ,,RBRVS,4.31 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142825,CPT,Removal of tonsils,,,21 ,,RBRVS,3.45 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142826,CPT,Removal of tonsils,,,21 ,,RBRVS,3.40 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142830,CPT,Removal of adenoids,,,21 ,,RBRVS,2.60 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142831,CPT,Removal of adenoids,,,21 ,,RBRVS,2.75 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142835,CPT,Removal of adenoids,,,21 ,,RBRVS,2.33 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142836,CPT,Removal of adenoids,,,21 ,,RBRVS,3.21 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142842,CPT,Extensive surgery of throat,,,21 ,,RBRVS,12.02 ,12.05 ,12.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142844,CPT,Extensive surgery of throat,,,21 ,,RBRVS,17.57 ,15.48 ,15.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142845,CPT,Extensive surgery of throat,,,21 ,,RBRVS,32.35 ,21.17 ,21.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142860,CPT,Excision of tonsil tags,,,21 ,,RBRVS,2.25 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142870,CPT,Excision of lingual tonsil,,,21 ,,RBRVS,5.44 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142890,CPT,Partial removal of pharynx,,,21 ,,RBRVS,18.92 ,15.26 ,15.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142892,CPT,Revision of pharyngeal walls,,,21 ,,RBRVS,25.77 ,19.22 ,19.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142894,CPT,Revision of pharyngeal walls,,,21 ,,RBRVS,33.61 ,23.55 ,23.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142900,CPT,Repair throat wound,,,21 ,,RBRVS,5.26 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142950,CPT,Reconstruction of throat,,,21 ,,RBRVS,8.16 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142953,CPT,"Repair throat, esophagus",,,21 ,,RBRVS,9.33 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142955,CPT,Surgical opening of throat,,,21 ,,RBRVS,7.92 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142960,CPT,Control throat bleeding,,,21 ,,RBRVS,2.35 ,1.72 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142961,CPT,Control throat bleeding,,,21 ,,RBRVS,5.69 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142962,CPT,Control throat bleeding,,,21 ,,RBRVS,7.31 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142970,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,5.76 ,3.59 ,3.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142971,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,6.54 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142972,CPT,Control nose/throat bleeding,,,21 ,,RBRVS,7.53 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010142999,CPT,Throat surgery procedure,,,21 ,,TotalUnits,,,,7.37 ,,$0.00,$0.00,1,0,1,1,1,1,2008010143020,CPT,Incision of esophagus,,,21 ,,RBRVS,8.14 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143030,CPT,Throat muscle surgery,,,21 ,,RBRVS,7.91 ,4.52 ,4.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143045,CPT,Incision of esophagus,,,21 ,,RBRVS,21.70 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143100,CPT,Excision of esophagus lesion,,,21 ,,RBRVS,9.55 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143101,CPT,Excision of esophagus lesion,,,21 ,,RBRVS,16.99 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143107,CPT,Removal of esophagus,,,21 ,,RBRVS,43.97 ,16.27 ,16.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143108,CPT,Removal of esophagus,,,21 ,,RBRVS,82.66 ,24.49 ,24.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143112,CPT,Removal of esophagus,,,21 ,,RBRVS,47.27 ,17.02 ,17.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143113,CPT,Removal of esophagus,,,21 ,,RBRVS,79.85 ,25.37 ,25.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143116,CPT,Partial removal of esophagus,,,21 ,,RBRVS,92.78 ,30.34 ,30.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143117,CPT,Partial removal of esophagus,,,21 ,,RBRVS,43.52 ,15.16 ,15.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143118,CPT,Partial removal of esophagus,,,21 ,,RBRVS,66.86 ,21.53 ,21.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143121,CPT,Partial removal of esophagus,,,21 ,,RBRVS,51.22 ,18.29 ,18.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143122,CPT,Partial removal of esophagus,,,21 ,,RBRVS,43.97 ,15.62 ,15.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143123,CPT,Partial removal of esophagus,,,21 ,,RBRVS,82.91 ,25.78 ,25.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143124,CPT,Removal of esophagus,,,21 ,,RBRVS,68.83 ,24.37 ,24.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143130,CPT,Removal of esophagus pouch,,,21 ,,RBRVS,12.41 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143135,CPT,Removal of esophagus pouch,,,21 ,,RBRVS,26.09 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143200,CPT,Esophagus endoscopy,,,21 ,,RBRVS,1.59 ,0.98 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143201,CPT,Esoph scope w/submucous inj,,,21 ,,RBRVS,2.09 ,1.19 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143202,CPT,"Esophagus endoscopy, biopsy",,,21 ,,RBRVS,1.89 ,0.98 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143204,CPT,Esoph scope w/sclerosis inj,,,21 ,,RBRVS,3.76 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143205,CPT,Esophagus endoscopy/ligation,,,21 ,,RBRVS,3.78 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143215,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.60 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143216,CPT,Esophagus endoscopy/lesion,,,21 ,,RBRVS,2.40 ,1.26 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143217,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.90 ,1.38 ,6.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143219,CPT,Esophagus endoscopy,,,21 ,,RBRVS,2.80 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143220,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.10 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143226,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.34 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143227,CPT,"Esoph endoscopy, repair",,,21 ,,RBRVS,3.59 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143228,CPT,"Esoph endoscopy, ablation",,,21 ,,RBRVS,3.76 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143231,CPT,Esoph endoscopy w/us exam,,,21 ,,RBRVS,3.19 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143232,CPT,Esoph endoscopy w/us fn bx,,,21 ,,RBRVS,4.47 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143234,CPT,"Upper GI endoscopy, exam",,,21 ,,RBRVS,2.01 ,1.02 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143235,CPT,"Uppr gi endoscopy, diagnosis",,,21 ,,RBRVS,2.39 ,1.35 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143236,CPT,Uppr gi scope w/submuc inj,,,21 ,,RBRVS,2.92 ,1.65 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143237,CPT,"Endoscopic us exam, esoph",,,21 ,,RBRVS,3.98 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143238,CPT,Uppr gi endoscopy w/us fn bx,,,21 ,,RBRVS,5.02 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143239,CPT,"Upper GI endoscopy, biopsy",,,21 ,,RBRVS,2.87 ,1.56 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143240,CPT,Esoph endoscope w/drain cyst,,,21 ,,RBRVS,6.85 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143241,CPT,Upper GI endoscopy with tube,,,21 ,,RBRVS,2.59 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143242,CPT,Uppr gi endoscopy w/us fn bx,,,21 ,,RBRVS,7.30 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143243,CPT,Upper gi endoscopy & inject,,,21 ,,RBRVS,4.56 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143244,CPT,Upper GI endoscopy/ligation,,,21 ,,RBRVS,5.04 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143245,CPT,Uppr gi scope dilate strictr,,,21 ,,RBRVS,3.18 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143246,CPT,Place gastrostomy tube,,,21 ,,RBRVS,4.32 ,2.11 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143247,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,3.38 ,1.79 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143248,CPT,Uppr gi endoscopy/guide wire,,,21 ,,RBRVS,3.15 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143249,CPT,"Esoph endoscopy, dilation",,,21 ,,RBRVS,2.90 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143250,CPT,Upper GI endoscopy/tumor,,,21 ,,RBRVS,3.20 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143251,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,3.69 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143255,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,4.81 ,2.53 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143256,CPT,Uppr gi endoscopy w stent,,,21 ,,RBRVS,4.34 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143257,CPT,Uppr gi scope w/thrml txmnt,,,21 ,,RBRVS,5.50 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143258,CPT,Operative upper GI endoscopy,,,21 ,,RBRVS,4.54 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143259,CPT,Endoscopic ultrasound exam,,,21 ,,RBRVS,5.19 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143260,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,5.95 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143261,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,6.26 ,3.20 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143262,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143263,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.28 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143264,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,8.89 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143265,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,10.00 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143267,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.39 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143268,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143269,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,8.20 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143271,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.71 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143272,CPT,Endo cholangiopancreatograph,,,21 ,,RBRVS,7.38 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143280,CPT,"Laparoscopy, fundoplasty",,,21 ,,RBRVS,18.00 ,6.66 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143289,CPT,"Laparoscope proc, esoph",,,21 ,,TotalUnits,,,,24.55 ,,$0.00,$0.00,1,0,1,1,1,1,2008010143300,CPT,Repair of esophagus,,,21 ,,RBRVS,9.21 ,5.41 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143305,CPT,Repair esophagus and fistula,,,21 ,,RBRVS,17.98 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143310,CPT,Repair of esophagus,,,21 ,,RBRVS,26.18 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143312,CPT,Repair esophagus and fistula,,,21 ,,RBRVS,29.23 ,10.28 ,10.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143313,CPT,Esophagoplasty congenital,,,21 ,,RBRVS,48.17 ,17.48 ,17.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143314,CPT,Tracheo-esophagoplasty cong,,,21 ,,RBRVS,53.15 ,15.11 ,15.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143320,CPT,Fuse esophagus & stomach,,,21 ,,RBRVS,23.18 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143324,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,22.86 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143325,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,22.47 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143326,CPT,Revise esophagus & stomach,,,21 ,,RBRVS,22.15 ,9.21 ,9.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143330,CPT,Repair of esophagus,,,21 ,,RBRVS,22.06 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143331,CPT,Repair of esophagus,,,21 ,,RBRVS,22.93 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143340,CPT,Fuse esophagus & intestine,,,21 ,,RBRVS,22.86 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143341,CPT,Fuse esophagus & intestine,,,21 ,,RBRVS,24.10 ,9.66 ,9.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143350,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,19.31 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143351,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,21.87 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143352,CPT,"Surgical opening, esophagus",,,21 ,,RBRVS,17.68 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143360,CPT,Gastrointestinal repair,,,21 ,,RBRVS,39.90 ,14.90 ,14.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143361,CPT,Gastrointestinal repair,,,21 ,,RBRVS,45.50 ,18.15 ,18.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143400,CPT,Ligate esophagus veins,,,21 ,,RBRVS,25.47 ,13.60 ,13.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143401,CPT,Esophagus surgery for veins,,,21 ,,RBRVS,26.36 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143405,CPT,Ligate/staple esophagus,,,21 ,,RBRVS,24.55 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143410,CPT,Repair esophagus wound,,,21 ,,RBRVS,16.28 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143415,CPT,Repair esophagus wound,,,21 ,,RBRVS,28.70 ,11.84 ,11.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143420,CPT,Repair esophagus opening,,,21 ,,RBRVS,16.65 ,7.48 ,7.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143425,CPT,Repair esophagus opening,,,21 ,,RBRVS,24.91 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143450,CPT,Dilate esophagus,,,21 ,,RBRVS,1.38 ,0.93 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143453,CPT,Dilate esophagus,,,21 ,,RBRVS,1.51 ,1.01 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143456,CPT,Dilate esophagus,,,21 ,,RBRVS,2.57 ,1.45 ,13.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143458,CPT,Dilate esophagus,,,21 ,,RBRVS,3.06 ,1.59 ,6.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143460,CPT,Pressure treatment esophagus,,,21 ,,RBRVS,3.79 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143496,CPT,"Free jejunum flap, microvasc",,,21 ,,TotalUnits,,,,4.58 ,,$0.00,$0.00,1,0,0,1,1,1,2008010143499,CPT,Esophagus surgery procedure,,,21 ,,TotalUnits,,,,4.58 ,,$0.00,$0.00,1,0,1,1,1,1,2008010143500,CPT,Surgical opening of stomach,,,21 ,,RBRVS,12.71 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143501,CPT,Surgical repair of stomach,,,21 ,,RBRVS,22.47 ,8.10 ,8.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143502,CPT,Surgical repair of stomach,,,21 ,,RBRVS,25.56 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143510,CPT,Surgical opening of stomach,,,21 ,,RBRVS,15.01 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143520,CPT,Incision of pyloric muscle,,,21 ,,RBRVS,11.21 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143600,CPT,Biopsy of stomach,,,21 ,,RBRVS,1.91 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143605,CPT,Biopsy of stomach,,,21 ,,RBRVS,13.64 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143610,CPT,Excision of stomach lesion,,,21 ,,RBRVS,16.26 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143611,CPT,Excision of stomach lesion,,,21 ,,RBRVS,20.25 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143620,CPT,Removal of stomach,,,21 ,,RBRVS,33.91 ,11.10 ,11.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143621,CPT,Removal of stomach,,,21 ,,RBRVS,39.40 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143622,CPT,Removal of stomach,,,21 ,,RBRVS,39.90 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143631,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,24.38 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143632,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,35.01 ,11.28 ,11.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143633,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,33.01 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143634,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,36.51 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143635,CPT,"Removal of stomach, partial",,,21 ,,RBRVS,2.06 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143640,CPT,Vagotomy & pylorus repair,,,21 ,,RBRVS,19.43 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143641,CPT,Vagotomy & pylorus repair,,,21 ,,RBRVS,19.68 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143644,CPT,Lap gastric bypass/roux-en-y,,,21 ,,RBRVS,29.24 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010143645,CPT,Lap gastr bypass incl smll i,,,21 ,,RBRVS,31.37 ,10.49 ,10.49 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010143651,CPT,"Laparoscopy, vagus nerve",,,21 ,,RBRVS,10.13 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143652,CPT,"Laparoscopy, vagus nerve",,,21 ,,RBRVS,12.13 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143653,CPT,"Laparoscopy, gastrostomy",,,21 ,,RBRVS,8.38 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143659,CPT,"Laparoscope proc, stom",,,21 ,,TotalUnits,,,,14.93 ,,$0.00,$0.00,1,0,1,1,1,1,2008010143752,CPT,Nasal/orogastric w/stent,,,21 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143760,CPT,Change gastrostomy tube,,,21 ,,RBRVS,0.90 ,0.33 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143761,CPT,Reposition gastrostomy tube,,,21 ,,RBRVS,2.01 ,0.70 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143770,CPT,"Lap, place gastr adjust band",,,21 ,,RBRVS,17.85 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010143771,CPT,"Lap, revise adjust gast band",,,21 ,,RBRVS,20.64 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010143772,CPT,"Lap, remove adjust gast band",,,21 ,,RBRVS,15.62 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010143773,CPT,"Lap, change adjust gast band",,,21 ,,RBRVS,20.64 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010143774,CPT,Lap remov adj gast band/port,,,21 ,,RBRVS,15.66 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010143800,CPT,Reconstruction of pylorus,,,21 ,,RBRVS,15.35 ,5.82 ,5.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143810,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,16.80 ,6.14 ,6.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143820,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,22.40 ,8.08 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143825,CPT,Fusion of stomach and bowel,,,21 ,,RBRVS,21.63 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143830,CPT,Place gastrostomy tube,,,21 ,,RBRVS,10.75 ,5.17 ,5.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143831,CPT,Place gastrostomy tube,,,21 ,,RBRVS,8.38 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143832,CPT,Place gastrostomy tube,,,21 ,,RBRVS,17.26 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143840,CPT,Repair of stomach lesion,,,21 ,,RBRVS,22.70 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143842,CPT,Gastroplasty for obesity,,,21 ,,RBRVS,20.90 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143843,CPT,Gastroplasty for obesity,,,21 ,,RBRVS,21.08 ,7.85 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143845,CPT,Gastroplasty duodenal switch,,,21 ,,RBRVS,33.12 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010143846,CPT,Gastric bypass for obesity,,,21 ,,RBRVS,27.23 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143847,CPT,Gastric bypass for obesity,,,21 ,,RBRVS,30.10 ,10.52 ,10.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143848,CPT,Revision gastroplasty,,,21 ,,RBRVS,32.57 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143850,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,27.45 ,9.50 ,9.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143855,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,28.56 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143860,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,27.76 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143865,CPT,Revise stomach-bowel fusion,,,21 ,,RBRVS,28.92 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143870,CPT,Repair stomach opening,,,21 ,,RBRVS,11.36 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143880,CPT,Repair stomach-bowel fistula,,,21 ,,RBRVS,27.05 ,9.28 ,9.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143886,CPT,"Revise gastric port, open",,,21 ,,RBRVS,4.54 ,3.45 ,3.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143887,CPT,"Remove gastric port, open",,,21 ,,RBRVS,4.24 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143888,CPT,"Change gastric port, open",,,21 ,,RBRVS,6.34 ,4.01 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010143999,CPT,Stomach surgery procedure,,,21 ,,TotalUnits,,,,21.80 ,,$0.00,$0.00,1,0,1,1,1,1,2008010144005,CPT,Freeing of bowel adhesion,,,21 ,,RBRVS,18.38 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144010,CPT,Incision of small bowel,,,21 ,,RBRVS,14.18 ,5.53 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144015,CPT,Insert needle cath bowel,,,21 ,,RBRVS,2.62 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144020,CPT,Explore small intestine,,,21 ,,RBRVS,16.14 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144021,CPT,Decompress small bowel,,,21 ,,RBRVS,16.23 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144025,CPT,Incision of large bowel,,,21 ,,RBRVS,16.43 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144050,CPT,Reduce bowel obstruction,,,21 ,,RBRVS,15.44 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144055,CPT,Correct malrotation of bowel,,,21 ,,RBRVS,25.53 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144100,CPT,Biopsy of bowel,,,21 ,,RBRVS,2.01 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144110,CPT,Excise intestine lesion(s),,,21 ,,RBRVS,13.96 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144111,CPT,Excision of bowel lesion(s),,,21 ,,RBRVS,16.44 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144120,CPT,Removal of small intestine,,,21 ,,RBRVS,20.74 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144121,CPT,Removal of small intestine,,,21 ,,RBRVS,4.44 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144125,CPT,Removal of small intestine,,,21 ,,RBRVS,19.93 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144126,CPT,"Enterectomy w/o taper, cong",,,21 ,,RBRVS,42.02 ,13.61 ,13.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144127,CPT,"Enterectomy w/taper, cong",,,21 ,,RBRVS,49.09 ,15.65 ,15.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144128,CPT,"Enterectomy cong, add-on",,,21 ,,RBRVS,4.44 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144130,CPT,Bowel to bowel fusion,,,21 ,,RBRVS,21.98 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144139,CPT,Mobilization of colon,,,21 ,,RBRVS,2.23 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144140,CPT,Partial removal of colon,,,21 ,,RBRVS,22.46 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144141,CPT,Partial removal of colon,,,21 ,,RBRVS,29.75 ,11.85 ,11.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144143,CPT,Partial removal of colon,,,21 ,,RBRVS,27.63 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144144,CPT,Partial removal of colon,,,21 ,,RBRVS,29.75 ,10.63 ,10.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144145,CPT,Partial removal of colon,,,21 ,,RBRVS,28.45 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144146,CPT,Partial removal of colon,,,21 ,,RBRVS,35.14 ,13.37 ,13.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144147,CPT,Partial removal of colon,,,21 ,,RBRVS,33.56 ,10.79 ,10.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144150,CPT,Removal of colon,,,21 ,,RBRVS,29.99 ,12.62 ,12.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144151,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,34.73 ,13.93 ,13.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144155,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,34.23 ,13.46 ,13.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144156,CPT,Removal of colon/ileostomy,,,21 ,,RBRVS,37.23 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144157,CPT,Colectomy w/ileoanal anast,,,21 ,,RBRVS,35.49 ,17.10 ,17.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144158,CPT,Colectomy w/neo-rectum pouch,,,21 ,,RBRVS,36.49 ,17.44 ,17.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144160,CPT,Removal of colon,,,21 ,,RBRVS,20.78 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144180,CPT,"Lap, enterolysis",,,21 ,,RBRVS,15.19 ,5.81 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144186,CPT,"Lap, jejunostomy",,,21 ,,RBRVS,10.30 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144187,CPT,"Lap, ileo/jejuno-stomy",,,21 ,,RBRVS,17.27 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010144188,CPT,"Lap, colostomy",,,21 ,,RBRVS,19.20 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010144202,CPT,Lap resect s/intestine singl,,,21 ,,RBRVS,23.26 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144203,CPT,"Lap resect s/intestine, addl",,,21 ,,RBRVS,4.44 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144204,CPT,Laparo partial colectomy,,,21 ,,RBRVS,26.29 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144205,CPT,Lap colectomy part w/ileum,,,21 ,,RBRVS,22.86 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144206,CPT,Lap part colectomy w/stoma,,,21 ,,RBRVS,29.63 ,10.48 ,10.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144207,CPT,L colectomy/coloproctostomy,,,21 ,,RBRVS,31.79 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144208,CPT,L colectomy/coloproctostomy,,,21 ,,RBRVS,33.86 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144210,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,29.88 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144211,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,36.87 ,13.60 ,13.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144212,CPT,Laparo total proctocolectomy,,,21 ,,RBRVS,34.37 ,13.05 ,13.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144213,CPT,"Lap, mobil splenic fl add-on",,,21 ,,RBRVS,3.50 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144227,CPT,"Lap, close enterostomy",,,21 ,,RBRVS,28.49 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010144238,CPT,"Laparoscope proc, intestine",,,21 ,,TotalUnits,,,,20.65 ,,$0.00,$0.00,1,0,1,1,1,1,2008010144300,CPT,Open bowel to skin,,,21 ,,RBRVS,13.65 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144310,CPT,Ileostomy/jejunostomy,,,21 ,,RBRVS,17.49 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144312,CPT,Revision of ileostomy,,,21 ,,RBRVS,9.33 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144314,CPT,Revision of ileostomy,,,21 ,,RBRVS,16.61 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144316,CPT,Devise bowel pouch,,,21 ,,RBRVS,23.46 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144320,CPT,Colostomy,,,21 ,,RBRVS,19.75 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144322,CPT,Colostomy with biopsies,,,21 ,,RBRVS,13.15 ,9.11 ,9.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144340,CPT,Revision of colostomy,,,21 ,,RBRVS,9.12 ,4.94 ,4.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144345,CPT,Revision of colostomy,,,21 ,,RBRVS,17.06 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144346,CPT,Revision of colostomy,,,21 ,,RBRVS,19.47 ,7.53 ,7.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144360,CPT,Small bowel endoscopy,,,21 ,,RBRVS,2.59 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144361,CPT,Small bowel endoscopy/biopsy,,,21 ,,RBRVS,2.87 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144363,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.49 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144364,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.73 ,1.98 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144365,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.31 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144366,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.40 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144369,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.51 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144370,CPT,Small bowel endoscopy/stent,,,21 ,,RBRVS,4.79 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144372,CPT,Small bowel endoscopy,,,21 ,,RBRVS,4.40 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144373,CPT,Small bowel endoscopy,,,21 ,,RBRVS,3.49 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144376,CPT,Small bowel endoscopy,,,21 ,,RBRVS,5.25 ,2.47 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144377,CPT,Small bowel endoscopy/biopsy,,,21 ,,RBRVS,5.52 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144378,CPT,Small bowel endoscopy,,,21 ,,RBRVS,7.12 ,3.58 ,3.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144379,CPT,S bowel endoscope w/stent,,,21 ,,RBRVS,7.46 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144380,CPT,Small bowel endoscopy,,,21 ,,RBRVS,1.05 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144382,CPT,Small bowel endoscopy,,,21 ,,RBRVS,1.27 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144383,CPT,Ileoscopy w/stent,,,21 ,,RBRVS,2.94 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144385,CPT,Endoscopy of bowel pouch,,,21 ,,RBRVS,1.82 ,0.89 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144386,CPT,"Endoscopy, bowel pouch/biop",,,21 ,,RBRVS,2.12 ,1.02 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144388,CPT,Colon endoscopy,,,21 ,,RBRVS,2.82 ,1.35 ,6.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144389,CPT,Colonoscopy with biopsy,,,21 ,,RBRVS,3.13 ,1.58 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144390,CPT,Colonoscopy for foreign body,,,21 ,,RBRVS,3.82 ,1.92 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144391,CPT,Colonoscopy for bleeding,,,21 ,,RBRVS,4.31 ,2.22 ,8.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144392,CPT,Colonoscopy & polypectomy,,,21 ,,RBRVS,3.81 ,1.72 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144393,CPT,"Colonoscopy, lesion removal",,,21 ,,RBRVS,4.83 ,2.13 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144394,CPT,Colonoscopy w/snare,,,21 ,,RBRVS,4.42 ,2.07 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144397,CPT,Colonoscopy w/stent,,,21 ,,RBRVS,4.70 ,2.16 ,2.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144500,CPT,"Intro, gastrointestinal tube",,,21 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144602,CPT,"Suture, small intestine",,,21 ,,RBRVS,24.64 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144603,CPT,"Suture, small intestine",,,21 ,,RBRVS,28.03 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144604,CPT,"Suture, large intestine",,,21 ,,RBRVS,18.06 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144605,CPT,Repair of bowel lesion,,,21 ,,RBRVS,22.00 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144615,CPT,Intestinal stricturoplasty,,,21 ,,RBRVS,18.08 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144620,CPT,Repair bowel opening,,,21 ,,RBRVS,14.35 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144625,CPT,Repair bowel opening,,,21 ,,RBRVS,17.20 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144626,CPT,Repair bowel opening,,,21 ,,RBRVS,27.82 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144640,CPT,Repair bowel-skin fistula,,,21 ,,RBRVS,24.12 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144650,CPT,Repair bowel fistula,,,21 ,,RBRVS,25.04 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144660,CPT,Repair bowel-bladder fistula,,,21 ,,RBRVS,23.83 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144661,CPT,Repair bowel-bladder fistula,,,21 ,,RBRVS,27.27 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144680,CPT,"Surgical revision, intestine",,,21 ,,RBRVS,17.88 ,6.69 ,6.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144700,CPT,Suspend bowel w/prosthesis,,,21 ,,RBRVS,17.40 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144701,CPT,Intraop colon lavage add-on,,,21 ,,RBRVS,3.10 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144720,CPT,Prep donor intestine/venous,,,21 ,,RBRVS,5.00 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010144721,CPT,Prep donor intestine/artery,,,21 ,,RBRVS,7.00 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010144799,CPT,Intestine surgery procedure,,,21 ,,TotalUnits,,,,24.09 ,,$0.00,$0.00,1,0,1,1,1,1,2008010144800,CPT,Excision of bowel pouch,,,21 ,,RBRVS,11.94 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144820,CPT,Excision of mesentery lesion,,,21 ,,RBRVS,13.63 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144850,CPT,Repair of mesentery,,,21 ,,RBRVS,12.03 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144899,CPT,Bowel surgery procedure,,,21 ,,TotalUnits,,,,16.64 ,,$0.00,$0.00,1,0,1,1,1,1,2008010144900,CPT,"Drain app abscess, open",,,21 ,,RBRVS,12.44 ,5.03 ,5.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144901,CPT,"Drain app abscess, percut",,,21 ,,RBRVS,3.37 ,1.20 ,19.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144950,CPT,Appendectomy,,,21 ,,RBRVS,10.52 ,4.05 ,4.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144955,CPT,Appendectomy add-on,,,21 ,,RBRVS,1.53 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144960,CPT,Appendectomy,,,21 ,,RBRVS,14.39 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144970,CPT,"Laparoscopy, appendectomy",,,21 ,,RBRVS,9.35 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010144979,CPT,"Laparoscope proc, app",,,21 ,,TotalUnits,,,,12.92 ,,$0.00,$0.00,1,0,1,1,1,1,2008010145000,CPT,Drainage of pelvic abscess,,,21 ,,RBRVS,6.20 ,3.57 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145005,CPT,Drainage of rectal abscess,,,21 ,,RBRVS,2.00 ,1.59 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145020,CPT,Drainage of rectal abscess,,,21 ,,RBRVS,8.43 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145100,CPT,Biopsy of rectum,,,21 ,,RBRVS,3.96 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145108,CPT,Removal of anorectal lesion,,,21 ,,RBRVS,5.04 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145110,CPT,Removal of rectum,,,21 ,,RBRVS,30.57 ,11.86 ,11.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145111,CPT,Partial removal of rectum,,,21 ,,RBRVS,17.89 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145112,CPT,Removal of rectum,,,21 ,,RBRVS,33.05 ,10.31 ,10.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145113,CPT,Partial proctectomy,,,21 ,,RBRVS,33.09 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145114,CPT,Partial removal of rectum,,,21 ,,RBRVS,30.63 ,10.30 ,10.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145116,CPT,Partial removal of rectum,,,21 ,,RBRVS,27.56 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145119,CPT,Remove rectum w/reservoir,,,21 ,,RBRVS,33.35 ,11.54 ,11.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145120,CPT,Removal of rectum,,,21 ,,RBRVS,26.25 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145121,CPT,Removal of rectum and colon,,,21 ,,RBRVS,28.93 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145123,CPT,Partial proctectomy,,,21 ,,RBRVS,18.70 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145126,CPT,Pelvic exenteration,,,21 ,,RBRVS,48.89 ,17.89 ,17.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145130,CPT,Excision of rectal prolapse,,,21 ,,RBRVS,18.37 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145135,CPT,Excision of rectal prolapse,,,21 ,,RBRVS,22.15 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145136,CPT,Excise ileoanal reservior,,,21 ,,RBRVS,30.63 ,11.96 ,11.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145150,CPT,Excision of rectal stricture,,,21 ,,RBRVS,5.77 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145160,CPT,Excision of rectal lesion,,,21 ,,RBRVS,16.17 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145170,CPT,Excision of rectal lesion,,,21 ,,RBRVS,12.48 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145190,CPT,"Destruction, rectal tumor",,,21 ,,RBRVS,10.29 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145300,CPT,Proctosigmoidoscopy dx,,,21 ,,RBRVS,0.80 ,0.45 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145303,CPT,Proctosigmoidoscopy dilate,,,21 ,,RBRVS,1.50 ,0.66 ,19.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145305,CPT,Proctosigmoidoscopy w/bx,,,21 ,,RBRVS,1.25 ,0.59 ,3.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145307,CPT,Proctosigmoidoscopy fb,,,21 ,,RBRVS,1.70 ,0.70 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145308,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.40 ,0.63 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145309,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.50 ,0.67 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145315,CPT,Proctosigmoidoscopy removal,,,21 ,,RBRVS,1.80 ,0.88 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145317,CPT,Proctosigmoidoscopy bleed,,,21 ,,RBRVS,2.00 ,0.77 ,3.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145320,CPT,Proctosigmoidoscopy ablate,,,21 ,,RBRVS,1.78 ,0.80 ,3.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145321,CPT,Proctosigmoidoscopy volvul,,,21 ,,RBRVS,1.75 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145327,CPT,Proctosigmoidoscopy w/stent,,,21 ,,RBRVS,2.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145330,CPT,Diagnostic sigmoidoscopy,,,21 ,,RBRVS,0.96 ,0.62 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145331,CPT,Sigmoidoscopy and biopsy,,,21 ,,RBRVS,1.15 ,0.79 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145332,CPT,Sigmoidoscopy w/fb removal,,,21 ,,RBRVS,1.79 ,0.99 ,5.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145333,CPT,Sigmoidoscopy & polypectomy,,,21 ,,RBRVS,1.79 ,0.99 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145334,CPT,Sigmoidoscopy for bleeding,,,21 ,,RBRVS,2.73 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145335,CPT,Sigmoidoscope w/submuc inj,,,21 ,,RBRVS,1.46 ,0.90 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145337,CPT,Sigmoidoscopy & decompress,,,21 ,,RBRVS,2.36 ,1.25 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145338,CPT,Sigmoidoscpy w/tumr remove,,,21 ,,RBRVS,2.34 ,1.28 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145339,CPT,Sigmoidoscopy w/ablate tumr,,,21 ,,RBRVS,3.14 ,1.66 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145340,CPT,Sig w/balloon dilation,,,21 ,,RBRVS,1.89 ,1.03 ,10.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145341,CPT,Sigmoidoscopy w/ultrasound,,,21 ,,RBRVS,2.60 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145342,CPT,Sigmoidoscopy w/us guide bx,,,21 ,,RBRVS,4.05 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145345,CPT,Sigmoidoscopy w/stent,,,21 ,,RBRVS,2.92 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145355,CPT,Surgical colonoscopy,,,21 ,,RBRVS,3.51 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145378,CPT,Diagnostic colonoscopy,,,21 ,,RBRVS,3.69 ,1.82 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145379,CPT,Colonoscopy w/fb removal,,,21 ,,RBRVS,4.68 ,2.17 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145380,CPT,Colonoscopy and biopsy,,,21 ,,RBRVS,4.43 ,2.24 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145381,CPT,"Colonoscope, submucous inj",,,21 ,,RBRVS,4.19 ,2.16 ,7.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145382,CPT,Colonoscopy/control bleeding,,,21 ,,RBRVS,5.68 ,2.89 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145383,CPT,Lesion removal colonoscopy,,,21 ,,RBRVS,5.86 ,2.63 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145384,CPT,Lesion remove colonoscopy,,,21 ,,RBRVS,4.69 ,2.18 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145385,CPT,Lesion removal colonoscopy,,,21 ,,RBRVS,5.30 ,2.59 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145386,CPT,Colonoscope dilate stricture,,,21 ,,RBRVS,4.57 ,2.18 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145387,CPT,Colonoscopy w/stent,,,21 ,,RBRVS,5.90 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145391,CPT,Colonoscopy w/endoscope us,,,21 ,,RBRVS,5.09 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145392,CPT,Colonoscopy w/endoscopic fnb,,,21 ,,RBRVS,6.54 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145395,CPT,"Lap, removal of rectum",,,21 ,,RBRVS,32.79 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010145397,CPT,"Lap, remove rectum w/pouch",,,21 ,,RBRVS,36.29 ,13.40 ,13.40 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010145400,CPT,Laparoscopic proctopexy,,,21 ,,RBRVS,19.31 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010145402,CPT,Lap proctopexy w/sig resect,,,21 ,,RBRVS,26.38 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010145499,CPT,"Laparoscope proc, rectum",,,28 ,,NW,,,,,,"$2,279.23",$0.00,1,0,1,1,1,1,2008010145500,CPT,Repair of rectum,,,21 ,,RBRVS,7.64 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145505,CPT,Repair of rectum,,,21 ,,RBRVS,8.20 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145520,CPT,Treatment of rectal prolapse,,,21 ,,RBRVS,0.55 ,0.38 ,2.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145540,CPT,Correct rectal prolapse,,,21 ,,RBRVS,18.02 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145541,CPT,Correct rectal prolapse,,,21 ,,RBRVS,14.72 ,6.59 ,6.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145550,CPT,Repair rectum/remove sigmoid,,,21 ,,RBRVS,24.67 ,8.96 ,8.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145560,CPT,Repair of rectocele,,,21 ,,RBRVS,11.42 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145562,CPT,Exploration/repair of rectum,,,21 ,,RBRVS,17.82 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145563,CPT,Exploration/repair of rectum,,,21 ,,RBRVS,26.22 ,10.76 ,10.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145800,CPT,Repair rect/bladder fistula,,,21 ,,RBRVS,20.18 ,9.15 ,9.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145805,CPT,Repair fistula w/colostomy,,,21 ,,RBRVS,23.19 ,9.93 ,9.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145820,CPT,Repair rectourethral fistula,,,21 ,,RBRVS,20.24 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145825,CPT,Repair fistula w/colostomy,,,21 ,,RBRVS,24.01 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145900,CPT,Reduction of rectal prolapse,,,21 ,,RBRVS,2.96 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145905,CPT,Dilation of anal sphincter,,,21 ,,RBRVS,2.32 ,1.60 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145910,CPT,Dilation of rectal narrowing,,,21 ,,RBRVS,2.82 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145915,CPT,Remove rectal obstruction,,,21 ,,RBRVS,3.16 ,2.02 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145990,CPT,"Surg dx exam, anorectal",,,21 ,,RBRVS,1.80 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010145999,CPT,Rectum surgery procedure,,,21 ,,TotalUnits,,,,5.83 ,,$0.00,$0.00,1,0,1,1,1,1,2008010146020,CPT,Placement of seton,,,21 ,,RBRVS,2.94 ,2.35 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146030,CPT,Removal of rectal marker,,,21 ,,RBRVS,1.24 ,0.81 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146040,CPT,Incision of rectal abscess,,,21 ,,RBRVS,5.26 ,3.99 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146045,CPT,Incision of rectal abscess,,,21 ,,RBRVS,5.79 ,3.94 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146050,CPT,Incision of anal abscess,,,21 ,,RBRVS,1.21 ,0.98 ,3.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146060,CPT,Incision of rectal abscess,,,21 ,,RBRVS,6.24 ,4.42 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146070,CPT,Incision of anal septum,,,21 ,,RBRVS,2.74 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146080,CPT,Incision of anal sphincter,,,21 ,,RBRVS,2.50 ,1.12 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146083,CPT,Incise external hemorrhoid,,,21 ,,RBRVS,1.42 ,0.96 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146200,CPT,Removal of anal fissure,,,21 ,,RBRVS,3.48 ,3.73 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146210,CPT,Removal of anal crypt,,,21 ,,RBRVS,2.73 ,3.30 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146211,CPT,Removal of anal crypts,,,21 ,,RBRVS,4.31 ,4.67 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146220,CPT,Removal of anal tag,,,21 ,,RBRVS,1.58 ,1.10 ,3.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146221,CPT,Ligation of hemorrhoid(s),,,21 ,,RBRVS,2.31 ,2.00 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146230,CPT,Removal of anal tags,,,21 ,,RBRVS,2.59 ,1.33 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146250,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,4.17 ,2.83 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146255,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,4.88 ,3.07 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146257,CPT,Remove hemorrhoids & fissure,,,21 ,,RBRVS,5.68 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146258,CPT,Remove hemorrhoids & fistula,,,21 ,,RBRVS,6.28 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146260,CPT,Hemorrhoidectomy,,,21 ,,RBRVS,6.65 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146261,CPT,Remove hemorrhoids & fissure,,,21 ,,RBRVS,7.63 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146262,CPT,Remove hemorrhoids & fistula,,,21 ,,RBRVS,7.80 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146270,CPT,Removal of anal fistula,,,21 ,,RBRVS,4.81 ,3.92 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146275,CPT,Removal of anal fistula,,,21 ,,RBRVS,5.31 ,3.97 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146280,CPT,Removal of anal fistula,,,21 ,,RBRVS,6.28 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146285,CPT,Removal of anal fistula,,,21 ,,RBRVS,5.31 ,3.96 ,6.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146288,CPT,Repair anal fistula,,,21 ,,RBRVS,7.68 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146320,CPT,Removal of hemorrhoid clot,,,21 ,,RBRVS,1.62 ,0.88 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146500,CPT,Injection into hemorrhoid(s),,,21 ,,RBRVS,1.64 ,1.25 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146505,CPT,Chemodenervation anal musc,,,21 ,,RBRVS,3.13 ,2.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146600,CPT,Diagnostic anoscopy,,,21 ,,RBRVS,0.55 ,0.38 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146604,CPT,Anoscopy and dilation,,,21 ,,RBRVS,1.03 ,0.51 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146606,CPT,Anoscopy and biopsy,,,21 ,,RBRVS,1.20 ,0.58 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146608,CPT,"Anoscopy, remove for body",,,21 ,,RBRVS,1.30 ,0.58 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146610,CPT,"Anoscopy, remove lesion",,,21 ,,RBRVS,1.28 ,0.59 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146611,CPT,Anoscopy,,,21 ,,RBRVS,1.30 ,0.57 ,2.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146612,CPT,"Anoscopy, remove lesions",,,21 ,,RBRVS,1.50 ,0.72 ,4.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146614,CPT,"Anoscopy, control bleeding",,,21 ,,RBRVS,1.00 ,0.52 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146615,CPT,Anoscopy,,,21 ,,RBRVS,1.50 ,0.64 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146700,CPT,Repair of anal stricture,,,21 ,,RBRVS,9.68 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146705,CPT,Repair of anal stricture,,,21 ,,RBRVS,7.32 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146706,CPT,Repr of anal fistula w/glue,,,21 ,,RBRVS,2.41 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146710,CPT,Repr per/vag pouch sngl proc,,,21 ,,RBRVS,17.01 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010146712,CPT,Repr per/vag pouch dbl proc,,,21 ,,RBRVS,36.32 ,14.02 ,14.02 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010146715,CPT,Repair of anovaginal fistula,,,21 ,,RBRVS,7.54 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146716,CPT,Repair of anovaginal fistula,,,21 ,,RBRVS,17.14 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146730,CPT,Construction of absent anus,,,21 ,,RBRVS,30.17 ,12.50 ,12.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146735,CPT,Construction of absent anus,,,21 ,,RBRVS,35.66 ,15.02 ,15.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146740,CPT,Construction of absent anus,,,21 ,,RBRVS,33.42 ,15.30 ,15.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146742,CPT,Repair of imperforated anus,,,21 ,,RBRVS,39.66 ,13.76 ,13.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146744,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,58.46 ,18.15 ,18.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146746,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,64.93 ,19.69 ,19.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146748,CPT,Repair of cloacal anomaly,,,21 ,,RBRVS,70.91 ,21.06 ,21.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146750,CPT,Repair of anal sphincter,,,21 ,,RBRVS,12.02 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146751,CPT,Repair of anal sphincter,,,21 ,,RBRVS,9.19 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146753,CPT,Reconstruction of anus,,,21 ,,RBRVS,8.81 ,4.59 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146754,CPT,Removal of suture from anus,,,21 ,,RBRVS,2.88 ,2.21 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146760,CPT,Repair of anal sphincter,,,21 ,,RBRVS,17.21 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146761,CPT,Repair of anal sphincter,,,21 ,,RBRVS,15.16 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146762,CPT,Implant artificial sphincter,,,21 ,,RBRVS,14.66 ,7.08 ,7.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146900,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,1.91 ,1.31 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146910,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,1.88 ,1.20 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146916,CPT,"Cryosurgery, anal lesion(s)",,,21 ,,RBRVS,1.88 ,1.58 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146917,CPT,"Laser surgery, anal lesions",,,21 ,,RBRVS,1.88 ,1.22 ,8.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146922,CPT,Excision of anal lesion(s),,,21 ,,RBRVS,1.88 ,1.20 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146924,CPT,"Destruction, anal lesion(s)",,,21 ,,RBRVS,2.78 ,1.52 ,9.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146934,CPT,Destruction of hemorrhoids,,,21 ,,RBRVS,3.79 ,2.88 ,5.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146935,CPT,Destruction of hemorrhoids,,,21 ,,RBRVS,2.44 ,1.11 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146936,CPT,Destruction of hemorrhoids,,,21 ,,RBRVS,3.70 ,2.66 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146937,CPT,Cryotherapy of rectal lesion,,,21 ,,RBRVS,2.70 ,1.43 ,3.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146938,CPT,Cryotherapy of rectal lesion,,,21 ,,RBRVS,4.70 ,3.55 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146940,CPT,Treatment of anal fissure,,,21 ,,RBRVS,2.33 ,1.04 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146942,CPT,Treatment of anal fissure,,,21 ,,RBRVS,2.05 ,0.96 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146945,CPT,Ligation of hemorrhoids,,,21 ,,RBRVS,2.13 ,2.98 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146946,CPT,Ligation of hemorrhoids,,,21 ,,RBRVS,2.60 ,2.65 ,4.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146947,CPT,Hemorrhoidopexy by stapling,,,21 ,,RBRVS,5.49 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010146999,CPT,Anus surgery procedure,,,21 ,,TotalUnits,,,,3.55 ,,$0.00,$0.00,1,0,1,1,1,1,2008010147000,CPT,Needle biopsy of liver,,,21 ,,RBRVS,1.90 ,0.70 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147001,CPT,"Needle biopsy, liver add-on",,,21 ,,RBRVS,1.90 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147010,CPT,"Open drainage, liver lesion",,,21 ,,RBRVS,19.27 ,8.32 ,8.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147011,CPT,"Percut drain, liver lesion",,,21 ,,RBRVS,3.69 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147015,CPT,Inject/aspirate liver cyst,,,21 ,,RBRVS,18.37 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147100,CPT,Wedge biopsy of liver,,,21 ,,RBRVS,12.78 ,6.32 ,6.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147120,CPT,Partial removal of liver,,,21 ,,RBRVS,38.82 ,14.08 ,14.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147122,CPT,Extensive removal of liver,,,21 ,,RBRVS,59.35 ,18.76 ,18.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147125,CPT,Partial removal of liver,,,21 ,,RBRVS,52.91 ,17.18 ,17.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147130,CPT,Partial removal of liver,,,21 ,,RBRVS,57.06 ,18.12 ,18.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147135,CPT,Transplantation of liver,,,21 ,,RBRVS,83.29 ,27.76 ,27.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147136,CPT,Transplantation of liver,,,21 ,,RBRVS,70.39 ,24.56 ,24.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147140,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,59.22 ,21.63 ,21.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147141,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,71.27 ,25.36 ,25.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147142,CPT,"Partial removal, donor liver",,,21 ,,RBRVS,79.21 ,27.37 ,27.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147146,CPT,Prep donor liver/venous,,,21 ,,RBRVS,6.00 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010147147,CPT,Prep donor liver/arterial,,,21 ,,RBRVS,7.00 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010147300,CPT,Surgery for liver lesion,,,21 ,,RBRVS,18.01 ,7.75 ,7.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147350,CPT,Repair liver wound,,,21 ,,RBRVS,22.36 ,8.78 ,8.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147360,CPT,Repair liver wound,,,21 ,,RBRVS,31.18 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147361,CPT,Repair liver wound,,,21 ,,RBRVS,52.47 ,17.40 ,17.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147362,CPT,Repair liver wound,,,21 ,,RBRVS,23.41 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147370,CPT,Laparo ablate liver tumor rf,,,21 ,,RBRVS,20.67 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147371,CPT,Laparo ablate liver cryosurg,,,21 ,,RBRVS,20.67 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147379,CPT,"Laparoscope procedure, liver",,,21 ,,TotalUnits,,,,27.85 ,,$0.00,$0.00,1,0,1,1,1,1,2008010147380,CPT,Open ablate liver tumor rf,,,21 ,,RBRVS,24.43 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147381,CPT,Open ablate liver tumor cryo,,,21 ,,RBRVS,24.72 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147382,CPT,Percut ablate liver rf,,,21 ,,RBRVS,15.19 ,6.21 ,6.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147399,CPT,Liver surgery procedure,,,21 ,,TotalUnits,,,,2.66 ,,$0.00,$0.00,1,0,1,1,1,1,2008010147400,CPT,Incision of liver duct,,,21 ,,RBRVS,36.23 ,13.02 ,13.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147420,CPT,Incision of bile duct,,,21 ,,RBRVS,21.92 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147425,CPT,Incision of bile duct,,,21 ,,RBRVS,22.20 ,8.65 ,8.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147460,CPT,Incise bile duct sphincter,,,21 ,,RBRVS,20.41 ,9.14 ,9.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147480,CPT,Incision of gallbladder,,,21 ,,RBRVS,13.12 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147490,CPT,Incision of gallbladder,,,21 ,,RBRVS,8.05 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147500,CPT,Injection for liver x-rays,,,21 ,,RBRVS,1.96 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147505,CPT,Injection for liver x-rays,,,21 ,,RBRVS,0.76 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147510,CPT,"Insert catheter, bile duct",,,21 ,,RBRVS,7.94 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147511,CPT,Insert bile duct drain,,,21 ,,RBRVS,10.74 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147525,CPT,Change bile duct catheter,,,21 ,,RBRVS,5.55 ,2.69 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147530,CPT,Revise/reinsert bile tube,,,21 ,,RBRVS,5.96 ,3.45 ,30.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147550,CPT,Bile duct endoscopy add-on,,,21 ,,RBRVS,3.02 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147552,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,6.03 ,2.48 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147553,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,6.34 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147554,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,9.05 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147555,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,7.55 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147556,CPT,Biliary endoscopy thru skin,,,21 ,,RBRVS,8.55 ,3.09 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147560,CPT,Laparoscopy w/cholangio,,,21 ,,RBRVS,4.88 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147561,CPT,Laparo w/cholangio/biopsy,,,21 ,,RBRVS,5.17 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147562,CPT,Laparoscopic cholecystectomy,,,21 ,,RBRVS,11.63 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147563,CPT,Laparo cholecystectomy/graph,,,21 ,,RBRVS,12.03 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147564,CPT,Laparo cholecystectomy/explr,,,21 ,,RBRVS,14.21 ,5.42 ,5.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147570,CPT,Laparo cholecystoenterostomy,,,21 ,,RBRVS,12.56 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147579,CPT,"Laparoscope proc, biliary",,,21 ,,TotalUnits,,,,16.07 ,,$0.00,$0.00,1,0,1,1,1,1,2008010147600,CPT,Removal of gallbladder,,,21 ,,RBRVS,17.35 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147605,CPT,Removal of gallbladder,,,21 ,,RBRVS,15.90 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147610,CPT,Removal of gallbladder,,,21 ,,RBRVS,20.84 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147612,CPT,Removal of gallbladder,,,21 ,,RBRVS,21.13 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147620,CPT,Removal of gallbladder,,,21 ,,RBRVS,22.99 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147630,CPT,Remove bile duct stone,,,21 ,,RBRVS,9.57 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147700,CPT,Exploration of bile ducts,,,21 ,,RBRVS,16.39 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147701,CPT,Bile duct revision,,,21 ,,RBRVS,28.62 ,10.65 ,10.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147711,CPT,Excision of bile duct tumor,,,21 ,,RBRVS,25.77 ,9.65 ,9.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147712,CPT,Excision of bile duct tumor,,,21 ,,RBRVS,33.59 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147715,CPT,Excision of bile duct cyst,,,21 ,,RBRVS,21.42 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147720,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,18.21 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147721,CPT,Fuse upper gi structures,,,21 ,,RBRVS,21.86 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147740,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,21.10 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147741,CPT,Fuse gallbladder & bowel,,,21 ,,RBRVS,24.08 ,9.26 ,9.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147760,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,38.14 ,13.05 ,13.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147765,CPT,Fuse liver ducts & bowel,,,21 ,,RBRVS,52.01 ,16.96 ,16.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147780,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,42.14 ,14.13 ,14.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147785,CPT,Fuse bile ducts and bowel,,,21 ,,RBRVS,56.01 ,17.86 ,17.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147800,CPT,Reconstruction of bile ducts,,,21 ,,RBRVS,26.04 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147801,CPT,"Placement, bile duct support",,,21 ,,RBRVS,17.47 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147802,CPT,Fuse liver duct & intestine,,,21 ,,RBRVS,24.80 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147900,CPT,Suture bile duct injury,,,21 ,,RBRVS,22.31 ,8.86 ,8.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010147999,CPT,Bile tract surgery procedure,,,21 ,,TotalUnits,,,,19.76 ,,$0.00,$0.00,1,0,1,1,1,1,2008010148000,CPT,Drainage of abdomen,,,21 ,,RBRVS,31.82 ,10.87 ,10.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148001,CPT,"Placement of drain, pancreas",,,21 ,,RBRVS,39.56 ,12.77 ,12.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148020,CPT,Removal of pancreatic stone,,,21 ,,RBRVS,18.96 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148100,CPT,"Biopsy of pancreas, open",,,21 ,,RBRVS,14.38 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148102,CPT,"Needle biopsy, pancreas",,,21 ,,RBRVS,4.68 ,1.91 ,9.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148105,CPT,Resect/debride pancreas,,,21 ,,RBRVS,49.05 ,15.78 ,15.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148120,CPT,Removal of pancreas lesion,,,21 ,,RBRVS,18.33 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148140,CPT,Partial removal of pancreas,,,21 ,,RBRVS,26.19 ,9.38 ,9.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148145,CPT,Partial removal of pancreas,,,21 ,,RBRVS,27.26 ,9.56 ,9.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148146,CPT,Pancreatectomy,,,21 ,,RBRVS,30.42 ,11.94 ,11.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148148,CPT,Removal of pancreatic duct,,,21 ,,RBRVS,20.26 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148150,CPT,Partial removal of pancreas,,,21 ,,RBRVS,52.63 ,18.03 ,18.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148152,CPT,Pancreatectomy,,,21 ,,RBRVS,48.47 ,16.84 ,16.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148153,CPT,Pancreatectomy,,,21 ,,RBRVS,52.61 ,17.92 ,17.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148154,CPT,Pancreatectomy,,,21 ,,RBRVS,48.70 ,17.07 ,17.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148155,CPT,Removal of pancreas,,,21 ,,RBRVS,29.27 ,11.97 ,11.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148160,CPT,Pancreas removal/transplant,,,21 ,,TotalUnits,,,,56.97 ,,$0.00,$0.00,1,0,1,1,1,1,2008010148400,CPT,"Injection, intraop add-on",,,21 ,,RBRVS,1.95 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148500,CPT,Surgery of pancreatic cyst,,,21 ,,RBRVS,18.03 ,7.67 ,7.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148510,CPT,Drain pancreatic pseudocyst,,,21 ,,RBRVS,17.06 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148511,CPT,Drain pancreatic pseudocyst,,,21 ,,RBRVS,3.99 ,1.43 ,20.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148520,CPT,Fuse pancreas cyst and bowel,,,21 ,,RBRVS,18.07 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148540,CPT,Fuse pancreas cyst and bowel,,,21 ,,RBRVS,21.86 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148545,CPT,Pancreatorrhaphy,,,21 ,,RBRVS,22.10 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148547,CPT,Duodenal exclusion,,,21 ,,RBRVS,30.25 ,10.29 ,10.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148548,CPT,Fuse pancreas and bowel,,,21 ,,RBRVS,27.96 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148552,CPT,Prep donor pancreas/venous,,,21 ,,RBRVS,4.30 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010148554,CPT,Transpl allograft pancreas,,,21 ,,RBRVS,37.03 ,20.53 ,20.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148556,CPT,"Removal, allograft pancreas",,,21 ,,RBRVS,19.24 ,9.23 ,9.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010148999,CPT,Pancreas surgery procedure,,,21 ,,TotalUnits,,,,34.90 ,,$0.00,$0.00,1,0,1,1,1,1,2008010149000,CPT,Exploration of abdomen,,,21 ,,RBRVS,12.44 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149002,CPT,Reopening of abdomen,,,21 ,,RBRVS,17.55 ,6.39 ,6.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149010,CPT,Exploration behind abdomen,,,21 ,,RBRVS,15.98 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149020,CPT,Drain abdominal abscess,,,21 ,,RBRVS,26.46 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149021,CPT,Drain abdominal abscess,,,21 ,,RBRVS,3.37 ,1.21 ,19.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149040,CPT,"Drain, open, abdom abscess",,,21 ,,RBRVS,16.41 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149041,CPT,"Drain, percut, abdom abscess",,,21 ,,RBRVS,3.99 ,1.43 ,19.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149060,CPT,"Drain, open, retrop abscess",,,21 ,,RBRVS,18.42 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149061,CPT,"Drain, percut, retroper absc",,,21 ,,RBRVS,3.69 ,1.33 ,19.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149062,CPT,Drain to peritoneal cavity,,,21 ,,RBRVS,12.12 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149080,CPT,"Puncture, peritoneal cavity",,,21 ,,RBRVS,1.35 ,0.48 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149081,CPT,Removal of abdominal fluid,,,21 ,,RBRVS,1.26 ,0.47 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149180,CPT,"Biopsy, abdominal mass",,,21 ,,RBRVS,1.73 ,0.62 ,2.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149203,CPT,Exc abd tum 5 cm or less,,,21 ,,RBRVS,20.00 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149204,CPT,Exc abd tum over 5 cm,,,21 ,,RBRVS,26.00 ,9.27 ,9.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149205,CPT,Exc abd tum over 10 cm,,,21 ,,RBRVS,30.00 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149215,CPT,Excise sacral spine tumor,,,21 ,,RBRVS,37.66 ,12.69 ,12.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149220,CPT,"Multiple surgery, abdomen",,,21 ,,RBRVS,15.70 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149250,CPT,Excision of umbilicus,,,21 ,,RBRVS,8.93 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149255,CPT,Removal of omentum,,,21 ,,RBRVS,12.41 ,5.63 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149320,CPT,Diag laparo separate proc,,,21 ,,RBRVS,5.09 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149321,CPT,"Laparoscopy, biopsy",,,21 ,,RBRVS,5.39 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149322,CPT,"Laparoscopy, aspiration",,,21 ,,RBRVS,5.96 ,2.63 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149323,CPT,Laparo drain lymphocele,,,21 ,,RBRVS,10.13 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149324,CPT,Lap insertion perm ip cath,,,21 ,,RBRVS,6.27 ,2.79 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149325,CPT,Lap revision perm ip cath,,,21 ,,RBRVS,6.77 ,2.91 ,2.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149326,CPT,Lap w/omentopexy add-on,,,21 ,,RBRVS,3.50 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149329,CPT,"Laparo proc, abdm/per/oment",,,21 ,,TotalUnits,,,,7.73 ,,$0.00,$0.00,1,0,1,1,1,1,2008010149400,CPT,Air injection into abdomen,,,21 ,,RBRVS,1.88 ,0.62 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149402,CPT,"Remove foreign body, adbomen",,,21 ,,RBRVS,14.01 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149419,CPT,Insrt abdom cath for chemotx,,,21 ,,RBRVS,7.03 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149420,CPT,"Insert abdom drain, temp",,,21 ,,RBRVS,2.22 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149421,CPT,"Insert abdom drain, perm",,,21 ,,RBRVS,5.87 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149422,CPT,Remove perm cannula/catheter,,,21 ,,RBRVS,6.26 ,2.61 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149423,CPT,Exchange drainage catheter,,,21 ,,RBRVS,1.46 ,0.56 ,13.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149424,CPT,"Assess cyst, contrast inject",,,21 ,,RBRVS,0.76 ,0.30 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149425,CPT,Insert abdomen-venous drain,,,21 ,,RBRVS,12.13 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149426,CPT,Revise abdomen-venous shunt,,,21 ,,RBRVS,10.33 ,4.56 ,4.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149427,CPT,"Injection, abdominal shunt",,,21 ,,RBRVS,0.89 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149428,CPT,Ligation of shunt,,,21 ,,RBRVS,6.79 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149429,CPT,Removal of shunt,,,21 ,,RBRVS,7.41 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149435,CPT,Insert subq exten to ip cath,,,21 ,,RBRVS,2.25 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149436,CPT,Embedded ip cath exit-site,,,21 ,,RBRVS,2.69 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149440,CPT,Place gastrostomy tube perc,,,21 ,,RBRVS,4.18 ,1.81 ,25.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149441,CPT,Place duod/jej tube perc,,,21 ,,RBRVS,4.77 ,2.01 ,30.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149442,CPT,Place cecostomy tube perc,,,21 ,,RBRVS,4.00 ,1.63 ,24.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149446,CPT,Change g-tube to g-j perc,,,21 ,,RBRVS,3.31 ,1.15 ,25.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149450,CPT,Replace g/c tube perc,,,21 ,,RBRVS,1.36 ,0.44 ,18.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149451,CPT,Replace duod/jej tube perc,,,21 ,,RBRVS,1.84 ,0.64 ,19.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149452,CPT,Replace g-j tube perc,,,21 ,,RBRVS,2.86 ,1.00 ,23.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149460,CPT,Fix g/colon tube w/device,,,21 ,,RBRVS,0.96 ,0.31 ,20.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149465,CPT,Fluoro exam of g/colon tube,,,21 ,,RBRVS,0.62 ,0.22 ,3.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149491,CPT,Rpr hern preemie reduc,,,21 ,,RBRVS,12.42 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149492,CPT,"Rpr ing hern premie, blocked",,,21 ,,RBRVS,15.32 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149495,CPT,"Rpr ing hernia baby, reduc",,,21 ,,RBRVS,6.15 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149496,CPT,"Rpr ing hernia baby, blocked",,,21 ,,RBRVS,9.32 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149500,CPT,"Rpr ing hernia, init, reduce",,,21 ,,RBRVS,5.76 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149501,CPT,"Rpr ing hernia, init blocked",,,21 ,,RBRVS,9.28 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149505,CPT,Prp i/hern init reduc>5 yr,,,21 ,,RBRVS,7.88 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149507,CPT,Prp i/hern init block>5 yr,,,21 ,,RBRVS,9.97 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149520,CPT,"Rerepair ing hernia, reduce",,,21 ,,RBRVS,9.91 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149521,CPT,"Rerepair ing hernia, blocked",,,21 ,,RBRVS,12.36 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149525,CPT,"Repair ing hernia, sliding",,,21 ,,RBRVS,8.85 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149540,CPT,Repair lumbar hernia,,,21 ,,RBRVS,10.66 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149550,CPT,"Rpr rem hernia, init, reduce",,,21 ,,RBRVS,8.91 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149553,CPT,"Rpr fem hernia, init blocked",,,21 ,,RBRVS,9.84 ,4.42 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149555,CPT,"Rerepair fem hernia, reduce",,,21 ,,RBRVS,9.31 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149557,CPT,"Rerepair fem hernia, blocked",,,21 ,,RBRVS,11.54 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149560,CPT,"Rpr ventral hern init, reduc",,,21 ,,RBRVS,11.84 ,4.88 ,4.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149561,CPT,"Rpr ventral hern init, block",,,21 ,,RBRVS,15.30 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149565,CPT,"Rerepair ventrl hern, reduce",,,21 ,,RBRVS,12.29 ,5.08 ,5.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149566,CPT,"Rerepair ventrl hern, block",,,21 ,,RBRVS,15.45 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149568,CPT,Hernia repair w/mesh,,,21 ,,RBRVS,4.88 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149570,CPT,"Rpr epigastric hern, reduce",,,21 ,,RBRVS,5.97 ,3.38 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149572,CPT,"Rpr epigastric hern, blocked",,,21 ,,RBRVS,7.79 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149580,CPT,"Rpr umbil hern, reduc < 5 yr",,,21 ,,RBRVS,4.39 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149582,CPT,"Rpr umbil hern, block < 5 yr",,,21 ,,RBRVS,7.05 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149585,CPT,"Rpr umbil hern, reduc > 5 yr",,,21 ,,RBRVS,6.51 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149587,CPT,"Rpr umbil hern, block > 5 yr",,,21 ,,RBRVS,7.96 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149590,CPT,Repair spigilian hernia,,,21 ,,RBRVS,8.82 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149600,CPT,Repair umbilical lesion,,,21 ,,RBRVS,11.47 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149605,CPT,Repair umbilical lesion,,,21 ,,RBRVS,86.85 ,27.59 ,27.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149606,CPT,Repair umbilical lesion,,,21 ,,RBRVS,18.92 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149610,CPT,Repair umbilical lesion,,,21 ,,RBRVS,10.83 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149611,CPT,Repair umbilical lesion,,,21 ,,RBRVS,9.26 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149650,CPT,Laparo hernia repair initial,,,21 ,,RBRVS,6.30 ,3.35 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149651,CPT,Laparo hernia repair recur,,,21 ,,RBRVS,8.29 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149659,CPT,"Laparo proc, hernia repair",,,21 ,,TotalUnits,,,,9.49 ,,$0.00,$0.00,1,0,1,1,1,1,2008010149900,CPT,Repair of abdominal wall,,,21 ,,RBRVS,12.26 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149904,CPT,"Omental flap, extra-abdom",,,21 ,,RBRVS,22.16 ,11.89 ,11.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149905,CPT,"Omental flap, intra-abdom",,,21 ,,RBRVS,6.54 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010149999,CPT,Abdomen surgery procedure,,,21 ,,TotalUnits,,,,11.47 ,,$0.00,$0.00,1,0,1,1,1,1,2008010150010,CPT,Exploration of kidney,,,21 ,,RBRVS,12.13 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150020,CPT,"Renal abscess, open drain",,,21 ,,RBRVS,17.88 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150021,CPT,"Renal abscess, percut drain",,,21 ,,RBRVS,3.37 ,1.22 ,21.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150040,CPT,Drainage of kidney,,,21 ,,RBRVS,16.48 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150045,CPT,Exploration of kidney,,,21 ,,RBRVS,16.67 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150060,CPT,Removal of kidney stone,,,21 ,,RBRVS,20.80 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150065,CPT,Incision of kidney,,,21 ,,RBRVS,22.17 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150070,CPT,Incision of kidney,,,21 ,,RBRVS,21.70 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150075,CPT,Removal of kidney stone,,,21 ,,RBRVS,26.91 ,13.51 ,13.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150080,CPT,Removal of kidney stone,,,21 ,,RBRVS,15.61 ,8.56 ,8.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150081,CPT,Removal of kidney stone,,,21 ,,RBRVS,23.32 ,12.18 ,12.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150100,CPT,Revise kidney blood vessels,,,21 ,,RBRVS,17.30 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150120,CPT,Exploration of kidney,,,21 ,,RBRVS,17.06 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150125,CPT,Explore and drain kidney,,,21 ,,RBRVS,17.67 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150130,CPT,Removal of kidney stone,,,21 ,,RBRVS,18.67 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150135,CPT,Exploration of kidney,,,21 ,,RBRVS,20.44 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150200,CPT,Biopsy of kidney,,,21 ,,RBRVS,2.63 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150205,CPT,Biopsy of kidney,,,21 ,,RBRVS,12.19 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150220,CPT,"Remove kidney, open",,,21 ,,RBRVS,18.53 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150225,CPT,"Removal kidney open, complex",,,21 ,,RBRVS,21.73 ,11.02 ,11.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150230,CPT,"Removal kidney open, radical",,,21 ,,RBRVS,23.68 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150234,CPT,Removal of kidney & ureter,,,21 ,,RBRVS,23.90 ,12.04 ,12.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150236,CPT,Removal of kidney & ureter,,,21 ,,RBRVS,26.74 ,13.92 ,13.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150240,CPT,Partial removal of kidney,,,21 ,,RBRVS,24.01 ,12.61 ,12.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150250,CPT,Cryoablate renal mass open,,,21 ,,RBRVS,22.06 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010150280,CPT,Removal of kidney lesion,,,21 ,,RBRVS,16.94 ,9.07 ,9.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150290,CPT,Removal of kidney lesion,,,21 ,,RBRVS,16.00 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150300,CPT,Removal of donor kidney,,,21 ,,TotalUnits,,,,26.89 ,,$0.00,$0.00,1,0,1,1,1,1,2008010150320,CPT,Removal of donor kidney,,,21 ,,RBRVS,22.28 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150327,CPT,Prep renal graft/venous,,,21 ,,RBRVS,4.00 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010150328,CPT,Prep renal graft/arterial,,,21 ,,RBRVS,3.50 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010150329,CPT,Prep renal graft/ureteral,,,21 ,,RBRVS,3.34 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010150340,CPT,Removal of kidney,,,21 ,,RBRVS,13.86 ,7.81 ,7.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150360,CPT,Transplantation of kidney,,,21 ,,RBRVS,40.45 ,18.68 ,18.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150365,CPT,Transplantation of kidney,,,21 ,,RBRVS,45.68 ,19.42 ,19.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150370,CPT,Remove transplanted kidney,,,21 ,,RBRVS,18.68 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150380,CPT,Reimplantation of kidney,,,21 ,,RBRVS,29.66 ,16.21 ,16.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150382,CPT,"Change ureter stent, percut",,,21 ,,RBRVS,5.50 ,2.05 ,26.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150384,CPT,"Remove ureter stent, percut",,,21 ,,RBRVS,5.00 ,1.86 ,20.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150385,CPT,Change stent via transureth,,,21 ,,RBRVS,4.44 ,2.05 ,30.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150386,CPT,Remove stent via transureth,,,21 ,,RBRVS,3.30 ,1.61 ,19.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150387,CPT,Change ext/int ureter stent,,,21 ,,RBRVS,2.00 ,0.73 ,12.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150389,CPT,Remove renal tube w/fluoro,,,21 ,,RBRVS,1.10 ,0.40 ,6.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150390,CPT,Drainage of kidney lesion,,,21 ,,RBRVS,1.96 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150391,CPT,Instll rx agnt into rnal tub,,,21 ,,RBRVS,1.96 ,0.72 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150392,CPT,Insert kidney drain,,,21 ,,RBRVS,3.37 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150393,CPT,Insert ureteral tube,,,21 ,,RBRVS,4.15 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150394,CPT,Injection for kidney x-ray,,,21 ,,RBRVS,0.76 ,0.58 ,1.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150395,CPT,Create passage to kidney,,,21 ,,RBRVS,3.37 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150396,CPT,Measure kidney pressure,,,21 ,,RBRVS,2.09 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150398,CPT,Change kidney tube,,,21 ,,RBRVS,1.46 ,0.57 ,11.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150400,CPT,Revision of kidney/ureter,,,21 ,,RBRVS,21.12 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150405,CPT,Revision of kidney/ureter,,,21 ,,RBRVS,25.68 ,12.91 ,12.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150500,CPT,Repair of kidney wound,,,21 ,,RBRVS,21.07 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150520,CPT,Close kidney-skin fistula,,,21 ,,RBRVS,18.73 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150525,CPT,Repair renal-abdomen fistula,,,21 ,,RBRVS,24.21 ,11.80 ,11.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150526,CPT,Repair renal-abdomen fistula,,,21 ,,RBRVS,26.13 ,8.16 ,8.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150540,CPT,Revision of horseshoe kidney,,,21 ,,RBRVS,20.95 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150541,CPT,Laparo ablate renal cyst,,,21 ,,RBRVS,16.76 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150542,CPT,Laparo ablate renal mass,,,21 ,,RBRVS,21.18 ,11.18 ,11.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150543,CPT,Laparo partial nephrectomy,,,21 ,,RBRVS,27.18 ,14.10 ,14.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150544,CPT,"Laparoscopy, pyeloplasty",,,21 ,,RBRVS,23.27 ,11.44 ,11.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150545,CPT,Laparo radical nephrectomy,,,21 ,,RBRVS,24.93 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150546,CPT,Laparoscopic nephrectomy,,,21 ,,RBRVS,21.69 ,11.29 ,11.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150547,CPT,Laparo removal donor kidney,,,21 ,,RBRVS,26.24 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150548,CPT,Laparo remove k/ureter,,,21 ,,RBRVS,25.26 ,12.12 ,12.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150549,CPT,"Laparoscope proc, renal",,,21 ,,TotalUnits,,,,28.75 ,,$0.00,$0.00,1,0,1,1,1,1,2008010150551,CPT,Kidney endoscopy,,,21 ,,RBRVS,5.59 ,2.65 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150553,CPT,Kidney endoscopy,,,21 ,,RBRVS,5.98 ,2.63 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150555,CPT,Kidney endoscopy & biopsy,,,21 ,,RBRVS,6.52 ,3.02 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150557,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,6.61 ,3.07 ,5.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150561,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,7.58 ,3.41 ,5.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150562,CPT,Renal scope w/tumor resect,,,21 ,,RBRVS,10.90 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150570,CPT,Kidney endoscopy,,,21 ,,RBRVS,9.53 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150572,CPT,Kidney endoscopy,,,21 ,,RBRVS,10.33 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150574,CPT,Kidney endoscopy & biopsy,,,21 ,,RBRVS,11.00 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150575,CPT,Kidney endoscopy,,,21 ,,RBRVS,13.96 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150576,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,10.97 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150580,CPT,Kidney endoscopy & treatment,,,21 ,,RBRVS,11.84 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150590,CPT,Fragmenting of kidney stone,,,21 ,,RBRVS,9.64 ,6.13 ,17.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150592,CPT,Perc rf ablate renal tumor,,,21 ,,RBRVS,6.77 ,3.00 ,75.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150593,CPT,Perc cryo ablate renal tum,,,21 ,,RBRVS,9.08 ,3.45 ,114.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150600,CPT,Exploration of ureter,,,21 ,,RBRVS,17.04 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150605,CPT,Insert ureteral support,,,21 ,,RBRVS,16.66 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150610,CPT,Removal of ureter stone,,,21 ,,RBRVS,17.12 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150620,CPT,Removal of ureter stone,,,21 ,,RBRVS,16.30 ,8.88 ,8.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150630,CPT,Removal of ureter stone,,,21 ,,RBRVS,16.08 ,8.20 ,8.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150650,CPT,Removal of ureter,,,21 ,,RBRVS,18.67 ,9.96 ,9.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150660,CPT,Removal of ureter,,,21 ,,RBRVS,20.87 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150684,CPT,Injection for ureter x-ray,,,21 ,,RBRVS,0.76 ,0.63 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150686,CPT,Measure ureter pressure,,,21 ,,RBRVS,1.51 ,0.81 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150688,CPT,Change of ureter tube,,,21 ,,RBRVS,1.18 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150690,CPT,Injection for ureter x-ray,,,21 ,,RBRVS,1.16 ,0.75 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150700,CPT,Revision of ureter,,,21 ,,RBRVS,16.54 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150715,CPT,Release of ureter,,,21 ,,RBRVS,20.49 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150722,CPT,Release of ureter,,,21 ,,RBRVS,17.80 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150725,CPT,Release/revise ureter,,,21 ,,RBRVS,20.05 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150727,CPT,Revise ureter,,,21 ,,RBRVS,8.17 ,5.73 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150728,CPT,Revise ureter,,,21 ,,RBRVS,12.00 ,6.75 ,6.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150740,CPT,Fusion of ureter & kidney,,,21 ,,RBRVS,19.92 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150750,CPT,Fusion of ureter & kidney,,,21 ,,RBRVS,21.07 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150760,CPT,Fusion of ureters,,,21 ,,RBRVS,19.92 ,9.90 ,9.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150770,CPT,Splicing of ureters,,,21 ,,RBRVS,21.07 ,10.88 ,10.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150780,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,19.80 ,10.11 ,10.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150782,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,19.51 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150783,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,20.52 ,10.12 ,10.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150785,CPT,Reimplant ureter in bladder,,,21 ,,RBRVS,22.08 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150800,CPT,Implant ureter in bowel,,,21 ,,RBRVS,16.23 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150810,CPT,Fusion of ureter & bowel,,,21 ,,RBRVS,22.38 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150815,CPT,Urine shunt to intestine,,,21 ,,RBRVS,22.06 ,11.47 ,11.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150820,CPT,Construct bowel bladder,,,21 ,,RBRVS,23.89 ,11.86 ,11.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150825,CPT,Construct bowel bladder,,,21 ,,RBRVS,30.48 ,14.91 ,14.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150830,CPT,Revise urine flow,,,21 ,,RBRVS,33.57 ,15.62 ,15.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150840,CPT,Replace ureter by bowel,,,21 ,,RBRVS,22.19 ,11.93 ,11.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150845,CPT,Appendico-vesicostomy,,,21 ,,RBRVS,22.21 ,12.07 ,12.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150860,CPT,Transplant ureter to skin,,,21 ,,RBRVS,16.93 ,9.22 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150900,CPT,Repair of ureter,,,21 ,,RBRVS,14.89 ,7.99 ,7.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150920,CPT,Closure ureter/skin fistula,,,21 ,,RBRVS,15.66 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150930,CPT,Closure ureter/bowel fistula,,,21 ,,RBRVS,20.04 ,9.49 ,9.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150940,CPT,Release of ureter,,,21 ,,RBRVS,15.78 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150945,CPT,Laparoscopy ureterolithotomy,,,21 ,,RBRVS,17.87 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150947,CPT,Laparo new ureter/bladder,,,21 ,,RBRVS,25.63 ,12.29 ,12.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150948,CPT,Laparo new ureter/bladder,,,21 ,,RBRVS,23.69 ,11.19 ,11.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150949,CPT,"Laparoscope proc, ureter",,,21 ,,TotalUnits,,,,31.09 ,,$0.00,$0.00,1,0,1,1,1,1,2008010150951,CPT,Endoscopy of ureter,,,21 ,,RBRVS,5.83 ,2.76 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150953,CPT,Endoscopy of ureter,,,21 ,,RBRVS,6.23 ,3.22 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150955,CPT,Ureter endoscopy & biopsy,,,21 ,,RBRVS,6.74 ,3.45 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150957,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.78 ,3.14 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150961,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.04 ,2.79 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150970,CPT,Ureter endoscopy,,,21 ,,RBRVS,7.13 ,3.24 ,3.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150972,CPT,Ureter endoscopy & catheter,,,21 ,,RBRVS,6.88 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150974,CPT,Ureter endoscopy & biopsy,,,21 ,,RBRVS,9.16 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150976,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,9.03 ,3.85 ,3.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010150980,CPT,Ureter endoscopy & treatment,,,21 ,,RBRVS,6.84 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151020,CPT,Incise & treat bladder,,,21 ,,RBRVS,7.56 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151030,CPT,Incise & treat bladder,,,21 ,,RBRVS,7.68 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151040,CPT,Incise & drain bladder,,,21 ,,RBRVS,4.43 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151045,CPT,Incise bladder/drain ureter,,,21 ,,RBRVS,7.68 ,5.15 ,5.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151050,CPT,Removal of bladder stone,,,21 ,,RBRVS,7.87 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151060,CPT,Removal of ureter stone,,,21 ,,RBRVS,9.82 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151065,CPT,Remove ureter calculus,,,21 ,,RBRVS,9.82 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151080,CPT,Drainage of bladder abscess,,,21 ,,RBRVS,6.61 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151100,CPT,Drain bladder by needle,,,21 ,,RBRVS,0.78 ,0.27 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151101,CPT,Drain bladder by trocar/cath,,,21 ,,RBRVS,1.02 ,0.34 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151102,CPT,Drain bl w/cath insertion,,,21 ,,RBRVS,4.27 ,2.37 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151500,CPT,Removal of bladder cyst,,,21 ,,RBRVS,10.92 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151520,CPT,Removal of bladder lesion,,,21 ,,RBRVS,10.08 ,6.31 ,6.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151525,CPT,Removal of bladder lesion,,,21 ,,RBRVS,15.29 ,8.47 ,8.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151530,CPT,Removal of bladder lesion,,,21 ,,RBRVS,13.58 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151535,CPT,Repair of ureter lesion,,,21 ,,RBRVS,13.77 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151550,CPT,Partial removal of bladder,,,21 ,,RBRVS,17.10 ,8.71 ,8.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151555,CPT,Partial removal of bladder,,,21 ,,RBRVS,23.03 ,11.36 ,11.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151565,CPT,Revise bladder & ureter(s),,,21 ,,RBRVS,23.50 ,12.12 ,12.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151570,CPT,Removal of bladder,,,21 ,,RBRVS,27.31 ,13.49 ,13.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151575,CPT,Removal of bladder & nodes,,,21 ,,RBRVS,34.00 ,16.45 ,16.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151580,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,35.14 ,17.59 ,17.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151585,CPT,Removal of bladder & nodes,,,21 ,,RBRVS,39.41 ,19.26 ,19.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151590,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,36.15 ,17.25 ,17.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151595,CPT,Remove bladder/revise tract,,,21 ,,RBRVS,41.12 ,19.58 ,19.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151596,CPT,Remove bladder/create pouch,,,21 ,,RBRVS,44.01 ,21.20 ,21.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151597,CPT,Removal of pelvic structures,,,21 ,,RBRVS,42.61 ,20.19 ,20.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151600,CPT,Injection for bladder x-ray,,,21 ,,RBRVS,0.88 ,0.33 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151605,CPT,Preparation for bladder xray,,,21 ,,RBRVS,0.64 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151610,CPT,Injection for bladder x-ray,,,21 ,,RBRVS,1.05 ,0.71 ,1.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151700,CPT,Irrigation of bladder,,,21 ,,RBRVS,0.88 ,0.34 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151701,CPT,Insert bladder catheter,,,21 ,,RBRVS,0.50 ,0.24 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151702,CPT,Insert temp bladder cath,,,21 ,,RBRVS,0.50 ,0.33 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151703,CPT,"Insert bladder cath, complex",,,21 ,,RBRVS,1.47 ,0.80 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151705,CPT,Change of bladder tube,,,21 ,,RBRVS,1.03 ,0.85 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151710,CPT,Change of bladder tube,,,21 ,,RBRVS,1.50 ,1.18 ,2.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151715,CPT,Endoscopic injection/implant,,,21 ,,RBRVS,3.73 ,1.73 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151720,CPT,Treatment of bladder lesion,,,21 ,,RBRVS,1.50 ,0.74 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151725,CPT,Simple cystometrogram,26,,21 ,,RBRVS,1.51 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151725,CPT,Simple cystometrogram,TC,,21 ,,RBRVS,0.00 ,3.68 ,3.68 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151725,CPT,Simple cystometrogram,,,21 ,,RBRVS,1.51 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010151726,CPT,Complex cystometrogram,26,,21 ,,RBRVS,1.71 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151726,CPT,Complex cystometrogram,TC,,21 ,,RBRVS,0.00 ,6.47 ,6.47 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151726,CPT,Complex cystometrogram,,,21 ,,RBRVS,1.71 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010151736,CPT,Urine flow measurement,26,,21 ,,RBRVS,0.61 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151736,CPT,Urine flow measurement,TC,,21 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151736,CPT,Urine flow measurement,,,21 ,,RBRVS,0.61 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010151741,CPT,"Electro-uroflowmetry, first",26,,21 ,,RBRVS,1.14 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151741,CPT,"Electro-uroflowmetry, first",TC,,21 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151741,CPT,"Electro-uroflowmetry, first",,,21 ,,RBRVS,1.14 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010151772,CPT,Urethra pressure profile,26,,21 ,,RBRVS,1.61 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151772,CPT,Urethra pressure profile,TC,,21 ,,RBRVS,0.00 ,4.51 ,4.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151772,CPT,Urethra pressure profile,,,21 ,,RBRVS,1.61 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010151784,CPT,Anal/urinary muscle study,26,,21 ,,RBRVS,1.53 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151784,CPT,Anal/urinary muscle study,TC,,21 ,,RBRVS,0.00 ,3.56 ,3.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151784,CPT,Anal/urinary muscle study,,,21 ,,RBRVS,1.53 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010151785,CPT,Anal/urinary muscle study,26,,21 ,,RBRVS,1.53 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151785,CPT,Anal/urinary muscle study,TC,,21 ,,RBRVS,0.00 ,3.99 ,3.99 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151785,CPT,Anal/urinary muscle study,,,21 ,,RBRVS,1.53 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010151792,CPT,Urinary reflex study,26,,21 ,,RBRVS,1.10 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151792,CPT,Urinary reflex study,TC,,21 ,,RBRVS,0.00 ,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151792,CPT,Urinary reflex study,,,21 ,,RBRVS,1.10 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010151795,CPT,Urine voiding pressure study,26,,21 ,,RBRVS,1.53 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151795,CPT,Urine voiding pressure study,TC,,21 ,,RBRVS,0.00 ,6.15 ,6.15 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151795,CPT,Urine voiding pressure study,,,21 ,,RBRVS,1.53 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010151797,CPT,Intraabdominal pressure test,26,,21 ,,RBRVS,0.80 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151797,CPT,Intraabdominal pressure test,TC,,21 ,,RBRVS,0.00 ,2.14 ,2.14 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151797,CPT,Intraabdominal pressure test,,,21 ,,RBRVS,0.80 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010151798,CPT,Us urine capacity measure,,,21 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010151800,CPT,Revision of bladder/urethra,,,21 ,,RBRVS,18.74 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151820,CPT,Revision of urinary tract,,,21 ,,RBRVS,19.41 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151840,CPT,Attach bladder/urethra,,,21 ,,RBRVS,11.28 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151841,CPT,Attach bladder/urethra,,,21 ,,RBRVS,13.60 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151845,CPT,Repair bladder neck,,,21 ,,RBRVS,10.07 ,5.89 ,5.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151860,CPT,Repair of bladder wound,,,21 ,,RBRVS,12.49 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151865,CPT,Repair of bladder wound,,,21 ,,RBRVS,15.69 ,8.33 ,8.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151880,CPT,Repair of bladder opening,,,21 ,,RBRVS,7.81 ,4.73 ,4.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151900,CPT,Repair bladder/vagina lesion,,,21 ,,RBRVS,14.48 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151920,CPT,Close bladder-uterus fistula,,,21 ,,RBRVS,13.26 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151925,CPT,Hysterectomy/bladder repair,,,21 ,,RBRVS,17.35 ,12.42 ,12.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151940,CPT,Correction of bladder defect,,,21 ,,RBRVS,30.48 ,11.73 ,11.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151960,CPT,Revision of bladder & bowel,,,21 ,,RBRVS,25.20 ,12.89 ,12.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151980,CPT,Construct bladder opening,,,21 ,,RBRVS,12.44 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151990,CPT,Laparo urethral suspension,,,21 ,,RBRVS,13.26 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151992,CPT,Laparo sling operation,,,21 ,,RBRVS,14.77 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010151999,CPT,"Laparoscope proc, bladder",,,28 ,,NW,,,,,,"$2,279.23",$0.00,1,0,1,1,1,1,2008010152000,CPT,Cystoscopy,,,21 ,,RBRVS,2.23 ,1.31 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152001,CPT,"Cystoscopy, removal of clots",,,21 ,,RBRVS,5.44 ,2.57 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152005,CPT,Cystoscopy & ureter catheter,,,21 ,,RBRVS,2.37 ,1.37 ,5.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152007,CPT,Cystoscopy and biopsy,,,21 ,,RBRVS,3.02 ,1.62 ,10.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152010,CPT,Cystoscopy & duct catheter,,,21 ,,RBRVS,3.02 ,1.62 ,8.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152204,CPT,Cystoscopy,,,21 ,,RBRVS,2.59 ,1.38 ,8.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152214,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.70 ,1.83 ,19.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152224,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.14 ,1.60 ,19.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152234,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.62 ,2.27 ,2.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152235,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.44 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152240,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,9.71 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152250,CPT,Cystoscopy and radiotracer,,,21 ,,RBRVS,4.49 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152260,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.91 ,1.93 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152265,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.94 ,1.47 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152270,CPT,Cystoscopy & revise urethra,,,21 ,,RBRVS,3.36 ,1.74 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152275,CPT,Cystoscopy & revise urethra,,,21 ,,RBRVS,4.69 ,2.27 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152276,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.99 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152277,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,6.16 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152281,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.80 ,1.54 ,5.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152282,CPT,"Cystoscopy, implant stent",,,21 ,,RBRVS,6.39 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152283,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.73 ,1.86 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152285,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,3.60 ,1.83 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152290,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.58 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152300,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.30 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152301,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.50 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152305,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.30 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152310,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.81 ,1.43 ,4.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152315,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.20 ,2.47 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152317,CPT,Remove bladder stone,,,21 ,,RBRVS,6.71 ,2.99 ,17.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152318,CPT,Remove bladder stone,,,21 ,,RBRVS,9.18 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152320,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,4.69 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152325,CPT,"Cystoscopy, stone removal",,,21 ,,RBRVS,6.15 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152327,CPT,"Cystoscopy, inject material",,,21 ,,RBRVS,5.18 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152330,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,5.03 ,2.35 ,20.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152332,CPT,Cystoscopy and treatment,,,21 ,,RBRVS,2.83 ,1.55 ,12.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152334,CPT,Create passage to kidney,,,21 ,,RBRVS,4.82 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152341,CPT,Cysto w/ureter stricture tx,,,21 ,,RBRVS,6.11 ,3.04 ,3.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152342,CPT,Cysto w/up stricture tx,,,21 ,,RBRVS,6.61 ,3.25 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152343,CPT,Cysto w/renal stricture tx,,,21 ,,RBRVS,7.31 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152344,CPT,"Cysto/uretero, stone remove",,,21 ,,RBRVS,7.81 ,3.90 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152345,CPT,Cysto/uretero w/up stricture,,,21 ,,RBRVS,8.31 ,4.11 ,4.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152346,CPT,Cystouretero w/renal strict,,,21 ,,RBRVS,9.34 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152351,CPT,Cystouretero & or pyeloscope,,,21 ,,RBRVS,5.85 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152352,CPT,Cystouretero w/stone remove,,,21 ,,RBRVS,6.87 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152353,CPT,Cystouretero w/lithotripsy,,,21 ,,RBRVS,7.96 ,3.90 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152354,CPT,Cystouretero w/biopsy,,,21 ,,RBRVS,7.33 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152355,CPT,Cystouretero w/excise tumor,,,21 ,,RBRVS,8.81 ,4.24 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152400,CPT,Cystouretero w/congen repr,,,21 ,,RBRVS,10.06 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152402,CPT,Cystourethro cut ejacul duct,,,21 ,,RBRVS,5.27 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152450,CPT,Incision of prostate,,,21 ,,RBRVS,7.63 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152500,CPT,Revision of bladder neck,,,21 ,,RBRVS,9.39 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152601,CPT,Prostatectomy (TURP),,,21 ,,RBRVS,15.13 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152606,CPT,Control postop bleeding,,,21 ,,RBRVS,8.84 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152612,CPT,"Prostatectomy, first stage",,,21 ,,RBRVS,9.07 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152614,CPT,"Prostatectomy, second stage",,,21 ,,RBRVS,7.81 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152620,CPT,Remove residual prostate,,,21 ,,RBRVS,7.19 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152630,CPT,Remove prostate regrowth,,,21 ,,RBRVS,7.65 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152640,CPT,Relieve bladder contracture,,,21 ,,RBRVS,6.89 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152647,CPT,Laser surgery of prostate,,,21 ,,RBRVS,11.15 ,6.89 ,41.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152648,CPT,Laser surgery of prostate,,,21 ,,RBRVS,12.00 ,7.22 ,42.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152649,CPT,2Prostate laser enucleation,,,21 ,,RBRVS,17.16 ,9.32 ,9.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010152700,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,7.39 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153000,CPT,Incision of urethra,,,21 ,,RBRVS,2.30 ,1.78 ,1.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153010,CPT,Incision of urethra,,,21 ,,RBRVS,4.35 ,3.83 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153020,CPT,Incision of urethra,,,21 ,,RBRVS,1.77 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153025,CPT,Incision of urethra,,,21 ,,RBRVS,1.13 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153040,CPT,Drainage of urethra abscess,,,21 ,,RBRVS,6.49 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153060,CPT,Drainage of urethra abscess,,,21 ,,RBRVS,2.65 ,1.54 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153080,CPT,Drainage of urinary leakage,,,21 ,,RBRVS,6.82 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153085,CPT,Drainage of urinary leakage,,,21 ,,RBRVS,11.05 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153200,CPT,Biopsy of urethra,,,21 ,,RBRVS,2.59 ,1.29 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153210,CPT,Removal of urethra,,,21 ,,RBRVS,13.59 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153215,CPT,Removal of urethra,,,21 ,,RBRVS,16.72 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153220,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,7.53 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153230,CPT,Removal of urethra lesion,,,21 ,,RBRVS,10.31 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153235,CPT,Removal of urethra lesion,,,21 ,,RBRVS,10.86 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153240,CPT,Surgery for urethra pouch,,,21 ,,RBRVS,6.98 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153250,CPT,Removal of urethra gland,,,21 ,,RBRVS,6.42 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153260,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,3.00 ,1.84 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153265,CPT,Treatment of urethra lesion,,,21 ,,RBRVS,3.14 ,1.98 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153270,CPT,Removal of urethra gland,,,21 ,,RBRVS,3.11 ,1.84 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153275,CPT,Repair of urethra defect,,,21 ,,RBRVS,4.54 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153400,CPT,"Revise urethra, stage 1",,,21 ,,RBRVS,13.98 ,8.17 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153405,CPT,"Revise urethra, stage 2",,,21 ,,RBRVS,15.51 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153410,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.53 ,9.68 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153415,CPT,Reconstruction of urethra,,,21 ,,RBRVS,20.55 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153420,CPT,"Reconstruct urethra, stage 1",,,21 ,,RBRVS,15.04 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153425,CPT,"Reconstruct urethra, stage 2",,,21 ,,RBRVS,16.94 ,9.00 ,9.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153430,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.30 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153431,CPT,Reconstruct urethra/bladder,,,21 ,,RBRVS,21.03 ,10.98 ,10.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153440,CPT,Male sling procedure,,,21 ,,RBRVS,15.34 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153442,CPT,Remove/revise male sling,,,21 ,,RBRVS,13.29 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153444,CPT,Insert tandem cuff,,,21 ,,RBRVS,14.06 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153445,CPT,Insert uro/ves nck sphincter,,,21 ,,RBRVS,15.21 ,8.75 ,8.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153446,CPT,Remove uro sphincter,,,21 ,,RBRVS,10.89 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153447,CPT,Remove/replace ur sphincter,,,21 ,,RBRVS,14.15 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153448,CPT,Remov/replc ur sphinctr comp,,,21 ,,RBRVS,23.26 ,12.33 ,12.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153449,CPT,Repair uro sphincter,,,21 ,,RBRVS,10.43 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153450,CPT,Revision of urethra,,,21 ,,RBRVS,6.67 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153460,CPT,Revision of urethra,,,21 ,,RBRVS,7.65 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153500,CPT,"Urethrlys, transvag w/ scope",,,21 ,,RBRVS,12.87 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153502,CPT,Repair of urethra injury,,,21 ,,RBRVS,8.16 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153505,CPT,Repair of urethra injury,,,21 ,,RBRVS,8.16 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153510,CPT,Repair of urethra injury,,,21 ,,RBRVS,10.83 ,6.83 ,6.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153515,CPT,Repair of urethra injury,,,21 ,,RBRVS,14.09 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153520,CPT,Repair of urethra defect,,,21 ,,RBRVS,9.35 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153600,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.21 ,0.57 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153601,CPT,Dilate urethra stricture,,,21 ,,RBRVS,0.98 ,0.52 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153605,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.28 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153620,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.62 ,0.83 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153621,CPT,Dilate urethra stricture,,,21 ,,RBRVS,1.35 ,0.67 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153660,CPT,Dilation of urethra,,,21 ,,RBRVS,0.71 ,0.45 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153661,CPT,Dilation of urethra,,,21 ,,RBRVS,0.72 ,0.41 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153665,CPT,Dilation of urethra,,,21 ,,RBRVS,0.76 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153850,CPT,Prostatic microwave thermotx,,,21 ,,RBRVS,9.98 ,5.86 ,49.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153852,CPT,Prostatic rf thermotx,,,21 ,,RBRVS,10.68 ,6.66 ,46.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153853,CPT,Prostatic water thermother,,,21 ,,RBRVS,5.54 ,4.35 ,29.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010153899,CPT,Urology surgery procedure,,,21 ,,TotalUnits,,,,4.60 ,,$0.00,$0.00,1,0,1,1,1,1,2008010154000,CPT,Slitting of prepuce,,,21 ,,RBRVS,1.56 ,1.48 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154001,CPT,Slitting of prepuce,,,21 ,,RBRVS,2.21 ,1.67 ,3.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154015,CPT,Drain penis lesion,,,21 ,,RBRVS,5.33 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154050,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,1.26 ,1.39 ,2.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154055,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,1.23 ,1.23 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154056,CPT,"Cryosurgery, penis lesion(s)",,,21 ,,RBRVS,1.26 ,1.53 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154057,CPT,"Laser surg, penis lesion(s)",,,21 ,,RBRVS,1.26 ,1.37 ,2.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154060,CPT,Excision of penis lesion(s),,,21 ,,RBRVS,1.95 ,1.64 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154065,CPT,"Destruction, penis lesion(s)",,,21 ,,RBRVS,2.44 ,2.00 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154100,CPT,Biopsy of penis,,,21 ,,RBRVS,1.90 ,1.36 ,3.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154105,CPT,Biopsy of penis,,,21 ,,RBRVS,3.51 ,2.43 ,3.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154110,CPT,Treatment of penis lesion,,,21 ,,RBRVS,10.79 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154111,CPT,"Treat penis lesion, graft",,,21 ,,RBRVS,14.29 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154112,CPT,"Treat penis lesion, graft",,,21 ,,RBRVS,16.83 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154115,CPT,Treatment of penis lesion,,,21 ,,RBRVS,6.82 ,4.94 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154120,CPT,Partial removal of penis,,,21 ,,RBRVS,10.88 ,6.72 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154125,CPT,Removal of penis,,,21 ,,RBRVS,14.43 ,8.07 ,8.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154130,CPT,Remove penis & nodes,,,21 ,,RBRVS,21.66 ,11.58 ,11.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154135,CPT,Remove penis & nodes,,,21 ,,RBRVS,27.99 ,14.11 ,14.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154150,CPT,Circumcision,,,21 ,,RBRVS,1.90 ,0.73 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154160,CPT,Circumcision,,,21 ,,RBRVS,2.50 ,1.48 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154161,CPT,Circumcision,,,21 ,,RBRVS,3.29 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154162,CPT,Lysis penil circumic lesion,,,21 ,,RBRVS,3.27 ,2.26 ,4.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154163,CPT,Repair of circumcision,,,21 ,,RBRVS,3.27 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154164,CPT,Frenulotomy of penis,,,21 ,,RBRVS,2.77 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154200,CPT,Treatment of penis lesion,,,21 ,,RBRVS,1.08 ,1.30 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154205,CPT,Treatment of penis lesion,,,21 ,,RBRVS,8.84 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154220,CPT,Treatment of penis lesion,,,21 ,,RBRVS,2.42 ,1.35 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154230,CPT,Prepare penis study,,,21 ,,RBRVS,1.34 ,0.91 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154231,CPT,Dynamic cavernosometry,,,21 ,,RBRVS,2.04 ,1.24 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154235,CPT,Penile injection,,,21 ,,RBRVS,1.19 ,0.89 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154240,CPT,Penis study,26,,21 ,,RBRVS,1.31 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154240,CPT,Penis study,TC,,21 ,,RBRVS,0.00 ,1.03 ,1.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010154240,CPT,Penis study,,,21 ,,RBRVS,1.31 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010154250,CPT,Penis study,26,,21 ,,RBRVS,2.22 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154250,CPT,Penis study,TC,,21 ,,RBRVS,0.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010154250,CPT,Penis study,,,21 ,,RBRVS,2.22 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010154300,CPT,Revision of penis,,,21 ,,RBRVS,11.07 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154304,CPT,Revision of penis,,,21 ,,RBRVS,13.15 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154308,CPT,Reconstruction of urethra,,,21 ,,RBRVS,12.49 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154312,CPT,Reconstruction of urethra,,,21 ,,RBRVS,14.36 ,8.87 ,8.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154316,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.90 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154318,CPT,Reconstruction of urethra,,,21 ,,RBRVS,12.28 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154322,CPT,Reconstruction of urethra,,,21 ,,RBRVS,13.85 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154324,CPT,Reconstruction of urethra,,,21 ,,RBRVS,17.40 ,9.75 ,9.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154326,CPT,Reconstruction of urethra,,,21 ,,RBRVS,16.87 ,9.16 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154328,CPT,Revise penis/urethra,,,21 ,,RBRVS,16.74 ,9.48 ,9.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154332,CPT,Revise penis/urethra,,,21 ,,RBRVS,18.22 ,10.07 ,10.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154336,CPT,Revise penis/urethra,,,21 ,,RBRVS,21.44 ,7.31 ,7.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154340,CPT,Secondary urethral surgery,,,21 ,,RBRVS,9.58 ,6.36 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154344,CPT,Secondary urethral surgery,,,21 ,,RBRVS,16.91 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154348,CPT,Secondary urethral surgery,,,21 ,,RBRVS,18.17 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154352,CPT,Reconstruct urethra/penis,,,21 ,,RBRVS,25.95 ,14.00 ,14.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154360,CPT,Penis plastic surgery,,,21 ,,RBRVS,12.65 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154380,CPT,Repair penis,,,21 ,,RBRVS,14.03 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154385,CPT,Repair penis,,,21 ,,RBRVS,16.38 ,11.31 ,11.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154390,CPT,Repair penis and bladder,,,21 ,,RBRVS,22.59 ,7.42 ,7.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154400,CPT,Insert semi-rigid prosthesis,,,21 ,,RBRVS,9.09 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154401,CPT,Insert self-contd prosthesis,,,21 ,,RBRVS,10.26 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154405,CPT,Insert multi-comp penis pros,,,21 ,,RBRVS,14.39 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154406,CPT,Remove muti-comp penis pros,,,21 ,,RBRVS,12.76 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154408,CPT,Repair multi-comp penis pros,,,21 ,,RBRVS,13.73 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154410,CPT,Remove/replace penis prosth,,,21 ,,RBRVS,16.48 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154411,CPT,"Remov/replc penis pros, comp",,,21 ,,RBRVS,18.14 ,10.41 ,10.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154415,CPT,Remove self-contd penis pros,,,21 ,,RBRVS,8.75 ,6.00 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154416,CPT,Remv/repl penis contain pros,,,21 ,,RBRVS,11.87 ,7.90 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154417,CPT,"Remv/replc penis pros, compl",,,21 ,,RBRVS,15.94 ,9.10 ,9.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154420,CPT,Revision of penis,,,21 ,,RBRVS,12.26 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154430,CPT,Revision of penis,,,21 ,,RBRVS,10.93 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154435,CPT,Revision of penis,,,21 ,,RBRVS,6.71 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154440,CPT,Repair of penis,,,21 ,,TotalUnits,,,,14.95 ,,$0.00,$0.00,1,0,1,1,1,1,2008010154450,CPT,Preputial stretching,,,21 ,,RBRVS,1.12 ,0.48 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154500,CPT,Biopsy of testis,,,21 ,,RBRVS,1.31 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154505,CPT,Biopsy of testis,,,21 ,,RBRVS,3.47 ,2.44 ,2.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154512,CPT,Excise lesion testis,,,21 ,,RBRVS,9.23 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154520,CPT,Removal of testis,,,21 ,,RBRVS,5.25 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154522,CPT,"Orchiectomy, partial",,,21 ,,RBRVS,10.15 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154530,CPT,Removal of testis,,,21 ,,RBRVS,9.31 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154535,CPT,Extensive testis surgery,,,21 ,,RBRVS,13.06 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154550,CPT,Exploration for testis,,,21 ,,RBRVS,8.31 ,5.21 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154560,CPT,Exploration for testis,,,21 ,,RBRVS,11.97 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154600,CPT,Reduce testis torsion,,,21 ,,RBRVS,7.54 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154620,CPT,Suspension of testis,,,21 ,,RBRVS,5.16 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154640,CPT,Suspension of testis,,,21 ,,RBRVS,7.57 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154650,CPT,Orchiopexy (Fowler-Stephens),,,21 ,,RBRVS,12.24 ,5.66 ,5.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154660,CPT,Revision of testis,,,21 ,,RBRVS,5.64 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154670,CPT,Repair testis injury,,,21 ,,RBRVS,6.57 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154680,CPT,Relocation of testis(es),,,21 ,,RBRVS,13.91 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154690,CPT,"Laparoscopy, orchiectomy",,,21 ,,RBRVS,11.60 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154692,CPT,"Laparoscopy, orchiopexy",,,21 ,,RBRVS,13.64 ,7.56 ,7.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154699,CPT,"Laparoscope proc, testis",,,21 ,,TotalUnits,,,,18.31 ,,$0.00,$0.00,1,0,1,1,1,1,2008010154700,CPT,Drainage of scrotum,,,21 ,,RBRVS,3.44 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154800,CPT,Biopsy of epididymis,,,21 ,,RBRVS,2.33 ,1.22 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154830,CPT,Remove epididymis lesion,,,21 ,,RBRVS,5.91 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154840,CPT,Remove epididymis lesion,,,21 ,,RBRVS,5.22 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154860,CPT,Removal of epididymis,,,21 ,,RBRVS,6.85 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154861,CPT,Removal of epididymis,,,21 ,,RBRVS,9.57 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154865,CPT,Explore epididymis,,,21 ,,RBRVS,5.67 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154900,CPT,Fusion of spermatic ducts,,,21 ,,RBRVS,14.05 ,5.24 ,5.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010154901,CPT,Fusion of spermatic ducts,,,21 ,,RBRVS,18.92 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155000,CPT,Drainage of hydrocele,,,21 ,,RBRVS,1.43 ,0.91 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155040,CPT,Removal of hydrocele,,,21 ,,RBRVS,5.39 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155041,CPT,Removal of hydroceles,,,21 ,,RBRVS,8.41 ,5.68 ,5.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155060,CPT,Repair of hydrocele,,,21 ,,RBRVS,6.05 ,4.45 ,4.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155100,CPT,Drainage of scrotum abscess,,,21 ,,RBRVS,2.40 ,2.11 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155110,CPT,Explore scrotum,,,21 ,,RBRVS,6.23 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155120,CPT,Removal of scrotum lesion,,,21 ,,RBRVS,5.62 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155150,CPT,Removal of scrotum,,,21 ,,RBRVS,8.01 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155175,CPT,Revision of scrotum,,,21 ,,RBRVS,5.77 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155180,CPT,Revision of scrotum,,,21 ,,RBRVS,11.63 ,7.27 ,7.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155200,CPT,Incision of sperm duct,,,21 ,,RBRVS,4.50 ,3.30 ,8.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155250,CPT,Removal of sperm duct(s),,,21 ,,RBRVS,3.32 ,3.06 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155300,CPT,"Prepare, sperm duct x-ray",,,21 ,,RBRVS,3.50 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155400,CPT,Repair of sperm duct,,,21 ,,RBRVS,8.53 ,5.41 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155450,CPT,Ligation of sperm duct,,,21 ,,RBRVS,4.38 ,2.57 ,5.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155500,CPT,Removal of hydrocele,,,21 ,,RBRVS,6.12 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155520,CPT,Removal of sperm cord lesion,,,21 ,,RBRVS,6.56 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155530,CPT,Revise spermatic cord veins,,,21 ,,RBRVS,5.69 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155535,CPT,Revise spermatic cord veins,,,21 ,,RBRVS,7.09 ,4.83 ,4.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155540,CPT,Revise hernia & sperm veins,,,21 ,,RBRVS,8.20 ,4.25 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155550,CPT,Laparo ligate spermatic vein,,,21 ,,RBRVS,7.10 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155559,CPT,"Laparo proc, spermatic cord",,,21 ,,TotalUnits,,,,9.88 ,,$0.00,$0.00,1,0,1,1,1,1,2008010155600,CPT,Incise sperm duct pouch,,,21 ,,RBRVS,6.91 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155605,CPT,Incise sperm duct pouch,,,21 ,,RBRVS,8.63 ,4.63 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155650,CPT,Remove sperm duct pouch,,,21 ,,RBRVS,12.52 ,7.40 ,7.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155680,CPT,Remove sperm pouch lesion,,,21 ,,RBRVS,5.59 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155700,CPT,Biopsy of prostate,,,21 ,,RBRVS,2.58 ,1.32 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155705,CPT,Biopsy of prostate,,,21 ,,RBRVS,4.58 ,2.85 ,2.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155720,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,7.67 ,4.89 ,4.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155725,CPT,Drainage of prostate abscess,,,21 ,,RBRVS,9.90 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155801,CPT,Removal of prostate,,,21 ,,RBRVS,19.62 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155810,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.14 ,12.34 ,12.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155812,CPT,Extensive prostate surgery,,,21 ,,RBRVS,29.69 ,14.21 ,14.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155815,CPT,Extensive prostate surgery,,,21 ,,RBRVS,32.75 ,16.20 ,16.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155821,CPT,Removal of prostate,,,21 ,,RBRVS,15.63 ,8.67 ,8.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155831,CPT,Removal of prostate,,,21 ,,RBRVS,17.06 ,9.24 ,9.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155840,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.45 ,12.69 ,12.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155842,CPT,Extensive prostate surgery,,,21 ,,RBRVS,26.31 ,13.48 ,13.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155845,CPT,Extensive prostate surgery,,,21 ,,RBRVS,30.52 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155860,CPT,"Surgical exposure, prostate",,,21 ,,RBRVS,15.71 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155862,CPT,Extensive prostate surgery,,,21 ,,RBRVS,19.89 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155865,CPT,Extensive prostate surgery,,,21 ,,RBRVS,24.39 ,12.41 ,12.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155866,CPT,Laparo radical prostatectomy,,,21 ,,RBRVS,32.25 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155870,CPT,Vag hyst w/enterocele repair,,,21 ,,RBRVS,2.58 ,1.45 ,2.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155873,CPT,Cryoablate prostate,,,21 ,,RBRVS,20.25 ,11.29 ,11.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155875,CPT,"Transperi needle place, pros",,,21 ,,RBRVS,13.31 ,7.84 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155876,CPT,"Place rt device/marker, pros",,,21 ,,RBRVS,1.73 ,1.05 ,2.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010155899,CPT,Genital surgery procedure,,,21 ,,TotalUnits,,,,4.69 ,,$0.00,$0.00,1,0,1,1,1,1,2008010155920,CPT,Place needles pelvic for rt,,,21 ,,RBRVS,8.31 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156405,CPT,I & D of vulva/perineum,,,21 ,,RBRVS,1.46 ,1.16 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156420,CPT,Drainage of gland abscess,,,21 ,,RBRVS,1.41 ,0.78 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156440,CPT,Surgery for vulva lesion,,,21 ,,RBRVS,2.86 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156441,CPT,Lysis of labial lesion(s),,,21 ,,RBRVS,1.99 ,1.56 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156442,CPT,Hymenotomy,,,21 ,,RBRVS,0.68 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156501,CPT,"Destroy, vulva lesions, sim",,,21 ,,RBRVS,1.55 ,1.21 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156515,CPT,Destroy vulva lesion/s compl,,,21 ,,RBRVS,3.03 ,1.74 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156605,CPT,Biopsy of vulva/perineum,,,21 ,,RBRVS,1.10 ,0.34 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156606,CPT,Biopsy of vulva/perineum,,,21 ,,RBRVS,0.55 ,0.15 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156620,CPT,Partial removal of vulva,,,21 ,,RBRVS,8.44 ,4.40 ,4.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156625,CPT,Complete removal of vulva,,,21 ,,RBRVS,9.55 ,4.81 ,4.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156630,CPT,Extensive vulva surgery,,,21 ,,RBRVS,14.67 ,6.28 ,6.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156631,CPT,Extensive vulva surgery,,,21 ,,RBRVS,18.81 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156632,CPT,Extensive vulva surgery,,,21 ,,RBRVS,21.61 ,9.30 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156633,CPT,Extensive vulva surgery,,,21 ,,RBRVS,19.47 ,7.80 ,7.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156634,CPT,Extensive vulva surgery,,,21 ,,RBRVS,20.48 ,8.19 ,8.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156637,CPT,Extensive vulva surgery,,,21 ,,RBRVS,24.57 ,9.31 ,9.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156640,CPT,Extensive vulva surgery,,,21 ,,RBRVS,24.65 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156700,CPT,Partial removal of hymen,,,21 ,,RBRVS,2.79 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156740,CPT,Remove vagina gland lesion,,,21 ,,RBRVS,4.83 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156800,CPT,Repair of vagina,,,21 ,,RBRVS,3.90 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156805,CPT,Repair clitoris,,,21 ,,RBRVS,19.75 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156810,CPT,Repair of perineum,,,21 ,,RBRVS,4.26 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156820,CPT,Exam of vulva w/scope,,,21 ,,RBRVS,1.50 ,0.53 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010156821,CPT,Exam/biopsy of vulva w/scope,,,21 ,,RBRVS,2.05 ,0.68 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157000,CPT,Exploration of vagina,,,21 ,,RBRVS,2.99 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157010,CPT,Drainage of pelvic abscess,,,21 ,,RBRVS,6.74 ,3.80 ,3.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157020,CPT,Drainage of pelvic fluid,,,21 ,,RBRVS,1.50 ,0.45 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157022,CPT,"I & d vaginal hematoma, pp",,,21 ,,RBRVS,2.70 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157023,CPT,"I & d vag hematoma, non-ob",,,21 ,,RBRVS,5.13 ,2.37 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157061,CPT,"Destroy vag lesions, simple",,,21 ,,RBRVS,1.27 ,1.12 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157065,CPT,"Destroy vag lesions, complex",,,21 ,,RBRVS,2.63 ,1.49 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157100,CPT,Biopsy of vagina,,,21 ,,RBRVS,1.20 ,0.37 ,0.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157105,CPT,Biopsy of vagina,,,21 ,,RBRVS,1.71 ,1.33 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157106,CPT,"Remove vagina wall, partial",,,21 ,,RBRVS,7.35 ,4.27 ,4.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157107,CPT,"Remove vagina tissue, part",,,21 ,,RBRVS,24.43 ,9.06 ,9.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157109,CPT,Vaginectomy partial w/nodes,,,21 ,,RBRVS,28.25 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157110,CPT,"Remove vagina wall, complete",,,21 ,,RBRVS,15.38 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157111,CPT,"Remove vagina tissue, compl",,,21 ,,RBRVS,28.25 ,10.43 ,10.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157112,CPT,"Vaginectomy w/nodes, compl",,,21 ,,RBRVS,30.37 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157120,CPT,Closure of vagina,,,21 ,,RBRVS,8.18 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157130,CPT,Remove vagina lesion,,,21 ,,RBRVS,2.44 ,1.47 ,1.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157135,CPT,Remove vagina lesion,,,21 ,,RBRVS,2.68 ,1.53 ,2.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157150,CPT,Treat vagina infection,,,21 ,,RBRVS,0.55 ,0.15 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157155,CPT,Insert uteri tandems/ovoids,,,21 ,,RBRVS,6.79 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157160,CPT,Insert pessary/other device,,,21 ,,RBRVS,0.89 ,0.25 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157170,CPT,Fitting of diaphragm/cap,,,21 ,,RBRVS,0.91 ,0.25 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157180,CPT,Treat vaginal bleeding,,,21 ,,RBRVS,1.60 ,0.93 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157200,CPT,Repair of vagina,,,21 ,,RBRVS,4.34 ,2.99 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157210,CPT,Repair vagina/perineum,,,21 ,,RBRVS,5.63 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157220,CPT,Revision of urethra,,,21 ,,RBRVS,4.77 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157230,CPT,Repair of urethral lesion,,,21 ,,RBRVS,6.22 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157240,CPT,Repair bladder & vagina,,,21 ,,RBRVS,11.42 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157250,CPT,Repair rectum & vagina,,,21 ,,RBRVS,11.42 ,5.04 ,5.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157260,CPT,Repair of vagina,,,21 ,,RBRVS,14.36 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157265,CPT,Extensive repair of vagina,,,21 ,,RBRVS,15.86 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157267,CPT,Insert mesh/pelvic flr addon,,,21 ,,RBRVS,4.88 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157268,CPT,Repair of bowel bulge,,,21 ,,RBRVS,7.47 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157270,CPT,Repair of bowel pouch,,,21 ,,RBRVS,13.57 ,5.84 ,5.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157280,CPT,Suspension of vagina,,,21 ,,RBRVS,16.62 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157282,CPT,Repair of vaginal prolapse,,,21 ,,RBRVS,7.84 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157283,CPT,"Colpopexy, intraperitoneal",,,21 ,,RBRVS,11.58 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010157284,CPT,Repair paravaginal defect,,,21 ,,RBRVS,14.25 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157285,CPT,"Repair paravag defect, vag",,,21 ,,RBRVS,11.52 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157287,CPT,Revise/remove sling repair,,,21 ,,RBRVS,11.49 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157288,CPT,Repair bladder defect,,,21 ,,RBRVS,14.01 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157289,CPT,Repair bladder & vagina,,,21 ,,RBRVS,12.69 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157291,CPT,Construction of vagina,,,21 ,,RBRVS,8.54 ,4.90 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157292,CPT,Construct vagina with graft,,,21 ,,RBRVS,13.91 ,5.91 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157295,CPT,Change vaginal graft,,,21 ,,RBRVS,7.74 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157296,CPT,"Revise vag graft, open abd",,,21 ,,RBRVS,16.46 ,6.67 ,6.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157300,CPT,Repair rectum-vagina fistula,,,21 ,,RBRVS,8.58 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157305,CPT,Repair rectum-vagina fistula,,,21 ,,RBRVS,15.24 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157307,CPT,Fistula repair & colostomy,,,21 ,,RBRVS,17.02 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157308,CPT,"Fistula repair, transperine",,,21 ,,RBRVS,10.48 ,4.96 ,4.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157310,CPT,Repair urethrovaginal lesion,,,21 ,,RBRVS,7.55 ,5.02 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157311,CPT,Repair urethrovaginal lesion,,,21 ,,RBRVS,8.81 ,5.51 ,5.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157320,CPT,Repair bladder-vagina lesion,,,21 ,,RBRVS,8.78 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157330,CPT,Repair bladder-vagina lesion,,,21 ,,RBRVS,13.11 ,7.20 ,7.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157335,CPT,Repair vagina,,,21 ,,RBRVS,19.87 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157400,CPT,Dilation of vagina,,,21 ,,RBRVS,2.27 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157410,CPT,Pelvic examination,,,21 ,,RBRVS,1.75 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157415,CPT,Remove vaginal foreign body,,,21 ,,RBRVS,2.44 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157420,CPT,Exam of vagina w/scope,,,21 ,,RBRVS,1.60 ,0.56 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157421,CPT,Exam/biopsy of vag w/scope,,,21 ,,RBRVS,2.20 ,0.72 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157423,CPT,"Repair paravag defect, lap",,,21 ,,RBRVS,16.00 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157425,CPT,"Laparoscopy, surg, colpopexy",,,21 ,,RBRVS,16.93 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157452,CPT,Exam of cervix w/scope,,,21 ,,RBRVS,1.50 ,0.74 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157454,CPT,Bx/curett of cervix w/scope,,,21 ,,RBRVS,2.33 ,0.95 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157455,CPT,Biopsy of cervix w/scope,,,21 ,,RBRVS,1.99 ,0.66 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157456,CPT,Endocerv curettage w/scope,,,21 ,,RBRVS,1.85 ,0.62 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157460,CPT,"Bx of cervix w/scope, leep",,,21 ,,RBRVS,2.83 ,1.09 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157461,CPT,"Conz of cervix w/scope, leep",,,21 ,,RBRVS,3.43 ,1.05 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157500,CPT,Biopsy of cervix,,,21 ,,RBRVS,1.20 ,0.64 ,2.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157505,CPT,Endocervical curettage,,,21 ,,RBRVS,1.16 ,1.07 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157510,CPT,Cauterization of cervix,,,21 ,,RBRVS,1.90 ,0.90 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157511,CPT,Cryocautery of cervix,,,21 ,,RBRVS,1.92 ,1.27 ,1.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157513,CPT,Laser surgery of cervix,,,21 ,,RBRVS,1.92 ,1.28 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157520,CPT,Conization of cervix,,,21 ,,RBRVS,4.06 ,2.51 ,3.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157522,CPT,Conization of cervix,,,21 ,,RBRVS,3.62 ,2.25 ,2.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157530,CPT,Removal of cervix,,,21 ,,RBRVS,5.19 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157531,CPT,"Removal of cervix, radical",,,21 ,,RBRVS,29.77 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157540,CPT,Removal of residual cervix,,,21 ,,RBRVS,13.19 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157545,CPT,Remove cervix/repair pelvis,,,21 ,,RBRVS,14.00 ,5.72 ,5.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157550,CPT,Removal of residual cervix,,,21 ,,RBRVS,6.24 ,3.61 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157555,CPT,Remove cervix/repair vagina,,,21 ,,RBRVS,9.84 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157556,CPT,"Remove cervix, repair bowel",,,21 ,,RBRVS,9.26 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157558,CPT,D&c of cervical stump,,,21 ,,RBRVS,1.69 ,1.05 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157700,CPT,Revision of cervix,,,21 ,,RBRVS,4.22 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157720,CPT,Revision of cervix,,,21 ,,RBRVS,4.53 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010157800,CPT,Dilation of cervical canal,,,21 ,,RBRVS,0.77 ,0.41 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158100,CPT,Biopsy of uterus lining,,,21 ,,RBRVS,1.53 ,0.58 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158110,CPT,Bx done w/colposcopy add-on,,,21 ,,RBRVS,0.77 ,0.21 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158120,CPT,Dilation and curettage,,,21 ,,RBRVS,3.54 ,1.66 ,2.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158140,CPT,Myomectomy abdom method,,,21 ,,RBRVS,15.69 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158145,CPT,Myomectomy vag method,,,21 ,,RBRVS,8.81 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158146,CPT,Myomectomy abdom complex,,,21 ,,RBRVS,20.24 ,7.34 ,7.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158150,CPT,Total hysterectomy,,,21 ,,RBRVS,17.21 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158152,CPT,Total hysterectomy,,,21 ,,RBRVS,21.73 ,8.03 ,8.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158180,CPT,Partial hysterectomy,,,21 ,,RBRVS,16.50 ,6.33 ,6.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158200,CPT,Extensive hysterectomy,,,21 ,,RBRVS,23.00 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158210,CPT,Extensive hysterectomy,,,21 ,,RBRVS,30.76 ,10.72 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158240,CPT,Removal of pelvis contents,,,21 ,,RBRVS,49.02 ,17.64 ,17.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158260,CPT,Vaginal hysterectomy,,,21 ,,RBRVS,14.02 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158262,CPT,Vag hyst including t/o,,,21 ,,RBRVS,15.81 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158263,CPT,Vag hyst w/t/o & vag repair,,,21 ,,RBRVS,17.10 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158267,CPT,Vag hyst w/urinary repair,,,21 ,,RBRVS,18.23 ,6.97 ,6.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158270,CPT,Vag hyst w/enterocele repair,,,21 ,,RBRVS,15.20 ,5.93 ,5.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158275,CPT,Hysterectomy/revise vagina,,,21 ,,RBRVS,16.90 ,6.61 ,6.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158280,CPT,Hysterectomy/revise vagina,,,21 ,,RBRVS,18.20 ,6.96 ,6.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158285,CPT,Extensive hysterectomy,,,21 ,,RBRVS,23.30 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158290,CPT,Vag hyst complex,,,21 ,,RBRVS,20.17 ,7.35 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158291,CPT,"Vag hyst incl t/o, complex",,,21 ,,RBRVS,21.96 ,7.82 ,7.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158292,CPT,"Vag hyst t/o & repair, compl",,,21 ,,RBRVS,23.25 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158293,CPT,"Vag hyst w/uro repair, compl",,,21 ,,RBRVS,24.23 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158294,CPT,"Vag hyst w/enterocele, compl",,,21 ,,RBRVS,21.45 ,7.51 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158300,CPT,Insert intrauterine device,,,21 ,,RBRVS,1.01 ,0.23 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158301,CPT,Remove intrauterine device,,,21 ,,RBRVS,1.27 ,0.34 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158321,CPT,Artificial insemination,,,21 ,,RBRVS,0.92 ,0.23 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158322,CPT,Artificial insemination,,,21 ,,RBRVS,1.10 ,0.31 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158323,CPT,Sperm washing,,,21 ,,RBRVS,0.23 ,0.07 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158340,CPT,Catheter for hysterography,,,21 ,,RBRVS,0.88 ,0.56 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158345,CPT,Reopen fallopian tube,,,21 ,,RBRVS,4.67 ,2.11 ,2.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158346,CPT,Insert heyman uteri capsule,,,21 ,,RBRVS,7.48 ,3.74 ,3.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158350,CPT,Reopen fallopian tube,,,21 ,,RBRVS,1.03 ,0.88 ,1.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158353,CPT,"Endometr ablate, thermal",,,21 ,,RBRVS,3.57 ,1.71 ,22.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158356,CPT,Endometrial cryoablation,,,21 ,,RBRVS,6.36 ,1.85 ,43.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158400,CPT,Suspension of uterus,,,21 ,,RBRVS,7.06 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158410,CPT,Suspension of uterus,,,21 ,,RBRVS,13.70 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158520,CPT,Repair of ruptured uterus,,,21 ,,RBRVS,13.38 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158540,CPT,Revision of uterus,,,21 ,,RBRVS,15.61 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158541,CPT,"Lsh, uterus 250 g or less",,,21 ,,RBRVS,14.57 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158542,CPT,Lsh w/t/o ut 250 g or less,,,21 ,,RBRVS,16.43 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158543,CPT,Lsh uterus above 250 g,,,21 ,,RBRVS,16.74 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158544,CPT,Lsh w/t/o uterus above 250 g,,,21 ,,RBRVS,18.24 ,7.11 ,7.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158545,CPT,Laparoscopic myomectomy,,,21 ,,RBRVS,15.45 ,5.87 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158546,CPT,"Laparo-myomectomy, complex",,,21 ,,RBRVS,19.84 ,7.05 ,7.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158548,CPT,Lap radical hyst,,,21 ,,RBRVS,31.45 ,12.47 ,12.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158550,CPT,Laparo-asst vag hysterectomy,,,21 ,,RBRVS,14.97 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158552,CPT,Laparo-vag hyst incl t/o,,,21 ,,RBRVS,16.78 ,6.56 ,6.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158553,CPT,"Laparo-vag hyst, complex",,,21 ,,RBRVS,19.96 ,7.09 ,7.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158554,CPT,"Laparo-vag hyst w/t/o, compl",,,21 ,,RBRVS,22.98 ,8.24 ,8.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158555,CPT,"Hysteroscopy, dx, sep proc",,,21 ,,RBRVS,3.33 ,1.23 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158558,CPT,"Hysteroscopy, biopsy",,,21 ,,RBRVS,4.74 ,1.65 ,3.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158559,CPT,"Hysteroscopy, lysis",,,21 ,,RBRVS,6.16 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158560,CPT,"Hysteroscopy, resect septum",,,21 ,,RBRVS,6.99 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158561,CPT,"Hysteroscopy, remove myoma",,,21 ,,RBRVS,9.99 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158562,CPT,"Hysteroscopy, remove fb",,,21 ,,RBRVS,5.20 ,1.75 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158563,CPT,"Hysteroscopy, ablation",,,21 ,,RBRVS,6.16 ,2.04 ,37.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158565,CPT,"Hysteroscopy, sterilization",,,21 ,,RBRVS,7.06 ,3.37 ,41.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158570,CPT,"Tlh, uterus 250 g or less",,,21 ,,RBRVS,15.75 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158571,CPT,Tlh w/t/o 250 g or less,,,21 ,,RBRVS,17.56 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158572,CPT,"Tlh, uterus over 250 g",,,21 ,,RBRVS,19.96 ,7.60 ,7.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158573,CPT,Tlh w/t/o uterus over 250 g,,,21 ,,RBRVS,22.98 ,8.42 ,8.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158578,CPT,"Laparo proc, uterus",,,21 ,,TotalUnits,,,,21.48 ,,$0.00,$0.00,1,0,1,1,1,1,2008010158579,CPT,Hysteroscope procedure,,,21 ,,TotalUnits,,,,6.80 ,,$0.00,$0.00,1,0,1,1,1,1,2008010158600,CPT,Division of fallopian tube,,,21 ,,RBRVS,5.86 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158605,CPT,Division of fallopian tube,,,21 ,,RBRVS,5.25 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158611,CPT,Ligate oviduct(s) add-on,,,21 ,,RBRVS,1.45 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158615,CPT,Occlude fallopian tube(s),,,21 ,,RBRVS,3.91 ,2.04 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158660,CPT,"Laparoscopy, lysis",,,21 ,,RBRVS,11.54 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158661,CPT,"Laparoscopy, remove adnexa",,,21 ,,RBRVS,11.30 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158662,CPT,"Laparoscopy, excise lesions",,,21 ,,RBRVS,12.08 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158670,CPT,"Laparoscopy, tubal cautery",,,21 ,,RBRVS,5.86 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158671,CPT,"Laparoscopy, tubal block",,,21 ,,RBRVS,5.86 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158672,CPT,"Laparoscopy, fimbrioplasty",,,21 ,,RBRVS,12.88 ,4.78 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158673,CPT,"Laparoscopy, salpingostomy",,,21 ,,RBRVS,13.99 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158679,CPT,"Laparo proc, oviduct-ovary",,,21 ,,TotalUnits,,,,16.17 ,,$0.00,$0.00,1,0,1,1,1,1,2008010158700,CPT,Removal of fallopian tube,,,21 ,,RBRVS,12.84 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158720,CPT,Removal of ovary/tube(s),,,21 ,,RBRVS,12.08 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158740,CPT,Revise fallopian tube(s),,,21 ,,RBRVS,14.79 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158750,CPT,Repair oviduct,,,21 ,,RBRVS,15.56 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158752,CPT,Revise ovarian tube(s),,,21 ,,RBRVS,15.56 ,5.99 ,5.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158760,CPT,Remove tubal obstruction,,,21 ,,RBRVS,13.85 ,5.59 ,5.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158770,CPT,Create new tubal opening,,,21 ,,RBRVS,14.69 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158800,CPT,Drainage of ovarian cyst(s),,,21 ,,RBRVS,4.54 ,2.69 ,3.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158805,CPT,Drainage of ovarian cyst(s),,,21 ,,RBRVS,6.34 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158820,CPT,"Drain ovary abscess, open",,,21 ,,RBRVS,4.62 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158822,CPT,"Drain ovary abscess, percut",,,21 ,,RBRVS,11.71 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158823,CPT,"Drain pelvic abscess, percut",,,21 ,,RBRVS,3.37 ,1.16 ,20.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158825,CPT,"Transposition, ovary(s)",,,21 ,,RBRVS,11.70 ,4.84 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158900,CPT,Biopsy of ovary(s),,,21 ,,RBRVS,6.51 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158920,CPT,Partial removal of ovary(s),,,21 ,,RBRVS,11.87 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158925,CPT,Removal of ovarian cyst(s),,,21 ,,RBRVS,12.33 ,5.25 ,5.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158940,CPT,Removal of ovary(s),,,21 ,,RBRVS,8.12 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158943,CPT,Removal of ovary(s),,,21 ,,RBRVS,19.42 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158950,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,18.24 ,7.25 ,7.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158951,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,24.15 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158952,CPT,Resect ovarian malignancy,,,21 ,,RBRVS,27.15 ,9.82 ,9.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158953,CPT,"Tah, rad dissect for debulk",,,21 ,,RBRVS,33.97 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158954,CPT,Tah rad debulk/lymph remove,,,21 ,,RBRVS,36.97 ,12.52 ,12.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158956,CPT,"Bso, omentectomy w/tah",,,21 ,,RBRVS,22.65 ,8.59 ,8.59 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010158957,CPT,Resect recurrent gyn mal,,,21 ,,RBRVS,26.06 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158958,CPT,Resect recur gyn mal w/lym,,,21 ,,RBRVS,29.06 ,10.36 ,10.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158960,CPT,Exploration of abdomen,,,21 ,,RBRVS,15.68 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158970,CPT,Retrieval of oocyte,,,21 ,,RBRVS,3.52 ,1.28 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158974,CPT,Transfer of embryo,,,21 ,,TotalUnits,,,,4.54 ,,$0.00,$0.00,1,0,1,1,1,1,2008010158976,CPT,Transfer of embryo,,,21 ,,RBRVS,3.82 ,1.20 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010158999,CPT,Genital surgery procedure,,,21 ,,TotalUnits,,,,4.00 ,,$0.00,$0.00,1,0,1,1,1,1,2008010159000,CPT,"Amniocentesis, diagnostic",,,12 ,,RBRVS,1.30 ,0.55 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159001,CPT,"Amniocentesis, therapeutic",,,12 ,,RBRVS,3.00 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159012,CPT,"Fetal cord puncture,prenatal",,,12 ,,RBRVS,3.44 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159015,CPT,Chorion biopsy,,,12 ,,RBRVS,2.20 ,0.79 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159020,CPT,Fetal contract stress test,26,,12 ,,RBRVS,0.66 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159020,CPT,Fetal contract stress test,TC,,12 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010159020,CPT,Fetal contract stress test,,,12 ,,RBRVS,0.66 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010159025,CPT,Fetal non-stress test,26,,12 ,,RBRVS,0.53 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159025,CPT,Fetal non-stress test,TC,,12 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010159025,CPT,Fetal non-stress test,,,12 ,,RBRVS,0.53 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010159030,CPT,Fetal scalp blood sample,,,12 ,,RBRVS,1.99 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159050,CPT,Fetal monitor w/report,,,12 ,,RBRVS,0.89 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159051,CPT,Fetal monitor/interpret only,,,12 ,,RBRVS,0.74 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159070,CPT,Transabdom amnioinfus w/ us,,,12 ,,RBRVS,5.24 ,1.77 ,4.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159072,CPT,Umbilical cord occlud w/ us,,,12 ,,RBRVS,8.99 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159074,CPT,Fetal fluid drainage w/ us,,,12 ,,RBRVS,5.24 ,1.53 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159076,CPT,"Fetal shunt placement, w/ us",,,12 ,,RBRVS,8.99 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159100,CPT,Remove uterus lesion,,,12 ,,RBRVS,13.26 ,5.55 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159120,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.56 ,5.40 ,5.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159121,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.64 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159130,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.98 ,6.74 ,6.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159135,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.82 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159136,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,14.15 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159140,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,5.86 ,3.30 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159150,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.19 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159151,CPT,Treat ectopic pregnancy,,,12 ,,RBRVS,12.01 ,4.87 ,4.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159160,CPT,D & c after delivery,,,12 ,,RBRVS,2.73 ,1.17 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159200,CPT,Insert cervical dilator,,,12 ,,RBRVS,0.79 ,0.22 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159300,CPT,Episiotomy or vaginal repair,,,12 ,,RBRVS,2.41 ,1.00 ,2.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159320,CPT,Revision of cervix,,,12 ,,RBRVS,2.48 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159325,CPT,Revision of cervix,,,12 ,,RBRVS,4.06 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159350,CPT,Repair of uterus,,,12 ,,RBRVS,4.94 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159400,CPT,Obstetrical care,,,13 ,,RBRVS,26.80 ,14.09 ,14.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159409,CPT,Obstetrical care,,,13 ,,RBRVS,13.48 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159410,CPT,Obstetrical care,,,13 ,,RBRVS,15.29 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159412,CPT,Antepartum manipulation,,,13 ,,RBRVS,1.71 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159414,CPT,Deliver placenta,,,13 ,,RBRVS,1.61 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159425,CPT,Antepartum care only,,,13 ,,RBRVS,6.22 ,1.68 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159426,CPT,Antepartum care only,,,13 ,,RBRVS,11.04 ,2.99 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159430,CPT,Care after delivery,,,13 ,,RBRVS,2.13 ,0.71 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159510,CPT,Cesarean delivery,,,11 ,,RBRVS,30.34 ,15.98 ,15.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159514,CPT,Cesarean delivery only,,,11 ,,RBRVS,15.95 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159515,CPT,Cesarean delivery,,,11 ,,RBRVS,18.26 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159525,CPT,Remove uterus after cesarean,,,21 ,,RBRVS,8.53 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159610,CPT,Vbac delivery,,,13 ,,RBRVS,28.21 ,14.94 ,14.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159612,CPT,Vbac delivery only,,,13 ,,RBRVS,15.04 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159614,CPT,Vbac care after delivery,,,13 ,,RBRVS,16.59 ,5.11 ,5.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159618,CPT,Attempted vbac delivery,,,11 ,,RBRVS,31.78 ,16.37 ,16.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159620,CPT,Attempted vbac delivery only,,,11 ,,RBRVS,17.50 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159622,CPT,Attempted vbac after care,,,11 ,,RBRVS,19.70 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159812,CPT,Treatment of miscarriage,,,12 ,,RBRVS,4.39 ,2.36 ,3.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159820,CPT,Care of miscarriage,,,12 ,,RBRVS,4.68 ,3.46 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159821,CPT,Treatment of miscarriage,,,12 ,,RBRVS,4.97 ,3.24 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159830,CPT,Treat uterus infection,,,12 ,,RBRVS,6.51 ,3.44 ,3.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159840,CPT,Abortion,,,12 ,,RBRVS,3.01 ,1.77 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159841,CPT,Abortion,,,12 ,,RBRVS,5.57 ,2.55 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159850,CPT,Abortion,,,12 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159851,CPT,Abortion,,,12 ,,RBRVS,5.92 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159852,CPT,Abortion,,,12 ,,RBRVS,8.23 ,3.82 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159855,CPT,Abortion,,,12 ,,RBRVS,6.38 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159856,CPT,Abortion,,,12 ,,RBRVS,7.74 ,3.32 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159857,CPT,Abortion,,,12 ,,RBRVS,9.30 ,3.64 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159866,CPT,Abortion (mpr),,,12 ,,RBRVS,3.99 ,1.36 ,1.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159870,CPT,Evacuate mole of uterus,,,12 ,,RBRVS,6.40 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159871,CPT,Remove cerclage suture,,,12 ,,RBRVS,2.13 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010159897,CPT,Fetal invas px w/ us,,,12 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,0,1,1,1,1,2008010159898,CPT,"Laparo proc, ob care/deliver",,,12 ,,TotalUnits,,,,17.56 ,,$0.00,$0.00,1,0,1,1,1,1,2008010159899,CPT,Maternity care procedure,,,12 ,,TotalUnits,,,,20.51 ,,$0.00,$0.00,1,0,1,1,1,1,2008010160000,CPT,Drain thyroid/tongue cyst,,,21 ,,RBRVS,1.78 ,1.70 ,2.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160100,CPT,Biopsy of thyroid,,,21 ,,RBRVS,1.56 ,0.52 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160200,CPT,Remove thyroid lesion,,,21 ,,RBRVS,9.91 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160210,CPT,Partial thyroid excision,,,21 ,,RBRVS,11.15 ,5.23 ,5.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160212,CPT,Partial thyroid excision,,,21 ,,RBRVS,16.32 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160220,CPT,Partial removal of thyroid,,,21 ,,RBRVS,12.29 ,5.67 ,5.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160225,CPT,Partial removal of thyroid,,,21 ,,RBRVS,14.67 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160240,CPT,Removal of thyroid,,,21 ,,RBRVS,16.18 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160252,CPT,Removal of thyroid,,,21 ,,RBRVS,21.88 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160254,CPT,Extensive thyroid surgery,,,21 ,,RBRVS,28.29 ,11.22 ,11.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160260,CPT,Repeat thyroid surgery,,,21 ,,RBRVS,18.18 ,7.41 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160270,CPT,Removal of thyroid,,,21 ,,RBRVS,23.07 ,9.33 ,9.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160271,CPT,Removal of thyroid,,,21 ,,RBRVS,17.54 ,7.15 ,7.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160280,CPT,Remove thyroid duct lesion,,,21 ,,RBRVS,6.05 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160281,CPT,Remove thyroid duct lesion,,,21 ,,RBRVS,8.71 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160300,CPT,Aspir/inj thyroid cyst,,,21 ,,RBRVS,0.97 ,0.30 ,1.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160500,CPT,Explore parathyroid glands,,,21 ,,RBRVS,16.69 ,6.86 ,6.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160502,CPT,Re-explore parathyroids,,,21 ,,RBRVS,21.01 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160505,CPT,Explore parathyroid glands,,,21 ,,RBRVS,22.91 ,9.39 ,9.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160512,CPT,Autotransplant parathyroid,,,21 ,,RBRVS,4.44 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160520,CPT,Removal of thymus gland,,,21 ,,RBRVS,17.07 ,7.01 ,7.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160521,CPT,Removal of thymus gland,,,21 ,,RBRVS,19.11 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160522,CPT,Removal of thymus gland,,,21 ,,RBRVS,23.37 ,9.61 ,9.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160540,CPT,Explore adrenal gland,,,21 ,,RBRVS,17.91 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160545,CPT,Explore adrenal gland,,,21 ,,RBRVS,20.82 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160600,CPT,Remove carotid body lesion,,,21 ,,RBRVS,24.99 ,8.83 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160605,CPT,Remove carotid body lesion,,,21 ,,RBRVS,31.86 ,12.14 ,12.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160650,CPT,Laparoscopy adrenalectomy,,,21 ,,RBRVS,20.63 ,8.09 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010160659,CPT,"Laparo proc, endocrine",,,21 ,,TotalUnits,,,,27.96 ,,$0.00,$0.00,1,0,1,1,1,1,2008010160699,CPT,Endocrine surgery procedure,,,21 ,,TotalUnits,,,,18.18 ,,$0.00,$0.00,1,0,1,1,1,1,2008010161000,CPT,Remove cranial cavity fluid,,,21 ,,RBRVS,1.58 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161001,CPT,Remove cranial cavity fluid,,,21 ,,RBRVS,1.49 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161020,CPT,Remove brain cavity fluid,,,21 ,,RBRVS,1.51 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161026,CPT,Injection into brain canal,,,21 ,,RBRVS,1.69 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161050,CPT,Remove brain canal fluid,,,21 ,,RBRVS,1.51 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161055,CPT,Injection into brain canal,,,21 ,,RBRVS,2.10 ,1.33 ,1.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161070,CPT,Brain canal shunt procedure,,,21 ,,RBRVS,0.89 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161105,CPT,Twist drill hole,,,21 ,,RBRVS,5.40 ,4.91 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161107,CPT,Drill skull for implantation,,,21 ,,RBRVS,4.99 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161108,CPT,Drill skull for drainage,,,21 ,,RBRVS,11.51 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161120,CPT,Burr hole for puncture,,,21 ,,RBRVS,9.52 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161140,CPT,Pierce skull for biopsy,,,21 ,,RBRVS,17.10 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161150,CPT,Pierce skull for drainage,,,21 ,,RBRVS,18.80 ,10.68 ,10.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161151,CPT,Pierce skull for drainage,,,21 ,,RBRVS,13.41 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161154,CPT,Pierce skull & remove clot,,,21 ,,RBRVS,16.92 ,10.83 ,10.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161156,CPT,Pierce skull for drainage,,,21 ,,RBRVS,17.37 ,9.72 ,9.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161210,CPT,"Pierce skull, implant device",,,21 ,,RBRVS,5.83 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161215,CPT,Insert brain-fluid device,,,21 ,,RBRVS,5.77 ,5.45 ,5.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161250,CPT,Pierce skull & explore,,,21 ,,RBRVS,11.41 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161253,CPT,Pierce skull & explore,,,21 ,,RBRVS,13.41 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161304,CPT,Open skull for exploration,,,21 ,,RBRVS,23.31 ,12.54 ,12.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161305,CPT,Open skull for exploration,,,21 ,,RBRVS,28.51 ,14.97 ,14.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161312,CPT,Open skull for drainage,,,21 ,,RBRVS,30.07 ,15.24 ,15.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161313,CPT,Open skull for drainage,,,21 ,,RBRVS,27.94 ,15.37 ,15.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161314,CPT,Open skull for drainage,,,21 ,,RBRVS,25.77 ,14.15 ,14.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161315,CPT,Open skull for drainage,,,21 ,,RBRVS,29.52 ,15.51 ,15.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161316,CPT,Implt cran bone flap to abdo,,,21 ,,RBRVS,1.39 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161320,CPT,Open skull for drainage,,,21 ,,RBRVS,27.32 ,14.25 ,14.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161321,CPT,Open skull for drainage,,,21 ,,RBRVS,30.40 ,16.07 ,16.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161322,CPT,Decompressive craniotomy,,,21 ,,RBRVS,34.08 ,17.48 ,17.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161323,CPT,Decompressive lobectomy,,,21 ,,RBRVS,34.93 ,17.31 ,17.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161330,CPT,Decompress eye socket,,,21 ,,RBRVS,25.17 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161332,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,28.50 ,12.96 ,12.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161333,CPT,Explore orbit/remove lesion,,,21 ,,RBRVS,29.17 ,12.88 ,12.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161334,CPT,Explore orbit/remove object,,,21 ,,RBRVS,19.50 ,9.02 ,9.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161340,CPT,Subtemporal decompression,,,21 ,,RBRVS,20.01 ,11.68 ,11.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161343,CPT,Incise skull (press relief),,,21 ,,RBRVS,31.73 ,15.94 ,15.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161345,CPT,Relieve cranial pressure,,,21 ,,RBRVS,29.10 ,14.86 ,14.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161440,CPT,Incise skull for surgery,,,21 ,,RBRVS,28.53 ,15.23 ,15.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161450,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.59 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161458,CPT,Incise skull for brain wound,,,21 ,,RBRVS,28.71 ,14.89 ,14.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161460,CPT,Incise skull for surgery,,,21 ,,RBRVS,30.11 ,14.58 ,14.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161470,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.52 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161480,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.95 ,8.14 ,8.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161490,CPT,Incise skull for surgery,,,21 ,,RBRVS,27.12 ,14.23 ,14.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161500,CPT,Removal of skull lesion,,,21 ,,RBRVS,19.05 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161501,CPT,Remove infected skull bone,,,21 ,,RBRVS,16.22 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161510,CPT,Removal of brain lesion,,,21 ,,RBRVS,30.63 ,16.95 ,16.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161512,CPT,Remove brain lining lesion,,,21 ,,RBRVS,36.99 ,18.47 ,18.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161514,CPT,Removal of brain abscess,,,21 ,,RBRVS,27.10 ,14.42 ,14.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161516,CPT,Removal of brain lesion,,,21 ,,RBRVS,26.45 ,14.06 ,14.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161517,CPT,Implt brain chemotx add-on,,,21 ,,RBRVS,1.38 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161518,CPT,Removal of brain lesion,,,21 ,,RBRVS,39.69 ,20.31 ,20.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161519,CPT,Remove brain lining lesion,,,21 ,,RBRVS,43.28 ,20.65 ,20.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161520,CPT,Removal of brain lesion,,,21 ,,RBRVS,56.89 ,25.96 ,25.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161521,CPT,Removal of brain lesion,,,21 ,,RBRVS,46.84 ,22.16 ,22.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161522,CPT,Removal of brain abscess,,,21 ,,RBRVS,31.41 ,15.77 ,15.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161524,CPT,Removal of brain lesion,,,21 ,,RBRVS,29.76 ,15.70 ,15.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161526,CPT,Removal of brain lesion,,,21 ,,RBRVS,53.90 ,22.53 ,22.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161530,CPT,Removal of brain lesion,,,21 ,,RBRVS,45.43 ,19.49 ,19.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161531,CPT,Implant brain electrodes,,,21 ,,RBRVS,16.28 ,10.46 ,10.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161533,CPT,Implant brain electrodes,,,21 ,,RBRVS,21.36 ,11.79 ,11.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161534,CPT,Removal of brain lesion,,,21 ,,RBRVS,22.88 ,13.13 ,13.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161535,CPT,Remove brain electrodes,,,21 ,,RBRVS,13.05 ,8.84 ,8.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161536,CPT,Removal of brain lesion,,,21 ,,RBRVS,37.59 ,18.53 ,18.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161537,CPT,Removal of brain tissue,,,21 ,,RBRVS,36.35 ,17.04 ,17.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161538,CPT,Removal of brain tissue,,,21 ,,RBRVS,39.35 ,18.37 ,18.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161539,CPT,Removal of brain tissue,,,21 ,,RBRVS,34.15 ,16.83 ,16.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161540,CPT,Removal of brain tissue,,,21 ,,RBRVS,31.30 ,16.30 ,16.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161541,CPT,Incision of brain tissue,,,21 ,,RBRVS,30.81 ,16.09 ,16.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161542,CPT,Removal of brain tissue,,,21 ,,RBRVS,33.03 ,16.78 ,16.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161543,CPT,Removal of brain tissue,,,21 ,,RBRVS,31.18 ,13.86 ,13.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161544,CPT,Remove & treat brain lesion,,,21 ,,RBRVS,27.26 ,14.28 ,14.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161545,CPT,Excision of brain tumor,,,21 ,,RBRVS,46.23 ,22.83 ,22.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161546,CPT,Removal of pituitary gland,,,21 ,,RBRVS,33.31 ,16.74 ,16.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161548,CPT,Removal of pituitary gland,,,21 ,,RBRVS,23.27 ,11.62 ,11.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161550,CPT,Release of skull seams,,,21 ,,RBRVS,15.44 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161552,CPT,Release of skull seams,,,21 ,,RBRVS,20.27 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161556,CPT,Incise skull/sutures,,,21 ,,RBRVS,24.00 ,13.29 ,13.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161557,CPT,Incise skull/sutures,,,21 ,,RBRVS,23.16 ,13.64 ,13.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161558,CPT,Excision of skull/sutures,,,21 ,,RBRVS,26.35 ,14.70 ,14.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161559,CPT,Excision of skull/sutures,,,21 ,,RBRVS,33.82 ,18.38 ,18.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161563,CPT,Excision of skull tumor,,,21 ,,RBRVS,28.35 ,13.09 ,13.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161564,CPT,Excision of skull tumor,,,21 ,,RBRVS,34.59 ,17.91 ,17.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161566,CPT,Removal of brain tissue,,,21 ,,RBRVS,32.32 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161567,CPT,Incision of brain tissue,,,21 ,,RBRVS,36.84 ,19.07 ,19.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161570,CPT,"Remove foreign body, brain",,,21 ,,RBRVS,26.38 ,14.02 ,14.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161571,CPT,Incise skull for brain wound,,,21 ,,RBRVS,28.29 ,14.64 ,14.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161575,CPT,Skull base/brainstem surgery,,,21 ,,RBRVS,36.43 ,16.10 ,16.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161576,CPT,Skull base/brainstem surgery,,,21 ,,RBRVS,55.11 ,28.09 ,28.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161580,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,34.34 ,22.85 ,22.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161581,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,38.88 ,27.83 ,27.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161582,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,34.93 ,30.48 ,30.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161583,CPT,"Craniofacial approach, skull",,,21 ,,RBRVS,38.41 ,25.90 ,25.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161584,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,37.61 ,26.04 ,26.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161585,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,42.46 ,25.13 ,25.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161586,CPT,"Resect nasopharynx, skull",,,21 ,,RBRVS,27.28 ,22.64 ,22.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161590,CPT,Infratemporal approach/skull,,,21 ,,RBRVS,46.87 ,24.81 ,24.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161591,CPT,Infratemporal approach/skull,,,21 ,,RBRVS,46.87 ,24.60 ,24.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161592,CPT,Orbitocranial approach/skull,,,21 ,,RBRVS,42.98 ,26.80 ,26.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161595,CPT,Transtemporal approach/skull,,,21 ,,RBRVS,33.57 ,21.14 ,21.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161596,CPT,Transcochlear approach/skull,,,21 ,,RBRVS,39.31 ,20.95 ,20.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161597,CPT,Transcondylar approach/skull,,,21 ,,RBRVS,40.73 ,23.27 ,23.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161598,CPT,Transpetrosal approach/skull,,,21 ,,RBRVS,36.41 ,22.16 ,22.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161600,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,29.84 ,19.76 ,19.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161601,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,31.04 ,22.38 ,22.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161605,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,32.40 ,19.47 ,19.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161606,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,41.94 ,23.77 ,23.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161607,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,40.82 ,21.00 ,21.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161608,CPT,Resect/excise cranial lesion,,,21 ,,RBRVS,45.45 ,26.32 ,26.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161609,CPT,"Transect artery, sinus",,,21 ,,RBRVS,9.88 ,3.25 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161610,CPT,"Transect artery, sinus",,,21 ,,RBRVS,29.63 ,11.06 ,11.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161611,CPT,"Transect artery, sinus",,,21 ,,RBRVS,7.41 ,1.71 ,1.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161612,CPT,"Transect artery, sinus",,,21 ,,RBRVS,27.84 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161613,CPT,"Remove aneurysm, sinus",,,21 ,,RBRVS,44.94 ,27.35 ,27.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161615,CPT,"Resect/excise lesion, skull",,,21 ,,RBRVS,35.63 ,21.30 ,21.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161616,CPT,"Resect/excise lesion, skull",,,21 ,,RBRVS,46.60 ,27.24 ,27.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161618,CPT,Repair dura,,,21 ,,RBRVS,18.58 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161619,CPT,Repair dura,,,21 ,,RBRVS,22.01 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161623,CPT,Endovasc tempory vessel occl,,,21 ,,RBRVS,9.95 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161624,CPT,"Transcath occlusion, cns",,,21 ,,RBRVS,20.12 ,7.29 ,7.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161626,CPT,"Transcath occlusion, non-cns",,,21 ,,RBRVS,16.60 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161630,CPT,Intracranial angioplasty,,,21 ,,RBRVS,22.07 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161635,CPT,Intracran angioplsty w/stent,,,21 ,,RBRVS,24.28 ,6.95 ,6.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161640,CPT,"Dilate ic vasospasm, init",,,21 ,,RBRVS,12.32 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161641,CPT,Dilate ic vasospasm add-on,,,21 ,,RBRVS,4.33 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161642,CPT,Dilate ic vasospasm add-on,,,21 ,,RBRVS,8.66 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161680,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,32.40 ,16.75 ,16.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161682,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,63.31 ,27.54 ,27.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161684,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,41.49 ,20.38 ,20.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161686,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,67.32 ,30.47 ,30.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161690,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,31.18 ,16.52 ,16.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161692,CPT,Intracranial vessel surgery,,,21 ,,RBRVS,54.43 ,24.35 ,24.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161697,CPT,"Brain aneurysm repr, complx",,,21 ,,RBRVS,63.22 ,28.64 ,28.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161698,CPT,"Brain aneurysm repr, complx",,,21 ,,RBRVS,69.45 ,30.59 ,30.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161700,CPT,"Brain aneurysm repr, simple",,,21 ,,RBRVS,50.44 ,24.03 ,24.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161702,CPT,Inner skull vessel surgery,,,21 ,,RBRVS,59.86 ,27.50 ,27.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161703,CPT,Clamp neck artery,,,21 ,,RBRVS,18.70 ,10.06 ,10.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161705,CPT,Revise circulation to head,,,21 ,,RBRVS,37.97 ,18.32 ,18.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161708,CPT,Revise circulation to head,,,21 ,,RBRVS,37.07 ,14.87 ,14.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161710,CPT,Revise circulation to head,,,21 ,,RBRVS,31.19 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161711,CPT,Fusion of skull arteries,,,21 ,,RBRVS,38.10 ,18.61 ,18.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161720,CPT,Incise skull/brain surgery,,,21 ,,RBRVS,17.52 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161735,CPT,Incise skull/brain surgery,,,21 ,,RBRVS,22.22 ,9.17 ,9.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161750,CPT,Incise skull/brain biopsy,,,21 ,,RBRVS,19.73 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161751,CPT,Brain biopsy w/ct/mr guide,,,21 ,,RBRVS,18.64 ,11.37 ,11.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161760,CPT,Implant brain electrodes,,,21 ,,RBRVS,22.24 ,12.06 ,12.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161770,CPT,Incise skull for treatment,,,21 ,,RBRVS,23.09 ,9.89 ,9.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161790,CPT,Treat trigeminal nerve,,,21 ,,RBRVS,11.50 ,7.70 ,7.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161791,CPT,Treat trigeminal tract,,,21 ,,RBRVS,15.31 ,8.21 ,8.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161793,CPT,Focus radiation beam,,,21 ,,RBRVS,17.75 ,9.55 ,9.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161795,CPT,Brain surgery using computer,,,21 ,,RBRVS,4.03 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161850,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,13.26 ,7.89 ,7.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161860,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,22.16 ,11.60 ,11.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161863,CPT,Implant neuroelectrode,,,21 ,,RBRVS,20.56 ,12.42 ,12.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161864,CPT,"Implant neuroelectrde, add’l",,,21 ,,RBRVS,4.49 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161867,CPT,Implant neuroelectrode,,,21 ,,RBRVS,32.88 ,16.37 ,16.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161868,CPT,"Implant neuroelectrde, add’l",,,21 ,,RBRVS,7.91 ,2.94 ,2.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161870,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,16.24 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161875,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,16.36 ,5.33 ,5.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161880,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,6.87 ,5.18 ,5.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161885,CPT,Implant neurostim one array,,,21 ,,RBRVS,7.37 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161886,CPT,Implant neurostim arrays,,,21 ,,RBRVS,9.73 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010161888,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,5.20 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162000,CPT,Treat skull fracture,,,21 ,,RBRVS,13.83 ,7.61 ,7.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162005,CPT,Treat skull fracture,,,21 ,,RBRVS,17.53 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162010,CPT,Treatment of head injury,,,21 ,,RBRVS,21.30 ,11.81 ,11.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162100,CPT,Repair brain fluid leakage,,,21 ,,RBRVS,23.40 ,12.09 ,12.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162115,CPT,Reduction of skull defect,,,21 ,,RBRVS,22.71 ,13.89 ,13.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162116,CPT,Reduction of skull defect,,,21 ,,RBRVS,24.90 ,13.35 ,13.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162117,CPT,Reduction of skull defect,,,21 ,,RBRVS,28.26 ,12.74 ,12.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162120,CPT,Repair skull cavity lesion,,,21 ,,RBRVS,24.39 ,17.33 ,17.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162121,CPT,Incise skull repair,,,21 ,,RBRVS,22.93 ,14.24 ,14.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162140,CPT,Repair of skull defect,,,21 ,,RBRVS,14.45 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162141,CPT,Repair of skull defect,,,21 ,,RBRVS,15.97 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162142,CPT,Remove skull plate/flap,,,21 ,,RBRVS,11.73 ,7.79 ,7.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162143,CPT,Replace skull plate/flap,,,21 ,,RBRVS,14.05 ,8.73 ,8.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162145,CPT,Repair of skull & brain,,,21 ,,RBRVS,19.99 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162146,CPT,Repair of skull with graft,,,21 ,,RBRVS,17.18 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162147,CPT,Repair of skull with graft,,,21 ,,RBRVS,20.57 ,11.00 ,11.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162148,CPT,Retr bone flap to fix skull,,,21 ,,RBRVS,2.00 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162160,CPT,Neuroendoscopy add-on,,,21 ,,RBRVS,3.00 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162161,CPT,Dissect brain w/scope,,,21 ,,RBRVS,21.10 ,12.15 ,12.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162162,CPT,Remove colloid cyst w/scope,,,21 ,,RBRVS,26.67 ,14.65 ,14.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162163,CPT,Neuroendoscopy w/fb removal,,,21 ,,RBRVS,16.40 ,9.25 ,9.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162164,CPT,Remove brain tumor w/scope,,,21 ,,RBRVS,29.27 ,15.93 ,15.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162165,CPT,Remove pituit tumor w/scope,,,21 ,,RBRVS,23.10 ,11.78 ,11.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162180,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,22.45 ,12.37 ,12.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162190,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,12.07 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162192,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,13.25 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162194,CPT,Replace/irrigate catheter,,,21 ,,RBRVS,5.68 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162200,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,19.19 ,10.70 ,10.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162201,CPT,Brain cavity shunt w/scope,,,21 ,,RBRVS,15.89 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162220,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,14.00 ,8.62 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162223,CPT,Establish brain cavity shunt,,,21 ,,RBRVS,13.90 ,9.36 ,9.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162225,CPT,Replace/irrigate catheter,,,21 ,,RBRVS,6.11 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162230,CPT,Replace/revise brain shunt,,,21 ,,RBRVS,11.35 ,7.21 ,7.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162252,CPT,Csf shunt reprogram,26, ,21,,RBRVS,0.74 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010162252,CPT,Csf shunt reprogram,TC, ,21,,RBRVS,0.00 ,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,0,2008010162252,CPT,Csf shunt reprogram,,,21 ,,RBRVS,0.74 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010162256,CPT,Remove brain cavity shunt,,,21 ,,RBRVS,7.30 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162258,CPT,Replace brain cavity shunt,,,21 ,,RBRVS,15.54 ,9.30 ,9.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162263,CPT,Epidural lysis mult sessions,,,21 ,,RBRVS,6.41 ,2.98 ,9.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162264,CPT,Epidural lysis on single day,,,21 ,,RBRVS,4.42 ,1.24 ,5.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162268,CPT,Drain spinal cord cyst,,,21 ,,RBRVS,4.73 ,1.81 ,6.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162269,CPT,"Needle biopsy, spinal cord",,,21 ,,RBRVS,5.01 ,1.48 ,6.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162270,CPT,"Spinal fluid tap, diagnostic",,,21 ,,RBRVS,1.37 ,0.58 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162272,CPT,Drain cerebro spinal fluid,,,21 ,,RBRVS,1.35 ,0.62 ,3.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162273,CPT,Treat epidural spine lesion,,,21 ,,RBRVS,2.15 ,0.57 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162280,CPT,Treat spinal cord lesion,,,21 ,,RBRVS,2.63 ,1.15 ,4.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162281,CPT,Treat spinal cord lesion,,,21 ,,RBRVS,2.66 ,1.03 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162282,CPT,Treat spinal canal lesion,,,21 ,,RBRVS,2.33 ,1.11 ,4.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162284,CPT,Injection for myelogram,,,21 ,,RBRVS,1.54 ,0.71 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162287,CPT,Percutaneous diskectomy,,,21 ,,RBRVS,8.88 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162290,CPT,Inject for spine disk x-ray,,,21 ,,RBRVS,3.00 ,1.15 ,4.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162291,CPT,Inject for spine disk x-ray,,,21 ,,RBRVS,2.91 ,1.08 ,4.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162292,CPT,Injection into disk lesion,,,21 ,,RBRVS,9.14 ,2.87 ,2.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162294,CPT,Injection into spinal artery,,,21 ,,RBRVS,12.77 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162310,CPT,Inject spine c/t,,,21 ,,RBRVS,1.91 ,0.56 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162311,CPT,Inject spine l/s (cd),,,21 ,,RBRVS,1.54 ,0.52 ,2.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162318,CPT,"Inject spine w/cath, c/t",,,21 ,,RBRVS,2.04 ,0.43 ,3.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162319,CPT,Inject spine w/cath l/s (cd),,,21 ,,RBRVS,1.87 ,0.44 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162350,CPT,Implant spinal canal cath,,,21 ,,RBRVS,8.04 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162351,CPT,Implant spinal canal cath,,,21 ,,RBRVS,11.54 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162355,CPT,Remove spinal canal catheter,,,21 ,,RBRVS,6.60 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162360,CPT,Insert spine infusion device,,,21 ,,RBRVS,3.68 ,3.17 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162361,CPT,Implant spine infusion pump,,,21 ,,RBRVS,6.59 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162362,CPT,Implant spine infusion pump,,,21 ,,RBRVS,8.58 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162365,CPT,Remove spine infusion device,,,21 ,,RBRVS,6.57 ,3.71 ,3.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162367,CPT,Analyze spine infusion pump,,,21 ,,RBRVS,0.48 ,0.11 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010162368,CPT,Analyze spine infusion pump,,,21 ,,RBRVS,0.75 ,0.17 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163001,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.51 ,9.77 ,9.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163003,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.64 ,9.73 ,9.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163005,CPT,Removal of spinal lamina,,,21 ,,RBRVS,16.28 ,9.74 ,9.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163011,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.78 ,9.01 ,9.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163012,CPT,Removal of spinal lamina,,,21 ,,RBRVS,16.72 ,9.76 ,9.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163015,CPT,Removal of spinal lamina,,,21 ,,RBRVS,20.70 ,11.85 ,11.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163016,CPT,Removal of spinal lamina,,,21 ,,RBRVS,21.90 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163017,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.18 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163020,CPT,Neck spine disk surgery,,,21 ,,RBRVS,16.05 ,9.88 ,9.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163030,CPT,Low back disk surgery,,,21 ,,RBRVS,13.03 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163035,CPT,Spinal disk surgery add-on,,,21 ,,RBRVS,3.15 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163040,CPT,"Laminotomy, single cervical",,,21 ,,RBRVS,20.18 ,11.03 ,11.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163042,CPT,"Laminotomy, single lumbar",,,21 ,,RBRVS,18.61 ,10.59 ,10.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163043,CPT,"Laminotomy, addl cervical",,,21 ,,TotalUnits,,,,15.61 ,,$0.00,$0.00,1,0,1,1,1,1,2008010163044,CPT,"Laminotomy, addl lumbar",,,21 ,,TotalUnits,,,,14.83 ,,$0.00,$0.00,1,0,1,1,1,1,2008010163045,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.82 ,10.34 ,10.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163046,CPT,Removal of spinal lamina,,,21 ,,RBRVS,17.12 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163047,CPT,Removal of spinal lamina,,,21 ,,RBRVS,15.22 ,9.34 ,9.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163048,CPT,Remove spinal lamina add-on,,,21 ,,RBRVS,3.47 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163050,CPT,Cervical laminoplasty,,,21 ,,RBRVS,21.88 ,11.82 ,11.82 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010163051,CPT,C-laminoplasty w/graft/plate,,,21 ,,RBRVS,25.38 ,13.08 ,13.08 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010163055,CPT,Decompress spinal cord,,,21 ,,RBRVS,23.42 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163056,CPT,Decompress spinal cord,,,21 ,,RBRVS,21.73 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163057,CPT,Decompress spine cord add-on,,,21 ,,RBRVS,5.25 ,1.98 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163064,CPT,Decompress spinal cord,,,21 ,,RBRVS,26.09 ,13.22 ,13.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163066,CPT,Decompress spine cord add-on,,,21 ,,RBRVS,3.26 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163075,CPT,Neck spine disk surgery,,,21 ,,RBRVS,19.47 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163076,CPT,Neck spine disk surgery,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163077,CPT,"Spine disk surgery, thorax",,,21 ,,RBRVS,22.75 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163078,CPT,"Spine disk surgery, thorax",,,21 ,,RBRVS,3.28 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163081,CPT,Removal of vertebral body,,,21 ,,RBRVS,25.97 ,13.49 ,13.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163082,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.36 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163085,CPT,Removal of vertebral body,,,21 ,,RBRVS,29.34 ,13.54 ,13.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163086,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,3.19 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163087,CPT,Removal of vertebral body,,,21 ,,RBRVS,37.38 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163088,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.32 ,1.59 ,1.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163090,CPT,Removal of vertebral body,,,21 ,,RBRVS,30.78 ,14.39 ,14.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163091,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,3.03 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163101,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.92 ,17.04 ,17.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163102,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.92 ,16.83 ,16.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163103,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,4.82 ,1.74 ,1.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163170,CPT,Incise spinal cord tract(s),,,21 ,,RBRVS,22.08 ,10.44 ,10.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163172,CPT,Drainage of spinal cyst,,,21 ,,RBRVS,19.66 ,11.07 ,11.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163173,CPT,Drainage of spinal cyst,,,21 ,,RBRVS,24.18 ,13.57 ,13.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163180,CPT,Revise spinal cord ligaments,,,21 ,,RBRVS,20.40 ,10.95 ,10.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163182,CPT,Revise spinal cord ligaments,,,21 ,,RBRVS,22.69 ,7.18 ,7.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163185,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,16.36 ,9.80 ,9.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163190,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,18.76 ,9.60 ,9.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163191,CPT,Incise spinal column/nerves,,,21 ,,RBRVS,18.79 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163194,CPT,Incise spinal column & cord,,,21 ,,RBRVS,21.97 ,11.20 ,11.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163195,CPT,Incise spinal column & cord,,,21 ,,RBRVS,21.54 ,12.10 ,12.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163196,CPT,Incise spinal column & cord,,,21 ,,RBRVS,25.14 ,13.79 ,13.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163197,CPT,Incise spinal column & cord,,,21 ,,RBRVS,23.95 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163198,CPT,Incise spinal column & cord,,,21 ,,RBRVS,29.75 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163199,CPT,Incise spinal column & cord,,,21 ,,RBRVS,31.32 ,9.29 ,9.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163200,CPT,Release of spinal cord,,,21 ,,RBRVS,21.31 ,12.10 ,12.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163250,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,43.73 ,20.91 ,20.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163251,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,44.49 ,21.53 ,21.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163252,CPT,Revise spinal cord vessels,,,21 ,,RBRVS,44.48 ,20.87 ,20.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163265,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,23.69 ,12.99 ,12.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163266,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,24.55 ,13.18 ,13.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163267,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,19.32 ,11.13 ,11.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163268,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,19.89 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163270,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,29.67 ,15.36 ,15.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163271,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,29.79 ,15.32 ,15.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163272,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,27.37 ,14.29 ,14.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163273,CPT,Excise intraspinal lesion,,,21 ,,RBRVS,26.34 ,14.08 ,14.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163275,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,25.73 ,13.74 ,13.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163276,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,25.56 ,13.52 ,13.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163277,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,22.26 ,12.13 ,12.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163278,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,21.99 ,11.92 ,11.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163280,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,30.14 ,15.88 ,15.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163281,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,29.84 ,15.87 ,15.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163282,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,28.00 ,15.01 ,15.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163283,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,26.61 ,14.68 ,14.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163285,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,37.90 ,18.10 ,18.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163286,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,37.47 ,18.71 ,18.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163287,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,39.93 ,19.62 ,19.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163290,CPT,Biopsy/excise spinal tumor,,,21 ,,RBRVS,40.67 ,19.29 ,19.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163295,CPT,Repair of laminectomy defect,,,21 ,,RBRVS,5.25 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,1,1,1,2008010163300,CPT,Removal of vertebral body,,,21 ,,RBRVS,26.67 ,13.80 ,13.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163301,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.42 ,14.21 ,14.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163302,CPT,Removal of vertebral body,,,21 ,,RBRVS,31.00 ,13.78 ,13.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163303,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.42 ,15.00 ,15.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163304,CPT,Removal of vertebral body,,,21 ,,RBRVS,33.70 ,17.58 ,17.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163305,CPT,Removal of vertebral body,,,21 ,,RBRVS,36.09 ,16.99 ,16.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163306,CPT,Removal of vertebral body,,,21 ,,RBRVS,35.40 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163307,CPT,Removal of vertebral body,,,21 ,,RBRVS,34.81 ,14.83 ,14.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163308,CPT,Remove vertebral body add-on,,,21 ,,RBRVS,5.24 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163600,CPT,Remove spinal cord lesion,,,21 ,,RBRVS,15.02 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163610,CPT,Stimulation of spinal cord,,,21 ,,RBRVS,8.72 ,1.49 ,13.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163615,CPT,Remove lesion of spinal cord,,,21 ,,RBRVS,17.22 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163650,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,7.57 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163655,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,11.43 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163660,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,6.87 ,3.42 ,3.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163685,CPT,Implant neuroreceiver,,,21 ,,RBRVS,7.87 ,3.65 ,3.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163688,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,6.10 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163700,CPT,Repair of spinal herniation,,,21 ,,RBRVS,17.32 ,9.95 ,9.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163702,CPT,Repair of spinal herniation,,,21 ,,RBRVS,19.26 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163704,CPT,Repair of spinal herniation,,,21 ,,RBRVS,22.23 ,11.66 ,11.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163706,CPT,Repair of spinal herniation,,,21 ,,RBRVS,25.15 ,14.30 ,14.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163707,CPT,Repair spinal fluid leakage,,,21 ,,RBRVS,12.52 ,7.83 ,7.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163709,CPT,Repair spinal fluid leakage,,,21 ,,RBRVS,15.52 ,8.97 ,8.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163710,CPT,Graft repair of spine defect,,,21 ,,RBRVS,15.27 ,9.19 ,9.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163740,CPT,Install spinal shunt,,,21 ,,RBRVS,12.50 ,8.28 ,8.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163741,CPT,Install spinal shunt,,,21 ,,RBRVS,9.02 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163744,CPT,Revision of spinal shunt,,,21 ,,RBRVS,8.86 ,5.76 ,5.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010163746,CPT,Removal of spinal shunt,,,21 ,,RBRVS,7.25 ,5.69 ,5.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164400,CPT,"N block inj, trigeminal",,,21 ,,RBRVS,1.11 ,0.45 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164402,CPT,"N block inj, facial",,,21 ,,RBRVS,1.25 ,0.50 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164405,CPT,"N block inj, occipital",,,21 ,,RBRVS,1.32 ,0.49 ,1.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164408,CPT,"N block inj, vagus",,,21 ,,RBRVS,1.41 ,0.71 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164410,CPT,"N block inj, phrenic",,,21 ,,RBRVS,1.43 ,0.56 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164412,CPT,"N block inj, spinal accessor",,,21 ,,RBRVS,1.18 ,0.59 ,2.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164413,CPT,"N block inj, cervical plexus",,,21 ,,RBRVS,1.40 ,0.48 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164415,CPT,"N block inj, brachial plexus",,,21 ,,RBRVS,1.48 ,0.30 ,1.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164416,CPT,"N block cont infuse, b plex",,,21 ,,RBRVS,3.85 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164417,CPT,"N block inj, axillary",,,21 ,,RBRVS,1.44 ,0.32 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164418,CPT,"N block inj, suprascapular",,,21 ,,RBRVS,1.32 ,0.52 ,1.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164420,CPT,"N block inj, intercost, sng",,,21 ,,RBRVS,1.18 ,0.45 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164421,CPT,"N block inj, intercost, mlt",,,21 ,,RBRVS,1.68 ,0.53 ,3.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164425,CPT,N block inj ilio-ing/hypogi,,,21 ,,RBRVS,1.75 ,0.53 ,1.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164430,CPT,"N block inj, pudendal",,,21 ,,RBRVS,1.46 ,0.77 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164435,CPT,"N block inj, paracervical",,,21 ,,RBRVS,1.45 ,0.56 ,2.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164445,CPT,"N block inj, sciatic, sng",,,21 ,,RBRVS,1.48 ,0.50 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164446,CPT,"N blk inj, sciatic, cont inf",,,21 ,,RBRVS,3.61 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164447,CPT,"N block inj fem, single",,,21 ,,RBRVS,1.50 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164448,CPT,"N block inj fem, cont inf",,,21 ,,RBRVS,3.36 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164449,CPT,"N block inj, lumbar plexus",,,21 ,,RBRVS,3.24 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164450,CPT,"N block, other peripheral",,,21 ,,RBRVS,1.27 ,0.49 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164470,CPT,Inj paravertebral c/t,,,21 ,,RBRVS,1.85 ,0.70 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164472,CPT,Inj paravertebral c/t add-on,,,21 ,,RBRVS,1.29 ,0.33 ,1.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164475,CPT,Inj paravertebral l/s,,,21 ,,RBRVS,1.41 ,0.58 ,3.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164476,CPT,Inj paravertebral l/s add-on,,,21 ,,RBRVS,0.98 ,0.22 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164479,CPT,Inj foramen epidural c/t,,,21 ,,RBRVS,2.20 ,0.81 ,3.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164480,CPT,Inj foramen epidural add-on,,,21 ,,RBRVS,1.54 ,0.39 ,1.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164483,CPT,Inj foramen epidural l/s,,,21 ,,RBRVS,1.90 ,0.75 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164484,CPT,Inj foramen epidural add-on,,,21 ,,RBRVS,1.33 ,0.32 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164505,CPT,"N block, spenopalatine gangl",,,21 ,,RBRVS,1.36 ,0.74 ,1.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164508,CPT,"N block, carotid sinus s/p",,,21 ,,RBRVS,1.12 ,0.56 ,2.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164510,CPT,"N block, stellate ganglion",,,21 ,,RBRVS,1.22 ,0.43 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164517,CPT,"N block inj, hypogas plxs",,,21 ,,RBRVS,2.20 ,0.68 ,1.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164520,CPT,"N block, lumbar/thoracic",,,21 ,,RBRVS,1.35 ,0.51 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164530,CPT,"N block inj, celiac pelus",,,21 ,,RBRVS,1.58 ,0.65 ,2.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164550,CPT,Apply neurostimulator,,,21 ,,RBRVS,0.18 ,0.05 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010164553,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.33 ,1.45 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164555,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.29 ,1.49 ,2.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164560,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,2.38 ,1.26 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164561,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,7.07 ,3.76 ,19.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164565,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,1.78 ,1.29 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164573,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,8.15 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164575,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.37 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164577,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.64 ,4.79 ,4.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164580,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,4.14 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164581,CPT,Implant neuroelectrodes,,,21 ,,RBRVS,14.15 ,6.60 ,6.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164585,CPT,Revise/remove neuroelectrode,,,21 ,,RBRVS,2.08 ,2.29 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164590,CPT,Implant neuroreceiver,,,21 ,,RBRVS,2.42 ,2.46 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164595,CPT,Revise/remove neuroreceiver,,,21 ,,RBRVS,1.75 ,2.18 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164600,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.46 ,1.63 ,5.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164605,CPT,Injection treatment of nerve,,,21 ,,RBRVS,5.62 ,2.27 ,7.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164610,CPT,Injection treatment of nerve,,,21 ,,RBRVS,7.17 ,3.43 ,9.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164612,CPT,"Destroy nerve, face muscle",,,21 ,,RBRVS,1.98 ,1.34 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164613,CPT,"Destroy nerve, spine muscle",,,21 ,,RBRVS,1.98 ,1.14 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164614,CPT,"Destroy nerve, extrem musc",,,21 ,,RBRVS,2.20 ,1.31 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164620,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.86 ,1.11 ,3.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164622,CPT,Destr paravertebrl nerve l/s,,,21 ,,RBRVS,3.02 ,1.26 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164623,CPT,Destr paravertebral n add-on,,,21 ,,RBRVS,0.99 ,0.22 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164626,CPT,Destr paravertebrl nerve c/t,,,21 ,,RBRVS,3.82 ,1.87 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164627,CPT,Destr paravertebral n add-on,,,21 ,,RBRVS,1.16 ,0.25 ,2.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164630,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.02 ,1.84 ,2.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164640,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.78 ,1.42 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164650,CPT,Chemodenerv eccrine glands,,,21 ,,RBRVS,0.70 ,0.16 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164653,CPT,Chemodenerv eccrine glands,,,21 ,,RBRVS,0.88 ,0.19 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164680,CPT,Injection treatment of nerve,,,21 ,,RBRVS,2.64 ,1.20 ,4.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164681,CPT,Injection treatment of nerve,,,21 ,,RBRVS,3.78 ,1.27 ,4.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164702,CPT,Revise finger/toe nerve,,,21 ,,RBRVS,6.10 ,5.19 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164704,CPT,Revise hand/foot nerve,,,21 ,,RBRVS,4.61 ,3.28 ,3.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164708,CPT,Revise arm/leg nerve,,,21 ,,RBRVS,6.22 ,4.20 ,4.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164712,CPT,Revision of sciatic nerve,,,21 ,,RBRVS,7.98 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164713,CPT,Revision of arm nerve(s),,,21 ,,RBRVS,11.29 ,6.05 ,6.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164714,CPT,Revise low back nerve(s),,,21 ,,RBRVS,10.44 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164716,CPT,Revision of cranial nerve,,,21 ,,RBRVS,6.86 ,5.46 ,5.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164718,CPT,Revise ulnar nerve at elbow,,,21 ,,RBRVS,7.06 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164719,CPT,Revise ulnar nerve at wrist,,,21 ,,RBRVS,4.89 ,4.14 ,4.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164721,CPT,Carpal tunnel surgery,,,21 ,,RBRVS,4.84 ,4.65 ,4.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164722,CPT,Relieve pressure on nerve(s),,,21 ,,RBRVS,4.74 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164726,CPT,Release foot/toe nerve,,,21 ,,RBRVS,4.21 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164727,CPT,Internal nerve revision,,,21 ,,RBRVS,3.10 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164732,CPT,Incision of brow nerve,,,21 ,,RBRVS,4.81 ,3.66 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164734,CPT,Incision of cheek nerve,,,21 ,,RBRVS,5.45 ,4.44 ,4.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164736,CPT,Incision of chin nerve,,,21 ,,RBRVS,5.13 ,3.72 ,3.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164738,CPT,Incision of jaw nerve,,,21 ,,RBRVS,6.26 ,4.65 ,4.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164740,CPT,Incision of tongue nerve,,,21 ,,RBRVS,6.12 ,4.98 ,4.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164742,CPT,Incision of facial nerve,,,21 ,,RBRVS,6.75 ,4.28 ,4.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164744,CPT,"Incise nerve, back of head",,,21 ,,RBRVS,5.64 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164746,CPT,Incise diaphragm nerve,,,21 ,,RBRVS,6.46 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164752,CPT,Incision of vagus nerve,,,21 ,,RBRVS,7.59 ,3.79 ,3.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164755,CPT,Incision of stomach nerves,,,21 ,,RBRVS,14.97 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164760,CPT,Incision of vagus nerve,,,21 ,,RBRVS,7.49 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164761,CPT,Incision of pelvis nerve,,,21 ,,RBRVS,6.94 ,4.33 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164763,CPT,Incise hip/thigh nerve,,,21 ,,RBRVS,7.46 ,3.91 ,3.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164766,CPT,Incise hip/thigh nerve,,,21 ,,RBRVS,9.34 ,4.74 ,4.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164771,CPT,Sever cranial nerve,,,21 ,,RBRVS,8.02 ,5.64 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164772,CPT,Incision of spinal nerve,,,21 ,,RBRVS,7.74 ,5.12 ,5.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164774,CPT,Remove skin nerve lesion,,,21 ,,RBRVS,5.70 ,4.03 ,4.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164776,CPT,Remove digit nerve lesion,,,21 ,,RBRVS,5.52 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164778,CPT,Digit nerve surgery add-on,,,21 ,,RBRVS,3.11 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164782,CPT,Remove limb nerve lesion,,,21 ,,RBRVS,6.76 ,4.22 ,4.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164783,CPT,Limb nerve surgery add-on,,,21 ,,RBRVS,3.71 ,1.37 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164784,CPT,Remove nerve lesion,,,21 ,,RBRVS,10.49 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164786,CPT,Remove sciatic nerve lesion,,,21 ,,RBRVS,16.12 ,8.44 ,8.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164787,CPT,Implant nerve end,,,21 ,,RBRVS,4.29 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164788,CPT,Remove skin nerve lesion,,,21 ,,RBRVS,5.14 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164790,CPT,Removal of nerve lesion,,,21 ,,RBRVS,11.97 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164792,CPT,Removal of nerve lesion,,,21 ,,RBRVS,15.71 ,8.30 ,8.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164795,CPT,Biopsy of nerve,,,21 ,,RBRVS,3.01 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164802,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.24 ,3.51 ,3.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164804,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,15.78 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164809,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,14.61 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164818,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,11.24 ,4.32 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164820,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.64 ,6.94 ,6.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164821,CPT,Remove sympathestic nerves,,,21 ,,RBRVS,9.19 ,6.54 ,6.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164822,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,9.19 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164823,CPT,Remove sympathetic nerves,,,21 ,,RBRVS,10.80 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164831,CPT,Repair of digit nerve,,,21 ,,RBRVS,10.23 ,6.62 ,6.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164832,CPT,Repair nerve add-on,,,21 ,,RBRVS,5.65 ,2.32 ,2.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164834,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,10.71 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164835,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,11.60 ,6.91 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164836,CPT,Repair of hand or foot nerve,,,21 ,,RBRVS,11.60 ,7.07 ,7.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164837,CPT,Repair nerve add-on,,,21 ,,RBRVS,6.25 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164840,CPT,Repair of leg nerve,,,21 ,,RBRVS,13.87 ,7.52 ,7.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164856,CPT,Repair/transpose nerve,,,21 ,,RBRVS,14.94 ,8.48 ,8.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164857,CPT,Repair arm/leg nerve,,,21 ,,RBRVS,15.69 ,8.76 ,8.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164858,CPT,Repair sciatic nerve,,,21 ,,RBRVS,17.69 ,9.57 ,9.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164859,CPT,Nerve surgery,,,21 ,,RBRVS,4.25 ,1.75 ,1.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164861,CPT,Repair of arm nerves,,,21 ,,RBRVS,20.74 ,10.01 ,10.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164862,CPT,Repair of low back nerves,,,21 ,,RBRVS,20.94 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164864,CPT,Repair of facial nerve,,,21 ,,RBRVS,13.31 ,7.47 ,7.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164865,CPT,Repair of facial nerve,,,21 ,,RBRVS,15.96 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164866,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,16.70 ,11.11 ,11.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164868,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,14.80 ,9.79 ,9.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164870,CPT,Fusion of facial/other nerve,,,21 ,,RBRVS,16.95 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164872,CPT,Subsequent repair of nerve,,,21 ,,RBRVS,1.99 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164874,CPT,Repair & revise nerve add-on,,,21 ,,RBRVS,2.98 ,1.26 ,1.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164876,CPT,Repair nerve/shorten bone,,,21 ,,RBRVS,3.37 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164885,CPT,"Nerve graft, head or neck",,,21 ,,RBRVS,17.50 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164886,CPT,"Nerve graft, head or neck",,,21 ,,RBRVS,20.72 ,10.38 ,10.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164890,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,16.11 ,8.98 ,8.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164891,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,17.22 ,9.67 ,9.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164892,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,15.61 ,9.13 ,9.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164893,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,16.74 ,9.63 ,9.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164895,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,20.26 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164896,CPT,"Nerve graft, hand or foot",,,21 ,,RBRVS,21.81 ,11.67 ,11.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164897,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,19.25 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164898,CPT,"Nerve graft, arm or leg",,,21 ,,RBRVS,20.82 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164901,CPT,Nerve graft add-on,,,21 ,,RBRVS,10.20 ,3.63 ,3.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164902,CPT,Nerve graft add-on,,,21 ,,RBRVS,11.81 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164905,CPT,Nerve pedicle transfer,,,21 ,,RBRVS,14.98 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164907,CPT,Nerve pedicle transfer,,,21 ,,RBRVS,19.90 ,6.35 ,6.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164910,CPT,Nerve repair w/allograft,,,21 ,,RBRVS,11.21 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164911,CPT,Neurorraphy w/vein autograft,,,21 ,,RBRVS,14.21 ,5.32 ,5.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010164999,CPT,Nervous system surgery,,,21 ,,TotalUnits,,,,8.64 ,,$0.00,$0.00,1,0,1,1,1,1,2008010165091,CPT,Revise eye,,,21 ,,RBRVS,7.13 ,6.73 ,6.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165093,CPT,Revise eye with implant,,,21 ,,RBRVS,6.93 ,6.79 ,6.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165101,CPT,Removal of eye,,,21 ,,RBRVS,8.10 ,7.96 ,7.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165103,CPT,Remove eye/insert implant,,,21 ,,RBRVS,8.64 ,8.12 ,8.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165105,CPT,Remove eye/attach implant,,,21 ,,RBRVS,9.70 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165110,CPT,Removal of eye,,,21 ,,RBRVS,15.42 ,11.42 ,11.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165112,CPT,Remove eye/revise socket,,,21 ,,RBRVS,18.18 ,13.30 ,13.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165114,CPT,Remove eye/revise socket,,,21 ,,RBRVS,19.32 ,13.57 ,13.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165125,CPT,Revise ocular implant,,,21 ,,RBRVS,3.18 ,3.17 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165130,CPT,Insert ocular implant,,,21 ,,RBRVS,8.22 ,7.68 ,7.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165135,CPT,Insert ocular implant,,,21 ,,RBRVS,8.40 ,7.74 ,7.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165140,CPT,Attach ocular implant,,,21 ,,RBRVS,9.23 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165150,CPT,Revise ocular implant,,,21 ,,RBRVS,6.32 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165155,CPT,Reinsert ocular implant,,,21 ,,RBRVS,9.87 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165175,CPT,Removal of ocular implant,,,21 ,,RBRVS,7.22 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165205,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.71 ,0.32 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165210,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.84 ,0.39 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165220,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.71 ,0.28 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165222,CPT,Remove foreign body from eye,,,21 ,,RBRVS,0.93 ,0.41 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165235,CPT,Remove foreign body from eye,,,21 ,,RBRVS,8.78 ,6.78 ,6.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165260,CPT,Remove foreign body from eye,,,21 ,,RBRVS,12.29 ,8.74 ,8.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165265,CPT,Remove foreign body from eye,,,21 ,,RBRVS,14.06 ,9.59 ,9.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165270,CPT,Repair of eye wound,,,21 ,,RBRVS,1.92 ,1.20 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165272,CPT,Repair of eye wound,,,21 ,,RBRVS,4.49 ,3.15 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165273,CPT,Repair of eye wound,,,21 ,,RBRVS,5.03 ,3.36 ,3.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165275,CPT,Repair of eye wound,,,21 ,,RBRVS,6.14 ,3.90 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165280,CPT,Repair of eye wound,,,21 ,,RBRVS,8.87 ,5.83 ,5.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165285,CPT,Repair of eye wound,,,21 ,,RBRVS,14.43 ,8.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165286,CPT,Repair of eye wound,,,21 ,,RBRVS,6.45 ,4.38 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165290,CPT,Repair of eye socket wound,,,21 ,,RBRVS,6.35 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165400,CPT,Removal of eye lesion,,,21 ,,RBRVS,7.27 ,5.84 ,7.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165410,CPT,Biopsy of cornea,,,21 ,,RBRVS,1.47 ,0.86 ,1.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165420,CPT,Removal of eye lesion,,,21 ,,RBRVS,4.24 ,3.96 ,6.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165426,CPT,Removal of eye lesion,,,21 ,,RBRVS,5.93 ,4.50 ,8.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165430,CPT,Corneal smear,,,21 ,,RBRVS,1.47 ,0.86 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165435,CPT,Curette/treat cornea,,,21 ,,RBRVS,0.92 ,0.64 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165436,CPT,Curette/treat cornea,,,21 ,,RBRVS,4.72 ,3.43 ,3.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165450,CPT,Treatment of corneal lesion,,,21 ,,RBRVS,3.35 ,3.60 ,3.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165600,CPT,Revision of cornea,,,21 ,,RBRVS,4.07 ,3.38 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165710,CPT,Corneal transplant,,,21 ,,RBRVS,14.09 ,10.14 ,10.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165730,CPT,Corneal transplant,,,21 ,,RBRVS,15.99 ,10.96 ,10.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165750,CPT,Corneal transplant,,,21 ,,RBRVS,16.60 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165755,CPT,Corneal transplant,,,21 ,,RBRVS,16.49 ,10.58 ,10.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165760,CPT,Revision of cornea,,,21 ,,TotalUnits,,,,30.91 ,,$0.00,$0.00,1,0,1,1,1,1,2008010165765,CPT,Revision of cornea,,,21 ,,TotalUnits,,,,35.86 ,,$0.00,$0.00,1,0,1,1,1,1,2008010165767,CPT,Corneal tissue transplant,,,21 ,,TotalUnits,,,,33.39 ,,$0.00,$0.00,1,0,1,1,1,1,2008010165770,CPT,Revise cornea with implant,,,21 ,,RBRVS,19.41 ,11.65 ,11.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165771,CPT,Radial keratotomy,,,21 ,,TotalUnits,,,,18.18 ,,$0.00,$0.00,1,0,1,1,1,1,2008010165772,CPT,Correction of astigmatism,,,21 ,,RBRVS,4.96 ,3.91 ,4.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165775,CPT,Correction of astigmatism,,,21 ,,RBRVS,6.73 ,5.30 ,5.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165780,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,10.43 ,8.93 ,8.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165781,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,17.84 ,11.57 ,11.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165782,CPT,"Ocular reconst, transplant",,,21 ,,RBRVS,15.16 ,10.19 ,10.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165800,CPT,Drainage of eye,,,21 ,,RBRVS,1.91 ,1.02 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165805,CPT,Drainage of eye,,,21 ,,RBRVS,1.91 ,1.02 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165810,CPT,Drainage of eye,,,21 ,,RBRVS,5.67 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165815,CPT,Drainage of eye,,,21 ,,RBRVS,5.85 ,4.57 ,7.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165820,CPT,Relieve inner eye pressure,,,21 ,,RBRVS,8.72 ,7.50 ,7.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165850,CPT,Incision of eye,,,21 ,,RBRVS,11.24 ,7.32 ,7.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165855,CPT,Laser surgery of eye,,,21 ,,RBRVS,3.90 ,2.62 ,3.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165860,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,3.56 ,2.07 ,3.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165865,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,5.66 ,4.69 ,4.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165870,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,7.21 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165875,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,7.61 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165880,CPT,Incise inner eye adhesions,,,21 ,,RBRVS,8.16 ,6.30 ,6.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165900,CPT,Remove eye lesion,,,21 ,,RBRVS,12.26 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165920,CPT,Remove implant of eye,,,21 ,,RBRVS,9.74 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010165930,CPT,Remove blood clot from eye,,,21 ,,RBRVS,8.24 ,5.77 ,5.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166020,CPT,Injection treatment of eye,,,21 ,,RBRVS,1.61 ,1.27 ,2.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166030,CPT,Injection treatment of eye,,,21 ,,RBRVS,1.27 ,1.15 ,2.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166130,CPT,Remove eye lesion,,,21 ,,RBRVS,7.74 ,4.86 ,7.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166150,CPT,Glaucoma surgery,,,21 ,,RBRVS,10.18 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166155,CPT,Glaucoma surgery,,,21 ,,RBRVS,10.17 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166160,CPT,Glaucoma surgery,,,21 ,,RBRVS,12.04 ,9.47 ,9.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166165,CPT,Glaucoma surgery,,,21 ,,RBRVS,9.89 ,8.77 ,8.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166170,CPT,Glaucoma surgery,,,21 ,,RBRVS,14.57 ,11.54 ,11.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166172,CPT,Incision of eye,,,21 ,,RBRVS,18.26 ,14.63 ,14.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166180,CPT,Implant eye shunt,,,21 ,,RBRVS,16.02 ,9.69 ,9.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166185,CPT,Revise eye shunt,,,21 ,,RBRVS,9.35 ,7.04 ,7.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166220,CPT,Repair eye lesion,,,21 ,,RBRVS,8.98 ,7.17 ,7.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166225,CPT,Repair/graft eye lesion,,,21 ,,RBRVS,12.38 ,8.11 ,8.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166250,CPT,Follow-up surgery of eye,,,21 ,,RBRVS,6.92 ,5.25 ,9.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166500,CPT,Incision of iris,,,21 ,,RBRVS,3.75 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166505,CPT,Incision of iris,,,21 ,,RBRVS,4.13 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166600,CPT,Remove iris and lesion,,,21 ,,RBRVS,9.89 ,8.25 ,8.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166605,CPT,Removal of iris,,,21 ,,RBRVS,13.99 ,9.45 ,9.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166625,CPT,Removal of iris,,,21 ,,RBRVS,5.19 ,4.21 ,4.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166630,CPT,Removal of iris,,,21 ,,RBRVS,7.10 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166635,CPT,Removal of iris,,,21 ,,RBRVS,7.19 ,5.37 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166680,CPT,Repair iris & ciliary body,,,21 ,,RBRVS,6.24 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166682,CPT,Repair iris & ciliary body,,,21 ,,RBRVS,7.15 ,6.71 ,6.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166700,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,5.06 ,3.59 ,4.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166710,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,5.06 ,3.60 ,4.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166711,CPT,Ciliary endoscopic ablation,,,21 ,,RBRVS,7.70 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166720,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,4.86 ,4.32 ,5.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166740,CPT,"Destruction, ciliary body",,,21 ,,RBRVS,5.06 ,3.60 ,4.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166761,CPT,Revision of iris,,,21 ,,RBRVS,4.87 ,4.19 ,5.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166762,CPT,Revision of iris,,,21 ,,RBRVS,5.25 ,4.06 ,5.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166770,CPT,Removal of inner eye lesion,,,21 ,,RBRVS,5.98 ,4.59 ,5.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166820,CPT,"Incision, secondary cataract",,,21 ,,RBRVS,3.93 ,4.62 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166821,CPT,After cataract laser surgery,,,21 ,,RBRVS,3.32 ,3.42 ,3.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166825,CPT,Reposition intraocular lens,,,21 ,,RBRVS,8.82 ,7.77 ,7.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166830,CPT,Removal of lens lesion,,,21 ,,RBRVS,9.27 ,6.37 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166840,CPT,Removal of lens material,,,21 ,,RBRVS,8.98 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166850,CPT,Removal of lens material,,,21 ,,RBRVS,10.32 ,7.06 ,7.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166852,CPT,Removal of lens material,,,21 ,,RBRVS,11.18 ,7.38 ,7.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166920,CPT,Extraction of lens,,,21 ,,RBRVS,9.93 ,6.64 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166930,CPT,Extraction of lens,,,21 ,,RBRVS,11.38 ,7.45 ,7.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166940,CPT,Extraction of lens,,,21 ,,RBRVS,10.14 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166982,CPT,"Cataract surgery, complex",,,21 ,,RBRVS,14.83 ,8.95 ,8.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166983,CPT,"Cataract surg w/iol, 1 stage",,,21 ,,RBRVS,10.20 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166984,CPT,"Cataract surg w/iol, 1 stage",,,21 ,,RBRVS,10.36 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166985,CPT,Insert lens prosthesis,,,21 ,,RBRVS,9.73 ,7.12 ,7.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166986,CPT,Exchange lens prosthesis,,,21 ,,RBRVS,12.26 ,8.05 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166990,CPT,Ophthalmic endoscope add-on,,,21 ,,RBRVS,1.51 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010166999,CPT,Eye surgery procedure,,,21 ,,TotalUnits,,,,17.84 ,,$0.00,$0.00,1,0,1,1,1,1,2008010167005,CPT,Partial removal of eye fluid,,,21 ,,RBRVS,5.77 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167010,CPT,Partial removal of eye fluid,,,21 ,,RBRVS,6.94 ,4.99 ,4.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167015,CPT,Release of eye fluid,,,21 ,,RBRVS,7.00 ,5.70 ,5.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167025,CPT,Replace eye fluid,,,21 ,,RBRVS,7.91 ,5.91 ,7.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167027,CPT,Implant eye drug system,,,21 ,,RBRVS,11.43 ,7.37 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167028,CPT,Injection eye drug,,,21 ,,RBRVS,2.52 ,1.24 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167030,CPT,Incise inner eye strands,,,21 ,,RBRVS,5.91 ,5.60 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167031,CPT,"Laser surgery, eye strands",,,21 ,,RBRVS,4.34 ,3.43 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167036,CPT,Removal of inner eye fluid,,,21 ,,RBRVS,13.09 ,8.06 ,8.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167039,CPT,Laser treatment of retina,,,21 ,,RBRVS,16.39 ,10.69 ,10.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167040,CPT,Laser treatment of retina,,,21 ,,RBRVS,19.23 ,12.00 ,12.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167041,CPT,Vit for macular pucker,,,21 ,,RBRVS,19.00 ,10.37 ,10.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167042,CPT,Vit for macular hole,,,21 ,,RBRVS,22.13 ,11.49 ,11.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167043,CPT,Vit for membrane dissect,,,21 ,,RBRVS,22.94 ,12.35 ,12.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167101,CPT,Repair detached retina,,,21 ,,RBRVS,8.60 ,6.17 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167105,CPT,Repair detached retina,,,21 ,,RBRVS,8.35 ,5.78 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167107,CPT,Repair detached retina,,,21 ,,RBRVS,16.35 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167108,CPT,Repair detached retina,,,21 ,,RBRVS,22.49 ,12.93 ,12.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167110,CPT,Repair detached retina,,,21 ,,RBRVS,10.02 ,6.96 ,8.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167112,CPT,Rerepair detached retina,,,21 ,,RBRVS,18.45 ,10.86 ,10.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167113,CPT,"Repair retinal detach, cplx",,,21 ,,RBRVS,22.49 ,12.77 ,12.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167115,CPT,Release encircling material,,,21 ,,RBRVS,5.93 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167120,CPT,Remove eye implant material,,,21 ,,RBRVS,6.92 ,5.28 ,7.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167121,CPT,Remove eye implant material,,,21 ,,RBRVS,12.00 ,7.95 ,7.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167141,CPT,Treatment of retina,,,21 ,,RBRVS,6.00 ,4.65 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167145,CPT,Treatment of retina,,,21 ,,RBRVS,6.17 ,4.71 ,5.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167208,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,7.50 ,5.20 ,5.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167210,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,9.35 ,5.44 ,5.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167218,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,20.22 ,10.61 ,10.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167220,CPT,Treatment of choroid lesion,,,21 ,,RBRVS,14.19 ,8.16 ,9.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167221,CPT,Ocular photodynamic ther,,,21 ,,RBRVS,3.45 ,1.38 ,2.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167225,CPT,Eye photodynamic ther add-on,,,21 ,,RBRVS,0.47 ,0.17 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167227,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,7.38 ,5.16 ,6.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167228,CPT,Treatment of retinal lesion,,,21 ,,RBRVS,13.67 ,10.19 ,13.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167229,CPT,Tr retinal les preterm inf,,,21 ,,RBRVS,16.00 ,9.52 ,9.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167250,CPT,Reinforce eye wall,,,21 ,,RBRVS,9.46 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167255,CPT,Reinforce/graft eye wall,,,21 ,,RBRVS,9.97 ,8.43 ,8.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167299,CPT,Eye surgery procedure,,,21 ,,TotalUnits,,,,21.22 ,,$0.00,$0.00,1,0,1,1,1,1,2008010167311,CPT,Revise eye muscle,,,21 ,,RBRVS,7.59 ,5.50 ,5.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167312,CPT,Revise two eye muscles,,,21 ,,RBRVS,9.48 ,6.19 ,6.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167314,CPT,Revise eye muscle,,,21 ,,RBRVS,8.59 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167316,CPT,Revise two eye muscles,,,21 ,,RBRVS,10.73 ,6.92 ,6.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167318,CPT,Revise eye muscle(s),,,21 ,,RBRVS,8.92 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167320,CPT,Revise eye muscle(s) add-on,,,21 ,,RBRVS,5.40 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167331,CPT,Eye surgery follow-up add-on,,,21 ,,RBRVS,5.13 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167332,CPT,Rerevise eye muscles add-on,,,21 ,,RBRVS,5.56 ,1.97 ,1.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167334,CPT,Revise eye muscle w/suture,,,21 ,,RBRVS,5.05 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167335,CPT,Eye suture during surgery,,,21 ,,RBRVS,2.49 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167340,CPT,Revise eye muscle add-on,,,21 ,,RBRVS,6.00 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167343,CPT,Release eye tissue,,,21 ,,RBRVS,8.29 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167345,CPT,Destroy nerve of eye muscle,,,21 ,,RBRVS,2.98 ,1.69 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167346,CPT,"Biopsy, eye muscle",,,21 ,,RBRVS,2.87 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167399,CPT,Eye muscle surgery procedure,,,21 ,,TotalUnits,,,,13.06 ,,$0.00,$0.00,1,0,1,1,1,1,2008010167400,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,10.97 ,9.42 ,9.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167405,CPT,Explore/drain eye socket,,,21 ,,RBRVS,9.00 ,8.34 ,8.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167412,CPT,Explore/treat eye socket,,,21 ,,RBRVS,10.17 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167413,CPT,Explore/treat eye socket,,,21 ,,RBRVS,10.09 ,8.70 ,8.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167414,CPT,Explr/decompress eye socket,,,21 ,,RBRVS,17.78 ,11.64 ,11.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167415,CPT,"Aspiration, orbital contents",,,21 ,,RBRVS,1.76 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167420,CPT,Explore/treat eye socket,,,21 ,,RBRVS,21.62 ,14.24 ,14.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167430,CPT,Explore/treat eye socket,,,21 ,,RBRVS,14.99 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167440,CPT,Explore/drain eye socket,,,21 ,,RBRVS,14.56 ,11.88 ,11.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167445,CPT,Explr/decompress eye socket,,,21 ,,RBRVS,18.96 ,12.14 ,12.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167450,CPT,Explore/biopsy eye socket,,,21 ,,RBRVS,15.11 ,12.30 ,12.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167500,CPT,Inject/treat eye socket,,,21 ,,RBRVS,1.44 ,0.44 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167505,CPT,Inject/treat eye socket,,,21 ,,RBRVS,1.27 ,0.50 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167515,CPT,Inject/treat eye socket,,,21 ,,RBRVS,1.40 ,0.61 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167550,CPT,Insert eye socket implant,,,21 ,,RBRVS,11.52 ,9.83 ,9.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167560,CPT,Revise eye socket implant,,,21 ,,RBRVS,11.93 ,9.78 ,9.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167570,CPT,Decompress optic nerve,,,21 ,,RBRVS,14.21 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167599,CPT,Orbit surgery procedure,,,21 ,,TotalUnits,,,,1.38 ,,$0.00,$0.00,1,0,1,1,1,1,2008010167700,CPT,Drainage of eyelid abscess,,,21 ,,RBRVS,1.37 ,1.17 ,4.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167710,CPT,Incision of eyelid,,,21 ,,RBRVS,1.04 ,1.08 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167715,CPT,Incision of eyelid fold,,,21 ,,RBRVS,1.24 ,1.15 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167800,CPT,Remove eyelid lesion,,,21 ,,RBRVS,1.39 ,0.90 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167801,CPT,Remove eyelid lesions,,,21 ,,RBRVS,1.89 ,1.08 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167805,CPT,Remove eyelid lesions,,,21 ,,RBRVS,2.24 ,1.41 ,2.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167808,CPT,Remove eyelid lesion(s),,,21 ,,RBRVS,4.47 ,3.61 ,3.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167810,CPT,Biopsy of eyelid,,,21 ,,RBRVS,1.48 ,0.68 ,3.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167820,CPT,Revise eyelashes,,,21 ,,RBRVS,0.71 ,0.50 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167825,CPT,Revise eyelashes,,,21 ,,RBRVS,1.40 ,1.26 ,1.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167830,CPT,Revise eyelashes,,,21 ,,RBRVS,1.72 ,1.32 ,3.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167835,CPT,Revise eyelashes,,,21 ,,RBRVS,5.61 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167840,CPT,Remove eyelid lesion,,,21 ,,RBRVS,2.06 ,1.45 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167850,CPT,Treat eyelid lesion,,,21 ,,RBRVS,1.71 ,1.45 ,3.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167875,CPT,Closure of eyelid by suture,,,21 ,,RBRVS,1.35 ,0.83 ,2.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167880,CPT,Revision of eyelid,,,21 ,,RBRVS,4.47 ,3.57 ,5.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167882,CPT,Revision of eyelid,,,21 ,,RBRVS,5.87 ,4.46 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167900,CPT,Repair brow defect,,,21 ,,RBRVS,6.69 ,4.61 ,7.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167901,CPT,Repair eyelid defect,,,21 ,,RBRVS,7.47 ,5.29 ,8.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167902,CPT,Repair eyelid defect,,,21 ,,RBRVS,9.68 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167903,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.42 ,4.34 ,6.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167904,CPT,Repair eyelid defect,,,21 ,,RBRVS,7.83 ,5.37 ,8.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167906,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.84 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167908,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.19 ,4.12 ,5.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167909,CPT,Revise eyelid defect,,,21 ,,RBRVS,5.46 ,4.17 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167911,CPT,Revise eyelid defect,,,21 ,,RBRVS,7.38 ,5.05 ,5.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167912,CPT,Correction eyelid w/ implant,,,21 ,,RBRVS,6.23 ,4.74 ,13.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167914,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.70 ,2.68 ,4.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167915,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.21 ,2.43 ,4.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167916,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.37 ,4.15 ,6.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167917,CPT,Repair eyelid defect,,,21 ,,RBRVS,6.08 ,4.41 ,6.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167921,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.42 ,2.56 ,4.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167922,CPT,Repair eyelid defect,,,21 ,,RBRVS,3.09 ,2.33 ,4.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167923,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.94 ,4.33 ,6.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167924,CPT,Repair eyelid defect,,,21 ,,RBRVS,5.84 ,4.06 ,6.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167930,CPT,Repair eyelid wound,,,21 ,,RBRVS,3.62 ,1.78 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167935,CPT,Repair eyelid wound,,,21 ,,RBRVS,6.27 ,3.58 ,6.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167938,CPT,Remove eyelid foreign body,,,21 ,,RBRVS,1.35 ,1.22 ,3.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167950,CPT,Revision of eyelid,,,21 ,,RBRVS,5.88 ,4.37 ,6.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167961,CPT,Revision of eyelid,,,21 ,,RBRVS,5.75 ,4.30 ,6.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167966,CPT,Revision of eyelid,,,21 ,,RBRVS,8.83 ,5.74 ,8.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167971,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,9.87 ,6.18 ,6.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167973,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,12.96 ,7.71 ,7.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167974,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,12.93 ,7.69 ,7.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167975,CPT,Reconstruction of eyelid,,,21 ,,RBRVS,9.21 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010167999,CPT,Revision of eyelid,,,21 ,,TotalUnits,,,,4.70 ,,$0.00,$0.00,1,0,1,1,1,1,2008010168020,CPT,Incise/drain eyelid lining,,,21 ,,RBRVS,1.39 ,1.05 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168040,CPT,Treatment of eyelid lesions,,,21 ,,RBRVS,0.85 ,0.35 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168100,CPT,Biopsy of eyelid lining,,,21 ,,RBRVS,1.35 ,0.86 ,2.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168110,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,1.79 ,1.48 ,3.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168115,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,2.38 ,1.69 ,4.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168130,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,4.99 ,4.02 ,6.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168135,CPT,Remove eyelid lining lesion,,,21 ,,RBRVS,1.86 ,1.47 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168200,CPT,Treat eyelid by injection,,,21 ,,RBRVS,0.49 ,0.29 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168320,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,6.44 ,5.31 ,9.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168325,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.43 ,6.10 ,6.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168326,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.22 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168328,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,9.25 ,6.38 ,6.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168330,CPT,Revise eyelid lining,,,21 ,,RBRVS,5.63 ,4.44 ,7.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168335,CPT,Revise/graft eyelid lining,,,21 ,,RBRVS,8.26 ,5.92 ,5.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168340,CPT,Separate eyelid adhesions,,,21 ,,RBRVS,4.84 ,3.87 ,6.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168360,CPT,Revise eyelid lining,,,21 ,,RBRVS,5.04 ,3.96 ,6.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168362,CPT,Revise eyelid lining,,,21 ,,RBRVS,8.41 ,5.97 ,5.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168371,CPT,"Harvest eye tissue, alograft",,,21 ,,RBRVS,4.97 ,4.06 ,4.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168399,CPT,Eyelid lining surgery,,,21 ,,TotalUnits,,,,4.00 ,,$0.00,$0.00,1,0,1,1,1,1,2008010168400,CPT,Incise/drain tear gland,,,21 ,,RBRVS,1.71 ,1.21 ,4.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168420,CPT,Incise/drain tear sac,,,21 ,,RBRVS,2.32 ,1.42 ,4.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168440,CPT,Incise tear duct opening,,,21 ,,RBRVS,0.96 ,1.19 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168500,CPT,Removal of tear gland,,,21 ,,RBRVS,12.49 ,9.53 ,9.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168505,CPT,"Partial removal, tear gland",,,21 ,,RBRVS,12.41 ,8.91 ,8.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168510,CPT,Biopsy of tear gland,,,21 ,,RBRVS,4.60 ,2.02 ,5.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168520,CPT,Removal of tear sac,,,21 ,,RBRVS,8.58 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168525,CPT,Biopsy of tear sac,,,21 ,,RBRVS,4.42 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168530,CPT,Clearance of tear duct,,,21 ,,RBRVS,3.67 ,2.07 ,5.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168540,CPT,Remove tear gland lesion,,,21 ,,RBRVS,11.93 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168550,CPT,Remove tear gland lesion,,,21 ,,RBRVS,14.86 ,9.68 ,9.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168700,CPT,Repair tear ducts,,,21 ,,RBRVS,7.67 ,5.56 ,5.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168705,CPT,Revise tear duct opening,,,21 ,,RBRVS,2.08 ,1.58 ,3.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168720,CPT,Create tear sac drain,,,21 ,,RBRVS,9.78 ,6.88 ,6.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168745,CPT,Create tear duct drain,,,21 ,,RBRVS,9.70 ,6.98 ,6.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168750,CPT,Create tear duct drain,,,21 ,,RBRVS,9.87 ,7.43 ,7.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168760,CPT,Close tear duct opening,,,21 ,,RBRVS,1.75 ,1.45 ,2.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168761,CPT,Close tear duct opening,,,21 ,,RBRVS,1.38 ,1.25 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168770,CPT,Close tear system fistula,,,21 ,,RBRVS,8.09 ,5.75 ,5.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168801,CPT,Dilate tear duct opening,,,21 ,,RBRVS,0.96 ,1.41 ,1.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168810,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,2.63 ,2.68 ,3.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168811,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,2.39 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168815,CPT,Probe nasolacrimal duct,,,21 ,,RBRVS,3.24 ,2.43 ,6.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168816,CPT,Probe nl duct w/balloon,,,21 ,,RBRVS,3.00 ,2.51 ,12.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168840,CPT,Explore/irrigate tear ducts,,,21 ,,RBRVS,1.27 ,1.28 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168850,CPT,Injection for tear sac x-ray,,,21 ,,RBRVS,0.80 ,0.60 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010168899,CPT,Tear duct system surgery,,,21 ,,TotalUnits,,,,4.65 ,,$0.00,$0.00,1,0,1,1,1,1,2008010169000,CPT,Drain external ear lesion,,,21 ,,RBRVS,1.47 ,1.34 ,2.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169005,CPT,Drain external ear lesion,,,21 ,,RBRVS,2.13 ,1.61 ,2.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169020,CPT,Drain outer ear canal lesion,,,21 ,,RBRVS,1.50 ,1.90 ,4.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169090,CPT,Pierce earlobes,,,21 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,0,1,1,1,1,2008010169100,CPT,Biopsy of external ear,,,21 ,,RBRVS,0.81 ,0.39 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169105,CPT,Biopsy of external ear canal,,,21 ,,RBRVS,0.85 ,0.71 ,2.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169110,CPT,"Remove external ear, partial",,,21 ,,RBRVS,3.47 ,4.45 ,7.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169120,CPT,Removal of external ear,,,21 ,,RBRVS,4.08 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169140,CPT,Remove ear canal lesion(s),,,21 ,,RBRVS,8.03 ,13.23 ,13.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169145,CPT,Remove ear canal lesion(s),,,21 ,,RBRVS,2.65 ,3.37 ,7.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169150,CPT,Extensive ear canal surgery,,,21 ,,RBRVS,13.49 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169155,CPT,Extensive ear/neck surgery,,,21 ,,RBRVS,23.06 ,17.00 ,17.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169200,CPT,Clear outer ear canal,,,21 ,,RBRVS,0.77 ,0.61 ,2.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169205,CPT,Clear outer ear canal,,,21 ,,RBRVS,1.20 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169210,CPT,Remove impacted ear wax,,,21 ,,RBRVS,0.61 ,0.17 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169220,CPT,Clean out mastoid cavity,,,21 ,,RBRVS,0.83 ,0.68 ,2.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169222,CPT,Clean out mastoid cavity,,,21 ,,RBRVS,1.42 ,1.90 ,3.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169300,CPT,Revise external ear,,,21 ,,RBRVS,6.69 ,5.19 ,10.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169310,CPT,Rebuild outer ear canal,,,21 ,,RBRVS,10.85 ,15.50 ,15.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169320,CPT,Rebuild outer ear canal,,,21 ,,RBRVS,17.03 ,20.07 ,20.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169399,CPT,Outer ear surgery procedure,,,21 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,0,1,1,1,1,2008010169400,CPT,Inflate middle ear canal,,,21 ,,RBRVS,0.83 ,0.68 ,2.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169401,CPT,Inflate middle ear canal,,,21 ,,RBRVS,0.63 ,0.59 ,1.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169405,CPT,Catheterize middle ear canal,,,21 ,,RBRVS,2.65 ,1.96 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169420,CPT,Incision of eardrum,,,21 ,,RBRVS,1.35 ,1.56 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169421,CPT,Incision of eardrum,,,21 ,,RBRVS,1.75 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169424,CPT,Remove ventilating tube,,,21 ,,RBRVS,0.85 ,0.68 ,2.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169433,CPT,Create eardrum opening,,,21 ,,RBRVS,1.54 ,1.60 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169436,CPT,Create eardrum opening,,,21 ,,RBRVS,1.98 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169440,CPT,Exploration of middle ear,,,21 ,,RBRVS,7.62 ,9.12 ,9.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169450,CPT,Eardrum revision,,,21 ,,RBRVS,5.61 ,7.62 ,7.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169501,CPT,Mastoidectomy,,,21 ,,RBRVS,9.12 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169502,CPT,Mastoidectomy,,,21 ,,RBRVS,12.44 ,11.05 ,11.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169505,CPT,Remove mastoid structures,,,21 ,,RBRVS,13.05 ,16.15 ,16.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169511,CPT,Extensive mastoid surgery,,,21 ,,RBRVS,13.58 ,16.34 ,16.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169530,CPT,Extensive mastoid surgery,,,21 ,,RBRVS,20.24 ,19.67 ,19.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169535,CPT,Remove part of temporal bone,,,21 ,,RBRVS,37.27 ,26.78 ,26.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169540,CPT,Remove ear lesion,,,21 ,,RBRVS,1.22 ,1.85 ,3.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169550,CPT,Remove ear lesion,,,21 ,,RBRVS,11.04 ,14.28 ,14.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169552,CPT,Remove ear lesion,,,21 ,,RBRVS,19.69 ,18.20 ,18.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169554,CPT,Remove ear lesion,,,21 ,,RBRVS,35.71 ,24.01 ,24.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169601,CPT,Mastoid surgery revision,,,21 ,,RBRVS,13.31 ,11.93 ,11.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169602,CPT,Mastoid surgery revision,,,21 ,,RBRVS,13.64 ,12.81 ,12.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169603,CPT,Mastoid surgery revision,,,21 ,,RBRVS,14.08 ,16.45 ,16.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169604,CPT,Mastoid surgery revision,,,21 ,,RBRVS,14.08 ,12.79 ,12.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169605,CPT,Mastoid surgery revision,,,21 ,,RBRVS,18.55 ,19.30 ,19.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169610,CPT,Repair of eardrum,,,21 ,,RBRVS,4.44 ,2.59 ,4.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169620,CPT,Repair of eardrum,,,21 ,,RBRVS,5.94 ,5.84 ,10.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169631,CPT,Repair eardrum structures,,,21 ,,RBRVS,9.93 ,11.53 ,11.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169632,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,12.82 ,13.32 ,13.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169633,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,12.17 ,13.09 ,13.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169635,CPT,Repair eardrum structures,,,21 ,,RBRVS,13.39 ,16.30 ,16.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169636,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,15.29 ,18.21 ,18.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169637,CPT,Rebuild eardrum structures,,,21 ,,RBRVS,15.18 ,18.12 ,18.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169641,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,12.77 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169642,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.91 ,15.54 ,15.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169643,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,15.45 ,14.17 ,14.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169644,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,17.09 ,18.75 ,18.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169645,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,16.57 ,18.61 ,18.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169646,CPT,Revise middle ear & mastoid,,,21 ,,RBRVS,18.23 ,19.12 ,19.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169650,CPT,Release middle ear bone,,,21 ,,RBRVS,9.71 ,9.54 ,9.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169660,CPT,Revise middle ear bone,,,21 ,,RBRVS,11.94 ,10.51 ,10.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169661,CPT,Revise middle ear bone,,,21 ,,RBRVS,15.80 ,13.47 ,13.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169662,CPT,Revise middle ear bone,,,21 ,,RBRVS,15.49 ,12.51 ,12.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169666,CPT,Repair middle ear structures,,,21 ,,RBRVS,9.80 ,9.81 ,9.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169667,CPT,Repair middle ear structures,,,21 ,,RBRVS,9.81 ,9.84 ,9.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169670,CPT,Remove mastoid air cells,,,21 ,,RBRVS,11.62 ,11.25 ,11.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169676,CPT,Remove middle ear nerve,,,21 ,,RBRVS,9.58 ,10.62 ,10.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169700,CPT,Close mastoid fistula,,,21 ,,RBRVS,8.28 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169710,CPT,Implant/replace hearing aid,,,21 ,,TotalUnits,,,,18.06 ,,$0.00,$0.00,1,0,1,1,1,1,2008010169711,CPT,Remove/repair hearing aid,,,21 ,,RBRVS,10.50 ,10.42 ,10.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169714,CPT,Implant temple bone w/stimul,,,21 ,,RBRVS,14.31 ,11.80 ,11.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169715,CPT,Temple bne implnt w/stimulat,,,21 ,,RBRVS,18.80 ,13.34 ,13.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169717,CPT,Temple bone implant revision,,,21 ,,RBRVS,15.29 ,11.97 ,11.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169718,CPT,Revise temple bone implant,,,21 ,,RBRVS,19.05 ,13.42 ,13.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169720,CPT,Release facial nerve,,,21 ,,RBRVS,14.57 ,14.03 ,14.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169725,CPT,Release facial nerve,,,21 ,,RBRVS,27.44 ,18.04 ,18.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169740,CPT,Repair facial nerve,,,21 ,,RBRVS,16.18 ,11.59 ,11.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169745,CPT,Repair facial nerve,,,21 ,,RBRVS,16.91 ,9.94 ,9.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169799,CPT,Middle ear surgery procedure,,,21 ,,TotalUnits,,,,4.18 ,,$0.00,$0.00,1,0,1,1,1,1,2008010169801,CPT,Incise inner ear,,,21 ,,RBRVS,8.61 ,9.63 ,9.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169802,CPT,Incise inner ear,,,21 ,,RBRVS,13.39 ,11.87 ,11.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169805,CPT,Explore inner ear,,,21 ,,RBRVS,14.55 ,10.90 ,10.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169806,CPT,Explore inner ear,,,21 ,,RBRVS,12.52 ,10.40 ,10.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169820,CPT,Establish inner ear window,,,21 ,,RBRVS,10.40 ,10.26 ,10.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169840,CPT,Revise inner ear window,,,21 ,,RBRVS,10.32 ,11.38 ,11.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169905,CPT,Remove inner ear,,,21 ,,RBRVS,11.15 ,11.04 ,11.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169910,CPT,Remove inner ear & mastoid,,,21 ,,RBRVS,13.80 ,10.89 ,10.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169915,CPT,Incise inner ear nerve,,,21 ,,RBRVS,22.65 ,14.83 ,14.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169930,CPT,Implant cochlear device,,,21 ,,RBRVS,17.60 ,13.12 ,13.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169949,CPT,Inner ear surgery procedure,,,21 ,,TotalUnits,,,,21.50 ,,$0.00,$0.00,1,0,1,1,1,1,2008010169950,CPT,Incise inner ear nerve,,,21 ,,RBRVS,27.44 ,16.86 ,16.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169955,CPT,Release facial nerve,,,21 ,,RBRVS,29.22 ,19.41 ,19.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169960,CPT,Release inner ear canal,,,21 ,,RBRVS,29.22 ,17.92 ,17.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169970,CPT,Remove inner ear lesion,,,21 ,,RBRVS,32.21 ,19.54 ,19.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010169979,CPT,Temporal bone surgery,,,21 ,,TotalUnits,,,,41.64 ,,$0.00,$0.00,1,0,1,1,1,1,2008010169990,CPT,Microsurgery add-on,,,21 ,,RBRVS,3.46 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170010,CPT,Contrast x-ray of brain,26,,20 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170010,CPT,Contrast x-ray of brain,TC,,20 ,,RBRVS,0.00 ,2.40 ,2.40 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170010,CPT,Contrast x-ray of brain,,,20 ,,RBRVS,1.19 ,2.82 ,2.82 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170015,CPT,Contrast x-ray of brain,26,,20 ,,RBRVS,1.19 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170015,CPT,Contrast x-ray of brain,TC,,20 ,,RBRVS,0.00 ,2.49 ,2.49 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170015,CPT,Contrast x-ray of brain,,,20 ,,RBRVS,1.19 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170030,CPT,X-ray eye for foreign body,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170030,CPT,X-ray eye for foreign body,TC,,20 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170030,CPT,X-ray eye for foreign body,,,20 ,,RBRVS,0.17 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170100,CPT,X-ray exam of jaw,26,,20 ,,RBRVS,0.18 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170100,CPT,X-ray exam of jaw,TC,,20 ,,RBRVS,0.00 ,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170100,CPT,X-ray exam of jaw,,,20 ,,RBRVS,0.18 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170110,CPT,X-ray exam of jaw,26,,20 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170110,CPT,X-ray exam of jaw,TC,,20 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170110,CPT,X-ray exam of jaw,,,20 ,,RBRVS,0.25 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170120,CPT,X-ray exam of mastoids,26,,20 ,,RBRVS,0.18 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170120,CPT,X-ray exam of mastoids,TC,,20 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170120,CPT,X-ray exam of mastoids,,,20 ,,RBRVS,0.18 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170130,CPT,X-ray exam of mastoids,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170130,CPT,X-ray exam of mastoids,TC,,20 ,,RBRVS,0.00 ,1.04 ,1.04 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170130,CPT,X-ray exam of mastoids,,,20 ,,RBRVS,0.34 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170134,CPT,X-ray exam of middle ear,26,,20 ,,RBRVS,0.34 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170134,CPT,X-ray exam of middle ear,TC,,20 ,,RBRVS,0.00 ,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170134,CPT,X-ray exam of middle ear,,,20 ,,RBRVS,0.34 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170140,CPT,X-ray exam of facial bones,26,,20 ,,RBRVS,0.19 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170140,CPT,X-ray exam of facial bones,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170140,CPT,X-ray exam of facial bones,,,20 ,,RBRVS,0.19 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170150,CPT,X-ray exam of facial bones,26,,20 ,,RBRVS,0.26 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170150,CPT,X-ray exam of facial bones,TC,,20 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170150,CPT,X-ray exam of facial bones,,,20 ,,RBRVS,0.26 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170160,CPT,X-ray exam of nasal bones,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170160,CPT,X-ray exam of nasal bones,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170160,CPT,X-ray exam of nasal bones,,,20 ,,RBRVS,0.17 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170170,CPT,X-ray exam of tear duct,26,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170190,CPT,X-ray exam of eye sockets,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170190,CPT,X-ray exam of eye sockets,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170190,CPT,X-ray exam of eye sockets,,,20 ,,RBRVS,0.21 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170200,CPT,X-ray exam of eye sockets,26,,20 ,,RBRVS,0.28 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170200,CPT,X-ray exam of eye sockets,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170200,CPT,X-ray exam of eye sockets,,,20 ,,RBRVS,0.28 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170210,CPT,X-ray exam of sinuses,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170210,CPT,X-ray exam of sinuses,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170210,CPT,X-ray exam of sinuses,,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170220,CPT,X-ray exam of sinuses,26,,20 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170220,CPT,X-ray exam of sinuses,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170220,CPT,X-ray exam of sinuses,,,20 ,,RBRVS,0.25 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170240,CPT,"X-ray exam, pituitary saddle",26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170240,CPT,"X-ray exam, pituitary saddle",TC,,20 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170240,CPT,"X-ray exam, pituitary saddle",,,20 ,,RBRVS,0.19 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170250,CPT,X-ray exam of skull,26,,20 ,,RBRVS,0.24 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170250,CPT,X-ray exam of skull,TC,,20 ,,RBRVS,0.00 ,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170250,CPT,X-ray exam of skull,,,20 ,,RBRVS,0.24 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170260,CPT,X-ray exam of skull,26,,20 ,,RBRVS,0.34 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170260,CPT,X-ray exam of skull,TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170260,CPT,X-ray exam of skull,,,20 ,,RBRVS,0.34 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170300,CPT,X-ray exam of teeth,26,,20 ,,RBRVS,0.10 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170300,CPT,X-ray exam of teeth,TC,,20 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170300,CPT,X-ray exam of teeth,,,20 ,,RBRVS,0.10 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170310,CPT,X-ray exam of teeth,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170310,CPT,X-ray exam of teeth,TC,,20 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170310,CPT,X-ray exam of teeth,,,20 ,,RBRVS,0.16 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170320,CPT,Full mouth x-ray of teeth,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170320,CPT,Full mouth x-ray of teeth,TC,,20 ,,RBRVS,0.00 ,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170320,CPT,Full mouth x-ray of teeth,,,20 ,,RBRVS,0.22 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170328,CPT,X-ray exam of jaw joint,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170328,CPT,X-ray exam of jaw joint,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170328,CPT,X-ray exam of jaw joint,,,20 ,,RBRVS,0.18 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170330,CPT,X-ray exam of jaw joints,26,,20 ,,RBRVS,0.24 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170330,CPT,X-ray exam of jaw joints,TC,,20 ,,RBRVS,0.00 ,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170330,CPT,X-ray exam of jaw joints,,,20 ,,RBRVS,0.24 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170332,CPT,X-ray exam of jaw joint,26,,20 ,,RBRVS,0.54 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170332,CPT,X-ray exam of jaw joint,TC,,20 ,,RBRVS,0.00 ,1.29 ,1.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170332,CPT,X-ray exam of jaw joint,,,20 ,,RBRVS,0.54 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170336,CPT,"Magnetic image, jaw joint",26,,20 ,,RBRVS,1.48 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170336,CPT,"Magnetic image, jaw joint",TC,,20 ,,RBRVS,0.00 ,11.67 ,11.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170336,CPT,"Magnetic image, jaw joint",,,20 ,,RBRVS,1.48 ,12.17 ,12.17 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170350,CPT,X-ray head for orthodontia,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170350,CPT,X-ray head for orthodontia,TC,,20 ,,RBRVS,0.00 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170350,CPT,X-ray head for orthodontia,,,20 ,,RBRVS,0.17 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170355,CPT,Panoramic x-ray of jaws,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170355,CPT,Panoramic x-ray of jaws,TC,,20 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170355,CPT,Panoramic x-ray of jaws,,,20 ,,RBRVS,0.20 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170360,CPT,X-ray exam of neck,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170360,CPT,X-ray exam of neck,TC,,20 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170360,CPT,X-ray exam of neck,,,20 ,,RBRVS,0.17 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170370,CPT,Throat x-ray & fluoroscopy,26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170370,CPT,Throat x-ray & fluoroscopy,TC,,20 ,,RBRVS,0.00 ,1.55 ,1.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170370,CPT,Throat x-ray & fluoroscopy,,,20 ,,RBRVS,0.32 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170371,CPT,"Speech evaluation, complex",26,,20 ,,RBRVS,0.84 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170371,CPT,"Speech evaluation, complex",TC,,20 ,,RBRVS,0.00 ,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170371,CPT,"Speech evaluation, complex",,,20 ,,RBRVS,0.84 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170373,CPT,Contrast x-ray of larynx,26,,20 ,,RBRVS,0.44 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170373,CPT,Contrast x-ray of larynx,TC,,20 ,,RBRVS,0.00 ,1.47 ,1.47 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170373,CPT,Contrast x-ray of larynx,,,20 ,,RBRVS,0.44 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170380,CPT,X-ray exam of salivary gland,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170380,CPT,X-ray exam of salivary gland,TC,,20 ,,RBRVS,0.00 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170380,CPT,X-ray exam of salivary gland,,,20 ,,RBRVS,0.17 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170390,CPT,X-ray exam of salivary duct,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170390,CPT,X-ray exam of salivary duct,TC,,20 ,,RBRVS,0.00 ,2.21 ,2.21 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170390,CPT,X-ray exam of salivary duct,,,20 ,,RBRVS,0.38 ,2.34 ,2.34 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170450,CPT,Ct head/brain w/o dye,26,,20 ,,RBRVS,0.85 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170450,CPT,Ct head/brain w/o dye,TC,,20 ,,RBRVS,0.00 ,4.62 ,4.62 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170450,CPT,Ct head/brain w/o dye,,,20 ,,RBRVS,0.85 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170460,CPT,Ct head/brain w/dye,26,,20 ,,RBRVS,1.13 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170460,CPT,Ct head/brain w/dye,TC,,20 ,,RBRVS,0.00 ,6.11 ,6.11 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170460,CPT,Ct head/brain w/dye,,,20 ,,RBRVS,1.13 ,6.51 ,6.51 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170470,CPT,Ct head/brain w/o&w dye,26,,20 ,,RBRVS,1.27 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170470,CPT,Ct head/brain w/o&w dye,TC,,20 ,,RBRVS,0.00 ,7.49 ,7.49 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170470,CPT,Ct head/brain w/o&w dye,,,20 ,,RBRVS,1.27 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170480,CPT,Ct orbit/ear/fossa w/o dye,26,,20 ,,RBRVS,1.28 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170480,CPT,Ct orbit/ear/fossa w/o dye,TC,,20 ,,RBRVS,0.00 ,8.04 ,8.04 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170480,CPT,Ct orbit/ear/fossa w/o dye,,,20 ,,RBRVS,1.28 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170481,CPT,Ct orbit/ear/fossa w/dye,26,,20 ,,RBRVS,1.38 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170481,CPT,Ct orbit/ear/fossa w/dye,TC,,20 ,,RBRVS,0.00 ,9.49 ,9.49 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170481,CPT,Ct orbit/ear/fossa w/dye,,,20 ,,RBRVS,1.38 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170482,CPT,Ct orbit/ear/fossa w/o&w dye,26,,20 ,,RBRVS,1.45 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170482,CPT,Ct orbit/ear/fossa w/o&w dye,TC,,20 ,,RBRVS,0.00 ,10.90 ,10.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170482,CPT,Ct orbit/ear/fossa w/o&w dye,,,20 ,,RBRVS,1.45 ,11.41 ,11.41 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170486,CPT,Ct maxillofacial w/o dye,26,,20 ,,RBRVS,1.14 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170486,CPT,Ct maxillofacial w/o dye,TC,,20 ,,RBRVS,0.00 ,6.40 ,6.40 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170486,CPT,Ct maxillofacial w/o dye,,,20 ,,RBRVS,1.14 ,6.80 ,6.80 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170487,CPT,Ct maxillofacial w/dye,26,,20 ,,RBRVS,1.30 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170487,CPT,Ct maxillofacial w/dye,TC,,20 ,,RBRVS,0.00 ,7.89 ,7.89 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170487,CPT,Ct maxillofacial w/dye,,,20 ,,RBRVS,1.30 ,8.35 ,8.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170488,CPT,Ct maxillofacial w/o&w dye,26,,20 ,,RBRVS,1.42 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170488,CPT,Ct maxillofacial w/o&w dye,TC,,20 ,,RBRVS,0.00 ,9.91 ,9.91 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170488,CPT,Ct maxillofacial w/o&w dye,,,20 ,,RBRVS,1.42 ,10.40 ,10.40 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170490,CPT,Ct soft tissue neck w/o dye,26,,20 ,,RBRVS,1.28 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170490,CPT,Ct soft tissue neck w/o dye,TC,,20 ,,RBRVS,0.00 ,6.04 ,6.04 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170490,CPT,Ct soft tissue neck w/o dye,,,20 ,,RBRVS,1.28 ,6.49 ,6.49 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170491,CPT,Ct soft tissue neck w/dye,26,,20 ,,RBRVS,1.38 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170491,CPT,Ct soft tissue neck w/dye,TC,,20 ,,RBRVS,0.00 ,7.55 ,7.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170491,CPT,Ct soft tissue neck w/dye,,,20 ,,RBRVS,1.38 ,8.04 ,8.04 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170492,CPT,Ct sft tsue nck w/o & w/dye,26,,20 ,,RBRVS,1.45 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170492,CPT,Ct sft tsue nck w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,9.53 ,9.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170492,CPT,Ct sft tsue nck w/o & w/dye,,,20 ,,RBRVS,1.45 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170496,CPT,"Ct angiography, head",26,,20 ,,RBRVS,1.75 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170496,CPT,"Ct angiography, head",TC,,20 ,,RBRVS,0.00 ,16.47 ,16.47 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170496,CPT,"Ct angiography, head",,,20 ,,RBRVS,1.75 ,17.10 ,17.10 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170498,CPT,"Ct angiography, neck",26,,20 ,,RBRVS,1.75 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170498,CPT,"Ct angiography, neck",TC,,20 ,,RBRVS,0.00 ,16.59 ,16.59 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170498,CPT,"Ct angiography, neck",,,20 ,,RBRVS,1.75 ,17.24 ,17.24 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170540,CPT,Mri orbit/face/neck w/o dye,26,,20 ,,RBRVS,1.35 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170540,CPT,Mri orbit/face/neck w/o dye,TC,,20 ,,RBRVS,0.00 ,13.72 ,13.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170540,CPT,Mri orbit/face/neck w/o dye,,,20 ,,RBRVS,1.35 ,14.18 ,14.18 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170542,CPT,Mri orbit/face/neck w/dye,26,,20 ,,RBRVS,1.62 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170542,CPT,Mri orbit/face/neck w/dye,TC,,20 ,,RBRVS,0.00 ,14.73 ,14.73 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170542,CPT,Mri orbit/face/neck w/dye,,,20 ,,RBRVS,1.62 ,15.29 ,15.29 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170543,CPT,Mri orbt/fac/nck w/o&w dye,26,,20 ,,RBRVS,2.15 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170543,CPT,Mri orbt/fac/nck w/o&w dye,TC,,20 ,,RBRVS,0.00 ,18.03 ,18.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170543,CPT,Mri orbt/fac/nck w/o&w dye,,,20 ,,RBRVS,2.15 ,18.77 ,18.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170544,CPT,Mr angiography head w/o dye,26,,20 ,,RBRVS,1.20 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170544,CPT,Mr angiography head w/o dye,TC,,20 ,,RBRVS,0.00 ,15.44 ,15.44 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170544,CPT,Mr angiography head w/o dye,,,20 ,,RBRVS,1.20 ,15.86 ,15.86 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170545,CPT,Mr angiography head w/dye,26,,20 ,,RBRVS,1.20 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170545,CPT,Mr angiography head w/dye,TC,,20 ,,RBRVS,0.00 ,15.32 ,15.32 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170545,CPT,Mr angiography head w/dye,,,20 ,,RBRVS,1.20 ,15.74 ,15.74 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170546,CPT,Mr angiograph head w/o&w dye,26,,20 ,,RBRVS,1.80 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170546,CPT,Mr angiograph head w/o&w dye,TC,,20 ,,RBRVS,0.00 ,23.41 ,23.41 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170546,CPT,Mr angiograph head w/o&w dye,,,20 ,,RBRVS,1.80 ,24.03 ,24.03 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170547,CPT,Mr angiography neck w/o dye,26,,20 ,,RBRVS,1.20 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170547,CPT,Mr angiography neck w/o dye,TC,,20 ,,RBRVS,0.00 ,15.38 ,15.38 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170547,CPT,Mr angiography neck w/o dye,,,20 ,,RBRVS,1.20 ,15.79 ,15.79 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170548,CPT,Mr angiography neck w/dye,26,,20 ,,RBRVS,1.20 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170548,CPT,Mr angiography neck w/dye,TC,,20 ,,RBRVS,0.00 ,16.23 ,16.23 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170548,CPT,Mr angiography neck w/dye,,,20 ,,RBRVS,1.20 ,16.65 ,16.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170549,CPT,Mr angiograph neck w/o&w dye,26,,20 ,,RBRVS,1.80 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170549,CPT,Mr angiograph neck w/o&w dye,TC,,20 ,,RBRVS,0.00 ,23.42 ,23.42 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170549,CPT,Mr angiograph neck w/o&w dye,,,20 ,,RBRVS,1.80 ,24.05 ,24.05 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170551,CPT,Mri brain w/o dye,26,,20 ,,RBRVS,1.48 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170551,CPT,Mri brain w/o dye,TC,,20 ,,RBRVS,0.00 ,13.93 ,13.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170551,CPT,Mri brain w/o dye,,,20 ,,RBRVS,1.48 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170552,CPT,Mri brain w/dye,26,,20 ,,RBRVS,1.78 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170552,CPT,Mri brain w/dye,TC,,20 ,,RBRVS,0.00 ,14.97 ,14.97 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170552,CPT,Mri brain w/dye,,,20 ,,RBRVS,1.78 ,15.59 ,15.59 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170553,CPT,Mri brain w/o&w dye,26,,20 ,,RBRVS,2.36 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170553,CPT,Mri brain w/o&w dye,TC,,20 ,,RBRVS,0.00 ,17.27 ,17.27 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170553,CPT,Mri brain w/o&w dye,,,20 ,,RBRVS,2.36 ,18.09 ,18.09 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170554,CPT,Fmri brain by tech,26,,20 ,,RBRVS,2.11 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170554,CPT,Fmri brain by tech,TC,,20 ,,RBRVS,0.00 ,14.73 ,14.73 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010170554,CPT,Fmri brain by tech,,,20 ,,RBRVS,2.11 ,15.42 ,15.42 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010170555,CPT,Fmri brain by phys/psych,26,,20 ,,RBRVS,2.54 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170557,CPT,Mri brain w/o dye,26,,20 ,,RBRVS,2.90 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170557,CPT,Mri brain w/o dye,TC,,20 ,,TotalUnits,,,,15.52 ,,$0.00,$0.00,1,1,1,0,1,1,2008010170558,CPT,Mri brain w/ dye,26,,20 ,,RBRVS,3.20 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170558,CPT,Mri brain w/ dye,TC,,20 ,,TotalUnits,,,,17.12 ,,$0.00,$0.00,1,1,1,0,1,1,2008010170559,CPT,Mri brain w/o & w/ dye,26,,20 ,,RBRVS,3.20 ,1.14 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010170559,CPT,Mri brain w/o & w/ dye,TC,,20 ,,TotalUnits,,,,17.12 ,,$0.00,$0.00,1,1,1,0,1,1,2008010171010,CPT,Chest x-ray,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171010,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171010,CPT,Chest x-ray,,,20 ,,RBRVS,0.18 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171015,CPT,Chest x-ray,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171015,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171015,CPT,Chest x-ray,,,20 ,,RBRVS,0.21 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171020,CPT,Chest x-ray,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171020,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171020,CPT,Chest x-ray,,,20 ,,RBRVS,0.22 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171021,CPT,Chest x-ray,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171021,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171021,CPT,Chest x-ray,,,20 ,,RBRVS,0.27 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171022,CPT,Chest x-ray,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171022,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.80 ,0.80 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171022,CPT,Chest x-ray,,,20 ,,RBRVS,0.31 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171023,CPT,Chest x-ray and fluoroscopy,26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171023,CPT,Chest x-ray and fluoroscopy,TC,,20 ,,RBRVS,0.00 ,1.40 ,1.40 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171023,CPT,Chest x-ray and fluoroscopy,,,20 ,,RBRVS,0.38 ,1.54 ,1.54 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171030,CPT,Chest x-ray,26,,20 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171030,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.82 ,0.82 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171030,CPT,Chest x-ray,,,20 ,,RBRVS,0.31 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171034,CPT,Chest x-ray and fluoroscopy,26,,20 ,,RBRVS,0.46 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171034,CPT,Chest x-ray and fluoroscopy,TC,,20 ,,RBRVS,0.00 ,1.91 ,1.91 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171034,CPT,Chest x-ray and fluoroscopy,,,20 ,,RBRVS,0.46 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171035,CPT,Chest x-ray,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171035,CPT,Chest x-ray,TC,,20 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171035,CPT,Chest x-ray,,,20 ,,RBRVS,0.18 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171040,CPT,Contrast x-ray of bronchi,26,,20 ,,RBRVS,0.58 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171040,CPT,Contrast x-ray of bronchi,TC,,20 ,,RBRVS,0.00 ,1.88 ,1.88 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171040,CPT,Contrast x-ray of bronchi,,,20 ,,RBRVS,0.58 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171060,CPT,Contrast x-ray of bronchi,26,,20 ,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171060,CPT,Contrast x-ray of bronchi,TC,,20 ,,RBRVS,0.00 ,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171060,CPT,Contrast x-ray of bronchi,,,20 ,,RBRVS,0.74 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171090,CPT,X-ray & pacemaker insertion,26,,20 ,,RBRVS,0.54 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171100,CPT,X-ray exam of ribs,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171100,CPT,X-ray exam of ribs,TC,,20 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171100,CPT,X-ray exam of ribs,,,20 ,,RBRVS,0.22 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171101,CPT,X-ray exam of ribs/chest,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171101,CPT,X-ray exam of ribs/chest,TC,,20 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171101,CPT,X-ray exam of ribs/chest,,,20 ,,RBRVS,0.27 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171110,CPT,X-ray exam of ribs,26,,20 ,,RBRVS,0.27 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171110,CPT,X-ray exam of ribs,TC,,20 ,,RBRVS,0.00 ,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171110,CPT,X-ray exam of ribs,,,20 ,,RBRVS,0.27 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171111,CPT,X-ray exam of ribs/ chest,26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171111,CPT,X-ray exam of ribs/ chest,TC,,20 ,,RBRVS,0.00 ,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171111,CPT,X-ray exam of ribs/ chest,,,20 ,,RBRVS,0.32 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171120,CPT,X-ray exam of breastbone,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171120,CPT,X-ray exam of breastbone,TC,,20 ,,RBRVS,0.00 ,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171120,CPT,X-ray exam of breastbone,,,20 ,,RBRVS,0.20 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171130,CPT,X-ray exam of breastbone,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171130,CPT,X-ray exam of breastbone,TC,,20 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171130,CPT,X-ray exam of breastbone,,,20 ,,RBRVS,0.22 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171250,CPT,Ct thorax w/o dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171250,CPT,Ct thorax w/o dye,TC,,20 ,,RBRVS,0.00 ,6.04 ,6.04 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171250,CPT,Ct thorax w/o dye,,,20 ,,RBRVS,1.16 ,6.45 ,6.45 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171260,CPT,Ct thorax w/dye,26,,20 ,,RBRVS,1.24 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171260,CPT,Ct thorax w/dye,TC,,20 ,,RBRVS,0.00 ,7.56 ,7.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171260,CPT,Ct thorax w/dye,,,20 ,,RBRVS,1.24 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171270,CPT,Ct thorax w/o&w dye,26,,20 ,,RBRVS,1.38 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171270,CPT,Ct thorax w/o&w dye,TC,,20 ,,RBRVS,0.00 ,9.56 ,9.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171270,CPT,Ct thorax w/o&w dye,,,20 ,,RBRVS,1.38 ,10.04 ,10.04 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171275,CPT,"Ct angiography, chest",26,,20 ,,RBRVS,1.92 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171275,CPT,"Ct angiography, chest",TC,,20 ,,RBRVS,0.00 ,11.08 ,11.08 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171275,CPT,"Ct angiography, chest",,,20 ,,RBRVS,1.92 ,11.77 ,11.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171550,CPT,Mri chest w/o dye,26,,20 ,,RBRVS,1.46 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171550,CPT,Mri chest w/o dye,TC,,20 ,,RBRVS,0.00 ,15.87 ,15.87 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171550,CPT,Mri chest w/o dye,,,20 ,,RBRVS,1.46 ,16.38 ,16.38 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171551,CPT,Mri chest w/dye,26,,20 ,,RBRVS,1.73 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171551,CPT,Mri chest w/dye,TC,,20 ,,RBRVS,0.00 ,17.34 ,17.34 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171551,CPT,Mri chest w/dye,,,20 ,,RBRVS,1.73 ,17.94 ,17.94 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171552,CPT,Mri chest w/o&w/dye,26,,20 ,,RBRVS,2.26 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171552,CPT,Mri chest w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,21.77 ,21.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171552,CPT,Mri chest w/o&w/dye,,,20 ,,RBRVS,2.26 ,22.58 ,22.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010171555,CPT,Mri angio chest w or w/o dye,26,,20 ,,RBRVS,1.81 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010171555,CPT,Mri angio chest w or w/o dye,TC,,20 ,,RBRVS,0.00 ,14.65 ,14.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010171555,CPT,Mri angio chest w or w/o dye,,,20 ,,RBRVS,1.81 ,15.31 ,15.31 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172010,CPT,X-ray exam of spine,26,,20 ,,RBRVS,0.45 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172010,CPT,X-ray exam of spine,TC,,20 ,,RBRVS,0.00 ,1.30 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172010,CPT,X-ray exam of spine,,,20 ,,RBRVS,0.45 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172020,CPT,X-ray exam of spine,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172020,CPT,X-ray exam of spine,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172020,CPT,X-ray exam of spine,,,20 ,,RBRVS,0.15 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172040,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172040,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172040,CPT,X-ray exam of neck spine,,,20 ,,RBRVS,0.22 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172050,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172050,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172050,CPT,X-ray exam of neck spine,,,20 ,,RBRVS,0.31 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172052,CPT,X-ray exam of neck spine,26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172052,CPT,X-ray exam of neck spine,TC,,20 ,,RBRVS,0.00 ,1.27 ,1.27 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172052,CPT,X-ray exam of neck spine,,,20 ,,RBRVS,0.36 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172069,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172069,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172069,CPT,X-ray exam of trunk spine,,,20 ,,RBRVS,0.22 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172070,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172070,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172070,CPT,X-ray exam of thoracic spine,,,20 ,,RBRVS,0.22 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172072,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172072,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172072,CPT,X-ray exam of thoracic spine,,,20 ,,RBRVS,0.22 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172074,CPT,X-ray exam of thoracic spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172074,CPT,X-ray exam of thoracic spine,TC,,20 ,,RBRVS,0.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172074,CPT,X-ray exam of thoracic spine,,,20 ,,RBRVS,0.22 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172080,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172080,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172080,CPT,X-ray exam of trunk spine,,,20 ,,RBRVS,0.22 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172090,CPT,X-ray exam of trunk spine,26,,20 ,,RBRVS,0.28 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172090,CPT,X-ray exam of trunk spine,TC,,20 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172090,CPT,X-ray exam of trunk spine,,,20 ,,RBRVS,0.28 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172100,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172100,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172100,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.22 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172110,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172110,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,1.04 ,1.04 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172110,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.31 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172114,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172114,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,1.44 ,1.44 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172114,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.36 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172120,CPT,X-ray exam of lower spine,26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172120,CPT,X-ray exam of lower spine,TC,,20 ,,RBRVS,0.00 ,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172120,CPT,X-ray exam of lower spine,,,20 ,,RBRVS,0.22 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172125,CPT,Ct neck spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172125,CPT,Ct neck spine w/o dye,TC,,20 ,,RBRVS,0.00 ,6.06 ,6.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172125,CPT,Ct neck spine w/o dye,,,20 ,,RBRVS,1.16 ,6.47 ,6.47 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172126,CPT,Ct neck spine w/dye,26,,20 ,,RBRVS,1.22 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172126,CPT,Ct neck spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.57 ,7.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172126,CPT,Ct neck spine w/dye,,,20 ,,RBRVS,1.22 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172127,CPT,Ct neck spine w/o&w/dye,26,,20 ,,RBRVS,1.27 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172127,CPT,Ct neck spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,9.61 ,9.61 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172127,CPT,Ct neck spine w/o&w/dye,,,20 ,,RBRVS,1.27 ,10.05 ,10.05 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172128,CPT,Ct chest spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172128,CPT,Ct chest spine w/o dye,TC,,20 ,,RBRVS,0.00 ,6.05 ,6.05 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172128,CPT,Ct chest spine w/o dye,,,20 ,,RBRVS,1.16 ,6.46 ,6.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172129,CPT,Ct chest spine w/dye,26,,20 ,,RBRVS,1.22 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172129,CPT,Ct chest spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.57 ,7.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172129,CPT,Ct chest spine w/dye,,,20 ,,RBRVS,1.22 ,8.00 ,8.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172130,CPT,Ct chest spine w/o&w/dye,26,,20 ,,RBRVS,1.27 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172130,CPT,Ct chest spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,9.54 ,9.54 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172130,CPT,Ct chest spine w/o&w/dye,,,20 ,,RBRVS,1.27 ,9.98 ,9.98 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172131,CPT,Ct lumbar spine w/o dye,26,,20 ,,RBRVS,1.16 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172131,CPT,Ct lumbar spine w/o dye,TC,,20 ,,RBRVS,0.00 ,6.03 ,6.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172131,CPT,Ct lumbar spine w/o dye,,,20 ,,RBRVS,1.16 ,6.43 ,6.43 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172132,CPT,Ct lumbar spine w/dye,26,,20 ,,RBRVS,1.22 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172132,CPT,Ct lumbar spine w/dye,TC,,20 ,,RBRVS,0.00 ,7.55 ,7.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172132,CPT,Ct lumbar spine w/dye,,,20 ,,RBRVS,1.22 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172133,CPT,Ct lumbar spine w/o&w/dye,26,,20 ,,RBRVS,1.27 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172133,CPT,Ct lumbar spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,9.58 ,9.58 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172133,CPT,Ct lumbar spine w/o&w/dye,,,20 ,,RBRVS,1.27 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172141,CPT,Mri neck spine w/o dye,26,,20 ,,RBRVS,1.60 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172141,CPT,Mri neck spine w/o dye,TC,,20 ,,RBRVS,0.00 ,11.91 ,11.91 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172141,CPT,Mri neck spine w/o dye,,,20 ,,RBRVS,1.60 ,12.46 ,12.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172142,CPT,Mri neck spine w/dye,26,,20 ,,RBRVS,1.92 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172142,CPT,Mri neck spine w/dye,TC,,20 ,,RBRVS,0.00 ,14.96 ,14.96 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172142,CPT,Mri neck spine w/dye,,,20 ,,RBRVS,1.92 ,15.62 ,15.62 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172146,CPT,Mri chest spine w/o dye,26,,20 ,,RBRVS,1.60 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172146,CPT,Mri chest spine w/o dye,TC,,20 ,,RBRVS,0.00 ,11.93 ,11.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172146,CPT,Mri chest spine w/o dye,,,20 ,,RBRVS,1.60 ,12.48 ,12.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172147,CPT,Mri chest spine w/dye,26,,20 ,,RBRVS,1.92 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172147,CPT,Mri chest spine w/dye,TC,,20 ,,RBRVS,0.00 ,12.91 ,12.91 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172147,CPT,Mri chest spine w/dye,,,20 ,,RBRVS,1.92 ,13.58 ,13.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172148,CPT,Mri lumbar spine w/o dye,26,,20 ,,RBRVS,1.48 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172148,CPT,Mri lumbar spine w/o dye,TC,,20 ,,RBRVS,0.00 ,11.91 ,11.91 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172148,CPT,Mri lumbar spine w/o dye,,,20 ,,RBRVS,1.48 ,12.42 ,12.42 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172149,CPT,Mri lumbar spine w/dye,26,,20 ,,RBRVS,1.78 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172149,CPT,Mri lumbar spine w/dye,TC,,20 ,,RBRVS,0.00 ,14.90 ,14.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172149,CPT,Mri lumbar spine w/dye,,,20 ,,RBRVS,1.78 ,15.52 ,15.52 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172156,CPT,Mri neck spine w/o&w/dye,26,,20 ,,RBRVS,2.57 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172156,CPT,Mri neck spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,16.90 ,16.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172156,CPT,Mri neck spine w/o&w/dye,,,20 ,,RBRVS,2.57 ,17.79 ,17.79 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172157,CPT,Mri chest spine w/o&w/dye,26,,20 ,,RBRVS,2.57 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172157,CPT,Mri chest spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,15.32 ,15.32 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172157,CPT,Mri chest spine w/o&w/dye,,,20 ,,RBRVS,2.57 ,16.22 ,16.22 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172158,CPT,Mri lumbar spine w/o&w/dye,26,,20 ,,RBRVS,2.36 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172158,CPT,Mri lumbar spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,16.88 ,16.88 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172158,CPT,Mri lumbar spine w/o&w/dye,,,20 ,,RBRVS,2.36 ,17.70 ,17.70 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172159,CPT,Mr angio spine w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172159,CPT,Mr angio spine w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,14.25 ,14.25 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172159,CPT,Mr angio spine w/o&w/dye,,,20 ,,RBRVS,1.80 ,14.67 ,14.67 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172170,CPT,X-ray exam of pelvis,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172170,CPT,X-ray exam of pelvis,TC,,20 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172170,CPT,X-ray exam of pelvis,,,20 ,,RBRVS,0.17 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172190,CPT,X-ray exam of pelvis,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172190,CPT,X-ray exam of pelvis,TC,,20 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172190,CPT,X-ray exam of pelvis,,,20 ,,RBRVS,0.21 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172191,CPT,Ct angiograph pelv w/o&w/dye,26,,20 ,,RBRVS,1.81 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172191,CPT,Ct angiograph pelv w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.69 ,10.69 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172191,CPT,Ct angiograph pelv w/o&w/dye,,,20 ,,RBRVS,1.81 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172192,CPT,Ct pelvis w/o dye,26,,20 ,,RBRVS,1.09 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172192,CPT,Ct pelvis w/o dye,TC,,20 ,,RBRVS,0.00 ,5.65 ,5.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172192,CPT,Ct pelvis w/o dye,,,20 ,,RBRVS,1.09 ,6.04 ,6.04 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172193,CPT,Ct pelvis w/dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172193,CPT,Ct pelvis w/dye,TC,,20 ,,RBRVS,0.00 ,7.14 ,7.14 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172193,CPT,Ct pelvis w/dye,,,20 ,,RBRVS,1.16 ,7.55 ,7.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172194,CPT,Ct pelvis w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172194,CPT,Ct pelvis w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,9.70 ,9.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172194,CPT,Ct pelvis w/o&w/dye,,,20 ,,RBRVS,1.22 ,10.13 ,10.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172195,CPT,Mri pelvis w/o dye,26,,20 ,,RBRVS,1.46 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172195,CPT,Mri pelvis w/o dye,TC,,20 ,,RBRVS,0.00 ,13.93 ,13.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172195,CPT,Mri pelvis w/o dye,,,20 ,,RBRVS,1.46 ,14.44 ,14.44 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172196,CPT,Mri pelvis w/dye,26,,20 ,,RBRVS,1.73 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172196,CPT,Mri pelvis w/dye,TC,,20 ,,RBRVS,0.00 ,14.93 ,14.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172196,CPT,Mri pelvis w/dye,,,20 ,,RBRVS,1.73 ,15.54 ,15.54 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172197,CPT,Mri pelvis w/o & w/dye,26,,20 ,,RBRVS,2.26 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172197,CPT,Mri pelvis w/o & w/dye,TC,,20 ,,RBRVS,0.00 ,18.18 ,18.18 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172197,CPT,Mri pelvis w/o & w/dye,,,20 ,,RBRVS,2.26 ,18.97 ,18.97 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172198,CPT,Mr angio pelvis w/o&w/dye,26,,20 ,,RBRVS,1.80 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172198,CPT,Mr angio pelvis w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,14.45 ,14.45 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172198,CPT,Mr angio pelvis w/o&w/dye,,,20 ,,RBRVS,1.80 ,15.09 ,15.09 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172200,CPT,X-ray exam sacroiliac joints,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172200,CPT,X-ray exam sacroiliac joints,TC,,20 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172200,CPT,X-ray exam sacroiliac joints,,,20 ,,RBRVS,0.17 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172202,CPT,X-ray exam sacroiliac joints,26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172202,CPT,X-ray exam sacroiliac joints,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172202,CPT,X-ray exam sacroiliac joints,,,20 ,,RBRVS,0.19 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172220,CPT,X-ray exam of tailbone,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172220,CPT,X-ray exam of tailbone,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172220,CPT,X-ray exam of tailbone,,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172240,CPT,Contrast x-ray of neck spine,26,,20 ,,RBRVS,0.91 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172240,CPT,Contrast x-ray of neck spine,TC,,20 ,,RBRVS,0.00 ,2.26 ,2.26 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172240,CPT,Contrast x-ray of neck spine,,,20 ,,RBRVS,0.91 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172255,CPT,"Contrast x-ray, thorax spine",26,,20 ,,RBRVS,0.91 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172255,CPT,"Contrast x-ray, thorax spine",TC,,20 ,,RBRVS,0.00 ,1.96 ,1.96 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172255,CPT,"Contrast x-ray, thorax spine",,,20 ,,RBRVS,0.91 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172265,CPT,"Contrast x-ray, lower spine",26,,20 ,,RBRVS,0.83 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172265,CPT,"Contrast x-ray, lower spine",TC,,20 ,,RBRVS,0.00 ,2.25 ,2.25 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172265,CPT,"Contrast x-ray, lower spine",,,20 ,,RBRVS,0.83 ,2.54 ,2.54 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172270,CPT,Contrast x-ray of spine,26,,20 ,,RBRVS,1.33 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172270,CPT,Contrast x-ray of spine,TC,,20 ,,RBRVS,0.00 ,3.52 ,3.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172270,CPT,Contrast x-ray of spine,,,20 ,,RBRVS,1.33 ,3.99 ,3.99 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172275,CPT,Epidurography,26,,20 ,,RBRVS,0.76 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172275,CPT,Epidurography,TC,,20 ,,RBRVS,0.00 ,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172275,CPT,Epidurography,,,20 ,,RBRVS,0.76 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172285,CPT,X-ray c/t spine disk,26,,20 ,,RBRVS,1.16 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172285,CPT,X-ray c/t spine disk,TC,,20 ,,RBRVS,0.00 ,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172285,CPT,X-ray c/t spine disk,,,20 ,,RBRVS,1.16 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010172291,CPT,"Perq vertebroplasty, fluor",26,,20 ,,RBRVS,1.31 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172292,CPT,"Perq vertebroplasty, ct",26,,20 ,,RBRVS,1.38 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172295,CPT,X-ray of lower spine disk,26,,20 ,,RBRVS,0.83 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010172295,CPT,X-ray of lower spine disk,TC,,20 ,,RBRVS,0.00 ,1.22 ,1.22 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010172295,CPT,X-ray of lower spine disk,,,20 ,,RBRVS,0.83 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173000,CPT,X-ray exam of collar bone,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173000,CPT,X-ray exam of collar bone,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173000,CPT,X-ray exam of collar bone,,,20 ,,RBRVS,0.16 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173010,CPT,X-ray exam of shoulder blade,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173010,CPT,X-ray exam of shoulder blade,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173010,CPT,X-ray exam of shoulder blade,,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173020,CPT,X-ray exam of shoulder,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173020,CPT,X-ray exam of shoulder,TC,,20 ,,RBRVS,0.00 ,0.39 ,0.39 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173020,CPT,X-ray exam of shoulder,,,20 ,,RBRVS,0.15 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173030,CPT,X-ray exam of shoulder,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173030,CPT,X-ray exam of shoulder,TC,,20 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173030,CPT,X-ray exam of shoulder,,,20 ,,RBRVS,0.18 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173040,CPT,Contrast x-ray of shoulder,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173040,CPT,Contrast x-ray of shoulder,TC,,20 ,,RBRVS,0.00 ,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173040,CPT,Contrast x-ray of shoulder,,,20 ,,RBRVS,0.54 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173050,CPT,X-ray exam of shoulders,26,,20 ,,RBRVS,0.20 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173050,CPT,X-ray exam of shoulders,TC,,20 ,,RBRVS,0.00 ,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173050,CPT,X-ray exam of shoulders,,,20 ,,RBRVS,0.20 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173060,CPT,X-ray exam of humerus,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173060,CPT,X-ray exam of humerus,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173060,CPT,X-ray exam of humerus,,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173070,CPT,X-ray exam of elbow,26,,20 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173070,CPT,X-ray exam of elbow,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173070,CPT,X-ray exam of elbow,,,20 ,,RBRVS,0.15 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173080,CPT,X-ray exam of elbow,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173080,CPT,X-ray exam of elbow,TC,,20 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173080,CPT,X-ray exam of elbow,,,20 ,,RBRVS,0.17 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173085,CPT,Contrast x-ray of elbow,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173085,CPT,Contrast x-ray of elbow,TC,,20 ,,RBRVS,0.00 ,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173085,CPT,Contrast x-ray of elbow,,,20 ,,RBRVS,0.54 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173090,CPT,X-ray exam of forearm,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173090,CPT,X-ray exam of forearm,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173090,CPT,X-ray exam of forearm,,,20 ,,RBRVS,0.16 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173092,CPT,"X-ray exam of arm, infant",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173092,CPT,"X-ray exam of arm, infant",TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173092,CPT,"X-ray exam of arm, infant",,,20 ,,RBRVS,0.16 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173100,CPT,X-ray exam of wrist,26,,20 ,,RBRVS,0.16 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173100,CPT,X-ray exam of wrist,TC,,20 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173100,CPT,X-ray exam of wrist,,,20 ,,RBRVS,0.16 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173110,CPT,X-ray exam of wrist,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173110,CPT,X-ray exam of wrist,TC,,20 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173110,CPT,X-ray exam of wrist,,,20 ,,RBRVS,0.17 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173115,CPT,Contrast x-ray of wrist,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173115,CPT,Contrast x-ray of wrist,TC,,20 ,,RBRVS,0.00 ,2.14 ,2.14 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173115,CPT,Contrast x-ray of wrist,,,20 ,,RBRVS,0.54 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173120,CPT,X-ray exam of hand,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173120,CPT,X-ray exam of hand,TC,,20 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173120,CPT,X-ray exam of hand,,,20 ,,RBRVS,0.16 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173130,CPT,X-ray exam of hand,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173130,CPT,X-ray exam of hand,TC,,20 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173130,CPT,X-ray exam of hand,,,20 ,,RBRVS,0.17 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173140,CPT,X-ray exam of finger(s),26,,20 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173140,CPT,X-ray exam of finger(s),TC,,20 ,,RBRVS,0.00 ,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173140,CPT,X-ray exam of finger(s),,,20 ,,RBRVS,0.13 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173200,CPT,Ct upper extremity w/o dye,26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173200,CPT,Ct upper extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,6.02 ,6.02 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173200,CPT,Ct upper extremity w/o dye,,,20 ,,RBRVS,1.09 ,6.40 ,6.40 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173201,CPT,Ct upper extremity w/dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173201,CPT,Ct upper extremity w/dye,TC,,20 ,,RBRVS,0.00 ,7.51 ,7.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173201,CPT,Ct upper extremity w/dye,,,20 ,,RBRVS,1.16 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173202,CPT,Ct uppr extremity w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173202,CPT,Ct uppr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.13 ,10.13 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173202,CPT,Ct uppr extremity w/o&w/dye,,,20 ,,RBRVS,1.22 ,10.55 ,10.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173206,CPT,Ct angio upr extrm w/o&w/dye,26,,20 ,,RBRVS,1.81 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173206,CPT,Ct angio upr extrm w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.26 ,10.26 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173206,CPT,Ct angio upr extrm w/o&w/dye,,,20 ,,RBRVS,1.81 ,10.94 ,10.94 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173218,CPT,Mri upper extremity w/o dye,26,,20 ,,RBRVS,1.35 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173218,CPT,Mri upper extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,14.19 ,14.19 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173218,CPT,Mri upper extremity w/o dye,,,20 ,,RBRVS,1.35 ,14.65 ,14.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173219,CPT,Mri upper extremity w/dye,26,,20 ,,RBRVS,1.62 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173219,CPT,Mri upper extremity w/dye,TC,,20 ,,RBRVS,0.00 ,14.85 ,14.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173219,CPT,Mri upper extremity w/dye,,,20 ,,RBRVS,1.62 ,15.41 ,15.41 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173220,CPT,Mri uppr extremity w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173220,CPT,Mri uppr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,18.31 ,18.31 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173220,CPT,Mri uppr extremity w/o&w/dye,,,20 ,,RBRVS,2.15 ,19.06 ,19.06 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173221,CPT,Mri joint upr extrem w/o dye,26,,20 ,,RBRVS,1.35 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173221,CPT,Mri joint upr extrem w/o dye,TC,,20 ,,RBRVS,0.00 ,13.09 ,13.09 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173221,CPT,Mri joint upr extrem w/o dye,,,20 ,,RBRVS,1.35 ,13.56 ,13.56 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173222,CPT,Mri joint upr extrem w/dye,26,,20 ,,RBRVS,1.62 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173222,CPT,Mri joint upr extrem w/dye,TC,,20 ,,RBRVS,0.00 ,13.75 ,13.75 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173222,CPT,Mri joint upr extrem w/dye,,,20 ,,RBRVS,1.62 ,14.31 ,14.31 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173223,CPT,Mri joint upr extr w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173223,CPT,Mri joint upr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,16.84 ,16.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173223,CPT,Mri joint upr extr w/o&w/dye,,,20 ,,RBRVS,2.15 ,17.58 ,17.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173225,CPT,Mr angio upr extr w/o&w/dye,26,,20 ,,RBRVS,1.73 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173225,CPT,Mr angio upr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,14.25 ,14.25 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173225,CPT,Mr angio upr extr w/o&w/dye,,,20 ,,RBRVS,1.73 ,14.65 ,14.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173500,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173500,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,0.00 ,0.43 ,0.43 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173500,CPT,X-ray exam of hip,,,20 ,,RBRVS,0.17 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173510,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173510,CPT,X-ray exam of hip,TC,,20 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173510,CPT,X-ray exam of hip,,,20 ,,RBRVS,0.21 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173520,CPT,X-ray exam of hips,26,,20 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173520,CPT,X-ray exam of hips,TC,,20 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173520,CPT,X-ray exam of hips,,,20 ,,RBRVS,0.26 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173525,CPT,Contrast x-ray of hip,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173525,CPT,Contrast x-ray of hip,TC,,20 ,,RBRVS,0.00 ,1.65 ,1.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173525,CPT,Contrast x-ray of hip,,,20 ,,RBRVS,0.54 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173530,CPT,X-ray exam of hip,26,,20 ,,RBRVS,0.29 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173540,CPT,X-ray exam of pelvis & hips,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173540,CPT,X-ray exam of pelvis & hips,TC,,20 ,,RBRVS,0.00 ,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173540,CPT,X-ray exam of pelvis & hips,,,20 ,,RBRVS,0.20 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173542,CPT,"X-ray exam, sacroiliac joint",26,,20 ,,RBRVS,0.59 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173542,CPT,"X-ray exam, sacroiliac joint",TC,,20 ,,RBRVS,0.00 ,0.99 ,0.99 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173542,CPT,"X-ray exam, sacroiliac joint",,,20 ,,RBRVS,0.59 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173550,CPT,X-ray exam of thigh,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173550,CPT,X-ray exam of thigh,TC,,20 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173550,CPT,X-ray exam of thigh,,,20 ,,RBRVS,0.17 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173560,CPT,"X-ray exam of knee, 1 or 2",26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173560,CPT,"X-ray exam of knee, 1 or 2",TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173560,CPT,"X-ray exam of knee, 1 or 2",,,20 ,,RBRVS,0.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173562,CPT,"X-ray exam of knee, 3",26,,20 ,,RBRVS,0.18 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173562,CPT,"X-ray exam of knee, 3",TC,,20 ,,RBRVS,0.00 ,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173562,CPT,"X-ray exam of knee, 3",,,20 ,,RBRVS,0.18 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173564,CPT,"X-ray exam, knee, 4 or more",26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173564,CPT,"X-ray exam, knee, 4 or more",TC,,20 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173564,CPT,"X-ray exam, knee, 4 or more",,,20 ,,RBRVS,0.22 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173565,CPT,X-ray exam of knees,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173565,CPT,X-ray exam of knees,TC,,20 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173565,CPT,X-ray exam of knees,,,20 ,,RBRVS,0.17 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173580,CPT,Contrast x-ray of knee joint,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173580,CPT,Contrast x-ray of knee joint,TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173580,CPT,Contrast x-ray of knee joint,,,20 ,,RBRVS,0.54 ,2.56 ,2.56 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173590,CPT,X-ray exam of lower leg,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173590,CPT,X-ray exam of lower leg,TC,,20 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173590,CPT,X-ray exam of lower leg,,,20 ,,RBRVS,0.17 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173592,CPT,"X-ray exam of leg, infant",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173592,CPT,"X-ray exam of leg, infant",TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173592,CPT,"X-ray exam of leg, infant",,,20 ,,RBRVS,0.16 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173600,CPT,X-ray exam of ankle,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173600,CPT,X-ray exam of ankle,TC,,20 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173600,CPT,X-ray exam of ankle,,,20 ,,RBRVS,0.16 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173610,CPT,X-ray exam of ankle,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173610,CPT,X-ray exam of ankle,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173610,CPT,X-ray exam of ankle,,,20 ,,RBRVS,0.17 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173615,CPT,Contrast x-ray of ankle,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173615,CPT,Contrast x-ray of ankle,TC,,20 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173615,CPT,Contrast x-ray of ankle,,,20 ,,RBRVS,0.54 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173620,CPT,X-ray exam of foot,26,,20 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173620,CPT,X-ray exam of foot,TC,,20 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173620,CPT,X-ray exam of foot,,,20 ,,RBRVS,0.16 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173630,CPT,X-ray exam of foot,26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173630,CPT,X-ray exam of foot,TC,,20 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173630,CPT,X-ray exam of foot,,,20 ,,RBRVS,0.17 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173650,CPT,X-ray exam of heel,26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173650,CPT,X-ray exam of heel,TC,,20 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173650,CPT,X-ray exam of heel,,,20 ,,RBRVS,0.16 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173660,CPT,X-ray exam of toe(s),26,,20 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173660,CPT,X-ray exam of toe(s),TC,,20 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173660,CPT,X-ray exam of toe(s),,,20 ,,RBRVS,0.13 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173700,CPT,Ct lower extremity w/o dye,26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173700,CPT,Ct lower extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,6.03 ,6.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173700,CPT,Ct lower extremity w/o dye,,,20 ,,RBRVS,1.09 ,6.41 ,6.41 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173701,CPT,Ct lower extremity w/dye,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173701,CPT,Ct lower extremity w/dye,TC,,20 ,,RBRVS,0.00 ,7.57 ,7.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173701,CPT,Ct lower extremity w/dye,,,20 ,,RBRVS,1.16 ,7.98 ,7.98 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173702,CPT,Ct lwr extremity w/o&w/dye,26,,20 ,,RBRVS,1.22 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173702,CPT,Ct lwr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,10.29 ,10.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173702,CPT,Ct lwr extremity w/o&w/dye,,,20 ,,RBRVS,1.22 ,10.73 ,10.73 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173706,CPT,Ct angio lwr extr w/o&w/dye,26,,20 ,,RBRVS,1.90 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173706,CPT,Ct angio lwr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,11.63 ,11.63 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173706,CPT,Ct angio lwr extr w/o&w/dye,,,20 ,,RBRVS,1.90 ,12.35 ,12.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173718,CPT,Mri lower extremity w/o dye,26,,20 ,,RBRVS,1.35 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173718,CPT,Mri lower extremity w/o dye,TC,,20 ,,RBRVS,0.00 ,13.81 ,13.81 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173718,CPT,Mri lower extremity w/o dye,,,20 ,,RBRVS,1.35 ,14.27 ,14.27 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173719,CPT,Mri lower extremity w/dye,26,,20 ,,RBRVS,1.62 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173719,CPT,Mri lower extremity w/dye,TC,,20 ,,RBRVS,0.00 ,14.84 ,14.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173719,CPT,Mri lower extremity w/dye,,,20 ,,RBRVS,1.62 ,15.41 ,15.41 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173720,CPT,Mri lwr extremity w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173720,CPT,Mri lwr extremity w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,18.25 ,18.25 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173720,CPT,Mri lwr extremity w/o&w/dye,,,20 ,,RBRVS,2.15 ,19.00 ,19.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173721,CPT,Mri jnt of lwr extre w/o dye,26,,20 ,,RBRVS,1.35 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173721,CPT,Mri jnt of lwr extre w/o dye,TC,,20 ,,RBRVS,0.00 ,13.41 ,13.41 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173721,CPT,Mri jnt of lwr extre w/o dye,,,20 ,,RBRVS,1.35 ,13.88 ,13.88 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173722,CPT,Mri joint of lwr extr w/dye,26,,20 ,,RBRVS,1.62 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173722,CPT,Mri joint of lwr extr w/dye,TC,,20 ,,RBRVS,0.00 ,13.92 ,13.92 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173722,CPT,Mri joint of lwr extr w/dye,,,20 ,,RBRVS,1.62 ,14.49 ,14.49 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173723,CPT,Mri joint lwr extr w/o&w/dye,26,,20 ,,RBRVS,2.15 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173723,CPT,Mri joint lwr extr w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,16.82 ,16.82 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173723,CPT,Mri joint lwr extr w/o&w/dye,,,20 ,,RBRVS,2.15 ,17.56 ,17.56 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010173725,CPT,Mr ang lwr ext w or w/o dye,26,,20 ,,RBRVS,1.82 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010173725,CPT,Mr ang lwr ext w or w/o dye,TC,,20 ,,RBRVS,0.00 ,14.49 ,14.49 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010173725,CPT,Mr ang lwr ext w or w/o dye,,,20 ,,RBRVS,1.82 ,15.13 ,15.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174000,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174000,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174000,CPT,X-ray exam of abdomen,,,20 ,,RBRVS,0.18 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174010,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174010,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174010,CPT,X-ray exam of abdomen,,,20 ,,RBRVS,0.23 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174020,CPT,X-ray exam of abdomen,26,,20 ,,RBRVS,0.27 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174020,CPT,X-ray exam of abdomen,TC,,20 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174020,CPT,X-ray exam of abdomen,,,20 ,,RBRVS,0.27 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174022,CPT,"X-ray exam series, abdomen",26,,20 ,,RBRVS,0.32 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174022,CPT,"X-ray exam series, abdomen",TC,,20 ,,RBRVS,0.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174022,CPT,"X-ray exam series, abdomen",,,20 ,,RBRVS,0.32 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174150,CPT,Ct abdomen w/o dye,26,,20 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174150,CPT,Ct abdomen w/o dye,TC,,20 ,,RBRVS,0.00 ,5.65 ,5.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174150,CPT,Ct abdomen w/o dye,,,20 ,,RBRVS,1.19 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174160,CPT,Ct abdomen w/dye,26,,20 ,,RBRVS,1.27 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174160,CPT,Ct abdomen w/dye,TC,,20 ,,RBRVS,0.00 ,8.37 ,8.37 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174160,CPT,Ct abdomen w/dye,,,20 ,,RBRVS,1.27 ,8.82 ,8.82 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174170,CPT,Ct abdomen w/o&w/dye,26,,20 ,,RBRVS,1.40 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174170,CPT,Ct abdomen w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,11.70 ,11.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174170,CPT,Ct abdomen w/o&w/dye,,,20 ,,RBRVS,1.40 ,12.19 ,12.19 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174175,CPT,Ct angio abdom w/o&w/dye,26,,20 ,,RBRVS,1.90 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174175,CPT,Ct angio abdom w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,11.59 ,11.59 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174175,CPT,Ct angio abdom w/o&w/dye,,,20 ,,RBRVS,1.90 ,12.28 ,12.28 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174181,CPT,Mri abdomen w/o dye,26,,20 ,,RBRVS,1.46 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174181,CPT,Mri abdomen w/o dye,TC,,20 ,,RBRVS,0.00 ,11.94 ,11.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174181,CPT,Mri abdomen w/o dye,,,20 ,,RBRVS,1.46 ,12.45 ,12.45 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174182,CPT,Mri abdomen w/dye,26,,20 ,,RBRVS,1.73 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174182,CPT,Mri abdomen w/dye,TC,,20 ,,RBRVS,0.00 ,16.84 ,16.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174182,CPT,Mri abdomen w/dye,,,20 ,,RBRVS,1.73 ,17.45 ,17.45 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174183,CPT,Mri abdomen w/o&w/dye,26,,20 ,,RBRVS,2.26 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174183,CPT,Mri abdomen w/o&w/dye,TC,,20 ,,RBRVS,0.00 ,18.21 ,18.21 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174183,CPT,Mri abdomen w/o&w/dye,,,20 ,,RBRVS,2.26 ,19.00 ,19.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174185,CPT,"Mri angio, abdom w or w/o dy",26,,20 ,,RBRVS,1.80 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174185,CPT,"Mri angio, abdom w or w/o dy",TC,,20 ,,RBRVS,0.00 ,14.45 ,14.45 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174185,CPT,"Mri angio, abdom w or w/o dy",,,20 ,,RBRVS,1.80 ,15.09 ,15.09 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174190,CPT,X-ray exam of peritoneum,26,,20 ,,RBRVS,0.48 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174210,CPT,Contrst x-ray exam of throat,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174210,CPT,Contrst x-ray exam of throat,TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174210,CPT,Contrst x-ray exam of throat,,,20 ,,RBRVS,0.36 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174220,CPT,"Contrast x-ray, esophagus",26,,20 ,,RBRVS,0.46 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174220,CPT,"Contrast x-ray, esophagus",TC,,20 ,,RBRVS,0.00 ,1.85 ,1.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174220,CPT,"Contrast x-ray, esophagus",,,20 ,,RBRVS,0.46 ,2.01 ,2.01 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174230,CPT,"Cine/vid x-ray, throat/esoph",26,,20 ,,RBRVS,0.53 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174230,CPT,"Cine/vid x-ray, throat/esoph",TC,,20 ,,RBRVS,0.00 ,1.76 ,1.76 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174230,CPT,"Cine/vid x-ray, throat/esoph",,,20 ,,RBRVS,0.53 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174235,CPT,Remove esophagus obstruction,26,,20 ,,RBRVS,1.19 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174240,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174240,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174240,CPT,"X-ray exam, upper gi tract",,,20 ,,RBRVS,0.69 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174241,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174241,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,2.33 ,2.33 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174241,CPT,"X-ray exam, upper gi tract",,,20 ,,RBRVS,0.69 ,2.57 ,2.57 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174245,CPT,"X-ray exam, upper gi tract",26,,20 ,,RBRVS,0.91 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174245,CPT,"X-ray exam, upper gi tract",TC,,20 ,,RBRVS,0.00 ,3.64 ,3.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174245,CPT,"X-ray exam, upper gi tract",,,20 ,,RBRVS,0.91 ,3.96 ,3.96 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174246,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.69 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174246,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174246,CPT,Contrst x-ray uppr gi tract,,,20 ,,RBRVS,0.69 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174247,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174247,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,2.98 ,2.98 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174247,CPT,Contrst x-ray uppr gi tract,,,20 ,,RBRVS,0.69 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174249,CPT,Contrst x-ray uppr gi tract,26,,20 ,,RBRVS,0.91 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174249,CPT,Contrst x-ray uppr gi tract,TC,,20 ,,RBRVS,0.00 ,4.03 ,4.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174249,CPT,Contrst x-ray uppr gi tract,,,20 ,,RBRVS,0.91 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174250,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.47 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174250,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,2.32 ,2.32 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174250,CPT,X-ray exam of small bowel,,,20 ,,RBRVS,0.47 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174251,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.69 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174251,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,9.77 ,9.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174251,CPT,X-ray exam of small bowel,,,20 ,,RBRVS,0.69 ,10.02 ,10.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174260,CPT,X-ray exam of small bowel,26,,20 ,,RBRVS,0.50 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174260,CPT,X-ray exam of small bowel,TC,,20 ,,RBRVS,0.00 ,8.13 ,8.13 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174260,CPT,X-ray exam of small bowel,,,20 ,,RBRVS,0.50 ,8.31 ,8.31 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174270,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,0.69 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174270,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,3.34 ,3.34 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174270,CPT,Contrast x-ray exam of colon,,,20 ,,RBRVS,0.69 ,3.59 ,3.59 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174280,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174280,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,4.60 ,4.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174280,CPT,Contrast x-ray exam of colon,,,20 ,,RBRVS,0.99 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174283,CPT,Contrast x-ray exam of colon,26,,20 ,,RBRVS,2.02 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174283,CPT,Contrast x-ray exam of colon,TC,,20 ,,RBRVS,0.00 ,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174283,CPT,Contrast x-ray exam of colon,,,20 ,,RBRVS,2.02 ,3.49 ,3.49 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174290,CPT,"Contrast x-ray, gallbladder",26,,20 ,,RBRVS,0.32 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174290,CPT,"Contrast x-ray, gallbladder",TC,,20 ,,RBRVS,0.00 ,1.47 ,1.47 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174290,CPT,"Contrast x-ray, gallbladder",,,20 ,,RBRVS,0.32 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174291,CPT,"Contrast x-rays, gallbladder",26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174291,CPT,"Contrast x-rays, gallbladder",TC,,20 ,,RBRVS,0.00 ,1.49 ,1.49 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174291,CPT,"Contrast x-rays, gallbladder",,,20 ,,RBRVS,0.20 ,1.56 ,1.56 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174300,CPT,X-ray bile ducts/pancreas,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174300,CPT,X-ray bile ducts/pancreas,TC,,20 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,2008010174301,CPT,X-rays at surgery add-on,26,,20 ,,RBRVS,0.21 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174301,CPT,X-rays at surgery add-on,TC,,20 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,2008010174305,CPT,X-ray bile ducts/pancreas,26,,20 ,,RBRVS,0.42 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174320,CPT,Contrast x-ray of bile ducts,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174320,CPT,Contrast x-ray of bile ducts,TC,,20 ,,RBRVS,0.00 ,1.94 ,1.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174320,CPT,Contrast x-ray of bile ducts,,,20 ,,RBRVS,0.54 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174327,CPT,X-ray bile stone removal,26,,20 ,,RBRVS,0.70 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174327,CPT,X-ray bile stone removal,TC,,20 ,,RBRVS,0.00 ,2.72 ,2.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174327,CPT,X-ray bile stone removal,,,20 ,,RBRVS,0.70 ,2.97 ,2.97 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174328,CPT,X-ray bile duct endoscopy,26,,20 ,,RBRVS,0.70 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174329,CPT,X-ray for pancreas endoscopy,26,,20 ,,RBRVS,0.70 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174330,CPT,X-ray bile/panc endoscopy,26,,20 ,,RBRVS,0.90 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174340,CPT,X-ray guide for GI tube,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174355,CPT,"X-ray guide, intestinal tube",26,,20 ,,RBRVS,0.76 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174360,CPT,"X-ray guide, GI dilation",26,,20 ,,RBRVS,0.54 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174363,CPT,"X-ray, bile duct dilation",26,,20 ,,RBRVS,0.88 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174400,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174400,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,2.43 ,2.43 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174400,CPT,"Contrst x-ray, urinary tract",,,20 ,,RBRVS,0.49 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174410,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174410,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,2.51 ,2.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174410,CPT,"Contrst x-ray, urinary tract",,,20 ,,RBRVS,0.49 ,2.69 ,2.69 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174415,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174415,CPT,"Contrst x-ray, urinary tract",TC,,20 ,,RBRVS,0.00 ,3.10 ,3.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174415,CPT,"Contrst x-ray, urinary tract",,,20 ,,RBRVS,0.49 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174420,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.36 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174425,CPT,"Contrst x-ray, urinary tract",26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174430,CPT,"Contrast x-ray, bladder",26,,20 ,,RBRVS,0.32 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174430,CPT,"Contrast x-ray, bladder",TC,,20 ,,RBRVS,0.00 ,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174430,CPT,"Contrast x-ray, bladder",,,20 ,,RBRVS,0.32 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174440,CPT,"X-ray, male genital tract",26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174440,CPT,"X-ray, male genital tract",TC,,20 ,,RBRVS,0.00 ,1.98 ,1.98 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174440,CPT,"X-ray, male genital tract",,,20 ,,RBRVS,0.38 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174445,CPT,X-ray exam of penis,26,,20 ,,RBRVS,1.14 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174450,CPT,"X-ray, urethra/bladder",26,,20 ,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174455,CPT,"X-ray, urethra/bladder",26,,20 ,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174455,CPT,"X-ray, urethra/bladder",TC,,20 ,,RBRVS,0.00 ,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174455,CPT,"X-ray, urethra/bladder",,,20 ,,RBRVS,0.33 ,2.18 ,2.18 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174470,CPT,X-ray exam of kidney lesion,26,,20 ,,RBRVS,0.54 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174475,CPT,"X-ray control, cath insert",26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174475,CPT,"X-ray control, cath insert",TC,,20 ,,RBRVS,0.00 ,1.92 ,1.92 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174475,CPT,"X-ray control, cath insert",,,20 ,,RBRVS,0.54 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174480,CPT,"X-ray control, cath insert",26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174480,CPT,"X-ray control, cath insert",TC,,20 ,,RBRVS,0.00 ,1.93 ,1.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174480,CPT,"X-ray control, cath insert",,,20 ,,RBRVS,0.54 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174485,CPT,"X-ray guide, GU dilation",26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174485,CPT,"X-ray guide, GU dilation",TC,,20 ,,RBRVS,0.00 ,2.07 ,2.07 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174485,CPT,"X-ray guide, GU dilation",,,20 ,,RBRVS,0.54 ,2.27 ,2.27 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174710,CPT,X-ray measurement of pelvis,26,,20 ,,RBRVS,0.34 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174710,CPT,X-ray measurement of pelvis,TC,,20 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174710,CPT,X-ray measurement of pelvis,,,20 ,,RBRVS,0.34 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174740,CPT,"X-ray, female genital tract",26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174740,CPT,"X-ray, female genital tract",TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010174740,CPT,"X-ray, female genital tract",,,20 ,,RBRVS,0.38 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010174742,CPT,"X-ray, fallopian tube",26,,20 ,,RBRVS,0.61 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010174775,CPT,X-ray exam of perineum,26,,20 ,,RBRVS,0.62 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175557,CPT,Cardiac mri for morph,26,,20 ,,RBRVS,2.35 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175557,CPT,Cardiac mri for morph,TC, ,20 ,,RBRVS,0.00 ,10.33 ,10.33 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175557,CPT,Cardiac mri for morph,,,20 ,,RBRVS,2.35 ,11.27 ,11.27 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175558,CPT,Cardiac mri flow/velocity,26,,20 ,,RBRVS,2.60 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175558,CPT,Cardiac mri flow/velocity,TC, ,20 ,,RBRVS,0.00 ,11.79 ,11.79 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175558,CPT,Cardiac mri flow/velocity,,,20 ,,RBRVS,2.60 ,12.39 ,12.39 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175559,CPT,Cardiac mri w/stress img,26,,20 ,,RBRVS,2.95 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175559,CPT,Cardiac mri w/stress img,TC, ,20 ,,RBRVS,0.00 ,15.99 ,15.99 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175559,CPT,Cardiac mri w/stress img,,,20 ,,RBRVS,2.95 ,17.26 ,17.26 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175560,CPT,Cardiac mri flow/vel/stress,26,,20 ,,RBRVS,3.00 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175560,CPT,Cardiac mri flow/vel/stress,TC, ,20 ,,RBRVS,0.00 ,16.15 ,16.15 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175560,CPT,Cardiac mri flow/vel/stress,,,20 ,,RBRVS,3.00 ,16.84 ,16.84 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175561,CPT,Cardiac mri for morph w/dye,26,,20 ,,RBRVS,2.60 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175561,CPT,Cardiac mri for morph w/dye,TC, ,20 ,,RBRVS,0.00 ,14.94 ,14.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175561,CPT,Cardiac mri for morph w/dye,,,20 ,,RBRVS,2.60 ,15.98 ,15.98 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175562,CPT,Card mri flow/vel w/dye,26,,20 ,,RBRVS,2.86 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175562,CPT,Card mri flow/vel w/dye,TC, ,20 ,,RBRVS,0.00 ,16.11 ,16.11 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175562,CPT,Card mri flow/vel w/dye,,,20 ,,RBRVS,2.86 ,16.77 ,16.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175563,CPT,Card mri w/stress img & dye,26,,20 ,,RBRVS,3.00 ,1.38 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175563,CPT,Card mri w/stress img & dye,TC, ,20 ,,RBRVS,0.00 ,18.84 ,18.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175563,CPT,Card mri w/stress img & dye,,,20 ,,RBRVS,3.00 ,20.22 ,20.22 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175564,CPT,Ht mri w/flo/vel/strs & dye,26,,20 ,,RBRVS,3.35 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175564,CPT,Ht mri w/flo/vel/strs & dye,TC, ,20 ,,RBRVS,0.00 ,18.96 ,18.96 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175564,CPT,Ht mri w/flo/vel/strs & dye,,,20 ,,RBRVS,3.35 ,19.73 ,19.73 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175600,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,0.49 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175600,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,6.18 ,6.18 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175600,CPT,Contrast x-ray exam of aorta,,,20 ,,RBRVS,0.49 ,6.42 ,6.42 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175605,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,1.14 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175605,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,3.06 ,3.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175605,CPT,Contrast x-ray exam of aorta,,,20 ,,RBRVS,1.14 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175625,CPT,Contrast x-ray exam of aorta,26,,20 ,,RBRVS,1.14 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175625,CPT,Contrast x-ray exam of aorta,TC,,20 ,,RBRVS,0.00 ,2.93 ,2.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175625,CPT,Contrast x-ray exam of aorta,,,20 ,,RBRVS,1.14 ,3.35 ,3.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175630,CPT,"X-ray aorta, leg arteries",26,,20 ,,RBRVS,1.79 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175630,CPT,"X-ray aorta, leg arteries",TC,,20 ,,RBRVS,0.00 ,3.05 ,3.05 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175630,CPT,"X-ray aorta, leg arteries",,,20 ,,RBRVS,1.79 ,3.76 ,3.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175635,CPT,Ct angio abdominal arteries,26,,20 ,,RBRVS,2.40 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175635,CPT,Ct angio abdominal arteries,TC,,20 ,,RBRVS,0.00 ,12.02 ,12.02 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175635,CPT,Ct angio abdominal arteries,,,20 ,,RBRVS,2.40 ,12.94 ,12.94 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175650,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.49 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175650,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,2.95 ,2.95 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175650,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.49 ,3.53 ,3.53 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175658,CPT,"Artery x-rays, arm",26,,20 ,,RBRVS,1.31 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175658,CPT,"Artery x-rays, arm",TC,,20 ,,RBRVS,0.00 ,3.29 ,3.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175658,CPT,"Artery x-rays, arm",,,20 ,,RBRVS,1.31 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175660,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.31 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175660,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,3.39 ,3.39 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175660,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.31 ,3.88 ,3.88 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175662,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.66 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175662,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,4.31 ,4.31 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175662,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.66 ,5.01 ,5.01 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175665,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.31 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175665,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,3.62 ,3.62 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175665,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.31 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175671,CPT,"Artery x-rays, head & neck",26,,20 ,,RBRVS,1.66 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175671,CPT,"Artery x-rays, head & neck",TC,,20 ,,RBRVS,0.00 ,4.46 ,4.46 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175671,CPT,"Artery x-rays, head & neck",,,20 ,,RBRVS,1.66 ,5.10 ,5.10 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175676,CPT,"Artery x-rays, neck",26,,20 ,,RBRVS,1.31 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175676,CPT,"Artery x-rays, neck",TC,,20 ,,RBRVS,0.00 ,3.38 ,3.38 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175676,CPT,"Artery x-rays, neck",,,20 ,,RBRVS,1.31 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175680,CPT,"Artery x-rays, neck",26,,20 ,,RBRVS,1.66 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175680,CPT,"Artery x-rays, neck",TC,,20 ,,RBRVS,0.00 ,3.95 ,3.95 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175680,CPT,"Artery x-rays, neck",,,20 ,,RBRVS,1.66 ,4.61 ,4.61 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175685,CPT,"Artery x-rays, spine",26,,20 ,,RBRVS,1.31 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175685,CPT,"Artery x-rays, spine",TC,,20 ,,RBRVS,0.00 ,3.39 ,3.39 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175685,CPT,"Artery x-rays, spine",,,20 ,,RBRVS,1.31 ,3.89 ,3.89 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175705,CPT,"Artery x-rays, spine",26,,20 ,,RBRVS,2.18 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175705,CPT,"Artery x-rays, spine",TC,,20 ,,RBRVS,0.00 ,3.38 ,3.38 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175705,CPT,"Artery x-rays, spine",,,20 ,,RBRVS,2.18 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175710,CPT,"Artery x-rays, arm/leg",26,,20 ,,RBRVS,1.14 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175710,CPT,"Artery x-rays, arm/leg",TC,,20 ,,RBRVS,0.00 ,3.53 ,3.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175710,CPT,"Artery x-rays, arm/leg",,,20 ,,RBRVS,1.14 ,3.95 ,3.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175716,CPT,"Artery x-rays, arms/legs",26,,20 ,,RBRVS,1.31 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175716,CPT,"Artery x-rays, arms/legs",TC,,20 ,,RBRVS,0.00 ,4.42 ,4.42 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175716,CPT,"Artery x-rays, arms/legs",,,20 ,,RBRVS,1.31 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175722,CPT,"Artery x-rays, kidney",26,,20 ,,RBRVS,1.14 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175722,CPT,"Artery x-rays, kidney",TC,,20 ,,RBRVS,0.00 ,3.37 ,3.37 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175722,CPT,"Artery x-rays, kidney",,,20 ,,RBRVS,1.14 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175724,CPT,"Artery x-rays, kidneys",26,,20 ,,RBRVS,1.49 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175724,CPT,"Artery x-rays, kidneys",TC,,20 ,,RBRVS,0.00 ,4.39 ,4.39 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175724,CPT,"Artery x-rays, kidneys",,,20 ,,RBRVS,1.49 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175726,CPT,"Artery x-rays, abdomen",26,,20 ,,RBRVS,1.14 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175726,CPT,"Artery x-rays, abdomen",TC,,20 ,,RBRVS,0.00 ,3.35 ,3.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175726,CPT,"Artery x-rays, abdomen",,,20 ,,RBRVS,1.14 ,3.77 ,3.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175731,CPT,"Artery x-rays, adrenal gland",26,,20 ,,RBRVS,1.14 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175731,CPT,"Artery x-rays, adrenal gland",TC,,20 ,,RBRVS,0.00 ,3.60 ,3.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175731,CPT,"Artery x-rays, adrenal gland",,,20 ,,RBRVS,1.14 ,4.10 ,4.10 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175733,CPT,"Artery x-rays, adrenals",26,,20 ,,RBRVS,1.31 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175733,CPT,"Artery x-rays, adrenals",TC,,20 ,,RBRVS,0.00 ,4.81 ,4.81 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175733,CPT,"Artery x-rays, adrenals",,,20 ,,RBRVS,1.31 ,5.46 ,5.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175736,CPT,"Artery x-rays, pelvis",26,,20 ,,RBRVS,1.14 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175736,CPT,"Artery x-rays, pelvis",TC,,20 ,,RBRVS,0.00 ,3.44 ,3.44 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175736,CPT,"Artery x-rays, pelvis",,,20 ,,RBRVS,1.14 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175741,CPT,"Artery x-rays, lung",26,,20 ,,RBRVS,1.31 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175741,CPT,"Artery x-rays, lung",TC,,20 ,,RBRVS,0.00 ,2.69 ,2.69 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175741,CPT,"Artery x-rays, lung",,,20 ,,RBRVS,1.31 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175743,CPT,"Artery x-rays, lungs",26,,20 ,,RBRVS,1.66 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175743,CPT,"Artery x-rays, lungs",TC,,20 ,,RBRVS,0.00 ,2.94 ,2.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175743,CPT,"Artery x-rays, lungs",,,20 ,,RBRVS,1.66 ,3.56 ,3.56 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175746,CPT,"Artery x-rays, lung",26,,20 ,,RBRVS,1.14 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175746,CPT,"Artery x-rays, lung",TC,,20 ,,RBRVS,0.00 ,3.12 ,3.12 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175746,CPT,"Artery x-rays, lung",,,20 ,,RBRVS,1.14 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175756,CPT,"Artery x-rays, chest",26,,20 ,,RBRVS,1.14 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175756,CPT,"Artery x-rays, chest",TC,,20 ,,RBRVS,0.00 ,3.76 ,3.76 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175756,CPT,"Artery x-rays, chest",,,20 ,,RBRVS,1.14 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175774,CPT,"Artery x-ray, each vessel",26,,20 ,,RBRVS,0.36 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175774,CPT,"Artery x-ray, each vessel",TC,,20 ,,RBRVS,0.00 ,2.37 ,2.37 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175774,CPT,"Artery x-ray, each vessel",,,20 ,,RBRVS,0.36 ,2.51 ,2.51 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175790,CPT,Visualize A-V shunt,26,,20 ,,RBRVS,1.84 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175790,CPT,Visualize A-V shunt,TC,,20 ,,RBRVS,0.00 ,2.52 ,2.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175790,CPT,Visualize A-V shunt,,,20 ,,RBRVS,1.84 ,3.12 ,3.12 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175801,CPT,"Lymph vessel x-ray, arm/leg",26,,20 ,,RBRVS,0.81 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175803,CPT,"Lymph vessel x-ray,arms/legs",26,,20 ,,RBRVS,1.17 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175805,CPT,"Lymph vessel x-ray, trunk",26,,20 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175807,CPT,"Lymph vessel x-ray, trunk",26,,20 ,,RBRVS,1.17 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175809,CPT,"Nonvascular shunt, x-ray",26,,20 ,,RBRVS,0.47 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175809,CPT,"Nonvascular shunt, x-ray",TC,,20 ,,RBRVS,0.00 ,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175809,CPT,"Nonvascular shunt, x-ray",,,20 ,,RBRVS,0.47 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175810,CPT,"Vein x-ray, spleen/liver",26,,20 ,,RBRVS,1.14 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175820,CPT,"Vein x-ray, arm/leg",26,,20 ,,RBRVS,0.70 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175820,CPT,"Vein x-ray, arm/leg",TC,,20 ,,RBRVS,0.00 ,2.72 ,2.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175820,CPT,"Vein x-ray, arm/leg",,,20 ,,RBRVS,0.70 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175822,CPT,"Vein x-ray, arms/legs",26,,20 ,,RBRVS,1.06 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175822,CPT,"Vein x-ray, arms/legs",TC,,20 ,,RBRVS,0.00 ,2.81 ,2.81 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175822,CPT,"Vein x-ray, arms/legs",,,20 ,,RBRVS,1.06 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175825,CPT,"Vein x-ray, trunk",26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175825,CPT,"Vein x-ray, trunk",TC,,20 ,,RBRVS,0.00 ,2.55 ,2.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175825,CPT,"Vein x-ray, trunk",,,20 ,,RBRVS,1.14 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175827,CPT,"Vein x-ray, chest",26,,20 ,,RBRVS,1.14 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175827,CPT,"Vein x-ray, chest",TC,,20 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175827,CPT,"Vein x-ray, chest",,,20 ,,RBRVS,1.14 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175831,CPT,"Vein x-ray, kidney",26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175831,CPT,"Vein x-ray, kidney",TC,,20 ,,RBRVS,0.00 ,2.67 ,2.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175831,CPT,"Vein x-ray, kidney",,,20 ,,RBRVS,1.14 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175833,CPT,"Vein x-ray, kidneys",26,,20 ,,RBRVS,1.49 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175833,CPT,"Vein x-ray, kidneys",TC,,20 ,,RBRVS,0.00 ,3.18 ,3.18 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175833,CPT,"Vein x-ray, kidneys",,,20 ,,RBRVS,1.49 ,3.68 ,3.68 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175840,CPT,"Vein x-ray, adrenal gland",26,,20 ,,RBRVS,1.14 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175840,CPT,"Vein x-ray, adrenal gland",TC,,20 ,,RBRVS,0.00 ,2.60 ,2.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175840,CPT,"Vein x-ray, adrenal gland",,,20 ,,RBRVS,1.14 ,2.96 ,2.96 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175842,CPT,"Vein x-ray, adrenal glands",26,,20 ,,RBRVS,1.49 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175842,CPT,"Vein x-ray, adrenal glands",TC,,20 ,,RBRVS,0.00 ,3.20 ,3.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175842,CPT,"Vein x-ray, adrenal glands",,,20 ,,RBRVS,1.49 ,3.75 ,3.75 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175860,CPT,"Vein x-ray, neck",26,,20 ,,RBRVS,1.14 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175860,CPT,"Vein x-ray, neck",TC,,20 ,,RBRVS,0.00 ,2.91 ,2.91 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175860,CPT,"Vein x-ray, neck",,,20 ,,RBRVS,1.14 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175870,CPT,"Vein x-ray, skull",26,,20 ,,RBRVS,1.14 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175870,CPT,"Vein x-ray, skull",TC,,20 ,,RBRVS,0.00 ,2.89 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175870,CPT,"Vein x-ray, skull",,,20 ,,RBRVS,1.14 ,3.29 ,3.29 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175872,CPT,"Vein x-ray, skull",26,,20 ,,RBRVS,1.14 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175872,CPT,"Vein x-ray, skull",TC,,20 ,,RBRVS,0.00 ,3.60 ,3.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175872,CPT,"Vein x-ray, skull",,,20 ,,RBRVS,1.14 ,4.04 ,4.04 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175880,CPT,"Vein x-ray, eye socket",26,,20 ,,RBRVS,0.70 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175880,CPT,"Vein x-ray, eye socket",TC,,20 ,,RBRVS,0.00 ,2.94 ,2.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175880,CPT,"Vein x-ray, eye socket",,,20 ,,RBRVS,0.70 ,3.21 ,3.21 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175885,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.44 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175885,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175885,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.44 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175887,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.44 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175887,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175887,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.44 ,3.42 ,3.42 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175889,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.14 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175889,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175889,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.14 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175891,CPT,"Vein x-ray, liver",26,,20 ,,RBRVS,1.14 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175891,CPT,"Vein x-ray, liver",TC,,20 ,,RBRVS,0.00 ,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175891,CPT,"Vein x-ray, liver",,,20 ,,RBRVS,1.14 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175893,CPT,Venous sampling by catheter,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175893,CPT,Venous sampling by catheter,TC,,20 ,,RBRVS,0.00 ,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175893,CPT,Venous sampling by catheter,,,20 ,,RBRVS,0.54 ,2.86 ,2.86 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175894,CPT,"X-rays, transcath therapy",26,,20 ,,RBRVS,1.31 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175896,CPT,"X-rays, transcath therapy",26,,20 ,,RBRVS,1.31 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175898,CPT,Follow-up angiography,26,,20 ,,RBRVS,1.65 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175900,CPT,Arterial catheter exchange,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175901,CPT,Remove cva device obstruct,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175901,CPT,Remove cva device obstruct,TC,,20 ,,RBRVS,0.00 ,3.98 ,3.98 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175901,CPT,Remove cva device obstruct,,,20 ,,RBRVS,0.49 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175902,CPT,Remove cva lumen obstruct,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175902,CPT,Remove cva lumen obstruct,TC,,20 ,,RBRVS,0.00 ,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,75902,CPT,Remove cva lumen obstruct,,,20 ,,RBRVS,0.39 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,75940,CPT,"X-ray placement, vein filter",26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,75945,CPT,Intravascular us,26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,75946,CPT,Intravascular us add-on,26,,20 ,,RBRVS,0.40 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,75952,CPT,Endovasc repair abdom aorta,26,,20 ,,RBRVS,4.49 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,75952,CPT,Endovasc repair abdom aorta,TC,,20 ,,TotalUnits,,,,23.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,75953,CPT,Abdom aneurysm endovas rpr,26,,20 ,,RBRVS,1.36 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,75953,CPT,Abdom aneurysm endovas rpr,TC,,20 ,,TotalUnits,,,,21.33 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,75954,CPT,Iliac aneurysm endovas rpr,26,,20 ,,RBRVS,2.25 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,75954,CPT,Iliac aneurysm endovas rpr,TC,,20 ,,TotalUnits,,,,23.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,75956,CPT,"Xray, endovasc thor ao repr",26,,20 ,,RBRVS,7.00 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,75957,CPT,"Xray, endovasc thor ao repr",26,,20 ,,RBRVS,6.00 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,75958,CPT,"Xray, place prox ext thor ao",26,,20 ,,RBRVS,4.00 ,1.05 ,1.05 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,75959,CPT,"Xray, place dist ext thor ao",26,,20 ,,RBRVS,3.50 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,75960,CPT,"Transcatheter intro, stent",26,,20 ,,RBRVS,0.82 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,75960,CPT,"Transcatheter intro, stent",TC, ,20 ,,RBRVS,0.00 ,2.39 ,2.39 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175960,CPT,"Transcatheter intro, stent",,,20 ,,RBRVS,0.82 ,2.71 ,2.71 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175961,CPT,"Retrieval, broken catheter",26,,20 ,,RBRVS,4.24 ,1.49 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175961,CPT,"Retrieval, broken catheter",TC,,20 ,,RBRVS,0.00 ,3.19 ,3.19 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175961,CPT,"Retrieval, broken catheter",,,20 ,,RBRVS,4.24 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175962,CPT,Repair arterial blockage,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175962,CPT,Repair arterial blockage,TC,,20 ,,RBRVS,0.00 ,3.30 ,3.30 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175962,CPT,Repair arterial blockage,,,20 ,,RBRVS,0.54 ,3.50 ,3.50 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175964,CPT,"Repair artery blockage, each",26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175964,CPT,"Repair artery blockage, each",TC,,20 ,,RBRVS,0.00 ,2.22 ,2.22 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175964,CPT,"Repair artery blockage, each",,,20 ,,RBRVS,0.36 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175966,CPT,Repair arterial blockage,26,,20 ,,RBRVS,1.31 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175966,CPT,Repair arterial blockage,TC,,20 ,,RBRVS,0.00 ,3.60 ,3.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175966,CPT,Repair arterial blockage,,,20 ,,RBRVS,1.31 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175968,CPT,"Repair artery blockage, each",26,,20 ,,RBRVS,0.36 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175968,CPT,"Repair artery blockage, each",TC,,20 ,,RBRVS,0.00 ,2.25 ,2.25 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175968,CPT,"Repair artery blockage, each",,,20 ,,RBRVS,0.36 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175970,CPT,Vascular biopsy,26,,20 ,,RBRVS,0.83 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175978,CPT,Repair venous blockage,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175978,CPT,Repair venous blockage,TC,,20 ,,RBRVS,0.00 ,3.09 ,3.09 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175978,CPT,Repair venous blockage,,,20 ,,RBRVS,0.54 ,3.27 ,3.27 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175980,CPT,Contrast xray exam bile duct,26,,20 ,,RBRVS,1.44 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175982,CPT,Contrast xray exam bile duct,26,,20 ,,RBRVS,1.44 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175984,CPT,Xray control catheter change,26,,20 ,,RBRVS,0.72 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175984,CPT,Xray control catheter change,TC,,20 ,,RBRVS,0.00 ,2.05 ,2.05 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175984,CPT,Xray control catheter change,,,20 ,,RBRVS,0.72 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175989,CPT,Abscess drainage under x-ray,26,,20 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175989,CPT,Abscess drainage under x-ray,TC,,20 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010175989,CPT,Abscess drainage under x-ray,,,20 ,,RBRVS,1.19 ,2.24 ,2.24 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010175992,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.54 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175993,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.36 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175994,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,1.31 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175995,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,1.31 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010175996,CPT,"Atherectomy, x-ray exam",26,,20 ,,RBRVS,0.36 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176000,CPT,Fluoroscope examination,26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176000,CPT,Fluoroscope examination,TC,,20 ,,RBRVS,0.00 ,2.71 ,2.71 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176000,CPT,Fluoroscope examination,,,20 ,,RBRVS,0.17 ,2.77 ,2.77 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176001,CPT,"Fluoroscope exam, extensive",26,,20 ,,RBRVS,0.67 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176010,CPT,"X-ray, nose to rectum",26,,20 ,,RBRVS,0.18 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176010,CPT,"X-ray, nose to rectum",TC,,20 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176010,CPT,"X-ray, nose to rectum",,,20 ,,RBRVS,0.18 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176080,CPT,X-ray exam of fistula,26,,20 ,,RBRVS,0.54 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176080,CPT,X-ray exam of fistula,TC,,20 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176080,CPT,X-ray exam of fistula,,,20 ,,RBRVS,0.54 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176098,CPT,"X-ray exam, breast specimen",26,,20 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176098,CPT,"X-ray exam, breast specimen",TC,,20 ,,RBRVS,0.00 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176098,CPT,"X-ray exam, breast specimen",,,20 ,,RBRVS,0.16 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176100,CPT,X-ray exam of body section,26,,20 ,,RBRVS,0.58 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176100,CPT,X-ray exam of body section,TC,,20 ,,RBRVS,0.00 ,3.35 ,3.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,76100,CPT,X-ray exam of body section,,,20 ,,RBRVS,0.58 ,3.55 ,3.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,76101,CPT,Complex body section x-ray,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,76101,CPT,Complex body section x-ray,TC,,20 ,,RBRVS,0.00 ,5.28 ,5.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,76101,CPT,Complex body section x-ray,,,20 ,,RBRVS,0.58 ,5.47 ,5.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,76102,CPT,Complex body section x-rays,26,,20 ,,RBRVS,0.58 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,76102,CPT,Complex body section x-rays,TC,,20 ,,RBRVS,0.00 ,7.47 ,7.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,76102,CPT,Complex body section x-rays,,,20 ,,RBRVS,0.58 ,7.65 ,7.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,76120,CPT,Cine/video x-rays,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,76120,CPT,Cine/video x-rays,TC,,20 ,,RBRVS,0.00 ,1.74 ,1.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,76120,CPT,Cine/video x-rays,,,20 ,,RBRVS,0.38 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,76125,CPT,Cine/video x-rays add-on,26,,20 ,,RBRVS,0.27 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,76140,CPT,X-ray consultation,,,20 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,76150,CPT,"X-ray exam, dry process",,TC,20 ,,RBRVS,0.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,76350,CPT,Special x-ray contrast study,26,,20 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,76350,CPT,Special x-ray contrast study,TC,,20 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,76376,CPT,3d render w/o postprocess,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176376,CPT,3d render w/o postprocess,TC,,20 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176376,CPT,3d render w/o postprocess,,,20 ,,RBRVS,0.20 ,1.41 ,1.41 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176377,CPT,3d rendering w/postprocess,26,,20 ,,RBRVS,0.79 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176377,CPT,3d rendering w/postprocess,TC,,20 ,,RBRVS,0.00 ,1.12 ,1.12 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176377,CPT,3d rendering w/postprocess,,,20 ,,RBRVS,0.79 ,1.40 ,1.40 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176380,CPT,CAT scan follow-up study,26,,20 ,,RBRVS,0.98 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176380,CPT,CAT scan follow-up study,TC,,20 ,,RBRVS,0.00 ,4.38 ,4.38 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176380,CPT,CAT scan follow-up study,,,20 ,,RBRVS,0.98 ,4.72 ,4.72 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176390,CPT,Mr spectroscopy,26,,20 ,,RBRVS,1.40 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176390,CPT,Mr spectroscopy,TC,,20 ,,RBRVS,0.00 ,9.11 ,9.11 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176390,CPT,Mr spectroscopy,,,20 ,,RBRVS,1.40 ,9.43 ,9.43 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176496,CPT,Fluoroscopic procedure,,,20 ,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,0,1,1,2008010176497,CPT,Ct procedure,,,20 ,,TotalUnits,,,,7.50 ,,$0.00,$0.00,1,1,1,0,1,1,2008010176498,CPT,Mri procedure,,,20 ,,TotalUnits,,,,13.37 ,,$0.00,$0.00,1,1,1,0,1,1,2008010176499,CPT,Radiographic procedure,,,20 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,2008010176506,CPT,Echo exam of head,26,,20 ,,RBRVS,0.63 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176506,CPT,Echo exam of head,TC,,20 ,,RBRVS,0.00 ,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176506,CPT,Echo exam of head,,,20 ,,RBRVS,0.63 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176510,CPT,"Ophth us, b & quant a",26,,20 ,,RBRVS,1.55 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176510,CPT,"Ophth us, b & quant a",TC,,20 ,,RBRVS,0.00 ,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176510,CPT,"Ophth us, b & quant a",,,20 ,,RBRVS,1.55 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176511,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.94 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176511,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176511,CPT,Echo exam of eye,,,20 ,,RBRVS,0.94 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176512,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.94 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176512,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176512,CPT,Echo exam of eye,,,20 ,,RBRVS,0.94 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176513,CPT,"Echo exam of eye, water bath",26,,20 ,,RBRVS,0.66 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176513,CPT,"Echo exam of eye, water bath",TC,,20 ,,RBRVS,0.00 ,1.29 ,1.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176513,CPT,"Echo exam of eye, water bath",,,20 ,,RBRVS,0.66 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176514,CPT,"Echo exam of eye, thickness",26,,20 ,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176514,CPT,"Echo exam of eye, thickness",TC,,20 ,,RBRVS,0.00 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176514,CPT,"Echo exam of eye, thickness",,,20 ,,RBRVS,0.17 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176516,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176516,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,0.97 ,0.97 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176516,CPT,Echo exam of eye,,,20 ,,RBRVS,0.54 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176519,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176519,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,1.10 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176519,CPT,Echo exam of eye,,,20 ,,RBRVS,0.54 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176529,CPT,Echo exam of eye,26,,20 ,,RBRVS,0.57 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176529,CPT,Echo exam of eye,TC,,20 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176529,CPT,Echo exam of eye,,,20 ,,RBRVS,0.57 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176536,CPT,Us exam of head and neck,26,,20 ,,RBRVS,0.56 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176536,CPT,Us exam of head and neck,TC,,20 ,,RBRVS,0.00 ,2.50 ,2.50 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176536,CPT,Us exam of head and neck,,,20 ,,RBRVS,0.56 ,2.68 ,2.68 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176604,CPT,"Us exam, chest, b-scan",26,,20 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176604,CPT,"Us exam, chest, b-scan",TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176604,CPT,"Us exam, chest, b-scan",,,20 ,,RBRVS,0.55 ,1.83 ,1.83 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176645,CPT,"Us exam, breast(s)",26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176645,CPT,"Us exam, breast(s)",TC,,20 ,,RBRVS,0.00 ,1.93 ,1.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176645,CPT,"Us exam, breast(s)",,,20 ,,RBRVS,0.54 ,2.12 ,2.12 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176700,CPT,"Us exam, abdom, complete",26,,20 ,,RBRVS,0.81 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176700,CPT,"Us exam, abdom, complete",TC,,20 ,,RBRVS,0.00 ,2.75 ,2.75 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176700,CPT,"Us exam, abdom, complete",,,20 ,,RBRVS,0.81 ,3.02 ,3.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176705,CPT,Echo exam of abdomen,26,,20 ,,RBRVS,0.59 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176705,CPT,Echo exam of abdomen,TC,,20 ,,RBRVS,0.00 ,2.15 ,2.15 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176705,CPT,Echo exam of abdomen,,,20 ,,RBRVS,0.59 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176770,CPT,"Us exam abdo back wall, comp",26,,20 ,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176770,CPT,"Us exam abdo back wall, comp",TC,,20 ,,RBRVS,0.00 ,2.67 ,2.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176770,CPT,"Us exam abdo back wall, comp",,,20 ,,RBRVS,0.74 ,2.93 ,2.93 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176775,CPT,"Us eam abdo back wall, lim",26,,20 ,,RBRVS,0.58 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176775,CPT,"Us eam abdo back wall, lim",TC,,20 ,,RBRVS,0.00 ,2.21 ,2.21 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176775,CPT,"Us eam abdo back wall, lim",,,20 ,,RBRVS,0.58 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176776,CPT,Us exam k transpl w/doppler,26,,20 ,,RBRVS,0.76 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176776,CPT,Us exam k transpl w/doppler,TC,,20 ,,RBRVS,0.00 ,3.16 ,3.16 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176776,CPT,Us exam k transpl w/doppler,,,20 ,,RBRVS,0.76 ,3.43 ,3.43 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176800,CPT,"Us exam, spinal canal",26,,20 ,,RBRVS,1.13 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176800,CPT,"Us exam, spinal canal",TC,,20 ,,RBRVS,0.00 ,2.03 ,2.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176800,CPT,"Us exam, spinal canal",,,20 ,,RBRVS,1.13 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176801,CPT,"Ob us < 14 wks, single fetus",26,,20 ,,RBRVS,0.99 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176801,CPT,"Ob us < 14 wks, single fetus",TC,,20 ,,RBRVS,0.00 ,2.16 ,2.16 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176801,CPT,"Ob us < 14 wks, single fetus",,,20 ,,RBRVS,0.99 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176802,CPT,"Ob us < 14 wks, addl fetus",26,,20 ,,RBRVS,0.83 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176802,CPT,"Ob us < 14 wks, addl fetus",TC,,20 ,,RBRVS,0.00 ,0.71 ,0.71 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176802,CPT,"Ob us < 14 wks, addl fetus",,,20 ,,RBRVS,0.83 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176805,CPT,"Ob us >/= 14 wks, sngl fetus",26,,20 ,,RBRVS,0.99 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176805,CPT,"Ob us >/= 14 wks, sngl fetus",TC,,20 ,,RBRVS,0.00 ,2.74 ,2.74 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176805,CPT,"Ob us >/= 14 wks, sngl fetus",,,20 ,,RBRVS,0.99 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176810,CPT,"Ob us >/= 14 wks, addl fetus",26,,20 ,,RBRVS,0.98 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176810,CPT,"Ob us >/= 14 wks, addl fetus",TC,,20 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176810,CPT,"Ob us >/= 14 wks, addl fetus",,,20 ,,RBRVS,0.98 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176811,CPT,"Ob us, detailed, sngl fetus",26,,20 ,,RBRVS,1.90 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176811,CPT,"Ob us, detailed, sngl fetus",TC,,20 ,,RBRVS,0.00 ,2.51 ,2.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176811,CPT,"Ob us, detailed, sngl fetus",,,20 ,,RBRVS,1.90 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176812,CPT,"Ob us, detailed, addl fetus",26,,20 ,,RBRVS,1.78 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176812,CPT,"Ob us, detailed, addl fetus",TC,,20 ,,RBRVS,0.00 ,3.48 ,3.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176812,CPT,"Ob us, detailed, addl fetus",,,20 ,,RBRVS,1.78 ,3.98 ,3.98 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176813,CPT,"Ob us nuchal meas, 1 gest",26,,20 ,,RBRVS,1.18 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176813,CPT,"Ob us nuchal meas, 1 gest",TC,,20 ,,RBRVS,0.00 ,1.81 ,1.81 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176813,CPT,"Ob us nuchal meas, 1 gest",,,20 ,,RBRVS,1.18 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176814,CPT,"Ob us nuchal meas, add-on",26,,20 ,,RBRVS,0.99 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176814,CPT,"Ob us nuchal meas, add-on",TC,,20 ,,RBRVS,0.00 ,0.86 ,0.86 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176814,CPT,"Ob us nuchal meas, add-on",,,20 ,,RBRVS,0.99 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176815,CPT,"Ob us, limited, fetus(s)",26,,20 ,,RBRVS,0.65 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176815,CPT,"Ob us, limited, fetus(s)",TC,,20 ,,RBRVS,0.00 ,1.60 ,1.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176815,CPT,"Ob us, limited, fetus(s)",,,20 ,,RBRVS,0.65 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176816,CPT,"Ob us, follow-up, per fetus",26,,20 ,,RBRVS,0.85 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176816,CPT,"Ob us, follow-up, per fetus",TC,,20 ,,RBRVS,0.00 ,2.13 ,2.13 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176816,CPT,"Ob us, follow-up, per fetus",,,20 ,,RBRVS,0.85 ,2.38 ,2.38 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176817,CPT,"Transvaginal us, obstetric",26,,20 ,,RBRVS,0.75 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176817,CPT,"Transvaginal us, obstetric",TC,,20 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176817,CPT,"Transvaginal us, obstetric",,,20 ,,RBRVS,0.75 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176818,CPT,Fetal biophys profile w/nst,26,,20 ,,RBRVS,1.05 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176818,CPT,Fetal biophys profile w/nst,TC,,20 ,,RBRVS,0.00 ,1.92 ,1.92 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176818,CPT,Fetal biophys profile w/nst,,,20 ,,RBRVS,1.05 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176819,CPT,Fetal biophys profil w/o nst,26,,20 ,,RBRVS,0.77 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176819,CPT,Fetal biophys profil w/o nst,TC,,20 ,,RBRVS,0.00 ,1.40 ,1.40 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176819,CPT,Fetal biophys profil w/o nst,,,20 ,,RBRVS,0.77 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176820,CPT,Umbilical artery echo,26,,20 ,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176820,CPT,Umbilical artery echo,TC,,20 ,,RBRVS,0.00 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176820,CPT,Umbilical artery echo,,,20 ,,RBRVS,0.50 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176821,CPT,Middle cerebral artery echo,26,,20 ,,RBRVS,0.70 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176821,CPT,Middle cerebral artery echo,TC,,20 ,,RBRVS,0.00 ,1.67 ,1.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176821,CPT,Middle cerebral artery echo,,,20 ,,RBRVS,0.70 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176825,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,1.67 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176825,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,3.87 ,3.87 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176825,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,1.67 ,4.37 ,4.37 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176826,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.83 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176826,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,2.52 ,2.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176826,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,0.83 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176827,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.58 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176827,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176827,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,0.58 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176828,CPT,Echo exam of fetal heart,26,,20 ,,RBRVS,0.56 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176828,CPT,Echo exam of fetal heart,TC,,20 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176828,CPT,Echo exam of fetal heart,,,20 ,,RBRVS,0.56 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176830,CPT,"Transvaginal us, non-ob",26,,20 ,,RBRVS,0.69 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176830,CPT,"Transvaginal us, non-ob",TC,,20 ,,RBRVS,0.00 ,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176830,CPT,"Transvaginal us, non-ob",,,20 ,,RBRVS,0.69 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176831,CPT,"Echo exam, uterus",26,,20 ,,RBRVS,0.72 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176831,CPT,"Echo exam, uterus",TC,,20 ,,RBRVS,0.00 ,2.53 ,2.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176831,CPT,"Echo exam, uterus",,,20 ,,RBRVS,0.72 ,2.74 ,2.74 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176856,CPT,"Us exam, pelvic, complete",26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176856,CPT,"Us exam, pelvic, complete",TC,,20 ,,RBRVS,0.00 ,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176856,CPT,"Us exam, pelvic, complete",,,20 ,,RBRVS,0.69 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176857,CPT,"Us exam, pelvic, limited",26,,20 ,,RBRVS,0.38 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176857,CPT,"Us exam, pelvic, limited",TC,,20 ,,RBRVS,0.00 ,2.35 ,2.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176857,CPT,"Us exam, pelvic, limited",,,20 ,,RBRVS,0.38 ,2.49 ,2.49 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176870,CPT,"Us exam, scrotum",26,,20 ,,RBRVS,0.64 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176870,CPT,"Us exam, scrotum",TC,,20 ,,RBRVS,0.00 ,2.60 ,2.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176870,CPT,"Us exam, scrotum",,,20 ,,RBRVS,0.64 ,2.83 ,2.83 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176872,CPT,"Echo exam, transrectal",26,,20 ,,RBRVS,0.69 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176872,CPT,"Echo exam, transrectal",TC,,20 ,,RBRVS,0.00 ,3.14 ,3.14 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176872,CPT,"Echo exam, transrectal",,,20 ,,RBRVS,0.69 ,3.41 ,3.41 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176873,CPT,"Echograp trans r, pros study",26,,20 ,,RBRVS,1.55 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176873,CPT,"Echograp trans r, pros study",TC,,20 ,,RBRVS,0.00 ,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176873,CPT,"Echograp trans r, pros study",,,20 ,,RBRVS,1.55 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176880,CPT,"Us exam, extremity",26,,20 ,,RBRVS,0.59 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176880,CPT,"Us exam, extremity",TC,,20 ,,RBRVS,0.00 ,3.01 ,3.01 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176880,CPT,"Us exam, extremity",,,20 ,,RBRVS,0.59 ,3.19 ,3.19 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176885,CPT,"Us exam infant hips, dynamic",26,,20 ,,RBRVS,0.74 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176885,CPT,"Us exam infant hips, dynamic",TC,,20 ,,RBRVS,0.00 ,3.01 ,3.01 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176885,CPT,"Us exam infant hips, dynamic",,,20 ,,RBRVS,0.74 ,3.26 ,3.26 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176886,CPT,"Us exam infant hips, static",26,,20 ,,RBRVS,0.62 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176886,CPT,"Us exam infant hips, static",TC,,20 ,,RBRVS,0.00 ,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176886,CPT,"Us exam infant hips, static",,,20 ,,RBRVS,0.62 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176930,CPT,"Echo guide, cardiocentesis",26,,20 ,,RBRVS,0.67 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176930,CPT,"Echo guide, cardiocentesis",TC,,20 ,,RBRVS,0.00 ,1.74 ,1.74 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176930,CPT,"Echo guide, cardiocentesis",,,20 ,,RBRVS,0.67 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176932,CPT,Echo guide for heart biopsy,26,,20 ,,RBRVS,0.67 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176936,CPT,Echo guide for artery repair,26,,20 ,,RBRVS,1.99 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176936,CPT,Echo guide for artery repair,TC,,20 ,,RBRVS,0.00 ,5.42 ,5.42 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176936,CPT,Echo guide for artery repair,,,20 ,,RBRVS,1.99 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176937,CPT,"Us guide, vascular access",26,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176937,CPT,"Us guide, vascular access",TC, ,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176937,CPT,"Us guide, vascular access",,,20 ,,RBRVS,0.30 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176940,CPT,"Us guide, tissue ablation",26,,20 ,,RBRVS,2.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176941,CPT,Echo guide for transfusion,26,,20 ,,RBRVS,1.34 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176942,CPT,Echo guide for biopsy,26,,20 ,,RBRVS,0.67 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176942,CPT,Echo guide for biopsy,TC,,20 ,,RBRVS,0.00 ,4.56 ,4.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176942,CPT,Echo guide for biopsy,,,20 ,,RBRVS,0.67 ,4.80 ,4.80 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176945,CPT,"Echo guide, villus sampling",26,,20 ,,RBRVS,0.67 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176946,CPT,Echo guide for amniocentesis,26,,20 ,,RBRVS,0.38 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176946,CPT,Echo guide for amniocentesis,TC,,20 ,,RBRVS,0.00 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176946,CPT,Echo guide for amniocentesis,,,20 ,,RBRVS,0.38 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176948,CPT,"Echo guide, ova aspiration",26,,20 ,,RBRVS,0.38 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176948,CPT,"Echo guide, ova aspiration",TC,,20 ,,RBRVS,0.00 ,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176948,CPT,"Echo guide, ova aspiration",,,20 ,,RBRVS,0.38 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176950,CPT,Echo guidance radiotherapy,26,,20 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176950,CPT,Echo guidance radiotherapy,TC,,20 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176950,CPT,Echo guidance radiotherapy,,,20 ,,RBRVS,0.58 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176965,CPT,Echo guidance radiotherapy,26,,20 ,,RBRVS,1.34 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176965,CPT,Echo guidance radiotherapy,TC,,20 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176965,CPT,Echo guidance radiotherapy,,,20 ,,RBRVS,1.34 ,1.20 ,1.20 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176970,CPT,Ultrasound exam follow-up,26,,20 ,,RBRVS,0.40 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176970,CPT,Ultrasound exam follow-up,TC,,20 ,,RBRVS,0.00 ,1.88 ,1.88 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176970,CPT,Ultrasound exam follow-up,,,20 ,,RBRVS,0.40 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176975,CPT,GI endoscopic ultrasound,26,,20 ,,RBRVS,0.81 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176977,CPT,Us bone density measure,26,,20 ,,RBRVS,0.05 ,0.01 ,0.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010176977,CPT,Us bone density measure,TC,,20 ,,RBRVS,0.00 ,0.09 ,0.09 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010176977,CPT,Us bone density measure,,,20 ,,RBRVS,0.05 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010176998,CPT,"Us guide, intraop",26,,20,,RBRVS,1.20 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010176999,CPT,Echo examination procedure,,,20 ,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,1,1,0,1,1,2008010177001,CPT,Fluoroguide for vein device,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177001,CPT,Fluoroguide for vein device,TC,,20 ,,RBRVS,0.00 ,2.60 ,2.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177001,CPT,Fluoroguide for vein device,,,20 ,,RBRVS,0.38 ,2.73 ,2.73 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177002,CPT,Needle localization by xray,26,,20 ,,RBRVS,0.54 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177002,CPT,Needle localization by xray,TC,,20 ,,RBRVS,0.00 ,1.07 ,1.07 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177002,CPT,Needle localization by xray,,,20 ,,RBRVS,0.54 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177003,CPT,Fluoroguide for spine inject,26,,20 ,,RBRVS,0.60 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177003,CPT,Fluoroguide for spine inject,TC,,20 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177003,CPT,Fluoroguide for spine inject,,,20 ,,RBRVS,0.60 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177011,CPT,Ct scan for localization,26,,20 ,,RBRVS,1.21 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177011,CPT,Ct scan for localization,TC,,20 ,,RBRVS,0.00 ,19.88 ,19.88 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177011,CPT,Ct scan for localization,,,20 ,,RBRVS,1.21 ,20.28 ,20.28 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177012,CPT,Ct scan for needle biopsy,26,,20 ,,RBRVS,1.16 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177012,CPT,Ct scan for needle biopsy,TC,,20 ,,RBRVS,0.00 ,1.92 ,1.92 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177012,CPT,Ct scan for needle biopsy,,,20 ,,RBRVS,1.16 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177013,CPT,Ct guide for tissue ablation,26,,20 ,,RBRVS,3.99 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177014,CPT,Ct scan for therapy guide,26,,20 ,,RBRVS,0.85 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177014,CPT,Ct scan for therapy guide,TC,,20 ,,RBRVS,0.00 ,4.20 ,4.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177014,CPT,Ct scan for therapy guide,,,20 ,,RBRVS,0.85 ,4.48 ,4.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177021,CPT,Mr guidance for needle place,26,,20 ,,RBRVS,1.50 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177021,CPT,Mr guidance for needle place,TC,,20 ,,RBRVS,0.00 ,9.19 ,9.19 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177021,CPT,Mr guidance for needle place,,,20 ,,RBRVS,1.50 ,9.71 ,9.71 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177022,CPT,Mri for tissue ablation,26,,20 ,,RBRVS,4.24 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177031,CPT,Stereotact guide for brst bx,26,,20 ,,RBRVS,1.59 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177031,CPT,Stereotact guide for brst bx,TC,,20 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177031,CPT,Stereotact guide for brst bx,,,20 ,,RBRVS,1.59 ,1.87 ,1.87 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177032,CPT,"Guidance for needle, breast",26,,20 ,,RBRVS,0.56 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177032,CPT,"Guidance for needle, breast",TC,,20 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177032,CPT,"Guidance for needle, breast",,,20 ,,RBRVS,0.56 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177051,CPT,Computer dx mammogram add-on,26,,20 ,,RBRVS,0.06 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177051,CPT,Computer dx mammogram add-on,TC,,20 ,,RBRVS,0.00 ,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177051,CPT,Computer dx mammogram add-on,,,20 ,,RBRVS,0.06 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177052,CPT,Comp screen mammogram add-on,26,,20 ,,RBRVS,0.06 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177052,CPT,Comp screen mammogram add-on,TC,,20 ,,RBRVS,0.00 ,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177052,CPT,Comp screen mammogram add-on,,,20 ,,RBRVS,0.06 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177053,CPT,X-ray of mammary duct,26,,20 ,,RBRVS,0.36 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177053,CPT,X-ray of mammary duct,TC,,20 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177053,CPT,X-ray of mammary duct,,,20 ,,RBRVS,0.36 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177054,CPT,X-ray of mammary ducts,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177054,CPT,X-ray of mammary ducts,TC,,20 ,,RBRVS,0.00 ,1.52 ,1.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177054,CPT,X-ray of mammary ducts,,,20 ,,RBRVS,0.45 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177055,CPT,"Mammogram, one breast",26,,20 ,,RBRVS,0.70 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177055,CPT,"Mammogram, one breast",TC,,20 ,,RBRVS,0.00 ,1.40 ,1.40 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177055,CPT,"Mammogram, one breast",,,20 ,,RBRVS,0.70 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177056,CPT,"Mammogram, both breasts",26,,20 ,,RBRVS,0.87 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177056,CPT,"Mammogram, both breasts",TC,,20 ,,RBRVS,0.00 ,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177056,CPT,"Mammogram, both breasts",,,20 ,,RBRVS,0.87 ,2.15 ,2.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177057,CPT,"Mammogram, screening",26,,20 ,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177057,CPT,"Mammogram, screening",TC,,20 ,,RBRVS,0.00 ,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177057,CPT,"Mammogram, screening",,,20 ,,RBRVS,0.70 ,1.44 ,1.44 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177058,CPT,"Mri, one breast",26,,20 ,,RBRVS,1.63 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177058,CPT,"Mri, one breast",TC,,20 ,,RBRVS,0.00 ,21.09 ,21.09 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177058,CPT,"Mri, one breast",,,20 ,,RBRVS,1.63 ,21.65 ,21.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177059,CPT,"Mri, both breasts",26,,20 ,,RBRVS,1.63 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177059,CPT,"Mri, both breasts",TC,,20 ,,RBRVS,0.00 ,21.01 ,21.01 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177059,CPT,"Mri, both breasts",,,20 ,,RBRVS,1.63 ,21.58 ,21.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177071,CPT,X-ray stress view,,,20 ,,RBRVS,0.41 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177072,CPT,X-rays for bone age,26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177072,CPT,X-rays for bone age,TC,,20 ,,RBRVS,0.00 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177072,CPT,X-rays for bone age,,,20 ,,RBRVS,0.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177073,CPT,"X-rays, bone length studies",26,,20 ,,RBRVS,0.27 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177073,CPT,"X-rays, bone length studies",TC,,20 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177073,CPT,"X-rays, bone length studies",,,20 ,,RBRVS,0.27 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177074,CPT,"X-rays, bone survey, limited",26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177074,CPT,"X-rays, bone survey, limited",TC,,20 ,,RBRVS,0.00 ,1.29 ,1.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177074,CPT,"X-rays, bone survey, limited",,,20 ,,RBRVS,0.45 ,1.45 ,1.45 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177075,CPT,"X-rays, bone survey complete",26,,20 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177075,CPT,"X-rays, bone survey complete",TC,,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177075,CPT,"X-rays, bone survey complete",,,20 ,,RBRVS,0.54 ,2.29 ,2.29 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177076,CPT,"X-rays, bone survey, infant",26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177076,CPT,"X-rays, bone survey, infant",TC,,20 ,,RBRVS,0.00 ,1.90 ,1.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177076,CPT,"X-rays, bone survey, infant",,,20 ,,RBRVS,0.70 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177077,CPT,"Joint survey, single view",26,,20 ,,RBRVS,0.31 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177077,CPT,"Joint survey, single view",TC,,20 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177077,CPT,"Joint survey, single view",,,20 ,,RBRVS,0.31 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177078,CPT,"Ct bone density, axial",26,,20 ,,RBRVS,0.25 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177078,CPT,"Ct bone density, axial",TC,,20 ,,RBRVS,0.00 ,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177078,CPT,"Ct bone density, axial",,,20 ,,RBRVS,0.25 ,4.75 ,4.75 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177079,CPT,"Ct bone density, peripheral",26,,20 ,,RBRVS,0.22 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177079,CPT,"Ct bone density, peripheral",TC,,20 ,,RBRVS,0.00 ,0.75 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177079,CPT,"Ct bone density, peripheral",,,20 ,,RBRVS,0.22 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177080,CPT,"Dxa bone density, axial",26,,20 ,,RBRVS,0.20 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177080,CPT,"Dxa bone density, axial",TC,,20 ,,RBRVS,0.00 ,1.04 ,1.04 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177080,CPT,"Dxa bone density, axial",,,20 ,,RBRVS,0.20 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177081,CPT,Dxa bone density/peripheral,26,,20 ,,RBRVS,0.22 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177081,CPT,Dxa bone density/peripheral,TC,,20 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177081,CPT,Dxa bone density/peripheral,,,20 ,,RBRVS,0.22 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177082,CPT,"Dxa bone density, vert fx",26,,20 ,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177082,CPT,"Dxa bone density, vert fx",TC,,20 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177082,CPT,"Dxa bone density, vert fx",,,20 ,,RBRVS,0.17 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177083,CPT,Radiographic absorptiometry,26,,20 ,,RBRVS,0.20 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177083,CPT,Radiographic absorptiometry,TC,,20 ,,RBRVS,0.00 ,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177083,CPT,Radiographic absorptiometry,,,20 ,,RBRVS,0.20 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177084,CPT,"Magnetic image, bone marrow",26,,20 ,,RBRVS,1.60 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177084,CPT,"Magnetic image, bone marrow",TC,,20 ,,RBRVS,0.00 ,13.05 ,13.05 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177084,CPT,"Magnetic image, bone marrow",,,20 ,,RBRVS,1.60 ,13.57 ,13.57 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177261,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,1.39 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177262,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,2.11 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177263,CPT,Radiation therapy planning,,PC,20 ,,RBRVS,3.14 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177280,CPT,Set radiation therapy field,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177280,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,4.20 ,4.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177280,CPT,Set radiation therapy field,,,20 ,,RBRVS,0.70 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177285,CPT,Set radiation therapy field,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177285,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,7.68 ,7.68 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177285,CPT,Set radiation therapy field,,,20 ,,RBRVS,1.05 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177290,CPT,Set radiation therapy field,26,,20 ,,RBRVS,1.56 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177290,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,12.92 ,12.92 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177290,CPT,Set radiation therapy field,,,20 ,,RBRVS,1.56 ,13.43 ,13.43 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177295,CPT,Set radiation therapy field,26,,20 ,,RBRVS,4.56 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177295,CPT,Set radiation therapy field,TC,,20 ,,RBRVS,0.00 ,5.96 ,5.96 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177295,CPT,Set radiation therapy field,,,20 ,,RBRVS,4.56 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177299,CPT,Radiation therapy planning,,,20 ,,TotalUnits,,,,8.58 ,,$0.00,$0.00,1,1,1,0,1,1,2008010177300,CPT,Radiation therapy dose plan,26,,20 ,,RBRVS,0.62 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177300,CPT,Radiation therapy dose plan,TC,,20 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177300,CPT,Radiation therapy dose plan,,,20 ,,RBRVS,0.62 ,1.18 ,1.18 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177301,CPT,"Radiotherapy dose plan, imrt",26,,20 ,,RBRVS,7.99 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177301,CPT,"Radiotherapy dose plan, imrt",TC,,20 ,,RBRVS,0.00 ,54.86 ,54.86 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177301,CPT,"Radiotherapy dose plan, imrt",,,20 ,,RBRVS,7.99 ,57.48 ,57.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177305,CPT,Teletx isodose plan simple,26,,20 ,,RBRVS,0.70 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177305,CPT,Teletx isodose plan simple,TC,,20 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177305,CPT,Teletx isodose plan simple,,,20 ,,RBRVS,0.70 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177310,CPT,Teletx isodose plan intermed,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177310,CPT,Teletx isodose plan intermed,TC,,20 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177310,CPT,Teletx isodose plan intermed,,,20 ,,RBRVS,1.05 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177315,CPT,Teletx isodose plan complex,26,,20 ,,RBRVS,1.56 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177315,CPT,Teletx isodose plan complex,TC,,20 ,,RBRVS,0.00 ,1.57 ,1.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177315,CPT,Teletx isodose plan complex,,,20 ,,RBRVS,1.56 ,2.08 ,2.08 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177321,CPT,Special teletx port plan,26,,20 ,,RBRVS,0.95 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177321,CPT,Special teletx port plan,TC,,20 ,,RBRVS,0.00 ,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177321,CPT,Special teletx port plan,,,20 ,,RBRVS,0.95 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177326,CPT,Brachytx isodose calc simp,26,,20 ,,RBRVS,0.93 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177326,CPT,Brachytx isodose calc simp,TC,,20 ,,RBRVS,0.00 ,2.68 ,2.68 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177326,CPT,Brachytx isodose calc simp,,,20 ,,RBRVS,0.93 ,2.98 ,2.98 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177327,CPT,Brachytx isodose calc interm,26,,20 ,,RBRVS,1.39 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177327,CPT,Brachytx isodose calc interm,TC,,20 ,,RBRVS,0.00 ,3.64 ,3.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177327,CPT,Brachytx isodose calc interm,,,20 ,,RBRVS,1.39 ,4.09 ,4.09 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177328,CPT,Brachytx isodose plan compl,26,,20 ,,RBRVS,2.09 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177328,CPT,Brachytx isodose plan compl,TC,,20 ,,RBRVS,0.00 ,4.57 ,4.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177328,CPT,Brachytx isodose plan compl,,,20 ,,RBRVS,2.09 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177331,CPT,Special radiation dosimetry,26,,20 ,,RBRVS,0.87 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177331,CPT,Special radiation dosimetry,TC,,20 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177331,CPT,Special radiation dosimetry,,,20 ,,RBRVS,0.87 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177332,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,0.54 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177332,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,1.37 ,1.37 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177332,CPT,Radiation treatment aid(s),,,20 ,,RBRVS,0.54 ,1.55 ,1.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177333,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,0.84 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177333,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177333,CPT,Radiation treatment aid(s),,,20 ,,RBRVS,0.84 ,0.52 ,0.52 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177334,CPT,Radiation treatment aid(s),26,,20 ,,RBRVS,1.24 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177334,CPT,Radiation treatment aid(s),TC,,20 ,,RBRVS,0.00 ,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177334,CPT,Radiation treatment aid(s),,,20 ,,RBRVS,1.24 ,2.72 ,2.72 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177336,CPT,Radiation physics consult,,TC,20 ,,RBRVS,0.00 ,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177370,CPT,Radiation physics consult,,TC,20 ,,RBRVS,0.00 ,3.05 ,3.05 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177371,CPT,"Srs, multisource",,,20 ,,RBRVS,0.00 ,30.11 ,30.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177372,CPT,"Srs, linear based",,,20 ,,RBRVS,0.00 ,22.83 ,22.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177373,CPT,Sbrt delivery,,,20 ,,RBRVS,0.00 ,42.67 ,42.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177399,CPT,External radiation dosimetry,,,20 ,,TotalUnits,,,,2.99 ,,$0.00,$0.00,1,1,1,0,1,1,2008010177401,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177402,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,4.35 ,4.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177403,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,3.76 ,3.76 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177404,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,4.21 ,4.21 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177406,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,4.24 ,4.24 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177407,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,5.78 ,5.78 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177408,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,5.19 ,5.19 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177409,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,5.77 ,5.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177411,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,5.74 ,5.74 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177412,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,6.79 ,6.79 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177413,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,6.86 ,6.86 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177414,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,7.72 ,7.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177416,CPT,Radiation treatment delivery,,TC,20 ,,RBRVS,0.00 ,7.73 ,7.73 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177417,CPT,Radiology port film(s),,TC,20 ,,RBRVS,0.00 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177418,CPT,"Radiation tx delivery, imrt",,TC,20 ,,RBRVS,0.00 ,13.17 ,13.17 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177421,CPT,Stereoscopic x-ray guidance,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177421,CPT,Stereoscopic x-ray guidance,TC, ,20 ,,RBRVS,0.00 ,2.26 ,2.26 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177421,CPT,Stereoscopic x-ray guidance,,,20 ,,RBRVS,0.39 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177422,CPT,"Neutron beam tx, simple",,,20 ,,RBRVS,0.00 ,5.36 ,5.36 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177423,CPT,"Neutron beam tx, complex",,,20 ,,RBRVS,0.00 ,7.47 ,7.47 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177427,CPT,"Radiation tx management, x5",,PC,20 ,,RBRVS,3.70 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177431,CPT,Radiation therapy management,,PC,20 ,,RBRVS,1.81 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177432,CPT,Stereotactic radiation trmt,,PC,20 ,,RBRVS,7.92 ,2.59 ,2.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177435,CPT,Sbrt management,,,14 ,,RBRVS,13.00 ,4.76 ,4.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177470,CPT,Special radiation treatment,26,,20 ,,RBRVS,2.09 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177470,CPT,Special radiation treatment,TC,,20 ,,RBRVS,0.00 ,1.24 ,1.24 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177470,CPT,Special radiation treatment,,,20 ,,RBRVS,2.09 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177499,CPT,Radiation therapy management,,,20 ,,TotalUnits,,,,4.36 ,,$0.00,$0.00,1,1,1,0,1,1,2008010177520,CPT,"Proton trmt, simple w/o comp",,TC,20 ,,TotalUnits,,,,22.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010177522,CPT,"Proton trmt, simple w/comp",,TC,20 ,,TotalUnits,,,,23.39 ,,$0.00,$0.00,1,1,1,0,1,1,2008010177600,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177600,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,9.74 ,9.74 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177600,CPT,Hyperthermia treatment,,,20 ,,RBRVS,1.56 ,10.24 ,10.24 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177605,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,2.09 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177605,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,17.93 ,17.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177605,CPT,Hyperthermia treatment,,,20 ,,RBRVS,2.09 ,18.48 ,18.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177610,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177610,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,17.58 ,17.58 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177610,CPT,Hyperthermia treatment,,,20 ,,RBRVS,1.56 ,17.94 ,17.94 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177615,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,2.09 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177615,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,25.29 ,25.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177615,CPT,Hyperthermia treatment,,,20 ,,RBRVS,2.09 ,25.93 ,25.93 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177620,CPT,Hyperthermia treatment,26,,20 ,,RBRVS,1.56 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177620,CPT,Hyperthermia treatment,TC,,20 ,,RBRVS,0.00 ,10.10 ,10.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177620,CPT,Hyperthermia treatment,,,20 ,,RBRVS,1.56 ,10.50 ,10.50 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177750,CPT,Infuse radioactive materials,26,,20 ,,RBRVS,4.94 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177750,CPT,Infuse radioactive materials,TC,,20 ,,RBRVS,0.00 ,2.93 ,2.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177750,CPT,Infuse radioactive materials,,,20 ,,RBRVS,4.94 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177761,CPT,Apply intrcav radiat simple,26,,20 ,,RBRVS,3.82 ,1.24 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177761,CPT,Apply intrcav radiat simple,TC,,20 ,,RBRVS,0.00 ,5.10 ,5.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177761,CPT,Apply intrcav radiat simple,,,20 ,,RBRVS,3.82 ,6.34 ,6.34 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177762,CPT,Apply intrcav radiat interm,26,,20 ,,RBRVS,5.73 ,1.88 ,1.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177762,CPT,Apply intrcav radiat interm,TC,,20 ,,RBRVS,0.00 ,5.75 ,5.75 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177762,CPT,Apply intrcav radiat interm,,,20 ,,RBRVS,5.73 ,7.63 ,7.63 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177763,CPT,Apply intrcav radiat compl,26,,20 ,,RBRVS,8.60 ,2.82 ,2.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177763,CPT,Apply intrcav radiat compl,TC,,20 ,,RBRVS,0.00 ,7.53 ,7.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177763,CPT,Apply intrcav radiat compl,,,20 ,,RBRVS,8.60 ,10.35 ,10.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177776,CPT,Apply interstit radiat simpl,26,,20 ,,RBRVS,4.67 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177776,CPT,Apply interstit radiat simpl,TC,,20 ,,RBRVS,0.00 ,5.79 ,5.79 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177776,CPT,Apply interstit radiat simpl,,,20 ,,RBRVS,4.67 ,7.46 ,7.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177777,CPT,Apply interstit radiat inter,26,,20 ,,RBRVS,7.49 ,2.45 ,2.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177777,CPT,Apply interstit radiat inter,TC,,20 ,,RBRVS,0.00 ,5.47 ,5.47 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177777,CPT,Apply interstit radiat inter,,,20 ,,RBRVS,7.49 ,7.92 ,7.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177778,CPT,Apply interstit radiat compl,26,,20 ,,RBRVS,11.23 ,3.70 ,3.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177778,CPT,Apply interstit radiat compl,TC,,20 ,,RBRVS,0.00 ,7.63 ,7.63 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177778,CPT,Apply interstit radiat compl,,,20 ,,RBRVS,11.23 ,11.33 ,11.33 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177781,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,1.21 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177781,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,4.01 ,4.01 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177781,CPT,High intensity brachytherapy,,,20 ,,RBRVS,1.21 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177782,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,2.04 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177782,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,11.75 ,11.75 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177782,CPT,High intensity brachytherapy,,,20 ,,RBRVS,2.04 ,12.42 ,12.42 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177783,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,3.27 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177783,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,23.14 ,23.14 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177783,CPT,High intensity brachytherapy,,,20 ,,RBRVS,3.27 ,24.21 ,24.21 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177784,CPT,High intensity brachytherapy,26,,20 ,,RBRVS,5.15 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177784,CPT,High intensity brachytherapy,TC,,20 ,,RBRVS,0.00 ,44.03 ,44.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177784,CPT,High intensity brachytherapy,,,20 ,,RBRVS,5.15 ,45.71 ,45.71 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177789,CPT,Apply surface radiation,26,,20 ,,RBRVS,1.14 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177789,CPT,Apply surface radiation,TC,,20 ,,RBRVS,0.00 ,1.64 ,1.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177789,CPT,Apply surface radiation,,,20 ,,RBRVS,1.14 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177790,CPT,Radiation handling,26,,20 ,,RBRVS,1.05 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010177790,CPT,Radiation handling,TC,,20 ,,RBRVS,0.00 ,1.12 ,1.12 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010177790,CPT,Radiation handling,,,20 ,,RBRVS,1.05 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010177799,CPT,Radium/radioisotope therapy,,,20 ,,TotalUnits,,,,19.86 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178000,CPT,"Thyroid, single uptake",26,,20 ,,RBRVS,0.19 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178000,CPT,"Thyroid, single uptake",TC,,20 ,,RBRVS,0.00 ,1.79 ,1.79 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178000,CPT,"Thyroid, single uptake",,,20 ,,RBRVS,0.19 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178001,CPT,"Thyroid, multiple uptakes",26,,20 ,,RBRVS,0.26 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178001,CPT,"Thyroid, multiple uptakes",TC,,20 ,,RBRVS,0.00 ,2.22 ,2.22 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178001,CPT,"Thyroid, multiple uptakes",,,20 ,,RBRVS,0.26 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178003,CPT,Thyroid suppress/stimul,26,,20 ,,RBRVS,0.33 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178003,CPT,Thyroid suppress/stimul,TC,,20 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178003,CPT,Thyroid suppress/stimul,,,20 ,,RBRVS,0.33 ,1.94 ,1.94 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178006,CPT,Thyroid imaging with uptake,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178006,CPT,Thyroid imaging with uptake,TC,,20 ,,RBRVS,0.00 ,6.06 ,6.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178006,CPT,Thyroid imaging with uptake,,,20 ,,RBRVS,0.49 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178007,CPT,"Thyroid image, mult uptakes",26,,20 ,,RBRVS,0.50 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178007,CPT,"Thyroid image, mult uptakes",TC,,20 ,,RBRVS,0.00 ,2.89 ,2.89 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178007,CPT,"Thyroid image, mult uptakes",,,20 ,,RBRVS,0.50 ,3.06 ,3.06 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178010,CPT,Thyroid imaging,26,,20 ,,RBRVS,0.39 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178010,CPT,Thyroid imaging,TC,,20 ,,RBRVS,0.00 ,4.06 ,4.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178010,CPT,Thyroid imaging,,,20 ,,RBRVS,0.39 ,4.19 ,4.19 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178011,CPT,Thyroid imaging with flow,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178011,CPT,Thyroid imaging with flow,TC,,20 ,,RBRVS,0.00 ,4.39 ,4.39 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178011,CPT,Thyroid imaging with flow,,,20 ,,RBRVS,0.45 ,4.55 ,4.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178015,CPT,Thyroid met imaging,26,,20 ,,RBRVS,0.67 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178015,CPT,Thyroid met imaging,TC,,20 ,,RBRVS,0.00 ,5.12 ,5.12 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178015,CPT,Thyroid met imaging,,,20 ,,RBRVS,0.67 ,5.34 ,5.34 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178016,CPT,Thyroid met imaging/studies,26,,20 ,,RBRVS,0.82 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178016,CPT,Thyroid met imaging/studies,TC,,20 ,,RBRVS,0.00 ,8.26 ,8.26 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178016,CPT,Thyroid met imaging/studies,,,20 ,,RBRVS,0.82 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178018,CPT,"Thyroid met imaging, body",26,,20 ,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178018,CPT,"Thyroid met imaging, body",TC,,20 ,,RBRVS,0.00 ,7.64 ,7.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178018,CPT,"Thyroid met imaging, body",,,20 ,,RBRVS,0.86 ,7.94 ,7.94 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178020,CPT,Thyroid met uptake,26,,20 ,,RBRVS,0.60 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178020,CPT,Thyroid met uptake,TC,,20 ,,RBRVS,0.00 ,1.60 ,1.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178020,CPT,Thyroid met uptake,,,20 ,,RBRVS,0.60 ,1.80 ,1.80 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178070,CPT,Parathyroid nuclear imaging,26,,20 ,,RBRVS,0.82 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178070,CPT,Parathyroid nuclear imaging,TC,,20 ,,RBRVS,0.00 ,3.20 ,3.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178070,CPT,Parathyroid nuclear imaging,,,20 ,,RBRVS,0.82 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178075,CPT,Adrenal nuclear imaging,26,,20 ,,RBRVS,0.74 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178075,CPT,Adrenal nuclear imaging,TC,,20 ,,RBRVS,0.00 ,11.38 ,11.38 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178075,CPT,Adrenal nuclear imaging,,,20 ,,RBRVS,0.74 ,11.63 ,11.63 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178099,CPT,Endocrine nuclear procedure,,,20 ,,TotalUnits,,,,3.05 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178102,CPT,"Bone marrow imaging, ltd",26,,20 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178102,CPT,"Bone marrow imaging, ltd",TC,,20 ,,RBRVS,0.00 ,3.99 ,3.99 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178102,CPT,"Bone marrow imaging, ltd",,,20 ,,RBRVS,0.55 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178103,CPT,"Bone marrow imaging, mult",26,,20 ,,RBRVS,0.75 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178103,CPT,"Bone marrow imaging, mult",TC,,20 ,,RBRVS,0.00 ,5.18 ,5.18 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178103,CPT,"Bone marrow imaging, mult",,,20 ,,RBRVS,0.75 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178104,CPT,"Bone marrow imaging, body",26,,20 ,,RBRVS,0.80 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178104,CPT,"Bone marrow imaging, body",TC,,20 ,,RBRVS,0.00 ,5.94 ,5.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178104,CPT,"Bone marrow imaging, body",,,20 ,,RBRVS,0.80 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178110,CPT,"Plasma volume, single",26,,20 ,,RBRVS,0.19 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178110,CPT,"Plasma volume, single",TC,,20 ,,RBRVS,0.00 ,2.06 ,2.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178110,CPT,"Plasma volume, single",,,20 ,,RBRVS,0.19 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178111,CPT,"Plasma volume, multiple",26,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178111,CPT,"Plasma volume, multiple",TC,,20 ,,RBRVS,0.00 ,2.07 ,2.07 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178111,CPT,"Plasma volume, multiple",,,20 ,,RBRVS,0.22 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178120,CPT,"Red cell mass, single",26,,20 ,,RBRVS,0.23 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178120,CPT,"Red cell mass, single",TC,,20 ,,RBRVS,0.00 ,2.02 ,2.02 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178120,CPT,"Red cell mass, single",,,20 ,,RBRVS,0.23 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178121,CPT,"Red cell mass, multiple",26,,20 ,,RBRVS,0.32 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178121,CPT,"Red cell mass, multiple",TC,,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178121,CPT,"Red cell mass, multiple",,,20 ,,RBRVS,0.32 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178122,CPT,Blood volume,26,,20 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178122,CPT,Blood volume,TC,,20 ,,RBRVS,0.00 ,2.10 ,2.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178122,CPT,Blood volume,,,20 ,,RBRVS,0.45 ,2.25 ,2.25 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178130,CPT,Red cell survival study,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178130,CPT,Red cell survival study,TC,,20 ,,RBRVS,0.00 ,3.29 ,3.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178130,CPT,Red cell survival study,,,20 ,,RBRVS,0.61 ,3.50 ,3.50 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178135,CPT,Red cell survival kinetics,26,,20 ,,RBRVS,0.64 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178135,CPT,Red cell survival kinetics,TC,,20 ,,RBRVS,0.00 ,8.46 ,8.46 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178135,CPT,Red cell survival kinetics,,,20 ,,RBRVS,0.64 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178140,CPT,Red cell sequestration,26,,20 ,,RBRVS,0.61 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178140,CPT,Red cell sequestration,TC,,20 ,,RBRVS,0.00 ,2.73 ,2.73 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178140,CPT,Red cell sequestration,,,20 ,,RBRVS,0.61 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178185,CPT,Spleen imaging,26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178185,CPT,Spleen imaging,TC,,20 ,,RBRVS,0.00 ,5.06 ,5.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178185,CPT,Spleen imaging,,,20 ,,RBRVS,0.40 ,5.20 ,5.20 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178190,CPT,"Platelet survival, kinetics",26,,20 ,,RBRVS,1.09 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178190,CPT,"Platelet survival, kinetics",TC,,20 ,,RBRVS,0.00 ,8.13 ,8.13 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178190,CPT,"Platelet survival, kinetics",,,20 ,,RBRVS,1.09 ,8.38 ,8.38 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178191,CPT,Platelet survival,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178191,CPT,Platelet survival,TC,,20 ,,RBRVS,0.00 ,3.31 ,3.31 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178191,CPT,Platelet survival,,,20 ,,RBRVS,0.61 ,3.52 ,3.52 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178195,CPT,Lymph system imaging,26,,20 ,,RBRVS,1.20 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178195,CPT,Lymph system imaging,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178195,CPT,Lymph system imaging,,,20 ,,RBRVS,1.20 ,8.69 ,8.69 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178199,CPT,Blood/lymph nuclear exam,,,20 ,,TotalUnits,,,,5.70 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178201,CPT,Liver imaging,26,,20 ,,RBRVS,0.44 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178201,CPT,Liver imaging,TC,,20 ,,RBRVS,0.00 ,4.47 ,4.47 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178201,CPT,Liver imaging,,,20 ,,RBRVS,0.44 ,4.60 ,4.60 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178202,CPT,Liver imaging with flow,26,,20 ,,RBRVS,0.51 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178202,CPT,Liver imaging with flow,TC,,20 ,,RBRVS,0.00 ,5.18 ,5.18 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178202,CPT,Liver imaging with flow,,,20 ,,RBRVS,0.51 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178205,CPT,Liver imaging (3D),26,,20 ,,RBRVS,0.71 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178205,CPT,Liver imaging (3D),TC,,20 ,,RBRVS,0.00 ,5.02 ,5.02 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178205,CPT,Liver imaging (3D),,,20 ,,RBRVS,0.71 ,5.27 ,5.27 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178206,CPT,Liver image (3d) with flow,26,,20 ,,RBRVS,0.96 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178206,CPT,Liver image (3d) with flow,TC,,20 ,,RBRVS,0.00 ,8.27 ,8.27 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178206,CPT,Liver image (3d) with flow,,,20 ,,RBRVS,0.96 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178215,CPT,Liver and spleen imaging,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178215,CPT,Liver and spleen imaging,TC,,20 ,,RBRVS,0.00 ,4.65 ,4.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178215,CPT,Liver and spleen imaging,,,20 ,,RBRVS,0.49 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178216,CPT,Liver & spleen image/flow,26,,20 ,,RBRVS,0.57 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178216,CPT,Liver & spleen image/flow,TC,,20 ,,RBRVS,0.00 ,2.66 ,2.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178216,CPT,Liver & spleen image/flow,,,20 ,,RBRVS,0.57 ,2.86 ,2.86 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178220,CPT,Liver function study,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178220,CPT,Liver function study,TC,,20 ,,RBRVS,0.00 ,2.91 ,2.91 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178220,CPT,Liver function study,,,20 ,,RBRVS,0.49 ,3.08 ,3.08 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178223,CPT,Hepatobiliary imaging,26,,20 ,,RBRVS,0.84 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178223,CPT,Hepatobiliary imaging,TC,,20 ,,RBRVS,0.00 ,8.22 ,8.22 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178223,CPT,Hepatobiliary imaging,,,20 ,,RBRVS,0.84 ,8.51 ,8.51 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178230,CPT,Salivary gland imaging,26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178230,CPT,Salivary gland imaging,TC,,20 ,,RBRVS,0.00 ,4.01 ,4.01 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178230,CPT,Salivary gland imaging,,,20 ,,RBRVS,0.45 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178231,CPT,Serial salivary imaging,26,,20 ,,RBRVS,0.52 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178231,CPT,Serial salivary imaging,TC,,20 ,,RBRVS,0.00 ,2.64 ,2.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178231,CPT,Serial salivary imaging,,,20 ,,RBRVS,0.52 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178232,CPT,Salivary gland function exam,26,,20 ,,RBRVS,0.47 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178232,CPT,Salivary gland function exam,TC,,20 ,,RBRVS,0.00 ,2.63 ,2.63 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178232,CPT,Salivary gland function exam,,,20 ,,RBRVS,0.47 ,2.78 ,2.78 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178258,CPT,Esophageal motility study,26,,20 ,,RBRVS,0.74 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178258,CPT,Esophageal motility study,TC,,20 ,,RBRVS,0.00 ,5.25 ,5.25 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178258,CPT,Esophageal motility study,,,20 ,,RBRVS,0.74 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178261,CPT,Gastric mucosa imaging,26,,20 ,,RBRVS,0.69 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178261,CPT,Gastric mucosa imaging,TC,,20 ,,RBRVS,0.00 ,5.77 ,5.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178261,CPT,Gastric mucosa imaging,,,20 ,,RBRVS,0.69 ,6.01 ,6.01 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178262,CPT,Gastroesophageal reflux exam,26,,20 ,,RBRVS,0.68 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178262,CPT,Gastroesophageal reflux exam,TC,,20 ,,RBRVS,0.00 ,5.74 ,5.74 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178262,CPT,Gastroesophageal reflux exam,,,20 ,,RBRVS,0.68 ,5.96 ,5.96 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178264,CPT,Gastric emptying study,26,,20 ,,RBRVS,0.78 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178264,CPT,Gastric emptying study,TC,,20 ,,RBRVS,0.00 ,6.89 ,6.89 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178264,CPT,Gastric emptying study,,,20 ,,RBRVS,0.78 ,7.16 ,7.16 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178267,CPT,Breath tst attain/anal c-14,,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178268,CPT,"Breath test analysis, c-14",,,17 ,,TotalUnits,,,,3.14 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178270,CPT,Vit B-12 absorption exam,26,,20 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178270,CPT,Vit B-12 absorption exam,TC,,20 ,,RBRVS,0.00 ,1.88 ,1.88 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178270,CPT,Vit B-12 absorption exam,,,20 ,,RBRVS,0.20 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178271,CPT,"Vit b-12 absrp exam, int fac",26,,20 ,,RBRVS,0.20 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178271,CPT,"Vit b-12 absrp exam, int fac",TC,,20 ,,RBRVS,0.00 ,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178271,CPT,"Vit b-12 absrp exam, int fac",,,20 ,,RBRVS,0.20 ,1.89 ,1.89 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178272,CPT,"Vit B-12 absorp, combined",26,,20 ,,RBRVS,0.27 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178272,CPT,"Vit B-12 absorp, combined",TC,,20 ,,RBRVS,0.00 ,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178272,CPT,"Vit B-12 absorp, combined",,,20 ,,RBRVS,0.27 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178278,CPT,Acute GI blood loss imaging,26,,20 ,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178278,CPT,Acute GI blood loss imaging,TC,,20 ,,RBRVS,0.00 ,8.26 ,8.26 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178278,CPT,Acute GI blood loss imaging,,,20 ,,RBRVS,0.99 ,8.61 ,8.61 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178282,CPT,GI protein loss exam,26,,20 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178282,CPT,GI protein loss exam,TC,,20 ,,TotalUnits,,,,2.89 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178290,CPT,Meckel’s divert exam,26,,20 ,,RBRVS,0.68 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178290,CPT,Meckel’s divert exam,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178290,CPT,Meckel’s divert exam,,,20 ,,RBRVS,0.68 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178291,CPT,Leveen/shunt patency exam,26,,20 ,,RBRVS,0.88 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178291,CPT,Leveen/shunt patency exam,TC,,20 ,,RBRVS,0.00 ,5.85 ,5.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178291,CPT,Leveen/shunt patency exam,,,20 ,,RBRVS,0.88 ,6.15 ,6.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178299,CPT,GI nuclear procedure,,,20 ,,TotalUnits,,,,4.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178300,CPT,"Bone imaging, limited area",26,,20 ,,RBRVS,0.62 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178300,CPT,"Bone imaging, limited area",TC,,20 ,,RBRVS,0.00 ,4.01 ,4.01 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178300,CPT,"Bone imaging, limited area",,,20 ,,RBRVS,0.62 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178305,CPT,"Bone imaging, multiple areas",26,,20 ,,RBRVS,0.83 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178305,CPT,"Bone imaging, multiple areas",TC,,20 ,,RBRVS,0.00 ,5.20 ,5.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178305,CPT,"Bone imaging, multiple areas",,,20 ,,RBRVS,0.83 ,5.48 ,5.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178306,CPT,"Bone imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178306,CPT,"Bone imaging, whole body",TC,,20 ,,RBRVS,0.00 ,5.77 ,5.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178306,CPT,"Bone imaging, whole body",,,20 ,,RBRVS,0.86 ,6.07 ,6.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178315,CPT,"Bone imaging, 3 phase",26,,20 ,,RBRVS,1.02 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178315,CPT,"Bone imaging, 3 phase",TC,,20 ,,RBRVS,0.00 ,8.24 ,8.24 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178315,CPT,"Bone imaging, 3 phase",,,20 ,,RBRVS,1.02 ,8.60 ,8.60 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178320,CPT,Bone imaging (3D),26,,20 ,,RBRVS,1.04 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178320,CPT,Bone imaging (3D),TC,,20 ,,RBRVS,0.00 ,4.99 ,4.99 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178320,CPT,Bone imaging (3D),,,20 ,,RBRVS,1.04 ,5.35 ,5.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178350,CPT,"Bone mineral, single photon",26,,20 ,,RBRVS,0.22 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178350,CPT,"Bone mineral, single photon",TC, ,20 ,,RBRVS,0.00 ,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178350,CPT,"Bone mineral, single photon",,,20 ,,RBRVS,0.22 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178351,CPT,"Bone mineral, dual photon",26,,20 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,78351,CPT,"Bone mineral, dual photon",TC,,20 ,,TotalUnits,,,,3.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,78351,CPT,"Bone mineral, dual photon",,,20 ,,RBRVS,0.30 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,78399,CPT,Musculoskeletal nuclear exam,,,20 ,,TotalUnits,,,,5.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,78414,CPT,Non-imaging heart function,26,,20 ,,RBRVS,0.45 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,78414,CPT,Non-imaging heart function,TC,,20 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,78428,CPT,Cardiac shunt imaging,26,,20 ,,RBRVS,0.78 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,78428,CPT,Cardiac shunt imaging,TC,,20 ,,RBRVS,0.00 ,4.90 ,4.90 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,78428,CPT,Cardiac shunt imaging,,,20 ,,RBRVS,0.78 ,5.26 ,5.26 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,78445,CPT,Vascular flow imaging,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,78445,CPT,Vascular flow imaging,TC,,20 ,,RBRVS,0.00 ,4.32 ,4.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,78445,CPT,Vascular flow imaging,,,20 ,,RBRVS,0.49 ,4.49 ,4.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,78456,CPT,Acute venous thrombus image,26,,20 ,,RBRVS,1.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,78456,CPT,Acute venous thrombus image,TC,,20 ,,RBRVS,0.00 ,8.44 ,8.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,78456,CPT,Acute venous thrombus image,,,20 ,,RBRVS,1.00 ,8.81 ,8.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,78457,CPT,Venous thrombosis imaging,26,,20 ,,RBRVS,0.77 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,78457,CPT,Venous thrombosis imaging,TC,,20 ,,RBRVS,0.00 ,4.41 ,4.41 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178457,CPT,Venous thrombosis imaging,,,20 ,,RBRVS,0.77 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178458,CPT,"Ven thrombosis images, bilat",26,,20 ,,RBRVS,0.90 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178458,CPT,"Ven thrombosis images, bilat",TC,,20 ,,RBRVS,0.00 ,4.22 ,4.22 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178458,CPT,"Ven thrombosis images, bilat",,,20 ,,RBRVS,0.90 ,4.51 ,4.51 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178459,CPT,Heart muscle imaging (PET),26,,20 ,,RBRVS,1.50 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178459,CPT,Heart muscle imaging (PET),TC,,20 ,,TotalUnits,,,,27.72 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178460,CPT,"Heart muscle blood, single",26,,20 ,,RBRVS,0.86 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178460,CPT,"Heart muscle blood, single",TC,,20 ,,RBRVS,0.00 ,4.34 ,4.34 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178460,CPT,"Heart muscle blood, single",,,20 ,,RBRVS,0.86 ,4.66 ,4.66 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178461,CPT,"Heart muscle blood, multiple",26,,20 ,,RBRVS,1.23 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178461,CPT,"Heart muscle blood, multiple",TC,,20 ,,RBRVS,0.00 ,3.61 ,3.61 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178461,CPT,"Heart muscle blood, multiple",,,20 ,,RBRVS,1.23 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178464,CPT,"Heart image (3d), single",26,,20 ,,RBRVS,1.09 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178464,CPT,"Heart image (3d), single",TC,,20 ,,RBRVS,0.00 ,5.36 ,5.36 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178464,CPT,"Heart image (3d), single",,,20 ,,RBRVS,1.09 ,5.86 ,5.86 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178465,CPT,"Heart image (3d), multiple",26,,20 ,,RBRVS,1.46 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178465,CPT,"Heart image (3d), multiple",TC,,20 ,,RBRVS,0.00 ,10.75 ,10.75 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178465,CPT,"Heart image (3d), multiple",,,20 ,,RBRVS,1.46 ,11.46 ,11.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178466,CPT,Heart infarct image,26,,20 ,,RBRVS,0.69 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178466,CPT,Heart infarct image,TC,,20 ,,RBRVS,0.00 ,4.29 ,4.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178466,CPT,Heart infarct image,,,20 ,,RBRVS,0.69 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178468,CPT,Heart infarct image (ef),26,,20 ,,RBRVS,0.80 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178468,CPT,Heart infarct image (ef),TC,,20 ,,RBRVS,0.00 ,5.48 ,5.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178468,CPT,Heart infarct image (ef),,,20 ,,RBRVS,0.80 ,5.88 ,5.88 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178469,CPT,Heart infarct image (3D),26,,20 ,,RBRVS,0.92 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178469,CPT,Heart infarct image (3D),TC,,20 ,,RBRVS,0.00 ,5.85 ,5.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178469,CPT,Heart infarct image (3D),,,20 ,,RBRVS,0.92 ,6.29 ,6.29 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178472,CPT,"Gated heart, planar, single",26,,20 ,,RBRVS,0.98 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178472,CPT,"Gated heart, planar, single",TC,,20 ,,RBRVS,0.00 ,5.62 ,5.62 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178472,CPT,"Gated heart, planar, single",,,20 ,,RBRVS,0.98 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178473,CPT,"Gated heart, multiple",26,,20 ,,RBRVS,1.47 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178473,CPT,"Gated heart, multiple",TC,,20 ,,RBRVS,0.00 ,7.12 ,7.12 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178473,CPT,"Gated heart, multiple",,,20 ,,RBRVS,1.47 ,7.76 ,7.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178478,CPT,Heart wall motion add-on,26,,20 ,,RBRVS,0.50 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178478,CPT,Heart wall motion add-on,TC,,20 ,,RBRVS,0.00 ,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178478,CPT,Heart wall motion add-on,,,20 ,,RBRVS,0.50 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178480,CPT,Heart function add-on,26,,20 ,,RBRVS,0.30 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178480,CPT,Heart function add-on,TC,,20 ,,RBRVS,0.00 ,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178480,CPT,Heart function add-on,,,20 ,,RBRVS,0.30 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178481,CPT,"Heart first pass, single",26,,20 ,,RBRVS,0.98 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178481,CPT,"Heart first pass, single",TC,,20 ,,RBRVS,0.00 ,4.58 ,4.58 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178481,CPT,"Heart first pass, single",,,20 ,,RBRVS,0.98 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178483,CPT,"Heart first pass, multiple",26,,20 ,,RBRVS,1.47 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178483,CPT,"Heart first pass, multiple",TC,,20 ,,RBRVS,0.00 ,6.09 ,6.09 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178483,CPT,"Heart first pass, multiple",,,20 ,,RBRVS,1.47 ,6.87 ,6.87 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178491,CPT,"Heart image (pet), single",26,,20 ,,RBRVS,1.50 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178491,CPT,"Heart image (pet), single",TC,,20 ,,TotalUnits,,,,16.06 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178492,CPT,"Heart image (pet), multiple",26,,20 ,,RBRVS,1.87 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178492,CPT,"Heart image (pet), multiple",TC,,20 ,,TotalUnits,,,,20.04 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178494,CPT,"Heart image, spect",26,,20 ,,RBRVS,1.19 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178494,CPT,"Heart image, spect",TC,,20 ,,RBRVS,0.00 ,5.69 ,5.69 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178494,CPT,"Heart image, spect",,,20 ,,RBRVS,1.19 ,6.23 ,6.23 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178496,CPT,Heart first pass add-on,26,,20 ,,RBRVS,0.50 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178496,CPT,Heart first pass add-on,TC,,20 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178496,CPT,Heart first pass add-on,,,20 ,,RBRVS,0.50 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178499,CPT,Cardiovascular nuclear exam,,,20 ,,TotalUnits,,,,2.41 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178580,CPT,Lung perfusion imaging,26,,20 ,,RBRVS,0.74 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178580,CPT,Lung perfusion imaging,TC,,20 ,,RBRVS,0.00 ,4.87 ,4.87 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178580,CPT,Lung perfusion imaging,,,20 ,,RBRVS,0.74 ,5.13 ,5.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178584,CPT,Lung V/Q image single breath,26,,20 ,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178584,CPT,Lung V/Q image single breath,TC,,20 ,,RBRVS,0.00 ,2.67 ,2.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178584,CPT,Lung V/Q image single breath,,,20 ,,RBRVS,0.99 ,3.02 ,3.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178585,CPT,Lung V/Q imaging,26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178585,CPT,Lung V/Q imaging,TC,,20 ,,RBRVS,0.00 ,8.25 ,8.25 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178585,CPT,Lung V/Q imaging,,,20 ,,RBRVS,1.09 ,8.63 ,8.63 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178586,CPT,"Aerosol lung image, single",26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178586,CPT,"Aerosol lung image, single",TC,,20 ,,RBRVS,0.00 ,4.03 ,4.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178586,CPT,"Aerosol lung image, single",,,20 ,,RBRVS,0.40 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178587,CPT,"Aerosol lung image, multiple",26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178587,CPT,"Aerosol lung image, multiple",TC,,20 ,,RBRVS,0.00 ,5.27 ,5.27 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178587,CPT,"Aerosol lung image, multiple",,,20 ,,RBRVS,0.49 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178588,CPT,Perfusion lung image,26,,20 ,,RBRVS,1.09 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178588,CPT,Perfusion lung image,TC,,20 ,,RBRVS,0.00 ,8.28 ,8.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178588,CPT,Perfusion lung image,,,20 ,,RBRVS,1.09 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178591,CPT,"Vent image, 1 breath, 1 proj",26,,20 ,,RBRVS,0.40 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178591,CPT,"Vent image, 1 breath, 1 proj",TC,,20 ,,RBRVS,0.00 ,4.03 ,4.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178591,CPT,"Vent image, 1 breath, 1 proj",,,20 ,,RBRVS,0.40 ,4.17 ,4.17 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178593,CPT,"Vent image, 1 proj, gas",26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178593,CPT,"Vent image, 1 proj, gas",TC,,20 ,,RBRVS,0.00 ,4.65 ,4.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178593,CPT,"Vent image, 1 proj, gas",,,20 ,,RBRVS,0.49 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178594,CPT,"Vent image, mult proj, gas",26,,20 ,,RBRVS,0.53 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178594,CPT,"Vent image, mult proj, gas",TC,,20 ,,RBRVS,0.00 ,5.11 ,5.11 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178594,CPT,"Vent image, mult proj, gas",,,20 ,,RBRVS,0.53 ,5.29 ,5.29 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178596,CPT,Lung differential function,26,,20 ,,RBRVS,1.27 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178596,CPT,Lung differential function,TC,,20 ,,RBRVS,0.00 ,8.29 ,8.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178596,CPT,Lung differential function,,,20 ,,RBRVS,1.27 ,8.68 ,8.68 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178599,CPT,Respiratory nuclear exam,,,20 ,,TotalUnits,,,,4.67 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178600,CPT,"Brain imaging, ltd static",26,,20 ,,RBRVS,0.44 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178600,CPT,"Brain imaging, ltd static",TC,,20 ,,RBRVS,0.00 ,4.24 ,4.24 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178600,CPT,"Brain imaging, ltd static",,,20 ,,RBRVS,0.44 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178601,CPT,"Brain imaging, ltd w/ flow",26,,20 ,,RBRVS,0.51 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178601,CPT,"Brain imaging, ltd w/ flow",TC,,20 ,,RBRVS,0.00 ,5.21 ,5.21 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178601,CPT,"Brain imaging, ltd w/ flow",,,20 ,,RBRVS,0.51 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178605,CPT,"Brain imaging, complete",26,,20 ,,RBRVS,0.53 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178605,CPT,"Brain imaging, complete",TC,,20 ,,RBRVS,0.00 ,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178605,CPT,"Brain imaging, complete",,,20 ,,RBRVS,0.53 ,4.85 ,4.85 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178606,CPT,"Brain imaging, compl w/flow",26,,20 ,,RBRVS,0.64 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178606,CPT,"Brain imaging, compl w/flow",TC,,20 ,,RBRVS,0.00 ,8.32 ,8.32 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178606,CPT,"Brain imaging, compl w/flow",,,20 ,,RBRVS,0.64 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178607,CPT,Brain imaging (3D),26,,20 ,,RBRVS,1.23 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178607,CPT,Brain imaging (3D),TC,,20 ,,RBRVS,0.00 ,8.23 ,8.23 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178607,CPT,Brain imaging (3D),,,20 ,,RBRVS,1.23 ,8.64 ,8.64 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178608,CPT,Brain imaging (PET),26,,20 ,,RBRVS,1.50 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178608,CPT,Brain imaging (PET),,,20 ,,TotalUnits,,,,49.17 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178609,CPT,Brain imaging (PET),,,20 ,,RBRVS,1.50 ,0.00 ,0.00 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178610,CPT,Brain flow imaging only,26,,20 ,,RBRVS,0.30 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178610,CPT,Brain flow imaging only,TC,,20 ,,RBRVS,0.00 ,4.36 ,4.36 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178610,CPT,Brain flow imaging only,,,20 ,,RBRVS,0.30 ,4.46 ,4.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178630,CPT,Cerebrospinal fluid scan,26,,20 ,,RBRVS,0.68 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178630,CPT,Cerebrospinal fluid scan,TC,,20 ,,RBRVS,0.00 ,8.42 ,8.42 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178630,CPT,Cerebrospinal fluid scan,,,20 ,,RBRVS,0.68 ,8.66 ,8.66 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178635,CPT,CSF ventriculography,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178635,CPT,CSF ventriculography,TC,,20 ,,RBRVS,0.00 ,8.59 ,8.59 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178635,CPT,CSF ventriculography,,,20 ,,RBRVS,0.61 ,8.80 ,8.80 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178645,CPT,CSF shunt evaluation,26,,20 ,,RBRVS,0.57 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178645,CPT,CSF shunt evaluation,TC,,20 ,,RBRVS,0.00 ,8.29 ,8.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178645,CPT,CSF shunt evaluation,,,20 ,,RBRVS,0.57 ,8.49 ,8.49 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178647,CPT,Cerebrospinal fluid scan,26,,20 ,,RBRVS,0.90 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178647,CPT,Cerebrospinal fluid scan,TC,,20 ,,RBRVS,0.00 ,8.24 ,8.24 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178647,CPT,Cerebrospinal fluid scan,,,20 ,,RBRVS,0.90 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178650,CPT,CSF leakage imaging,26,,20 ,,RBRVS,0.61 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178650,CPT,CSF leakage imaging,TC,,20 ,,RBRVS,0.00 ,8.36 ,8.36 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178650,CPT,CSF leakage imaging,,,20 ,,RBRVS,0.61 ,8.57 ,8.57 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178660,CPT,Nuclear exam of tear flow,26,,20 ,,RBRVS,0.53 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178660,CPT,Nuclear exam of tear flow,TC,,20 ,,RBRVS,0.00 ,4.07 ,4.07 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178660,CPT,Nuclear exam of tear flow,,,20 ,,RBRVS,0.53 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178699,CPT,Nervous system nuclear exam,,,20 ,,TotalUnits,,,,5.96 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178700,CPT,"Kidney imaging, static",26,,20 ,,RBRVS,0.45 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178700,CPT,"Kidney imaging, static",TC,,20 ,,RBRVS,0.00 ,4.23 ,4.23 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178700,CPT,"Kidney imaging, static",,,20 ,,RBRVS,0.45 ,4.39 ,4.39 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178701,CPT,Kidney imaging with flow,26,,20 ,,RBRVS,0.49 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178701,CPT,Kidney imaging with flow,TC,,20 ,,RBRVS,0.00 ,5.22 ,5.22 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178701,CPT,Kidney imaging with flow,,,20 ,,RBRVS,0.49 ,5.39 ,5.39 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178707,CPT,Kidney flow/function image,26,,20 ,,RBRVS,0.96 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178707,CPT,Kidney flow/function image,TC,,20 ,,RBRVS,0.00 ,5.15 ,5.15 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178707,CPT,Kidney flow/function image,,,20 ,,RBRVS,0.96 ,5.49 ,5.49 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178708,CPT,Kidney flow/function image,26,,20 ,,RBRVS,1.21 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178708,CPT,Kidney flow/function image,TC,,20 ,,RBRVS,0.00 ,3.05 ,3.05 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178708,CPT,Kidney flow/function image,,,20 ,,RBRVS,1.21 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178709,CPT,Kidney flow/function image,26,,20 ,,RBRVS,1.41 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178709,CPT,Kidney flow/function image,TC,,20 ,,RBRVS,0.00 ,8.40 ,8.40 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178709,CPT,Kidney flow/function image,,,20 ,,RBRVS,1.41 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178710,CPT,Kidney imaging (3D),26,,20 ,,RBRVS,0.66 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178710,CPT,Kidney imaging (3D),TC,,20 ,,RBRVS,0.00 ,5.06 ,5.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178710,CPT,Kidney imaging (3D),,,20 ,,RBRVS,0.66 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178725,CPT,Kidney function study,26,,20 ,,RBRVS,0.38 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178725,CPT,Kidney function study,TC,,20 ,,RBRVS,0.00 ,2.23 ,2.23 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178725,CPT,Kidney function study,,,20 ,,RBRVS,0.38 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178730,CPT,Urinary bladder retention,26,,20 ,,RBRVS,0.15 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178730,CPT,Urinary bladder retention,TC,,20 ,,RBRVS,0.00 ,1.93 ,1.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178730,CPT,Urinary bladder retention,,,20 ,,RBRVS,0.15 ,1.99 ,1.99 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178740,CPT,Ureteral reflux study,26,,20 ,,RBRVS,0.57 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178740,CPT,Ureteral reflux study,TC,,20 ,,RBRVS,0.00 ,5.46 ,5.46 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178740,CPT,Ureteral reflux study,,,20 ,,RBRVS,0.57 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178761,CPT,Testicular imaging/flow,26,,20 ,,RBRVS,0.71 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178761,CPT,Testicular imaging/flow,TC,,20 ,,RBRVS,0.00 ,4.81 ,4.81 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178761,CPT,Testicular imaging/flow,,,20 ,,RBRVS,0.71 ,5.06 ,5.06 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178799,CPT,Genitourinary nuclear exam,,,20 ,,TotalUnits,,,,5.77 ,,$0.00,$0.00,1,1,1,0,1,1,2008010178800,CPT,"Tumor imaging, limited area",26,,20 ,,RBRVS,0.66 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178800,CPT,"Tumor imaging, limited area",TC,,20 ,,RBRVS,0.00 ,4.13 ,4.13 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178800,CPT,"Tumor imaging, limited area",,,20 ,,RBRVS,0.66 ,4.34 ,4.34 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178801,CPT,"Tumor imaging, mult areas",26,,20 ,,RBRVS,0.79 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178801,CPT,"Tumor imaging, mult areas",TC,,20 ,,RBRVS,0.00 ,5.79 ,5.79 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178801,CPT,"Tumor imaging, mult areas",,,20 ,,RBRVS,0.79 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178802,CPT,"Tumor imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178802,CPT,"Tumor imaging, whole body",TC,,20 ,,RBRVS,0.00 ,7.85 ,7.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178802,CPT,"Tumor imaging, whole body",,,20 ,,RBRVS,0.86 ,8.15 ,8.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178803,CPT,Tumor imaging (3D),26,,20 ,,RBRVS,1.09 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178803,CPT,Tumor imaging (3D),TC,,20 ,,RBRVS,0.00 ,8.17 ,8.17 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178803,CPT,Tumor imaging (3D),,,20 ,,RBRVS,1.09 ,8.54 ,8.54 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178804,CPT,"Tumor imaging, whole body",26,,20 ,,RBRVS,1.07 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178804,CPT,"Tumor imaging, whole body",TC,,20 ,,RBRVS,0.00 ,14.48 ,14.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178804,CPT,"Tumor imaging, whole body",,,20 ,,RBRVS,1.07 ,14.85 ,14.85 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178805,CPT,"Abscess imaging, ltd area",26,,20 ,,RBRVS,0.73 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178805,CPT,"Abscess imaging, ltd area",TC,,20 ,,RBRVS,0.00 ,3.98 ,3.98 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178805,CPT,"Abscess imaging, ltd area",,,20 ,,RBRVS,0.73 ,4.23 ,4.23 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178806,CPT,"Abscess imaging, whole body",26,,20 ,,RBRVS,0.86 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178806,CPT,"Abscess imaging, whole body",TC,,20 ,,RBRVS,0.00 ,8.06 ,8.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178806,CPT,"Abscess imaging, whole body",,,20 ,,RBRVS,0.86 ,8.36 ,8.36 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178807,CPT,Nuclear localization/abscess,26,,20 ,,RBRVS,1.09 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178807,CPT,Nuclear localization/abscess,TC,,20 ,,RBRVS,0.00 ,8.15 ,8.15 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178807,CPT,Nuclear localization/abscess,,,20 ,,RBRVS,1.09 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178811,CPT,"Tumor imaging (pet), limited",26,,20 ,,RBRVS,1.54 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178812,CPT,Tumor image (pet)/skul-thigh,26,,20 ,,RBRVS,1.93 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178813,CPT,Tumor image (pet) full body,26,,20 ,,RBRVS,2.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178814,CPT,"Tumor image pet/ct, limited",26,,20 ,,RBRVS,2.20 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178815,CPT,Tumorimage pet/ct skul-thigh,26,,20 ,,RBRVS,2.44 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178816,CPT,Tumor image pet/ct full body,26,,20 ,,RBRVS,2.50 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178890,CPT,Nuclear medicine data proc,26,,20 ,,RBRVS,0.05 ,0.01 ,0.01 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178890,CPT,Nuclear medicine data proc,TC,,20 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178890,CPT,Nuclear medicine data proc,,,20 ,,RBRVS,0.05 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178891,CPT,Nuclear med data proc,26,,20 ,,RBRVS,0.10 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010178891,CPT,Nuclear med data proc,TC,,20 ,,RBRVS,0.00 ,0.86 ,0.86 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010178891,CPT,Nuclear med data proc,,,20 ,,RBRVS,0.10 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010178999,CPT,Nuclear diagnostic exam,,,20 ,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,1,1,0,1,1,2008010179005,CPT,"Nuclear rx, oral admin",26,,20 ,,RBRVS,1.80 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010179005,CPT,"Nuclear rx, oral admin",TC,,20 ,,RBRVS,0.00 ,1.27 ,1.27 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010179005,CPT,"Nuclear rx, oral admin",,,20 ,,RBRVS,1.80 ,1.85 ,1.85 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010179101,CPT,"Nuclear rx, iv admin",26,,20 ,,RBRVS,1.96 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010179101,CPT,"Nuclear rx, iv admin",TC,,20 ,,RBRVS,0.00 ,1.43 ,1.43 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010179101,CPT,"Nuclear rx, iv admin",,,20 ,,RBRVS,1.96 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010179200,CPT,Intracavitary nuclear trmt,26,,20 ,,RBRVS,1.99 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010179200,CPT,Intracavitary nuclear trmt,TC,,20 ,,RBRVS,0.00 ,1.57 ,1.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010179200,CPT,Intracavitary nuclear trmt,,,20 ,,RBRVS,1.99 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010179300,CPT,Interstitial nuclear therapy,26,,20 ,,RBRVS,1.60 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010179300,CPT,Interstitial nuclear therapy,TC,,20 ,,TotalUnits,,,,1.70 ,,$0.00,$0.00,1,1,1,0,1,1,2008010179403,CPT,Hematopoetic nuclear therapy,26,,20 ,,RBRVS,2.25 ,0.75 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010179403,CPT,Hematopoetic nuclear therapy,TC,,20 ,,RBRVS,0.00 ,2.17 ,2.17 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010179403,CPT,Hematopoetic nuclear therapy,,,20 ,,RBRVS,2.25 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010179440,CPT,Nuclear joint therapy,26,,20 ,,RBRVS,1.99 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010179440,CPT,Nuclear joint therapy,TC,,20 ,,RBRVS,0.00 ,1.16 ,1.16 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010179440,CPT,Nuclear joint therapy,,,20 ,,RBRVS,1.99 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010179445,CPT,"Nuclear rx, intra-arterial",26,,20 ,,RBRVS,2.40 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010179999,CPT,Nuclear medicine therapy,,,20 ,,TotalUnits,,,,5.02 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180048,CPT,Basic metabolic panel,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180050,CPT,General health panel,,,17 ,,TotalUnits,,,,1.42 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180051,CPT,Electrolyte panel,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180053,CPT,Comprehen metabolic panel,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180055,CPT,Obstetric panel,,,17 ,,TotalUnits,,,,1.29 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180061,CPT,Lipid panel,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180069,CPT,Renal function panel,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180074,CPT,Acute hepatitis panel,,,17 ,,TotalUnits,,,,2.22 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180076,CPT,Hepatic function panel,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180100,CPT,"Drug screen, qualitate/multi",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180101,CPT,"Drug screen, single",,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180102,CPT,Drug confirmation,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180103,CPT,"Drug analysis, tissue prep",,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180150,CPT,Assay of amikacin,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180152,CPT,Assay of amitriptyline,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180154,CPT,Assay of benzodiazepines,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180156,CPT,"Assay, carbamazepine, total",,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180157,CPT,"Assay, carbamazepine, free",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180158,CPT,Assay of cyclosporine,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180160,CPT,Assay of desipramine,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180162,CPT,Assay of digoxin,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180164,CPT,"Assay, dipropylacetic acid",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180166,CPT,Assay of doxepin,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180168,CPT,Assay of ethosuximide,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180170,CPT,Assay of gentamicin,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180172,CPT,Assay of gold,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180173,CPT,Assay of haloperidol,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180174,CPT,Assay of imipramine,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180176,CPT,Assay of lidocaine,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180178,CPT,Assay of lithium,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180182,CPT,Assay of nortriptyline,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180184,CPT,Assay of phenobarbital,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180185,CPT,"Assay of phenytoin, total",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180186,CPT,"Assay of phenytoin, free",,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180188,CPT,Assay of primidone,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180190,CPT,Assay of procainamide,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180192,CPT,Assay of procainamide,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180194,CPT,Assay of quinidine,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180195,CPT,Assay of sirolimus,,,17 ,,NW,,,,,,$23.04,$0.00,1,1,1,0,1,1,2008010180196,CPT,Assay of salicylate,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180197,CPT,Assay of tacrolimus,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180198,CPT,Assay of theophylline,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180200,CPT,Assay of tobramycin,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180201,CPT,Assay of topiramate,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180202,CPT,Assay of vancomycin,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180299,CPT,"Quantitative assay, drug",,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180400,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,1.52 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180402,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,4.06 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180406,CPT,Acth stimulation panel,,,17 ,,TotalUnits,,,,3.65 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180408,CPT,Aldosterone suppression eval,,,17 ,,TotalUnits,,,,5.86 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180410,CPT,Calcitonin stimul panel,,,17 ,,TotalUnits,,,,3.75 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180412,CPT,CRH stimulation panel,,,17 ,,TotalUnits,,,,15.38 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180414,CPT,Testosterone response,,,17 ,,TotalUnits,,,,2.41 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180415,CPT,Estradiol response panel,,,17 ,,TotalUnits,,,,2.61 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180416,CPT,Renin stimulation panel,,,17 ,,TotalUnits,,,,6.16 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180417,CPT,Renin stimulation panel,,,17 ,,TotalUnits,,,,2.05 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180418,CPT,Pituitary evaluation panel,,,17 ,,TotalUnits,,,,27.05 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180420,CPT,Dexamethasone panel,,,17 ,,TotalUnits,,,,3.36 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180422,CPT,Glucagon tolerance panel,,,17 ,,TotalUnits,,,,2.15 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180424,CPT,Glucagon tolerance panel,,,17 ,,TotalUnits,,,,2.36 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180426,CPT,Gonadotropin hormone panel,,,17 ,,TotalUnits,,,,6.93 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180428,CPT,Growth hormone panel,,,17 ,,TotalUnits,,,,3.11 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180430,CPT,Growth hormone panel,,,17 ,,TotalUnits,,,,3.66 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180432,CPT,Insulin suppression panel,,,17 ,,TotalUnits,,,,6.30 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180434,CPT,Insulin tolerance panel,,,17 ,,TotalUnits,,,,4.72 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180435,CPT,Insulin tolerance panel,,,17 ,,TotalUnits,,,,4.81 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180436,CPT,Metyrapone panel,,,17 ,,TotalUnits,,,,4.25 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180438,CPT,TRH stimulation panel,,,17 ,,TotalUnits,,,,2.35 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180439,CPT,TRH stimulation panel,,,17 ,,TotalUnits,,,,3.14 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180440,CPT,TRH stimulation panel,,,17 ,,TotalUnits,,,,2.71 ,,$0.00,$0.00,1,1,1,0,1,1,2008010180500,CPT,Lab pathology consultation,,,17 ,,RBRVS,0.37 ,0.11 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010180502,CPT,Lab pathology consultation,,,17 ,,RBRVS,1.33 ,0.25 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010181000,CPT,"Urinalysis, nonauto w/scope",,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,2008010181001,CPT,"Urinalysis, auto w/scope",,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,2008010181002,CPT,Urinalysis nonauto w/o scope,,,17 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,2008010181003,CPT,"Urinalysis, auto, w/o scope",,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,2008010181005,CPT,Urinalysis,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,2008010181007,CPT,Urine screen for bacteria,,,17 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,2008010181015,CPT,Microscopic exam of urine,,,17 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,2008010181020,CPT,"Urinalysis, glass test",,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,2008010181025,CPT,Urine pregnancy test,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,2008010181050,CPT,"Urinalysis, volume measure",,,17 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,2008010181099,CPT,Urinalysis test procedure,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182000,CPT,Assay of blood acetaldehyde,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182003,CPT,Assay of acetaminophen,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182009,CPT,Test for acetone/ketones,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182010,CPT,Acetone assay,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182013,CPT,Acetylcholinesterase assay,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182016,CPT,"Acylcarnitines, qual",,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182017,CPT,"Acylcarnitines, quant",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182024,CPT,Assay of acth,,,17 ,,TotalUnits,,,,1.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182030,CPT,Assay of adp & amp,,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182040,CPT,Assay of serum albumin,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182042,CPT,Assay of urine albumin,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182043,CPT,"Microalbumin, quantitative",,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182044,CPT,"Microalbumin, semiquant",,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182045,CPT,"Albumin, ischemia modified",,,17 ,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182055,CPT,Assay of ethanol,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182075,CPT,Assay of breath ethanol,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182085,CPT,Assay of aldolase,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182088,CPT,Assay of aldosterone,,,17 ,,TotalUnits,,,,1.90 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182101,CPT,Assay of urine alkaloids,,,17 ,,TotalUnits,,,,1.40 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182103,CPT,"Alpha-1-antitrypsin, total",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182104,CPT,"Alpha-1-antitrypsin, pheno",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182105,CPT,"Alpha-fetoprotein, serum",,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182106,CPT,"Alpha-fetoprotein, amniotic",,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182107,CPT,Alpha-fetoprotein l3,,,17 ,,NW,,,,,,$91.63,$0.00,1,1,1,0,1,1,2008010182108,CPT,Assay of aluminum,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182120,CPT,"Amines, vaginal fluid qual",,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182127,CPT,"Amino acid, single qual",,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182128,CPT,"Amino acids, mult qual",,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182131,CPT,"Amino acids, single quant",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182135,CPT,"Assay, aminolevulinic acid",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182136,CPT,"Amino acids, quant, 2-5",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182139,CPT,"Amino acids, quan, 6 or more",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182140,CPT,Assay of ammonia,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182143,CPT,Amniotic fluid scan,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182145,CPT,Assay of amphetamines,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182150,CPT,Assay of amylase,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182154,CPT,Androstanediol glucuronide,,,17 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182157,CPT,Assay of androstenedione,,,17 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182160,CPT,Assay of androsterone,,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182163,CPT,Assay of angiotensin II,,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182164,CPT,Angiotensin I enzyme test,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182172,CPT,Assay of apolipoprotein,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182175,CPT,Assay of arsenic,,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182180,CPT,Assay of ascorbic acid,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182190,CPT,Atomic absorption,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182205,CPT,Assay of barbiturates,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182232,CPT,Assay of beta-2 protein,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182239,CPT,"Bile acids, total",,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182240,CPT,"Bile acids, cholylglycine",,,17 ,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182247,CPT,"Bilirubin, total",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182248,CPT,"Bilirubin, direct",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182252,CPT,Fecal bilirubin test,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182261,CPT,Assay of biotinidase,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182270,CPT,"Test for blood, feces",,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182271,CPT,"Occult blood, feces, single",,,17 ,,NW,,,,,,$5.46,$0.00,1,1,1,0,1,1,2008010182272,CPT,Blood occult peroxidase,,,17 ,,NW,,,,,,$5.46,$0.00,1,1,1,0,1,1,2008010182274,CPT,"Assay test for blood, fecal",,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182286,CPT,Assay of bradykinin,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182300,CPT,Assay of cadmium,,,17 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182306,CPT,Assay of vitamin D,,,17 ,,TotalUnits,,,,1.38 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182307,CPT,Assay of vitamin D,,,17 ,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182308,CPT,Assay of calcitonin,,,17 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182310,CPT,Assay of calcium,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182330,CPT,Assay of calcium,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182331,CPT,Calcium infusion test,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182340,CPT,Assay of calcium in urine,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182355,CPT,"Calculus analysis, qual",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182360,CPT,"Calculus assay, quant",,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182365,CPT,Calculus spectroscopy,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182370,CPT,"X-ray assay, calculus",,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182373,CPT,"Assay, c-d transfer measure",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182374,CPT,"Assay, blood carbon dioxide",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182375,CPT,"Assay, blood carbon monoxide",,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182376,CPT,Test for carbon monoxide,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182378,CPT,Carcinoembryonic antigen,,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182379,CPT,Assay of carnitine,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182380,CPT,Assay of carotene,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182382,CPT,"Assay, urine catecholamines",,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182383,CPT,"Assay, blood catecholamines",,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182384,CPT,"Assay, three catecholamines",,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182387,CPT,Assay of cathepsin-d,,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182390,CPT,Assay of ceruloplasmin,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182397,CPT,Chemiluminescent assay,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182415,CPT,Assay of chloramphenicol,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182435,CPT,Assay of blood chloride,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182436,CPT,Assay of urine chloride,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182438,CPT,"Assay, other fluid chlorides",,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182441,CPT,Test for chlorohydrocarbons,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182465,CPT,"Assay, bld/serum cholesterol",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182480,CPT,"Assay, serum cholinesterase",,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182482,CPT,"Assay, rbc cholinesterase",,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182485,CPT,"Assay, chondroitin sulfate",,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182486,CPT,Gas/liquid chromatography,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182487,CPT,Paper chromatography,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182488,CPT,Paper chromatography,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182489,CPT,Thin layer chromatography,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182491,CPT,"Chromotography, quant, sing",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182492,CPT,"Chromotography, quant, mult",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182495,CPT,Assay of chromium,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182507,CPT,Assay of citrate,,,17 ,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182520,CPT,Assay of cocaine,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182523,CPT,Collagen crosslinks,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182525,CPT,Assay of copper,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182528,CPT,Assay of corticosterone,,,17 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182530,CPT,"Cortisol, free",,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182533,CPT,Total cortisol,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182540,CPT,Assay of creatine,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182541,CPT,"Column chromotography, qual",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182542,CPT,"Column chromotography, quant",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182543,CPT,Column chromotograph/isotope,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182544,CPT,Column chromotograph/isotope,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182550,CPT,Assay of ck (cpk),,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182552,CPT,Assay of cpk in blood,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182553,CPT,"Creatine, MB fraction",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182554,CPT,"Creatine, isoforms",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182565,CPT,Assay of creatinine,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182570,CPT,Assay of urine creatinine,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182575,CPT,Creatinine clearance test,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182585,CPT,Assay of cryofibrinogen,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182595,CPT,Assay of cryoglobulin,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182600,CPT,Assay of cyanide,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182607,CPT,Vitamin B-12,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182608,CPT,B-12 binding capacity,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182615,CPT,Test for urine cystines,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182626,CPT,Dehydroepiandrosterone,,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182627,CPT,Dehydroepiandrosterone,,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182633,CPT,Desoxycorticosterone,,,17 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182634,CPT,Deoxycortisol,,,17 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182638,CPT,Assay of dibucaine number,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182646,CPT,Assay of dihydrocodeinone,,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182649,CPT,Assay of dihydromorphinone,,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182651,CPT,Assay of dihydrotestosterone,,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182652,CPT,Assay of dihydroxyvitamin d,,,17 ,,TotalUnits,,,,1.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182654,CPT,Assay of dimethadione,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182656,CPT,"Pancreatic elastase, fecal",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182657,CPT,Enzyme cell activity,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182658,CPT,"Enzyme cell activity, ra",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182664,CPT,Electrophoretic test,,,17 ,,TotalUnits,,,,1.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182666,CPT,Assay of epiandrosterone,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182668,CPT,Assay of erythropoietin,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182670,CPT,Assay of estradiol,,,17 ,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182671,CPT,Assay of estrogens,,,17 ,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182672,CPT,Assay of estrogen,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182677,CPT,Assay of estriol,,,17 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182679,CPT,Assay of estrone,,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182690,CPT,Assay of ethchlorvynol,,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182693,CPT,Assay of ethylene glycol,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182696,CPT,Assay of etiocholanolone,,,17 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182705,CPT,"Fats/lipids, feces, qual",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182710,CPT,"Fats/lipids, feces, quant",,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182715,CPT,Assay of fecal fat,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182725,CPT,Assay of blood fatty acids,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182726,CPT,Long chain fatty acids,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182728,CPT,Assay of ferritin,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182731,CPT,Assay of fetal fibronectin,,,17 ,,TotalUnits,,,,3.01 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182735,CPT,Assay of fluoride,,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182742,CPT,Assay of flurazepam,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182746,CPT,Blood folic acid serum,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182747,CPT,"Assay of folic acid, rbc",,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182757,CPT,Assay of semen fructose,,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182759,CPT,Assay of rbc galactokinase,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182760,CPT,Assay of galactose,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182775,CPT,Assay galactose transferase,,,17 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182776,CPT,Galactose transferase test,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182784,CPT,Assay of gammaglobulin igm,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182785,CPT,Assay of gammaglobulin ige,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182787,CPT,"Igg 1, 2, 3 or 4, each",,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182800,CPT,Blood pH,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182803,CPT,"Blood gases: pH, pO2 & pCO2",,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182805,CPT,Blood gases W/02 saturation,,,17 ,,TotalUnits,,,,1.32 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182810,CPT,"Blood gases, O2 sat only",,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182820,CPT,Hemoglobin-oxygen affinity,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182926,CPT,Assay of gastric acid,,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182928,CPT,Assay of gastric acid,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182938,CPT,Gastrin test,,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182941,CPT,Assay of gastrin,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182943,CPT,Assay of glucagon,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182945,CPT,Glucose other fluid,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182946,CPT,Glucagon tolerance test,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182947,CPT,"Assay, glucose, blood quant",,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182948,CPT,Reagent strip/blood glucose,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182950,CPT,Glucose test,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182951,CPT,Glucose tolerance test (GTT),,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182952,CPT,GTT-added samples,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182953,CPT,Glucose-tolbutamide test,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182955,CPT,Assay of g6pd enzyme,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182960,CPT,Test for G6PD enzyme,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182962,CPT,Glucose blood test,,,17 ,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182963,CPT,Assay of glucosidase,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182965,CPT,Assay of gdh enzyme,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182975,CPT,Assay of glutamine,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182977,CPT,Assay of GGT,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182978,CPT,Assay of glutathione,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182979,CPT,"Assay, rbc glutathione",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182980,CPT,Assay of glutethimide,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,2008010182985,CPT,Glycated protein,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183001,CPT,Gonadotropin (FSH),,,17 ,,TotalUnits,,,,0.87 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183002,CPT,Gonadotropin (LH),,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183003,CPT,"Assay, growth hormone (hgh)",,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83008,CPT,Assay of guanosine,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83009,CPT,"H pylori (c-13), blood",,,17 ,,TotalUnits,,,,3.14 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83010,CPT,"Assay of haptoglobin, quant",,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83012,CPT,Assay of haptoglobins,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83013,CPT,H pylori analysis,,,17 ,,TotalUnits,,,,3.14 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83014,CPT,H pylori drug admin/collect,,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83015,CPT,Heavy metal screen,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83018,CPT,"Quantitative screen, metals",,,17 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83020,CPT,Hemoglobin electrophoresis,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,83020,CPT,Hemoglobin electrophoresis,TC,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83020,CPT,Hemoglobin electrophoresis,,,17 ,,NW,,,,,,$36.46,$0.00,1,0,0,0,0,1,20080101,,83021,CPT,Hemoglobin chromotography,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83026,CPT,"Hemoglobin, copper sulfate",,,17 ,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83030,CPT,"Fetal hemoglobin, chemical",,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83033,CPT,"Fetal hemoglobin assay, qual",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83036,CPT,Glycated hemoglobin test,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183037,CPT,"Glycosylated hb, home device",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183045,CPT,Blood methemoglobin test,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183050,CPT,Blood methemoglobin assay,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183051,CPT,Assay of plasma hemoglobin,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183055,CPT,Blood sulfhemoglobin test,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183060,CPT,Blood sulfhemoglobin assay,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183065,CPT,Assay of hemoglobin heat,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183068,CPT,Hemoglobin stability screen,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183069,CPT,Assay of urine hemoglobin,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183070,CPT,"Assay of hemosiderin, qual",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183071,CPT,"Assay of hemosiderin, quant",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183080,CPT,Assay of b hexosaminidase,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183088,CPT,Assay of histamine,,,17 ,,TotalUnits,,,,1.38 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183090,CPT,Assay of homocystine,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183150,CPT,Assay of for hva,,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183491,CPT,Assay of corticosteroids,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183497,CPT,Assay of 5-hiaa,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183498,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,1.27 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183499,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183500,CPT,"Assay, free hydroxyproline",,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183505,CPT,"Assay, total hydroxyproline",,,17 ,,TotalUnits,,,,1.13 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183516,CPT,"Immunoassay, nonantibody",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183518,CPT,"Immunoassay, dipstick",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183519,CPT,"Immunoassay, nonantibody",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183520,CPT,"Immunoassay, RIA",,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183525,CPT,Assay of insulin,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183527,CPT,Assay of insulin,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183528,CPT,Assay of intrinsic factor,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183540,CPT,Assay of iron,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183550,CPT,Iron binding test,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183570,CPT,Assay of idh enzyme,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183582,CPT,Assay of ketogenic steroids,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183586,CPT,Assay 17- ketosteroids,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183593,CPT,"Fractionation, ketosteroids",,,17 ,,TotalUnits,,,,1.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183605,CPT,Assay of lactic acid,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183615,CPT,Lactate (LD) (LDH) enzyme,,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183625,CPT,Assay of ldh enzymes,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183630,CPT,"Lactoferrin, fecal (qual)",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183631,CPT,"Lactoferrin, fecal (quant)",,,17 ,,NW,,,,,,$32.95,$0.00,1,1,1,0,1,1,2008010183632,CPT,Placental lactogen,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183633,CPT,Test urine for lactose,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183634,CPT,Assay of urine for lactose,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183655,CPT,Assay of lead,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183661,CPT,"L/s ratio, fetal lung",,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183662,CPT,"Foam stability, fetal lung",,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183663,CPT,"Fluoro polarize, fetal lung",,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183664,CPT,"Lamellar bdy, fetal lung",,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183670,CPT,Assay of lap enzyme,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183690,CPT,Assay of lipase,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183695,CPT,Assay of lipoprotein(a),,,17 ,,NW,,,,,,$21.74,$0.00,1,1,1,0,1,1,2008010183698,CPT,Assay lipoprotein pla2,,,17 ,,NW,,,,,,$48.30,$0.00,1,1,1,0,1,1,2008010183700,CPT,"Lipopro bld, electrophoretic",,,17 ,,NW,,,,,,$18.91,$0.00,1,1,1,0,1,1,2008010183701,CPT,"Lipoprotein bld, hr fraction",,,17 ,,NW,,,,,,$41.67,$0.00,1,1,1,0,1,1,2008010183704,CPT,"Lipoprotein, bld, by nmr",,,17 ,,NW,,,,,,$52.97,$0.00,1,1,1,0,1,1,2008010183718,CPT,Assay of lipoprotein,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183719,CPT,Assay of blood lipoprotein,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183721,CPT,Assay of blood lipoprotein,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183727,CPT,Assay of lrh hormone,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183735,CPT,Assay of magnesium,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183775,CPT,Assay of md enzyme,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183785,CPT,Assay of manganese,,,17 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183788,CPT,Mass spectrometry qual,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183789,CPT,Mass spectrometry quant,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183805,CPT,Assay of meprobamate,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183825,CPT,Assay of mercury,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183835,CPT,Assay of metanephrines,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183840,CPT,Assay of methadone,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183857,CPT,Assay of methemalbumin,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183858,CPT,Assay of methsuximide,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183864,CPT,Mucopolysaccharides,,,17 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183866,CPT,Mucopolysaccharides screen,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183872,CPT,Assay synovial fluid mucin,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183873,CPT,Assay of csf protein,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183874,CPT,Assay of myoglobin,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183880,CPT,Natriuretic peptide,,,17 ,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183883,CPT,"Assay, nephelometry not spec",,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183885,CPT,Assay of nickel,,,17 ,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183887,CPT,Assay of nicotine,,,17 ,,TotalUnits,,,,1.11 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183890,CPT,Molecule isolate,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183891,CPT,Molecule isolate nucleic,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183892,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183893,CPT,Molecule dot/slot/blot,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183894,CPT,Molecule gel electrophor,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183896,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183897,CPT,Molecule nucleic transfer,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183898,CPT,Molecule nucleic ampli,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183900,CPT,Molecule nucleic ampli 2 seq,,,17 ,,NW,,,,,,$56.28,$0.00,1,1,1,0,1,1,2008010183901,CPT,Molecule nucleic ampli,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183902,CPT,Molecular diagnostics,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183903,CPT,Molecule mutation scan,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183904,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183905,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183906,CPT,Molecule mutation identify,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183907,CPT,Lyse cells for nucleic ext,,,17 ,,NW,,,,,,$22.42,$0.00,1,1,1,0,1,1,2008010183908,CPT,"Nucleic acid, signal ampli",,,17 ,,NW,,,,,,$28.15,$0.00,1,1,1,0,1,1,2008010183909,CPT,"Nucleic acid, high resolute",,,17 ,,NW,,,,,,$28.15,$0.00,1,1,1,0,1,1,20080101,,83912,CPT,Genetic examination,26,,17,,RBRVS,0.37 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,83912,CPT,Genetic examination,TC,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83913,CPT,"Molecular, rna stabilization",,,17 ,,NW,,,,,,$19.00,$0.00,1,1,1,0,1,1,20080101,,83914,CPT,Mutation ident ola/sbce/aspe,,,17 ,,NW,,,,,,$28.15,$0.00,1,1,1,0,1,1,20080101,,83915,CPT,Assay of nucleotidase,,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83916,CPT,Oligoclonal bands,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83918,CPT,"Organic acids, total, quant",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83919,CPT,"Organic acids, qual, each",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83921,CPT,"Organic acid, single, quant",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83925,CPT,Assay of opiates,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83930,CPT,Assay of blood osmolality,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83935,CPT,Assay of urine osmolality,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83937,CPT,Assay of osteocalcin,,,17 ,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83945,CPT,Assay of oxalate,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83950,CPT,"Oncoprotein, her-2/neu",,,17 ,,TotalUnits,,,,3.01 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,83970,CPT,Assay of parathormone,,,17 ,,TotalUnits,,,,1.93 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183986,CPT,Assay of body fluid acidity,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,2008010183992,CPT,Assay for phencyclidine,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184022,CPT,Assay of phenothiazine,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184030,CPT,Assay of blood pku,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184035,CPT,Assay of phenylketones,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184060,CPT,Assay acid phosphatase,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184061,CPT,"Phosphatase, forensic exam",,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184066,CPT,Assay prostate phosphatase,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184075,CPT,Assay alkaline phosphatase,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184078,CPT,Assay alkaline phosphatase,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184080,CPT,Assay alkaline phosphatases,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184081,CPT,Amniotic fluid enzyme test,,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184085,CPT,Assay of rbc pg6d enzyme,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184087,CPT,Assay phosphohexose enzymes,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184100,CPT,Assay of phosphorus,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184105,CPT,Assay of urine phosphorus,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184106,CPT,Test for porphobilinogen,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184110,CPT,Assay of porphobilinogen,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184119,CPT,Test urine for porphyrins,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184120,CPT,Assay of urine porphyrins,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184126,CPT,Assay of feces porphyrins,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184127,CPT,Assay of feces porphyrins,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184132,CPT,Assay of serum potassium,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184133,CPT,Assay of urine potassium,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184134,CPT,Assay of prealbumin,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184135,CPT,Assay of pregnanediol,,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184138,CPT,Assay of pregnanetriol,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184140,CPT,Assay of pregnenolone,,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184143,CPT,Assay of 17-hydroxypregneno,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184144,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184146,CPT,Assay of prolactin,,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184150,CPT,Assay of prostaglandin,,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84152,CPT,"Assay of psa, complexed",,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84153,CPT,"Assay of psa, total",,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84154,CPT,"Assay of psa, free",,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84155,CPT,Assay of protein,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84156,CPT,"Assay of protein, urine",,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84157,CPT,"Assay of protein, other",,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84160,CPT,Assay of serum protein,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84163,CPT,"Pappa, serum",,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84165,CPT,Assay of serum proteins,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,84165,CPT,Assay of serum proteins,TC,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84165,CPT,"Protein e-phoresis, serum",,,17 ,,NW,,,,,,$30.42,$0.00,1,0,0,0,0,1,20080101,,84166,CPT,Protein e-phoresis/urine/csf,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,84166,CPT,Protein e-phoresis/urine/csf,TC,,17 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84166,CPT,Protein e-phoresis/urine/csf,,,17 ,,NW,,,,,,$50.50,$0.00,1,0,0,0,0,1,20080101,,84181,CPT,Western blot test,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,84181,CPT,Western blot test,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184182,CPT,"Protein, western blot test",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010184182,CPT,"Protein, western blot test",,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184202,CPT,Assay RBC protoporphyrin,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184203,CPT,Test RBC protoporphyrin,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184206,CPT,Assay of proinsulin,,,17 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184207,CPT,Assay of vitamin b-6,,,17 ,,TotalUnits,,,,1.31 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184210,CPT,Assay of pyruvate,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184220,CPT,Assay of pyruvate kinase,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184228,CPT,Assay of quinine,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184233,CPT,Assay of estrogen,,,17 ,,TotalUnits,,,,3.01 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184234,CPT,Assay of progesterone,,,17 ,,TotalUnits,,,,3.03 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184235,CPT,Assay of endocrine hormone,,,17 ,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184238,CPT,"Assay, nonendocrine receptor",,,17 ,,TotalUnits,,,,1.71 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184244,CPT,Assay of renin,,,17 ,,TotalUnits,,,,1.03 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184252,CPT,Assay of vitamin b-2,,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184255,CPT,Assay of selenium,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184260,CPT,Assay of serotonin,,,17 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184270,CPT,Assay of sex hormone globul,,,17 ,,TotalUnits,,,,1.01 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184275,CPT,Assay of sialic acid,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184285,CPT,Assay of silica,,,17 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184295,CPT,Assay of serum sodium,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184300,CPT,Assay of urine sodium,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184302,CPT,Assay of sweat sodium,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184305,CPT,Assay of somatomedin,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184307,CPT,Assay of somatostatin,,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184311,CPT,Spectrophotometry,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184315,CPT,Body fluid specific gravity,,,17 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184375,CPT,"Chromatogram assay, sugars",,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184376,CPT,"Sugars, single, qual",,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184377,CPT,"Sugars, multiple, qual",,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184378,CPT,Sugars single quant,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,2008010184379,CPT,Sugars multiple quant,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84392,CPT,Assay of urine sulfate,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84402,CPT,Assay of testosterone,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84403,CPT,Assay of total testosterone,,,17 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84425,CPT,Assay of vitamin b-1,,,17 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84430,CPT,Assay of thiocyanate,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84432,CPT,Assay of thyroglobulin,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84436,CPT,Assay of total thyroxine,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84437,CPT,Assay of neonatal thyroxine,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84439,CPT,Assay of free thyroxine,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84442,CPT,Assay of thyroid activity,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84443,CPT,Assay thyroid stim hormone,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84445,CPT,Assay of tsi,,,17 ,,TotalUnits,,,,2.37 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84446,CPT,Assay of vitamin e,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84449,CPT,Assay of transcortin,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84450,CPT,Transferase (AST) (SGOT),,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84460,CPT,Alanine amino (ALT) (SGPT),,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84466,CPT,Assay of transferrin,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84478,CPT,Assay of triglycerides,,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84479,CPT,Assay of thyroid (t3 or t4),,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84480,CPT,"Assay, triiodothyronine (t3)",,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84481,CPT,Free assay (FT-3),,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84482,CPT,T3 reverse,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84484,CPT,"Assay of troponin, quant",,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84485,CPT,Assay duodenal fluid trypsin,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84488,CPT,Test feces for trypsin,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84490,CPT,Assay of feces for trypsin,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84510,CPT,Assay of tyrosine,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84512,CPT,"Assay of troponin, qual",,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84520,CPT,Assay of urea nitrogen,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84525,CPT,Urea nitrogen semi-quant,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84540,CPT,Assay of urine/urea-n,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84545,CPT,Urea-N clearance test,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84550,CPT,Assay of blood/uric acid,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84560,CPT,Assay of urine/uric acid,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84577,CPT,Assay of feces/urobilinogen,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84578,CPT,Test urine urobilinogen,,,17 ,,TotalUnits,,,,0.15 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84580,CPT,Assay of urine urobilinogen,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84583,CPT,Assay of urine urobilinogen,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84585,CPT,Assay of urine vma,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84586,CPT,Assay of vip,,,17 ,,TotalUnits,,,,1.65 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84588,CPT,Assay of vasopressin,,,17 ,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84590,CPT,Assay of vitamin a,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84591,CPT,Assay of nos vitamin,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84597,CPT,Assay of vitamin k,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84600,CPT,Assay of volatiles,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84620,CPT,Xylose tolerance test,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84630,CPT,Assay of zinc,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84681,CPT,Assay of c-peptide,,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84702,CPT,Chorionic gonadotropin test,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84703,CPT,Chorionic gonadotropin assay,,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84830,CPT,Ovulation tests,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,84999,CPT,Clinical chemistry test,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85002,CPT,Bleeding time test,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85004,CPT,Automated diff wbc count,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85007,CPT,Bl smear w/diff wbc count,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85008,CPT,Bl smear w/o diff wbc count,,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85009,CPT,Manual diff wbc count b-coat,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85013,CPT,Spun microhematocrit,,,17 ,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85014,CPT,Hematocrit,,,17 ,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85018,CPT,Hemoglobin,,,17 ,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85025,CPT,Complete cbc w/auto diff wbc,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85027,CPT,"Complete cbc, automated",,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85032,CPT,"Manual cell count, each",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85041,CPT,Automated rbc count,,,17 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85044,CPT,Manual reticulocyte count,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85045,CPT,Automated reticulocyte count,,,17 ,,TotalUnits,,,,0.19 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85046,CPT,Reticyte/hgb concentrate,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85048,CPT,Automated leukocyte count,,,17 ,,TotalUnits,,,,0.12 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85049,CPT,Automated platelet count,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85055,CPT,Reticulated platelet assay,,,17 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85060,CPT,Blood smear interpretation,,,17 ,,RBRVS,0.45 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,85097,CPT,Bone marrow interpretation,,,17 ,,RBRVS,0.94 ,0.27 ,1.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,85130,CPT,Chromogenic substrate assay,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85170,CPT,Blood clot retraction,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85175,CPT,Blood clot lysis time,,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85210,CPT,Blood clot factor II test,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85220,CPT,Blood clot factor V test,,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85230,CPT,Blood clot factor VII test,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85240,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85244,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85245,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85246,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85247,CPT,Blood clot factor VIII test,,,17 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85250,CPT,Blood clot factor IX test,,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85260,CPT,Blood clot factor X test,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85270,CPT,Blood clot factor XI test,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85280,CPT,Blood clot factor XII test,,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85290,CPT,Blood clot factor XIII test,,,17 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85291,CPT,Blood clot factor XIII test,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85292,CPT,Blood clot factor assay,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85293,CPT,Blood clot factor assay,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85300,CPT,Antithrombin III test,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85301,CPT,Antithrombin III test,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85302,CPT,Blood clot inhibitor antigen,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85303,CPT,Blood clot inhibitor test,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85305,CPT,Blood clot inhibitor assay,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85306,CPT,Blood clot inhibitor test,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85307,CPT,Assay activated protein c,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85335,CPT,Factor inhibitor test,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85337,CPT,Thrombomodulin,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85345,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85347,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85348,CPT,Coagulation time,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85360,CPT,Euglobulin lysis,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85362,CPT,Fibrin degradation products,,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85366,CPT,Fibrinogen test,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85370,CPT,Fibrinogen test,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85378,CPT,"Fibrin degrade, semiquant",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85379,CPT,"Fibrin degradation, quant",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85380,CPT,"Fibrin degradation, vte",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85384,CPT,Fibrinogen,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85385,CPT,Fibrinogen,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85390,CPT,Fibrinolysins screen,26,,17 ,,RBRVS,0.37 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,85390,CPT,Fibrinolysins screen,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85396,CPT,"Clotting assay, whole blood",,,17 ,,RBRVS,0.37 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,85400,CPT,Fibrinolytic plasmin,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85410,CPT,Fibrinolytic antiplasmin,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85415,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85420,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85421,CPT,Fibrinolytic plasminogen,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85441,CPT,"Heinz bodies, direct",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85445,CPT,"Heinz bodies, induced",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85460,CPT,"Hemoglobin, fetal",,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85461,CPT,"Hemoglobin, fetal",,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85475,CPT,Hemolysin,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85520,CPT,Heparin assay,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85525,CPT,Heparin neutralization,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85530,CPT,Heparin-protamine tolerance,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85536,CPT,Iron stain peripheral blood,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85540,CPT,Wbc alkaline phosphatase,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85547,CPT,RBC mechanical fragility,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85549,CPT,Muramidase,,,17 ,,TotalUnits,,,,0.88 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85555,CPT,RBC osmotic fragility,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85557,CPT,RBC osmotic fragility,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85576,CPT,Blood platelet aggregation,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,85576,CPT,Blood platelet aggregation,TC,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85576,CPT,Blood platelet aggregation,,,17 ,,NW,,,,,,$60.84,$0.00,1,0,0,0,0,1,20080101,,85597,CPT,Platelet neutralization,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85610,CPT,Prothrombin time,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85611,CPT,Prothrombin test,,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85612,CPT,Viper venom prothrombin time,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85613,CPT,"Russell viper venom, diluted",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85635,CPT,Reptilase test,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85651,CPT,"Rbc sed rate, nonautomated",,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85652,CPT,"Rbc sed rate, automated",,,17 ,,TotalUnits,,,,0.13 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85660,CPT,RBC sickle cell test,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85670,CPT,"Thrombin time, plasma",,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85675,CPT,"Thrombin time, titer",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85705,CPT,Thromboplastin inhibition,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85730,CPT,"Thromboplastin time, partial",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85732,CPT,"Thromboplastin time, partial",,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85810,CPT,Blood viscosity examination,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,85999,CPT,Hematology procedure,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86000,CPT,"Agglutinins, febrile",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86001,CPT,Allergen specific igg,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86003,CPT,Allergen specific IgE,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86005,CPT,Allergen specific IgE,,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86021,CPT,WBC antibody identification,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86022,CPT,Platelet antibodies,,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86023,CPT,Immunoglobulin assay,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86038,CPT,Antinuclear antibodies,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86039,CPT,Antinuclear antibodies (ANA),,,17 ,,TotalUnits,,,,0.52 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86060,CPT,"Antistreptolysin o, titer",,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86063,CPT,"Antistreptolysin o, screen",,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86077,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.30 ,0.38 ,,,$0.00,$0.00,1,0,1,0,1,1,20080101,,86078,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.30 ,0.38 ,,,$0.00,$0.00,1,0,1,0,1,1,20080101,,86079,CPT,Physician blood bank service,,,17 ,,RBRVS,0.94 ,0.30 ,0.39 ,,,$0.00,$0.00,1,0,1,0,1,1,20080101,,86140,CPT,C-reactive protein,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86141,CPT,"C-reactive protein, hs",,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86146,CPT,Glycoprotein antibody,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86147,CPT,Cardiolipin antibody,,,17 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86148,CPT,Phospholipid antibody,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86155,CPT,Chemotaxis assay,,,17 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86156,CPT,"Cold agglutinin, screen",,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86157,CPT,"Cold agglutinin, titer",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86160,CPT,"Complement, antigen",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86161,CPT,Complement/function activity,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86162,CPT,"Complement, total (CH50)",,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86171,CPT,"Complement fixation, each",,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86185,CPT,Counterimmunoelectrophoresis,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86200,CPT,Ccp antibody,,,17 ,,NW,,,,,,$21.74,$0.00,1,1,1,0,1,1,20080101,,86215,CPT,"Deoxyribonuclease, antibody",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86225,CPT,DNA antibody,,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86226,CPT,"DNA antibody, single strand",,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86235,CPT,Nuclear antigen antibody,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86243,CPT,Fc receptor,,,17 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86255,CPT,"Fluorescent antibody, screen",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,86255,CPT,"Fluorescent antibody, screen",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86256,CPT,"Fluorescent antibody, titer",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,86256,CPT,"Fluorescent antibody, titer",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86277,CPT,Growth hormone antibody,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86280,CPT,Hemagglutination inhibition,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86294,CPT,"Immunoassay, tumor qual",,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86300,CPT,"Immunoassay, tumor ca 15-3",,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86301,CPT,"Immunoassay, tumor ca 19-9",,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86304,CPT,"Immunoassay, tumor, ca 125",,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86308,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86309,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86310,CPT,Heterophile antibodies,,,17 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86316,CPT,"Immunoassay, tumor other",,,17 ,,TotalUnits,,,,0.97 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86317,CPT,"Immunoassay,infectious agent",,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86318,CPT,"Immunoassay,infectious agent",,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86320,CPT,Serum immunoelectrophoresis,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,86320,CPT,Serum immunoelectrophoresis,TC,,17 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86320,CPT,Serum immunoelectrophoresis,,,17 ,,NW,,,,,,$63.48,$0.00,1,0,0,0,0,1,20080101,,86325,CPT,Other immunoelectrophoresis,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,86325,CPT,Other immunoelectrophoresis,TC,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86325,CPT,Other immunoelectrophoresis,,,17 ,,NW,,,,,,$63.33,$0.00,1,0,0,0,0,1,20080101,,86327,CPT,Immunoelectrophoresis assay,26,,17 ,,RBRVS,0.42 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,86327,CPT,Immunoelectrophoresis assay,TC,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86327,CPT,Immunoelectrophoresis assay,,,17 ,,NW,,,,,,$64.26,$0.00,1,0,0,0,0,1,20080101,,86329,CPT,Immunodiffusion,,,17 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86331,CPT,Immunodiffusion ouchterlony,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86332,CPT,Immune complex assay,,,17 ,,TotalUnits,,,,1.14 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86334,CPT,Immunofixation procedure,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,86334,CPT,Immunofixation procedure,TC,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86334,CPT,"Immunofix e-phoresis, serum",,,17 ,,NW,,,,,,$63.27,$0.00,1,0,0,0,0,1,20080101,,86335,CPT,Immunfix e-phorsis/urine/csf,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,86335,CPT,Immunfix e-phorsis/urine/csf,,,17 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86336,CPT,Inhibin A,,,17 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86337,CPT,Insulin antibodies,,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86340,CPT,Intrinsic factor antibody,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86341,CPT,Islet cell antibody,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86343,CPT,Leukocyte histamine release,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86344,CPT,Leukocyte phagocytosis,,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86353,CPT,Lymphocyte transformation,,,17 ,,TotalUnits,,,,2.29 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86355,CPT,"B cells, total count",,,17 ,,NW,,,,,,$63.33,$0.00,1,1,1,0,1,1,20080101,,86357,CPT,"Nk cells, total count",,,17 ,,NW,,,,,,$63.33,$0.00,1,1,1,0,1,1,20080101,,86359,CPT,"T cells, total count",,,17 ,,TotalUnits,,,,1.76 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86360,CPT,"T cell, absolute count/ratio",,,17 ,,TotalUnits,,,,2.19 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86361,CPT,"T cell, absolute count",,,17 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86367,CPT,"Stem cells, total count",,,17 ,,NW,,,,,,$63.33,$0.00,1,1,1,0,1,1,20080101,,86376,CPT,Microsomal antibody,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86378,CPT,Migration inhibitory factor,,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86382,CPT,"Neutralization test, viral",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86384,CPT,Nitroblue tetrazolium dye,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86403,CPT,Particle agglutination test,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86406,CPT,Particle agglutination test,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86430,CPT,Rheumatoid factor test,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86431,CPT,"Rheumatoid factor, quant",,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86480,CPT,"Tb test, cell immun measure",,,17 ,,NW,,,,,,$104.05,$0.00,1,1,1,0,1,1,20080101,,86485,CPT,"Skin test, candida",,TC,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86486,CPT,"Skin test, nos antigen", ,TC,17 ,,RBRVS,0.00 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,86490,CPT,Coccidioidomycosis skin test,,TC,17 ,,RBRVS,0.00 ,0.13 ,0.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86510,CPT,Histoplasmosis skin test,,TC,17 ,,RBRVS,0.00 ,0.13 ,0.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86580,CPT,TB intradermal test,,TC,17 ,,RBRVS,0.00 ,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86590,CPT,"Streptokinase, antibody",,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86592,CPT,"Blood serology, qualitative",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86593,CPT,"Blood serology, quantitative",,,17 ,,TotalUnits,,,,0.21 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86602,CPT,Antinomyces antibody,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86603,CPT,Adenovirus antibody,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86606,CPT,Aspergillus antibody,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86609,CPT,Bacterium antibody,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86611,CPT,Bartonella antibody,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86612,CPT,Blastomyces antibody,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86615,CPT,Bordetella antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86617,CPT,Lyme disease antibody,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86618,CPT,Lyme disease antibody,,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86619,CPT,Borrelia antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86622,CPT,Brucella antibody,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86625,CPT,Campylobacter antibody,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86628,CPT,Candida antibody,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86631,CPT,Chlamydia antibody,,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86632,CPT,Chlamydia igm antibody,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86635,CPT,Coccidioides antibody,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86638,CPT,Q fever antibody,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86641,CPT,Cryptococcus antibody,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86644,CPT,CMV antibody,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86645,CPT,"CMV antibody, IgM",,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86648,CPT,Diphtheria antibody,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86651,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86652,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86653,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86654,CPT,Encephalitis antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86658,CPT,Enterovirus antibody,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86663,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86664,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86665,CPT,Epstein-barr antibody,,,17 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86666,CPT,Ehrlichia antibody,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86668,CPT,Francisella tularensis,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86671,CPT,Fungus antibody,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86674,CPT,Giardia lamblia antibody,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86677,CPT,Helicobacter pylori,,,17 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86682,CPT,Helminth antibody,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86684,CPT,Hemophilus influenza,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86687,CPT,Htlv-i antibody,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86688,CPT,Htlv-ii antibody,,,17 ,,TotalUnits,,,,0.65 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86689,CPT,HTLV/HIV confirmatory test,,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86692,CPT,"Hepatitis, delta agent",,,17 ,,TotalUnits,,,,0.80 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86694,CPT,Herpes simplex test,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86695,CPT,Herpes simplex test,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86696,CPT,Herpes simplex type 2,,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86698,CPT,Histoplasma,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86701,CPT,HIV-1,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86702,CPT,HIV-2,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86703,CPT,"HIV-1/HIV-2, single assay",,,17 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86704,CPT,"Hep b core antibody, total",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86705,CPT,"Hep b core antibody, igm",,,17 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86706,CPT,Hep b surface antibody,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86707,CPT,Hep be antibody,,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86708,CPT,"Hep a antibody, total",,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86709,CPT,"Hep a antibody, igm",,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86710,CPT,Influenza virus antibody,,,17 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86713,CPT,Legionella antibody,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86717,CPT,Leishmania antibody,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86720,CPT,Leptospira antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86723,CPT,Listeria monocytogenes ab,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86727,CPT,Lymph choriomeningitis ab,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86729,CPT,Lympho venereum antibody,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86732,CPT,Mucormycosis antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86735,CPT,Mumps antibody,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86738,CPT,Mycoplasma antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86741,CPT,Neisseria meningitidis,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86744,CPT,Nocardia antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86747,CPT,Parvovirus antibody,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86750,CPT,Malaria antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86753,CPT,Protozoa antibody nos,,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86756,CPT,Respiratory virus antibody,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86757,CPT,Rickettsia antibody,,,17 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86759,CPT,Rotavirus antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86762,CPT,Rubella antibody,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86765,CPT,Rubeola antibody,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86768,CPT,Salmonella antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86771,CPT,Shigella antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86774,CPT,Tetanus antibody,,,17 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86777,CPT,Toxoplasma antibody,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86778,CPT,"Toxoplasma antibody, igm",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86781,CPT,"Treponema pallidum, confirm",,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86784,CPT,Trichinella antibody,,,17 ,,TotalUnits,,,,0.59 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86787,CPT,Varicella-zoster antibody,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86788,CPT,"West nile virus ab, igm",,,17 ,,NW,,,,,,$23.97,$0.00,1,1,1,0,1,1,20080101,,86789,CPT,West nile virus antibody,,,17 ,,NW,,,,,,$20.48,$0.00,1,1,1,0,1,1,20080101,,86790,CPT,Virus antibody nos,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86793,CPT,Yersinia antibody,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86800,CPT,Thyroglobulin antibody,,,17 ,,TotalUnits,,,,0.74 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86803,CPT,Hepatitis c ab test,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86804,CPT,"Hep c ab test, confirm",,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86805,CPT,Lymphocytotoxicity assay,,,17 ,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86806,CPT,Lymphocytotoxicity assay,,,17 ,,TotalUnits,,,,2.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86807,CPT,Cytotoxic antibody screening,,,17 ,,TotalUnits,,,,1.85 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86808,CPT,Cytotoxic antibody screening,,,17 ,,TotalUnits,,,,1.39 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86812,CPT,"HLA typing, A, B, or C",,,17 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86813,CPT,"HLA typing, A, B, or C",,,17 ,,TotalUnits,,,,2.71 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86816,CPT,"HLA typing, DR/DQ",,,17 ,,TotalUnits,,,,1.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86817,CPT,"HLA typing, DR/DQ",,,17 ,,TotalUnits,,,,3.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86821,CPT,"Lymphocyte culture, mixed",,,17 ,,TotalUnits,,,,2.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86822,CPT,"Lymphocyte culture, primed",,,17 ,,TotalUnits,,,,1.71 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86849,CPT,Immunology procedure,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86850,CPT,RBC antibody screen,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86860,CPT,RBC antibody elution,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86870,CPT,RBC antibody identification,,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86880,CPT,"Coombs test, direct",,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86885,CPT,"Coombs test, indirect, qual",,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86886,CPT,"Coombs test, indirect, titer",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86890,CPT,Autologous blood process,,,17 ,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86891,CPT,"Autologous blood, op salvage",,,17 ,,TotalUnits,,,,2.55 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86900,CPT,"Blood typing, ABO",,,17 ,,TotalUnits,,,,0.14 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86901,CPT,"Blood typing, Rh (D)",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86903,CPT,"Blood typing, antigen screen",,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86904,CPT,"Blood typing, patient serum",,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86905,CPT,"Blood typing, RBC antigens",,,17 ,,TotalUnits,,,,0.18 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86906,CPT,"Blood typing, Rh phenotype",,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86910,CPT,"Blood typing, paternity test",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86911,CPT,"Blood typing, antigen system",,,17 ,,TotalUnits,,,,0.35 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86920,CPT,Compatibility test,,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86921,CPT,Compatibility test,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86922,CPT,Compatibility test,,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86923,CPT,"Compatibility test, electric",,,17 ,,NW,,,,,,$15.52,$0.00,1,1,1,0,1,1,20080101,,86927,CPT,"Plasma, fresh frozen",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86930,CPT,Frozen blood prep,,,17 ,,TotalUnits,,,,2.04 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86931,CPT,Frozen blood thaw,,,17 ,,TotalUnits,,,,2.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86932,CPT,Frozen blood freeze/thaw,,,17 ,,TotalUnits,,,,2.45 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86940,CPT,"Hemolysins/agglutinins, auto",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86941,CPT,Hemolysins/agglutinins,,,17 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86945,CPT,Blood product/irradiation,,,17 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86950,CPT,Leukacyte transfusion,,,17 ,,TotalUnits,,,,1.12 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86960,CPT,Vol reduction of blood/prod,,,17 ,,NW,,,,,,$15.52,$0.00,1,1,1,0,1,1,20080101,,86965,CPT,Pooling blood platelets,,,17 ,,TotalUnits,,,,0.29 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86970,CPT,RBC pretreatment,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86971,CPT,RBC pretreatment,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86972,CPT,RBC pretreatment,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86975,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86976,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86977,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86978,CPT,"RBC pretreatment, serum",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86985,CPT,Split blood or products,,,17 ,,TotalUnits,,,,0.43 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,86999,CPT,Transfusion procedure,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87001,CPT,Small animal inoculation,,,17 ,,TotalUnits,,,,0.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87003,CPT,Small animal inoculation,,,17 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87015,CPT,Specimen concentration,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87040,CPT,Blood culture for bacteria,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87045,CPT,"Feces culture, bacteria",,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87046,CPT,"Stool cultr, bacteria, each",,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87070,CPT,"Culture, bacteria, other",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87071,CPT,Culture bacteri aerobic othr,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87073,CPT,Culture bacteria anaerobic,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87075,CPT,Culture bacteria anaerobic,,,17 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87076,CPT,"Culture anaerobe ident, each",,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87077,CPT,Culture aerobic identify,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87081,CPT,Culture screen only,,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87084,CPT,Culture of specimen by kit,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87086,CPT,Urine culture/colony count,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87088,CPT,Urine bacteria culture,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87101,CPT,Skin fungi culture,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87102,CPT,Fungus isolation culture,,,17 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87103,CPT,Blood fungus culture,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87106,CPT,"Fungi identification, yeast",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87107,CPT,"Fungi identification, mold",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87109,CPT,Mycoplasma,,,17 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87110,CPT,Chlamydia culture,,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87116,CPT,Mycobacteria culture,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87118,CPT,Mycobacteric identification,,,17 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87140,CPT,Culture type immunofluoresc,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87143,CPT,"Culture typing, glc/hplc",,,17 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87147,CPT,"Culture type, immunologic",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87149,CPT,"Culture type, nucleic acid",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87152,CPT,Culture type pulse field gel,,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87158,CPT,"Culture typing, added method",,,17 ,,TotalUnits,,,,0.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87164,CPT,Dark field examination,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,87164,CPT,Dark field examination,TC,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87164,CPT,Dark field examination,,,17 ,,NW,,,,,,$30.42,$0.00,1,0,0,0,0,1,20080101,,87166,CPT,Dark field examination,,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87168,CPT,Macroscopic exam arthropod,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87169,CPT,Macroscopic exam parasite,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87172,CPT,Pinworm exam,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87176,CPT,"Tissue homogenization, cultr",,,17 ,,TotalUnits,,,,0.27 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87177,CPT,Ova and parasites smears,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87181,CPT,"Microbe susceptible, diffuse",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87184,CPT,"Microbe susceptible, disk",,,17 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87185,CPT,"Microbe susceptible, enzyme",,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87186,CPT,"Microbe susceptible, mic",,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87187,CPT,"Microbe susceptible, mlc",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87188,CPT,"Microbe suscept, macrobroth",,,17 ,,TotalUnits,,,,0.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87190,CPT,"Microbe suscept, mycobacteri",,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87197,CPT,"Bactericidal level, serum",,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87205,CPT,"Smear, gram stain",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87206,CPT,"Smear, fluorescent/acid stai",,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87207,CPT,"Smear, special stain",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,87207,CPT,"Smear, special stain",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87209,CPT,"Smear, complex stain",,,17 ,,NW,,,,,,$30.17,$0.00,1,1,1,0,1,1,20080101,,87210,CPT,"Smear, wet mount, saline/ink",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87220,CPT,Tissue exam for fungi,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87230,CPT,"Assay, toxin or antitoxin",,,17 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87250,CPT,"Virus inoculate, eggs/animal",,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87252,CPT,"Virus inoculation, tissue",,,17 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87253,CPT,"Virus inoculate tissue, addl",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87254,CPT,"Virus inoculation, shell via",,,17 ,,TotalUnits,,,,0.91 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87255,CPT,"Genet virus isolate, hsv",,,17 ,,TotalUnits,,,,1.58 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87260,CPT,"Adenovirus ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87265,CPT,"Pertussis ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87267,CPT,"Enterovirus antibody, dfa",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87269,CPT,"Giardia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87270,CPT,"Chlamydia trachomatis ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87271,CPT,"Cryptosporidum/gardia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87272,CPT,"Cryptosporidum/gardia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87273,CPT,"Herpes simplex 2, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87274,CPT,"Herpes simplex 1, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87275,CPT,"Influenza b, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87276,CPT,"Influenza a, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87277,CPT,"Legionella micdadei, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87278,CPT,"Legion pneumophilia ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87279,CPT,"Parainfluenza, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87280,CPT,"Respiratory syncytial ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87281,CPT,"Pneumocystis carinii, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87283,CPT,"Rubeola, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87285,CPT,"Treponema pallidum, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87290,CPT,"Varicella zoster, ag, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87299,CPT,"Antibody detection, nos, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87300,CPT,"Ag detection, polyval, if",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87301,CPT,"Adenovirus ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87305,CPT,"Aspergillus ag, eia",,,17 ,,NW,,,,,,$17.07,$0.00,1,1,1,0,1,1,20080101,,87320,CPT,"Chylmd trach ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87324,CPT,"Clostridium ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87327,CPT,"Cryptococcus neoform ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87328,CPT,"Cryptospor ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87329,CPT,"Giardia ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87332,CPT,"Cytomegalovirus ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87335,CPT,"E coli 0157 ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87336,CPT,"Entamoeb hist dispr, ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87337,CPT,"Entamoeb hist group, ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87338,CPT,"Hpylori, stool, eia",,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87339,CPT,"H pylori ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87340,CPT,"Hepatitis b surface ag, eia",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87341,CPT,"Hepatitis b surface, ag, eia",,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87350,CPT,"Hepatitis be ag, eia",,,17 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87380,CPT,"Hepatitis delta ag, eia",,,17 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87385,CPT,"Histoplasma capsul ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87390,CPT,"Hiv-1 ag, eia",,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87391,CPT,"Hiv-2 ag, eia",,,17 ,,TotalUnits,,,,0.82 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87400,CPT,"Influenza a/b, ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87420,CPT,"Resp syncytial ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87425,CPT,"Rotavirus ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87427,CPT,"Shiga-like toxin ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87430,CPT,"Strep a ag, eia",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87449,CPT,"Ag detect nos, eia, mult",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87450,CPT,"Ag detect nos, eia, single",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87451,CPT,"Ag detect polyval, eia, mult",,,17 ,,TotalUnits,,,,0.45 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87470,CPT,"Bartonella, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87471,CPT,"Bartonella, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87472,CPT,"Bartonella, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87475,CPT,"Lyme dis, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87476,CPT,"Lyme dis, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87477,CPT,"Lyme dis, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87480,CPT,"Candida, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87481,CPT,"Candida, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87482,CPT,"Candida, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87485,CPT,"Chylmd pneum, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87486,CPT,"Chylmd pneum, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87487,CPT,"Chylmd pneum, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87490,CPT,"Chylmd trach, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87491,CPT,"Chylmd trach, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87492,CPT,"Chylmd trach, dna, quant",,,17 ,,TotalUnits,,,,1.63 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87495,CPT,"Cytomeg, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87496,CPT,"Cytomeg, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87497,CPT,"Cytomeg, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87498,CPT,"Enterovirus, dna, amp probe",,,17 ,,NW,,,,,,$49.94,$0.00,1,1,1,0,1,1,20080101,,87510,CPT,"Gardner vag, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87511,CPT,"Gardner vag, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87512,CPT,"Gardner vag, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87515,CPT,"Hepatitis b, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87516,CPT,"Hepatitis b, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87517,CPT,"Hepatitis b, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87520,CPT,"Hepatitis c, rna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87521,CPT,"Hepatitis c, rna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87522,CPT,"Hepatitis c, rna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87525,CPT,"Hepatitis g, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87526,CPT,"Hepatitis g, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87527,CPT,"Hepatitis g, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87528,CPT,"Hsv, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87529,CPT,"Hsv, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87530,CPT,"Hsv, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87531,CPT,"Hhv-6, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87532,CPT,"Hhv-6, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87533,CPT,"Hhv-6, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87534,CPT,"Hiv-1, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87535,CPT,"Hiv-1, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87536,CPT,"Hiv-1, dna, quant",,,17 ,,TotalUnits,,,,3.97 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87537,CPT,"Hiv-2, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87538,CPT,"Hiv-2, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87539,CPT,"Hiv-2, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87540,CPT,"Legion pneumo, dna, dir prob",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87541,CPT,"Legion pneumo, dna, amp prob",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87542,CPT,"Legion pneumo, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87550,CPT,"Mycobacteria, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87551,CPT,"Mycobacteria, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87552,CPT,"Mycobacteria, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87555,CPT,"M.tuberculo, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87556,CPT,"M.tuberculo, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87557,CPT,"M.tuberculo, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87560,CPT,"M.avium-intra, dna, dir prob",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87561,CPT,"M.avium-intra, dna, amp prob",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87562,CPT,"M.avium-intra, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87580,CPT,"M.pneumon, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87581,CPT,"M.pneumon, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87582,CPT,"M.pneumon, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87590,CPT,"N.gonorrhoeae, dna, dir prob",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87591,CPT,"N.gonorrhoeae, dna, amp prob",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87592,CPT,"N.gonorrhoeae, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87620,CPT,"Hpv, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87621,CPT,"Hpv, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87622,CPT,"Hpv, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87640,CPT,"Staph a, dna, amp probe",,,17 ,,NW,,,,,,$49.94,$0.00,1,1,1,0,1,1,20080101,,87641,CPT,"Mr-staph, dna, amp probe",,,17 ,,NW,,,,,,$49.94,$0.00,1,1,1,0,1,1,20080101,,87650,CPT,"Strep a, dna, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87651,CPT,"Strep a, dna, amp probe",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87652,CPT,"Strep a, dna, quant",,,17 ,,TotalUnits,,,,1.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87653,CPT,"Strep b, dna, amp probe",,,17 ,,NW,,,,,,$49.94,$0.00,1,1,1,0,1,1,20080101,,87660,CPT,"Trichomonas vagin, dir probe",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87797,CPT,"Detect agent nos, dna, dir",,,17 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87798,CPT,"Detect agent nos, dna, amp",,,17 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87799,CPT,"Detect agent nos, dna, quant",,,17 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87800,CPT,"Detect agnt mult, dna, direc",,,17 ,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87801,CPT,"Detect agnt mult, dna, ampli",,,17 ,,TotalUnits,,,,3.28 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87802,CPT,Strep b assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87803,CPT,Clostridium toxin a w/optic,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87804,CPT,Influenza assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87807,CPT,Rsv assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87808,CPT,Trichomonas assay w/optic,,,17 ,,NW,,,,,,$17.07,$0.00,1,1,1,0,1,1,20080101,,87810,CPT,Chylmd trach assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87850,CPT,N. gonorrhoeae assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87880,CPT,Strep a assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87899,CPT,Agent nos assay w/optic,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87900,CPT,"Phenotype, infect agent drug",,,17 ,,NW,,,,,,$218.82,$0.00,1,1,1,0,1,1,20080101,,87901,CPT,"Genotype, dna, hiv reverse t",,,17 ,,TotalUnits,,,,12.02 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87902,CPT,"Genotype, dna, hepatitis C",,,17 ,,TotalUnits,,,,12.02 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87903,CPT,"Phenotype, dna hiv w/culture",,,17 ,,TotalUnits,,,,22.81 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87904,CPT,"Phenotype, dna hiv w/clt add",,,17 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,87999,CPT,Microbiology procedure,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88000,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,8.10 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88005,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,9.00 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88007,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,9.90 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88012,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,7.46 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88014,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,7.46 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88016,CPT,"Autopsy (necropsy), gross",,,17 ,,TotalUnits,,,,9.07 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88020,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,11.64 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88025,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,12.54 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88027,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,13.44 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88028,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,7.46 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88029,CPT,"Autopsy (necropsy), complete",,,17 ,,TotalUnits,,,,7.46 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88036,CPT,Limited autopsy,,,17 ,,TotalUnits,,,,4.82 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88037,CPT,Limited autopsy,,,17 ,,TotalUnits,,,,3.54 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88040,CPT,Forensic autopsy (necropsy),,,17 ,,TotalUnits,,,,19.29 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88045,CPT,Coroner’s autopsy (necropsy),,,17 ,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88099,CPT,Necropsy (autopsy) procedure,,,17 ,,TotalUnits,,,,12.54 ,,$0.00,$0.00,1,0,1,0,1,1,20080101,,88104,CPT,"Cytopathology, fluids",26,,17 ,,RBRVS,0.56 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88104,CPT,"Cytopathology, fluids",TC,,17 ,,RBRVS,0.00 ,1.03 ,1.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88104,CPT,"Cytopathology, fluids",,,17 ,,RBRVS,0.56 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88106,CPT,"Cytopathology, fluids",26,,17 ,,RBRVS,0.56 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88106,CPT,"Cytopathology, fluids",TC,,17 ,,RBRVS,0.00 ,1.37 ,1.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88106,CPT,"Cytopathology, fluids",,,17 ,,RBRVS,0.56 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88107,CPT,"Cytopathology, fluids",26,,17 ,,RBRVS,0.76 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88107,CPT,"Cytopathology, fluids",TC,,17 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88107,CPT,"Cytopathology, fluids",,,17 ,,RBRVS,0.76 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88108,CPT,"Cytopath, concentrate tech",26,,17 ,,RBRVS,0.56 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88108,CPT,"Cytopath, concentrate tech",TC,,17 ,,RBRVS,0.00 ,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88108,CPT,"Cytopath, concentrate tech",,,17 ,,RBRVS,0.56 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88112,CPT,"Cytopath, cell enhance tech",26,,17 ,,RBRVS,1.18 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88112,CPT,"Cytopath, cell enhance tech",TC,,17 ,,RBRVS,0.00 ,1.18 ,1.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88112,CPT,"Cytopath, cell enhance tech",,,17 ,,RBRVS,1.18 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88125,CPT,Forensic cytopathology,26,,17 ,,RBRVS,0.26 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88125,CPT,Forensic cytopathology,TC,,17 ,,RBRVS,0.00 ,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88125,CPT,Forensic cytopathology,,,17 ,,RBRVS,0.26 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88130,CPT,Sex chromatin identification,,,17 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88140,CPT,Sex chromatin identification,,,17 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88141,CPT,"Cytopath, c/v, interpret",,PC,17 ,,RBRVS,0.42 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88142,CPT,"Cytopath, c/v, thin layer",,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88143,CPT,Cytopath c/v thin layer redo,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88147,CPT,"Cytopath, c/v, automated",,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88148,CPT,"Cytopath, c/v, auto rescreen",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88150,CPT,"Cytopath, c/v, manual",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88152,CPT,"Cytopath, c/v, auto redo",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88153,CPT,"Cytopath, c/v, redo",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88154,CPT,"Cytopath, c/v, select",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88155,CPT,"Cytopath, c/v, index add-on",,,17 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88160,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.50 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88160,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88160,CPT,"Cytopath smear, other source",,,17 ,,RBRVS,0.50 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88161,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88161,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,0.92 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88161,CPT,"Cytopath smear, other source",,,17 ,,RBRVS,0.50 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88162,CPT,"Cytopath smear, other source",26,,17 ,,RBRVS,0.76 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88162,CPT,"Cytopath smear, other source",TC,,17 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88162,CPT,"Cytopath smear, other source",,,17 ,,RBRVS,0.76 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88164,CPT,"Cytopath tbs, c/v, manual",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88165,CPT,"Cytopath tbs, c/v, redo",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88166,CPT,"Cytopath tbs, c/v, auto redo",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88167,CPT,"Cytopath tbs, c/v, select",,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88172,CPT,Cytopathology eval of fna,26,,17 ,,RBRVS,0.60 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88172,CPT,Cytopathology eval of fna,TC,,17 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88172,CPT,Cytopathology eval of fna,,,17 ,,RBRVS,0.60 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88173,CPT,"Cytopath eval, fna, report",26,,17 ,,RBRVS,1.39 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88173,CPT,"Cytopath eval, fna, report",TC,,17 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88173,CPT,"Cytopath eval, fna, report",,,17 ,,RBRVS,1.39 ,2.20 ,2.20 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88174,CPT,"Cytopath, c/v auto, in fluid",,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88175,CPT,Cytopath c/v auto fluid redo,,,17 ,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88182,CPT,Cell marker study,26,,17 ,,RBRVS,0.77 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88182,CPT,Cell marker study,TC,,17 ,,RBRVS,0.00 ,1.88 ,1.88 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88182,CPT,Cell marker study,,,17 ,,RBRVS,0.77 ,2.02 ,2.02 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88184,CPT,"Flowcytometry/ tc, 1 marker",,TC,17 ,,RBRVS,0.00 ,2.47 ,2.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88185,CPT,"Flowcytometry/tc, add-on",,TC,17 ,,RBRVS,0.00 ,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88187,CPT,"Flowcytometry/read, 2-8",,PC,17 ,,RBRVS,1.36 ,0.40 ,0.40 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88188,CPT,"Flowcytometry/read, 9-15",,PC,17 ,,RBRVS,1.69 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88189,CPT,"Flowcytometry/read, 16 & >",,PC,17 ,,RBRVS,2.23 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88199,HCPCS,Cytopathology procedure,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88230,HCPCS,"Tissue culture, lymphocyte",,,17 ,,TotalUnits,,,,5.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88233,HCPCS,"Tissue culture, skin/biopsy",,,17 ,,TotalUnits,,,,6.57 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88235,HCPCS,"Tissue culture, placenta",,,17 ,,TotalUnits,,,,6.87 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88237,HCPCS,"Tissue culture, bone marrow",,,17 ,,TotalUnits,,,,5.90 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88239,HCPCS,"Tissue culture, tumor",,,17 ,,TotalUnits,,,,6.89 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88240,HCPCS,Cell cryopreserve/storage,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88241,HCPCS,Frozen cell preparation,,,17 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88245,HCPCS,"Chromosome analysis, 20-25",,,17 ,,TotalUnits,,,,6.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88248,HCPCS,"Chromosome analysis, 50-100",,,17 ,,TotalUnits,,,,8.08 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88249,HCPCS,"Chromosome analysis, 100",,,17 ,,TotalUnits,,,,8.08 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88261,HCPCS,"Chromosome analysis, 5",,,17 ,,TotalUnits,,,,8.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88262,HCPCS,"Chromosome analysis, 15-20",,,17 ,,TotalUnits,,,,5.82 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88263,HCPCS,"Chromosome analysis, 45",,,17 ,,TotalUnits,,,,7.01 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88264,HCPCS,"Chromosome analysis, 20-25",,,17 ,,TotalUnits,,,,5.82 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88267,HCPCS,"Chromosome analys, placenta",,,17 ,,TotalUnits,,,,8.39 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88269,HCPCS,"Chromosome analys, amniotic",,,17 ,,TotalUnits,,,,7.76 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88271,HCPCS,"Cytogenetics, dna probe",,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88272,HCPCS,"Cytogenetics, 3-5",,,17 ,,TotalUnits,,,,1.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88273,HCPCS,"Cytogenetics, 10-30",,,17 ,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88274,HCPCS,"Cytogenetics, 25-99",,,17 ,,TotalUnits,,,,1.62 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88275,HCPCS,"Cytogenetics, 100-300",,,17 ,,TotalUnits,,,,1.87 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88280,HCPCS,Chromosome karyotype study,,,17 ,,TotalUnits,,,,1.17 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88283,HCPCS,Chromosome banding study,,,17 ,,TotalUnits,,,,3.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88285,HCPCS,"Chromosome count, additional",,,17 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88289,HCPCS,"Chromosome study, additional",,,17 ,,TotalUnits,,,,1.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88291,HCPCS,Cyto/molecular report,,PC,17 ,,RBRVS,0.52 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88299,HCPCS,Cytogenetic study,,,17 ,,TotalUnits,,,,5.82 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88300,HCPCS,"Surgical path, gross",26,,17 ,,RBRVS,0.08 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88300,HCPCS,"Surgical path, gross",TC,,17 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88300,CPT,"Surgical path, gross",,,17 ,,RBRVS,0.08 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88302,HCPCS,Tissue exam by pathologist,26,,17 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88302,HCPCS,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,1.25 ,1.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88302,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,0.13 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88304,HCPCS,Tissue exam by pathologist,26,,17 ,,RBRVS,0.22 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88304,HCPCS,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,1.42 ,1.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88304,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,0.22 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88305,HCPCS,Tissue exam by pathologist,26,,17 ,,RBRVS,0.75 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88305,HCPCS,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,1.85 ,1.85 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88305,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,0.75 ,2.05 ,2.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88307,HCPCS,Tissue exam by pathologist,26,,17 ,,RBRVS,1.59 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188307,HCPCS,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,3.94 ,3.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188307,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,1.59 ,4.41 ,4.41 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188309,HCPCS,Tissue exam by pathologist,26,,17 ,,RBRVS,2.80 ,0.83 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188309,HCPCS,Tissue exam by pathologist,TC,,17 ,,RBRVS,0.00 ,5.34 ,5.34 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188309,CPT,Tissue exam by pathologist,,,17 ,,RBRVS,2.80 ,6.17 ,6.17 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188311,HCPCS,Decalcify tissue,26,,17 ,,RBRVS,0.24 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188311,HCPCS,Decalcify tissue,TC,,17 ,,RBRVS,0.00 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188311,CPT,Decalcify tissue,,,17 ,,RBRVS,0.24 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188312,HCPCS,Special stains,26,,17 ,,RBRVS,0.54 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188312,HCPCS,Special stains,TC,,17 ,,RBRVS,0.00 ,2.16 ,2.16 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188312,CPT,Special stains,,,17 ,,RBRVS,0.54 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188313,HCPCS,Special stains,26,,17 ,,RBRVS,0.24 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188313,HCPCS,Special stains,TC,,17 ,,RBRVS,0.00 ,1.89 ,1.89 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188313,CPT,Special stains,,,17 ,,RBRVS,0.24 ,1.95 ,1.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188314,HCPCS,Histochemical stain,26,,17 ,,RBRVS,0.45 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188314,HCPCS,Histochemical stain,TC,,17 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188314,CPT,Histochemical stain,,,17 ,,RBRVS,0.45 ,1.96 ,1.96 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188318,HCPCS,Chemical histochemistry,26,,17 ,,RBRVS,0.42 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188318,HCPCS,Chemical histochemistry,TC,,17 ,,RBRVS,0.00 ,2.83 ,2.83 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188318,CPT,Chemical histochemistry,,,17 ,,RBRVS,0.42 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188319,HCPCS,Enzyme histochemistry,26,,17 ,,RBRVS,0.53 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188319,HCPCS,Enzyme histochemistry,TC,,17 ,,RBRVS,0.00 ,3.08 ,3.08 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188319,CPT,Enzyme histochemistry,,,17 ,,RBRVS,0.53 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188321,HCPCS,Microslide consultation,,,17 ,,RBRVS,1.63 ,0.46 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188323,HCPCS,Microslide consultation,26,,17 ,,RBRVS,1.83 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188323,HCPCS,Microslide consultation,TC,,17 ,,RBRVS,0.00 ,1.75 ,1.75 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188323,CPT,Microslide consultation,,,17 ,,RBRVS,1.83 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188325,HCPCS,Comprehensive review of data,,,17 ,,RBRVS,2.50 ,0.69 ,2.40 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188329,HCPCS,Path consult introp,,,17 ,,RBRVS,0.67 ,0.20 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188331,HCPCS,"Path consult intraop, 1 bloc",26,,17 ,,RBRVS,1.19 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188331,HCPCS,"Path consult intraop, 1 bloc",TC,,17 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188331,CPT,"Path consult intraop, 1 bloc",,,17 ,,RBRVS,1.19 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188332,HCPCS,"Path consult intraop, addl",26,,17 ,,RBRVS,0.59 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188332,HCPCS,"Path consult intraop, addl",TC,,17 ,,RBRVS,0.00 ,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188332,CPT,"Path consult intraop, addl",,,17 ,,RBRVS,0.59 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188333,CPT,"Intraop cyto path consult, 1",26,,17 ,,RBRVS,1.20 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188333,CPT,"Intraop cyto path consult, 1",TC, ,17 ,,RBRVS,0.00 ,0.95 ,0.95 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188333,HCPCS,"Intraop cyto path consult, 1",,,17 ,,RBRVS,1.20 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188334,CPT,"Intraop cyto path consult, 2",26,,17 ,,RBRVS,0.73 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188334,CPT,"Intraop cyto path consult, 2",TC, ,17 ,,RBRVS,0.00 ,0.56 ,0.56 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188334,HCPCS,"Intraop cyto path consult, 2",,,17 ,,RBRVS,0.73 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188342,HCPCS,Immunocytochemistry,26,,17 ,,RBRVS,0.85 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188342,HCPCS,Immunocytochemistry,TC,,17 ,,RBRVS,0.00 ,1.77 ,1.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188342,CPT,Immunocytochemistry,,,17 ,,RBRVS,0.85 ,2.00 ,2.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188346,HCPCS,Immunofluorescent study,26,,17 ,,RBRVS,0.86 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188346,HCPCS,Immunofluorescent study,TC,,17 ,,RBRVS,0.00 ,1.68 ,1.68 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188346,CPT,Immunofluorescent study,,,17 ,,RBRVS,0.86 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188347,HCPCS,Immunofluorescent study,26,,17 ,,RBRVS,0.86 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188347,HCPCS,Immunofluorescent study,TC,,17 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188347,CPT,Immunofluorescent study,,,17 ,,RBRVS,0.86 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188348,HCPCS,Electron microscopy,26,,17 ,,RBRVS,1.51 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188348,HCPCS,Electron microscopy,TC,,17 ,,RBRVS,0.00 ,17.84 ,17.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188348,CPT,Electron microscopy,,,17 ,,RBRVS,1.51 ,18.26 ,18.26 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188349,HCPCS,Scanning electron microscopy,26,,17 ,,RBRVS,0.76 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188349,HCPCS,Scanning electron microscopy,TC,,17 ,,RBRVS,0.00 ,9.17 ,9.17 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188349,CPT,Scanning electron microscopy,,,17 ,,RBRVS,0.76 ,9.40 ,9.40 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188355,HCPCS,"Analysis, skeletal muscle",26,,17 ,,RBRVS,1.85 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188355,HCPCS,"Analysis, skeletal muscle",TC,,17 ,,RBRVS,0.00 ,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188355,CPT,"Analysis, skeletal muscle",,,17 ,,RBRVS,1.85 ,3.22 ,3.22 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188356,HCPCS,"Analysis, nerve",26,,17 ,,RBRVS,3.02 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188356,HCPCS,"Analysis, nerve",TC,,17 ,,RBRVS,0.00 ,4.78 ,4.78 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188356,CPT,"Analysis, nerve",,,17 ,,RBRVS,3.02 ,5.36 ,5.36 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188358,HCPCS,"Analysis, tumor",26,,17 ,,RBRVS,0.95 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188358,HCPCS,"Analysis, tumor",TC,,17 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188358,CPT,"Analysis, tumor",,,17 ,,RBRVS,0.95 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188360,HCPCS,Tumor immunohistochem/manual,26,,17 ,,RBRVS,1.10 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188360,HCPCS,Tumor immunohistochem/manual,TC,,17 ,,RBRVS,0.00 ,1.95 ,1.95 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188360,CPT,Tumor immunohistochem/manual,,,17 ,,RBRVS,1.10 ,2.22 ,2.22 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188361,HCPCS,"Immunohistochemistry, tumor",26,,17 ,,RBRVS,1.18 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188361,HCPCS,"Immunohistochemistry, tumor",TC,,17 ,,RBRVS,0.00 ,2.53 ,2.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188361,CPT,"Immunohistochemistry, tumor",,,17 ,,RBRVS,1.18 ,2.80 ,2.80 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188362,HCPCS,Nerve teasing preparations,26,,17 ,,RBRVS,2.17 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188362,HCPCS,Nerve teasing preparations,TC,,17 ,,RBRVS,0.00 ,4.43 ,4.43 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188362,CPT,Nerve teasing preparations,,,17 ,,RBRVS,2.17 ,5.00 ,5.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188365,HCPCS,Tissue hybridization,26,,17 ,,RBRVS,1.20 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188365,HCPCS,Tissue hybridization,TC,,17 ,,RBRVS,0.00 ,3.04 ,3.04 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188365,CPT,Tissue hybridization,,,17 ,,RBRVS,1.20 ,3.34 ,3.34 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010188367,HCPCS,"Insitu hybridization, auto",26,,17 ,,RBRVS,1.30 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010188367,HCPCS,"Insitu hybridization, auto",TC,,17 ,,RBRVS,0.00 ,4.94 ,4.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010188367,CPT,"Insitu hybridization, auto",,,17 ,,RBRVS,1.30 ,5.16 ,5.16 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88368,HCPCS,"Insitu hybridization, manual",26,,17 ,,RBRVS,1.40 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88368,HCPCS,"Insitu hybridization, manual",TC,,17 ,,RBRVS,0.00 ,4.72 ,4.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88368,CPT,"Insitu hybridization, manual",,,17 ,,RBRVS,1.40 ,4.97 ,4.97 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88371,HCPCS,"Protein, western blot tissue",26,,17 ,,RBRVS,0.37 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88371,HCPCS,"Protein, western blot tissue",,,17 ,,TotalUnits,,,,1.04 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88372,HCPCS,Protein analysis w/probe,26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88372,HCPCS,Protein analysis w/probe,,,17 ,,TotalUnits,,,,1.06 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88380,HCPCS,Microdissection,26,,17 ,,RBRVS,1.56 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88380,HCPCS,Microdissection,TC,,17 ,,RBRVS,0.00 ,2.23 ,2.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88380,CPT,Microdissection,,,17 ,,RBRVS,1.56 ,2.66 ,2.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88381,CPT,"Microdissection, manual",26,,17 ,,RBRVS,1.18 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,88381,CPT,"Microdissection, manual",TC, ,17 ,,RBRVS,0.00 ,4.15 ,4.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88381,CPT,"Microdissection, manual",,,17 ,,RBRVS,1.18 ,4.47 ,4.47 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88384,CPT,"Eval molecular probes, 11-50",,,21 ,,NW,,,,,,$17.83,$0.00,1,1,1,0,1,1,20080101,,88385,CPT,"Eval molecul probes, 51-250",26, ,17,,RBRVS,1.50 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,88385,CPT,"Eval molecul probes, 51-250",TC, ,17,,RBRVS,0.00 ,15.28 ,15.28 ,,,$0.00,$0.00,1,1,1,0,0,0,20080101,,88385,CPT,"Eval molecul probes, 51-250",,,21 ,,RBRVS,1.50 ,15.55 ,15.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88386,CPT,"Eval molecul probes, 251-500",26, ,17,,RBRVS,1.88 ,0.34 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,88386,CPT,"Eval molecul probes, 251-500",TC, ,17,,RBRVS,0.00 ,15.12 ,15.12 ,,,$0.00,$0.00,1,1,1,0,0,0,20080101,,88386,CPT,"Eval molecul probes, 251-500",,,21 ,,RBRVS,1.88 ,15.46 ,15.46 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,88399,HCPCS,Surgical pathology procedure,,,17 ,,TotalUnits,,,,2.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,88400,HCPCS,Bilirubin total transcut,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89049,HCPCS,Chct for mal hyperthermia,,,17 ,,RBRVS,1.40 ,0.19 ,3.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89050,HCPCS,Body fluid cell count,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89051,HCPCS,Body fluid cell count,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89055,HCPCS,"Leukocyte count, fecal",,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89060,CPT,"Exam,synovial fluid crystals",26,,17 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,89060,HCPCS,"Exam,synovial fluid crystals",,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89100,HCPCS,Sample intestinal contents,,,17 ,,RBRVS,0.60 ,0.54 ,7.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,89105,HCPCS,Sample intestinal contents,,,17 ,,RBRVS,0.50 ,0.46 ,7.85 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,89125,HCPCS,Specimen fat stain,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89130,HCPCS,Sample stomach contents,,,17 ,,RBRVS,0.45 ,0.38 ,6.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,89132,HCPCS,Sample stomach contents,,,17 ,,RBRVS,0.19 ,0.39 ,8.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,89135,HCPCS,Sample stomach contents,,,17 ,,RBRVS,0.79 ,0.67 ,8.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,89136,HCPCS,Sample stomach contents,,,17 ,,RBRVS,0.21 ,0.26 ,5.95 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,89140,HCPCS,Sample stomach contents,,,17 ,,RBRVS,0.94 ,0.43 ,6.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,89141,HCPCS,Sample stomach contents,,,17 ,,RBRVS,0.85 ,0.49 ,6.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,89160,HCPCS,Exam feces for meat fibers,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89190,HCPCS,Nasal smear for eosinophils,,,17 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89220,HCPCS,Sputum specimen collection,,TC,17 ,,RBRVS,0.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89225,HCPCS,"Starch granules, feces",,,17 ,,TotalUnits,,,,0.16 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89230,HCPCS,Collect sweat for test,,TC,17 ,,RBRVS,0.00 ,0.07 ,0.07 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89235,HCPCS,Water load test,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89240,HCPCS,Pathology lab procedure,,,17 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89250,HCPCS,Cultr oocyte/embryo <4 days,,,17 ,,TotalUnits,,,,14.03 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89300,HCPCS,Semen analysis w/huhner,,,17 ,,TotalUnits,,,,0.42 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89310,HCPCS,Semen analysis w/count,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89320,HCPCS,"Semen analysis, complete",,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89321,HCPCS,Semen analysis & motility,,,17 ,,TotalUnits,,,,0.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89325,HCPCS,Sperm antibody test,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89329,HCPCS,Sperm evaluation test,,,17 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,89330,HCPCS,"Evaluation, cervical mucus",,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90281,HCPCS,"Human ig, im",,,22 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90283,HCPCS,"Human ig, iv",,,22 ,,TotalUnits,,,,2.16 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90287,HCPCS,Botulinum antitoxin,,,22 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90291,CPT,"Cmv ig, iv",,,29 ,,NW,,,,,,$548.59,$0.00,1,1,1,0,0,1,20080101,,90371,HCPCS,"Hep b ig, im",,,22 ,,TotalUnits,,,,4.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90375,HCPCS,"Rabies ig, im/sc",,,22 ,,TotalUnits,,,,5.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90376,HCPCS,"Rabies ig, heat treated",,,22 ,,TotalUnits,,,,4.98 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90378,HCPCS,"Rsv ig, im, 50mg",,,22 ,,TotalUnits,,,,22.71 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90379,HCPCS,"Rsv ig, iv",,,22 ,,TotalUnits,,,,27.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90384,HCPCS,"Rh ig, full-dose, im",,,22 ,,TotalUnits,,,,3.10 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90385,HCPCS,"Rh ig, minidose, im",,,22 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90386,HCPCS,"Rh ig, iv",,,22 ,,TotalUnits,,,,6.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90389,HCPCS,"Tetanus ig, im",,,22 ,,TotalUnits,,,,3.85 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90396,HCPCS,"Varicella-zoster ig, im",,,22 ,,TotalUnits,,,,2.75 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90399,HCPCS,Immune globulin,,,22 ,,TotalUnits,,,,4.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90465,HCPCS,"Immune admin 1 inj, < 8 yrs",,,9 ,,RBRVS,0.17 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90466,HCPCS,"Immune admin addl inj, < 8 y",,,9 ,,RBRVS,0.15 ,0.04 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90467,HCPCS,"Immune admin o or n, < 8 yrs",,,9 ,,RBRVS,0.17 ,0.07 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90468,HCPCS,"Immune admin o/n, addl < 8 y",,,9 ,,RBRVS,0.15 ,0.04 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90471,HCPCS,Immunization admin,,,9 ,,RBRVS,0.17 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90472,HCPCS,"Immunization admin, each add",,,9 ,,RBRVS,0.15 ,0.04 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90473,HCPCS,Immune admin oral/nasal,,,9 ,,RBRVS,0.17 ,0.04 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90474,HCPCS,Immune admin oral/nasal addl,,,9 ,,RBRVS,0.15 ,0.04 ,0.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90476,HCPCS,"Adenovirus vaccine, type 4",,,9 ,,TotalUnits,,,,1.05 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90477,HCPCS,"Adenovirus vaccine, type 7",,,9 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90581,HCPCS,"Anthrax vaccine, sc",,,9 ,,TotalUnits,,,,2.97 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90585,HCPCS,"Bcg vaccine, percut",,,9 ,,TotalUnits,,,,4.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90586,HCPCS,"Bcg vaccine, intravesical",,,9 ,,TotalUnits,,,,3.19 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90632,HCPCS,"Hep a vaccine, adult im",,,9 ,,TotalUnits,,,,1.21 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90633,HCPCS,"Hep a vacc, ped/adol, 2 dose",,,9 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90634,HCPCS,"Hep a vacc, ped/adol, 3 dose",,,9 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90636,HCPCS,"Hep a/hep b vacc, adult im",,,9 ,,TotalUnits,,,,1.73 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90645,HCPCS,"Hib vaccine, hboc, im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90646,HCPCS,"Hib vaccine, prp-d, im",,,9 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90647,HCPCS,"Hib vaccine, prp-omp, im",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90648,HCPCS,"Hib vaccine, prp-t, im",,,9 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90657,HCPCS,"Flu vaccine, 6-35 mo, im",,,9 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90658,HCPCS,"Flu vaccine, 3 yrs, im",,,9 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90660,HCPCS,"Flu vaccine, nasal",,,9 ,,TotalUnits,,,,0.34 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90665,HCPCS,"Lyme disease vaccine, im",,,9 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90669,HCPCS,"Pneumococcal vacc, ped <5",,,9 ,,TotalUnits,,,,1.27 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90675,HCPCS,"Rabies vaccine, im",,,9 ,,TotalUnits,,,,2.80 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90676,HCPCS,"Rabies vaccine, id",,,9 ,,TotalUnits,,,,2.75 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90680,HCPCS,"Rotovirus vaccine, oral",,,9 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90690,HCPCS,"Typhoid vaccine, oral",,,9 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90691,HCPCS,"Typhoid vaccine, im",,,9 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90692,HCPCS,"Typhoid vaccine, h-p, sc/id",,,9 ,,TotalUnits,,,,0.85 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90693,HCPCS,"Typhoid vaccine, akd, sc",,,9 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90700,HCPCS,"Dtap vaccine, im",,,9 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90701,HCPCS,"Dtp vaccine, im",,,9 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90702,HCPCS,"Dt vaccine < 7, im",,,9 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90703,HCPCS,"Tetanus vaccine, im",,,9 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90704,HCPCS,"Mumps vaccine, sc",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90705,HCPCS,"Measles vaccine, sc",,,9 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90706,HCPCS,"Rubella vaccine, sc",,,9 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90707,HCPCS,"Mmr vaccine, sc",,,9 ,,TotalUnits,,,,0.83 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90708,HCPCS,"Measles-rubella vaccine, sc",,,9 ,,TotalUnits,,,,0.70 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90710,HCPCS,"Mmrv vaccine, sc",,,9 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90712,HCPCS,Oral poliovirus vaccine,,,9 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90713,HCPCS,"Poliovirus, ipv, sc",,,9 ,,TotalUnits,,,,0.57 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90714,HCPCS,Td vaccine no prsrv >/= 7 im,,,9 ,,NW,,,,,,$44.46,$0.00,1,1,1,0,1,1,20080101,,90716,HCPCS,"Chicken pox vaccine, sc",,,9 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90717,HCPCS,"Yellow fever vaccine, sc",,,9 ,,TotalUnits,,,,1.27 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90718,HCPCS,"Td vaccine > 7, im",,,9 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90719,HCPCS,"Diphtheria vaccine, im",,,9 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90720,HCPCS,"Dtp/hib vaccine, im",,,9 ,,TotalUnits,,,,0.89 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90721,HCPCS,"Dtap/hib vaccine, im",,,9 ,,TotalUnits,,,,0.96 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90723,HCPCS,"Dtap-hep b-ipv vaccine, im",,,9 ,,TotalUnits,,,,1.47 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90725,HCPCS,"Cholera vaccine, injectable",,,9 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90727,HCPCS,"Plague vaccine, im",,,9 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90732,HCPCS,Pneumococcal vaccine,,,9 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90733,HCPCS,"Meningococcal vaccine, sc",,,9 ,,TotalUnits,,,,1.34 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90734,HCPCS,"Meningococcal vaccine, im",,,9 ,,NW,,,,,,$68.24,$0.00,1,1,1,0,1,1,20080101,,90735,HCPCS,"Encephalitis vaccine, sc",,,9 ,,TotalUnits,,,,1.53 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90740,HCPCS,"Hepb vacc, ill pat 3 dose im",,,9 ,,TotalUnits,,,,5.05 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90743,HCPCS,"Hep b vacc, adol, 2 dose, im",,,9 ,,TotalUnits,,,,1.02 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90744,HCPCS,Hepb vacc ped/adol 3 dose im,,,9 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90746,HCPCS,"Hep b vaccine, adult, im",,,9 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90747,HCPCS,"Hepb vacc, ill pat 4 dose im",,,9 ,,TotalUnits,,,,4.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90748,HCPCS,"Hep b/hib vaccine, im",,,9 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90749,HCPCS,Vaccine toxoid,,,9 ,,TotalUnits,,,,0.61 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90760,HCPCS,"Hydration iv infusion, init",,,22 ,,RBRVS,0.17 ,1.32 ,1.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90761,HCPCS,"Hydrate iv infusion, add-on",,,22 ,,RBRVS,0.09 ,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90765,HCPCS,"Ther/proph/diag iv inf, init",,,22 ,,RBRVS,0.21 ,1.62 ,1.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90766,HCPCS,"Ther/proph/dg iv inf, add-on",,,22 ,,RBRVS,0.18 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90767,HCPCS,Tx/proph/dg addl seq iv inf,,,22 ,,RBRVS,0.19 ,0.69 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90768,HCPCS,Ther/diag concurrent inf,,,22 ,,RBRVS,0.17 ,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90769,CPT,"Sc ther infusion, up to 1 hr",,,22 ,,RBRVS,0.21 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90770,CPT,"Sc ther infusion, addl hr",,,22 ,,RBRVS,0.18 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90771,CPT,"Sc ther infusion, reset pump",,,22 ,,RBRVS,0.00 ,1.86 ,1.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90772,HCPCS,"Ther/proph/diag inj, sc/im",,,22 ,,RBRVS,0.17 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90773,HCPCS,"Ther/proph/diag inj, ia",,,22 ,,RBRVS,0.17 ,0.30 ,0.30 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010190774,HCPCS,"Ther/proph/diag inj, iv push",,,22 ,,RBRVS,0.18 ,1.33 ,1.33 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010190775,HCPCS,Ther/proph/diag inj add-on,,,22 ,,RBRVS,0.10 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010190779,CPT,Ther/prop/diag inj/inf proc,,,22 ,,NW,,,,,,$9.79,$0.00,1,1,1,0,1,1,2008010190801,HCPCS,Psy dx interview,,,16 ,,RBRVS,2.80 ,0.60 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190802,HCPCS,Intac psy dx interview,,,16 ,,RBRVS,3.01 ,0.68 ,1.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190804,HCPCS,"Psytx, office, 20-30 min",,,16 ,,RBRVS,1.21 ,0.22 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190805,HCPCS,"Psytx, off, 20-30 min w/e&m",,,16 ,,RBRVS,1.37 ,0.24 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190806,HCPCS,"Psytx, off, 45-50 min",,,16 ,,RBRVS,1.86 ,0.33 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190807,HCPCS,"Psytx, off, 45-50 min w/e&m",,,16 ,,RBRVS,2.02 ,0.35 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190808,HCPCS,"Psytx, office, 75-80 min",,,16 ,,RBRVS,2.79 ,0.49 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190809,HCPCS,"Psytx, off, 75-80, w/e&m",,,16 ,,RBRVS,2.95 ,0.52 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190810,HCPCS,"Intac psytx, off, 20-30 min",,,16 ,,RBRVS,1.32 ,0.23 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190811,HCPCS,"Intac psytx, 20-30, w/e&m",,,16 ,,RBRVS,1.48 ,0.26 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190812,HCPCS,"Intac psytx, off, 45-50 min",,,16 ,,RBRVS,1.97 ,0.34 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190813,HCPCS,"Intac psytx, 45-50 min w/e&m",,,16 ,,RBRVS,2.13 ,0.37 ,0.83 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190814,HCPCS,"Intac psytx, off, 75-80 min",,,16 ,,RBRVS,2.90 ,0.53 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190815,HCPCS,"Intac psytx, 75-80 w/e&m",,,16 ,,RBRVS,3.06 ,0.53 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190816,HCPCS,"Psytx, hosp, 20-30 min",,,16 ,,RBRVS,1.25 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190817,HCPCS,"Psytx, hosp, 20-30 min w/e&m",,,16 ,,RBRVS,1.41 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190818,HCPCS,"Psytx, hosp, 45-50 min",,,16 ,,RBRVS,1.89 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190819,HCPCS,"Psytx, hosp, 45-50 min w/e&m",,,16 ,,RBRVS,2.05 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190821,HCPCS,"Psytx, hosp, 75-80 min",,,16 ,,RBRVS,2.83 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190822,HCPCS,"Psytx, hosp, 75-80 min w/e&m",,,16 ,,RBRVS,2.99 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190823,HCPCS,"Intac psytx, hosp, 20-30 min",,,16 ,,RBRVS,1.36 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190824,HCPCS,"Intac psytx, hsp 20-30 w/e&m",,,16 ,,RBRVS,1.52 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190826,HCPCS,"Intac psytx, hosp, 45-50 min",,,16 ,,RBRVS,2.01 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190827,HCPCS,"Intac psytx, hsp 45-50 w/e&m",,,16 ,,RBRVS,2.16 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190828,HCPCS,"Intac psytx, hosp, 75-80 min",,,16 ,,RBRVS,2.94 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190829,HCPCS,"Intac psytx, hsp 75-80 w/e&m",,,16 ,,RBRVS,3.10 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190845,HCPCS,Psychoanalysis,,,16 ,,RBRVS,1.79 ,0.32 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190846,HCPCS,Family psytx w/o patient,,,16 ,,RBRVS,1.83 ,0.43 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010190847,HCPCS,Family psytx w/patient,,,16 ,,RBRVS,2.21 ,0.49 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90849,HCPCS,Multiple family group psytx,,,16 ,,RBRVS,0.59 ,0.21 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90853,HCPCS,Group psychotherapy,,,16 ,,RBRVS,0.59 ,0.20 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90857,HCPCS,Intac group psytx,,,16 ,,RBRVS,0.63 ,0.21 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90862,HCPCS,Medication management,,,16 ,,RBRVS,0.95 ,0.27 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90865,HCPCS,Narcosynthesis,,,16 ,,RBRVS,2.84 ,0.63 ,1.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90870,HCPCS,Electroconvulsive therapy,,,16 ,,RBRVS,1.88 ,0.38 ,1.92 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90875,HCPCS,Psychophysiological therapy,,,16 ,,RBRVS,1.20 ,0.28 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90876,HCPCS,Psychophysiological therapy,,,16 ,,RBRVS,1.90 ,0.44 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90880,HCPCS,Hypnotherapy,,,16 ,,RBRVS,2.19 ,0.39 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90882,HCPCS,Environmental manipulation,,,16 ,,TotalUnits,,,,3.32 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90885,HCPCS,Psy evaluation of records,,,16 ,,RBRVS,0.97 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90887,HCPCS,Consultation with family,,,16 ,,RBRVS,1.48 ,0.34 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90889,HCPCS,Preparation of report,,,16 ,,TotalUnits,,,,2.86 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90899,HCPCS,Psychiatric service/therapy,,,16 ,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90901,HCPCS,"Biofeedback train, any meth",,,14 ,,RBRVS,0.41 ,0.10 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90911,HCPCS,Biofeedback peri/uro/rectal,,,14 ,,RBRVS,0.89 ,0.30 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90918,HCPCS,"ESRD related services, month",,,14 ,,RBRVS,11.16 ,3.74 ,4.70 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,90919,HCPCS,"ESRD related services, month",,,14 ,,RBRVS,8.53 ,2.55 ,3.03 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,90920,HCPCS,"ESRD related services, month",,,14 ,,RBRVS,7.26 ,2.27 ,2.74 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,90921,HCPCS,"ESRD related services, month",,,14 ,,RBRVS,4.46 ,1.61 ,1.71 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,90922,HCPCS,"ESRD related services, day",,,14 ,,RBRVS,0.37 ,0.13 ,0.16 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,90923,HCPCS,"Esrd related services, day",,,14 ,,RBRVS,0.28 ,0.08 ,0.10 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,90924,HCPCS,"Esrd related services, day",,,14 ,,RBRVS,0.24 ,0.07 ,0.09 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,90925,HCPCS,"Esrd related services, day",,,14 ,,RBRVS,0.15 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,0,1,1,20080101,,90935,HCPCS,"Hemodialysis, one evaluation",,,14 ,,RBRVS,1.22 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90937,HCPCS,"Hemodialysis, repeated eval",,,14 ,,RBRVS,2.11 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90940,CPT,Hemodialysis access study,26,,14 ,,TotalUnits,,,,0.92 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90940,CPT,Hemodialysis access study,TC,,14 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,90945,HCPCS,"Dialysis, one evaluation",,,14 ,,RBRVS,1.28 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90947,HCPCS,"Dialysis, repeated eval",,,14 ,,RBRVS,2.16 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90989,HCPCS,"Dialysis training, complete",,,14 ,,TotalUnits,,,,14.95 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90993,HCPCS,"Dialysis training, incompl",,,14 ,,TotalUnits,,,,2.52 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90997,HCPCS,Hemoperfusion,,,14 ,,RBRVS,1.84 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,90999,HCPCS,Dialysis procedure,,,14 ,,TotalUnits,,,,3.09 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,91000,HCPCS,Esophageal intubation,26,,14 ,,RBRVS,0.73 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91000,HCPCS,Esophageal intubation,TC,,14 ,,RBRVS,0.00 ,1.91 ,1.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,91000,CPT,Esophageal intubation,,,14 ,,RBRVS,0.73 ,2.13 ,2.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,91010,HCPCS,Esophagus motility study,26,,14 ,,RBRVS,1.25 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91010,HCPCS,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,3.12 ,3.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,91010,CPT,Esophagus motility study,,,14 ,,RBRVS,1.25 ,3.67 ,3.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,91011,HCPCS,Esophagus motility study,26,,14 ,,RBRVS,1.50 ,0.72 ,0.72 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91011,HCPCS,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,4.66 ,4.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,91011,CPT,Esophagus motility study,,,14 ,,RBRVS,1.50 ,5.38 ,5.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,91012,HCPCS,Esophagus motility study,26,,14 ,,RBRVS,1.46 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91012,HCPCS,Esophagus motility study,TC,,14 ,,RBRVS,0.00 ,4.76 ,4.76 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,91012,CPT,Esophagus motility study,,,14 ,,RBRVS,1.46 ,5.44 ,5.44 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,91020,HCPCS,Gastric motility,26,,14 ,,RBRVS,1.44 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91020,HCPCS,Gastric motility,TC,,14 ,,RBRVS,0.00 ,4.21 ,4.21 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191020,CPT,Gastric motility,,,14 ,,RBRVS,1.44 ,4.82 ,4.82 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191022,HCPCS,Duodenal motility study,26,,14 ,,RBRVS,1.44 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010191022,HCPCS,Duodenal motility study,TC,,14 ,,RBRVS,0.00 ,2.52 ,2.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191022,CPT,Duodenal motility study,,,14 ,,RBRVS,1.44 ,3.14 ,3.14 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191030,HCPCS,Acid perfusion of esophagus,26,,14 ,,RBRVS,0.91 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010191030,HCPCS,Acid perfusion of esophagus,TC,,14 ,,RBRVS,0.00 ,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191030,CPT,Acid perfusion of esophagus,,,14 ,,RBRVS,0.91 ,2.90 ,2.90 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191034,HCPCS,Gastroesophageal reflux test,26,,14 ,,RBRVS,0.97 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010191034,HCPCS,Gastroesophageal reflux test,TC,,14 ,,RBRVS,0.00 ,3.73 ,3.73 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191034,CPT,Gastroesophageal reflux test,,,14 ,,RBRVS,0.97 ,4.15 ,4.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191035,HCPCS,G-esoph reflx tst w/electrod,26,,14 ,,RBRVS,1.59 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010191035,HCPCS,G-esoph reflx tst w/electrod,TC,,14 ,,RBRVS,0.00 ,10.69 ,10.69 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191035,CPT,G-esoph reflx tst w/electrod,,,14 ,,RBRVS,1.59 ,11.39 ,11.39 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191037,HCPCS,Esoph imped function test,26,,14 ,,RBRVS,0.97 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010191037,HCPCS,Esoph imped function test,TC,,14 ,,RBRVS,0.00 ,3.03 ,3.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191037,CPT,Esoph imped function test,,,14 ,,RBRVS,0.97 ,3.47 ,3.47 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191038,HCPCS,Esoph imped funct test > 1h,26,,14 ,,RBRVS,1.10 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010191038,HCPCS,Esoph imped funct test > 1h,TC,,14 ,,RBRVS,0.00 ,2.31 ,2.31 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191038,CPT,Esoph imped funct test > 1h,,,14 ,,RBRVS,1.10 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191040,HCPCS,Esoph balloon distension tst,26,,14 ,,RBRVS,0.97 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010191040,HCPCS,Esoph balloon distension tst,TC,,14 ,,RBRVS,0.00 ,7.45 ,7.45 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191040,CPT,Esoph balloon distension tst,,,14 ,,RBRVS,0.97 ,7.73 ,7.73 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191052,HCPCS,Gastric analysis test,26,,14 ,,RBRVS,0.79 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010191052,HCPCS,Gastric analysis test,TC,,14 ,,RBRVS,0.00 ,2.55 ,2.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191052,CPT,Gastric analysis test,,,14 ,,RBRVS,0.79 ,2.92 ,2.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191055,HCPCS,Gastric intubation for smear,26,,14 ,,RBRVS,0.94 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010191055,HCPCS,Gastric intubation for smear,TC,,14 ,,RBRVS,0.00 ,2.29 ,2.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191055,CPT,Gastric intubation for smear,,,14 ,,RBRVS,0.94 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191065,HCPCS,Breath hydrogen test,26,,14 ,,RBRVS,0.20 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010191065,HCPCS,Breath hydrogen test,TC,,14 ,,RBRVS,0.00 ,1.28 ,1.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010191065,CPT,Breath hydrogen test,,,14 ,,RBRVS,0.20 ,1.34 ,1.34 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010191100,HCPCS,Pass intestine bleeding tube,,,14 ,,RBRVS,1.08 ,0.32 ,2.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91105,HCPCS,Gastric intubation treatment,,,14 ,,RBRVS,0.37 ,0.07 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91110,CPT,Gi tract capsule endoscopy,26,,14 ,,RBRVS,3.64 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91110,CPT,Gi tract capsule endoscopy,TC, ,14 ,,RBRVS,0.00 ,18.99 ,18.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,91110,HCPCS,Gi tract capsule endoscopy,,,14 ,,RBRVS,3.64 ,20.66 ,20.66 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,91111,HCPCS,Esophageal capsule endoscopy,26,,21 ,,RBRVS,1.00 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91111,HCPCS,Esophageal capsule endoscopy,TC,,21 ,,RBRVS,0.00 ,18.39 ,18.39 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,91111,CPT,Esophageal capsule endoscopy,,,21 ,,RBRVS,1.00 ,18.84 ,18.84 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,91120,CPT,Rectal sensation test,26,,14 ,,RBRVS,0.97 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91120,CPT,Rectal sensation test,TC, ,14 ,,RBRVS,0.00 ,8.62 ,8.62 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,91120,HCPCS,Rectal sensation test,,,14 ,,RBRVS,0.97 ,8.89 ,8.89 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,91122,HCPCS,Anal pressure record,26,,14 ,,RBRVS,1.77 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91122,HCPCS,Anal pressure record,TC,,14 ,,RBRVS,0.00 ,3.69 ,3.69 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,91122,CPT,Anal pressure record,,,14 ,,RBRVS,1.77 ,4.31 ,4.31 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,91123,HCPCS,Irrigate fecal impaction,,,14 ,,TotalUnits,,,,2.04 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91132,HCPCS,Electrogastrography,26,,14 ,,RBRVS,0.52 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91133,HCPCS,Electrogastrography w/test,26,,14 ,,RBRVS,0.66 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,91299,HCPCS,Gastroenterology procedure,,,14 ,,TotalUnits,,,,3.96 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92002,HCPCS,"Eye exam, new patient",,,23 ,,RBRVS,0.88 ,0.25 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92004,HCPCS,"Eye exam, new patient",,,23 ,,RBRVS,1.82 ,0.55 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92012,HCPCS,Eye exam established pat,,,23 ,,RBRVS,0.92 ,0.31 ,0.99 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92014,HCPCS,Eye exam & treatment,,,23 ,,RBRVS,1.42 ,0.46 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92015,HCPCS,Refraction,,,23 ,,RBRVS,0.38 ,0.09 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92018,HCPCS,New eye exam & treatment,,,14 ,,RBRVS,2.50 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92019,HCPCS,Eye exam & treatment,,,23 ,,RBRVS,1.31 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92020,HCPCS,Special eye evaluation,,,23 ,,RBRVS,0.37 ,0.13 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92025,HCPCS,Corneal topography,26,,23 ,,RBRVS,0.35 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92025,HCPCS,Corneal topography,TC,,23 ,,RBRVS,0.00 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,92025,CPT,Corneal topography,,,23 ,,RBRVS,0.35 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92060,CPT,Special eye evaluation,26,,23,,RBRVS,0.69 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,92060,CPT,Special eye evaluation,TC,,23,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101,,92060,HCPCS,Special eye evaluation,,,23 ,,RBRVS,0.69 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92065,CPT,Orthoptic/pleoptic training,26,,23,,RBRVS,0.37 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010192065,CPT,Orthoptic/pleoptic training,TC,,23,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,0,2008010192065,HCPCS,Orthoptic/pleoptic training,,,23 ,,RBRVS,0.37 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192070,HCPCS,Fitting of contact lens,,,23 ,,RBRVS,0.70 ,0.22 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192081,HCPCS,Visual field examination(s),26,,23 ,,RBRVS,0.36 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192081,HCPCS,Visual field examination(s),TC,,23 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192081,CPT,Visual field examination(s),,,23 ,,RBRVS,0.36 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192082,HCPCS,Visual field examination(s),26,,23 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192082,HCPCS,Visual field examination(s),TC,,23 ,,RBRVS,0.00 ,1.18 ,1.18 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192082,CPT,Visual field examination(s),,,23 ,,RBRVS,0.44 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192083,HCPCS,Visual field examination(s),26,,23 ,,RBRVS,0.50 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192083,HCPCS,Visual field examination(s),TC,,23 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192083,CPT,Visual field examination(s),,,23 ,,RBRVS,0.50 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192100,HCPCS,Serial tonometry exam(s),,,23 ,,RBRVS,0.92 ,0.27 ,1.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192120,HCPCS,Tonography & eye evaluation,,,23 ,,RBRVS,0.81 ,0.25 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192130,HCPCS,Water provocation tonography,,,23 ,,RBRVS,0.81 ,0.27 ,1.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192135,HCPCS,Opthalmic dx imaging,26,,23 ,,RBRVS,0.35 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192135,HCPCS,Opthalmic dx imaging,TC,,23 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192135,CPT,Opthalmic dx imaging,,,23 ,,RBRVS,0.35 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192136,HCPCS,Ophthalmic biometry,26,,23 ,,RBRVS,0.54 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192136,HCPCS,Ophthalmic biometry,TC,,23 ,,RBRVS,0.00 ,1.23 ,1.23 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192136,CPT,Ophthalmic biometry,,,23 ,,RBRVS,0.54 ,1.42 ,1.42 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192140,HCPCS,Glaucoma provocative tests,,,23 ,,RBRVS,0.50 ,0.14 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192225,HCPCS,"Special eye exam, initial",,,23 ,,RBRVS,0.38 ,0.12 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192226,HCPCS,"Special eye exam, subsequent",,,23 ,,RBRVS,0.33 ,0.11 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192230,HCPCS,Eye exam with photos,,,23 ,,RBRVS,0.60 ,0.19 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192235,HCPCS,Eye exam with photos,26,,23 ,,RBRVS,0.81 ,0.29 ,0.29 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192235,HCPCS,Eye exam with photos,TC,,23 ,,RBRVS,0.00 ,1.97 ,1.97 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192235,CPT,Eye exam with photos,,,23 ,,RBRVS,0.81 ,2.26 ,2.26 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192240,HCPCS,Icg angiography,26,,23 ,,RBRVS,1.10 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192240,HCPCS,Icg angiography,TC,,23 ,,RBRVS,0.00 ,3.99 ,3.99 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192240,CPT,Icg angiography,,,23 ,,RBRVS,1.10 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192250,HCPCS,Eye exam with photos,26,,23 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192250,HCPCS,Eye exam with photos,TC,,23 ,,RBRVS,0.00 ,1.16 ,1.16 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192250,CPT,Eye exam with photos,,,23 ,,RBRVS,0.44 ,1.30 ,1.30 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192260,HCPCS,Ophthalmoscopy/dynamometry,,,23 ,,RBRVS,0.20 ,0.07 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192265,HCPCS,Eye muscle evaluation,26,,23 ,,RBRVS,0.81 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192265,HCPCS,Eye muscle evaluation,TC,,23 ,,RBRVS,0.00 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192265,CPT,Eye muscle evaluation,,,23 ,,RBRVS,0.81 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192270,HCPCS,Electro-oculography,26,,23 ,,RBRVS,0.81 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192270,HCPCS,Electro-oculography,TC,,23 ,,RBRVS,0.00 ,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192270,CPT,Electro-oculography,,,23 ,,RBRVS,0.81 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192275,HCPCS,Electroretinography,26,,23 ,,RBRVS,1.01 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192275,HCPCS,Electroretinography,TC,,23 ,,RBRVS,0.00 ,2.07 ,2.07 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192275,CPT,Electroretinography,,,23 ,,RBRVS,1.01 ,2.42 ,2.42 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192283,CPT,Color vision examination,26,,23,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,0,2008010192283,CPT,Color vision examination,TC,,23,,RBRVS,0.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,0,2008010192283,HCPCS,Color vision examination,,,23 ,,RBRVS,0.17 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192284,CPT,Dark adaptation eye exam,26,,23,,RBRVS,0.24 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,92284,CPT,Dark adaptation eye exam,TC,,23,,RBRVS,0.00 ,1.06 ,1.06 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101,,92284,HCPCS,Dark adaptation eye exam,,,23 ,,RBRVS,0.24 ,1.13 ,1.13 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92285,HCPCS,Eye photography,26,,23 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92285,HCPCS,Eye photography,TC,,23 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92285,CPT,Eye photography,,,23 ,,RBRVS,0.20 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92286,HCPCS,Internal eye photography,26,,23 ,,RBRVS,0.66 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92286,HCPCS,Internal eye photography,TC,,23 ,,RBRVS,0.00 ,1.87 ,1.87 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92286,CPT,Internal eye photography,,,23 ,,RBRVS,0.66 ,2.09 ,2.09 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92287,CPT,Internal eye photography,26,,14 ,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92287,CPT,Internal eye photography,TC,,14 ,,TotalUnits,,,,2.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92287,CPT,Internal eye photography,,,23 ,,RBRVS,0.81 ,0.27 ,1.90 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92310,HCPCS,Contact lens fitting,,,23 ,,RBRVS,1.17 ,0.27 ,1.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92311,HCPCS,Contact lens fitting,,,23 ,,RBRVS,1.08 ,0.31 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92312,HCPCS,Contact lens fitting,,,23 ,,RBRVS,1.26 ,0.33 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92313,HCPCS,Contact lens fitting,,,23 ,,RBRVS,0.92 ,0.31 ,1.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92314,HCPCS,Prescription of contact lens,,,23 ,,RBRVS,0.69 ,0.16 ,1.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192315,HCPCS,Prescription of contact lens,,,23 ,,RBRVS,0.45 ,0.13 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192316,HCPCS,Prescription of contact lens,,,23 ,,RBRVS,0.68 ,0.22 ,1.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192317,HCPCS,Prescription of contact lens,,,23 ,,RBRVS,0.45 ,0.11 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192325,HCPCS,Modification of contact lens,,,23 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192326,HCPCS,Replacement of contact lens,,,23 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192340,HCPCS,Fitting of spectacles,,,23 ,,RBRVS,0.37 ,0.09 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192341,HCPCS,Fitting of spectacles,,,23 ,,RBRVS,0.47 ,0.11 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192342,HCPCS,Fitting of spectacles,,,23 ,,RBRVS,0.53 ,0.12 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192352,HCPCS,Special spectacles fitting,,,23 ,,RBRVS,0.37 ,0.09 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192353,HCPCS,Special spectacles fitting,,,23 ,,RBRVS,0.50 ,0.11 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192354,HCPCS,Special spectacles fitting,,,23 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192355,HCPCS,Special spectacles fitting,,,23 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192358,HCPCS,Eye prosthesis service,,,23 ,,RBRVS,0.00 ,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192370,HCPCS,Repair & adjust spectacles,,,23 ,,RBRVS,0.32 ,0.07 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192371,HCPCS,Repair & adjust spectacles,,,23 ,,RBRVS,0.00 ,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192499,HCPCS,Eye service or procedure,,,23 ,,TotalUnits,,,,1.15 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92502,HCPCS,Ear and throat examination,,,14 ,,RBRVS,1.51 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92504,HCPCS,Ear microscopy examination,,,14 ,,RBRVS,0.18 ,0.06 ,0.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92506,HCPCS,Speech/hearing evaluation,,,8 ,,RBRVS,0.86 ,0.28 ,3.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92507,HCPCS,Speech/hearing therapy,,,8 ,,RBRVS,0.52 ,0.16 ,1.23 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92508,HCPCS,Speech/hearing therapy,,,8 ,,RBRVS,0.26 ,0.09 ,0.55 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92511,HCPCS,Nasopharyngoscopy,,,14 ,,RBRVS,0.84 ,0.67 ,3.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92512,HCPCS,Nasal function studies,,,14 ,,RBRVS,0.55 ,0.17 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92516,HCPCS,Facial nerve function test,,,14 ,,RBRVS,0.43 ,0.14 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92520,HCPCS,Laryngeal function studies,,,14 ,,RBRVS,0.75 ,0.24 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92526,HCPCS,Oral function therapy,,,14 ,,RBRVS,0.55 ,0.16 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92531,HCPCS,Spontaneous nystagmus study,,,14 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92532,HCPCS,Positional nystagmus test,,,14 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92533,HCPCS,Caloric vestibular test,,,14 ,,TotalUnits,,,,1.20 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92534,HCPCS,Optokinetic nystagmus test,,,14 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92541,HCPCS,Spontaneous nystagmus test,26,,14 ,,RBRVS,0.40 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92541,HCPCS,Spontaneous nystagmus test,TC,,14 ,,RBRVS,0.00 ,1.04 ,1.04 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192541,CPT,Spontaneous nystagmus test,,,14 ,,RBRVS,0.40 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192542,HCPCS,Positional nystagmus test,26,,14 ,,RBRVS,0.33 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192542,HCPCS,Positional nystagmus test,TC,,14 ,,RBRVS,0.00 ,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192542,CPT,Positional nystagmus test,,,14 ,,RBRVS,0.33 ,1.29 ,1.29 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192543,HCPCS,Caloric vestibular test,26,,14 ,,RBRVS,0.10 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192543,HCPCS,Caloric vestibular test,TC,,14 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192543,CPT,Caloric vestibular test,,,14 ,,RBRVS,0.10 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192544,HCPCS,Optokinetic nystagmus test,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192544,HCPCS,Optokinetic nystagmus test,TC,,14 ,,RBRVS,0.00 ,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192544,CPT,Optokinetic nystagmus test,,,14 ,,RBRVS,0.26 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192545,HCPCS,Oscillating tracking test,26,,14 ,,RBRVS,0.23 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192545,HCPCS,Oscillating tracking test,TC,,14 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192545,CPT,Oscillating tracking test,,,14 ,,RBRVS,0.23 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010192546,HCPCS,Sinusoidal rotational test,26,,14 ,,RBRVS,0.29 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192546,HCPCS,Sinusoidal rotational test,TC,,14 ,,RBRVS,0.00 ,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192546,CPT,Sinusoidal rotational test,,,14 ,,RBRVS,0.29 ,1.81 ,1.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92547,HCPCS,Supplemental electrical test,,TC,14 ,,RBRVS,0.00 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92548,CPT,Posturography,26, ,14,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,92548,CPT,Posturography,TC, ,14,,RBRVS,0.00 ,1.56 ,1.56 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101,,92548,HCPCS,Posturography,,,14 ,,RBRVS,0.50 ,1.70 ,1.70 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,92551,HCPCS,"Pure tone hearing test, air",,,8 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92552,HCPCS,"Pure tone audiometry, air",,TC,8 ,,RBRVS,0.00 ,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92553,HCPCS,"Audiometry, air & bone",,TC,8 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92555,HCPCS,Speech threshold audiometry,,TC,8 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92556,HCPCS,"Speech audiometry, complete",,TC,8 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92557,HCPCS,Comprehensive hearing test,,TC,8 ,,RBRVS,0.60 ,0.20 ,0.29 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92559,HCPCS,Group audiometric testing,,,8 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92560,HCPCS,"Bekesy audiometry, screen",,,8 ,,TotalUnits,,,,0.75 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92561,HCPCS,"Bekesy audiometry, diagnosis",,TC,8 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92562,HCPCS,Loudness balance test,,TC,8 ,,RBRVS,0.00 ,0.62 ,0.62 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92563,HCPCS,Tone decay hearing test,,TC,8 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92564,HCPCS,Sisi hearing test,,TC,8 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192565,HCPCS,"Stenger test, pure tone",,TC,8 ,,RBRVS,0.00 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192567,HCPCS,Tympanometry,,TC,8 ,,RBRVS,0.20 ,0.07 ,0.13 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192568,HCPCS,Acoustic reflex testing,,TC,8 ,,RBRVS,0.29 ,0.09 ,0.10 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192569,HCPCS,Acoustic reflex decay test,,TC,8 ,,RBRVS,0.20 ,0.07 ,0.07 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192571,HCPCS,Filtered speech hearing test,,TC,8 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192572,HCPCS,Staggered spondaic word test,,TC,8 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192575,HCPCS,Sensorineural acuity test,,TC,8 ,,RBRVS,0.00 ,1.15 ,1.15 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192576,HCPCS,Synthetic sentence test,,TC,8 ,,RBRVS,0.00 ,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192577,HCPCS,"Stenger test, speech",,TC,8 ,,RBRVS,0.00 ,0.26 ,0.26 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192579,HCPCS,Visual audiometry (vra),,TC,8 ,,RBRVS,0.70 ,0.23 ,0.35 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192582,HCPCS,Conditioning play audiometry,,TC,8 ,,RBRVS,0.00 ,1.17 ,1.17 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192583,HCPCS,Select picture audiometry,,TC,8 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192584,HCPCS,Electrocochleography,,TC,8 ,,RBRVS,0.00 ,1.36 ,1.36 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192585,HCPCS,"Auditor evoke potent, compre",26,,8 ,,RBRVS,0.50 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192585,HCPCS,"Auditor evoke potent, compre",TC,,8 ,,RBRVS,0.00 ,1.95 ,1.95 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192585,CPT,"Auditor evoke potent, compre",,,8 ,,RBRVS,0.50 ,2.10 ,2.10 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92586,HCPCS,"Auditor evoke potent, limit",,TC,8 ,,RBRVS,0.00 ,1.41 ,1.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92587,HCPCS,Evoked auditory test,26,,8 ,,RBRVS,0.13 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92587,HCPCS,Evoked auditory test,TC,,8 ,,RBRVS,0.00 ,0.61 ,0.61 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92587,CPT,Evoked auditory test,,,8 ,,RBRVS,0.13 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92588,HCPCS,Evoked auditory test,26,,8 ,,RBRVS,0.36 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92588,HCPCS,Evoked auditory test,TC,,8 ,,RBRVS,0.00 ,1.01 ,1.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92588,CPT,Evoked auditory test,,,8 ,,RBRVS,0.36 ,1.12 ,1.12 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92590,HCPCS,"Hearing aid exam, one ear",,,8 ,,TotalUnits,,,,1.51 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92591,HCPCS,"Hearing aid exam, both ears",,,8 ,,TotalUnits,,,,2.26 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92592,HCPCS,"Hearing aid check, one ear",,,8 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92593,HCPCS,"Hearing aid check, both ears",,,8 ,,TotalUnits,,,,0.99 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92594,HCPCS,"Electro hearng aid test, one",,,8 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92595,HCPCS,"Electro hearng aid tst, both",,,8 ,,TotalUnits,,,,1.08 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92596,HCPCS,Ear protector evaluation,,,8 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92597,HCPCS,Oral speech device eval,,,8 ,,RBRVS,0.86 ,0.28 ,1.99 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,92601,HCPCS,Cochlear implt f/up exam < 7,,,8 ,,RBRVS,2.30 ,0.64 ,1.09 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192602,HCPCS,Reprogram cochlear implt < 7,,,8 ,,RBRVS,1.30 ,0.40 ,0.84 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192603,HCPCS,Cochlear implt f/up exam 7 >,,,8 ,,RBRVS,2.25 ,0.73 ,1.19 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192604,HCPCS,Reprogram cochlear implt 7 >,,,8 ,,RBRVS,1.25 ,0.41 ,0.78 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192607,HCPCS,"Ex for speech device rx, 1hr",,,8 ,,RBRVS,0.00 ,4.63 ,4.63 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192608,HCPCS,Ex for speech device rx addl,,,8 ,,RBRVS,0.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192609,HCPCS,Use of speech device service,,,8 ,,RBRVS,0.00 ,2.45 ,2.45 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192610,HCPCS,Evaluate swallowing function,,,8 ,,RBRVS,0.00 ,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192611,HCPCS,Motion fluoroscopy/swallow,,,8 ,,RBRVS,0.00 ,1.95 ,1.95 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010192612,HCPCS,Endoscopy swallow tst (fees),,,8 ,,RBRVS,1.27 ,0.42 ,2.97 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192613,HCPCS,Endoscopy swallow tst (fees),,,8 ,,RBRVS,0.71 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192614,HCPCS,Laryngoscopic sensory test,,,8 ,,RBRVS,1.27 ,0.42 ,2.42 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192615,HCPCS,Eval laryngoscopy sense tst,,,8 ,,RBRVS,0.63 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192616,HCPCS,Fees w/laryngeal sense test,,,8 ,,RBRVS,1.88 ,0.61 ,3.16 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192617,HCPCS,Interprt fees/laryngeal test,,,8 ,,RBRVS,0.79 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010192620,HCPCS,"Auditory function, 60 min",,,8 ,,RBRVS,0.00 ,1.93 ,1.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010192621,HCPCS,"Auditory function, + 15 min",,,8 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92625,HCPCS,Tinnitus assessment,,,8 ,,RBRVS,0.00 ,1.94 ,1.94 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92626,HCPCS,Eval aud rehab status,,,8 ,,RBRVS,0.00 ,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92627,CPT,Eval aud status rehab add-on,,,8 ,,RBRVS,0.00 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92640,HCPCS,Aud brainstem implt programg,,,8 ,,RBRVS,0.00 ,1.34 ,1.34 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,92700,HCPCS,Ent procedure/service,,,8 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92950,HCPCS,Heart/lung resuscitation cpr,,,4 ,,RBRVS,3.79 ,0.77 ,3.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92953,HCPCS,Temporary external pacing,,,4 ,,RBRVS,0.23 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92960,HCPCS,"Cardioversion electric, ext",,,4 ,,RBRVS,2.25 ,1.45 ,4.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92961,CPT,"Cardioversion, electric, int",26,,4 ,,TotalUnits,,,,3.67 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92961,CPT,"Cardioversion, electric, int",TC,,4 ,,TotalUnits,,,,3.01 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,92961,CPT,"Cardioversion, electric, int",,,4 ,,RBRVS,4.59 ,2.43 ,2.43 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,92970,HCPCS,"Cardioassist, internal",,,4 ,,RBRVS,3.51 ,1.46 ,1.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92971,HCPCS,"Cardioassist, external",,,4 ,,RBRVS,1.77 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92973,HCPCS,Percut coronary thrombectomy,,,21 ,,RBRVS,3.28 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92974,HCPCS,"Cath place, cardio brachytx",,,21 ,,RBRVS,3.00 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92975,HCPCS,"Dissolve clot, heart vessel",,,4 ,,RBRVS,7.24 ,3.84 ,3.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92977,HCPCS,"Dissolve clot, heart vessel",,,4 ,,RBRVS,0.00 ,1.73 ,1.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92978,HCPCS,"Intravasc us, heart add-on",26,,4 ,,RBRVS,1.80 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92979,HCPCS,"Intravasc us, heart add-on",26,,4 ,,RBRVS,1.44 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92980,HCPCS,Insert intracoronary stent,,,21 ,,RBRVS,14.82 ,8.13 ,8.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92981,HCPCS,Insert intracoronary stent,,,21 ,,RBRVS,4.16 ,2.23 ,2.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92982,HCPCS,Coronary artery dilation,,,21 ,,RBRVS,10.96 ,6.06 ,6.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92984,HCPCS,Coronary artery dilation,,,21 ,,RBRVS,2.97 ,1.58 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92986,HCPCS,Revision of aortic valve,,,21 ,,RBRVS,22.70 ,15.34 ,15.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92987,HCPCS,Revision of mitral valve,,,21 ,,RBRVS,23.48 ,15.96 ,15.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92990,HCPCS,Revision of pulmonary valve,,,21 ,,RBRVS,18.12 ,11.34 ,11.34 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92992,HCPCS,Revision of heart chamber,,,21 ,,TotalUnits,,,,36.93 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92993,HCPCS,Revision of heart chamber,,,21 ,,TotalUnits,,,,25.88 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92995,HCPCS,Coronary atherectomy,,,21 ,,RBRVS,12.07 ,6.65 ,6.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92996,HCPCS,Coronary atherectomy add-on,,,21 ,,RBRVS,3.26 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92997,HCPCS,"Pul art balloon repr, percut",,,21 ,,RBRVS,11.98 ,5.61 ,5.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,92998,HCPCS,"Pul art balloon repr, percut",,,21 ,,RBRVS,5.99 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193000,HCPCS,"Electrocardiogram, complete",,,4 ,,RBRVS,0.17 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193005,HCPCS,"Electrocardiogram, tracing",,TC,4 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193010,HCPCS,Electrocardiogram report,,PC,4 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193012,HCPCS,Transmission of ecg,,TC,4 ,,RBRVS,0.00 ,4.17 ,4.17 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193014,HCPCS,Report on transmitted ecg,,PC,4 ,,RBRVS,0.52 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193015,HCPCS,Cardiovascular stress test,,,4 ,,RBRVS,0.75 ,1.91 ,1.91 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193016,HCPCS,Cardiovascular stress test,,PC,4 ,,RBRVS,0.45 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193017,HCPCS,Cardiovascular stress test,,TC,4 ,,RBRVS,0.00 ,1.54 ,1.54 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193018,HCPCS,Cardiovascular stress test,,PC,4 ,,RBRVS,0.30 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193024,HCPCS,Cardiac drug stress test,26,,4 ,,RBRVS,1.17 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193024,HCPCS,Cardiac drug stress test,TC,,4 ,,RBRVS,0.00 ,1.82 ,1.82 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193024,CPT,Cardiac drug stress test,,,4 ,,RBRVS,1.17 ,2.40 ,2.40 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193025,CPT,Microvolt t-wave assess,26,,4 ,,RBRVS,0.75 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193025,HCPCS,Microvolt t-wave assess,TC,,4 ,,RBRVS,0.00 ,3.55 ,3.55 ,,,$0.00,$0.00,1,1,1,0,1,0,2008010193025,HCPCS,Microvolt t-wave assess,,,4 ,,RBRVS,0.75 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193040,HCPCS,Rhythm ECG with report,,,4 ,,RBRVS,0.16 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193041,HCPCS,"Rhythm ECG, tracing",,TC,4 ,,RBRVS,0.00 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193042,HCPCS,"Rhythm ECG, report",,PC,4 ,,RBRVS,0.16 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193224,HCPCS,"ECG monitor/report, 24 hrs",,,4 ,,RBRVS,0.52 ,2.31 ,2.31 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193225,HCPCS,"ECG monitor/record, 24 hrs",,TC,4 ,,RBRVS,0.00 ,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193226,HCPCS,"ECG monitor/report, 24 hrs",,TC,4 ,,RBRVS,0.00 ,1.19 ,1.19 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193227,HCPCS,"ECG monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.52 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193230,HCPCS,"ECG monitor/report, 24 hrs",,,4 ,,RBRVS,0.52 ,2.30 ,2.30 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193231,HCPCS,"Ecg monitor/record, 24 hrs",,TC,4 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193232,HCPCS,"ECG monitor/report, 24 hrs",,TC,4 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193233,HCPCS,"ECG monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.52 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193237,HCPCS,"ECG monitor/review, 24 hrs",,PC,4 ,,RBRVS,0.45 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193268,HCPCS,ECG record/review,,,4 ,,RBRVS,0.52 ,5.79 ,5.79 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193270,HCPCS,ECG recording,,TC,4 ,,RBRVS,0.00 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193271,HCPCS,Ecg/monitoring and analysis,,TC,4 ,,RBRVS,0.00 ,5.28 ,5.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193272,HCPCS,"Ecg/review, interpret only",,PC,4 ,,RBRVS,0.52 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193278,HCPCS,ECG/signal-averaged,26,,4 ,,RBRVS,0.25 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193278,HCPCS,ECG/signal-averaged,TC,,4 ,,RBRVS,0.00 ,0.52 ,0.52 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193278,CPT,ECG/signal-averaged,,,4 ,,RBRVS,0.25 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193303,HCPCS,Echo transthoracic,26,,4 ,,RBRVS,1.30 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193303,HCPCS,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,3.97 ,3.97 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193303,CPT,Echo transthoracic,,,4 ,,RBRVS,1.30 ,4.50 ,4.50 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193304,HCPCS,Echo transthoracic,26,,4 ,,RBRVS,0.75 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193304,HCPCS,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193304,CPT,Echo transthoracic,,,4 ,,RBRVS,0.75 ,3.10 ,3.10 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193307,HCPCS,Echo exam of heart,26,,4 ,,RBRVS,0.92 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193307,HCPCS,Echo exam of heart,TC,,4 ,,RBRVS,0.00 ,3.28 ,3.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193307,CPT,Echo exam of heart,,,4 ,,RBRVS,0.92 ,3.73 ,3.73 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193308,HCPCS,Echo exam of heart,26,,4 ,,RBRVS,0.53 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193308,HCPCS,Echo exam of heart,TC,,4 ,,RBRVS,0.00 ,2.35 ,2.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193308,CPT,Echo exam of heart,,,4 ,,RBRVS,0.53 ,2.62 ,2.62 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193312,HCPCS,Echo transesophageal,26,,4 ,,RBRVS,2.20 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193312,HCPCS,Echo transesophageal,TC,,4 ,,RBRVS,0.00 ,6.42 ,6.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93312,CPT,Echo transesophageal,,,4 ,,RBRVS,2.20 ,7.39 ,7.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,93313,HCPCS,Echo transesophageal,,,4 ,,RBRVS,0.95 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93314,HCPCS,Echo transesophageal,26,,4 ,,RBRVS,1.25 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93314,HCPCS,Echo transesophageal,TC,,4 ,,RBRVS,0.00 ,6.66 ,6.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93314,CPT,Echo transesophageal,,,4 ,,RBRVS,1.25 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,93315,HCPCS,Echo transesophageal,26,,4 ,,RBRVS,2.78 ,1.31 ,1.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93315,HCPCS,Echo transesophageal,TC,,4 ,,TotalUnits,,,,4.19 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93316,HCPCS,Echo transesophageal,,,4 ,,RBRVS,0.95 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93317,HCPCS,Echo transesophageal,26,,4 ,,RBRVS,1.83 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93317,HCPCS,Echo transesophageal,TC,,4 ,,TotalUnits,,,,3.43 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93318,HCPCS,Echo transesophageal intraop,26,,4 ,,RBRVS,2.20 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93318,HCPCS,Echo transesophageal intraop,TC,,4 ,,TotalUnits,,,,3.81 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93320,HCPCS,"Doppler echo exam, heart",26,,4 ,,RBRVS,0.38 ,0.18 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93320,HCPCS,"Doppler echo exam, heart",TC,,4 ,,RBRVS,0.00 ,1.49 ,1.49 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93320,CPT,"Doppler echo exam, heart",,,4 ,,RBRVS,0.38 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,93321,HCPCS,"Doppler echo exam, heart",26,,4 ,,RBRVS,0.15 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193321,HCPCS,"Doppler echo exam, heart",TC,,4 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193321,CPT,"Doppler echo exam, heart",,,4 ,,RBRVS,0.15 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193325,HCPCS,Doppler color flow add-on,26,,4 ,,RBRVS,0.07 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193325,HCPCS,Doppler color flow add-on,TC,,4 ,,RBRVS,0.00 ,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193325,CPT,Doppler color flow add-on,,,4 ,,RBRVS,0.07 ,0.66 ,0.66 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193350,HCPCS,Echo transthoracic,26,,4 ,,RBRVS,1.48 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193350,HCPCS,Echo transthoracic,TC,,4 ,,RBRVS,0.00 ,4.33 ,4.33 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193350,CPT,Echo transthoracic,,,4 ,,RBRVS,1.48 ,5.09 ,5.09 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193501,HCPCS,Right heart catheterization,26,,21 ,,RBRVS,3.02 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193501,CPT,Right heart catheterization,TC, ,21 ,,RBRVS,0.00 ,17.14 ,17.14 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193501,CPT,Right heart catheterization,,,21 ,,RBRVS,3.02 ,18.71 ,18.71 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193505,HCPCS,Biopsy of heart lining,26,,21 ,,RBRVS,4.37 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193505,CPT,Biopsy of heart lining,TC, ,21 ,,RBRVS,0.00 ,18.64 ,18.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193505,CPT,Biopsy of heart lining,,,21 ,,RBRVS,4.37 ,20.92 ,20.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193508,HCPCS,"Cath placement, angiography",26,,21 ,,RBRVS,4.09 ,2.17 ,2.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193508,CPT,"Cath placement, angiography",TC, ,21 ,,RBRVS,0.00 ,26.68 ,26.68 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193508,CPT,"Cath placement, angiography",,,21 ,,RBRVS,4.09 ,28.85 ,28.85 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193510,HCPCS,Left heart catheterization,26,,21 ,,RBRVS,4.32 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193510,CPT,Left heart catheterization,TC, ,21 ,,RBRVS,0.00 ,25.87 ,25.87 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193510,CPT,Left heart catheterization,,,21 ,,RBRVS,4.32 ,28.15 ,28.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193511,HCPCS,Left heart catheterization,26,,21 ,,RBRVS,5.02 ,2.65 ,2.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193514,HCPCS,Left heart catheterization,26,,21 ,,RBRVS,7.04 ,2.95 ,2.95 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193524,HCPCS,Left heart catheterization,26,,21 ,,RBRVS,6.94 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193526,HCPCS,Rt & Lt heart catheters,26,,21 ,,RBRVS,5.98 ,3.17 ,3.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193526,CPT,Rt & Lt heart catheters,TC, ,21 ,,RBRVS,0.00 ,31.97 ,31.97 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193526,CPT,Rt & Lt heart catheters,,,21 ,,RBRVS,5.98 ,35.14 ,35.14 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193527,HCPCS,Rt & Lt heart catheters,26,,21 ,,RBRVS,7.27 ,3.86 ,3.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193528,HCPCS,Rt & Lt heart catheters,26,,21 ,,RBRVS,8.99 ,4.43 ,4.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193529,HCPCS,"Rt, lt heart catheterization",26,,21 ,,RBRVS,4.79 ,2.58 ,2.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193530,HCPCS,"Rt heart cath, congenital",26,,21 ,,RBRVS,4.22 ,1.84 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193531,HCPCS,"R & l heart cath, congenital",26,,21 ,,RBRVS,8.34 ,3.57 ,3.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193532,HCPCS,"R & l heart cath, congenital",26,,21 ,,RBRVS,9.99 ,3.66 ,3.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193533,HCPCS,"R & l heart cath, congenital",26,,21 ,,RBRVS,6.69 ,3.16 ,3.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193539,CPT,"Injection, cardiac cath",,,4 ,,RBRVS,0.40 ,0.21 ,2.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193540,CPT,"Injection, cardiac cath",,,4 ,,RBRVS,0.43 ,0.23 ,8.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193541,CPT,Injection for lung angiogram,,,4 ,,RBRVS,0.29 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193542,CPT,Injection for heart x-rays,,,4 ,,RBRVS,0.29 ,0.15 ,5.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193543,CPT,Injection for heart x-rays,,,4 ,,RBRVS,0.29 ,0.16 ,2.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193544,CPT,Injection for aortography,,,4 ,,RBRVS,0.25 ,0.13 ,1.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193545,CPT,Inject for coronary x-rays,,,4 ,,RBRVS,0.40 ,0.21 ,5.87 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193555,HCPCS,"Imaging, cardiac cath",26,,4 ,,RBRVS,0.81 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193555,CPT,"Imaging, cardiac cath",TC, ,4 ,,RBRVS,0.00 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193555,CPT,"Imaging, cardiac cath",,,4 ,,RBRVS,0.81 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193556,HCPCS,"Imaging, cardiac cath",26,,4 ,,RBRVS,0.83 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193556,CPT,"Imaging, cardiac cath",TC, ,4 ,,RBRVS,0.00 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193556,CPT,"Imaging, cardiac cath",,,4 ,,RBRVS,0.83 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193561,HCPCS,Cardiac output measurement,26,,4 ,,RBRVS,0.50 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193562,HCPCS,Cardiac output measurement,26,,4 ,,RBRVS,0.16 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93571,CPT,Heart flow reserve measure,26,,4 ,,RBRVS,1.80 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93572,HCPCS,Heart flow reserve measure,26,,4 ,,RBRVS,1.44 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93580,HCPCS,Transcath closure of asd,,,21 ,,RBRVS,17.97 ,9.41 ,9.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93581,HCPCS,Transcath closure of vsd,,,21 ,,RBRVS,24.39 ,11.56 ,11.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93600,HCPCS,Bundle of His recording,26,,4 ,,RBRVS,2.12 ,1.09 ,1.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93602,HCPCS,Intra-atrial recording,26,,4 ,,RBRVS,2.12 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93603,HCPCS,Right ventricular recording,26,,4 ,,RBRVS,2.12 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93609,HCPCS,"Map tachycardia, add-on",26,,4 ,,RBRVS,4.99 ,2.61 ,2.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93610,HCPCS,Intra-atrial pacing,26,,4 ,,RBRVS,3.02 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93612,HCPCS,Intraventricular pacing,26,,4 ,,RBRVS,3.02 ,1.43 ,1.43 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93613,CPT,"Electrophys map 3d, add-on",26,,4 ,,TotalUnits,,,,5.36 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93613,CPT,"Electrophys map 3d, add-on",TC,,4 ,,TotalUnits,,,,0.98 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93613,CPT,"Electrophys map 3d, add-on",,,4 ,,RBRVS,6.99 ,3.69 ,3.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,93615,HCPCS,Esophageal recording,26,,4 ,,RBRVS,0.99 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93616,HCPCS,Esophageal recording,26,,4 ,,RBRVS,1.49 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93618,HCPCS,Heart rhythm pacing,26,,4 ,,RBRVS,4.25 ,2.28 ,2.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93619,HCPCS,Electrophysiology evaluation,26,,4 ,,RBRVS,7.31 ,3.87 ,3.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93620,HCPCS,Electrophysiology evaluation,26,,4 ,,RBRVS,11.57 ,6.09 ,6.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93620,HCPCS,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,11.47 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93621,HCPCS,Electrophysiology evaluation,26,,4 ,,RBRVS,2.10 ,1.10 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93621,HCPCS,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,3.89 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93622,HCPCS,Electrophysiology evaluation,26,,4 ,,RBRVS,3.10 ,1.57 ,1.57 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93622,HCPCS,Electrophysiology evaluation,TC,,4 ,,TotalUnits,,,,3.89 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93623,HCPCS,"Stimulation, pacing heart",26,,4 ,,RBRVS,2.85 ,1.50 ,1.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93623,HCPCS,"Stimulation, pacing heart",TC,,4 ,,TotalUnits,,,,3.53 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93624,HCPCS,Electrophysiologic study,26,,4 ,,RBRVS,4.80 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93631,HCPCS,"Heart pacing, mapping",26,,4 ,,RBRVS,7.59 ,2.75 ,2.75 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93640,HCPCS,Evaluation heart device,26,,4 ,,RBRVS,3.51 ,1.82 ,1.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93641,HCPCS,Electrophysiology evaluation,26,,4 ,,RBRVS,5.92 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93642,HCPCS,Electrophysiology evaluation,26,,4 ,,RBRVS,4.88 ,2.60 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93642,HCPCS,Electrophysiology evaluation,TC,,4 ,,RBRVS,0.00 ,4.77 ,4.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93650,HCPCS,Ablate heart dysrhythm focus,,,4 ,,RBRVS,10.49 ,5.80 ,5.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93651,HCPCS,Ablate heart dysrhythm focus,,,4 ,,RBRVS,16.23 ,8.53 ,8.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93652,HCPCS,Ablate heart dysrhythm focus,,,4 ,,RBRVS,17.65 ,9.35 ,9.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93660,HCPCS,Tilt table evaluation,26,,4 ,,RBRVS,1.89 ,0.97 ,0.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93660,HCPCS,Tilt table evaluation,TC,,4 ,,RBRVS,0.00 ,2.04 ,2.04 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93660,CPT,Tilt table evaluation,,,4 ,,RBRVS,1.89 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,93662,HCPCS,Intracardiac ecg (ice),26,,4 ,,RBRVS,2.80 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93662,HCPCS,Intracardiac ecg (ice),TC,,4 ,,TotalUnits,,,,4.40 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93668,HCPCS,Peripheral vascular rehab,,,4 ,,RBRVS,0.00 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93701,CPT,"Bioimpedance, thoracic",26,,4,,RBRVS,0.17 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,93701,CPT,"Bioimpedance, thoracic",TC,,4,,RBRVS,0.00 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101,,93701,HCPCS,"Bioimpedance, thoracic",,,4 ,,RBRVS,0.17 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,93720,HCPCS,Total body plethysmography,,,4 ,,RBRVS,0.17 ,1.17 ,1.17 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,93721,HCPCS,Plethysmography tracing,,TC,4 ,,RBRVS,0.00 ,1.13 ,1.13 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93722,HCPCS,Plethysmography report,,,4 ,,RBRVS,0.17 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93724,HCPCS,Analyze pacemaker system,26,,4 ,,RBRVS,4.88 ,2.35 ,2.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93724,HCPCS,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193724,CPT,Analyze pacemaker system,,,4 ,,RBRVS,4.88 ,3.23 ,3.23 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193727,HCPCS,Analyze ilr system,,PC,4 ,,RBRVS,0.52 ,0.64 ,0.64 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193731,HCPCS,Analyze pacemaker system,26,,4 ,,RBRVS,0.45 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193731,HCPCS,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193731,CPT,Analyze pacemaker system,,,4 ,,RBRVS,0.45 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193732,HCPCS,Analyze pacemaker system,26,,4 ,,RBRVS,0.92 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193732,HCPCS,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193732,CPT,Analyze pacemaker system,,,4 ,,RBRVS,0.92 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193733,HCPCS,"Telephone analy, pacemaker",26,,4 ,,RBRVS,0.17 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193733,HCPCS,"Telephone analy, pacemaker",TC,,4 ,,RBRVS,0.00 ,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193733,CPT,"Telephone analy, pacemaker",,,4 ,,RBRVS,0.17 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193734,HCPCS,Analyze pacemaker system,26,,4 ,,RBRVS,0.38 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193734,HCPCS,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.50 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193734,CPT,Analyze pacemaker system,,,4 ,,RBRVS,0.38 ,0.69 ,0.69 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193735,HCPCS,Analyze pacemaker system,26,,4 ,,RBRVS,0.74 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193735,HCPCS,Analyze pacemaker system,TC,,4 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193735,CPT,Analyze pacemaker system,,,4 ,,RBRVS,0.74 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193736,HCPCS,"Telephone analy, pacemaker",26,,4 ,,RBRVS,0.15 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193736,HCPCS,"Telephone analy, pacemaker",TC,,4 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193736,CPT,"Telephone analy, pacemaker",,,4 ,,RBRVS,0.15 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193740,HCPCS,Temperature gradient studies,26,,4 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193740,CPT,Temperature gradient studies,,,4 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193741,HCPCS,Analyze ht pace device sngl,26,,4 ,,RBRVS,0.80 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193741,HCPCS,Analyze ht pace device sngl,TC,,4 ,,RBRVS,0.00 ,0.60 ,0.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193741,CPT,Analyze ht pace device sngl,,,4 ,,RBRVS,0.80 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193742,HCPCS,Analyze ht pace device sngl,26,,4 ,,RBRVS,0.91 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193742,HCPCS,Analyze ht pace device sngl,TC,,4 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193742,CPT,Analyze ht pace device sngl,,,4 ,,RBRVS,0.91 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193743,HCPCS,Analyze ht pace device dual,26,,4 ,,RBRVS,1.03 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193743,HCPCS,Analyze ht pace device dual,TC,,4 ,,RBRVS,0.00 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193743,CPT,Analyze ht pace device dual,,,4 ,,RBRVS,1.03 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193744,HCPCS,Analyze ht pace device dual,26,,4 ,,RBRVS,1.18 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93744,HCPCS,Analyze ht pace device dual,TC,,4 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93744,CPT,Analyze ht pace device dual,,,4 ,,RBRVS,1.18 ,1.35 ,1.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,93760,CPT,Cephalic thermogram,26,,4 ,,TotalUnits,,,,0.44 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93760,CPT,Cephalic thermogram,TC,,4 ,,TotalUnits,,,,1.74 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93762,CPT,Peripheral thermogram,26,,4 ,,TotalUnits,,,,0.64 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93762,CPT,Peripheral thermogram,TC,,4 ,,TotalUnits,,,,2.56 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93770,HCPCS,Measure venous pressure,26,,4 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93770,CPT,Measure venous pressure,,,4 ,,RBRVS,0.16 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93784,HCPCS,Ambulatory BP monitoring,,,4 ,,RBRVS,0.38 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,93786,HCPCS,Ambulatory BP recording,,TC,4 ,,RBRVS,0.00 ,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93788,HCPCS,Ambulatory BP analysis,,TC,4 ,,RBRVS,0.00 ,0.45 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,93790,HCPCS,Review/report BP recording,,PC,4 ,,RBRVS,0.38 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93797,HCPCS,Cardiac rehab,,,4 ,,RBRVS,0.18 ,0.09 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93798,HCPCS,Cardiac rehab/monitor,,,4 ,,RBRVS,0.28 ,0.13 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93799,HCPCS,Cardiovascular procedure,,,4 ,,TotalUnits,,,,0.68 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,93875,HCPCS,Extracranial study,26,,14 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193875,HCPCS,Extracranial study,TC,,14 ,,RBRVS,0.00 ,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193875,CPT,Extracranial study,,,14 ,,RBRVS,0.22 ,2.55 ,2.55 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193880,HCPCS,Extracranial study,26,,14 ,,RBRVS,0.60 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193880,HCPCS,Extracranial study,TC,,14 ,,RBRVS,0.00 ,5.95 ,5.95 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193880,CPT,Extracranial study,,,14 ,,RBRVS,0.60 ,6.16 ,6.16 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193882,HCPCS,Extracranial study,26,,14 ,,RBRVS,0.40 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193882,HCPCS,Extracranial study,TC,,14 ,,RBRVS,0.00 ,4.01 ,4.01 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193882,CPT,Extracranial study,,,14 ,,RBRVS,0.40 ,4.12 ,4.12 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193886,HCPCS,Intracranial study,26,,14 ,,RBRVS,0.94 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193886,HCPCS,Intracranial study,TC,,14 ,,RBRVS,0.00 ,6.75 ,6.75 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193886,CPT,Intracranial study,,,14 ,,RBRVS,0.94 ,7.03 ,7.03 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193888,HCPCS,Intracranial study,26,,14 ,,RBRVS,0.62 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193888,HCPCS,Intracranial study,TC,,14 ,,RBRVS,0.00 ,4.72 ,4.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193888,CPT,Intracranial study,,,14 ,,RBRVS,0.62 ,4.92 ,4.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193890,HCPCS,"Tcd, vasoreactivity study",26,,4 ,,RBRVS,1.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193890,HCPCS,"Tcd, vasoreactivity study",TC,,4 ,,RBRVS,0.00 ,6.13 ,6.13 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193890,CPT,"Tcd, vasoreactivity study",,,4 ,,RBRVS,1.00 ,6.44 ,6.44 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193892,HCPCS,"Tcd, emboli detect w/o inj",26,,4 ,,RBRVS,1.15 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193892,HCPCS,"Tcd, emboli detect w/o inj",TC,,4 ,,RBRVS,0.00 ,6.53 ,6.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193892,CPT,"Tcd, emboli detect w/o inj",,,4 ,,RBRVS,1.15 ,6.85 ,6.85 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193893,HCPCS,"Tcd, emboli detect w/inj",26,,4 ,,RBRVS,1.15 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193893,HCPCS,"Tcd, emboli detect w/inj",TC,,4 ,,RBRVS,0.00 ,6.67 ,6.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193893,CPT,"Tcd, emboli detect w/inj",,,4 ,,RBRVS,1.15 ,7.00 ,7.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193922,HCPCS,Extremity study,26,,14 ,,RBRVS,0.25 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193922,HCPCS,Extremity study,TC,,14 ,,RBRVS,0.00 ,3.03 ,3.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193922,CPT,Extremity study,,,14 ,,RBRVS,0.25 ,3.11 ,3.11 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193923,HCPCS,Extremity study,26,,14 ,,RBRVS,0.45 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193923,HCPCS,Extremity study,TC,,14 ,,RBRVS,0.00 ,4.54 ,4.54 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193923,CPT,Extremity study,,,14 ,,RBRVS,0.45 ,4.68 ,4.68 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193924,HCPCS,Extremity study,26,,14 ,,RBRVS,0.50 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193924,HCPCS,Extremity study,TC,,14 ,,RBRVS,0.00 ,5.77 ,5.77 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193924,CPT,Extremity study,,,14 ,,RBRVS,0.50 ,5.94 ,5.94 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193925,HCPCS,Lower extremity study,26,,14 ,,RBRVS,0.58 ,0.19 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193925,HCPCS,Lower extremity study,TC,,14 ,,RBRVS,0.00 ,7.83 ,7.83 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193925,CPT,Lower extremity study,,,14 ,,RBRVS,0.58 ,8.02 ,8.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193926,HCPCS,Lower extremity study,26,,14 ,,RBRVS,0.39 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193926,HCPCS,Lower extremity study,TC,,14 ,,RBRVS,0.00 ,5.03 ,5.03 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193926,CPT,Lower extremity study,,,14 ,,RBRVS,0.39 ,5.14 ,5.14 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193930,HCPCS,Upper extremity study,26,,14 ,,RBRVS,0.46 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193930,HCPCS,Upper extremity study,TC,,14 ,,RBRVS,0.00 ,6.10 ,6.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193930,CPT,Upper extremity study,,,14 ,,RBRVS,0.46 ,6.25 ,6.25 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193931,HCPCS,Upper extremity study,26,,14 ,,RBRVS,0.31 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193931,HCPCS,Upper extremity study,TC,,14 ,,RBRVS,0.00 ,4.08 ,4.08 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193931,CPT,Upper extremity study,,,14 ,,RBRVS,0.31 ,4.18 ,4.18 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193965,HCPCS,Extremity study,26,,14 ,,RBRVS,0.35 ,0.11 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193965,HCPCS,Extremity study,TC,,14 ,,RBRVS,0.00 ,2.90 ,2.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193965,CPT,Extremity study,,,14 ,,RBRVS,0.35 ,3.01 ,3.01 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193970,HCPCS,Extremity study,26,,14 ,,RBRVS,0.68 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193970,HCPCS,Extremity study,TC,,14 ,,RBRVS,0.00 ,5.99 ,5.99 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193970,CPT,Extremity study,,,14 ,,RBRVS,0.68 ,6.20 ,6.20 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193971,HCPCS,Extremity study,26,,14 ,,RBRVS,0.45 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193971,HCPCS,Extremity study,TC,,14 ,,RBRVS,0.00 ,3.92 ,3.92 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193971,CPT,Extremity study,,,14 ,,RBRVS,0.45 ,4.07 ,4.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193975,HCPCS,Vascular study,26,,14 ,,RBRVS,1.80 ,0.63 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193975,HCPCS,Vascular study,TC,,14 ,,RBRVS,0.00 ,7.83 ,7.83 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193975,CPT,Vascular study,,,14 ,,RBRVS,1.80 ,8.46 ,8.46 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193976,HCPCS,Vascular study,26,,14 ,,RBRVS,1.21 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193976,HCPCS,Vascular study,TC,,14 ,,RBRVS,0.00 ,4.16 ,4.16 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193976,CPT,Vascular study,,,14 ,,RBRVS,1.21 ,4.58 ,4.58 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193978,HCPCS,Vascular study,26,,14 ,,RBRVS,0.65 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193978,HCPCS,Vascular study,TC,,14 ,,RBRVS,0.00 ,5.82 ,5.82 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193978,CPT,Vascular study,,,14 ,,RBRVS,0.65 ,6.03 ,6.03 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193979,HCPCS,Vascular study,26,,14 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193979,HCPCS,Vascular study,TC,,14 ,,RBRVS,0.00 ,4.02 ,4.02 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193979,CPT,Vascular study,,,14 ,,RBRVS,0.44 ,4.16 ,4.16 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193980,HCPCS,Penile vascular study,26,,14 ,,RBRVS,1.25 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193980,HCPCS,Penile vascular study,TC,,14 ,,RBRVS,0.00 ,3.02 ,3.02 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193980,CPT,Penile vascular study,,,14 ,,RBRVS,1.25 ,3.48 ,3.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193981,HCPCS,Penile vascular study,26,,14 ,,RBRVS,0.44 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193981,HCPCS,Penile vascular study,TC,,14 ,,RBRVS,0.00 ,2.68 ,2.68 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193981,CPT,Penile vascular study,,,14 ,,RBRVS,0.44 ,2.84 ,2.84 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010193982,CPT,Aneurysm pressure sens study,,,21 ,,RBRVS,0.30 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193990,HCPCS,Doppler flow testing,26,,14 ,,RBRVS,0.25 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010193990,HCPCS,Doppler flow testing,TC,,14 ,,RBRVS,0.00 ,5.16 ,5.16 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010193990,CPT,Doppler flow testing,,,14 ,,RBRVS,0.25 ,5.22 ,5.22 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194002,HCPCS,"Vent mgmt inpat, init day",,,10 ,,RBRVS,1.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194003,HCPCS,"Vent mgmt inpat, subq day",,,10 ,,RBRVS,1.37 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194004,CPT,Vent mgmt nf per day,,,15 ,,RBRVS,1.00 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194005,CPT,Home vent mgmt supervision,,,15 ,,RBRVS,1.50 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194010,HCPCS,Breathing capacity test,26,,14 ,,RBRVS,0.17 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194010,HCPCS,Breathing capacity test,TC,,14 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194010,CPT,Breathing capacity test,,,14 ,,RBRVS,0.17 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194014,HCPCS,Patient recorded spirometry,,,14 ,,RBRVS,0.52 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194015,HCPCS,Patient recorded spirometry,,TC,14 ,,RBRVS,0.00 ,0.67 ,0.67 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194016,HCPCS,Review patient spirometry,,PC,14 ,,RBRVS,0.52 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194060,HCPCS,Evaluation of wheezing,26,,14 ,,RBRVS,0.31 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194060,HCPCS,Evaluation of wheezing,TC,,14 ,,RBRVS,0.00 ,1.24 ,1.24 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194060,CPT,Evaluation of wheezing,,,14 ,,RBRVS,0.31 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194070,HCPCS,Evaluation of wheezing,26,,14 ,,RBRVS,0.60 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194070,HCPCS,Evaluation of wheezing,TC,,14 ,,RBRVS,0.00 ,0.85 ,0.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194070,CPT,Evaluation of wheezing,,,14 ,,RBRVS,0.60 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194150,HCPCS,Vital capacity test,26,,14 ,,RBRVS,0.07 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194150,HCPCS,Vital capacity test,TC,,14 ,,RBRVS,0.00 ,0.46 ,0.46 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194150,CPT,Vital capacity test,,,14 ,,RBRVS,0.07 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194200,HCPCS,Lung function test (MBC/MVV),26,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194200,HCPCS,Lung function test (MBC/MVV),TC,,14 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194200,CPT,Lung function test (MBC/MVV),,,14 ,,RBRVS,0.11 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194240,HCPCS,Residual lung capacity,26,,14 ,,RBRVS,0.26 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194240,HCPCS,Residual lung capacity,TC,,14 ,,RBRVS,0.00 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194240,CPT,Residual lung capacity,,,14 ,,RBRVS,0.26 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194250,HCPCS,Expired gas collection,26,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194250,HCPCS,Expired gas collection,TC,,14 ,,RBRVS,0.00 ,0.48 ,0.48 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194250,CPT,Expired gas collection,,,14 ,,RBRVS,0.11 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194260,HCPCS,Thoracic gas volume,26,,14 ,,RBRVS,0.13 ,0.03 ,0.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194260,HCPCS,Thoracic gas volume,TC,,14 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194260,CPT,Thoracic gas volume,,,14 ,,RBRVS,0.13 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194350,HCPCS,Lung nitrogen washout curve,26,,14 ,,RBRVS,0.26 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194350,HCPCS,Lung nitrogen washout curve,TC,,14 ,,RBRVS,0.00 ,0.55 ,0.55 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194350,CPT,Lung nitrogen washout curve,,,14 ,,RBRVS,0.26 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194360,HCPCS,Measure airflow resistance,26,,14 ,,RBRVS,0.26 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194360,HCPCS,Measure airflow resistance,TC,,14 ,,RBRVS,0.00 ,0.89 ,0.89 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194360,CPT,Measure airflow resistance,,,14 ,,RBRVS,0.26 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194370,HCPCS,Breath airway closing volume,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194370,HCPCS,Breath airway closing volume,TC,,14 ,,RBRVS,0.00 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194370,CPT,Breath airway closing volume,,,14 ,,RBRVS,0.26 ,0.60 ,0.60 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194375,HCPCS,Respiratory flow volume loop,26,,14 ,,RBRVS,0.31 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194375,HCPCS,Respiratory flow volume loop,TC,,14 ,,RBRVS,0.00 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194375,CPT,Respiratory flow volume loop,,,14 ,,RBRVS,0.31 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194400,HCPCS,CO2 breathing response curve,26,,14 ,,RBRVS,0.40 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194400,HCPCS,CO2 breathing response curve,TC,,14 ,,RBRVS,0.00 ,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194400,CPT,CO2 breathing response curve,,,14 ,,RBRVS,0.40 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194450,HCPCS,Hypoxia response curve,26,,14 ,,RBRVS,0.40 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194450,HCPCS,Hypoxia response curve,TC,,14 ,,RBRVS,0.00 ,0.92 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194450,CPT,Hypoxia response curve,,,14 ,,RBRVS,0.40 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194452,HCPCS,Hast w/report,26,,14 ,,RBRVS,0.31 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194452,HCPCS,Hast w/report,TC,,14 ,,RBRVS,0.00 ,1.20 ,1.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194452,CPT,Hast w/report,,,14 ,,RBRVS,0.31 ,1.27 ,1.27 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194453,HCPCS,Hast w/oxygen titrate,26,,14 ,,RBRVS,0.40 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,94453,HCPCS,Hast w/oxygen titrate,TC,,14 ,,RBRVS,0.00 ,1.59 ,1.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,94453,CPT,Hast w/oxygen titrate,,,14 ,,RBRVS,0.40 ,1.69 ,1.69 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,94610,HCPCS,Surfactant admin thru tube,,,14 ,,RBRVS,1.16 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,94620,HCPCS,Pulmonary stress test/simple,26,,14 ,,RBRVS,0.64 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,94620,HCPCS,Pulmonary stress test/simple,TC,,14 ,,RBRVS,0.00 ,0.63 ,0.63 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,94620,CPT,Pulmonary stress test/simple,,,14 ,,RBRVS,0.64 ,0.79 ,0.79 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,94621,HCPCS,Pulm stress test/complex,26,,14 ,,RBRVS,1.42 ,0.45 ,0.45 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,94621,HCPCS,Pulm stress test/complex,TC,,14 ,,RBRVS,0.00 ,2.73 ,2.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,94621,CPT,Pulm stress test/complex,,,14 ,,RBRVS,1.42 ,3.18 ,3.18 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,94640,HCPCS,Airway inhalation treatment,,,14 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,94642,HCPCS,Aerosol inhalation treatment,,,14 ,,TotalUnits,,,,2.30 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,94644,HCPCS,"Cbt, 1st hour",,,14 ,,RBRVS,0.00 ,0.96 ,0.96 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,94645,HCPCS,"Cbt, each addl hour",,,14 ,,RBRVS,0.00 ,0.35 ,0.35 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,94660,HCPCS,"Pos airway pressure, CPAP",,,14 ,,RBRVS,0.76 ,0.19 ,0.81 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,94662,HCPCS,"Neg press ventilation, cnp",,,14 ,,RBRVS,0.76 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,94664,HCPCS,Evaluate pt use of inhaler,,,14 ,,RBRVS,0.00 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010194667,HCPCS,Chest wall manipulation,,,14 ,,RBRVS,0.00 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010194668,HCPCS,Chest wall manipulation,,,14 ,,RBRVS,0.00 ,0.51 ,0.51 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010194680,HCPCS,"Exhaled air analysis, o2",26,,14 ,,RBRVS,0.26 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194680,HCPCS,"Exhaled air analysis, o2",TC,,14 ,,RBRVS,0.00 ,1.00 ,1.00 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194680,CPT,"Exhaled air analysis, o2",,,14 ,,RBRVS,0.26 ,1.06 ,1.06 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194681,HCPCS,"Exhaled air analysis, o2/co2",26,,14 ,,RBRVS,0.20 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194681,HCPCS,"Exhaled air analysis, o2/co2",TC,,14 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194681,CPT,"Exhaled air analysis, o2/co2",,,14 ,,RBRVS,0.20 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194690,HCPCS,Exhaled air analysis,26,,14 ,,RBRVS,0.07 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194690,HCPCS,Exhaled air analysis,TC,,14 ,,RBRVS,0.00 ,1.02 ,1.02 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194690,CPT,Exhaled air analysis,,,14 ,,RBRVS,0.07 ,1.04 ,1.04 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194720,HCPCS,Monoxide diffusing capacity,26,,14 ,,RBRVS,0.26 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194720,HCPCS,Monoxide diffusing capacity,TC,,14 ,,RBRVS,0.00 ,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010194720,CPT,Monoxide diffusing capacity,,,14 ,,RBRVS,0.26 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010194725,HCPCS,Membrane diffusion capacity,26,,14 ,,RBRVS,0.26 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010194725,HCPCS,Membrane diffusion capacity,TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,94725,CPT,Membrane diffusion capacity,,,14 ,,RBRVS,0.26 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,94750,HCPCS,Pulmonary compliance study,26,,14 ,,RBRVS,0.23 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,94750,HCPCS,Pulmonary compliance study,TC,,14 ,,RBRVS,0.00 ,1.71 ,1.71 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,94750,CPT,Pulmonary compliance study,,,14 ,,RBRVS,0.23 ,1.77 ,1.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,94760,HCPCS,Measure blood oxygen level,,TC,14 ,,RBRVS,0.00 ,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,94761,HCPCS,Measure blood oxygen level,,TC,14 ,,RBRVS,0.00 ,0.11 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,94762,HCPCS,Measure blood oxygen level,,TC,14 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,94770,HCPCS,Exhaled carbon dioxide test,26,,14 ,,RBRVS,0.15 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,94770,HCPCS,Exhaled carbon dioxide test,TC,,14 ,,RBRVS,0.00 ,0.77 ,0.77 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,94770,CPT,Exhaled carbon dioxide test,,,14 ,,RBRVS,0.15 ,0.81 ,0.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,94799,HCPCS,Pulmonary service/procedure,,,14 ,,TotalUnits,,,,0.55 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95004,HCPCS,Percut allergy skin tests,,,2 ,,RBRVS,0.01 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95010,HCPCS,Percut allergy titrate test,,,2 ,,RBRVS,0.15 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95012,HCPCS,Exhaled nitric oxide meas,,,14 ,,RBRVS,0.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,95015,HCPCS,Id allergy titrate-drug/bug,,,2 ,,RBRVS,0.15 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95024,HCPCS,"Id allergy test, drug/bug",,,2 ,,RBRVS,0.01 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95027,HCPCS,Id allergy titrate-airborne,,TC,2 ,,RBRVS,0.01 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95028,HCPCS,Id allergy test-delayed type,,TC,2 ,,RBRVS,0.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95044,HCPCS,Allergy patch tests,,,2 ,,RBRVS,0.00 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95052,HCPCS,Photo patch test,,,2 ,,RBRVS,0.00 ,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95056,HCPCS,Photosensitivity tests,,,2 ,,RBRVS,0.00 ,1.25 ,1.25 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95060,HCPCS,Eye allergy tests,,TC,2 ,,RBRVS,0.00 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95065,HCPCS,Nose allergy test,,TC,2 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95070,HCPCS,Bronchial allergy tests,,TC,2 ,,RBRVS,0.00 ,0.81 ,0.81 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95071,HCPCS,Bronchial allergy tests,,TC,2 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95075,HCPCS,Ingestion challenge test,,,2 ,,RBRVS,0.95 ,0.26 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95115,HCPCS,"Immunotherapy, one injection",,,1 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95117,HCPCS,Immunotherapy injections,,,1 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95120,HCPCS,"Immunotherapy, one injection",,,1 ,,TotalUnits,,,,0.54 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95125,HCPCS,"Immunotherapy, many antigens",,,1 ,,TotalUnits,,,,0.66 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95130,HCPCS,"Immunotherapy, insect venom",,,1 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95131,HCPCS,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.18 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95132,HCPCS,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.43 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95133,HCPCS,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,1.72 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95134,HCPCS,"Immunotherapy, insect venoms",,,1 ,,TotalUnits,,,,2.07 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95144,HCPCS,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.27 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95145,HCPCS,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95146,HCPCS,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.68 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95147,HCPCS,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95148,HCPCS,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.98 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95149,HCPCS,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95165,HCPCS,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95170,HCPCS,Antigen therapy services,,,1 ,,RBRVS,0.06 ,0.02 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95180,HCPCS,Rapid desensitization,,,1 ,,RBRVS,2.01 ,0.77 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95199,HCPCS,Allergy immunology services,,,1 ,,TotalUnits,,,,0.26 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95250,HCPCS,"Glucose monitoring, cont",,TC,14 ,,RBRVS,0.00 ,3.50 ,3.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95251,HCPCS,"Gluc monitor, cont, phys i&r",,,14 ,,RBRVS,0.85 ,0.26 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95805,HCPCS,Multiple sleep latency test,26,,14 ,,RBRVS,1.88 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195805,HCPCS,Multiple sleep latency test,TC,,14 ,,RBRVS,0.00 ,6.51 ,6.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195805,CPT,Multiple sleep latency test,,,14 ,,RBRVS,1.88 ,7.02 ,7.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195806,HCPCS,"Sleep study, unattended",26,,14 ,,RBRVS,1.66 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195806,HCPCS,"Sleep study, unattended",TC,,14 ,,RBRVS,0.00 ,3.46 ,3.46 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195806,CPT,"Sleep study, unattended",,,14 ,,RBRVS,1.66 ,3.93 ,3.93 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195807,HCPCS,"Sleep study, attended",26,,14 ,,RBRVS,1.66 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195807,HCPCS,"Sleep study, attended",TC,,14 ,,RBRVS,0.00 ,11.90 ,11.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195807,CPT,"Sleep study, attended",,,14 ,,RBRVS,1.66 ,12.31 ,12.31 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195808,HCPCS,"Polysomnography, 1-3",26,,14 ,,RBRVS,2.65 ,0.70 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195808,HCPCS,"Polysomnography, 1-3",TC,,14 ,,RBRVS,0.00 ,15.06 ,15.06 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195808,CPT,"Polysomnography, 1-3",,,14 ,,RBRVS,2.65 ,15.76 ,15.76 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195810,HCPCS,"Polysomnography, 4 or more",26,,14 ,,RBRVS,3.52 ,0.90 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195810,HCPCS,"Polysomnography, 4 or more",TC,,14 ,,RBRVS,0.00 ,16.80 ,16.80 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195810,CPT,"Polysomnography, 4 or more",,,14 ,,RBRVS,3.52 ,17.70 ,17.70 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195811,HCPCS,Polysomnography w/cpap,26,,14 ,,RBRVS,3.79 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195811,HCPCS,Polysomnography w/cpap,TC,,14 ,,RBRVS,0.00 ,18.74 ,18.74 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195811,CPT,Polysomnography w/cpap,,,14 ,,RBRVS,3.79 ,19.70 ,19.70 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195812,HCPCS,"Eeg, 41-60 minutes",26,,14 ,,RBRVS,1.08 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195812,HCPCS,"Eeg, 41-60 minutes",TC,,14 ,,RBRVS,0.00 ,5.60 ,5.60 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195812,CPT,"Eeg, 41-60 minutes",,,14 ,,RBRVS,1.08 ,5.90 ,5.90 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195813,HCPCS,"Eeg, over 1 hour",26,,14 ,,RBRVS,1.73 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195813,HCPCS,"Eeg, over 1 hour",TC,,14 ,,RBRVS,0.00 ,6.04 ,6.04 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195813,CPT,"Eeg, over 1 hour",,,14 ,,RBRVS,1.73 ,6.52 ,6.52 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195816,HCPCS,"Eeg, awake and drowsy",26,,14 ,,RBRVS,1.08 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195816,HCPCS,"Eeg, awake and drowsy",TC,,14 ,,RBRVS,0.00 ,4.98 ,4.98 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195816,CPT,"Eeg, awake and drowsy",,,14 ,,RBRVS,1.08 ,5.28 ,5.28 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195819,HCPCS,"Eeg, awake and asleep",26,,14 ,,RBRVS,1.08 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195819,HCPCS,"Eeg, awake and asleep",TC,,14 ,,RBRVS,0.00 ,5.83 ,5.83 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195819,CPT,"Eeg, awake and asleep",,,14 ,,RBRVS,1.08 ,6.13 ,6.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195822,HCPCS,"Eeg, coma or sleep only",26,,14 ,,RBRVS,1.08 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195822,HCPCS,"Eeg, coma or sleep only",TC,,14 ,,RBRVS,0.00 ,5.22 ,5.22 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195822,CPT,"Eeg, coma or sleep only",,,14 ,,RBRVS,1.08 ,5.52 ,5.52 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95824,HCPCS,"Eeg, cerebral death only",26,,14 ,,RBRVS,0.74 ,0.21 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95824,HCPCS,"Eeg, cerebral death only",TC,,14 ,,TotalUnits,,,,1.64 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95827,HCPCS,"Eeg, all night recording",26,,14 ,,RBRVS,1.08 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95827,HCPCS,"Eeg, all night recording",TC,,14 ,,RBRVS,0.00 ,11.24 ,11.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95827,CPT,"Eeg, all night recording",,,14 ,,RBRVS,1.08 ,11.54 ,11.54 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95829,HCPCS,Surgery electrocorticogram,26,,14 ,,RBRVS,6.20 ,1.76 ,1.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95829,HCPCS,Surgery electrocorticogram,TC,,14 ,,RBRVS,0.00 ,23.01 ,23.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95829,CPT,Surgery electrocorticogram,,,14 ,,RBRVS,6.20 ,24.77 ,24.77 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95830,HCPCS,Insert electrodes for EEG,,,14 ,,RBRVS,1.70 ,0.41 ,2.97 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95831,HCPCS,"Limb muscle testing, manual",,,14 ,,RBRVS,0.28 ,0.09 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95832,HCPCS,"Hand muscle testing, manual",,,14 ,,RBRVS,0.29 ,0.10 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95833,HCPCS,"Body muscle testing, manual",,,14 ,,RBRVS,0.47 ,0.14 ,0.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95834,HCPCS,"Body muscle testing, manual",,,14 ,,RBRVS,0.60 ,0.17 ,0.54 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95851,HCPCS,Range of motion measurements,,,14 ,,RBRVS,0.16 ,0.04 ,0.26 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95852,HCPCS,Range of motion measurements,,,14 ,,RBRVS,0.11 ,0.04 ,0.24 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95857,HCPCS,Tensilon test,,,14 ,,RBRVS,0.53 ,0.16 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195860,HCPCS,"Muscle test, one limb",26,,14 ,,RBRVS,0.96 ,0.32 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195860,HCPCS,"Muscle test, one limb",TC,,14 ,,RBRVS,0.00 ,0.84 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195860,CPT,"Muscle test, one limb",,,14 ,,RBRVS,0.96 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195861,HCPCS,"Muscle test, 2 limbs",26,,14 ,,RBRVS,1.54 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195861,HCPCS,"Muscle test, 2 limbs",TC,,14 ,,RBRVS,0.00 ,1.15 ,1.15 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195861,CPT,"Muscle test, 2 limbs",,,14 ,,RBRVS,1.54 ,1.66 ,1.66 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195863,HCPCS,"Muscle test, 3 limbs",26,,14 ,,RBRVS,1.87 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195863,HCPCS,"Muscle test, 3 limbs",TC,,14 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195863,CPT,"Muscle test, 3 limbs",,,14 ,,RBRVS,1.87 ,1.92 ,1.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195864,HCPCS,"Muscle test, 4 limbs",26,,14 ,,RBRVS,1.99 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195864,HCPCS,"Muscle test, 4 limbs",TC,,14 ,,RBRVS,0.00 ,1.53 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195864,CPT,"Muscle test, 4 limbs",,,14 ,,RBRVS,1.99 ,2.14 ,2.14 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195865,HCPCS,"Muscle test, larynx",26,,14 ,,RBRVS,1.57 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195865,HCPCS,"Muscle test, larynx",TC,,14 ,,RBRVS,0.00 ,0.90 ,0.90 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195865,CPT,"Muscle test, larynx",,,14 ,,RBRVS,1.57 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195866,HCPCS,"Muscle test, hemidiaphragm",26,,14 ,,RBRVS,1.25 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195866,HCPCS,"Muscle test, hemidiaphragm",TC,,14 ,,RBRVS,0.00 ,0.93 ,0.93 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195866,CPT,"Muscle test, hemidiaphragm",,,14 ,,RBRVS,1.25 ,1.32 ,1.32 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195867,HCPCS,Muscle test cran nerv unilat,26,,14 ,,RBRVS,0.79 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195867,HCPCS,Muscle test cran nerv unilat,TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195867,CPT,Muscle test cran nerv unilat,,,14 ,,RBRVS,0.79 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195868,HCPCS,Muscle test cran nerve bilat,26,,14 ,,RBRVS,1.18 ,0.36 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195868,HCPCS,Muscle test cran nerve bilat,TC,,14 ,,RBRVS,0.00 ,1.11 ,1.11 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195868,CPT,Muscle test cran nerve bilat,,,14 ,,RBRVS,1.18 ,1.47 ,1.47 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195869,HCPCS,"Muscle test, thor paraspinal",26,,14 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195869,HCPCS,"Muscle test, thor paraspinal",TC,,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195869,CPT,"Muscle test, thor paraspinal",,,14 ,,RBRVS,0.37 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195870,HCPCS,"Muscle test, nonparaspinal",26,,14 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195870,HCPCS,"Muscle test, nonparaspinal",TC,,14 ,,RBRVS,0.00 ,0.87 ,0.87 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195870,CPT,"Muscle test, nonparaspinal",,,14 ,,RBRVS,0.37 ,0.99 ,0.99 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195872,HCPCS,"Muscle test, one fiber",26,,14 ,,RBRVS,2.88 ,0.88 ,0.88 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195872,HCPCS,"Muscle test, one fiber",TC,,14 ,,RBRVS,0.00 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195872,CPT,"Muscle test, one fiber",,,14 ,,RBRVS,2.88 ,1.64 ,1.64 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195873,HCPCS,"Guide nerv destr, elec stim",26,,14 ,,RBRVS,0.37 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195873,HCPCS,"Guide nerv destr, elec stim",TC,,14 ,,RBRVS,0.00 ,0.88 ,0.88 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195873,CPT,"Guide nerv destr, elec stim",,,14 ,,RBRVS,0.37 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195874,HCPCS,"Guide nerv destr, needle emg",26,,14 ,,RBRVS,0.37 ,0.12 ,0.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195874,HCPCS,"Guide nerv destr, needle emg",TC,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195874,CPT,"Guide nerv destr, needle emg",,,14 ,,RBRVS,0.37 ,0.95 ,0.95 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195875,HCPCS,Limb exercise test,26,,14 ,,RBRVS,1.10 ,0.39 ,0.39 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195875,HCPCS,Limb exercise test,TC,,14 ,,RBRVS,0.00 ,1.09 ,1.09 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195875,CPT,Limb exercise test,,,14 ,,RBRVS,1.10 ,1.48 ,1.48 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195900,HCPCS,Motor nerve conduction test,26,,14 ,,RBRVS,0.42 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195900,HCPCS,Motor nerve conduction test,TC,,14 ,,RBRVS,0.00 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195900,CPT,Motor nerve conduction test,,,14 ,,RBRVS,0.42 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195903,HCPCS,Motor nerve conduction test,26,,14 ,,RBRVS,0.60 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195903,HCPCS,Motor nerve conduction test,TC,,14 ,,RBRVS,0.00 ,0.83 ,0.83 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195903,CPT,Motor nerve conduction test,,,14 ,,RBRVS,0.60 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195904,HCPCS,Sense nerve conduction test,26,,14 ,,RBRVS,0.34 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195904,HCPCS,Sense nerve conduction test,TC,,14 ,,RBRVS,0.00 ,0.74 ,0.74 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195904,CPT,Sense nerve conduction test,,,14 ,,RBRVS,0.34 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195920,HCPCS,Intraop nerve test add-on,26,,14 ,,RBRVS,2.11 ,0.62 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195920,HCPCS,Intraop nerve test add-on,TC,,14 ,,RBRVS,0.00 ,1.10 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195920,CPT,Intraop nerve test add-on,,,14 ,,RBRVS,2.11 ,1.72 ,1.72 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195921,CPT,Autonomic nerv function test,26,,14 ,,RBRVS,0.90 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195921,CPT,Autonomic nerv function test,TC, ,14 ,,RBRVS,0.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195921,HCPCS,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195922,CPT,Autonomic nerv function test,26,,14 ,,RBRVS,0.96 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195922,CPT,Autonomic nerv function test,TC, ,14 ,,RBRVS,0.00 ,1.35 ,1.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195922,HCPCS,Autonomic nerv function test,,,14 ,,RBRVS,0.96 ,1.61 ,1.61 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195923,CPT,Autonomic nerv function test,26,,14 ,,RBRVS,0.90 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195923,CPT,Autonomic nerv function test,TC, ,14 ,,RBRVS,0.00 ,2.08 ,2.08 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195923,HCPCS,Autonomic nerv function test,,,14 ,,RBRVS,0.90 ,2.33 ,2.33 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195925,HCPCS,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195925,HCPCS,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,2.92 ,2.92 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195925,CPT,Somatosensory testing,,,14 ,,RBRVS,0.54 ,3.07 ,3.07 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195926,HCPCS,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195926,HCPCS,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,2.85 ,2.85 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195926,CPT,Somatosensory testing,,,14 ,,RBRVS,0.54 ,3.00 ,3.00 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195927,HCPCS,Somatosensory testing,26,,14 ,,RBRVS,0.54 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195927,HCPCS,Somatosensory testing,TC,,14 ,,RBRVS,0.00 ,2.97 ,2.97 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195927,CPT,Somatosensory testing,,,14 ,,RBRVS,0.54 ,3.13 ,3.13 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195928,HCPCS,"C motor evoked, uppr limbs",26,,14 ,,RBRVS,1.50 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195928,HCPCS,"C motor evoked, uppr limbs",TC,,14 ,,RBRVS,0.00 ,3.50 ,3.50 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195928,CPT,"C motor evoked, uppr limbs",,,14 ,,RBRVS,1.50 ,3.94 ,3.94 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195929,HCPCS,"C motor evoked, lwr limbs",26,,14 ,,RBRVS,1.50 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195929,HCPCS,"C motor evoked, lwr limbs",TC,,14 ,,RBRVS,0.00 ,3.82 ,3.82 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195929,CPT,"C motor evoked, lwr limbs",,,14 ,,RBRVS,1.50 ,4.26 ,4.26 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195930,HCPCS,Visual evoked potential test,26,,14 ,,RBRVS,0.35 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195930,HCPCS,Visual evoked potential test,TC,,14 ,,RBRVS,0.00 ,2.54 ,2.54 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195930,CPT,Visual evoked potential test,,,14 ,,RBRVS,0.35 ,2.64 ,2.64 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195933,HCPCS,Blink reflex test,26,,14 ,,RBRVS,0.59 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195933,HCPCS,Blink reflex test,TC,,14 ,,RBRVS,0.00 ,0.94 ,0.94 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195933,CPT,Blink reflex test,,,14 ,,RBRVS,0.59 ,1.11 ,1.11 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195934,HCPCS,H-reflex test,26,,14 ,,RBRVS,0.51 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195934,HCPCS,H-reflex test,TC,,14 ,,RBRVS,0.00 ,0.70 ,0.70 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195934,CPT,H-reflex test,,,14 ,,RBRVS,0.51 ,0.85 ,0.85 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195936,HCPCS,H-reflex test,26,,14 ,,RBRVS,0.55 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195936,HCPCS,H-reflex test,TC,,14 ,,RBRVS,0.00 ,0.43 ,0.43 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195936,CPT,H-reflex test,,,14 ,,RBRVS,0.55 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195937,HCPCS,Neuromuscular junction test,26,,14 ,,RBRVS,0.65 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195937,HCPCS,Neuromuscular junction test,TC,,14 ,,RBRVS,0.00 ,0.72 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195937,CPT,Neuromuscular junction test,,,14 ,,RBRVS,0.65 ,0.92 ,0.92 ,,,$0.00,$0.00,1,0,0,0,0,1,2008010195950,HCPCS,Ambulatory eeg monitoring,26,,14 ,,RBRVS,1.51 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010195950,HCPCS,Ambulatory eeg monitoring,TC,,14 ,,RBRVS,0.00 ,4.50 ,4.50 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010195950,CPT,Ambulatory eeg monitoring,,,14 ,,RBRVS,1.51 ,4.93 ,4.93 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95951,HCPCS,EEG monitoring/videorecord,26,,14 ,,RBRVS,5.99 ,1.68 ,1.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95951,HCPCS,EEG monitoring/videorecord,TC,,14 ,,TotalUnits,,,,6.12 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95953,HCPCS,EEG monitoring/computer,26,,14 ,,RBRVS,3.30 ,0.93 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95953,HCPCS,EEG monitoring/computer,TC,,14 ,,RBRVS,0.00 ,6.29 ,6.29 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95953,CPT,EEG monitoring/computer,,,14 ,,RBRVS,3.30 ,7.22 ,7.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95954,HCPCS,EEG monitoring/giving drugs,26,,14 ,,RBRVS,2.45 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95954,HCPCS,EEG monitoring/giving drugs,TC,,14 ,,RBRVS,0.00 ,3.96 ,3.96 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95954,CPT,EEG monitoring/giving drugs,,,14 ,,RBRVS,2.45 ,4.38 ,4.38 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95955,HCPCS,EEG during surgery,26,,14 ,,RBRVS,1.01 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95955,HCPCS,EEG during surgery,TC,,14 ,,RBRVS,0.00 ,2.48 ,2.48 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95955,CPT,EEG during surgery,,,14 ,,RBRVS,1.01 ,2.76 ,2.76 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95956,HCPCS,"Eeg monitoring, cable/radio",26,,14 ,,RBRVS,3.08 ,0.86 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95956,HCPCS,"Eeg monitoring, cable/radio",TC,,14 ,,RBRVS,0.00 ,15.44 ,15.44 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95956,CPT,"Eeg monitoring, cable/radio",,,14 ,,RBRVS,3.08 ,16.30 ,16.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95957,HCPCS,EEG digital analysis,26,,14 ,,RBRVS,1.98 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95957,HCPCS,EEG digital analysis,TC,,14 ,,RBRVS,0.00 ,5.30 ,5.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95957,CPT,EEG digital analysis,,,14 ,,RBRVS,1.98 ,5.85 ,5.85 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95958,HCPCS,EEG monitoring/function test,26,,14 ,,RBRVS,4.24 ,1.23 ,1.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95958,HCPCS,EEG monitoring/function test,TC,,14 ,,RBRVS,0.00 ,5.47 ,5.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95958,CPT,EEG monitoring/function test,,,14 ,,RBRVS,4.24 ,6.70 ,6.70 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95961,HCPCS,"Electrode stimulation, brain",26,,14 ,,RBRVS,2.97 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95961,HCPCS,"Electrode stimulation, brain",TC,,14 ,,RBRVS,0.00 ,2.18 ,2.18 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95961,CPT,"Electrode stimulation, brain",,,14 ,,RBRVS,2.97 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95962,HCPCS,"Electrode stim, brain add-on",26,,14 ,,RBRVS,3.21 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95962,HCPCS,"Electrode stim, brain add-on",TC,,14 ,,RBRVS,0.00 ,1.30 ,1.30 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95962,CPT,"Electrode stim, brain add-on",,,14 ,,RBRVS,3.21 ,2.21 ,2.21 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,95965,HCPCS,"Meg, spontaneous",26,,14 ,,RBRVS,7.99 ,2.39 ,2.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95965,HCPCS,"Meg, spontaneous",,,14 ,,TotalUnits,,,,57.05 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95966,HCPCS,"Meg, evoked, single",26,,14 ,,RBRVS,3.99 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95966,HCPCS,"Meg, evoked, single",,,14 ,,TotalUnits,,,,28.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95967,HCPCS,"Meg, evoked, each addl",26,,14 ,,RBRVS,3.49 ,1.01 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95967,HCPCS,"Meg, evoked, each addl",,,14 ,,TotalUnits,,,,24.10 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95970,HCPCS,"Analyze neurostim, no prog",,,14 ,,RBRVS,0.45 ,0.13 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95971,HCPCS,"Analyze neurostim, simple",,,14 ,,RBRVS,0.78 ,0.18 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95972,HCPCS,"Analyze neurostim, complex",,,14 ,,RBRVS,1.50 ,0.44 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95973,HCPCS,"Analyze neurostim, complex",,,14 ,,RBRVS,0.92 ,0.22 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95974,HCPCS,"Cranial neurostim, complex",,,14 ,,RBRVS,3.00 ,0.78 ,1.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95975,HCPCS,"Cranial neurostim, complex",,,14 ,,RBRVS,1.70 ,0.47 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95978,HCPCS,Analyze neurostim brain/1h,,,14 ,,RBRVS,3.50 ,1.02 ,1.86 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95979,HCPCS,Analyz neurostim brain addon,,,14 ,,RBRVS,1.64 ,0.46 ,0.72 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,95980,CPT,Io anal gast n-stim init,,,14 ,,RBRVS,0.80 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95981,CPT,Io anal gast n-stim subsq,,,14 ,,RBRVS,0.30 ,0.12 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95982,CPT,Io ga n-stim subsq w/reprog,,,14 ,,RBRVS,0.65 ,0.18 ,0.47 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95990,HCPCS,Spin/brain pump refil & main,,,14 ,,RBRVS,0.00 ,1.62 ,1.62 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95991,HCPCS,Spin/brain pump refil & main,,,14 ,,RBRVS,0.77 ,0.17 ,1.61 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,95999,HCPCS,Neurological procedure,,,14 ,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,96000,HCPCS,"Motion analysis, video/3d",,,14 ,,RBRVS,1.80 ,0.44 ,0.44 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,96001,HCPCS,Motion test w/ft press meas,,,14 ,,RBRVS,2.15 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196002,HCPCS,Dynamic surface emg,,,14 ,,RBRVS,0.41 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196003,HCPCS,Dynamic fine wire emg,,,14 ,,RBRVS,0.37 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196004,HCPCS,Phys review of motion tests,,PC,14 ,,RBRVS,2.14 ,0.65 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196020,HCPCS,Functional brain mapping,26,,14 ,,RBRVS,3.43 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196040,CPT,"Genetic counseling, 30 min",,,15 ,,RBRVS,0.00 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196101,HCPCS,Psycho testing by psych/phys,,,16 ,,RBRVS,1.86 ,0.33 ,0.35 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196102,HCPCS,Psycho testing by technician,,,16 ,,RBRVS,0.50 ,0.09 ,1.10 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196103,HCPCS,Psycho testing admin by comp,,,16 ,,RBRVS,0.51 ,0.10 ,0.92 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196105,HCPCS,Assessment of aphasia,,,16 ,,RBRVS,0.00 ,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196110,HCPCS,"Developmental test, lim",,,16 ,,RBRVS,0.00 ,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196111,HCPCS,"Developmental test, extend",,,16 ,,RBRVS,2.60 ,0.58 ,0.69 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196116,HCPCS,Neurobehavioral status exam,,,16 ,,RBRVS,1.86 ,0.40 ,0.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196118,HCPCS,Neuropsych tst by psych/phys,,,16 ,,RBRVS,1.86 ,0.33 ,0.84 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196119,HCPCS,Neuropsych testing by tech,,,16 ,,RBRVS,0.55 ,0.10 ,1.53 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196120,HCPCS,Neuropsych tst admin w/comp,,,16 ,,RBRVS,0.51 ,0.10 ,1.69 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196125,CPT,Cognitive test by hc pro,,,16 ,,RBRVS,1.70 ,0.37 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196150,HCPCS,"Assess lth/behave, init",,,16 ,,RBRVS,0.50 ,0.09 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196151,HCPCS,"Assess hlth/behave, subseq",,,16 ,,RBRVS,0.48 ,0.09 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196152,HCPCS,"Intervene hlth/behave, indiv",,,16 ,,RBRVS,0.46 ,0.08 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196153,HCPCS,"Intervene hlth/behave, group",,,16 ,,RBRVS,0.10 ,0.02 ,0.02 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196154,HCPCS,"Interv hlth/behav, fam w/pt",,,16 ,,RBRVS,0.45 ,0.08 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196155,HCPCS,Interv hlth/behav fam no pt,,,16 ,,RBRVS,0.44 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010196401,HCPCS,"Chemo, anti-neopl, sq/im",,,22 ,,RBRVS,0.21 ,1.86 ,1.86 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196402,HCPCS,Chemo hormon antineopl sq/im,,,22 ,,RBRVS,0.19 ,0.78 ,0.78 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196405,HCPCS,Intralesional chemo admin,,,22 ,,RBRVS,0.52 ,0.24 ,3.69 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196406,HCPCS,Intralesional chemo admin,,,22 ,,RBRVS,0.80 ,0.32 ,3.62 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196409,HCPCS,"Chemo, iv push, sngl drug",,,22 ,,RBRVS,0.24 ,2.80 ,2.80 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196411,HCPCS,"Chemo, iv push, addl drug",,,22 ,,RBRVS,0.20 ,1.50 ,1.50 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196413,HCPCS,"Chemo, iv infusion, 1 hr",,,22 ,,RBRVS,0.28 ,3.64 ,3.64 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196415,HCPCS,"Chemo, iv infusion, addl hr",,,22 ,,RBRVS,0.19 ,0.66 ,0.66 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196416,HCPCS,Chemo prolong infuse w/pump,,,22 ,,RBRVS,0.21 ,4.09 ,4.09 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010196417,HCPCS,Chemo iv infus each addl seq,,,22 ,,RBRVS,0.21 ,1.73 ,1.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96420,HCPCS,"Chemotherapy, push technique",,,22 ,,RBRVS,0.17 ,2.78 ,2.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96422,HCPCS,"Chemotherapy,infusion method",,,22 ,,RBRVS,0.17 ,4.50 ,4.50 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96423,HCPCS,"Chemo, infuse method add-on",,,22 ,,RBRVS,0.17 ,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96425,HCPCS,"Chemotherapy,infusion method",,,22 ,,RBRVS,0.17 ,4.67 ,4.67 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96440,HCPCS,"Chemotherapy, intracavitary",,,22 ,,RBRVS,2.37 ,0.98 ,5.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96445,HCPCS,"Chemotherapy, intracavitary",,,22 ,,RBRVS,2.20 ,0.96 ,5.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96450,HCPCS,"Chemotherapy, into CNS",,,22 ,,RBRVS,1.53 ,0.83 ,4.99 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96521,HCPCS,"Refill/maint, portable pump",,,22 ,,RBRVS,0.21 ,3.16 ,3.16 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96522,HCPCS,Refill/maint pump/resvr syst,,,22 ,,RBRVS,0.21 ,2.78 ,2.78 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96523,HCPCS,Irrig drug delivery device,,,22 ,,RBRVS,0.04 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96542,HCPCS,Chemotherapy injection,,,22 ,,RBRVS,0.75 ,0.32 ,3.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96549,HCPCS,"Chemotherapy, unspecified",,,22 ,,TotalUnits,,,,3.08 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96567,HCPCS,"Photodynamic tx, skin",,,14 ,,RBRVS,0.00 ,3.74 ,3.74 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96570,HCPCS,"Photodynamic tx, 30 min",,,14 ,,RBRVS,1.10 ,0.40 ,0.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96571,HCPCS,"Photodynamic tx, addl 15 min",,,14 ,,RBRVS,0.55 ,0.19 ,0.19 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96900,HCPCS,Ultraviolet light therapy,,,14 ,,RBRVS,0.00 ,0.57 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96902,HCPCS,Trichogram,,,14 ,,RBRVS,0.41 ,0.09 ,0.11 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96904,CPT,Whole body photography,,,14 ,,RBRVS,0.00 ,1.90 ,1.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,96910,HCPCS,Photochemotherapy with UV-B,,,14 ,,RBRVS,0.00 ,2.01 ,2.01 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96912,HCPCS,Photochemotherapy with UV-A,,,14 ,,RBRVS,0.00 ,2.58 ,2.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96913,HCPCS,"Photochemotherapy, UV-A or B",,,14 ,,RBRVS,0.00 ,3.47 ,3.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96920,HCPCS,"Laser tx, skin < 250 sq cm",,,14 ,,RBRVS,1.15 ,0.56 ,3.58 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96921,HCPCS,"Laser tx, skin 250-500 sq cm",,,14 ,,RBRVS,1.17 ,0.51 ,3.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96922,HCPCS,"Laser tx, skin > 500 sq cm",,,14 ,,RBRVS,2.10 ,1.04 ,4.64 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,96999,HCPCS,Dermatological procedure,,,14 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,97001,HCPCS,Pt evaluation,,,19 ,,RBRVS,1.20 ,0.65 ,0.65 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97002,HCPCS,Pt re-evaluation,,,19 ,,RBRVS,0.60 ,0.41 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97003,HCPCS,Ot evaluation,,,19 ,,RBRVS,1.20 ,0.76 ,0.76 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97004,HCPCS,Ot re-evaluation,,,19 ,,RBRVS,0.60 ,0.54 ,0.54 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97005,HCPCS,Athletic train eval,,,19 ,,TotalUnits,,,,1.45 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97006,HCPCS,Athletic train reeval,,,19 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97010,HCPCS,Hot or cold packs therapy,,,19 ,,RBRVS,0.06 ,0.07 ,0.07 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197012,HCPCS,Mechanical traction therapy,,,19 ,,RBRVS,0.25 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197014,HCPCS,Electric stimulation therapy,,,19 ,,RBRVS,0.18 ,0.18 ,0.18 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197016,HCPCS,Vasopneumatic device therapy,,,19 ,,RBRVS,0.18 ,0.24 ,0.24 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197018,HCPCS,Paraffin bath therapy,,,19 ,,RBRVS,0.06 ,0.17 ,0.17 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197022,HCPCS,Whirlpool therapy,,,19 ,,RBRVS,0.17 ,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197024,HCPCS,Diathermy treatment,,,19 ,,RBRVS,0.06 ,0.08 ,0.08 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197026,HCPCS,Infrared therapy,,,19 ,,RBRVS,0.06 ,0.07 ,0.07 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197028,HCPCS,Ultraviolet therapy,,,19 ,,RBRVS,0.08 ,0.08 ,0.08 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197032,HCPCS,Electrical stimulation,,,19 ,,RBRVS,0.25 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197033,HCPCS,Electric current therapy,,,19 ,,RBRVS,0.26 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197034,HCPCS,Contrast bath therapy,,,19 ,,RBRVS,0.21 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197035,HCPCS,Ultrasound therapy,,,19 ,,RBRVS,0.21 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197036,HCPCS,Hydrotherapy,,,19 ,,RBRVS,0.28 ,0.44 ,0.44 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197039,HCPCS,Unlisted physical medicine/rehab modality,,,19 ,,NW,,,,,,$26.19,$0.00,1,1,1,0,0,1,2008010197110,HCPCS,Therapeutic exercises,,,19 ,,RBRVS,0.45 ,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,0,1,2008010197112,HCPCS,Neuromuscular reeducation,,,19 ,,RBRVS,0.45 ,0.34 ,0.34 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97113,HCPCS,Aquatic therapy/exercises,,,19 ,,RBRVS,0.44 ,0.53 ,0.53 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97116,HCPCS,Gait training therapy,,,19 ,,RBRVS,0.40 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97124,HCPCS,Massage therapy,,,19 ,,RBRVS,0.35 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97139,HCPCS,Physical medicine procedure,,,19 ,,NW,,,,,,$26.19,$0.00,1,1,1,0,0,1,20080101,,97140,HCPCS,Manual therapy,,,19 ,,RBRVS,0.43 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97150,HCPCS,Group therapeutic procedures,,,19 ,,RBRVS,0.27 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97530,HCPCS,Therapeutic activities,,,19 ,,RBRVS,0.44 ,0.38 ,0.38 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97532,HCPCS,Cognitive skills development,,,19 ,,RBRVS,0.44 ,0.22 ,0.22 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97533,HCPCS,Sensory integration,,,19 ,,RBRVS,0.44 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97535,HCPCS,Self care mngment training,,,19 ,,RBRVS,0.45 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97537,HCPCS,Community/work reintegration,,,19 ,,RBRVS,0.45 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97542,HCPCS,Wheelchair mngment training,,,19 ,,RBRVS,0.45 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97545,HCPCS,Work hardening,,,19 ,,TotalUnits,,,,2.68 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97546,HCPCS,Work hardening add-on,,,19 ,,TotalUnits,,,,1.07 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97597,HCPCS,Active wound care/20 cm or <,,,19 ,,RBRVS,0.58 ,0.12 ,1.10 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97598,HCPCS,Active wound care > 20 cm,,,19 ,,RBRVS,0.80 ,0.17 ,1.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97602,HCPCS,Wound(s) care non-selective,,,19 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97605,HCPCS,Negative pressure wound therapy less than or equal to 50 square cm,,,19 ,,RBRVS,0.55 ,0.11 ,0.40 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97606,HCPCS,Negative pressure wound therapy greater than 50 square cm,,,19 ,,RBRVS,0.60 ,0.13 ,0.41 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97750,HCPCS,Physical performance test,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97755,HCPCS,Assistive technology assess,,,19 ,,RBRVS,0.62 ,0.27 ,0.27 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97760,HCPCS,Orthotic mgmt and training,,,19 ,,RBRVS,0.45 ,0.42 ,0.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,97761,HCPCS,Prosthetic training,,,19 ,,RBRVS,0.45 ,0.33 ,0.33 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,97762,HCPCS,C/o for orthotic/prosth use,,,19 ,,RBRVS,0.25 ,0.73 ,0.73 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,97799,HCPCS,Physical medicine procedure,,,19 ,,TotalUnits,,,,0.76 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,97802,HCPCS,"Medical nutrition, indiv, in",,,14 ,,RBRVS,0.45 ,0.11 ,0.14 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,97803,HCPCS,"Med nutrition, indiv, subseq",,,14 ,,RBRVS,0.37 ,0.09 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,97804,HCPCS,"Medical nutrition, group",,,14 ,,RBRVS,0.25 ,0.07 ,0.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,97810,HCPCS,Acupunct w/o stimul 15 min,,,19 ,,RBRVS,0.60 ,0.14 ,0.26 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,97811,HCPCS,Acupunct w/o stimul addl 15m,,,19 ,,RBRVS,0.50 ,0.11 ,0.15 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,97813,HCPCS,Acupunct w/stimul 15 min,,,19 ,,RBRVS,0.65 ,0.15 ,0.27 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,97814,HCPCS,Acupunct w/stimul addl 15m,,,19 ,,RBRVS,0.55 ,0.13 ,0.19 ,,,$0.00,$0.00,1,1,1,1,1,1,2008010198925,HCPCS,Osteopathic manipulation,,,19 ,,RBRVS,0.45 ,0.12 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010198926,HCPCS,Osteopathic manipulation,,,19 ,,RBRVS,0.65 ,0.17 ,0.37 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010198927,HCPCS,Osteopathic manipulation,,,19 ,,RBRVS,0.87 ,0.22 ,0.45 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010198928,HCPCS,Osteopathic manipulation,,,19 ,,RBRVS,1.03 ,0.26 ,0.51 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010198929,HCPCS,Osteopathic manipulation,,,19 ,,RBRVS,1.19 ,0.30 ,0.57 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010198940,HCPCS,Chiropractic manipulation,,,5 ,,RBRVS,0.45 ,0.12 ,0.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010198941,HCPCS,Chiropractic manipulation,,,5 ,,RBRVS,0.65 ,0.17 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010198942,HCPCS,Chiropractic manipulation,,,5 ,,RBRVS,0.87 ,0.24 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010198943,HCPCS,Chiropractic manipulation,,,5 ,,RBRVS,0.40 ,0.09 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010198960,HCPCS,"Self-mgmt educ & train, 1 pt",,,14 ,,RBRVS,0.00 ,0.58 ,0.58 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010198961,HCPCS,"Self-mgmt educ/train, 2-4 pt",,,14 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010198962,HCPCS,"Self-mgmt educ/train, 5-8 pt",,,14 ,,RBRVS,0.00 ,0.20 ,0.20 ,,,$0.00,$0.00,1,1,1,0,1,1,2008010198966,CPT,Hc pro phone call 5-10 min,,,15 ,,RBRVS,0.25 ,0.06 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010198967,CPT,Hc pro phone call 11-20 min,,,15 ,,RBRVS,0.50 ,0.11 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010198968,CPT,Hc pro phone call 21-30 min,,,15 ,,RBRVS,0.75 ,0.17 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199000,HCPCS,Specimen handling,,,14 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99001,HCPCS,Specimen handling,,,14 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99002,HCPCS,Device handling,,,14 ,,TotalUnits,,,,0.37 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99026,HCPCS,In-hospital on call service,,,10 ,,TotalUnits,,,,2.10 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99027,HCPCS,Out-of-hosp on call service,,,15 ,,TotalUnits,,,,2.10 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99050,HCPCS,Medical services after hrs,,,15 ,,TotalUnits,,,,0.69 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99056,HCPCS,Non-office medical services,,,15 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99058,HCPCS,Office emergency care,,,15 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99075,HCPCS,Medical testimony,,,14 ,,TotalUnits,,,,5.27 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99078,HCPCS,Group health education,,,14 ,,TotalUnits,,,,0.90 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99080,HCPCS,Special reports or forms,,,14 ,,TotalUnits,,,,0.72 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99082,HCPCS,Unusual physician travel,,,14 ,,TotalUnits,,,,0.47 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99090,HCPCS,Computer data analysis,,,14 ,,TotalUnits,,,,1.50 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99091,HCPCS,Collect/review data from pt,,,14 ,,RBRVS,1.10 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99100,HCPCS,Special anesthesia service,,,21 ,,TotalUnits,,,,0.08 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99116,HCPCS,Anesthesia with hypothermia,,,21 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99135,HCPCS,Special anesthesia procedure,,,21 ,,TotalUnits,,,,0.63 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99140,HCPCS,Emergency anesthesia,,,21 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99170,HCPCS,"Anogenital exam, child",,,14 ,,RBRVS,1.75 ,0.61 ,1.83 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99172,CPT,Ocular function screen,26,,23 ,,TotalUnits,,,,0.28 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99172,CPT,Ocular function screen,TC,,23 ,,TotalUnits,,,,1.10 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99173,HCPCS,Visual acuity screen,,,23 ,,RBRVS,0.00 ,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99175,HCPCS,Induction of vomiting,,,14 ,,RBRVS,0.00 ,0.36 ,0.36 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99183,HCPCS,Hyperbaric oxygen therapy,,,14 ,,RBRVS,2.34 ,0.57 ,2.60 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99185,CPT,Regional hypothermia,26,,14 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99185,CPT,Regional hypothermia,TC,,14 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99185,CPT,Regional hypothermia,,,14 ,,RBRVS,0.00 ,1.67 ,1.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,99186,CPT,Total body hypothermia,26,,14 ,,TotalUnits,,,,1.19 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99186,CPT,Total body hypothermia,TC,,14 ,,TotalUnits,,,,1.78 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99186,CPT,Total body hypothermia,,,14 ,,RBRVS,0.00 ,1.63 ,1.63 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,99190,HCPCS,Special pump services,,,14 ,,TotalUnits,,,,14.50 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99191,HCPCS,Special pump services,,,14 ,,TotalUnits,,,,10.87 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99192,HCPCS,Special pump services,,,14 ,,TotalUnits,,,,7.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99195,HCPCS,Phlebotomy,,,14 ,,RBRVS,0.00 ,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99199,HCPCS,Special service/proc/report,,,14 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,99201,HCPCS,"Office/outpatient visit, new",,,15 ,,RBRVS,0.45 ,0.16 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99202,HCPCS,"Office/outpatient visit, new",,,15 ,,RBRVS,0.88 ,0.29 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99203,HCPCS,"Office/outpatient visit, new",,,15 ,,RBRVS,1.34 ,0.43 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99204,HCPCS,"Office/outpatient visit, new",,,15 ,,RBRVS,2.30 ,0.71 ,1.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99205,HCPCS,"Office/outpatient visit, new",,,15 ,,RBRVS,3.00 ,0.91 ,1.79 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99211,HCPCS,"Office/outpatient visit, est",,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99212,HCPCS,"Office/outpatient visit, est",,,15 ,,RBRVS,0.45 ,0.15 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99213,HCPCS,"Office/outpatient visit, est",,,15 ,,RBRVS,0.92 ,0.28 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99214,HCPCS,"Office/outpatient visit, est",,,15 ,,RBRVS,1.42 ,0.44 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99215,HCPCS,"Office/outpatient visit, est",,,15 ,,RBRVS,2.00 ,0.61 ,1.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99217,HCPCS,Observation care discharge,,,7 ,,RBRVS,1.28 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99218,HCPCS,Observation care,,,7 ,,RBRVS,1.28 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99219,HCPCS,Observation care,,,7 ,,RBRVS,2.14 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99220,HCPCS,Observation care,,,7 ,,RBRVS,2.99 ,0.84 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199221,HCPCS,Initial hospital care,,,10 ,,RBRVS,1.88 ,0.54 ,0.54 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199222,HCPCS,Initial hospital care,,,10 ,,RBRVS,2.56 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199223,HCPCS,Initial hospital care,,,10 ,,RBRVS,3.78 ,1.07 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199231,HCPCS,Subsequent hospital care,,,10 ,,RBRVS,0.76 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199232,HCPCS,Subsequent hospital care,,,10 ,,RBRVS,1.39 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199233,HCPCS,Subsequent hospital care,,,10 ,,RBRVS,2.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199234,HCPCS,Observ/hosp same date,,,10 ,,RBRVS,2.56 ,0.78 ,0.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199235,HCPCS,Observ/hosp same date,,,10 ,,RBRVS,3.41 ,0.98 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199236,HCPCS,Observ/hosp same date,,,10 ,,RBRVS,4.26 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199238,HCPCS,Hospital discharge day,,,10 ,,RBRVS,1.28 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199239,HCPCS,Hospital discharge day,,,10 ,,RBRVS,1.90 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199241,HCPCS,Office consultation,,,6 ,,RBRVS,0.64 ,0.22 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199242,HCPCS,Office consultation,,,6 ,,RBRVS,1.34 ,0.48 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199243,HCPCS,Office consultation,,,6 ,,RBRVS,1.88 ,0.67 ,1.45 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199244,HCPCS,Office consultation,,,6 ,,RBRVS,3.02 ,1.08 ,1.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199245,HCPCS,Office consultation,,,6 ,,RBRVS,3.77 ,1.31 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99251,HCPCS,Initial inpatient consult,,,6 ,,RBRVS,1.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99252,HCPCS,Initial inpatient consult,,,6 ,,RBRVS,1.50 ,0.49 ,0.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99253,HCPCS,Initial inpatient consult,,,6 ,,RBRVS,2.27 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99254,HCPCS,Initial inpatient consult,,,6 ,,RBRVS,3.29 ,1.19 ,1.19 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99255,HCPCS,Initial inpatient consult,,,6 ,,RBRVS,4.00 ,1.39 ,1.39 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99281,HCPCS,Emergency dept visit,,,7 ,,RBRVS,0.45 ,0.09 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99282,HCPCS,Emergency dept visit,,,7 ,,RBRVS,0.88 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99283,HCPCS,Emergency dept visit,,,7 ,,RBRVS,1.34 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99284,HCPCS,Emergency dept visit,,,7 ,,RBRVS,2.56 ,0.46 ,0.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99285,HCPCS,Emergency dept visit,,,7 ,,RBRVS,3.80 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99288,HCPCS,Direct advanced life support,,,7 ,,TotalUnits,,,,1.26 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99289,HCPCS,Ped crit care transport,,,10 ,,RBRVS,4.79 ,1.08 ,1.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99290,HCPCS,Ped crit care transport addl,,,10 ,,RBRVS,2.40 ,0.89 ,0.89 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99291,HCPCS,"Critical care, first hour",,,10 ,,RBRVS,4.50 ,1.10 ,2.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99292,HCPCS,"Critical care, addl 30 min",,,10 ,,RBRVS,2.25 ,0.56 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99293,HCPCS,"Ped critical care, initial",,,10 ,,RBRVS,15.98 ,3.78 ,3.78 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199294,HCPCS,"Ped critical care, subseq",,,10 ,,RBRVS,7.99 ,1.65 ,1.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199295,HCPCS,"Neonate crit care, initial",,,10 ,,RBRVS,18.46 ,4.57 ,4.57 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199296,HCPCS,Neonate critical care subseq,,,10 ,,RBRVS,7.99 ,2.06 ,2.06 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199298,HCPCS,Ic for lbw infant < 1500 gm,,,10 ,,RBRVS,2.75 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199299,HCPCS,"Ic, lbw infant 1500-2500 gm",,,10 ,,RBRVS,2.50 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199300,HCPCS,"Ic, infant pbw 2501-5000 gm",,,10 ,,RBRVS,2.40 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199304,HCPCS,"Nursing facility care, init",,,15 ,,RBRVS,1.61 ,0.57 ,0.57 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199305,HCPCS,"Nursing facility care, init",,,15 ,,RBRVS,2.30 ,0.74 ,0.74 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199306,HCPCS,"Nursing facility care, init",,,15 ,,RBRVS,3.00 ,0.91 ,0.91 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199307,HCPCS,"Nursing fac care, subseq",,,15 ,,RBRVS,0.76 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199308,HCPCS,"Nursing fac care, subseq",,,15 ,,RBRVS,1.16 ,0.47 ,0.47 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199309,HCPCS,"Nursing fac care, subseq",,,15 ,,RBRVS,1.55 ,0.61 ,0.61 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199310,HCPCS,"Nursing fac care, subseq",,,15 ,,RBRVS,2.35 ,0.87 ,0.87 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199315,HCPCS,Nursing fac discharge day,,,10 ,,RBRVS,1.13 ,0.41 ,0.41 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199316,HCPCS,Nursing fac discharge day,,,10 ,,RBRVS,1.50 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199318,HCPCS,Annual nursing fac assessmnt,,,15 ,,RBRVS,1.71 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199324,HCPCS,Domicil/r-home visit new pat,,,15 ,,RBRVS,1.01 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199325,HCPCS,Domicil/r-home visit new pat,,,15 ,,RBRVS,1.52 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199326,HCPCS,Domicil/r-home visit new pat,,,15 ,,RBRVS,2.63 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199327,HCPCS,Domicil/r-home visit new pat,,,15 ,,RBRVS,3.46 ,1.02 ,1.02 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199328,HCPCS,Domicil/r-home visit new pat,,,15 ,,RBRVS,4.09 ,1.16 ,1.16 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199334,HCPCS,Domicil/r-home visit est pat,,,15 ,,RBRVS,1.07 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199335,HCPCS,Domicil/r-home visit est pat,,,15 ,,RBRVS,1.72 ,0.59 ,0.59 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199336,HCPCS,Domicil/r-home visit est pat,,,15 ,,RBRVS,2.46 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199337,HCPCS,Domicil/r-home visit est pat,,,15 ,,RBRVS,3.58 ,1.03 ,1.03 ,,,$0.00,$0.00,1,0,1,0,1,1,2008010199339,CPT,Domicil/r-home care supervis,,,15 ,,RBRVS,1.25 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199340,CPT,Domicil/r-home care supervis,,,15 ,,RBRVS,1.80 ,0.77 ,0.77 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199341,HCPCS,"Home visit, new patient",,,15 ,,RBRVS,1.01 ,0.43 ,0.43 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199342,HCPCS,"Home visit, new patient",,,15 ,,RBRVS,1.52 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199343,HCPCS,"Home visit, new patient",,,15 ,,RBRVS,2.53 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199344,HCPCS,"Home visit, new patient",,,15 ,,RBRVS,3.38 ,1.00 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199345,HCPCS,"Home visit, new patient",,,15 ,,RBRVS,4.09 ,1.15 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199347,HCPCS,"Home visit, est patient",,,15 ,,RBRVS,1.00 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199348,HCPCS,"Home visit, est patient",,,15 ,,RBRVS,1.56 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199349,HCPCS,"Home visit, est patient",,,15 ,,RBRVS,2.33 ,0.73 ,0.73 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199350,HCPCS,"Home visit, est patient",,,15 ,,RBRVS,3.28 ,0.96 ,0.96 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199354,HCPCS,"Prolonged service, office",,,15 ,,RBRVS,1.77 ,0.50 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199355,HCPCS,"Prolonged service, office",,,15 ,,RBRVS,1.77 ,0.47 ,0.62 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199356,HCPCS,"Prolonged service, inpatient",,,10 ,,RBRVS,1.71 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199357,HCPCS,"Prolonged service, inpatient",,,10 ,,RBRVS,1.71 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199358,HCPCS,"Prolonged serv, w/o contact",,,15 ,,RBRVS,2.10 ,0.51 ,0.51 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199359,HCPCS,"Prolonged serv, w/o contact",,,15 ,,RBRVS,1.00 ,0.26 ,0.26 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199360,HCPCS,Physician standby services,,,14 ,,RBRVS,1.20 ,0.28 ,0.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199363,CPT,"Anticoag mgmt, init",,,15 ,,RBRVS,1.65 ,0.38 ,1.30 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199364,CPT,"Anticoag mgmt, subseq",,,15 ,,RBRVS,0.63 ,0.14 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199366,CPT,Team conf w/pat by hc pro,,,15 ,,RBRVS,0.82 ,0.19 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199367,CPT,Team conf w/o pat by phys,,,15 ,,RBRVS,1.10 ,0.25 ,0.25 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199368,CPT,Team conf w/o pat by hc pro,,,15 ,,RBRVS,0.72 ,0.16 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199374,HCPCS,Home health care supervision,,,15 ,,RBRVS,1.10 ,0.25 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199375,HCPCS,Home health care supervision,,,15 ,,RBRVS,1.73 ,0.40 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199377,HCPCS,Hospice care supervision,,,15 ,,RBRVS,1.10 ,0.25 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199378,HCPCS,Hospice care supervision,,,15 ,,RBRVS,1.73 ,0.40 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199379,HCPCS,Nursing fac care supervision,,,15 ,,RBRVS,1.10 ,0.25 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199380,HCPCS,Nursing fac care supervision,,,15 ,,RBRVS,1.73 ,0.40 ,0.75 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199381,HCPCS,"Prev visit, new, infant",,,24 ,,RBRVS,1.19 ,0.27 ,1.00 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199382,HCPCS,"Prev visit, new, age 1-4",,,18 ,,RBRVS,1.36 ,0.31 ,1.04 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199383,HCPCS,"Prev visit, new, age 5-11",,,18 ,,RBRVS,1.36 ,0.31 ,1.03 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199384,HCPCS,"Prev visit, new, age 12-17",,,18 ,,RBRVS,1.53 ,0.35 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199385,HCPCS,"Prev visit, new, age 18-39",,,18 ,,RBRVS,1.53 ,0.35 ,1.07 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199386,HCPCS,"Prev visit, new, age 40-64",,,18 ,,RBRVS,1.88 ,0.43 ,1.15 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199387,HCPCS,"Prev visit, new, 65 & over",,,18 ,,RBRVS,2.06 ,0.47 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199391,HCPCS,"Prev visit, est, infant",,,24 ,,RBRVS,1.02 ,0.24 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199392,HCPCS,"Prev visit, est, age 1-4",,,18 ,,RBRVS,1.19 ,0.27 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199393,HCPCS,"Prev visit, est, age 5-11",,,18 ,,RBRVS,1.19 ,0.27 ,0.90 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199394,HCPCS,"Prev visit, est, age 12-17",,,18 ,,RBRVS,1.36 ,0.31 ,0.93 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199395,HCPCS,"Prev visit, est, age 18-39",,,18 ,,RBRVS,1.36 ,0.31 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199396,HCPCS,"Prev visit, est, age 40-64",,,18 ,,RBRVS,1.53 ,0.35 ,0.98 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199397,HCPCS,"Prev visit, est, 65 & over",,,18 ,,RBRVS,1.71 ,0.39 ,1.12 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199401,HCPCS,"Preventive counseling, indiv",,,18 ,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199402,HCPCS,"Preventive counseling, indiv",,,18 ,,RBRVS,0.98 ,0.22 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199403,HCPCS,"Preventive counseling, indiv",,,18 ,,RBRVS,1.46 ,0.34 ,0.59 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199404,HCPCS,"Preventive counseling, indiv",,,18 ,,RBRVS,1.95 ,0.45 ,0.70 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199406,CPT,Behav chng smoking 3-10 min,,,15 ,,RBRVS,0.24 ,0.07 ,0.11 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199407,CPT,Behav chng smoking < 10 min,,,15 ,,RBRVS,0.50 ,0.13 ,0.18 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199408,CPT,"Audit/dast, 15-30 min",,,16 ,,RBRVS,0.65 ,0.15 ,0.19 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199409,CPT,"Audit/dast, over 30 min",,,16 ,,RBRVS,1.30 ,0.30 ,0.34 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199411,HCPCS,"Preventive counseling, group",,,18 ,,RBRVS,0.15 ,0.03 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199412,HCPCS,"Preventive counseling, group",,,18 ,,RBRVS,0.25 ,0.06 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199420,HCPCS,Health risk assessment test,,,18 ,,RBRVS,0.00 ,0.22 ,0.22 ,,,$0.00,$0.00,1,0,1,1,1,1,2008010199429,HCPCS,Unlisted preventive service,,,18 ,,TotalUnits,,,,2.46 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99431,HCPCS,"Initial care, normal newborn",,,10 ,,RBRVS,1.17 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99432,HCPCS,"Newborn care, not in hosp",,,24 ,,RBRVS,1.26 ,0.29 ,1.01 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99433,HCPCS,Normal newborn care/hospital,,,10 ,,RBRVS,0.62 ,0.17 ,0.17 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99435,HCPCS,Newborn discharge day hosp,,,10 ,,RBRVS,1.50 ,0.50 ,0.50 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99436,HCPCS,"Attendance, birth",,,10 ,,RBRVS,1.50 ,0.33 ,0.33 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99440,HCPCS,Newborn resuscitation,,,10 ,,RBRVS,2.93 ,0.67 ,0.67 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99441,CPT,Phone e/m by phys 5-10 min,,,15 ,,RBRVS,0.25 ,0.06 ,0.09 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99442,CPT,Phone e/m by phys 11-20 min,,,15 ,,RBRVS,0.50 ,0.11 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99443,CPT,Phone e/m by phys 21-30 min,,,15 ,,RBRVS,0.75 ,0.17 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99450,HCPCS,Life/disability evaluation,,,15 ,,TotalUnits,,,,1.68 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99455,HCPCS,Disability examination,,,15 ,,TotalUnits,,,,4.23 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99456,HCPCS,Disability examination,,,15 ,,TotalUnits,,,,11.47 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99477,CPT,Init day hosp neonate care,,,10 ,,RBRVS,7.00 ,1.98 ,1.98 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99499,HCPCS,Unlisted e&m service,,,15 ,,TotalUnits,,,,1.37 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,99500,HCPCS,"Home visit, prenatal",,,15 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99501,HCPCS,"Home visit, postnatal",,,15 ,,TotalUnits,,,,3.32 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99502,HCPCS,"Home visit, nb care",,,15 ,,TotalUnits,,,,4.85 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99503,HCPCS,"Home visit, resp therapy",,,15 ,,TotalUnits,,,,1.94 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99504,HCPCS,Home visit mech ventilator,,,15 ,,TotalUnits,,,,5.64 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99505,HCPCS,"Home visit, stoma care",,,15 ,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99506,HCPCS,"Home visit, im injection",,,15 ,,TotalUnits,,,,0.79 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99507,HCPCS,"Home visit, cath maintain",,,15 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99509,HCPCS,Home visit day life activity,,,15 ,,TotalUnits,,,,1.91 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99510,HCPCS,"Home visit, sing/m/fam couns",,,15 ,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,0,1,0,0,1,20080101,,99511,HCPCS,"Home visit, fecal/enema mgmt",,,15 ,,TotalUnits,,,,0.81 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99512,HCPCS,"Home visit, hemodialysis",,,15 ,,TotalUnits,,,,7.06 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99600,HCPCS,Home visit nos,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99601,HCPCS,"Home infusion/visit, 2 hrs",,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,1,1,1,1,1,20080101,,99602,HCPCS,"Home infusion, each addtl hr",,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20080101,,0017T,CPT,Photocoagulat macular drusen,,,21 ,,RBRVS,6.00 ,4.65 ,5.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,0026T,CPT,Measure remnant lipoproteins,,,17 ,,TotalUnits,,,,0.38 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,0030T,CPT,Antiprothrombin antibody,,,17 ,,TotalUnits,,,,0.40 ,,$0.00,$0.00,1,1,1,0,1,1,200801010041T,CPT,Detect ur infect agnt w/cpas,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,200801010042T,CPT,"Ct perfusion w/contrast, cbf",,,20 ,,RBRVS,0.00 ,6.11 ,6.11 ,,,$0.00,$0.00,1,0,1,1,1,1,200801010043T,CPT,Co expired gas analysis,,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,$0.00,$0.00,1,1,1,0,1,1,200801010064T,CPT,Spectroscop eval expired gas,,,14 ,,RBRVS,0.11 ,0.03 ,0.03 ,,,$0.00,$0.00,1,1,1,0,1,1,200801010066T,CPT,Ct colonography;screen,,,20 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,200801010067T,CPT,Ct colonography;dx,,,20 ,,RBRVS,1.19 ,0.42 ,0.42 ,,,$0.00,$0.00,1,0,1,1,1,1,200801010073T,CPT,"Delivery, comp imrt", ,,20 ,,RBRVS,0.00 ,13.17 ,13.17 ,,,$0.00,$0.00,1,1,1,0,1,1,200801010089T,CPT,"Actigraphy testing, 3-day",,,28 ,,NW,,,,,,$79.64,$0.00,1,0,1,1,1,1,200801010090T,CPT,Cervical artific disc,,,21 ,,RBRVS,19.47 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,0,1,1,1,200801010092T,CPT,Artific disc addl,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,1,1,1,200801010093T,CPT,Cervical artific diskectomy,,,21 ,,RBRVS,19.47 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,0,1,1,1,200801010095T,CPT,Artific diskectomy addl,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,1,1,1,200801010096T,CPT,Rev cervical artific disc,,,21 ,,RBRVS,19.47 ,11.01 ,11.01 ,,,$0.00,$0.00,1,0,0,1,1,1,200801010098T,CPT,Rev artific disc addl,,,21 ,,RBRVS,4.04 ,1.52 ,1.52 ,,,$0.00,$0.00,1,0,0,1,1,1,200801010099T,CPT,Implant corneal ring,,,28 ,,NW,,,,,,"$1,048.58",$0.00,1,0,1,1,1,1,200801010100T,CPT,Prosth retina receive&gen,,,28 ,,NW,,,,,,"$2,636.91",$0.00,1,0,1,1,1,1,200801010101T,CPT,"Extracorp shockwv tx,hi enrg",,,28 ,,NW,,,,,,"$1,021.31",$0.00,1,0,1,1,1,1,200801010102T,CPT,"Extracorp shockwv tx,anesth",,,28 ,,NW,,,,,,"$1,021.31",$0.00,1,0,1,1,1,1,200801010103T,CPT,Holotranscobalamin,,,17 ,,TotalUnits,,,,0.67 ,,$0.00,$0.00,1,1,1,0,1,1,200801010104T,CPT,At rest cardio gas rebreathe,,,14 ,,RBRVS,1.47 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,1,1,1,200801010105T,CPT,Exerc cardio gas rebreathe,,,14 ,,RBRVS,1.47 ,0.64 ,0.64 ,,,$0.00,$0.00,1,1,1,1,1,1,200801010106T,CPT,Touch quant sensory test,,,28 ,,NW,,,,,,$7.41,$0.00,1,0,1,1,1,1,200801010107T,CPT,Vibrate quant sensory test,,,28 ,,NW,,,,,,$7.41,$0.00,1,0,1,1,1,1,200801010108T,CPT,Cool quant sensory test,,,28 ,,NW,,,,,,$7.41,$0.00,1,0,1,1,1,1,200801010109T,CPT,Heat quant sensory test,,,28 ,,NW,,,,,,$7.41,$0.00,1,0,1,1,1,1,200801010110T,CPT,Nos quant sensory test,,,28 ,,NW,,,,,,$7.41,$0.00,1,0,1,1,1,1,200801010111T,CPT,Rbc membranes fatty acids,,,17 ,,TotalUnits,,,,0.84 ,,$0.00,$0.00,1,1,1,0,1,1,200801010140T,CPT,Exhaled breath condensate ph,,,17 ,,TotalUnits,,,,0.17 ,,$0.00,$0.00,1,1,1,0,1,1,200801010155T,CPT,Lap Ins Gastr Eltrd for Mo,,,28 ,,NW,,,,,,"$4,607.15",$0.00,1,0,1,1,1,1,200801010156T,CPT,Lap Redo Gastr Eltrd for Mo,,,28 ,,NW,,,,,,"$4,607.15",$0.00,1,0,1,1,1,1,200801010157T,CPT,Opn Ins Gastr Eltrd for Mo,,,28 ,,NW,,,,,,$379.34,$0.00,1,0,1,1,1,1,200801010158T,CPT,Opn Redo Gastr Eltrd for Mo,,,28 ,,NW,,,,,,$379.34,$0.00,1,0,1,1,1,1,200801010159T,CPT,Computer Breast MRI Add-On,,,28 ,,NW,,,,,,$55.50,$0.00,1,1,1,0,1,1,200801010160T,CPT,Transcran mag stim planning ,,,28 ,,NW,,,,,,$41.01,$0.00,1,1,1,0,1,1,200801010161T,CPT,Transcran mag stim delivery ,,,28 ,,NW,,,,,,$41.01,$0.00,1,1,1,0,1,1,20080101A4206,HCPCS,1 CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20080101A4207,HCPCS,2 CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20080101A4208,HCPCS,3 CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20080101A4209,HCPCS,5+ CC sterile syringe&needle,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20080101A4210,HCPCS,Nonneedle injection device,,,28 ,,NW,,,,,,"$2,014.95",$0.00,1,1,1,0,0,1,20080101A4211,HCPCS,Supp for self-adm injections,,,28 ,,NW,,,,,,$1.05,$0.00,1,1,1,0,0,1,20080101A4212,HCPCS,Non coring needle or stylet,,,28 ,,NW,,,,,,$19.44,$0.00,1,1,1,0,0,1,20080101A4213,HCPCS,20+ CC syringe only,,,28 ,,NW,,,,,,$2.44,$0.00,1,1,1,0,0,1,20080101A4215,HCPCS,Sterile needle,,,28 ,,NW,,,,,,$0.46,$0.00,1,1,1,0,0,1,20080101A4216,HCPCS,"Sterile water/saline, 10 ml",,,28 ,,NW,,,,,,$2.44,$0.00,1,1,1,0,0,1,20080101A4217,HCPCS,"Sterile water/saline, 500 ml",,,28 ,,NW,,,,,,$25.04,$0.00,1,1,1,0,0,1,20080101A4220,HCPCS,Infusion pump refill kit,,,28 ,,NW,,,,,,$36.65,$0.00,1,1,1,0,0,1,20080101A4221,HCPCS,Maint drug infus cath per wk,,,28 ,,NW,,,,,,$43.16,$0.00,1,1,1,0,0,1,20080101A4222,HCPCS,Drug infusion pump supplies,,,28 ,,NW,,,,,,$88.29,$0.00,1,1,1,0,0,1,20080101A4230,HCPCS,Infus insulin pump non needl,,,28 ,,NW,,,,,,$21.99,$0.00,1,1,1,0,0,1,20080101A4231,HCPCS,Infusion insulin pump needle,,,28 ,,NW,,,,,,$12.02,$0.00,1,1,1,0,0,1,20080101A4232,HCPCS,Syringe w/needle insulin 3cc,,,28 ,,NW,,,,,,$7.72,$0.00,1,1,1,0,0,1,20080101A4244,HCPCS,Alcohol or peroxide per pint,,,28 ,,NW,,,,,,$2.44,$0.00,1,1,1,0,0,1,20080101A4245,HCPCS,Alcohol wipes per box,,,28 ,,NW,,,,,,$6.52,$0.00,1,1,1,0,0,1,20080101A4246,HCPCS,Betadine/phisohex solution,,,28 ,,NW,,,,,,$7.33,$0.00,1,1,1,0,0,1,20080101A4247,HCPCS,Betadine/iodine swabs/wipes,,,28 ,,NW,,,,,,$11.40,$0.00,1,1,1,0,0,1,20080101A4250,HCPCS,Urine reagent strips/tablets,,,28 ,,NW,,,,,,$41.06,$0.00,1,1,1,0,0,1,20080101A4253,HCPCS,Blood glucose/reagent strips,,,28 ,,NW,,,,,,$70.11,$0.00,1,1,1,0,0,1,20080101A4255,HCPCS,Glucose monitor platforms,,,28 ,,NW,,,,,,$11.79,$0.00,1,1,1,0,0,1,20080101A4256,HCPCS,Calibrator solution/chips,,,28 ,,NW,,,,,,$24.18,$0.00,1,1,1,0,0,1,20080101A4257,HCPCS,Replace Lensshield Cartridge,,,28 ,,NW,,,,,,$26.41,$0.00,1,1,1,0,0,1,20080101A4258,HCPCS,Lancet device each,,,28 ,,NW,,,,,,$35.40,$0.00,1,1,1,0,0,1,20080101A4259,HCPCS,Lancets per box,,,28 ,,NW,,,,,,$26.40,$0.00,1,1,1,0,0,1,20080101A4261,HCPCS,Cervical cap contraceptive,,,28 ,,NW,,,,,,$55.47,$0.00,1,1,1,0,0,1,20080101A4262,HCPCS,Temporary tear duct plug,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20080101A4263,HCPCS,Permanent tear duct plug,,,28 ,,NW,,,,,,$93.10,$0.00,1,1,1,0,0,1,20080101A4265,HCPCS,Paraffin,,,28 ,,NW,,,,,,$6.25,$0.00,1,1,1,0,0,1,20080101A4267,HCPCS,Male condom,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20080101A4269,HCPCS,Spermicide,,,28 ,,NW,,,,,,$2.44,$0.00,1,1,1,0,0,1,20080101A4270,HCPCS,Disposable endoscope sheath,,,28 ,,NW,,,,,,$39.46,$0.00,1,1,1,0,0,1,20080101A4280,HCPCS,Brst prsths adhsv attchmnt,,,28 ,,NW,,,,,,$9.84,$0.00,1,1,1,0,0,1,20080101A4284,HCPCS,Replcmnt breast pump shield,,,28 ,,NW,,,,,,$41.85,$0.00,1,1,1,0,0,1,20080101A4285,HCPCS,Replcmnt breast pump bottle,,,28 ,,NW,,,,,,$8.33,$0.00,1,1,1,0,0,1,20080101A4290,HCPCS,Sacral nerve stim test lead,,,28 ,,NW,,,,,,$253.90,$0.00,1,1,1,0,0,1,20080101A4300,HCPCS,Cath impl vasc access portal,,,28 ,,NW,,,,,,$19.75,$0.00,1,1,1,0,0,1,20080101A4301,HCPCS,Implantable access syst perc,,,28 ,,NW,,,,,,$89.04,$0.00,1,1,1,0,0,1,20080101A4305,HCPCS,Drug delivery system >=50 ML,,,28 ,,NW,,,,,,$30.64,$0.00,1,1,1,0,0,1,20080101A4306,HCPCS,Drug delivery system <=5 ML,,,28 ,,NW,,,,,,$42.66,$0.00,1,1,1,0,0,1,20080101A4310,HCPCS,Insert tray w/o bag/cath,,,28 ,,NW,,,,,,$14.22,$0.00,1,1,1,0,0,1,20080101A4311,HCPCS,Catheter w/o bag 2-way latex,,,28 ,,NW,,,,,,$27.14,$0.00,1,1,1,0,0,1,20080101A4312,HCPCS,Cath w/o bag 2-way silicone,,,28 ,,NW,,,,,,$32.93,$0.00,1,1,1,0,0,1,20080101A4313,HCPCS,Catheter w/bag 3-way,,,28 ,,NW,,,,,,$33.81,$0.00,1,1,1,0,0,1,20080101A4314,HCPCS,Cath w/drainage 2-way latex,,,28 ,,NW,,,,,,$46.10,$0.00,1,1,1,0,0,1,20080101A4315,HCPCS,Cath w/drainage 2-way silcne,,,28 ,,NW,,,,,,$48.08,$0.00,1,1,1,0,0,1,20080101A4316,HCPCS,Cath w/drainage 3-way,,,28 ,,NW,,,,,,$51.76,$0.00,1,1,1,0,0,1,20080101A4320,HCPCS,Irrigation tray,,,28 ,,NW,,,,,,$9.84,$0.00,1,1,1,0,0,1,20080101A4321,HCPCS,Cath therapeutic irrig agent,,,28 ,,NW,,,,,,$3.17,$0.00,1,1,1,0,0,1,20080101A4322,HCPCS,Irrigation syringe,,,28 ,,NW,,,,,,$5.60,$0.00,1,1,1,0,0,1,20080101A4326,HCPCS,Male external catheter,,,28 ,,NW,,,,,,$19.80,$0.00,1,1,1,0,0,1,20080101A4327,HCPCS,Fem urinary collect dev cup,,,28 ,,NW,,,,,,$81.18,$0.00,1,1,1,0,0,1,20080101A4328,HCPCS,Fem urinary collect pouch,,,28 ,,NW,,,,,,$19.18,$0.00,1,1,1,0,0,1,20080101A4330,HCPCS,Stool collection pouch,,,28 ,,NW,,,,,,$13.20,$0.00,1,1,1,0,0,1,20080101A4331,HCPCS,Extension drainage tubing,,,28 ,,NW,,,,,,$5.88,$0.00,1,1,1,0,0,1,20080101A4332,HCPCS,Lube sterile packet,,,28 ,,NW,,,,,,$0.21,$0.00,1,1,1,1,1,1,20080101A4333,HCPCS,Urinary cath anchor device,,,28 ,,NW,,,,,,$3.65,$0.00,1,1,1,0,0,1,20080101A4334,HCPCS,Urinary cath leg strap,,,28 ,,NW,,,,,,$8.16,$0.00,1,1,1,0,0,1,20080101A4335,HCPCS,Incontinence supply,,,28 ,,NW,,,,,,$2.10,$0.00,1,1,1,0,0,1,20080101A4338,HCPCS,Indwelling catheter latex,,,28 ,,NW,,,,,,$22.46,$0.00,1,1,1,0,0,1,20080101A4340,HCPCS,Indwelling catheter special,,,28 ,,NW,,,,,,$57.82,$0.00,1,1,1,0,0,1,20080101A4344,HCPCS,Cath indw foley 2 way silicn,,,28 ,,NW,,,,,,$29.29,$0.00,1,1,1,0,0,1,20080101A4346,HCPCS,Cath indw foley 3 way,,,28 ,,NW,,,,,,$35.75,$0.00,1,1,1,0,0,1,20080101A4349,HCPCS,Disposable male external cat,,,28 ,,NW,,,,,,$2.43,$0.00,1,1,1,0,1,1,20080101A4351,HCPCS,Straight tip urine catheter,,,28 ,,NW,,,,,,$3.35,$0.00,1,1,1,0,0,1,20080101A4352,HCPCS,Coude tip urinary catheter,,,28 ,,NW,,,,,,$11.82,$0.00,1,1,1,0,0,1,20080101A4353,HCPCS,Intermittent urinary cath,,,28 ,,NW,,,,,,$12.92,$0.00,1,1,1,0,0,1,20080101A4354,HCPCS,Cath insertion tray w/bag,,,28 ,,NW,,,,,,$21.63,$0.00,1,1,1,0,0,1,20080101A4355,HCPCS,Bladder irrigation tubing,,,28 ,,NW,,,,,,$16.38,$0.00,1,1,1,0,0,1,20080101A4356,HCPCS,Ext ureth clmp or compr dvc,,,28 ,,NW,,,,,,$83.01,$0.00,1,1,1,0,0,1,20080101A4357,HCPCS,Bedside drainage bag,,,28 ,,NW,,,,,,$17.80,$0.00,1,1,1,0,0,1,20080101A4358,HCPCS,Urinary leg or abdomen bag,,,28 ,,NW,,,,,,$12.24,$0.00,1,1,1,0,0,1,20080101A4361,HCPCS,Ostomy face plate,,,28 ,,NW,,,,,,$33.55,$0.00,1,1,1,0,0,1,20080101A4362,HCPCS,Solid skin barrier,,,28 ,,NW,,,,,,$6.38,$0.00,1,1,1,0,0,1,20080101A4363,HCPCS,"Ostomy clamp, replacement",,,28 ,,NW,,,,,,$3.54,$0.00,1,1,1,1,1,1,20080101A4364,HCPCS,"Adhesive, liquid or equal",,,28 ,,NW,,,,,,$4.85,$0.00,1,1,1,0,0,1,20080101A4365,HCPCS,Adhesive remover wipes,,,28 ,,NW,,,,,,$20.76,$0.00,1,1,1,0,0,1,20080101A4366,HCPCS,Ostomy vent,,,28 ,,NW,,,,,,$62.37,$0.00,1,1,1,0,0,1,20080101A4367,HCPCS,Ostomy belt,,,28 ,,NW,,,,,,$13.53,$0.00,1,1,1,0,0,1,20080101A4368,HCPCS,Ostomy filter,,,28 ,,NW,,,,,,$0.48,$0.00,1,1,1,0,0,1,20080101A4369,HCPCS,Skin barrier liquid per oz,,,28 ,,NW,,,,,,$4.46,$0.00,1,1,1,0,0,1,20080101A4371,HCPCS,Skin barrier powder per oz,,,28 ,,NW,,,,,,$6.75,$0.00,1,1,1,0,0,1,20080101A4372,HCPCS,Skin barrier solid 4x4 equiv,,,28 ,,NW,,,,,,$7.72,$0.00,1,1,1,0,0,1,20080101A4373,HCPCS,Skin barrier with flange,,,28 ,,NW,,,,,,$11.59,$0.00,1,1,1,0,0,1,20080101A4375,HCPCS,Drainable plastic pch w fcpl,,,28 ,,NW,,,,,,$31.38,$0.00,1,1,1,0,0,1,20080101A4376,HCPCS,Drainable rubber pch w fcplt,,,28 ,,NW,,,,,,$86.54,$0.00,1,1,1,0,0,1,20080101A4377,HCPCS,Drainable plstic pch w/o fp,,,28 ,,NW,,,,,,$7.93,$0.00,1,1,1,0,0,1,20080101A4378,HCPCS,Drainable rubber pch w/o fp,,,28 ,,NW,,,,,,$56.02,$0.00,1,1,1,0,0,1,20080101A4379,HCPCS,Urinary plastic pouch w fcpl,,,28 ,,NW,,,,,,$27.47,$0.00,1,1,1,0,0,1,20080101A4380,HCPCS,Urinary rubber pouch w fcplt,,,28 ,,NW,,,,,,$67.93,$0.00,1,1,1,0,0,1,20080101A4381,HCPCS,Urinary plastic pouch w/o fp,,,28 ,,NW,,,,,,$8.51,$0.00,1,1,1,0,0,1,20080101A4382,HCPCS,Urinary hvy plstc pch w/o fp,,,28 ,,NW,,,,,,$44.90,$0.00,1,1,1,0,0,1,20080101A4383,HCPCS,Urinary rubber pouch w/o fp,,,28 ,,NW,,,,,,$51.36,$0.00,1,1,1,0,0,1,20080101A4384,HCPCS,Ostomy faceplt/silicone ring,,,28 ,,NW,,,,,,$17.67,$0.00,1,1,1,0,0,1,20080101A4385,HCPCS,Ost skn barrier sld ext wear,,,28 ,,NW,,,,,,$9.41,$0.00,1,1,1,0,0,1,20080101A4387,HCPCS,Ost clsd pouch w att st barr,,,28 ,,NW,,,,,,$5.49,$0.00,1,1,1,0,0,1,20080101A4388,HCPCS,Drainable pch w ex wear barr,,,28 ,,NW,,,,,,$8.04,$0.00,1,1,1,0,0,1,20080101A4389,HCPCS,Drainable pch w st wear barr,,,28 ,,NW,,,,,,$11.48,$0.00,1,1,1,0,0,1,20080101A4390,HCPCS,Drainable pch ex wear convex,,,28 ,,NW,,,,,,$17.64,$0.00,1,1,1,0,0,1,20080101A4391,HCPCS,Urinary pouch w ex wear barr,,,28 ,,NW,,,,,,$13.03,$0.00,1,1,1,0,0,1,20080101A4392,HCPCS,Urinary pouch w st wear barr,,,28 ,,NW,,,,,,$15.06,$0.00,1,1,1,0,0,1,20080101A4393,HCPCS,Urine pch w ex wear bar conv,,,28 ,,NW,,,,,,$16.61,$0.00,1,1,1,0,0,1,20080101A4394,HCPCS,Ostomy pouch liq deodorant,,,28 ,,NW,,,,,,$4.75,$0.00,1,1,1,0,0,1,20080101A4395,HCPCS,Ostomy pouch solid deodorant,,,28 ,,NW,,,,,,$0.09,$0.00,1,1,1,1,1,1,20080101A4396,HCPCS,Peristomal hernia supprt blt,,,28 ,,NW,,,,,,$73.66,$0.00,1,1,1,0,0,1,20080101A4397,HCPCS,Irrigation supply sleeve,,,28 ,,NW,,,,,,$8.84,$0.00,1,1,1,0,0,1,20080101A4398,HCPCS,Ostomy irrigation bag,,,28 ,,NW,,,,,,$25.27,$0.00,1,1,1,0,0,1,20080101A4399,HCPCS,Ostomy irrig cone/cath w brs,,,28 ,,NW,,,,,,$22.46,$0.00,1,1,1,0,0,1,20080101A4400,HCPCS,Ostomy irrigation set,,,28 ,,NW,,,,,,$88.87,$0.00,1,1,1,0,0,1,20080101A4402,HCPCS,Lubricant per ounce,,,28 ,,NW,,,,,,$2.95,$0.00,1,1,1,0,0,1,20080101A4404,HCPCS,Ostomy ring each,,,28 ,,NW,,,,,,$3.13,$0.00,1,1,1,0,0,1,20080101A4405,HCPCS,Nonpectin based ostomy paste,,,28 ,,NW,,,,,,$6.27,$0.00,1,1,1,0,0,1,20080101A4406,HCPCS,Pectin based ostomy paste,,,28 ,,NW,,,,,,$10.59,$0.00,1,1,1,0,0,1,20080101A4407,HCPCS,Ext wear ost skn barr <=4sq”,,,28 ,,NW,,,,,,$16.10,$0.00,1,1,1,0,0,1,20080101A4408,HCPCS,Ext wear ost skn barr >4sq”,,,28 ,,NW,,,,,,$18.13,$0.00,1,1,1,0,0,1,20080101A4409,HCPCS,Ost skn barr w flng <=4 sq”,,,28 ,,NW,,,,,,$11.48,$0.00,1,1,1,0,0,1,20080101A4410,HCPCS,Ost skn barr w flng >4sq”,,,28 ,,NW,,,,,,$16.61,$0.00,1,1,1,0,0,1,20080101A4413,HCPCS,2 pc drainable ost pouch,,,28 ,,NW,,,,,,$10.15,$0.00,1,1,1,0,0,1,20080101A4414,HCPCS,Ostomy sknbarr w flng <=4sq”,,,28 ,,NW,,,,,,$9.08,$0.00,1,1,1,0,0,1,20080101A4415,HCPCS,Ostomy skn barr w flng >4sq”,,,28 ,,NW,,,,,,$11.07,$0.00,1,1,1,0,0,1,20080101A4416,HCPCS,Ost pch clsd w barrier/filtr,,,28 ,,NW,,,,,,$4.56,$0.00,1,1,1,0,0,1,20080101A4417,HCPCS,Ost pch w bar/bltinconv/fltr,,,28 ,,NW,,,,,,$6.16,$0.00,1,1,1,0,0,1,20080101A4418,HCPCS,Ost pch clsd w/o bar w filtr,,,28 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101A4419,HCPCS,Ost pch for bar w flange/flt,,,28 ,,NW,,,,,,$2.88,$0.00,1,1,1,0,0,1,20080101A4420,HCPCS,Ost pch clsd for bar w lk fl,,,28 ,,NW,,,,,,$2.88,$0.00,1,1,1,0,0,1,20080101A4421,HCPCS,Ostomy supply misc,,,28 ,,NW,,,,,,$0.70,$0.00,1,1,1,0,0,1,20080101A4422,HCPCS,Ost pouch absorbent material,,,28 ,,NW,,,,,,$0.21,$0.00,1,1,1,1,1,1,20080101A4423,HCPCS,Ost pch for bar w lk fl/fltr,,,28 ,,NW,,,,,,$2.88,$0.00,1,1,1,0,0,1,20080101A4424,HCPCS,Ost pch drain w bar & filter,,,28 ,,NW,,,,,,$7.85,$0.00,1,1,1,0,0,1,20080101A4425,HCPCS,Ost pch drain for barrier fl,,,28 ,,NW,,,,,,$5.93,$0.00,1,1,1,0,0,1,20080101A4426,HCPCS,Ost pch drain 2 piece system,,,28 ,,NW,,,,,,$3.91,$0.00,1,1,1,0,0,1,20080101A4427,HCPCS,Ost pch drain/barr lk flng/f,,,28 ,,NW,,,,,,$5.93,$0.00,1,1,1,0,0,1,20080101A4428,HCPCS,Urine ost pouch w faucet/tap,,,28 ,,NW,,,,,,$10.77,$0.00,1,1,1,0,0,1,20080101A4429,HCPCS,Urine ost pouch w bltinconv,,,28 ,,NW,,,,,,$13.63,$0.00,1,1,1,0,0,1,20080101A4430,HCPCS,Ost urine pch w b/bltin conv,,,28 ,,NW,,,,,,$14.09,$0.00,1,1,1,0,0,1,20080101A4431,HCPCS,Ost pch urine w barrier/tapv,,,28 ,,NW,,,,,,$10.28,$0.00,1,1,1,0,0,1,20080101A4432,HCPCS,Os pch urine w bar/fange/tap,,,28 ,,NW,,,,,,$5.94,$0.00,1,1,1,0,0,1,20080101A4433,HCPCS,Urine ost pch bar w lock fln,,,28 ,,NW,,,,,,$5.53,$0.00,1,1,1,0,0,1,20080101A4434,HCPCS,Ost pch urine w lock flng/ft,,,28 ,,NW,,,,,,$6.23,$0.00,1,1,1,0,0,1,20080101A4450,HCPCS,Non-waterproof tape,,,28 ,,NW,,,,,,$0.15,$0.00,1,1,1,0,0,1,20080101A4452,HCPCS,Waterproof tape,,,28 ,,NW,,,,,,$0.66,$0.00,1,1,1,0,0,1,20080101A4455,HCPCS,Adhesive remover per ounce,,,28 ,,NW,,,,,,$2.65,$0.00,1,1,1,0,0,1,20080101A4465,HCPCS,Non-elastic extremity binder,,,28 ,,NW,,,,,,$21.84,$0.00,1,1,1,0,0,1,20080101A4470,HCPCS,Gravlee jet washer,,,28 ,,NW,,,,,,$14.63,$0.00,1,1,1,0,0,1,20080101A4480,HCPCS,Vabra aspirator,,,28 ,,NW,,,,,,$12.22,$0.00,1,1,1,0,0,1,20080101A4481,HCPCS,Tracheostoma filter,,,28 ,,NW,,,,,,$1.90,$0.00,1,1,1,0,0,1,20080101A4483,HCPCS,Moisture exchanger,,,28 ,,NW,,,,,,$15.25,$0.00,1,1,1,0,0,1,20080101A4490,HCPCS,Above knee surgical stocking,,,28 ,,NW,,,,,,$16.24,$0.00,1,1,1,0,0,1,20080101A4495,HCPCS,Thigh length surg stocking,,,28 ,,NW,,,,,,$16.24,$0.00,1,1,1,0,0,1,20080101A4500,HCPCS,Below knee surgical stocking,,,28 ,,NW,,,,,,$12.22,$0.00,1,1,1,0,0,1,20080101A4510,HCPCS,Full length surg stocking,,,28 ,,NW,,,,,,$29.05,$0.00,1,1,1,0,0,1,20080101A4550,HCPCS,Surgical trays,,,28 ,,NW,,,,,,$69.08,$0.00,1,1,1,0,0,1,20080101A4554,HCPCS,Disposable underpads,,,28 ,,NW,,,,,,$7.33,$0.00,1,1,1,0,0,1,20080101A4556,HCPCS,"Electrodes, pair",,,28 ,,NW,,,,,,$25.37,$0.00,1,1,1,0,0,1,20080101A4557,HCPCS,"Lead wires, pair",,,28 ,,NW,,,,,,$40.55,$0.00,1,1,1,0,0,1,20080101A4558,HCPCS,Conductive paste or gel,,,28 ,,NW,,,,,,$14.05,$0.00,1,1,1,0,0,1,20080101A4561,HCPCS,"Pessary rubber, any type",,,28 ,,NW,,,,,,$41.49,$0.00,1,1,1,0,0,1,20080101A4562,HCPCS,"Pessary, non rubber,any type",,,28 ,,NW,,,,,,$102.91,$0.00,1,1,1,0,0,1,20080101A4565,HCPCS,Slings,,,28 ,,NW,,,,,,$17.04,$0.00,1,1,1,0,0,1,20080101A4570,HCPCS,Splint,,,28 ,,NW,,,,,,$40.25,$0.00,1,1,1,0,0,1,20080101A4575,HCPCS,Hyperbaric o2 chamber disps,,,28 ,,NW,,,,,,$867.91,$0.00,1,1,1,0,0,1,20080101A4580,HCPCS,Cast supplies (plaster),,,28 ,,NW,,,,,,$36.94,$0.00,1,1,1,0,0,1,20080101A4590,HCPCS,Special casting material,,,28 ,,NW,,,,,,$90.70,$0.00,1,1,1,0,0,1,20080101A4595,HCPCS,TENS suppl 2 lead per month,,,28 ,,NW,,,,,,$53.62,$0.00,1,1,1,0,0,1,20080101A4605,HCPCS,Trach suction cath close sys,,,28 ,,NW,,,,,,$24.60,$0.00,1,1,1,1,1,1,20080101A4608,HCPCS,Transtracheal oxygen cath,,,28 ,,NW,,,,,,$110.20,$0.00,1,1,1,0,0,1,20080101A4611,HCPCS,Heavy duty battery,,,28 ,,NW,,,,,,$408.92,$0.00,1,1,1,0,0,1,20080101A4612,HCPCS,Battery cables,,,28 ,,NW,,,,,,$118.74,$0.00,1,1,1,0,0,1,20080101A4613,HCPCS,Battery charger,,,28 ,,NW,,,,,,$211.55,$0.00,1,1,1,0,0,1,20080101A4614,HCPCS,Hand-held PEFR meter,,,28 ,,NW,,,,,,$43.36,$0.00,1,1,1,0,0,1,20080101A4615,HCPCS,Cannula nasal,,,28 ,,NW,,,,,,$4.11,$0.00,1,1,1,0,0,1,20080101A4616,HCPCS,Tubing (oxygen) per foot,,,28 ,,NW,,,,,,$1.77,$0.00,1,1,1,0,0,1,20080101A4617,HCPCS,Mouth piece,,,28 ,,NW,,,,,,$27.57,$0.00,1,1,1,0,0,1,20080101A4618,HCPCS,Breathing circuits,,,28 ,,NW,,,,,,$16.35,$0.00,1,1,1,0,0,1,20080101A4619,HCPCS,Face tent,,,28 ,,NW,,,,,,$2.88,$0.00,1,1,1,0,0,1,20080101A4620,HCPCS,Variable concentration mask,,,28 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101A4623,HCPCS,Tracheostomy inner cannula,,,28 ,,NW,,,,,,$12.10,$0.00,1,1,1,0,0,1,20080101A4624,HCPCS,Tracheal suction tube,,,28 ,,NW,,,,,,$9.30,$0.00,1,1,1,0,0,1,20080101A4625,HCPCS,Trach care kit for new trach,,,28 ,,NW,,,,,,$12.79,$0.00,1,1,1,0,0,1,20080101A4626,HCPCS,Tracheostomy cleaning brush,,,28 ,,NW,,,,,,$5.90,$0.00,1,1,1,0,0,1,20080101A4627,HCPCS,Spacer bag/reservoir,,,28 ,,NW,,,,,,$42.15,$0.00,1,1,1,0,0,1,20080101A4628,HCPCS,Oropharyngeal suction cath,,,28 ,,NW,,,,,,$6.90,$0.00,1,1,1,0,0,1,20080101A4629,HCPCS,Tracheostomy care kit,,,28 ,,NW,,,,,,$8.54,$0.00,1,1,1,0,0,1,20080101A4630,HCPCS,Repl bat t.e.n.s. own by pt,,,28 ,,NW,,,,,,$15.41,$0.00,1,1,1,0,0,1,20080101A4633,HCPCS,Uvl replacement bulb,,,28 ,,NW,,,,,,$76.12,$0.00,1,1,1,0,0,1,20080101A4635,HCPCS,Underarm crutch pad,,,28 ,,NW,,,,,,$13.50,$0.00,1,1,1,0,0,1,20080101A4636,HCPCS,Handgrip for cane etc,,,28 ,,NW,,,,,,$11.95,$0.00,1,1,1,0,0,1,20080101A4637,HCPCS,Repl tip cane/crutch/walker,,,28 ,,NW,,,,,,$8.43,$0.00,1,1,1,0,0,1,20080101A4639,HCPCS,Infrared ht sys replcmnt pad,,,28 ,,NW,,,,,,$603.26,$0.00,1,1,1,0,0,1,20080101A4640,HCPCS,Alternating pressure pad,,,28 ,,NW,,,,,,$123.82,$0.00,1,1,1,0,0,1,20080101A4641,HCPCS,Diagnostic imaging agent,,,28 ,,NW,,,,,,$70.43,$0.00,1,1,1,0,0,1,20080101A4642,HCPCS,Satumomab pendetide per dose,,,28 ,,NW,,,,,,$14.75,$0.00,1,1,1,0,0,1,20080101A4649,HCPCS,Surgical supplies,,,28 ,,NW,,,,,,$2.98,$0.00,1,1,1,0,0,1,20080101A4651,HCPCS,Calibrated microcap tube,,,28 ,,NW,,,,,,$3.68,$0.00,1,1,1,0,0,1,20080101A4652,HCPCS,Microcapillary tube sealant,,,28 ,,NW,,,,,,$5.49,$0.00,1,1,1,0,0,1,20080101A4657,HCPCS,Syringe w/wo needle,,,28 ,,NW,,,,,,$0.88,$0.00,1,1,1,0,0,1,20080101A4660,HCPCS,Sphyg/bp app w cuff and stet,,,28 ,,NW,,,,,,$54.22,$0.00,1,1,1,0,0,1,20080101A4663,HCPCS,Dialysis blood pressure cuff,,,28 ,,NW,,,,,,$60.66,$0.00,1,1,1,0,0,1,20080101A4670,HCPCS,"Automatic bp monitor, dial",,,28 ,,NW,,,,,,$146.77,$0.00,1,1,1,0,0,1,20080101A4680,HCPCS,"Activated carbon filter, ea",,,28 ,,NW,,,,,,$208.33,$0.00,1,1,1,0,0,1,20080101A4690,HCPCS,"Dialyzer, each",,,28 ,,NW,,,,,,"$1,491.81",$0.00,1,1,1,0,0,1,20080101A4706,HCPCS,Bicarbonate conc sol per gal,,,28 ,,NW,,,,,,$22.91,$0.00,1,1,1,0,0,1,20080101A4707,HCPCS,Bicarbonate conc pow per pac,,,28 ,,NW,,,,,,$7.57,$0.00,1,1,1,0,0,1,20080101A4708,HCPCS,Acetate conc sol per gallon,,,28 ,,NW,,,,,,$17.58,$0.00,1,1,1,0,0,1,20080101A4709,HCPCS,Acid conc sol per gallon,,,28 ,,NW,,,,,,$17.58,$0.00,1,1,1,0,0,1,20080101A4714,HCPCS,Treated water per gallon,,,28 ,,NW,,,,,,$23.84,$0.00,1,1,1,0,0,1,20080101A4719,HCPCS,"""Y set"" tubing",,,28 ,,NW,,,,,,$15.65,$0.00,1,1,1,0,0,1,20080101A4720,HCPCS,Dialysat sol fld vol > 249cc,,,28 ,,NW,,,,,,$21.75,$0.00,1,1,1,0,0,1,20080101A4721,HCPCS,Dialysat sol fld vol > 999cc,,,28 ,,NW,,,,,,$43.51,$0.00,1,1,1,0,0,1,20080101A4722,HCPCS,Dialys sol fld vol > 1999cc,,,28 ,,NW,,,,,,$52.73,$0.00,1,1,1,0,0,1,20080101A4723,HCPCS,Dialys sol fld vol > 2999cc,,,28 ,,NW,,,,,,$53.41,$0.00,1,1,1,0,0,1,20080101A4724,HCPCS,Dialys sol fld vol > 3999cc,,,28 ,,NW,,,,,,$53.50,$0.00,1,1,1,0,0,1,20080101A4725,HCPCS,Dialys sol fld vol > 4999cc,,,28 ,,NW,,,,,,$56.63,$0.00,1,1,1,0,0,1,20080101A4726,HCPCS,Dialys sol fld vol > 5999cc,,,28 ,,NW,,,,,,$62.93,$0.00,1,1,1,0,0,1,20080101A4730,HCPCS,"Fistula cannulation set, ea",,,28 ,,NW,,,,,,$3.15,$0.00,1,1,1,0,0,1,20080101A4736,HCPCS,"Topical anesthetic, per gram",,,28 ,,NW,,,,,,$11.04,$0.00,1,1,1,0,0,1,20080101A4737,HCPCS,Inj anesthetic per 10 ml,,,28 ,,NW,,,,,,$15.85,$0.00,1,1,1,0,0,1,20080101A4740,HCPCS,Shunt accessory,,,28 ,,NW,,,,,,$1.83,$0.00,1,1,1,0,0,1,20080101A4750,HCPCS,Art or venous blood tubing,,,28 ,,NW,,,,,,$22.04,$0.00,1,1,1,0,0,1,20080101A4755,HCPCS,Comb art/venous blood tubing,,,28 ,,NW,,,,,,$33.08,$0.00,1,1,1,0,0,1,20080101A4760,HCPCS,"Dialysate sol test kit, each",,,28 ,,NW,,,,,,$45.85,$0.00,1,1,1,0,0,1,20080101A4765,HCPCS,Dialysate conc pow per pack,,,28 ,,NW,,,,,,$14.67,$0.00,1,1,1,0,0,1,20080101A4766,HCPCS,Dialysate conc sol add 10 ml,,,28 ,,NW,,,,,,$7.34,$0.00,1,1,1,0,0,1,20080101A4770,HCPCS,Blood collection tube/vacuum,,,28 ,,NW,,,,,,$32.40,$0.00,1,1,1,0,0,1,20080101A4772,HCPCS,Blood glucose test strips,,,28 ,,NW,,,,,,$50.58,$0.00,1,1,1,0,0,1,20080101A4773,HCPCS,Occult blood test strips,,,28 ,,NW,,,,,,$34.66,$0.00,1,1,1,0,0,1,20080101A4774,HCPCS,Ammonia test strips,,,28 ,,NW,,,,,,$18.34,$0.00,1,1,1,0,0,1,20080101A4802,HCPCS,Protamine sulfate per 50 mg,,,28 ,,NW,,,,,,$10.86,$0.00,1,1,1,0,0,1,20080101A4860,HCPCS,Disposable catheter tips,,,28 ,,NW,,,,,,$7.54,$0.00,1,1,1,0,0,1,20080101A4870,HCPCS,Plumb/elec wk hm hemo equip,,,28 ,,NW,,,,,,$192.55,$0.00,1,1,1,0,0,1,20080101A4890,HCPCS,Repair/maint cont hemo equip,,,28 ,,NW,,,,,,$192.55,$0.00,1,1,1,0,0,1,20080101A4911,HCPCS,Drain bag/bottle,,,28 ,,NW,,,,,,$21.59,$0.00,1,1,1,0,0,1,20080101A4913,HCPCS,Misc dialysis supplies noc,,,28 ,,NW,,,,,,$17.09,$0.00,1,1,1,0,0,1,20080101A4918,HCPCS,Venous pressure clamp,,,28 ,,NW,,,,,,$1.83,$0.00,1,1,1,0,0,1,20080101A4927,HCPCS,Non-sterile gloves,,,28 ,,NW,,,,,,$8.30,$0.00,1,1,1,0,0,1,20080101A4928,HCPCS,Surgical mask,,,28 ,,NW,,,,,,$0.53,$0.00,1,1,1,0,0,1,20080101A4929,HCPCS,"Tourniquet for dialysis, ea",,,28 ,,NW,,,,,,$0.33,$0.00,1,1,1,0,0,1,20080101A4930,HCPCS,"Sterile, gloves per pair",,,28 ,,NW,,,,,,$1.94,$0.00,1,1,1,0,0,1,20080101A5051,HCPCS,Pouch clsd w barr attached,,,28 ,,NW,,,,,,$3.82,$0.00,1,1,1,0,0,1,20080101A5052,HCPCS,Clsd ostomy pouch w/o barr,,,28 ,,NW,,,,,,$2.76,$0.00,1,1,1,0,0,1,20080101A5053,HCPCS,Clsd ostomy pouch faceplate,,,28 ,,NW,,,,,,$3.22,$0.00,1,1,1,0,0,1,20080101A5054,HCPCS,Clsd ostomy pouch w/flange,,,28 ,,NW,,,,,,$3.31,$0.00,1,1,1,0,0,1,20080101A5055,HCPCS,Stoma cap,,,28 ,,NW,,,,,,$2.66,$0.00,1,1,1,0,0,1,20080101A5061,HCPCS,Pouch drainable w barrier at,,,28 ,,NW,,,,,,$6.48,$0.00,1,1,1,0,0,1,20080101A5062,HCPCS,Drnble ostomy pouch w/o barr,,,28 ,,NW,,,,,,$4.10,$0.00,1,1,1,0,0,1,20080101A5063,HCPCS,Drain ostomy pouch w/flange,,,28 ,,NW,,,,,,$4.11,$0.00,1,1,1,0,0,1,20080101A5071,HCPCS,Urinary pouch w/barrier,,,28 ,,NW,,,,,,$11.10,$0.00,1,1,1,0,0,1,20080101A5072,HCPCS,Urinary pouch w/o barrier,,,28 ,,NW,,,,,,$6.48,$0.00,1,1,1,0,0,1,20080101A5073,HCPCS,Urinary pouch on barr w/flng,,,28 ,,NW,,,,,,$5.88,$0.00,1,1,1,0,0,1,20080101A5081,HCPCS,Continent stoma plug,,,28 ,,NW,,,,,,$6.09,$0.00,1,1,1,0,0,1,20080101A5082,HCPCS,Continent stoma catheter,,,28 ,,NW,,,,,,$21.78,$0.00,1,1,1,0,0,1,20080101A5093,HCPCS,Ostomy accessory convex inse,,,28 ,,NW,,,,,,$3.59,$0.00,1,1,1,0,0,1,20080101A5102,HCPCS,Bedside drain btl w/wo tube,,,28 ,,NW,,,,,,$41.17,$0.00,1,1,1,0,0,1,20080101A5105,HCPCS,Urinary suspensory,,,28 ,,NW,,,,,,$74.18,$0.00,1,1,1,0,0,1,20080101A5112,HCPCS,Urinary leg bag,,,28 ,,NW,,,,,,$63.04,$0.00,1,1,1,0,0,1,20080101A5113,HCPCS,Latex leg strap,,,28 ,,NW,,,,,,$8.68,$0.00,1,1,1,0,0,1,20080101A5114,HCPCS,Foam/fabric leg strap,,,28 ,,NW,,,,,,$16.43,$0.00,1,1,1,0,0,1,20080101A5121,HCPCS,Solid skin barrier 6x6,,,28 ,,NW,,,,,,$13.77,$0.00,1,1,1,0,0,1,20080101A5122,HCPCS,Solid skin barrier 8x8,,,28 ,,NW,,,,,,$23.53,$0.00,1,1,1,0,0,1,20080101A5126,HCPCS,Disk/foam pad +or- adhesive,,,28 ,,NW,,,,,,$2.44,$0.00,1,1,1,0,0,1,20080101A5131,HCPCS,Appliance cleaner,,,28 ,,NW,,,,,,$28.98,$0.00,1,1,1,0,0,1,20080101A5200,HCPCS,Percutaneous catheter anchor,,,28 ,,NW,,,,,,$20.72,$0.00,1,1,1,0,0,1,20080101A5500,HCPCS,Diab shoe for density insert,,,28 ,,NW,,,,,,$120.12,$0.00,1,1,1,0,0,1,20080101A5501,HCPCS,Diabetic custom molded shoe,,,28 ,,NW,,,,,,$357.35,$0.00,1,1,1,0,0,1,20080101A5503,HCPCS,Diabetic shoe w/roller/rockr,,,28 ,,NW,,,,,,$64.54,$0.00,1,1,1,0,0,1,20080101A5504,HCPCS,Diabetic shoe with wedge,,,28 ,,NW,,,,,,$57.44,$0.00,1,1,1,0,0,1,20080101A5505,HCPCS,Diab shoe w/metatarsal bar,,,28 ,,NW,,,,,,$70.84,$0.00,1,1,1,0,0,1,20080101A5506,HCPCS,Diabetic shoe w/off set heel,,,28 ,,NW,,,,,,$57.79,$0.00,1,1,1,0,0,1,20080101A5507,HCPCS,Modification diabetic shoe,,,28 ,,NW,,,,,,$114.50,$0.00,1,1,1,0,0,1,20080101A5508,HCPCS,Diabetic deluxe shoe,,,28 ,,NW,,,,,,$57.48,$0.00,1,1,1,0,0,1,20080101A5510,HCPCS,Compression form shoe insert,,,28 ,,NW,,,,,,$56.68,$0.00,1,1,1,0,0,1,20080101A6000,HCPCS,Wound warming wound cover,,,28 ,,NW,,,,,,$40.79,$0.00,1,1,1,0,0,1,20080101A6010,HCPCS,Collagen based wound filler,,,28 ,,NW,,,,,,$56.39,$0.00,1,1,1,0,0,1,20080101A6011,HCPCS,Collagen gel/paste wound fil,,,28 ,,NW,,,,,,$4.22,$0.00,1,1,1,0,0,1,20080101A6021,HCPCS,Collagen dressing <=16 sq in,,,28 ,,NW,,,,,,$38.36,$0.00,1,1,1,0,0,1,20080101A6022,HCPCS,Collagen drsg>6<=48 sq in,,,28 ,,NW,,,,,,$38.36,$0.00,1,1,1,0,0,1,20080101A6023,HCPCS,Collagen dressing >48 sq in,,,28 ,,NW,,,,,,$345.48,$0.00,1,1,1,0,0,1,20080101A6024,HCPCS,Collagen dsg wound filler,,,28 ,,NW,,,,,,$11.43,$0.00,1,1,1,0,0,1,20080101A6025,HCPCS,"Silicone gel sheet, each",,,28 ,,NW,,,,,,$57.07,$0.00,1,1,1,0,0,1,20080101A6154,HCPCS,Wound pouch each,,,28 ,,NW,,,,,,$26.31,$0.00,1,1,1,0,0,1,20080101A6196,HCPCS,Alginate dressing <=16 sq in,,,28 ,,NW,,,,,,$13.53,$0.00,1,1,1,0,0,1,20080101A6197,HCPCS,Alginate drsg >16 <=48 sq in,,,28 ,,NW,,,,,,$30.04,$0.00,1,1,1,0,0,1,20080101A6198,HCPCS,alginate dressing > 48 sq in,,,28 ,,NW,,,,,,$37.55,$0.00,1,1,1,0,0,1,20080101A6199,HCPCS,Alginate drsg wound filler,,,28 ,,NW,,,,,,$9.76,$0.00,1,1,1,0,0,1,20080101A6200,HCPCS,Compos drsg <=16 no border,,,28 ,,NW,,,,,,$17.45,$0.00,1,1,1,0,0,1,20080101A6201,HCPCS,Compos drsg >16<=48 no bdr,,,28 ,,NW,,,,,,$37.96,$0.00,1,1,1,0,0,1,20080101A6202,HCPCS,Compos drsg >48 no border,,,28 ,,NW,,,,,,$63.49,$0.00,1,1,1,0,0,1,20080101A6203,HCPCS,Composite drsg <= 16 sq in,,,28 ,,NW,,,,,,$6.18,$0.00,1,1,1,0,0,1,20080101A6204,HCPCS,Composite drsg >16<=48 sq in,,,28 ,,NW,,,,,,$11.49,$0.00,1,1,1,0,0,1,20080101A6205,HCPCS,Composite drsg > 48 sq in,,,28 ,,NW,,,,,,$14.36,$0.00,1,1,1,0,0,1,20080101A6206,HCPCS,Contact layer <= 16 sq in,,,28 ,,NW,,,,,,$10.58,$0.00,1,1,1,0,0,1,20080101A6207,HCPCS,Contact layer >16<= 48 sq in,,,28 ,,NW,,,,,,$13.52,$0.00,1,1,1,0,0,1,20080101A6208,HCPCS,Contact layer > 48 sq in,,,28 ,,NW,,,,,,$16.91,$0.00,1,1,1,0,0,1,20080101A6209,HCPCS,Foam drsg <=16 sq in w/o bdr,,,28 ,,NW,,,,,,$13.80,$0.00,1,1,1,0,0,1,20080101A6210,HCPCS,Foam drg >16<=48 sq in w/o b,,,28 ,,NW,,,,,,$36.35,$0.00,1,1,1,0,0,1,20080101A6211,HCPCS,Foam drg > 48 sq in w/o brdr,,,28 ,,NW,,,,,,$53.51,$0.00,1,1,1,0,0,1,20080101A6212,HCPCS,Foam drg <=16 sq in w/border,,,28 ,,NW,,,,,,$17.80,$0.00,1,1,1,0,0,1,20080101A6213,HCPCS,Foam drg >16<=48 sq in w/bdr,,,28 ,,NW,,,,,,$18.88,$0.00,1,1,1,0,0,1,20080101A6214,HCPCS,Foam drg > 48 sq in w/border,,,28 ,,NW,,,,,,$18.88,$0.00,1,1,1,0,0,1,20080101A6216,HCPCS,Non-sterile gauze<=16 sq in,,,28 ,,NW,,,,,,$0.09,$0.00,1,1,1,1,1,1,20080101A6217,HCPCS,Non-sterile gauze>16<=48 sq,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20080101A6218,HCPCS,Non-sterile gauze > 48 sq in,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20080101A6219,HCPCS,Gauze <= 16 sq in w/border,,,28 ,,NW,,,,,,$1.76,$0.00,1,1,1,0,0,1,20080101A6220,HCPCS,Gauze >16 <=48 sq in w/bordr,,,28 ,,NW,,,,,,$4.75,$0.00,1,1,1,0,0,1,20080101A6221,HCPCS,Gauze > 48 sq in w/border,,,28 ,,NW,,,,,,$5.94,$0.00,1,1,1,0,0,1,20080101A6222,HCPCS,Gauze <=16 in no w/sal w/o b,,,28 ,,NW,,,,,,$3.92,$0.00,1,1,1,0,0,1,20080101A6223,HCPCS,Gauze >16<=48 no w/sal w/o b,,,28 ,,NW,,,,,,$4.46,$0.00,1,1,1,0,0,1,20080101A6224,HCPCS,Gauze > 48 in no w/sal w/o b,,,28 ,,NW,,,,,,$6.66,$0.00,1,1,1,0,0,1,20080101A6228,HCPCS,Gauze <= 16 sq in water/sal,,,28 ,,NW,,,,,,$4.89,$0.00,1,1,1,0,0,1,20080101A6229,HCPCS,Gauze >16<=48 sq in watr/sal,,,28 ,,NW,,,,,,$6.66,$0.00,1,1,1,0,0,1,20080101A6230,HCPCS,Gauze > 48 sq in water/salne,,,28 ,,NW,,,,,,$7.33,$0.00,1,1,1,0,0,1,20080101A6231,HCPCS,Hydrogel dsg<=16 sq in,,,28 ,,NW,,,,,,$8.65,$0.00,1,1,1,0,0,1,20080101A6232,HCPCS,Hydrogel dsg>16<=48 sq in,,,28 ,,NW,,,,,,$12.68,$0.00,1,1,1,0,0,1,20080101A6233,HCPCS,Hydrogel dressing >48 sq in,,,28 ,,NW,,,,,,$35.04,$0.00,1,1,1,0,0,1,20080101A6234,HCPCS,Hydrocolld drg <=16 w/o bdr,,,28 ,,NW,,,,,,$12.07,$0.00,1,1,1,0,0,1,20080101A6235,HCPCS,Hydrocolld drg >16<=48 w/o b,,,28 ,,NW,,,,,,$30.72,$0.00,1,1,1,0,0,1,20080101A6236,HCPCS,Hydrocolld drg > 48 in w/o b,,,28 ,,NW,,,,,,$49.65,$0.00,1,1,1,0,0,1,20080101A6237,HCPCS,Hydrocolld drg <=16 in w/bdr,,,28 ,,NW,,,,,,$14.57,$0.00,1,1,1,0,0,1,20080101A6238,HCPCS,Hydrocolld drg >16<=48 w/bdr,,,28 ,,NW,,,,,,$41.57,$0.00,1,1,1,0,0,1,20080101A6239,HCPCS,Hydrocolld drg > 48 in w/bdr,,,28 ,,NW,,,,,,$51.96,$0.00,1,1,1,0,0,1,20080101A6240,HCPCS,Hydrocolld drg filler paste,,,28 ,,NW,,,,,,$22.42,$0.00,1,1,1,0,0,1,20080101A6241,HCPCS,Hydrocolloid drg filler dry,,,28 ,,NW,,,,,,$4.73,$0.00,1,1,1,0,0,1,20080101A6242,HCPCS,Hydrogel drg <=16 in w/o bdr,,,28 ,,NW,,,,,,$11.21,$0.00,1,1,1,0,0,1,20080101A6243,HCPCS,Hydrogel drg >16<=48 w/o bdr,,,28 ,,NW,,,,,,$22.55,$0.00,1,1,1,0,0,1,20080101A6244,HCPCS,Hydrogel drg >48 in w/o bdr,,,28 ,,NW,,,,,,$71.47,$0.00,1,1,1,0,0,1,20080101A6245,HCPCS,Hydrogel drg <= 16 in w/bdr,,,28 ,,NW,,,,,,$13.41,$0.00,1,1,1,0,0,1,20080101A6246,HCPCS,Hydrogel drg >16<=48 in w/b,,,28 ,,NW,,,,,,$18.22,$0.00,1,1,1,0,0,1,20080101A6247,HCPCS,Hydrogel drg > 48 sq in w/b,,,28 ,,NW,,,,,,$43.36,$0.00,1,1,1,0,0,1,20080101A6248,HCPCS,Hydrogel drsg gel filler,,,28 ,,NW,,,,,,$29.68,$0.00,1,1,1,0,0,1,20080101A6250,HCPCS,Skin seal protect moisturizr,,,28 ,,NW,,,,,,$2.82,$0.00,1,1,1,0,0,1,20080101A6251,HCPCS,Absorpt drg <=16 sq in w/o b,,,28 ,,NW,,,,,,$3.68,$0.00,1,1,1,0,0,1,20080101A6252,HCPCS,Absorpt drg >16 <=48 w/o bdr,,,28 ,,NW,,,,,,$6.00,$0.00,1,1,1,0,0,1,20080101A6253,HCPCS,Absorpt drg > 48 sq in w/o b,,,28 ,,NW,,,,,,$11.69,$0.00,1,1,1,0,0,1,20080101A6254,HCPCS,Absorpt drg <=16 sq in w/bdr,,,28 ,,NW,,,,,,$2.25,$0.00,1,1,1,0,0,1,20080101A6255,HCPCS,Absorpt drg >16<=48 in w/bdr,,,28 ,,NW,,,,,,$5.59,$0.00,1,1,1,0,0,1,20080101A6256,HCPCS,Absorpt drg > 48 sq in w/bdr,,,28 ,,NW,,,,,,$6.98,$0.00,1,1,1,0,0,1,20080101A6257,HCPCS,Transparent film <= 16 sq in,,,28 ,,NW,,,,,,$2.82,$0.00,1,1,1,0,0,1,20080101A6258,HCPCS,Transparent film >16<=48 in,,,28 ,,NW,,,,,,$7.94,$0.00,1,1,1,0,0,1,20080101A6259,HCPCS,Transparent film > 48 sq in,,,28 ,,NW,,,,,,$20.06,$0.00,1,1,1,0,0,1,20080101A6260,HCPCS,Wound cleanser any type/size,,,28 ,,NW,,,,,,$2.44,$0.00,1,1,1,0,0,1,20080101A6261,HCPCS,Wound filler gel/paste /oz,,,28 ,,NW,,,,,,$9.77,$0.00,1,1,1,0,0,1,20080101A6262,HCPCS,Wound filler dry form / gram,,,28 ,,NW,,,,,,$2.44,$0.00,1,1,1,0,0,1,20080101A6266,HCPCS,Impreg gauze no h20/sal/yard,,,28 ,,NW,,,,,,$3.53,$0.00,1,1,1,0,0,1,20080101A6402,HCPCS,Sterile gauze <= 16 sq in,,,28 ,,NW,,,,,,$0.21,$0.00,1,1,1,1,1,1,20080101A6403,HCPCS,Sterile gauze>16 <= 48 sq in,,,28 ,,NW,,,,,,$0.79,$0.00,1,1,1,0,0,1,20080101A6404,HCPCS,Sterile gauze > 48 sq in,,,28 ,,NW,,,,,,$1.63,$0.00,1,1,1,0,0,1,20080101A6407,HCPCS,"Packing strips, non-impreg",,,28 ,,NW,,,,,,$2.27,$0.00,1,1,1,0,1,1,20080101A6410,HCPCS,Sterile eye pad,,,28 ,,NW,,,,,,$0.73,$0.00,1,1,1,0,0,1,20080101A6411,HCPCS,Non-sterile eye pad,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20080101A6412,HCPCS,Occlusive eye patch,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,0,1,20080101A6441,HCPCS,Pad band w>=3” <5”/yd,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,1,1,20080101A6442,HCPCS,Conform band n/s w<3ö/yd,,,28 ,,NW,,,,,,$0.21,$0.00,1,1,1,1,1,1,20080101A6443,HCPCS,Conform band n/s w>=3”<5”/yd,,,28 ,,NW,,,,,,$0.36,$0.00,1,1,1,0,1,1,20080101A6444,HCPCS,Conform band n/s w>=5”/yd,,,28 ,,NW,,,,,,$0.67,$0.00,1,1,1,0,1,1,20080101A6445,HCPCS,Conform band s w <3”/yd,,,28 ,,NW,,,,,,$0.40,$0.00,1,1,1,0,1,1,20080101A6446,HCPCS,Conform band s w>=3” <5”/yd,,,28 ,,NW,,,,,,$0.50,$0.00,1,1,1,0,1,1,20080101A6447,HCPCS,Conform band s w >=5”/yd,,,28 ,,NW,,,,,,$0.80,$0.00,1,1,1,0,1,1,20080101A6448,HCPCS,Lt compres band <3”/yd,,,28 ,,NW,,,,,,$1.41,$0.00,1,1,1,0,1,1,20080101A6449,HCPCS,Lt compres band >=3” <5”/yd,,,28 ,,NW,,,,,,$2.11,$0.00,1,1,1,0,1,1,20080101A6452,HCPCS,High compres band w>=3”<5”yd,,,28 ,,NW,,,,,,$7.11,$0.00,1,1,1,0,1,1,20080101A6453,HCPCS,Self-adher band w <3”/yd,,,28 ,,NW,,,,,,$0.74,$0.00,1,1,1,0,1,1,20080101A6454,HCPCS,Self-adher band w>=3” <5”/yd,,,28 ,,NW,,,,,,$0.94,$0.00,1,1,1,0,1,1,20080101A6455,HCPCS,Self-adher band >=5”/yd,,,28 ,,NW,,,,,,$1.67,$0.00,1,1,1,0,1,1,20080101A6456,HCPCS,Zinc paste band w >=3”<5”/yd,,,28 ,,NW,,,,,,$1.54,$0.00,1,1,1,0,1,1,20080101A6550,HCPCS,Neg pres wound ther drsg set,,,28 ,,NW,,,,,,$51.26,$0.00,1,1,1,0,0,1,20080101A7000,HCPCS,Disposable canister for pump,,,28 ,,NW,,,,,,$20.99,$0.00,1,1,1,0,0,1,20080101A7001,HCPCS,Nondisposable pump canister,,,28 ,,NW,,,,,,$60.82,$0.00,1,1,1,0,0,1,20080101A7002,HCPCS,Tubing used w suction pump,,,28 ,,NW,,,,,,$11.30,$0.00,1,1,1,0,0,1,20080101A7003,HCPCS,Nebulizer administration set,,,28 ,,NW,,,,,,$9.48,$0.00,1,1,1,0,0,1,20080101A7004,HCPCS,Disposable nebulizer sml vol,,,28 ,,NW,,,,,,$7.87,$0.00,1,1,1,0,0,1,20080101A7005,HCPCS,Nondisposable nebulizer set,,,28 ,,NW,,,,,,$57.03,$0.00,1,1,1,0,0,1,20080101A7006,HCPCS,Filtered nebulizer admin set,,,28 ,,NW,,,,,,$20.99,$0.00,1,1,1,0,0,1,20080101A7007,HCPCS,Lg vol nebulizer disposable,,,28 ,,NW,,,,,,$12.65,$0.00,1,1,1,0,0,1,20080101A7008,HCPCS,Disposable nebulizer prefill,,,28 ,,NW,,,,,,$23.45,$0.00,1,1,1,0,0,1,20080101A7009,HCPCS,Nebulizer reservoir bottle,,,28 ,,NW,,,,,,$78.24,$0.00,1,1,1,0,0,1,20080101A7010,HCPCS,Disposable corrugated tubing,,,28 ,,NW,,,,,,$44.77,$0.00,1,1,1,0,0,1,20080101A7011,HCPCS,Nondispos corrugated tubing,,,28 ,,NW,,,,,,$68.63,$0.00,1,1,1,0,0,1,20080101A7012,HCPCS,Nebulizer water collec devic,,,28 ,,NW,,,,,,$11.23,$0.00,1,1,1,0,0,1,20080101A7013,HCPCS,Disposable compressor filter,,,28 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101A7014,HCPCS,Compressor nondispos filter,,,28 ,,NW,,,,,,$12.43,$0.00,1,1,1,0,0,1,20080101A7015,HCPCS,Aerosol mask used w nebulize,,,28 ,,NW,,,,,,$8.01,$0.00,1,1,1,0,0,1,20080101A7016,HCPCS,Nebulizer dome & mouthpiece,,,28 ,,NW,,,,,,$17.11,$0.00,1,1,1,0,0,1,20080101A7017,HCPCS,Nebulizer not used w oxygen,,,28 ,,NW,,,,,,$203.47,$0.00,1,1,1,0,0,1,20080101A7018,HCPCS,Water distilled w/nebulizer,,,28 ,,NW,,,,,,$1.90,$0.00,1,1,1,0,0,1,20080101A7025,HCPCS,Replace chest compress vest,,,28 ,,NW,,,,,,$919.59,$0.00,1,1,1,0,0,1,20080101A7026,HCPCS,Replace chst cmprss sys hose,,,28 ,,NW,,,,,,$53.50,$0.00,1,1,1,0,0,1,20080101A7030,HCPCS,CPAP full face mask,,,28 ,,NW,,,,,,$392.17,$0.00,1,1,1,0,0,1,20080101A7031,HCPCS,Replacement facemask interfa,,,28 ,,NW,,,,,,$137.65,$0.00,1,1,1,0,0,1,20080101A7032,HCPCS,Replacement nasal cushion,NU,,28 ,,NW,,,,,,$75.03,$0.00,1,1,1,0,0,1,20080101A7032,HCPCS,Replacement nasal cushion,,,28 ,,NW,,,,,,$60.79,$0.00,1,1,1,1,1,1,20080101A7033,HCPCS,Replacement nasal pillows,NU,,28 ,,NW,,,,,,$52.93,$0.00,1,1,1,0,0,1,20080101A7033,HCPCS,Replacement nasal pillows,,,28 ,,NW,,,,,,$42.61,$0.00,1,1,1,1,1,1,20080101A7034,HCPCS,Nasal application device,NU,,28 ,,NW,,,,,,$240.15,$0.00,1,1,1,0,0,1,20080101A7034,HCPCS,Nasal application device,,,28 ,,NW,,,,,,$176.46,$0.00,1,1,1,1,1,1,20080101A7035,HCPCS,Pos airway press headgear,NU,,28 ,,NW,,,,,,$73.35,$0.00,1,1,1,0,0,1,20080101A7035,HCPCS,Pos airway press headgear,,,28 ,,NW,,,,,,$59.63,$0.00,1,1,1,1,1,1,20080101A7036,HCPCS,Pos airway press chinstrap,NU,,28 ,,NW,,,,,,$35.64,$0.00,1,1,1,0,0,1,20080101A7036,HCPCS,Pos airway press chinstrap,,,28 ,,NW,,,,,,$27.30,$0.00,1,1,1,1,1,1,20080101A7037,HCPCS,Pos airway pressure tubing,NU,,28 ,,NW,,,,,,$76.06,$0.00,1,1,1,0,0,1,20080101A7037,HCPCS,Pos airway pressure tubing,,,28 ,,NW,,,,,,$61.53,$0.00,1,1,1,1,1,1,20080101A7038,HCPCS,Pos airway pressure filter,NU,,28 ,,NW,,,,,,$13.96,$0.00,1,1,1,1,1,1,20080101A7039,HCPCS,"Filter, non disposable w pap",NU,,28 ,,NW,,,,,,$30.79,$0.00,1,1,1,1,1,1,20080101A7040,HCPCS,One way chest drain valve,,,28 ,,NW,,,,,,$54.07,$0.00,1,1,1,0,1,1,20080101A7041,HCPCS,Water seal drain container,,,28 ,,NW,,,,,,$101.59,$0.00,1,1,1,0,1,1,20080101A7042,HCPCS,Implanted pleural catheter,,,28 ,,NW,,,,,,$370.50,$0.00,1,1,1,0,0,1,20080101A7043,HCPCS,Vacuum drainagebottle/tubing,,,28 ,,NW,,,,,,$53.24,$0.00,1,1,1,0,0,1,20080101A7044,HCPCS,PAP oral interface,NU,,28 ,,NW,,,,,,$247.14,$0.00,1,1,1,1,1,1,20080101A7045,HCPCS,Repl exhalation port for PAP,NU,,28 ,,NW,,,,,,$29.20,$0.00,1,1,1,1,1,1,20080101A7045,HCPCS,Repl exhalation port for PAP,RR,,28 ,,NW,,,,,,$2.93,$0.00,1,1,1,1,1,1,20080101A7045,HCPCS,Repl exhalation port for PAP,UE,,28 ,,NW,,,,,,$21.90,$0.00,1,1,1,1,1,1,20080101A7045,HCPCS,Repl exhalation port for PAP,,,28 ,,NW,,,,,,$2.34,$0.00,1,1,1,0,1,1,20080101A7046,HCPCS,"Repl water chamber, PAP dev",NU,,28 ,,NW,,,,,,$23.45,$0.00,1,1,1,1,1,1,20080101A7501,HCPCS,Tracheostoma valve w diaphra,,,28 ,,NW,,,,,,$190.78,$0.00,1,1,1,0,0,1,20080101A7502,HCPCS,Replacement diaphragm/fplate,,,28 ,,NW,,,,,,$90.77,$0.00,1,1,1,0,0,1,20080101A7503,HCPCS,HMES filter holder or cap,,,28 ,,NW,,,,,,$20.78,$0.00,1,1,1,0,0,1,20080101A7504,HCPCS,Tracheostoma HMES filter,,,28 ,,NW,,,,,,$1.23,$0.00,1,1,1,0,0,1,20080101A7505,HCPCS,HMES or trach valve housing,,,28 ,,NW,,,,,,$8.65,$0.00,1,1,1,0,0,1,20080101A7506,HCPCS,HMES/trachvalve adhesivedisk,,,28 ,,NW,,,,,,$0.62,$0.00,1,1,1,0,0,1,20080101A7507,HCPCS,Integrated filter & holder,,,28 ,,NW,,,,,,$4.59,$0.00,1,1,1,0,0,1,20080101A7508,HCPCS,Housing & Integrated Adhesiv,,,28 ,,NW,,,,,,$5.28,$0.00,1,1,1,0,0,1,20080101A7509,HCPCS,Heat & moisture exchange sys,,,28 ,,NW,,,,,,$2.61,$0.00,1,1,1,0,0,1,20080101A7520,HCPCS,Trach/laryn tube non-cuffed,,,28 ,,NW,,,,,,$57.05,$0.00,1,1,1,0,1,1,20080101A7521,HCPCS,Trach/laryn tube cuffed,,,28 ,,NW,,,,,,$56.53,$0.00,1,1,1,0,1,1,20080101A7522,HCPCS,Trach/laryn tube stainless,,,28 ,,NW,,,,,,$54.27,$0.00,1,1,1,0,1,1,20080101A7523,HCPCS,Tracheostomy shower protect,,,28 ,,NW,,,,,,$25.67,$0.00,1,1,1,0,1,1,20080101A7524,HCPCS,Tracheostoma stent/stud/bttn,,,28 ,,NW,,,,,,$93.00,$0.00,1,1,1,0,1,1,20080101A7525,HCPCS,Tracheostomy mask,,,28 ,,NW,,,,,,$3.41,$0.00,1,1,1,0,0,1,20080101A7526,HCPCS,Tracheostomy tube collar,,,28 ,,NW,,,,,,$4.05,$0.00,1,1,1,0,1,1,20080101A7527,HCPCS,Trach/laryn tube plug/stop,,,28 ,,NW,,,,,,$4.31,$0.00,1,1,1,0,1,1,20080101A8000,HCPCS,Soft protect helmet prefab,NU,,28 ,,NW,,,,,,$230.03,$0.00,1,1,1,1,1,1,20080101A8000,HCPCS,Soft protect helmet prefab,RR,,28 ,,NW,,,,,,$22.99,$0.00,1,1,1,1,1,1,20080101A8000,HCPCS,Soft protect helmet prefab,UE,,28 ,,NW,,,,,,$172.54,$0.00,1,1,1,1,1,1,20080101A8001,HCPCS,Hard protect helmet prefab,NU,,28 ,,NW,,,,,,$230.03,$0.00,1,1,1,1,1,1,20080101A8001,HCPCS,Hard protect helmet prefab,RR,,28 ,,NW,,,,,,$22.99,$0.00,1,1,1,1,1,1,20080101A8001,HCPCS,Hard protect helmet prefab,UE,,28 ,,NW,,,,,,$172.54,$0.00,1,1,1,1,1,1,20080101A9150,HCPCS,Misc/exper non-prescript dru,,,29 ,,NW,,,,,,$12.30,$0.00,1,1,1,0,0,1,20080101A9270,HCPCS,Non-covered item or service,,,28 ,,NW,,,,,,$51.18,$0.00,1,1,1,0,0,1,20080101A9280,HCPCS,"Alert device, noc",,,28 ,,NW,,,,,,$341.20,$0.00,1,1,1,0,1,1,20080101A9300,HCPCS,Exercise equipment,,,28 ,,NW,,,,,,$6.55,$0.00,1,1,1,0,0,1,20080101A9500,HCPCS,Technetium TC 99m sestamibi,,,28 ,,NW,,,,,,$176.82,$0.00,1,1,1,0,0,1,20080101A9502,HCPCS,Technetium TC99M tetrofosmin,,,28 ,,NW,,,,,,$198.20,$0.00,1,1,1,0,0,1,20080101A9503,HCPCS,Technetium TC 99m medronate,,,28 ,,NW,,,,,,$45.98,$0.00,1,1,1,0,0,1,20080101A9504,HCPCS,Technetium tc 99m apcitide,,,28 ,,NW,,,,,,$82.07,$0.00,1,1,1,0,0,1,20080101A9505,HCPCS,Thallous chloride TL 201/mci,,,28 ,,NW,,,,,,$77.60,$0.00,1,1,1,0,0,1,20080101A9507,HCPCS,Indium/111 capromab pendetid,,,28 ,,NW,,,,,,"$3,330.95",$0.00,1,1,1,0,0,1,20080101A9508,HCPCS,Iobenguane sulfate I-131,,,28 ,,NW,,,,,,$37.99,$0.00,1,1,1,0,0,1,20080101A9510,HCPCS,Technetium TC99m Disofenin,,,28 ,,NW,,,,,,$131.67,$0.00,1,1,1,0,0,1,20080101A9600,HCPCS,Strontium-89 chloride,,,28 ,,NW,,,,,,"$1,213.50",$0.00,1,1,1,0,0,1,20080101A9605,HCPCS,Samarium sm153 lexidronamm,,,28 ,,NW,,,,,,$601.00,$0.00,1,1,1,0,0,1,20080101A9700,HCPCS,Echocardiography Contrast,,,28 ,,NW,,,,,,$240.18,$0.00,1,1,1,0,0,1,20080101A9900,HCPCS,Supply/accessory/service,,,28 ,,NW,,,,,,$26.35,$0.00,1,1,1,0,0,1,20080101A9901,HCPCS,Delivery/set up/dispensing,,,28 ,,NW,,,,,,$21.84,$0.00,1,1,1,0,0,1,20080101B4034,HCPCS,Enter feed supkit syr by day,,,28 ,,NW,,,,,,$11.06,$0.00,1,1,1,0,0,1,20080101B4035,HCPCS,Enteral feed supp pump per d,,,28 ,,NW,,,,,,$21.44,$0.00,1,1,1,0,0,1,20080101B4036,HCPCS,Enteral feed sup kit grav by,,,28 ,,NW,,,,,,$14.45,$0.00,1,1,1,0,0,1,20080101B4081,HCPCS,Enteral ng tubing w/ stylet,,,28 ,,NW,,,,,,$42.93,$0.00,1,1,1,0,0,1,20080101B4082,HCPCS,Enteral ng tubing w/o stylet,,,28 ,,NW,,,,,,$31.01,$0.00,1,1,1,0,0,1,20080101B4083,HCPCS,Enteral stomach tube levine,,,28 ,,NW,,,,,,$4.46,$0.00,1,1,1,0,0,1,20080101B4149,HCPCS,EF blenderized foods,,,28 ,,NW,,,,,,$1.84,$0.00,1,1,1,0,1,1,20080101B4150,HCPCS,Enteral formulae category i,,,28 ,,NW,,,,,,$1.23,$0.00,1,1,1,0,0,1,20080101B4152,HCPCS,Enteral formulae category ii,,,28 ,,NW,,,,,,$1.06,$0.00,1,1,1,0,0,1,20080101B4153,HCPCS,Enteral formulae categoryIII,,,28 ,,NW,,,,,,$3.47,$0.00,1,1,1,0,0,1,20080101B4154,HCPCS,Enteral formulae category IV,,,28 ,,NW,,,,,,$2.22,$0.00,1,1,1,0,0,1,20080101B4155,HCPCS,Enteral formulae category v,,,28 ,,NW,,,,,,$1.75,$0.00,1,1,1,0,0,1,20080101B4164,HCPCS,Parenteral 50% dextrose solu,,,28 ,,NW,,,,,,$31.86,$0.00,1,1,1,0,0,1,20080101B4168,HCPCS,Parenteral sol amino acid 3.,,,28 ,,NW,,,,,,$48.06,$0.00,1,1,1,0,0,1,20080101B4172,HCPCS,Parenteral sol amino acid 5.,,,28 ,,NW,,,,,,$72.32,$0.00,1,1,1,0,0,1,20080101B4176,HCPCS,Parenteral sol amino acid 7-,,,28 ,,NW,,,,,,$96.55,$0.00,1,1,1,0,0,1,20080101B4178,HCPCS,Parenteral sol amino acid >,,,28 ,,NW,,,,,,$116.66,$0.00,1,1,1,0,0,1,20080101B4180,HCPCS,Parenteral sol carb > 50%,,,28 ,,NW,,,,,,$47.25,$0.00,1,1,1,0,0,1,20080101B4189,HCPCS,Parenteral sol amino acid &,,,28 ,,NW,,,,,,$368.21,$0.00,1,1,1,0,0,1,20080101B4193,HCPCS,Parenteral sol 52-73 gm prot,,,28 ,,NW,,,,,,$476.91,$0.00,1,1,1,0,0,1,20080101B4197,HCPCS,Parenteral sol 74-100 gm pro,,,28 ,,NW,,,,,,$581.40,$0.00,1,1,1,0,0,1,20080101B4199,HCPCS,Parenteral sol > 100gm prote,,,28 ,,NW,,,,,,$664.92,$0.00,1,1,1,0,0,1,20080101B4216,HCPCS,Parenteral nutrition additiv,,,28 ,,NW,,,,,,$13.54,$0.00,1,1,1,0,0,1,20080101B4220,HCPCS,Parenteral supply kit premix,,,28 ,,NW,,,,,,$14.02,$0.00,1,1,1,0,0,1,20080101B4222,HCPCS,Parenteral supply kit homemi,,,28 ,,NW,,,,,,$17.29,$0.00,1,1,1,0,0,1,20080101B4224,HCPCS,Parenteral administration ki,,,28 ,,NW,,,,,,$48.60,$0.00,1,1,1,0,0,1,20080101B5000,HCPCS,Parenteral sol renal-amirosy,,,28 ,,NW,,,,,,$21.13,$0.00,1,1,1,0,0,1,20080101B5100,HCPCS,Parenteral sol hepatic-fream,,,28 ,,NW,,,,,,$8.17,$0.00,1,1,1,0,0,1,20080101B5200,HCPCS,Parenteral sol stres-brnch c,,,28 ,,NW,,,,,,$654.46,$0.00,1,1,1,0,0,1,20080101B9000,HCPCS,Enter infusion pump w/o alrm,NU,,28 ,,NW,,,,,,"$2,643.23",$0.00,1,1,1,0,0,1,20080101B9000,HCPCS,Enter infusion pump w/o alrm,RR,,28 ,,NW,,,,,,$239.50,$0.00,1,1,1,0,0,1,20080101B9000,HCPCS,Enter infusion pump w/o alrm,UE,,28 ,,NW,,,,,,"$1,981.49",$0.00,1,1,1,0,0,1,20080101B9002,HCPCS,Enteral infusion pump w/ ala,NU,,28 ,,NW,,,,,,"$2,643.23",$0.00,1,1,1,0,0,1,20080101B9002,HCPCS,Enteral infusion pump w/ ala,RR,,28 ,,NW,,,,,,$252.62,$0.00,1,1,1,0,0,1,20080101B9004,HCPCS,Parenteral infus pump portab,NU,,28 ,,NW,,,,,,"$5,276.22",$0.00,1,1,1,0,0,1,20080101B9004,HCPCS,Parenteral infus pump portab,RR,,28 ,,NW,,,,,,$832.12,$0.00,1,1,1,0,0,1,20080101B9004,HCPCS,Parenteral infus pump portab,UE,,28 ,,NW,,,,,,"$3,956.21",$0.00,1,1,1,0,0,1,20080101B9006,HCPCS,Parenteral infus pump statio,NU,,28 ,,NW,,,,,,"$5,276.22",$0.00,1,1,1,0,0,1,20080101B9006,HCPCS,Parenteral infus pump statio,RR,,28 ,,NW,,,,,,$832.12,$0.00,1,1,1,0,0,1,20080101B9006,HCPCS,Parenteral infus pump statio,UE,,28 ,,NW,,,,,,"$3,956.21",$0.00,1,1,1,0,0,1,20080101B9998,HCPCS,Enteral supp not otherwise c,,,28 ,,NW,,,,,,$10.85,$0.00,1,1,1,0,0,1,20080101B9999,HCPCS,Parenteral supp not othrws c,,,28 ,,NW,,,,,,$323.87,$0.00,1,1,1,0,0,1,20080101C9726,HCPCS,Rxt breast appl place/remov,,,28 ,,NW,,,,,,$661.88,$0.00,1,1,1,0,1,1,20080101D0120,HCPCS,Periodic oral evaluation,,,25 ,,NW,,,,,,$52.65,$0.00,1,0,1,1,1,1,20080101D0140,HCPCS,Limit oral eval problm focus,,,25 ,,NW,,,,,,$80.63,$0.00,1,0,1,1,1,1,20080101D0150,HCPCS,Comprehensve oral evaluation,,,25 ,,NW,,,,,,$88.66,$0.00,1,0,1,1,1,1,20080101D0160,HCPCS,Extensv oral eval prob focus,,,25 ,,NW,,,,,,$190.82,$0.00,1,0,1,1,1,1,20080101D0170,HCPCS,"Re-eval,est pt,problem focus",,,25 ,,NW,,,,,,$72.44,$0.00,1,0,1,1,1,1,20080101D0180,HCPCS,Comp periodontal evaluation,,,25 ,,NW,,,,,,$102.46,$0.00,1,0,1,1,1,1,20080101D0210,HCPCS,Intraor complete film series,,,25 ,,NW,,,,,,$144.30,$0.00,1,0,1,1,1,1,20080101D0220,HCPCS,Intraoral periapical first f,,,25 ,,NW,,,,,,$30.34,$0.00,1,0,1,1,1,1,20080101D0230,HCPCS,Intraoral periapical ea add,,,25 ,,NW,,,,,,$24.44,$0.00,1,0,1,1,1,1,20080101D0240,HCPCS,Intraoral occlusal film,,,25 ,,NW,,,,,,$44.25,$0.00,1,0,1,1,1,1,20080101D0250,HCPCS,Extraoral first film,,,25 ,,NW,,,,,,$62.57,$0.00,1,0,1,1,1,1,20080101D0260,HCPCS,Extraoral ea additional film,,,25 ,,NW,,,,,,$55.98,$0.00,1,0,1,1,1,1,20080101D0270,HCPCS,Dental bitewing single film,,,25 ,,NW,,,,,,$30.36,$0.00,1,0,1,1,1,1,20080101D0272,HCPCS,Dental bitewings two films,,,25 ,,NW,,,,,,$47.54,$0.00,1,0,1,1,1,1,20080101D0274,HCPCS,Dental bitewings four films,,,25 ,,NW,,,,,,$68.75,$0.00,1,0,1,1,1,1,20080101D0277,HCPCS,Vert bitewings-sev to eight,,,25 ,,NW,,,,,,$103.16,$0.00,1,0,1,1,1,1,20080101D0290,HCPCS,Dental film skull/facial bon,,,25 ,,NW,,,,,,$156.68,$0.00,1,0,1,1,1,1,20080101D0310,HCPCS,Dental saliography,,,25 ,,NW,,,,,,$434.53,$0.00,1,0,1,1,1,1,20080101D0320,HCPCS,Dental tmj arthrogram incl i,,,25 ,,NW,,,,,,$701.72,$0.00,1,0,1,1,1,1,20080101D0321,HCPCS,Dental other tmj films,,,25 ,,NW,,,,,,$239.67,$0.00,1,0,1,1,1,1,20080101D0322,HCPCS,Dental tomographic survey,,,25 ,,NW,,,,,,$583.77,$0.00,1,0,1,1,1,1,20080101D0330,HCPCS,Dental panoramic film,,,25 ,,NW,,,,,,$123.32,$0.00,1,0,1,1,1,1,20080101D0340,HCPCS,Dental cephalometric film,,,25 ,,NW,,,,,,$139.06,$0.00,1,0,1,1,1,1,20080101D0350,HCPCS,Oral/facial images,,,25 ,,NW,,,,,,$71.67,$0.00,1,0,1,1,1,1,20080101D0415,HCPCS,Bacteriologic study,,,25 ,,NW,,,,,,$37.79,$0.00,1,0,1,1,1,1,20080101D0416,HCPCS,Viral culture,,,25 ,,TotalUnits,,,,1.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101D0425,HCPCS,Caries susceptibility test,,,25 ,,NW,,,,,,$34.54,$0.00,1,0,1,1,1,1,20080101D0431,HCPCS,Diag tst detect mucos abnorm,,,25 ,,NW,,,,,,$34.54,$0.00,1,1,1,0,1,1,20080101D0460,HCPCS,Pulp vitality test,,,25 ,,NW,,,,,,$59.30,$0.00,1,0,1,1,1,1,20080101D0470,HCPCS,Diagnostic casts,,,25 ,,NW,,,,,,$121.53,$0.00,1,0,1,1,1,1,20080101D0472,HCPCS,"Gross exam, prep & report",,,25 ,,NW,,,,,,$102.18,$0.00,1,0,1,1,1,1,20080101D0473,HCPCS,"Micro exam, prep & report",,,25 ,,NW,,,,,,$166.37,$0.00,1,0,1,1,1,1,20080101D0474,HCPCS,Micro w exam of surg margins,,,25 ,,NW,,,,,,$192.18,$0.00,1,0,1,1,1,1,20080101D0475,HCPCS,Decalcification procedure,,,25 ,,NW,,,,,,$39.04,$0.00,1,0,1,1,1,1,20080101D0476,HCPCS,Spec stains for microorganis,,,25 ,,NW,,,,,,$85.63,$0.00,1,0,1,1,1,1,20080101D0477,HCPCS,Spec stains not for microorg,,,25 ,,NW,,,,,,$39.04,$0.00,1,0,1,1,1,1,20080101D0478,HCPCS,Immunohistochemical stains,,,25 ,,NW,,,,,,$135.99,$0.00,1,0,1,1,1,1,20080101D0479,HCPCS,Tissue in-situ hybridization,,,25 ,,NW,,,,,,$188.88,$0.00,1,0,1,1,1,1,20080101D0480,HCPCS,Cytopath smear prep & report,,,25 ,,NW,,,,,,$157.25,$0.00,1,0,1,1,1,1,20080101D0481,HCPCS,Electron microscopy diagnost,,,25 ,,NW,,,,,,$243.03,$0.00,1,0,1,1,1,1,20080101D0482,HCPCS,Direct immunofluorescence,,,25 ,,NW,,,,,,$137.25,$0.00,1,0,1,1,1,1,20080101D0483,HCPCS,Indirect immunofluorescence,,,25 ,,NW,,,,,,$130.96,$0.00,1,0,1,1,1,1,20080101D0484,HCPCS,Consult slides prep elsewher,,,25 ,,NW,,,,,,$263.17,$0.00,1,0,1,1,1,1,20080101D0485,HCPCS,Consult inc prep of slides,,,25 ,,NW,,,,,,$288.36,$0.00,1,0,1,1,1,1,20080101D0502,HCPCS,Other oral pathology procedu,,,25 ,,NW,,,,,,$186.49,$0.00,1,0,1,1,1,1,20080101D0999,HCPCS,Unspecified diagnostic proce,,,25 ,,NW,,,,,,"$1,563.11",$0.00,1,0,1,1,1,1,20080101D1110,HCPCS,Dental prophylaxis adult,,,25 ,,NW,,,,,,$100.85,$0.00,1,0,1,1,1,1,20080101D1120,HCPCS,Dental prophylaxis child,,,25 ,,NW,,,,,,$73.30,$0.00,1,0,1,1,1,1,20080101D1203,HCPCS,Topical fluor w/o prophy chi,,,25 ,,NW,,,,,,$41.77,$0.00,1,0,1,1,1,1,20080101D1204,HCPCS,Topical fluor w/o prophy adu,,,25 ,,NW,,,,,,$40.75,$0.00,1,0,1,1,1,1,20080101D1310,HCPCS,Nutri counsel-control caries,,,25 ,,NW,,,,,,$61.90,$0.00,1,0,1,1,1,1,20080101D1320,HCPCS,Tobacco counseling,,,25 ,,NW,,,,,,$72.79,$0.00,1,0,1,1,1,1,20080101D1330,HCPCS,Oral hygiene instruction,,,25 ,,NW,,,,,,$65.34,$0.00,1,0,1,1,1,1,20080101D1351,HCPCS,Dental sealant per tooth,,,25 ,,NW,,,,,,$58.93,$0.00,1,0,1,1,1,1,20080101D1510,HCPCS,Space maintainer fxd unilat,,,26 ,,NW,,,,,,$373.16,$0.00,1,0,1,1,1,1,20080101D1515,HCPCS,Fixed bilat space maintainer,,,26 ,,NW,,,,,,$528.74,$0.00,1,0,1,1,1,1,20080101D1520,HCPCS,Remove unilat space maintain,,,26 ,,NW,,,,,,$471.53,$0.00,1,0,1,1,1,1,20080101D1525,HCPCS,Remove bilat space maintain,,,26 ,,NW,,,,,,$625.09,$0.00,1,0,1,1,1,1,20080101D1550,HCPCS,Recement space maintainer,,,26 ,,NW,,,,,,$84.42,$0.00,1,0,1,1,1,1,20080101D2140,HCPCS,Amalgam one surface permanen,,,26 ,,NW,,,,,,$144.26,$0.00,1,0,1,1,1,1,20080101D2150,HCPCS,Amalgam two surfaces permane,,,26 ,,NW,,,,,,$181.66,$0.00,1,0,1,1,1,1,20080101D2160,HCPCS,Amalgam three surfaces perma,,,26 ,,NW,,,,,,$219.97,$0.00,1,0,1,1,1,1,20080101D2161,HCPCS,Amalgam 4 or > surfaces perm,,,26 ,,NW,,,,,,$266.21,$0.00,1,0,1,1,1,1,20080101D2330,HCPCS,Resin one surface-anterior,,,26 ,,NW,,,,,,$166.52,$0.00,1,0,1,1,1,1,20080101D2331,HCPCS,Resin two surfaces-anterior,,,26 ,,NW,,,,,,$206.60,$0.00,1,0,1,1,1,1,20080101D2332,HCPCS,Resin three surfaces-anterio,,,26 ,,NW,,,,,,$253.99,$0.00,1,0,1,1,1,1,20080101D2335,HCPCS,Resin 4/> surf or w incis an,,,26 ,,NW,,,,,,$304.37,$0.00,1,0,1,1,1,1,20080101D2390,HCPCS,Ant resin-based cmpst crown,,,26 ,,NW,,,,,,$384.78,$0.00,1,0,1,1,1,1,20080101D2391,HCPCS,Post 1 srfc resinbased cmpst,,,26 ,,NW,,,,,,$185.46,$0.00,1,0,1,1,1,1,20080101D2392,HCPCS,Post 2 srfc resinbased cmpst,,,26 ,,NW,,,,,,$247.73,$0.00,1,0,1,1,1,1,20080101D2393,HCPCS,Post 3 srfc resinbased cmpst,,,26 ,,NW,,,,,,$306.14,$0.00,1,0,1,1,1,1,20080101D2394,HCPCS,Post >=4srfc resinbase cmpst,,,26 ,,NW,,,,,,$360.57,$0.00,1,0,1,1,1,1,20080101D2410,HCPCS,Dental gold foil one surface,,,27 ,,NW,,,,,,$248.45,$0.00,1,0,1,1,1,1,20080101D2420,HCPCS,Dental gold foil two surface,,,27 ,,NW,,,,,,$602.96,$0.00,1,0,1,1,1,1,20080101D2430,HCPCS,Dental gold foil three surfa,,,27 ,,NW,,,,,,"$1,091.58",$0.00,1,0,1,1,1,1,20080101D2510,HCPCS,Dental inlay metalic 1 surf,,,27 ,,NW,,,,,,$904.80,$0.00,1,0,1,1,1,1,20080101D2520,HCPCS,Dental inlay metallic 2 surf,,,27 ,,NW,,,,,,"$1,018.96",$0.00,1,0,1,1,1,1,20080101D2530,HCPCS,Dental inlay metl 3/more sur,,,27 ,,NW,,,,,,"$1,122.34",$0.00,1,0,1,1,1,1,20080101D2542,HCPCS,Dental onlay metallic 2 surf,,,27 ,,NW,,,,,,"$1,115.81",$0.00,1,0,1,1,1,1,20080101D2543,HCPCS,Dental onlay metallic 3 surf,,,27 ,,NW,,,,,,"$1,171.23",$0.00,1,0,1,1,1,1,20080101D2544,HCPCS,Dental onlay metl 4/more sur,,,27 ,,NW,,,,,,"$1,214.67",$0.00,1,0,1,1,1,1,20080101D2610,HCPCS,Inlay porcelain/ceramic 1 su,,,27 ,,NW,,,,,,"$1,009.29",$0.00,1,0,1,1,1,1,20080101D2620,HCPCS,Inlay porcelain/ceramic 2 su,,,27 ,,NW,,,,,,"$1,079.39",$0.00,1,0,1,1,1,1,20080101D2630,HCPCS,Dental onlay porc 3/more sur,,,27 ,,NW,,,,,,"$1,134.90",$0.00,1,0,1,1,1,1,20080101D2642,HCPCS,Dental onlay porcelin 2 surf,,,27 ,,NW,,,,,,"$1,146.74",$0.00,1,0,1,1,1,1,20080101D2643,HCPCS,Dental onlay porcelin 3 surf,,,27 ,,NW,,,,,,"$1,188.95",$0.00,1,0,1,1,1,1,20080101D2644,HCPCS,Dental onlay porc 4/more sur,,,27 ,,NW,,,,,,"$1,243.44",$0.00,1,0,1,1,1,1,20080101D2650,HCPCS,Inlay composite/resin one su,,,27 ,,NW,,,,,,$814.52,$0.00,1,0,1,1,1,1,20080101D2651,HCPCS,Inlay composite/resin two su,,,27 ,,NW,,,,,,$921.05,$0.00,1,0,1,1,1,1,20080101D2652,HCPCS,Dental inlay resin 3/mre sur,,,27 ,,NW,,,,,,$979.78,$0.00,1,0,1,1,1,1,20080101D2662,HCPCS,Dental onlay resin 2 surface,,,27 ,,NW,,,,,,$979.77,$0.00,1,0,1,1,1,1,20080101D2663,HCPCS,Dental onlay resin 3 surface,,,27 ,,NW,,,,,,"$1,032.42",$0.00,1,0,1,1,1,1,20080101D2664,HCPCS,Dental onlay resin 4/mre sur,,,27 ,,NW,,,,,,"$1,081.59",$0.00,1,0,1,1,1,1,20080101D2710,HCPCS,Crown resin laboratory,,,27 ,,NW,,,,,,$668.00,$0.00,1,0,1,1,1,1,20080101D2712,HCPCS,Crown 3/4 resin-based compos,,,27 ,,NW,,,,,,$668.00,$0.00,1,0,1,1,1,1,20080101D2720,HCPCS,Crown resin w/ high noble me,,,27 ,,NW,,,,,,"$1,215.81",$0.00,1,0,1,1,1,1,20080101D2721,HCPCS,Crown resin w/ base metal,,,27 ,,NW,,,,,,"$1,061.99",$0.00,1,0,1,1,1,1,20080101D2722,HCPCS,Crown resin w/ noble metal,,,27 ,,NW,,,,,,"$1,118.47",$0.00,1,0,1,1,1,1,20080101D2740,HCPCS,Crown porcelain/ceramic subs,,,27 ,,NW,,,,,,"$1,263.60",$0.00,1,0,1,1,1,1,20080101D2750,HCPCS,Crown porcelain w/ h noble m,,,27 ,,NW,,,,,,"$1,209.16",$0.00,1,0,1,1,1,1,20080101D2751,HCPCS,Crown porcelain fused base m,,,27 ,,NW,,,,,,"$1,105.07",$0.00,1,0,1,1,1,1,20080101D2752,HCPCS,Crown porcelain w/ noble met,,,27 ,,NW,,,,,,"$1,152.87",$0.00,1,0,1,1,1,1,20080101D2780,HCPCS,Crown 3/4 cast hi noble met,,,27 ,,NW,,,,,,"$1,210.66",$0.00,1,0,1,1,1,1,20080101D2781,HCPCS,Crown 3/4 cast base metal,,,27 ,,NW,,,,,,"$1,147.61",$0.00,1,0,1,1,1,1,20080101D2782,HCPCS,Crown 3/4 cast noble metal,,,27 ,,NW,,,,,,"$1,163.93",$0.00,1,0,1,1,1,1,20080101D2783,HCPCS,Crown 3/4 porcelain/ceramic,,,27 ,,NW,,,,,,"$1,234.12",$0.00,1,0,1,1,1,1,20080101D2790,HCPCS,Crown full cast high noble m,,,27 ,,NW,,,,,,"$1,185.55",$0.00,1,0,1,1,1,1,20080101D2791,HCPCS,Crown full cast base metal,,,27 ,,NW,,,,,,"$1,105.89",$0.00,1,0,1,1,1,1,20080101D2792,HCPCS,Crown full cast noble metal,,,27 ,,NW,,,,,,"$1,138.00",$0.00,1,0,1,1,1,1,20080101D2794,HCPCS,Crown-titanium,,,27 ,,NW,,,,,,"$1,137.98",$0.00,1,0,1,1,1,1,20080101D2799,HCPCS,Provisional crown,,,27 ,,NW,,,,,,$457.24,$0.00,1,0,1,1,1,1,20080101D2910,HCPCS,Dental recement inlay,,,27 ,,NW,,,,,,$113.54,$0.00,1,0,1,1,1,1,20080101D2915,HCPCS,Recement cast or prefab post,,,27 ,,NW,,,,,,$371.83,$0.00,1,0,1,1,1,1,20080101D2920,HCPCS,Dental recement crown,,,27 ,,NW,,,,,,$113.55,$0.00,1,0,1,1,1,1,20080101D2930,HCPCS,Prefab stnlss steel crwn pri,,,27 ,,NW,,,,,,$295.03,$0.00,1,0,1,1,1,1,20080101D2931,HCPCS,Prefab stnlss steel crown pe,,,27 ,,NW,,,,,,$339.35,$0.00,1,0,1,1,1,1,20080101D2932,HCPCS,Prefabricated resin crown,,,27 ,,NW,,,,,,$370.87,$0.00,1,0,1,1,1,1,20080101D2933,HCPCS,Prefab stainless steel crown,,,27 ,,NW,,,,,,$396.57,$0.00,1,0,1,1,1,1,20080101D2934,HCPCS,Prefab steel crown primary,,,27 ,,NW,,,,,,$396.60,$0.00,1,0,1,1,1,1,20080101D2940,HCPCS,Dental sedative filling,,,27 ,,NW,,,,,,$118.89,$0.00,1,0,1,1,1,1,20080101D2950,HCPCS,Core build-up incl any pins,,,27 ,,NW,,,,,,$294.35,$0.00,1,0,1,1,1,1,20080101D2951,HCPCS,Tooth pin retention,,,27 ,,NW,,,,,,$65.07,$0.00,1,0,1,1,1,1,20080101D2952,HCPCS,Post and core cast + crown,,,27 ,,NW,,,,,,$463.96,$0.00,1,0,1,1,1,1,20080101D2953,HCPCS,Each addtnl cast post,,,27 ,,NW,,,,,,$276.72,$0.00,1,0,1,1,1,1,20080101D2954,HCPCS,Prefab post/core + crown,,,27 ,,NW,,,,,,$371.87,$0.00,1,0,1,1,1,1,20080101D2955,HCPCS,Post removal,,,27 ,,NW,,,,,,$321.78,$0.00,1,0,1,1,1,1,20080101D2957,HCPCS,Each addtnl prefab post,,,27 ,,NW,,,,,,$196.97,$0.00,1,0,1,1,1,1,20080101D2960,HCPCS,Laminate labial veneer,,,27 ,,NW,,,,,,$744.23,$0.00,1,0,1,1,1,1,20080101D2961,HCPCS,Lab labial veneer resin,,,27 ,,NW,,,,,,"$1,076.87",$0.00,1,0,1,1,1,1,20080101D2962,HCPCS,Lab labial veneer porcelain,,,27 ,,NW,,,,,,"$1,183.71",$0.00,1,0,1,1,1,1,20080101D2971,HCPCS,Add proc construct new crown,,,27 ,,NW,,,,,,$302.29,$0.00,1,0,1,1,1,1,20080101D2975,HCPCS,Coping,,,27 ,,NW,,,,,,$791.61,$0.00,1,0,1,1,1,1,20080101D2980,HCPCS,Crown repair,,,27 ,,NW,,,,,,$302.28,$0.00,1,0,1,1,1,1,20080101D2999,HCPCS,Dental unspec restorative pr,,,27 ,,NW,,,,,,"$1,582.26",$0.00,1,0,1,1,1,1,20080101D3110,HCPCS,Pulp cap direct,,,26 ,,NW,,,,,,$86.02,$0.00,1,0,1,1,1,1,20080101D3120,HCPCS,Pulp cap indirect,,,26 ,,NW,,,,,,$76.99,$0.00,1,0,1,1,1,1,20080101D3220,HCPCS,Therapeutic pulpotomy,,,26 ,,NW,,,,,,$197.32,$0.00,1,0,1,1,1,1,20080101D3221,HCPCS,Gross pulpal debridement,,,26 ,,NW,,,,,,$223.81,$0.00,1,0,1,1,1,1,20080101D3230,HCPCS,Pulpal therapy anterior prim,,,26 ,,NW,,,,,,$253.36,$0.00,1,0,1,1,1,1,20080101D3240,HCPCS,Pulpal therapy posterior pri,,,26 ,,NW,,,,,,$285.44,$0.00,1,0,1,1,1,1,20080101D3310,HCPCS,Anterior,,,26 ,,NW,,,,,,$814.23,$0.00,1,0,1,1,1,1,20080101D3320,HCPCS,Root canal therapy 2 canals,,,26 ,,NW,,,,,,$970.03,$0.00,1,0,1,1,1,1,20080101D3330,HCPCS,Root canal therapy 3 canals,,,26 ,,NW,,,,,,"$1,219.52",$0.00,1,0,1,1,1,1,20080101D3331,HCPCS,Non-surg tx root canal obs,,,26 ,,NW,,,,,,$387.37,$0.00,1,0,1,1,1,1,20080101D3332,HCPCS,Incomplete endodontic tx,,,26 ,,NW,,,,,,$527.27,$0.00,1,0,1,1,1,1,20080101D3333,HCPCS,Internal root repair,,,26 ,,NW,,,,,,$277.76,$0.00,1,0,1,1,1,1,20080101D3346,HCPCS,Retreat root canal anterior,,,26 ,,NW,,,,,,"$1,044.41",$0.00,1,0,1,1,1,1,20080101D3347,HCPCS,Retreat root canal bicuspid,,,26 ,,NW,,,,,,"$1,200.12",$0.00,1,0,1,1,1,1,20080101D3348,HCPCS,Retreat root canal molar,,,26 ,,NW,,,,,,"$1,430.12",$0.00,1,0,1,1,1,1,20080101D3351,HCPCS,Apexification/recalc initial,,,26 ,,NW,,,,,,$421.01,$0.00,1,0,1,1,1,1,20080101D3352,HCPCS,Apexification/recalc interim,,,26 ,,NW,,,,,,$235.80,$0.00,1,0,1,1,1,1,20080101D3353,HCPCS,Apexification/recalc final,,,26 ,,NW,,,,,,$684.84,$0.00,1,0,1,1,1,1,20080101D3410,HCPCS,Apicoect/perirad surg anter,,,26 ,,NW,,,,,,$890.43,$0.00,1,0,1,1,1,1,20080101D3421,HCPCS,Root surgery bicuspid,,,26 ,,NW,,,,,,$968.20,$0.00,1,0,1,1,1,1,20080101D3425,HCPCS,Root surgery molar,,,26 ,,NW,,,,,,"$1,101.49",$0.00,1,0,1,1,1,1,20080101D3426,HCPCS,Root surgery ea add root,,,26 ,,NW,,,,,,$400.12,$0.00,1,0,1,1,1,1,20080101D3430,HCPCS,Retrograde filling,,,26 ,,NW,,,,,,$292.12,$0.00,1,0,1,1,1,1,20080101D3450,HCPCS,Root amputation,,,26 ,,NW,,,,,,$587.97,$0.00,1,0,1,1,1,1,20080101D3460,HCPCS,Endodontic endosseous implan,,,26 ,,NW,,,,,,"$2,236.34",$0.00,1,0,1,1,1,1,20080101D3470,HCPCS,Intentional replantation,,,26 ,,NW,,,,,,"$1,042.12",$0.00,1,0,1,1,1,1,20080101D3910,HCPCS,Isolation- tooth w rubb dam,,,26 ,,NW,,,,,,$220.43,$0.00,1,0,1,1,1,1,20080101D3920,HCPCS,Tooth splitting,,,26 ,,NW,,,,,,$480.91,$0.00,1,0,1,1,1,1,20080101D3950,HCPCS,Canal prep/fitting of dowel,,,26 ,,NW,,,,,,$222.18,$0.00,1,0,1,1,1,1,20080101D3999,HCPCS,Endodontic procedure,,,26 ,,NW,,,,,,"$1,617.62",$0.00,1,0,1,1,1,1,20080101D4210,HCPCS,Gingivectomy/plasty per quad,,,26 ,,NW,,,,,,$722.14,$0.00,1,0,1,1,1,1,20080101D4211,HCPCS,Gingivectomy/plasty per toot,,,26 ,,NW,,,,,,$273.92,$0.00,1,0,1,1,1,1,20080101D4240,HCPCS,Gingival flap proc w/ planin,,,26 ,,NW,,,,,,$881.77,$0.00,1,0,1,1,1,1,20080101D4241,HCPCS,Gngvl flap w rootplan 1-3 th,,,26 ,,NW,,,,,,$585.34,$0.00,1,0,1,1,1,1,20080101D4245,HCPCS,Apically positioned flap,,,26 ,,NW,,,,,,$782.42,$0.00,1,0,1,1,1,1,20080101D4249,HCPCS,Crown lengthen hard tissue,,,26 ,,NW,,,,,,$975.28,$0.00,1,0,1,1,1,1,20080101D4260,HCPCS,Osseous surgery per quadrant,,,26 ,,NW,,,,,,"$1,318.46",$0.00,1,0,1,1,1,1,20080101D4261,HCPCS,Osseous surgl-3teethperquad,,,26 ,,NW,,,,,,$956.82,$0.00,1,0,1,1,1,1,20080101D4263,HCPCS,Bone replce graft first site,,,26 ,,NW,,,,,,$592.58,$0.00,1,0,1,1,1,1,20080101D4264,HCPCS,Bone replce graft each add,,,26 ,,NW,,,,,,$251.49,$0.00,1,0,1,1,1,1,20080101D4265,HCPCS,Bio mtrls to aid soft/os reg,,,26 ,,NW,,,,,,$553.47,$0.00,1,0,1,1,1,1,20080101D4266,HCPCS,Guided tiss regen resorble,,,26 ,,NW,,,,,,$704.72,$0.00,1,0,1,1,1,1,20080101D4267,HCPCS,Guided tiss regen nonresorb,,,26 ,,NW,,,,,,$844.41,$0.00,1,0,1,1,1,1,20080101D4268,HCPCS,Surgical revision procedure,,,26 ,,NW,,,,,,$830.87,$0.00,1,0,1,1,1,1,20080101D4270,HCPCS,Pedicle soft tissue graft pr,,,26 ,,NW,,,,,,"$1,013.89",$0.00,1,0,1,1,1,1,20080101D4271,HCPCS,Free soft tissue graft proc,,,26 ,,NW,,,,,,"$1,083.58",$0.00,1,0,1,1,1,1,20080101D4273,HCPCS,Subepithelial tissue graft,,,26 ,,NW,,,,,,"$1,213.76",$0.00,1,0,1,1,1,1,20080101D4274,HCPCS,Distal/proximal wedge proc,,,26 ,,NW,,,,,,$549.28,$0.00,1,0,1,1,1,1,20080101D4275,HCPCS,Soft tissue allograft,,,26 ,,NW,,,,,,$895.09,$0.00,1,0,1,1,1,1,20080101D4276,HCPCS,Con tissue w dble ped graft,,,26 ,,NW,,,,,,"$1,249.00",$0.00,1,0,1,1,1,1,20080101D4320,HCPCS,Provision splnt intracoronal,,,26 ,,NW,,,,,,$513.95,$0.00,1,0,1,1,1,1,20080101D4321,HCPCS,Provisional splint extracoro,,,26 ,,NW,,,,,,$451.69,$0.00,1,0,1,1,1,1,20080101D4341,HCPCS,Periodontal scaling & root,,,26 ,,NW,,,,,,$282.38,$0.00,1,0,1,1,1,1,20080101D4342,HCPCS,Periodontal scaling 1-3teeth,,,26 ,,NW,,,,,,$183.12,$0.00,1,0,1,1,1,1,20080101D4355,HCPCS,Full mouth debridement,,,26 ,,NW,,,,,,$190.48,$0.00,1,0,1,1,1,1,20080101D4381,HCPCS,Localized chemo delivery,,,26 ,,NW,,,,,,$153.02,$0.00,1,0,1,1,1,1,20080101D4910,HCPCS,Periodontal maint procedures,,,26 ,,NW,,,,,,$157.59,$0.00,1,0,1,1,1,1,20080101D4920,HCPCS,Unscheduled dressing change,,,26 ,,NW,,,,,,$126.39,$0.00,1,0,1,1,1,1,20080101D4999,HCPCS,Unspecified periodontal proc,,,26 ,,NW,,,,,,"$1,480.61",$0.00,1,0,1,1,1,1,20080101D5110,HCPCS,Dentures complete maxillary,,,27 ,,NW,,,,,,"$1,643.56",$0.00,1,0,1,1,1,1,20080101D5120,HCPCS,Dentures complete mandible,,,27 ,,NW,,,,,,"$1,637.97",$0.00,1,0,1,1,1,1,20080101D5130,HCPCS,Dentures immediat maxillary,,,27 ,,NW,,,,,,"$1,798.85",$0.00,1,0,1,1,1,1,20080101D5140,HCPCS,Dentures immediat mandible,,,27 ,,NW,,,,,,"$1,780.06",$0.00,1,0,1,1,1,1,20080101D5211,HCPCS,Dentures maxill part resin,,,27 ,,NW,,,,,,"$1,314.22",$0.00,1,0,1,1,1,1,20080101D5212,HCPCS,Dentures mand part resin,,,27 ,,NW,,,,,,"$1,431.47",$0.00,1,0,1,1,1,1,20080101D5213,HCPCS,Dentures maxill part metal,,,27 ,,NW,,,,,,"$1,804.73",$0.00,1,0,1,1,1,1,20080101D5214,HCPCS,Dentures mandibl part metal,,,27 ,,NW,,,,,,"$1,818.72",$0.00,1,0,1,1,1,1,20080101D5225,HCPCS,Maxillary part denture flex,,,27 ,,NW,,,,,,"$1,804.73",$0.00,1,0,1,1,1,1,20080101D5226,HCPCS,Mandibular part denture flex,,,27 ,,NW,,,,,,"$1,818.73",$0.00,1,0,1,1,1,1,20080101D5281,HCPCS,Removable partial denture,,,27 ,,NW,,,,,,"$1,021.54",$0.00,1,0,1,1,1,1,20080101D5410,HCPCS,Dentures adjust cmplt maxil,,,27 ,,NW,,,,,,$93.44,$0.00,1,0,1,1,1,1,20080101D5411,HCPCS,Dentures adjust cmplt mand,,,27 ,,NW,,,,,,$92.96,$0.00,1,0,1,1,1,1,20080101D5421,HCPCS,Dentures adjust part maxill,,,27 ,,NW,,,,,,$93.44,$0.00,1,0,1,1,1,1,20080101D5422,HCPCS,Dentures adjust part mandbl,,,27 ,,NW,,,,,,$93.44,$0.00,1,0,1,1,1,1,20080101D5510,HCPCS,Dentur repr broken compl bas,,,27 ,,NW,,,,,,$202.97,$0.00,1,0,1,1,1,1,20080101D5520,HCPCS,Replace denture teeth complt,,,27 ,,NW,,,,,,$172.87,$0.00,1,0,1,1,1,1,20080101D5610,HCPCS,Dentures repair resin base,,,27 ,,NW,,,,,,$203.85,$0.00,1,0,1,1,1,1,20080101D5620,HCPCS,Rep part denture cast frame,,,27 ,,NW,,,,,,$257.41,$0.00,1,0,1,1,1,1,20080101D5630,HCPCS,Rep partial denture clasp,,,27 ,,NW,,,,,,$262.94,$0.00,1,0,1,1,1,1,20080101D5640,HCPCS,Replace part denture teeth,,,27 ,,NW,,,,,,$182.00,$0.00,1,0,1,1,1,1,20080101D5650,HCPCS,Add tooth to partial denture,,,27 ,,NW,,,,,,$227.22,$0.00,1,0,1,1,1,1,20080101D5660,HCPCS,Add clasp to partial denture,,,27 ,,NW,,,,,,$272.82,$0.00,1,0,1,1,1,1,20080101D5670,HCPCS,Replc tth&acrlc on mtl frmwk,,,27 ,,NW,,,,,,$671.28,$0.00,1,0,1,1,1,1,20080101D5671,HCPCS,Replc tth&acrlc mandibular,,,27 ,,NW,,,,,,$705.65,$0.00,1,0,1,1,1,1,20080101D5710,HCPCS,Dentures rebase cmplt maxil,,,27 ,,NW,,,,,,$621.16,$0.00,1,0,1,1,1,1,20080101D5711,HCPCS,Dentures rebase cmplt mand,,,27 ,,NW,,,,,,$611.70,$0.00,1,0,1,1,1,1,20080101D5720,HCPCS,Dentures rebase part maxill,,,27 ,,NW,,,,,,$598.85,$0.00,1,0,1,1,1,1,20080101D5721,HCPCS,Dentures rebase part mandbl,,,27 ,,NW,,,,,,$604.31,$0.00,1,0,1,1,1,1,20080101D5730,HCPCS,Denture reln cmplt maxil ch,,,27 ,,NW,,,,,,$382.89,$0.00,1,0,1,1,1,1,20080101D5731,HCPCS,Denture reln cmplt mand chr,,,27 ,,NW,,,,,,$382.89,$0.00,1,0,1,1,1,1,20080101D5740,HCPCS,Denture reln part maxil chr,,,27 ,,NW,,,,,,$364.76,$0.00,1,0,1,1,1,1,20080101D5741,HCPCS,Denture reln part mand chr,,,27 ,,NW,,,,,,$364.72,$0.00,1,0,1,1,1,1,20080101D5750,HCPCS,Denture reln cmplt max lab,,,27 ,,NW,,,,,,$496.44,$0.00,1,0,1,1,1,1,20080101D5751,HCPCS,Denture reln cmplt mand lab,,,27 ,,NW,,,,,,$494.49,$0.00,1,0,1,1,1,1,20080101D5760,HCPCS,Denture reln part maxil lab,,,27 ,,NW,,,,,,$494.56,$0.00,1,0,1,1,1,1,20080101D5761,HCPCS,Denture reln part mand lab,,,27 ,,NW,,,,,,$494.56,$0.00,1,0,1,1,1,1,20080101D5810,HCPCS,Denture interm cmplt maxill,,,27 ,,NW,,,,,,$805.64,$0.00,1,0,1,1,1,1,20080101D5811,HCPCS,Denture interm cmplt mandbl,,,27 ,,NW,,,,,,$836.87,$0.00,1,0,1,1,1,1,20080101D5820,HCPCS,Denture interm part maxill,,,27 ,,NW,,,,,,$669.20,$0.00,1,0,1,1,1,1,20080101D5821,HCPCS,Denture interm part mandbl,,,27 ,,NW,,,,,,$687.44,$0.00,1,0,1,1,1,1,20080101D5850,HCPCS,Denture tiss conditn maxill,,,27 ,,NW,,,,,,$181.25,$0.00,1,0,1,1,1,1,20080101D5851,HCPCS,Denture tiss condtin mandbl,,,27 ,,NW,,,,,,$183.21,$0.00,1,0,1,1,1,1,20080101D5860,HCPCS,Overdenture complete,,,27 ,,NW,,,,,,"$2,532.99",$0.00,1,0,1,1,1,1,20080101D5861,HCPCS,Overdenture partial,,,27 ,,NW,,,,,,"$2,195.88",$0.00,1,0,1,1,1,1,20080101D5862,HCPCS,Precision attachment,,,27 ,,NW,,,,,,$682.45,$0.00,1,0,1,1,1,1,20080101D5867,HCPCS,Replacement of precision att,,,27 ,,NW,,,,,,$252.87,$0.00,1,0,1,1,1,1,20080101D5875,HCPCS,Prosthesis modification,,,27 ,,NW,,,,,,$487.33,$0.00,1,0,1,1,1,1,20080101D5899,HCPCS,Removable prosthodontic proc,,,27 ,,NW,,,,,,"$1,479.12",$0.00,1,0,1,1,1,1,20080101D5911,HCPCS,Facial moulage sectional,,,27 ,,NW,,,,,,$789.91,$0.00,1,0,1,1,1,1,20080101D5912,HCPCS,Facial moulage complete,,,27 ,,NW,,,,,,$789.91,$0.00,1,0,1,1,1,1,20080101D5913,HCPCS,Nasal prosthesis,,,27 ,,NW,,,,,,"$4,754.30",$0.00,1,0,1,1,1,1,20080101D5914,HCPCS,Auricular prosthesis,,,27 ,,NW,,,,,,"$4,754.30",$0.00,1,0,1,1,1,1,20080101D5915,HCPCS,Orbital prosthesis,,,27 ,,NW,,,,,,"$6,224.59",$0.00,1,0,1,1,1,1,20080101D5916,HCPCS,Ocular prosthesis,,,27 ,,NW,,,,,,"$2,094.53",$0.00,1,0,1,1,1,1,20080101D5919,HCPCS,Facial prosthesis,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D5922,HCPCS,Nasal septal prosthesis,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D5923,HCPCS,Ocular prosthesis interim,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D5924,HCPCS,Cranial prosthesis,,,27 ,,NW,,,,,,"$1,377.47",$0.00,1,0,1,1,1,1,20080101D5925,HCPCS,Facial augmentation implant,,,27 ,,NW,,,,,,$290.25,$0.00,1,0,1,1,1,1,20080101D5926,HCPCS,Replacement nasal prosthesis,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D5927,HCPCS,Auricular replacement,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D5928,HCPCS,Orbital replacement,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D5929,HCPCS,Facial replacement,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D5931,HCPCS,Surgical obturator,,,27 ,,NW,,,,,,"$2,833.26",$0.00,1,0,1,1,1,1,20080101D5932,HCPCS,Postsurgical obturator,,,27 ,,NW,,,,,,"$4,783.45",$0.00,1,0,1,1,1,1,20080101D5933,HCPCS,Refitting of obturator,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D5934,HCPCS,Mandibular flange prosthesis,,,27 ,,NW,,,,,,"$4,412.33",$0.00,1,0,1,1,1,1,20080101D5935,HCPCS,Mandibular denture prosth,,,27 ,,NW,,,,,,"$3,916.06",$0.00,1,0,1,1,1,1,20080101D5936,HCPCS,Temp obturator prosthesis,,,27 ,,NW,,,,,,"$4,325.59",$0.00,1,0,1,1,1,1,20080101D5937,HCPCS,Trismus appliance,,,27 ,,NW,,,,,,$783.33,$0.00,1,0,1,1,1,1,20080101D5951,HCPCS,Feeding aid,,,27 ,,NW,,,,,,"$1,202.26",$0.00,1,0,1,1,1,1,20080101D5952,HCPCS,Pediatric speech aid,,,27 ,,NW,,,,,,"$2,573.02",$0.00,1,0,1,1,1,1,20080101D5953,HCPCS,Adult speech aid,,,27 ,,NW,,,,,,"$4,354.05",$0.00,1,0,1,1,1,1,20080101D5954,HCPCS,Superimposed prosthesis,,,27 ,,NW,,,,,,"$4,078.16",$0.00,1,0,1,1,1,1,20080101D5955,HCPCS,Palatal lift prosthesis,,,27 ,,NW,,,,,,"$3,816.53",$0.00,1,0,1,1,1,1,20080101D5958,HCPCS,Intraoral con def inter plt,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D5959,HCPCS,Intraoral con def mod palat,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D5960,HCPCS,Modify speech aid prosthesis,,,27 ,,NW,,,,,,$427.24,$0.00,1,0,1,1,1,1,20080101D5982,HCPCS,Surgical stent,,,27 ,,NW,,,,,,$589.99,$0.00,1,0,1,1,1,1,20080101D5983,HCPCS,Radiation applicator,,,27 ,,NW,,,,,,"$1,530.74",$0.00,1,0,1,1,1,1,20080101D5984,HCPCS,Radiation shield,,,27 ,,NW,,,,,,"$1,530.74",$0.00,1,0,1,1,1,1,20080101D5985,HCPCS,Radiation cone locator,,,27 ,,NW,,,,,,"$1,530.74",$0.00,1,0,1,1,1,1,20080101D5986,HCPCS,Fluoride applicator,,,27 ,,NW,,,,,,$202.04,$0.00,1,0,1,1,1,1,20080101D5987,HCPCS,Commissure splint,,,27 ,,NW,,,,,,"$2,000.69",$0.00,1,0,1,1,1,1,20080101D5988,HCPCS,Surgical splint,,,27 ,,NW,,,,,,$780.40,$0.00,1,0,1,1,1,1,20080101D5999,HCPCS,Maxillofacial prosthesis,,,27 ,,NW,,,,,,"$1,184.48",$0.00,1,0,1,1,1,1,20080101D6010,HCPCS,Odontics endosteal implant,,,27 ,,NW,,,,,,"$2,493.25",$0.00,1,0,1,1,1,1,20080101D6040,HCPCS,Odontics eposteal implant,,,27 ,,NW,,,,,,"$10,811.96",$0.00,1,0,1,1,1,1,20080101D6050,HCPCS,Odontics transosteal implnt,,,27 ,,NW,,,,,,"$7,001.06",$0.00,1,0,1,1,1,1,20080101D6053,HCPCS,Implnt/abtmnt spprt remv dnt,,,27 ,,NW,,,,,,"$2,506.06",$0.00,1,0,1,1,1,1,20080101D6054,HCPCS,Implnt/abtmnt spprt remvprtl,,,27 ,,NW,,,,,,"$2,296.52",$0.00,1,0,1,1,1,1,20080101D6055,HCPCS,Implant connecting bar,,,27 ,,NW,,,,,,$846.24,$0.00,1,0,1,1,1,1,20080101D6056,HCPCS,Prefabricated abutment,,,27 ,,NW,,,,,,$843.52,$0.00,1,0,1,1,1,1,20080101D6057,HCPCS,Custom abutment,,,27 ,,NW,,,,,,"$1,094.25",$0.00,1,0,1,1,1,1,20080101D6058,HCPCS,Abutment supported crown,,,27 ,,NW,,,,,,"$1,628.30",$0.00,1,0,1,1,1,1,20080101D6059,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,642.98",$0.00,1,0,1,1,1,1,20080101D6060,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,446.67",$0.00,1,0,1,1,1,1,20080101D6061,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,545.89",$0.00,1,0,1,1,1,1,20080101D6062,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,578.48",$0.00,1,0,1,1,1,1,20080101D6063,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,569.13",$0.00,1,0,1,1,1,1,20080101D6064,HCPCS,Abutment supported mtl crown,,,27 ,,NW,,,,,,"$1,588.99",$0.00,1,0,1,1,1,1,20080101D6065,HCPCS,Implant supported crown,,,27 ,,NW,,,,,,"$1,736.93",$0.00,1,0,1,1,1,1,20080101D6066,HCPCS,Implant supported mtl crown,,,27 ,,NW,,,,,,"$1,703.16",$0.00,1,0,1,1,1,1,20080101D6067,HCPCS,Implant supported mtl crown,,,27 ,,NW,,,,,,"$1,640.61",$0.00,1,0,1,1,1,1,20080101D6068,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,574.33",$0.00,1,0,1,1,1,1,20080101D6069,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,596.39",$0.00,1,0,1,1,1,1,20080101D6070,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,275.45",$0.00,1,0,1,1,1,1,20080101D6071,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,607.12",$0.00,1,0,1,1,1,1,20080101D6072,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,645.02",$0.00,1,0,1,1,1,1,20080101D6073,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,443.80",$0.00,1,0,1,1,1,1,20080101D6074,HCPCS,Abutment supported retainer,,,27 ,,NW,,,,,,"$1,486.31",$0.00,1,0,1,1,1,1,20080101D6075,HCPCS,Implant supported retainer,,,27 ,,NW,,,,,,"$1,736.17",$0.00,1,0,1,1,1,1,20080101D6076,HCPCS,Implant supported retainer,,,27 ,,NW,,,,,,"$1,626.10",$0.00,1,0,1,1,1,1,20080101D6077,HCPCS,Implant supported retainer,,,27 ,,NW,,,,,,"$1,688.64",$0.00,1,0,1,1,1,1,20080101D6078,HCPCS,Implnt/abut suprtd fixd dent,,,27 ,,NW,,,,,,"$6,234.31",$0.00,1,0,1,1,1,1,20080101D6079,HCPCS,Implnt/abut suprtd fixd dent,,,27 ,,NW,,,,,,"$2,995.44",$0.00,1,0,1,1,1,1,20080101D6080,HCPCS,Implant maintenance,,,27 ,,NW,,,,,,$138.99,$0.00,1,0,1,1,1,1,20080101D6090,HCPCS,Repair implant,,,27 ,,NW,,,,,,$598.52,$0.00,1,0,1,1,1,1,20080101D6094,HCPCS,Abut support crown titanium,,,27 ,,NW,,,,,,"$1,578.48",$0.00,1,0,1,1,1,1,20080101D6095,HCPCS,Odontics repr abutment,,,27 ,,NW,,,,,,$664.20,$0.00,1,0,1,1,1,1,20080101D6100,HCPCS,Removal of implant,,,27 ,,NW,,,,,,$801.25,$0.00,1,0,1,1,1,1,20080101D6190,HCPCS,Radio/surgical implant index,,,27 ,,NW,,,,,,$144.30,$0.00,1,0,1,1,1,1,20080101D6194,HCPCS,Abut support retainer titani,,,27 ,,NW,,,,,,"$1,645.02",$0.00,1,0,1,1,1,1,20080101D6199,HCPCS,Implant procedure,,,27 ,,NW,,,,,,"$1,608.79",$0.00,1,0,1,1,1,1,20080101D6205,HCPCS,Pontic-indirect resin based,,,27 ,,NW,,,,,,"$1,110.93",$0.00,1,0,1,1,1,1,20080101D6210,HCPCS,Prosthodont high noble metal,,,27 ,,NW,,,,,,"$1,175.43",$0.00,1,0,1,1,1,1,20080101D6211,HCPCS,Bridge base metal cast,,,27 ,,NW,,,,,,"$1,081.08",$0.00,1,0,1,1,1,1,20080101D6212,HCPCS,Bridge noble metal cast,,,27 ,,NW,,,,,,"$1,120.62",$0.00,1,0,1,1,1,1,20080101D6214,HCPCS,Pontic titanium,,,27 ,,NW,,,,,,"$1,120.66",$0.00,1,0,1,1,1,1,20080101D6240,HCPCS,Bridge porcelain high noble,,,27 ,,NW,,,,,,"$1,193.36",$0.00,1,0,1,1,1,1,20080101D6241,HCPCS,Bridge porcelain base metal,,,27 ,,NW,,,,,,"$1,079.58",$0.00,1,0,1,1,1,1,20080101D6242,HCPCS,Bridge porcelain nobel metal,,,27 ,,NW,,,,,,"$1,140.28",$0.00,1,0,1,1,1,1,20080101D6245,HCPCS,Bridge porcelain/ceramic,,,27 ,,NW,,,,,,"$1,212.43",$0.00,1,0,1,1,1,1,20080101D6250,HCPCS,Bridge resin w/high noble,,,27 ,,NW,,,,,,"$1,173.35",$0.00,1,0,1,1,1,1,20080101D6251,HCPCS,Bridge resin base metal,,,27 ,,NW,,,,,,"$1,076.34",$0.00,1,0,1,1,1,1,20080101D6252,HCPCS,Bridge resin w/noble metal,,,27 ,,NW,,,,,,"$1,110.96",$0.00,1,0,1,1,1,1,20080101D6253,HCPCS,Provisional pontic,,,27 ,,NW,,,,,,$435.28,$0.00,1,0,1,1,1,1,20080101D6545,HCPCS,Dental retainr cast metl,,,27 ,,NW,,,,,,$640.38,$0.00,1,0,1,1,1,1,20080101D6548,HCPCS,Porcelain/ceramic retainer,,,27 ,,NW,,,,,,$782.99,$0.00,1,0,1,1,1,1,20080101D6600,HCPCS,Porcelain/ceramic inlay 2srf,,,27 ,,NW,,,,,,"$1,034.11",$0.00,1,0,1,1,1,1,20080101D6601,HCPCS,Porc/ceram inlay >= 3 surfac,,,27 ,,NW,,,,,,"$1,123.51",$0.00,1,0,1,1,1,1,20080101D6602,HCPCS,Cst hgh nble mtl inlay 2 srf,,,27 ,,NW,,,,,,"$1,085.44",$0.00,1,0,1,1,1,1,20080101D6603,HCPCS,Cst hgh nble mtl inlay >=3sr,,,27 ,,NW,,,,,,"$1,139.35",$0.00,1,0,1,1,1,1,20080101D6604,HCPCS,Cst bse mtl inlay 2 surfaces,,,27 ,,NW,,,,,,"$1,063.46",$0.00,1,0,1,1,1,1,20080101D6605,HCPCS,Cst bse mtl inlay >= 3 surfa,,,27 ,,NW,,,,,,"$1,273.26",$0.00,1,0,1,1,1,1,20080101D6606,HCPCS,Cast noble metal inlay 2 sur,,,27 ,,NW,,,,,,"$1,024.35",$0.00,1,0,1,1,1,1,20080101D6607,HCPCS,Cst noble mtl inlay >=3 surf,,,27 ,,NW,,,,,,"$1,287.19",$0.00,1,0,1,1,1,1,20080101D6608,HCPCS,Onlay porc/crmc 2 surfaces,,,27 ,,NW,,,,,,"$1,101.70",$0.00,1,0,1,1,1,1,20080101D6609,HCPCS,Onlay porc/crmc >=3 surfaces,,,27 ,,NW,,,,,,"$1,254.07",$0.00,1,0,1,1,1,1,20080101D6610,HCPCS,Onlay cst hgh nbl mtl 2 srfc,,,27 ,,NW,,,,,,"$1,164.46",$0.00,1,0,1,1,1,1,20080101D6611,HCPCS,Onlay cst hgh nbl mtl >=3srf,,,27 ,,NW,,,,,,"$1,304.98",$0.00,1,0,1,1,1,1,20080101D6612,HCPCS,Onlay cst base mtl 2 surface,,,27 ,,NW,,,,,,"$1,258.79",$0.00,1,0,1,1,1,1,20080101D6613,HCPCS,Onlay cst base mtl >=3 surfa,,,27 ,,NW,,,,,,"$1,360.74",$0.00,1,0,1,1,1,1,20080101D6614,HCPCS,Onlay cst nbl mtl 2 surfaces,,,27 ,,NW,,,,,,"$1,290.48",$0.00,1,0,1,1,1,1,20080101D6615,HCPCS,Onlay cst nbl mtl >=3 surfac,,,27 ,,NW,,,,,,"$1,381.27",$0.00,1,0,1,1,1,1,20080101D6624,HCPCS,Inlay titanium,,,27 ,,NW,,,,,,"$1,085.44",$0.00,1,0,1,1,1,1,20080101D6634,HCPCS,Onlay titanium,,,27 ,,NW,,,,,,"$1,164.46",$0.00,1,0,1,1,1,1,20080101D6710,HCPCS,Crown-indirect resin based,,,27 ,,NW,,,,,,$668.00,$0.00,1,0,1,1,1,1,20080101D6720,HCPCS,Retain crown resin w hi nble,,,27 ,,NW,,,,,,"$1,219.40",$0.00,1,0,1,1,1,1,20080101D6721,HCPCS,Crown resin w/base metal,,,27 ,,NW,,,,,,"$1,104.72",$0.00,1,0,1,1,1,1,20080101D6722,HCPCS,Crown resin w/noble metal,,,27 ,,NW,,,,,,"$1,201.20",$0.00,1,0,1,1,1,1,20080101D6740,HCPCS,Crown porcelain/ceramic,,,27 ,,NW,,,,,,"$1,286.21",$0.00,1,0,1,1,1,1,20080101D6750,HCPCS,Crown porcelain high noble,,,27 ,,NW,,,,,,"$1,246.78",$0.00,1,0,1,1,1,1,20080101D6751,HCPCS,Crown porcelain base metal,,,27 ,,NW,,,,,,"$1,131.14",$0.00,1,0,1,1,1,1,20080101D6752,HCPCS,Crown porcelain noble metal,,,27 ,,NW,,,,,,"$1,187.82",$0.00,1,0,1,1,1,1,20080101D6780,HCPCS,Crown 3/4 high noble metal,,,27 ,,NW,,,,,,"$1,209.11",$0.00,1,0,1,1,1,1,20080101D6781,HCPCS,Crown 3/4 cast based metal,,,27 ,,NW,,,,,,"$1,170.12",$0.00,1,0,1,1,1,1,20080101D6782,HCPCS,Crown 3/4 cast noble metal,,,27 ,,NW,,,,,,"$1,120.50",$0.00,1,0,1,1,1,1,20080101D6783,HCPCS,Crown 3/4 porcelain/ceramic,,,27 ,,NW,,,,,,"$1,233.47",$0.00,1,0,1,1,1,1,20080101D6790,HCPCS,Crown full high noble metal,,,27 ,,NW,,,,,,"$1,209.14",$0.00,1,0,1,1,1,1,20080101D6791,HCPCS,Crown full base metal cast,,,27 ,,NW,,,,,,"$1,128.06",$0.00,1,0,1,1,1,1,20080101D6792,HCPCS,Crown full noble metal cast,,,27 ,,NW,,,,,,"$1,171.71",$0.00,1,0,1,1,1,1,20080101D6793,HCPCS,Provisional retainer crown,,,27 ,,NW,,,,,,$464.37,$0.00,1,0,1,1,1,1,20080101D6794,HCPCS,Crown titanium,,,27 ,,NW,,,,,,"$1,171.68",$0.00,1,0,1,1,1,1,20080101D6920,HCPCS,Dental connector bar,,,27 ,,NW,,,,,,$216.48,$0.00,1,0,1,1,1,1,20080101D6930,HCPCS,Dental recement bridge,,,27 ,,NW,,,,,,$163.81,$0.00,1,0,1,1,1,1,20080101D6940,HCPCS,Stress breaker,,,27 ,,NW,,,,,,$393.10,$0.00,1,0,1,1,1,1,20080101D6950,HCPCS,Precision attachment,,,27 ,,NW,,,,,,$685.08,$0.00,1,0,1,1,1,1,20080101D6970,HCPCS,Post & core plus retainer,,,27 ,,NW,,,,,,$456.28,$0.00,1,0,1,1,1,1,20080101D6972,HCPCS,Prefab post & core plus reta,,,27 ,,NW,,,,,,$355.83,$0.00,1,0,1,1,1,1,20080101D6973,HCPCS,Core build up for retainer,,,27 ,,NW,,,,,,$287.03,$0.00,1,0,1,1,1,1,20080101D6975,HCPCS,Coping metal,,,27 ,,NW,,,,,,$791.61,$0.00,1,0,1,1,1,1,20080101D6976,HCPCS,Each addtnl cast post,,,27 ,,NW,,,,,,$239.41,$0.00,1,0,1,1,1,1,20080101D6977,HCPCS,Each addtl prefab post,,,27 ,,NW,,,,,,$174.46,$0.00,1,0,1,1,1,1,20080101D6980,HCPCS,Bridge repair,,,27 ,,NW,,,,,,$390.36,$0.00,1,0,1,1,1,1,20080101D6985,HCPCS,Pediatric partial denture fx,,,27 ,,NW,,,,,,$825.85,$0.00,1,0,1,1,1,1,20080101D6999,HCPCS,Fixed prosthodontic proc,,,27 ,,NW,,,,,,"$1,479.12",$0.00,1,0,1,1,1,1,20080101D7111,HCPCS,Coronal remnants deciduous t,,,26 ,,NW,,,,,,$141.51,$0.00,1,0,1,1,1,1,20080101D7140,HCPCS,Extraction erupted tooth/exr,,,26 ,,NW,,,,,,$166.86,$0.00,1,0,1,1,1,1,20080101D7210,HCPCS,Rem imp tooth w mucoper flp,,,26 ,,NW,,,,,,$295.23,$0.00,1,0,1,1,1,1,20080101D7220,HCPCS,Impact tooth remov soft tiss,,,26 ,,NW,,,,,,$355.46,$0.00,1,0,1,1,1,1,20080101D7230,HCPCS,Impact tooth remov part bony,,,26 ,,NW,,,,,,$458.57,$0.00,1,0,1,1,1,1,20080101D7240,HCPCS,Impact tooth remov comp bony,,,26 ,,NW,,,,,,$544.74,$0.00,1,0,1,1,1,1,20080101D7241,HCPCS,Impact tooth rem bony w/comp,,,26 ,,NW,,,,,,$656.06,$0.00,1,0,1,1,1,1,20080101D7250,HCPCS,Tooth root removal,,,26 ,,NW,,,,,,$324.16,$0.00,1,0,1,1,1,1,20080101D7260,HCPCS,Oral antral fistula closure,,,26 ,,NW,,,,,,"$2,388.37",$0.00,1,0,1,1,1,1,20080101D7261,HCPCS,Primary closure sinus perf,,,26 ,,NW,,,,,,$811.18,$0.00,1,0,1,1,1,1,20080101D7270,HCPCS,Tooth reimplantation,,,26 ,,NW,,,,,,$583.31,$0.00,1,0,1,1,1,1,20080101D7272,HCPCS,Tooth transplantation,,,26 ,,NW,,,,,,$778.76,$0.00,1,0,1,1,1,1,20080101D7280,HCPCS,Exposure impact tooth orthod,,,26 ,,NW,,,,,,$641.30,$0.00,1,0,1,1,1,1,20080101D7282,HCPCS,Mobilize erupted/malpos toot,,,26 ,,NW,,,,,,$231.72,$0.00,1,0,1,1,1,1,20080101D7283,HCPCS,Place device impacted tooth,,,26 ,,NW,,,,,,$231.72,$0.00,1,0,1,1,1,1,20080101D7285,HCPCS,Biopsy of oral tissue hard,,,26 ,,NW,,,,,,$770.44,$0.00,1,0,1,1,1,1,20080101D7286,HCPCS,Biopsy of oral tissue soft,,,26 ,,NW,,,,,,$408.74,$0.00,1,0,1,1,1,1,20080101D7287,HCPCS,Cytology sample collection,,,26 ,,NW,,,,,,$162.13,$0.00,1,0,1,1,1,1,20080101D7288,HCPCS,Brush biopsy,,,26 ,,NW,,,,,,$450.94,$0.00,1,0,1,1,1,1,20080101D7290,HCPCS,Repositioning of teeth,,,26 ,,NW,,,,,,$533.62,$0.00,1,0,1,1,1,1,20080101D7291,HCPCS,Transseptal fiberotomy,,,26 ,,NW,,,,,,$237.97,$0.00,1,0,1,1,1,1,20080101D7310,HCPCS,Alveoplasty w/ extraction,,,26 ,,NW,,,,,,$313.96,$0.00,1,0,1,1,1,1,20080101D7311,HCPCS,Alveoloplasty w/extract 1-3,,,26 ,,NW,,,,,,"$1,014.62",$0.00,1,0,1,1,1,1,20080101D7320,HCPCS,Alveoplasty w/o extraction,,,26 ,,NW,,,,,,$534.31,$0.00,1,0,1,1,1,1,20080101D7321,HCPCS,Alveoloplasty not w/extracts,,,26 ,,NW,,,,,,"$1,014.62",$0.00,1,0,1,1,1,1,20080101D7340,HCPCS,Vestibuloplasty ridge extens,,,26 ,,NW,,,,,,"$1,821.42",$0.00,1,0,1,1,1,1,20080101D7350,HCPCS,Vestibuloplasty exten graft,,,26 ,,NW,,,,,,"$2,842.01",$0.00,1,0,1,1,1,1,20080101D7410,HCPCS,Rad exc lesion up to 1.25 cm,,,26 ,,NW,,,,,,$683.47,$0.00,1,0,1,1,1,1,20080101D7411,HCPCS,Excision benign lesion>1.25c,,,26 ,,NW,,,,,,$738.93,$0.00,1,0,1,1,1,1,20080101D7412,HCPCS,Excision benign lesion compl,,,26 ,,NW,,,,,,$881.54,$0.00,1,0,1,1,1,1,20080101D7413,HCPCS,Excision malig lesion<=1.25c,,,26 ,,NW,,,,,,"$1,185.11",$0.00,1,0,1,1,1,1,20080101D7414,HCPCS,Excision malig lesion>1.25cm,,,26 ,,NW,,,,,,"$1,526.68",$0.00,1,0,1,1,1,1,20080101D7415,HCPCS,Excision malig les complicat,,,26 ,,NW,,,,,,"$1,656.33",$0.00,1,0,1,1,1,1,20080101D7440,HCPCS,Malig tumor exc to 1.25 cm,,,26 ,,NW,,,,,,$818.88,$0.00,1,0,1,1,1,1,20080101D7441,HCPCS,Malig tumor > 1.25 cm,,,26 ,,NW,,,,,,"$1,207.20",$0.00,1,0,1,1,1,1,20080101D7450,HCPCS,Rem odontogen cyst to 1.25cm,,,26 ,,NW,,,,,,$747.53,$0.00,1,0,1,1,1,1,20080101D7451,HCPCS,Rem odontogen cyst > 1.25 cm,,,26 ,,NW,,,,,,"$1,194.87",$0.00,1,0,1,1,1,1,20080101D7460,HCPCS,Rem nonodonto cyst to 1.25cm,,,26 ,,NW,,,,,,$732.10,$0.00,1,0,1,1,1,1,20080101D7461,HCPCS,Rem nonodonto cyst > 1.25 cm,,,26 ,,NW,,,,,,"$1,215.33",$0.00,1,0,1,1,1,1,20080101D7465,HCPCS,Lesion destruction,,,26 ,,NW,,,,,,$457.85,$0.00,1,0,1,1,1,1,20080101D7471,HCPCS,Rem exostosis any site,,,26 ,,NW,,,,,,$856.54,$0.00,1,0,1,1,1,1,20080101D7472,HCPCS,Removal of torus palatinus,,,26 ,,NW,,,,,,"$1,024.05",$0.00,1,0,1,1,1,1,20080101D7473,HCPCS,Remove torus mandibularis,,,26 ,,NW,,,,,,$963.59,$0.00,1,0,1,1,1,1,20080101D7485,HCPCS,Surg reduct osseoustuberosit,,,26 ,,NW,,,,,,$845.28,$0.00,1,0,1,1,1,1,20080101D7490,HCPCS,Mandible resection,,,26 ,,NW,,,,,,"$9,127.49",$0.00,1,0,1,1,1,1,20080101D7510,HCPCS,I&d absc intraoral soft tiss,,,26 ,,NW,,,,,,$273.16,$0.00,1,0,1,1,1,1,20080101D7511,HCPCS,Incision/drain abscess intra,,,26 ,,NW,,,,,,$459.62,$0.00,1,0,1,1,1,1,20080101D7520,HCPCS,I&d abscess extraoral,,,26 ,,NW,,,,,,"$1,243.78",$0.00,1,0,1,1,1,1,20080101D7521,HCPCS,Incision/drain abscess extra,,,26 ,,NW,,,,,,"$1,384.05",$0.00,1,0,1,1,1,1,20080101D7530,HCPCS,Removal fb skin/areolar tiss,,,26 ,,NW,,,,,,$425.30,$0.00,1,0,1,1,1,1,20080101D7540,HCPCS,Removal of fb reaction,,,26 ,,NW,,,,,,$619.22,$0.00,1,0,1,1,1,1,20080101D7550,HCPCS,Removal of sloughed off bone,,,26 ,,NW,,,,,,$444.49,$0.00,1,0,1,1,1,1,20080101D7560,HCPCS,Maxillary sinusotomy,,,26 ,,NW,,,,,,"$2,113.69",$0.00,1,0,1,1,1,1,20080101D7610,HCPCS,Maxilla open reduct simple,,,26 ,,NW,,,,,,"$4,776.35",$0.00,1,0,1,1,1,1,20080101D7620,HCPCS,Clsd reduct simpl maxilla fx,,,26 ,,NW,,,,,,"$3,281.72",$0.00,1,0,1,1,1,1,20080101D7630,HCPCS,Open red simpl mandible fx,,,26 ,,NW,,,,,,"$5,777.18",$0.00,1,0,1,1,1,1,20080101D7640,HCPCS,Clsd red simpl mandible fx,,,26 ,,NW,,,,,,"$3,738.79",$0.00,1,0,1,1,1,1,20080101D7650,HCPCS,Open red simp malar/zygom fx,,,26 ,,NW,,,,,,"$2,934.10",$0.00,1,0,1,1,1,1,20080101D7660,HCPCS,Clsd red simp malar/zygom fx,,,26 ,,NW,,,,,,"$1,623.53",$0.00,1,0,1,1,1,1,20080101D7670,HCPCS,Closd rductn splint alveolus,,,26 ,,NW,,,,,,"$1,503.29",$0.00,1,0,1,1,1,1,20080101D7671,HCPCS,Alveolus open reduction,,,26 ,,NW,,,,,,"$1,162.72",$0.00,1,0,1,1,1,1,20080101D7680,HCPCS,Reduct simple facial bone fx,,,26 ,,NW,,,,,,"$8,058.57",$0.00,1,0,1,1,1,1,20080101D7710,HCPCS,Maxilla open reduct compound,,,26 ,,NW,,,,,,"$5,182.38",$0.00,1,0,1,1,1,1,20080101D7720,HCPCS,Clsd reduct compd maxilla fx,,,26 ,,NW,,,,,,"$3,014.64",$0.00,1,0,1,1,1,1,20080101D7730,HCPCS,Open reduct compd mandble fx,,,26 ,,NW,,,,,,"$6,630.99",$0.00,1,0,1,1,1,1,20080101D7740,HCPCS,Clsd reduct compd mandble fx,,,26 ,,NW,,,,,,"$3,919.07",$0.00,1,0,1,1,1,1,20080101D7750,HCPCS,Open red comp malar/zygma fx,,,26 ,,NW,,,,,,"$4,779.30",$0.00,1,0,1,1,1,1,20080101D7760,HCPCS,Clsd red comp malar/zygma fx,,,26 ,,NW,,,,,,"$1,765.76",$0.00,1,0,1,1,1,1,20080101D7770,HCPCS,Open reduc compd alveolus fx,,,26 ,,NW,,,,,,"$2,529.82",$0.00,1,0,1,1,1,1,20080101D7771,HCPCS,Alveolus clsd reduc stblz te,,,26 ,,NW,,,,,,"$1,790.43",$0.00,1,0,1,1,1,1,20080101D7780,HCPCS,Reduct compnd facial bone fx,,,26 ,,NW,,,,,,"$11,014.70",$0.00,1,0,1,1,1,1,20080101D7810,HCPCS,Tmj open reduct-dislocation,,,26 ,,NW,,,,,,"$4,923.40",$0.00,1,0,1,1,1,1,20080101D7820,HCPCS,Closed tmp manipulation,,,26 ,,NW,,,,,,$739.52,$0.00,1,0,1,1,1,1,20080101D7830,HCPCS,Tmj manipulation under anest,,,26 ,,NW,,,,,,$614.58,$0.00,1,0,1,1,1,1,20080101D7840,HCPCS,Removal of tmj condyle,,,26 ,,NW,,,,,,"$6,504.52",$0.00,1,0,1,1,1,1,20080101D7850,HCPCS,Tmj meniscectomy,,,26 ,,NW,,,,,,"$6,073.92",$0.00,1,0,1,1,1,1,20080101D7852,HCPCS,Tmj repair of joint disc,,,26 ,,NW,,,,,,"$6,595.19",$0.00,1,0,1,1,1,1,20080101D7854,HCPCS,Tmj excisn of joint membrane,,,26 ,,NW,,,,,,"$6,717.13",$0.00,1,0,1,1,1,1,20080101D7856,HCPCS,Tmj cutting of a muscle,,,26 ,,NW,,,,,,"$4,480.34",$0.00,1,0,1,1,1,1,20080101D7858,HCPCS,Tmj reconstruction,,,26 ,,NW,,,,,,"$8,002.65",$0.00,1,0,1,1,1,1,20080101D7860,HCPCS,Tmj cutting into joint,,,26 ,,NW,,,,,,"$3,847.59",$0.00,1,0,1,1,1,1,20080101D7865,HCPCS,Tmj reshaping components,,,26 ,,NW,,,,,,"$5,735.03",$0.00,1,0,1,1,1,1,20080101D7870,HCPCS,Tmj aspiration joint fluid,,,26 ,,NW,,,,,,$378.79,$0.00,1,0,1,1,1,1,20080101D7871,HCPCS,Lysis + lavage w catheters,,,26 ,,NW,,,,,,"$1,089.68",$0.00,1,0,1,1,1,1,20080101D7872,HCPCS,Tmj diagnostic arthroscopy,,,26 ,,NW,,,,,,"$2,515.46",$0.00,1,0,1,1,1,1,20080101D7873,HCPCS,Tmj arthroscopy lysis adhesn,,,26 ,,NW,,,,,,"$2,873.48",$0.00,1,0,1,1,1,1,20080101D7874,HCPCS,Tmj arthroscopy disc reposit,,,26 ,,NW,,,,,,"$3,791.13",$0.00,1,0,1,1,1,1,20080101D7875,HCPCS,Tmj arthroscopy synovectomy,,,26 ,,NW,,,,,,"$4,080.57",$0.00,1,0,1,1,1,1,20080101D7876,HCPCS,Tmj arthroscopy discectomy,,,26 ,,NW,,,,,,"$4,339.98",$0.00,1,0,1,1,1,1,20080101D7877,HCPCS,Tmj arthroscopy debridement,,,26 ,,NW,,,,,,"$3,919.77",$0.00,1,0,1,1,1,1,20080101D7880,HCPCS,Occlusal orthotic appliance,,,26 ,,NW,,,,,,$954.32,$0.00,1,0,1,1,1,1,20080101D7899,HCPCS,Tmj unspecified therapy,,,26 ,,NW,,,,,,"$1,521.86",$0.00,1,0,1,1,1,1,20080101D7910,HCPCS,Dent sutur recent wnd to 5cm,,,26 ,,NW,,,,,,$361.74,$0.00,1,0,1,1,1,1,20080101D7911,HCPCS,Dental suture wound to 5 cm,,,26 ,,NW,,,,,,$787.27,$0.00,1,0,1,1,1,1,20080101D7912,HCPCS,Suture complicate wnd > 5 cm,,,26 ,,NW,,,,,,"$1,488.73",$0.00,1,0,1,1,1,1,20080101D7920,HCPCS,Dental skin graft,,,26 ,,NW,,,,,,"$3,071.00",$0.00,1,0,1,1,1,1,20080101D7940,HCPCS,Reshaping bone orthognathic,,,26 ,,NW,,,,,,"$3,227.87",$0.00,1,0,1,1,1,1,20080101D7941,HCPCS,Bone cutting ramus closed,,,26 ,,NW,,,,,,"$10,155.47",$0.00,1,0,1,1,1,1,20080101D7943,HCPCS,Cutting ramus open w/graft,,,26 ,,NW,,,,,,"$10,526.98",$0.00,1,0,1,1,1,1,20080101D7944,HCPCS,Bone cutting segmented,,,26 ,,NW,,,,,,"$8,718.92",$0.00,1,0,1,1,1,1,20080101D7945,HCPCS,Bone cutting body mandible,,,26 ,,NW,,,,,,"$9,019.42",$0.00,1,0,1,1,1,1,20080101D7946,HCPCS,Reconstruction maxilla total,,,26 ,,NW,,,,,,"$10,868.16",$0.00,1,0,1,1,1,1,20080101D7947,HCPCS,Reconstruct maxilla segment,,,26 ,,NW,,,,,,"$10,047.02",$0.00,1,0,1,1,1,1,20080101D7948,HCPCS,Reconstruct midface no graft,,,26 ,,NW,,,,,,"$14,446.66",$0.00,1,0,1,1,1,1,20080101D7949,HCPCS,Reconstruct midface w/graft,,,26 ,,NW,,,,,,"$18,706.18",$0.00,1,0,1,1,1,1,20080101D7950,HCPCS,Mandible graft,,,26 ,,NW,,,,,,"$2,846.81",$0.00,1,0,1,1,1,1,20080101D7953,HCPCS,Bone replacement graft,,,26 ,,NW,,,,,,$592.58,$0.00,1,0,1,1,1,1,20080101D7955,HCPCS,Repair maxillofacial defects,,,26 ,,NW,,,,,,"$2,817.48",$0.00,1,0,1,1,1,1,20080101D7960,HCPCS,Frenulectomy/frenulotomy,,,26 ,,NW,,,,,,$583.78,$0.00,1,0,1,1,1,1,20080101D7963,HCPCS,Frenuloplasty,,,26 ,,NW,,,,,,"$1,045.84",$0.00,1,0,1,1,1,1,20080101D7970,HCPCS,Excision hyperplastic tissue,,,26 ,,NW,,,,,,$608.58,$0.00,1,0,1,1,1,1,20080101D7971,HCPCS,Excision pericoronal gingiva,,,26 ,,NW,,,,,,$240.49,$0.00,1,0,1,1,1,1,20080101D7972,HCPCS,Surg redct fibrous tuberosit,,,26 ,,NW,,,,,,$776.99,$0.00,1,0,1,1,1,1,20080101D7980,HCPCS,Sialolithotomy,,,26 ,,NW,,,,,,$850.27,$0.00,1,0,1,1,1,1,20080101D7981,HCPCS,Excision of salivary gland,,,26 ,,NW,,,,,,$581.92,$0.00,1,0,1,1,1,1,20080101D7982,HCPCS,Sialodochoplasty,,,26 ,,NW,,,,,,"$2,006.61",$0.00,1,0,1,1,1,1,20080101D7983,HCPCS,Closure of salivary fistula,,,26 ,,NW,,,,,,"$1,849.20",$0.00,1,0,1,1,1,1,20080101D7990,HCPCS,Emergency tracheotomy,,,26 ,,NW,,,,,,"$1,775.89",$0.00,1,0,1,1,1,1,20080101D7991,HCPCS,Dental coronoidectomy,,,26 ,,NW,,,,,,"$5,115.06",$0.00,1,0,1,1,1,1,20080101D7995,HCPCS,Synthetic graft facial bones,,,26 ,,NW,,,,,,$534.80,$0.00,1,0,1,1,1,1,20080101D7996,HCPCS,Implant mandible for augment,,,26 ,,NW,,,,,,"$2,267.32",$0.00,1,0,1,1,1,1,20080101D7997,HCPCS,Appliance removal,,,26 ,,NW,,,,,,$297.53,$0.00,1,0,1,1,1,1,20080101D7999,HCPCS,Oral surgery procedure,,,26 ,,NW,,,,,,"$1,521.86",$0.00,1,0,1,1,1,1,20080101D8010,HCPCS,Limited dental tx primary,,,27 ,,NW,,,,,,"$1,850.33",$0.00,1,0,1,1,1,1,20080101D8020,HCPCS,Limited dental tx transition,,,27 ,,NW,,,,,,"$2,046.68",$0.00,1,0,1,1,1,1,20080101D8030,HCPCS,Limited dental tx adolescent,,,27 ,,NW,,,,,,"$2,199.00",$0.00,1,0,1,1,1,1,20080101D8040,HCPCS,Limited dental tx adult,,,27 ,,NW,,,,,,"$2,321.28",$0.00,1,0,1,1,1,1,20080101D8050,HCPCS,Intercep dental tx primary,,,27 ,,NW,,,,,,"$2,308.70",$0.00,1,0,1,1,1,1,20080101D8060,HCPCS,Intercep dental tx transitn,,,27 ,,NW,,,,,,"$2,516.23",$0.00,1,0,1,1,1,1,20080101D8070,HCPCS,Compre dental tx transition,,,27 ,,NW,,,,,,"$3,958.43",$0.00,1,0,1,1,1,1,20080101D8080,HCPCS,Compre dental tx adolescent,,,27 ,,NW,,,,,,"$4,017.83",$0.00,1,0,1,1,1,1,20080101D8090,HCPCS,Compre dental tx adult,,,27 ,,NW,,,,,,"$4,185.52",$0.00,1,0,1,1,1,1,20080101D8210,HCPCS,Orthodontic rem appliance tx,,,27 ,,NW,,,,,,"$1,268.28",$0.00,1,0,1,1,1,1,20080101D8220,HCPCS,Fixed appliance therapy habt,,,27 ,,NW,,,,,,"$1,339.55",$0.00,1,0,1,1,1,1,20080101D8660,HCPCS,Preorthodontic tx visit,,,27 ,,NW,,,,,,$205.28,$0.00,1,0,1,1,1,1,20080101D8670,HCPCS,Periodic orthodontc tx visit,,,27 ,,NW,,,,,,$243.01,$0.00,1,0,1,1,1,1,20080101D8680,HCPCS,Orthodontic retention,,,27 ,,NW,,,,,,$593.57,$0.00,1,0,1,1,1,1,20080101D8690,HCPCS,Orthodontic treatment,,,27 ,,NW,,,,,,$259.18,$0.00,1,0,1,1,1,1,20080101D8691,HCPCS,Repair ortho appliance,,,27 ,,NW,,,,,,$179.20,$0.00,1,0,1,1,1,1,20080101D8692,HCPCS,Replacement retainer,,,27 ,,NW,,,,,,$317.16,$0.00,1,0,1,1,1,1,20080101D8999,HCPCS,Orthodontic procedure,,,27 ,,NW,,,,,,"$1,551.32",$0.00,1,0,1,1,1,1,20080101D9110,HCPCS,Tx dental pain minor proc,,,26 ,,NW,,,,,,$126.34,$0.00,1,0,1,1,1,1,20080101D9210,HCPCS,Dent anesthesia w/o surgery,,,26 ,,NW,,,,,,$35.91,$0.00,1,0,1,1,1,1,20080101D9211,HCPCS,Regional block anesthesia,,,26 ,,NW,,,,,,$40.25,$0.00,1,0,1,1,1,1,20080101D9212,HCPCS,Trigeminal block anesthesia,,,26 ,,NW,,,,,,$87.12,$0.00,1,0,1,1,1,1,20080101D9215,HCPCS,Local anesthesia,,,26 ,,NW,,,,,,$33.70,$0.00,1,0,1,1,1,1,20080101D9220,HCPCS,General anesthesia,,,26 ,,NW,,,,,,$439.12,$0.00,1,0,1,1,1,1,20080101D9221,HCPCS,General anesthesia ea ad 15m,,,26 ,,NW,,,,,,$179.21,$0.00,1,0,1,1,1,1,20080101D9230,HCPCS,Analgesia,,,26 ,,NW,,,,,,$67.62,$0.00,1,0,1,1,1,1,20080101D9241,HCPCS,Intravenous sedation,,,26 ,,NW,,,,,,$412.12,$0.00,1,0,1,1,1,1,20080101D9242,HCPCS,IV sedation ea ad 30 m,,,26 ,,NW,,,,,,$157.37,$0.00,1,0,1,1,1,1,20080101D9248,HCPCS,Sedation (non-iv),,,26 ,,NW,,,,,,$93.16,$0.00,1,0,1,1,1,1,20080101D9310,HCPCS,Dental consultation,,,25 ,,NW,,,,,,$170.58,$0.00,1,0,1,1,1,1,20080101D9410,HCPCS,Dental house call,,,25 ,,NW,,,,,,$285.28,$0.00,1,0,1,1,1,1,20080101D9420,HCPCS,Hospital call,,,25 ,,NW,,,,,,$360.71,$0.00,1,0,1,1,1,1,20080101D9430,HCPCS,Office visit during hours,,,25 ,,NW,,,,,,$83.20,$0.00,1,0,1,1,1,1,20080101D9440,HCPCS,Office visit after hours,,,25 ,,NW,,,,,,$163.03,$0.00,1,0,1,1,1,1,20080101D9450,HCPCS,Case presentation tx plan,,,25 ,,NW,,,,,,$73.35,$0.00,1,0,1,1,1,1,20080101D9610,HCPCS,Dent therapeutic drug inject,,,27 ,,NW,,,,,,$93.24,$0.00,1,0,1,1,1,1,20080101D9630,HCPCS,Other drugs/medicaments,,,27 ,,NW,,,,,,$53.55,$0.00,1,0,1,1,1,1,20080101D9910,HCPCS,Dent appl desensitizing med,,,27 ,,NW,,,,,,$57.51,$0.00,1,0,1,1,1,1,20080101D9911,HCPCS,Appl desensitizing resin,,,27 ,,NW,,,,,,$79.10,$0.00,1,0,1,1,1,1,20080101D9920,HCPCS,Behavior management,,,27 ,,NW,,,,,,$155.42,$0.00,1,0,1,1,1,1,20080101D9930,HCPCS,Treatment of complications,,,27 ,,NW,,,,,,$130.70,$0.00,1,0,1,1,1,1,20080101D9940,HCPCS,Dental occlusal guard,,,27 ,,NW,,,,,,$693.99,$0.00,1,0,1,1,1,1,20080101D9941,HCPCS,Fabrication athletic guard,,,27 ,,NW,,,,,,$215.27,$0.00,1,0,1,1,1,1,20080101D9950,HCPCS,Occlusion analysis,,,27 ,,NW,,,,,,$332.21,$0.00,1,0,1,1,1,1,20080101D9951,HCPCS,Limited occlusal adjustment,,,27 ,,NW,,,,,,$161.66,$0.00,1,0,1,1,1,1,20080101D9952,HCPCS,Complete occlusal adjustment,,,27 ,,NW,,,,,,$784.59,$0.00,1,0,1,1,1,1,20080101D9970,HCPCS,Enamel microabrasion,,,27 ,,NW,,,,,,$60.85,$0.00,1,0,1,1,1,1,20080101D9971,HCPCS,Odontoplasty 1-2 teeth,,,27 ,,NW,,,,,,$80.63,$0.00,1,0,1,1,1,1,20080101D9972,HCPCS,Extrnl bleaching per arch,,,27 ,,NW,,,,,,$377.81,$0.00,1,0,1,1,1,1,20080101D9973,HCPCS,Extrnl bleaching per tooth,,,27 ,,NW,,,,,,$49.16,$0.00,1,0,1,1,1,1,20080101D9974,HCPCS,Intrnl bleaching per tooth,,,27 ,,NW,,,,,,$306.36,$0.00,1,0,1,1,1,1,20080101D9999,HCPCS,Adjunctive procedure,,,27 ,,NW,,,,,,"$1,473.25",$0.00,1,0,1,1,1,1,20080101E0100,HCPCS,Cane adjust/fixed with tip,NU,,28 ,,NW,,,,,,$40.50,$0.00,1,1,1,1,1,1,20080101E0100,HCPCS,Cane adjust/fixed with tip,RR,,28 ,,NW,,,,,,$14.88,$0.00,1,1,1,1,1,1,20080101E0100,HCPCS,Cane adjust/fixed with tip,UE,,28 ,,NW,,,,,,$33.26,$0.00,1,1,1,1,1,1,20080101E0105,HCPCS,Cane adjust/fixed quad/3 pro,NU,,28 ,,NW,,,,,,$93.40,$0.00,1,1,1,1,1,1,20080101E0105,HCPCS,Cane adjust/fixed quad/3 pro,RR,,28 ,,NW,,,,,,$19.85,$0.00,1,1,1,1,1,1,20080101E0105,HCPCS,Cane adjust/fixed quad/3 pro,UE,,28 ,,NW,,,,,,$69.31,$0.00,1,1,1,1,1,1,20080101E0110,HCPCS,Crutch forearm pair,NU,,28 ,,NW,,,,,,$154.38,$0.00,1,1,1,1,1,1,20080101E0110,HCPCS,Crutch forearm pair,RR,,28 ,,NW,,,,,,$31.91,$0.00,1,1,1,1,1,1,20080101E0110,HCPCS,Crutch forearm pair,UE,,28 ,,NW,,,,,,$112.82,$0.00,1,1,1,1,1,1,20080101E0111,HCPCS,Crutch forearm each,NU,,28 ,,NW,,,,,,$102.28,$0.00,1,1,1,1,1,1,20080101E0111,HCPCS,Crutch forearm each,RR,,28 ,,NW,,,,,,$19.11,$0.00,1,1,1,1,1,1,20080101E0111,HCPCS,Crutch forearm each,UE,,28 ,,NW,,,,,,$76.24,$0.00,1,1,1,1,1,1,20080101E0112,HCPCS,Crutch underarm pair wood,NU,,28 ,,NW,,,,,,$67.45,$0.00,1,1,1,1,1,1,20080101E0112,HCPCS,Crutch underarm pair wood,RR,,28 ,,NW,,,,,,$21.65,$0.00,1,1,1,1,1,1,20080101E0112,HCPCS,Crutch underarm pair wood,UE,,28 ,,NW,,,,,,$52.61,$0.00,1,1,1,1,1,1,20080101E0113,HCPCS,Crutch underarm each wood,NU,,28 ,,NW,,,,,,$40.60,$0.00,1,1,1,1,1,1,20080101E0113,HCPCS,Crutch underarm each wood,RR,,28 ,,NW,,,,,,$13.55,$0.00,1,1,1,1,1,1,20080101E0113,HCPCS,Crutch underarm each wood,UE,,28 ,,NW,,,,,,$31.68,$0.00,1,1,1,1,1,1,20080101E0114,HCPCS,Crutch underarm pair no wood,NU,,28 ,,NW,,,,,,$89.28,$0.00,1,1,1,1,1,1,20080101E0114,HCPCS,Crutch underarm pair no wood,RR,,28 ,,NW,,,,,,$19.34,$0.00,1,1,1,1,1,1,20080101E0114,HCPCS,Crutch underarm pair no wood,UE,,28 ,,NW,,,,,,$65.22,$0.00,1,1,1,1,1,1,20080101E0116,HCPCS,Crutch underarm each no wood,NU,,28 ,,NW,,,,,,$51.79,$0.00,1,1,1,1,1,1,20080101E0116,HCPCS,Crutch underarm each no wood,RR,,28 ,,NW,,,,,,$13.97,$0.00,1,1,1,1,1,1,20080101E0116,HCPCS,Crutch underarm each no wood,UE,,28 ,,NW,,,,,,$40.19,$0.00,1,1,1,1,1,1,20080101E0117,HCPCS,Underarm springassist crutch,NU,,28 ,,NW,,,,,,$400.89,$0.00,1,1,1,1,1,1,20080101E0117,HCPCS,Underarm springassist crutch,RR,,28 ,,NW,,,,,,$37.44,$0.00,1,1,1,1,1,1,20080101E0117,HCPCS,Underarm springassist crutch,UE,,28 ,,NW,,,,,,$297.77,$0.00,1,1,1,1,1,1,20080101E0130,HCPCS,Walker rigid adjust/fixed ht,NU,,28 ,,NW,,,,,,$138.61,$0.00,1,1,1,1,1,1,20080101E0130,HCPCS,Walker rigid adjust/fixed ht,RR,,28 ,,NW,,,,,,$33.30,$0.00,1,1,1,1,1,1,20080101E0130,HCPCS,Walker rigid adjust/fixed ht,UE,,28 ,,NW,,,,,,$105.43,$0.00,1,1,1,1,1,1,20080101E0135,HCPCS,Walker folding adjust/fixed,NU,,28 ,,NW,,,,,,$167.77,$0.00,1,1,1,1,1,1,20080101E0135,HCPCS,Walker folding adjust/fixed,RR,,28 ,,NW,,,,,,$34.05,$0.00,1,1,1,1,1,1,20080101E0135,HCPCS,Walker folding adjust/fixed,UE,,28 ,,NW,,,,,,$125.96,$0.00,1,1,1,1,1,1,20080101E0140,HCPCS,Walker w trunk support,NU,,28 ,,NW,,,,,,$433.41,$0.00,1,1,1,0,1,1,20080101E0140,HCPCS,Walker w trunk support,RR,,28 ,,NW,,,,,,$43.34,$0.00,1,1,1,0,1,1,20080101E0140,HCPCS,Walker w trunk support,UE,,28 ,,NW,,,,,,$325.05,$0.00,1,1,1,0,1,1,20080101E0141,HCPCS,Rigid wheeled walker adj/fix,NU,,28 ,,NW,,,,,,$235.10,$0.00,1,1,1,1,1,1,20080101E0141,HCPCS,Rigid wheeled walker adj/fix,RR,,28 ,,NW,,,,,,$42.69,$0.00,1,1,1,1,1,1,20080101E0141,HCPCS,Rigid wheeled walker adj/fix,UE,,28 ,,NW,,,,,,$173.41,$0.00,1,1,1,1,1,1,20080101E0143,HCPCS,Walker folding wheeled w/o s,NU,,28 ,,NW,,,,,,$245.69,$0.00,1,1,1,1,1,1,20080101E0143,HCPCS,Walker folding wheeled w/o s,RR,,28 ,,NW,,,,,,$41.38,$0.00,1,1,1,1,1,1,20080101E0143,HCPCS,Walker folding wheeled w/o s,UE,,28 ,,NW,,,,,,$180.92,$0.00,1,1,1,1,1,1,20080101E0144,HCPCS,Enclosed walker w rear seat,NU,,28 ,,NW,,,,,,$670.16,$0.00,1,1,1,1,1,1,20080101E0144,HCPCS,Enclosed walker w rear seat,RR,,28 ,,NW,,,,,,$58.77,$0.00,1,1,1,1,1,1,20080101E0144,HCPCS,Enclosed walker w rear seat,UE,,28 ,,NW,,,,,,$499.66,$0.00,1,1,1,1,1,1,20080101E0147,HCPCS,Walker variable wheel resist,NU,,28 ,,NW,,,,,,"$1,219.11",$0.00,1,1,1,1,1,1,20080101E0147,HCPCS,Walker variable wheel resist,RR,,28 ,,NW,,,,,,$111.33,$0.00,1,1,1,1,1,1,20080101E0147,HCPCS,Walker variable wheel resist,UE,,28 ,,NW,,,,,,$911.43,$0.00,1,1,1,1,1,1,20080101E0148,HCPCS,Heavyduty walker no wheels,NU,,28 ,,NW,,,,,,$260.30,$0.00,1,1,1,1,1,1,20080101E0148,HCPCS,Heavyduty walker no wheels,RR,,28 ,,NW,,,,,,$26.36,$0.00,1,1,1,1,1,1,20080101E0148,HCPCS,Heavyduty walker no wheels,UE,,28 ,,NW,,,,,,$192.27,$0.00,1,1,1,1,1,1,20080101E0149,HCPCS,Heavy duty wheeled walker,NU,,28 ,,NW,,,,,,$466.19,$0.00,1,1,1,1,1,1,20080101E0149,HCPCS,Heavy duty wheeled walker,RR,,28 ,,NW,,,,,,$42.62,$0.00,1,1,1,1,1,1,20080101E0149,HCPCS,Heavy duty wheeled walker,UE,,28 ,,NW,,,,,,$346.68,$0.00,1,1,1,1,1,1,20080101E0153,HCPCS,Forearm crutch platform atta,NU,,28 ,,NW,,,,,,$136.79,$0.00,1,1,1,1,1,1,20080101E0153,HCPCS,Forearm crutch platform atta,RR,,28 ,,NW,,,,,,$18.10,$0.00,1,1,1,1,1,1,20080101E0153,HCPCS,Forearm crutch platform atta,UE,,28 ,,NW,,,,,,$99.65,$0.00,1,1,1,1,1,1,20080101E0154,HCPCS,Walker platform attachment,NU,,28 ,,NW,,,,,,$139.22,$0.00,1,1,1,1,1,1,20080101E0154,HCPCS,Walker platform attachment,RR,,28 ,,NW,,,,,,$19.33,$0.00,1,1,1,1,1,1,20080101E0154,HCPCS,Walker platform attachment,UE,,28 ,,NW,,,,,,$102.93,$0.00,1,1,1,1,1,1,20080101E0155,HCPCS,"Walker wheel attachment,pair",NU,,28 ,,NW,,,,,,$58.26,$0.00,1,1,1,1,1,1,20080101E0155,HCPCS,"Walker wheel attachment,pair",RR,,28 ,,NW,,,,,,$11.35,$0.00,1,1,1,1,1,1,20080101E0155,HCPCS,"Walker wheel attachment,pair",UE,,28 ,,NW,,,,,,$45.56,$0.00,1,1,1,1,1,1,20080101E0156,HCPCS,Walker seat attachment,NU,,28 ,,NW,,,,,,$49.58,$0.00,1,1,1,1,1,1,20080101E0156,HCPCS,Walker seat attachment,RR,,28 ,,NW,,,,,,$10.56,$0.00,1,1,1,1,1,1,20080101E0156,HCPCS,Walker seat attachment,UE,,28 ,,NW,,,,,,$38.44,$0.00,1,1,1,1,1,1,20080101E0157,HCPCS,Walker crutch attachment,NU,,28 ,,NW,,,,,,$163.66,$0.00,1,1,1,1,1,1,20080101E0157,HCPCS,Walker crutch attachment,RR,,28 ,,NW,,,,,,$20.04,$0.00,1,1,1,1,1,1,20080101E0157,HCPCS,Walker crutch attachment,UE,,28 ,,NW,,,,,,$119.83,$0.00,1,1,1,1,1,1,20080101E0158,HCPCS,Walker leg extenders set of4,NU,,28 ,,NW,,,,,,$59.31,$0.00,1,1,1,1,1,1,20080101E0158,HCPCS,Walker leg extenders set of4,RR,,28 ,,NW,,,,,,$10.84,$0.00,1,1,1,1,1,1,20080101E0158,HCPCS,Walker leg extenders set of4,UE,,28 ,,NW,,,,,,$45.95,$0.00,1,1,1,1,1,1,20080101E0159,HCPCS,Brake for wheeled walker,NU,,28 ,,NW,,,,,,$35.09,$0.00,1,1,1,1,1,1,20080101E0159,HCPCS,Brake for wheeled walker,RR,,28 ,,NW,,,,,,$7.97,$0.00,1,1,1,1,1,1,20080101E0159,HCPCS,Brake for wheeled walker,UE,,28 ,,NW,,,,,,$27.51,$0.00,1,1,1,1,1,1,20080101E0160,HCPCS,Sitz type bath or equipment,NU,,28 ,,NW,,,,,,$60.79,$0.00,1,1,1,1,1,1,20080101E0160,HCPCS,Sitz type bath or equipment,RR,,28 ,,NW,,,,,,$12.16,$0.00,1,1,1,1,1,1,20080101E0160,HCPCS,Sitz type bath or equipment,UE,,28 ,,NW,,,,,,$46.76,$0.00,1,1,1,1,1,1,20080101E0161,HCPCS,Sitz bath/equipment w/faucet,NU,,28 ,,NW,,,,,,$49.23,$0.00,1,1,1,1,1,1,20080101E0161,HCPCS,Sitz bath/equipment w/faucet,RR,,28 ,,NW,,,,,,$10.89,$0.00,1,1,1,1,1,1,20080101E0161,HCPCS,Sitz bath/equipment w/faucet,UE,,28 ,,NW,,,,,,$38.06,$0.00,1,1,1,1,1,1,20080101E0162,HCPCS,Sitz bath chair,NU,,28 ,,NW,,,,,,$300.24,$0.00,1,1,1,1,1,1,20080101E0162,HCPCS,Sitz bath chair,RR,,28 ,,NW,,,,,,$30.71,$0.00,1,1,1,1,1,1,20080101E0162,HCPCS,Sitz bath chair,UE,,28 ,,NW,,,,,,$230.20,$0.00,1,1,1,1,1,1,20080101E0163,HCPCS,Commode chair stationry fxd,NU,,28 ,,NW,,,,,,$224.41,$0.00,1,1,1,1,1,1,20080101E0163,HCPCS,Commode chair stationry fxd,RR,,28 ,,NW,,,,,,$46.19,$0.00,1,1,1,1,1,1,20080101E0163,HCPCS,Commode chair stationry fxd,UE,,28 ,,NW,,,,,,$170.37,$0.00,1,1,1,1,1,1,20080101E0165,HCPCS,Commode chair stationry det,,,28 ,,NW,,,,,,$508.26,$0.00,1,1,1,0,0,1,20080101E0167,HCPCS,Commode chair pail or pan,NU,,28 ,,NW,,,,,,$25.14,$0.00,1,1,1,1,1,1,20080101E0167,HCPCS,Commode chair pail or pan,RR,,28 ,,NW,,,,,,$6.30,$0.00,1,1,1,1,1,1,20080101E0167,HCPCS,Commode chair pail or pan,UE,,28 ,,NW,,,,,,$20.13,$0.00,1,1,1,1,1,1,20080101E0168,HCPCS,Heavyduty/wide commode chair,NU,,28 ,,NW,,,,,,$311.41,$0.00,1,1,1,1,1,1,20080101E0168,HCPCS,Heavyduty/wide commode chair,RR,,28 ,,NW,,,,,,$30.51,$0.00,1,1,1,1,1,1,20080101E0168,HCPCS,Heavyduty/wide commode chair,UE,,28 ,,NW,,,,,,$230.61,$0.00,1,1,1,1,1,1,20080101E0175,HCPCS,Commode chair foot rest,,,28 ,,NW,,,,,,$92.58,$0.00,1,1,1,1,1,1,20080101E0181,HCPCS,Press pad alternating w/ pum,,,28 ,,NW,,,,,,$496.05,$0.00,1,1,1,1,1,1,20080101E0182,HCPCS,Pressure pad alternating pum,,,28 ,,NW,,,,,,$510.95,$0.00,1,1,1,1,1,1,20080101E0184,HCPCS,Dry pressure mattress,,,28 ,,NW,,,,,,$307.99,$0.00,1,1,1,1,1,1,20080101E0185,HCPCS,Gel pressure mattress pad,,,28 ,,NW,,,,,,$513.91,$0.00,1,1,1,1,1,1,20080101E0186,HCPCS,Air pressure mattress,,,28 ,,NW,,,,,,$459.48,$0.00,1,1,1,1,1,1,20080101E0187,HCPCS,Water pressure mattress,,,28 ,,NW,,,,,,$376.86,$0.00,1,1,1,1,1,1,20080101E0188,HCPCS,Synthetic sheepskin pad,,,28 ,,NW,,,,,,$48.17,$0.00,1,1,1,1,1,1,20080101E0189,HCPCS,Lambswool sheepskin pad,,,28 ,,NW,,,,,,$94.49,$0.00,1,1,1,1,1,1,20080101E0190,HCPCS,Positioning cushion,,,28 ,,NW,,,,,,$189.59,$0.00,1,1,1,0,1,1,20080101E0191,HCPCS,Protector heel or elbow,UE,,28 ,,NW,,,,,,$11.19,$0.00,1,1,1,1,1,1,20080101E0191,HCPCS,Protector heel or elbow,,,28 ,,NW,,,,,,$21.74,$0.00,1,1,1,1,1,1,20080101E0193,HCPCS,Powered air flotation bed,RR,,28 ,,NW,,,,,,"$1,558.03",$0.00,1,1,1,1,1,1,20080101E0194,HCPCS,Air fluidized bed,RR,,28 ,,NW,,,,,,"$5,574.08",$0.00,1,1,1,1,1,1,20080101E0194,HCPCS,Air fluidized bed,UE,,28 ,,NW,,,,,,"$40,555.37",$0.00,1,1,1,1,1,1,20080101E0194,HCPCS,Air fluidized bed,,,28 ,,NW,,,,,,"$54,058.64",$0.00,1,1,1,1,1,1,20080101E0196,HCPCS,Gel pressure mattress,RR,,28 ,,NW,,,,,,$63.05,$0.00,1,1,1,1,1,1,20080101E0196,HCPCS,Gel pressure mattress,UE,,28 ,,NW,,,,,,$474.61,$0.00,1,1,1,1,1,1,20080101E0196,HCPCS,Gel pressure mattress,,,28 ,,NW,,,,,,$633.12,$0.00,1,1,1,1,1,1,20080101E0197,HCPCS,Air pressure pad for mattres,,,28 ,,NW,,,,,,$405.03,$0.00,1,1,1,1,1,1,20080101E0198,HCPCS,Water pressure pad for mattr,,,28 ,,NW,,,,,,$348.29,$0.00,1,1,1,1,1,1,20080101E0199,HCPCS,Dry pressure pad for mattres,,,28 ,,NW,,,,,,$45.53,$0.00,1,1,1,1,1,1,20080101E0200,HCPCS,Heat lamp without stand,,,28 ,,NW,,,,,,$115.62,$0.00,1,1,1,1,1,1,20080101E0202,HCPCS,Phototherapy light w/ photom,RR,,28 ,,NW,,,,,,$122.28,$0.00,1,1,1,1,1,1,20080101E0203,HCPCS,Therapeutic lightbox tabletp,,,28 ,,NW,,,,,,$631.27,$0.00,1,1,1,0,1,1,20080101E0205,HCPCS,Heat lamp with stand,,,28 ,,NW,,,,,,$299.89,$0.00,1,1,1,1,1,1,20080101E0210,HCPCS,Electric heat pad standard,,,28 ,,NW,,,,,,$46.26,$0.00,1,1,1,1,1,1,20080101E0215,HCPCS,Electric heat pad moist,,,28 ,,NW,,,,,,$102.04,$0.00,1,1,1,1,1,1,20080101E0217,HCPCS,Water circ heat pad w pump,,,28 ,,NW,,,,,,$785.52,$0.00,1,1,1,1,1,1,20080101E0218,HCPCS,Water circ cold pad w pump,,,28 ,,NW,,,,,,$771.49,$0.00,1,1,1,1,1,1,20080101E0220,HCPCS,Hot water bottle,,,28 ,,NW,,,,,,$15.55,$0.00,1,1,1,1,1,1,20080101E0221,HCPCS,Infrared heating pad system,,,28 ,,NW,,,,,,"$3,382.52",$0.00,1,1,1,1,1,1,20080101E0225,HCPCS,Hydrocollator unit,,,28 ,,NW,,,,,,$612.39,$0.00,1,1,1,1,1,1,20080101E0230,HCPCS,Ice cap or collar,,,28 ,,NW,,,,,,$15.56,$0.00,1,1,1,1,1,1,20080101E0231,HCPCS,Wound warming device,RR,,28 ,,NW,,,,,,$19.32,$0.00,1,1,1,1,1,1,20080101E0231,HCPCS,Wound warming device,,,28 ,,NW,,,,,,$187.26,$0.00,1,1,1,1,1,1,20080101E0235,HCPCS,Paraffin bath unit portable,RR,,28 ,,NW,,,,,,$34.05,$0.00,1,1,1,1,1,1,20080101E0235,HCPCS,Paraffin bath unit portable,UE,,28 ,,NW,,,,,,$256.99,$0.00,1,1,1,1,1,1,20080101E0235,HCPCS,Paraffin bath unit portable,,,28 ,,NW,,,,,,$342.41,$0.00,1,1,1,1,1,1,20080101E0236,HCPCS,Pump for water circulating p,RR,,28 ,,NW,,,,,,$82.99,$0.00,1,1,1,1,1,1,20080101E0236,HCPCS,Pump for water circulating p,UE,,28 ,,NW,,,,,,$343.35,$0.00,1,1,1,1,1,1,20080101E0236,HCPCS,Pump for water circulating p,,,28 ,,NW,,,,,,$428.86,$0.00,1,1,1,1,1,1,20080101E0238,HCPCS,Heat pad non-electric moist,,,28 ,,NW,,,,,,$50.60,$0.00,1,1,1,1,1,1,20080101E0239,HCPCS,Hydrocollator unit portable,,,28 ,,NW,,,,,,$710.72,$0.00,1,1,1,1,1,1,20080101E0240,HCPCS,Bath/shower chair,,,28 ,,NW,,,,,,$120.10,$0.00,1,1,1,0,1,1,20080101E0241,HCPCS,Bath tub wall rail,,,28 ,,NW,,,,,,$48.26,$0.00,1,1,1,1,1,1,20080101E0242,HCPCS,Bath tub rail floor,,,28 ,,NW,,,,,,$111.55,$0.00,1,1,1,1,1,1,20080101E0243,HCPCS,Toilet rail,,,28 ,,NW,,,,,,$86.50,$0.00,1,1,1,1,1,1,20080101E0244,HCPCS,Toilet seat raised,,,28 ,,NW,,,,,,$63.48,$0.00,1,1,1,1,1,1,20080101E0245,HCPCS,Tub stool or bench,,,28 ,,NW,,,,,,$110.58,$0.00,1,1,1,1,1,1,20080101E0246,HCPCS,Transfer tub rail attachment,,,28 ,,NW,,,,,,$155.88,$0.00,1,1,1,1,1,1,20080101E0247,HCPCS,Trans bench w/wo comm open,,,28 ,,NW,,,,,,$108.67,$0.00,1,1,1,1,1,1,20080101E0248,HCPCS,HDtrans bench w/wo comm open,,,28 ,,NW,,,,,,$184.97,$0.00,1,1,1,0,1,1,20080101E0249,HCPCS,Pad water circulating heat u,,,28 ,,NW,,,,,,$201.51,$0.00,1,1,1,1,1,1,20080101E0250,HCPCS,Hosp bed fixed ht w/ mattres,RR,,28 ,,NW,,,,,,$181.65,$0.00,1,1,1,1,1,1,20080101E0250,HCPCS,Hosp bed fixed ht w/ mattres,UE,,28 ,,NW,,,,,,"$1,567.78",$0.00,1,1,1,1,1,1,20080101E0250,HCPCS,Hosp bed fixed ht w/ mattres,,,28 ,,NW,,,,,,"$2,420.73",$0.00,1,1,1,1,1,1,20080101E0251,HCPCS,Hosp bed fixd ht w/o mattres,RR,,28 ,,NW,,,,,,$139.83,$0.00,1,1,1,1,1,1,20080101E0251,HCPCS,Hosp bed fixd ht w/o mattres,UE,,28 ,,NW,,,,,,"$1,122.12",$0.00,1,1,1,1,1,1,20080101E0251,HCPCS,Hosp bed fixd ht w/o mattres,,,28 ,,NW,,,,,,"$1,402.64",$0.00,1,1,1,1,1,1,20080101E0255,HCPCS,Hospital bed var ht w/ mattr,RR,,28 ,,NW,,,,,,$215.34,$0.00,1,1,1,1,1,1,20080101E0255,HCPCS,Hospital bed var ht w/ mattr,UE,,28 ,,NW,,,,,,"$1,847.15",$0.00,1,1,1,1,1,1,20080101E0255,HCPCS,Hospital bed var ht w/ mattr,,,28 ,,NW,,,,,,"$2,466.96",$0.00,1,1,1,1,1,1,20080101E0256,HCPCS,Hospital bed var ht w/o matt,RR,,28 ,,NW,,,,,,$156.94,$0.00,1,1,1,1,1,1,20080101E0256,HCPCS,Hospital bed var ht w/o matt,UE,,28 ,,NW,,,,,,"$1,253.73",$0.00,1,1,1,1,1,1,20080101E0256,HCPCS,Hospital bed var ht w/o matt,,,28 ,,NW,,,,,,"$1,567.59",$0.00,1,1,1,1,1,1,20080101E0260,HCPCS,Hosp bed semi-electr w/ matt,RR,,28 ,,NW,,,,,,$301.53,$0.00,1,1,1,1,1,1,20080101E0260,HCPCS,Hosp bed semi-electr w/ matt,UE,,28 ,,NW,,,,,,"$1,890.38",$0.00,1,1,1,1,1,1,20080101E0260,HCPCS,Hosp bed semi-electr w/ matt,,,28 ,,NW,,,,,,"$2,447.33",$0.00,1,1,1,1,1,1,20080101E0261,HCPCS,Hosp bed semi-electr w/o mat,RR,,28 ,,NW,,,,,,$248.59,$0.00,1,1,1,1,1,1,20080101E0261,HCPCS,Hosp bed semi-electr w/o mat,UE,,28 ,,NW,,,,,,"$1,592.25",$0.00,1,1,1,1,1,1,20080101E0261,HCPCS,Hosp bed semi-electr w/o mat,,,28 ,,NW,,,,,,"$2,388.37",$0.00,1,1,1,1,1,1,20080101E0265,HCPCS,Hosp bed total electr w/ mat,RR,,28 ,,NW,,,,,,$356.11,$0.00,1,1,1,1,1,1,20080101E0265,HCPCS,Hosp bed total electr w/ mat,UE,,28 ,,NW,,,,,,"$1,915.64",$0.00,1,1,1,1,1,1,20080101E0265,HCPCS,Hosp bed total electr w/ mat,,,28 ,,NW,,,,,,"$2,959.30",$0.00,1,1,1,1,1,1,20080101E0266,HCPCS,Hosp bed total elec w/o matt,RR,,28 ,,NW,,,,,,$318.02,$0.00,1,1,1,1,1,1,20080101E0266,HCPCS,Hosp bed total elec w/o matt,UE,,28 ,,NW,,,,,,"$2,184.12",$0.00,1,1,1,1,1,1,20080101E0266,HCPCS,Hosp bed total elec w/o matt,,,28 ,,NW,,,,,,"$3,176.90",$0.00,1,1,1,1,1,1,20080101E0270,HCPCS,Hospital bed institutional t,RR,,28 ,,NW,,,,,,$67.66,$0.00,1,1,1,1,1,1,20080101E0270,HCPCS,Hospital bed institutional t,UE,,28 ,,NW,,,,,,$492.25,$0.00,1,1,1,1,1,1,20080101E0270,HCPCS,Hospital bed institutional t,,,28 ,,NW,,,,,,$656.15,$0.00,1,1,1,1,1,1,20080101E0271,HCPCS,Mattress innerspring,,,28 ,,NW,,,,,,$310.96,$0.00,1,1,1,1,1,1,20080101E0272,HCPCS,Mattress foam rubber,,,28 ,,NW,,,,,,$272.68,$0.00,1,1,1,1,1,1,20080101E0273,HCPCS,Bed board,RR,,28 ,,NW,,,,,,$22.22,$0.00,1,1,1,1,1,1,20080101E0273,HCPCS,Bed board,UE,,28 ,,NW,,,,,,$41.36,$0.00,1,1,1,1,1,1,20080101E0273,HCPCS,Bed board,,,28 ,,NW,,,,,,$51.73,$0.00,1,1,1,1,1,1,20080101E0274,HCPCS,Over-bed table,RR,,28 ,,NW,,,,,,$37.37,$0.00,1,1,1,1,1,1,20080101E0274,HCPCS,Over-bed table,UE,,28 ,,NW,,,,,,$66.86,$0.00,1,1,1,1,1,1,20080101E0274,HCPCS,Over-bed table,,,28 ,,NW,,,,,,$82.01,$0.00,1,1,1,1,1,1,20080101E0275,HCPCS,Bed pan standard,,,28 ,,NW,,,,,,$24.28,$0.00,1,1,1,1,1,1,20080101E0276,HCPCS,Bed pan fracture,,,28 ,,NW,,,,,,$22.64,$0.00,1,1,1,1,1,1,20080101E0277,HCPCS,Powered pres-redu air mattrs,RR,,28 ,,NW,,,,,,"$1,311.87",$0.00,1,1,1,1,1,1,20080101E0277,HCPCS,Powered pres-redu air mattrs,UE,,28 ,,NW,,,,,,"$9,544.79",$0.00,1,1,1,1,1,1,20080101E0277,HCPCS,Powered pres-redu air mattrs,,,28 ,,NW,,,,,,"$12,722.82",$0.00,1,1,1,1,1,1,20080101E0280,HCPCS,Bed cradle,,,28 ,,NW,,,,,,$55.97,$0.00,1,1,1,1,1,1,20080101E0290,HCPCS,Hosp bed fx ht w/o rails w/m,RR,,28 ,,NW,,,,,,$141.04,$0.00,1,1,1,1,1,1,20080101E0290,HCPCS,Hosp bed fx ht w/o rails w/m,UE,,28 ,,NW,,,,,,"$1,160.99",$0.00,1,1,1,1,1,1,20080101E0290,HCPCS,Hosp bed fx ht w/o rails w/m,,,28 ,,NW,,,,,,"$1,450.83",$0.00,1,1,1,1,1,1,20080101E0291,HCPCS,Hosp bed fx ht w/o rail w/o,RR,,28 ,,NW,,,,,,$103.31,$0.00,1,1,1,1,1,1,20080101E0291,HCPCS,Hosp bed fx ht w/o rail w/o,UE,,28 ,,NW,,,,,,$761.60,$0.00,1,1,1,1,1,1,20080101E0291,HCPCS,Hosp bed fx ht w/o rail w/o,,,28 ,,NW,,,,,,"$1,028.83",$0.00,1,1,1,1,1,1,20080101E0292,HCPCS,Hosp bed var ht w/o rail w/o,RR,,28 ,,NW,,,,,,$158.20,$0.00,1,1,1,1,1,1,20080101E0292,HCPCS,Hosp bed var ht w/o rail w/o,UE,,28 ,,NW,,,,,,"$1,266.45",$0.00,1,1,1,1,1,1,20080101E0292,HCPCS,Hosp bed var ht w/o rail w/o,,,28 ,,NW,,,,,,"$1,583.71",$0.00,1,1,1,1,1,1,20080101E0293,HCPCS,Hosp bed var ht w/o rail w/,RR,,28 ,,NW,,,,,,$135.07,$0.00,1,1,1,1,1,1,20080101E0293,HCPCS,Hosp bed var ht w/o rail w/,UE,,28 ,,NW,,,,,,$985.10,$0.00,1,1,1,1,1,1,20080101E0293,HCPCS,Hosp bed var ht w/o rail w/,,,28 ,,NW,,,,,,"$1,348.17",$0.00,1,1,1,1,1,1,20080101E0294,HCPCS,Hosp bed semi-elect w/ mattr,RR,,28 ,,NW,,,,,,$237.83,$0.00,1,1,1,1,1,1,20080101E0294,HCPCS,Hosp bed semi-elect w/ mattr,UE,,28 ,,NW,,,,,,"$1,586.60",$0.00,1,1,1,1,1,1,20080101E0294,HCPCS,Hosp bed semi-elect w/ mattr,,,28 ,,NW,,,,,,"$2,308.28",$0.00,1,1,1,1,1,1,20080101E0295,HCPCS,Hosp bed semi-elect w/o matt,RR,,28 ,,NW,,,,,,$232.19,$0.00,1,1,1,1,1,1,20080101E0295,HCPCS,Hosp bed semi-elect w/o matt,UE,,28 ,,NW,,,,,,"$1,379.23",$0.00,1,1,1,1,1,1,20080101E0295,HCPCS,Hosp bed semi-elect w/o matt,,,28 ,,NW,,,,,,"$2,125.64",$0.00,1,1,1,1,1,1,20080101E0296,HCPCS,Hosp bed total elect w/ matt,RR,,28 ,,NW,,,,,,$295.15,$0.00,1,1,1,1,1,1,20080101E0296,HCPCS,Hosp bed total elect w/ matt,UE,,28 ,,NW,,,,,,"$2,358.70",$0.00,1,1,1,1,1,1,20080101E0296,HCPCS,Hosp bed total elect w/ matt,,,28 ,,NW,,,,,,"$2,948.99",$0.00,1,1,1,1,1,1,20080101E0297,HCPCS,Hosp bed total elect w/o mat,RR,,28 ,,NW,,,,,,$254.93,$0.00,1,1,1,1,1,1,20080101E0297,HCPCS,Hosp bed total elect w/o mat,UE,,28 ,,NW,,,,,,"$1,707.10",$0.00,1,1,1,1,1,1,20080101E0297,HCPCS,Hosp bed total elect w/o mat,,,28 ,,NW,,,,,,"$2,550.25",$0.00,1,1,1,1,1,1,20080101E0300,HCPCS,Enclosed ped crib hosp grade,,,28 ,,NW,,,,,,$341.08,$0.00,1,1,1,0,1,1,20080101E0301,HCPCS,"HD hosp bed, 350-600 lbs",,,28 ,,NW,,,,,,"$3,838.35",$0.00,1,1,1,1,1,1,20080101E0302,HCPCS,Ex hd hosp bed > 600 lbs,,,28 ,,NW,,,,,,$859.64,$0.00,1,1,1,0,1,1,20080101E0303,HCPCS,Hosp bed hvy dty xtra wide,,,28 ,,NW,,,,,,$533.93,$0.00,1,1,1,1,1,1,20080101E0304,HCPCS,Hosp bed xtra hvy dty x wide,,,28 ,,NW,,,,,,"$1,331.19",$0.00,1,1,1,1,1,1,20080101E0305,HCPCS,Rails bed side half length,RR,,28 ,,NW,,,,,,$35.91,$0.00,1,1,1,1,1,1,20080101E0305,HCPCS,Rails bed side half length,UE,,28 ,,NW,,,,,,$255.09,$0.00,1,1,1,1,1,1,20080101E0305,HCPCS,Rails bed side half length,,,28 ,,NW,,,,,,$355.44,$0.00,1,1,1,1,1,1,20080101E0310,HCPCS,Rails bed side full length,NU,,28 ,,NW,,,,,,$291.21,$0.00,1,1,1,1,1,1,20080101E0310,HCPCS,Rails bed side full length,RR,,28 ,,NW,,,,,,$34.14,$0.00,1,1,1,1,1,1,20080101E0310,HCPCS,Rails bed side full length,UE,,28 ,,NW,,,,,,$220.37,$0.00,1,1,1,1,1,1,20080101E0310,HCPCS,Rails bed side full length,,,28 ,,NW,,,,,,$265.63,$0.00,1,1,1,1,1,1,20080101E0315,HCPCS,Bed accessory brd/tbl/supprt,,,28 ,,NW,,,,,,$62.54,$0.00,1,1,1,1,1,1,20080101E0316,HCPCS,Bed safety enclosure,,,28 ,,NW,,,,,,$375.59,$0.00,1,1,1,1,1,1,20080101E0325,HCPCS,Urinal male jug-type,,,28 ,,NW,,,,,,$16.17,$0.00,1,1,1,1,1,1,20080101E0326,HCPCS,Urinal female jug-type,,,28 ,,NW,,,,,,$18.16,$0.00,1,1,1,1,1,1,20080101E0352,HCPCS,Disposable pack w/bowel syst,,,28 ,,NW,,,,,,$75.06,$0.00,1,1,1,1,1,1,20080101E0370,HCPCS,Air elevator for heel,,,28 ,,NW,,,,,,$26.12,$0.00,1,1,1,1,1,1,20080101E0371,HCPCS,Nonpower mattress overlay,,,28 ,,NW,,,,,,$940.02,$0.00,1,1,1,1,1,1,20080101E0372,HCPCS,Powered air mattress overlay,,,28 ,,NW,,,,,,"$1,143.16",$0.00,1,1,1,1,1,1,20080101E0373,HCPCS,Nonpowered pressure mattress,,,28 ,,NW,,,,,,"$1,304.03",$0.00,1,1,1,1,1,1,20080101E0424,HCPCS,Stationary compressed gas 02,RR,,28 ,,NW,,,,,,$622.87,$0.00,1,1,1,1,1,1,20080101E0425,HCPCS,Gas system stationary compre,NU,,28 ,,NW,,,,,,"$8,495.62",$0.00,1,1,1,1,1,1,20080101E0430,HCPCS,Oxygen system gas portable,NU,,28 ,,NW,,,,,,"$3,849.35",$0.00,1,1,1,1,1,1,20080101E0430,HCPCS,Oxygen system gas portable,UE,,28 ,,NW,,,,,,"$2,888.86",$0.00,1,1,1,1,1,1,20080101E0431,HCPCS,Portable gaseous 02,RR,,28 ,,NW,,,,,,$102.27,$0.00,1,1,1,1,1,1,20080101E0434,HCPCS,Portable liquid 02,,,28 ,,NW,,,,,,$102.27,$0.00,1,1,1,1,1,1,20080101E0435,HCPCS,Oxygen system liquid portabl,NU,,28 ,,NW,,,,,,"$2,648.47",$0.00,1,1,1,1,1,1,20080101E0435,HCPCS,Oxygen system liquid portabl,UE,,28 ,,NW,,,,,,"$1,987.07",$0.00,1,1,1,1,1,1,20080101E0439,HCPCS,Stationary liquid 02,RR,,28 ,,NW,,,,,,$622.87,$0.00,1,1,1,1,1,1,20080101E0440,HCPCS,Oxygen system liquid station,NU,,28 ,,NW,,,,,,"$5,371.51",$0.00,1,1,1,1,1,1,20080101E0440,HCPCS,Oxygen system liquid station,UE,,28 ,,NW,,,,,,"$4,029.94",$0.00,1,1,1,1,1,1,20080101E0441,HCPCS,"Oxygen contents, gaseous",,,28 ,,NW,,,,,,$445.18,$0.00,1,1,1,1,1,1,20080101E0442,HCPCS,"Oxygen contents, liquid",,,28 ,,NW,,,,,,$445.18,$0.00,1,1,1,1,1,1,20080101E0443,HCPCS,"Portable 02 contents, gas",,,28 ,,NW,,,,,,$60.65,$0.00,1,1,1,1,1,1,20080101E0444,HCPCS,"Portable 02 contents, liquid",,,28 ,,NW,,,,,,$60.65,$0.00,1,1,1,1,1,1,20080101E0445,HCPCS,Oximeter non-invasive,,,28 ,,NW,,,,,,$146.47,$0.00,1,1,1,1,1,1,20080101E0450,HCPCS,Volume vent stationary/porta,NU,,28 ,,NW,,,,,,"$19,708.69",$0.00,1,1,1,1,1,1,20080101E0450,HCPCS,Volume vent stationary/porta,RR,,28 ,,NW,,,,,,"$2,032.20",$0.00,1,1,1,1,1,1,20080101E0450,HCPCS,Volume vent stationary/porta,UE,,28 ,,NW,,,,,,"$14,785.66",$0.00,1,1,1,1,1,1,20080101E0457,HCPCS,Chest shell,NU,,28 ,,NW,,,,,,"$1,304.10",$0.00,1,1,1,1,1,1,20080101E0457,HCPCS,Chest shell,RR,,28 ,,NW,,,,,,$119.83,$0.00,1,1,1,1,1,1,20080101E0457,HCPCS,Chest shell,UE,,28 ,,NW,,,,,,$975.09,$0.00,1,1,1,1,1,1,20080101E0459,HCPCS,Chest wrap,NU,,28 ,,NW,,,,,,$969.03,$0.00,1,1,1,1,1,1,20080101E0459,HCPCS,Chest wrap,RR,,28 ,,NW,,,,,,$97.21,$0.00,1,1,1,1,1,1,20080101E0459,HCPCS,Chest wrap,UE,,28 ,,NW,,,,,,$727.15,$0.00,1,1,1,1,1,1,20080101E0460,HCPCS,Neg press vent portabl/statn,NU,,28 ,,NW,,,,,,"$15,120.13",$0.00,1,1,1,1,1,1,20080101E0460,HCPCS,Neg press vent portabl/statn,RR,,28 ,,NW,,,,,,"$1,559.07",$0.00,1,1,1,1,1,1,20080101E0460,HCPCS,Neg press vent portabl/statn,UE,,28 ,,NW,,,,,,"$11,343.27",$0.00,1,1,1,1,1,1,20080101E0461,HCPCS,Vol vent noninvasive interfa,RR,,28 ,,NW,,,,,,"$2,133.98",$0.00,1,1,1,1,1,1,20080101E0462,HCPCS,Rocking bed w/ or w/o side r,NU,,28 ,,NW,,,,,,"$5,122.35",$0.00,1,1,1,1,1,1,20080101E0462,HCPCS,Rocking bed w/ or w/o side r,RR,,28 ,,NW,,,,,,$512.45,$0.00,1,1,1,1,1,1,20080101E0462,HCPCS,Rocking bed w/ or w/o side r,UE,,28 ,,NW,,,,,,"$3,842.27",$0.00,1,1,1,1,1,1,20080101E0463,HCPCS,Press supp vent invasive int,RR,,28 ,,NW,,,,,,"$1,689.81",$0.00,1,1,1,1,1,1,20080101E0464,HCPCS,Press supp vent noninv int,RR,,28 ,,NW,,,,,,"$1,689.81",$0.00,1,1,1,1,1,1,20080101E0470,HCPCS,RAD w/o backup non-inv intfc,RR,,28 ,,NW,,,,,,$537.70,$0.00,1,1,1,1,1,1,20080101E0471,HCPCS,RAD w/backup non inv intrfc,RR,,28 ,,NW,,,,,,"$1,363.36",$0.00,1,1,1,1,1,1,20080101E0472,HCPCS,RAD w backup invasive intrfc,RR,,28 ,,NW,,,,,,"$1,363.36",$0.00,1,1,1,1,1,1,20080101E0480,HCPCS,Percussor elect/pneum home m,NU,,28 ,,NW,,,,,,$795.70,$0.00,1,1,1,1,1,1,20080101E0480,HCPCS,Percussor elect/pneum home m,RR,,28 ,,NW,,,,,,$82.32,$0.00,1,1,1,1,1,1,20080101E0480,HCPCS,Percussor elect/pneum home m,UE,,28 ,,NW,,,,,,$698.14,$0.00,1,1,1,1,1,1,20080101E0481,HCPCS,Intrpulmnry percuss vent sys,,,28 ,,NW,,,,,,"$1,305.27",$0.00,1,1,1,1,1,1,20080101E0482,HCPCS,Cough stimulating device,RR,,28 ,,NW,,,,,,$909.06,$0.00,1,1,1,1,1,1,20080101E0483,HCPCS,Chest compression gen system,RR,,28 ,,NW,,,,,,"$2,264.79",$0.00,1,1,1,1,1,1,20080101E0484,HCPCS,Non-elec oscillatory pep dvc,NU,,28 ,,NW,,,,,,$67.33,$0.00,1,1,1,1,1,1,20080101E0484,HCPCS,Non-elec oscillatory pep dvc,RR,,28 ,,NW,,,,,,$11.08,$0.00,1,1,1,1,1,1,20080101E0484,HCPCS,Non-elec oscillatory pep dvc,UE,,28 ,,NW,,,,,,$51.72,$0.00,1,1,1,1,1,1,20080101E0500,HCPCS,Ippb all types,NU,,28 ,,NW,,,,,,"$2,456.25",$0.00,1,1,1,1,1,1,20080101E0500,HCPCS,Ippb all types,RR,,28 ,,NW,,,,,,$223.30,$0.00,1,1,1,1,1,1,20080101E0500,HCPCS,Ippb all types,UE,,28 ,,NW,,,,,,"$1,618.67",$0.00,1,1,1,1,1,1,20080101E0550,HCPCS,Humidif extens supple w ippb,NU,,28 ,,NW,,,,,,$581.16,$0.00,1,1,1,1,1,1,20080101E0550,HCPCS,Humidif extens supple w ippb,RR,,28 ,,NW,,,,,,$95.58,$0.00,1,1,1,1,1,1,20080101E0550,HCPCS,Humidif extens supple w ippb,UE,,28 ,,NW,,,,,,$464.92,$0.00,1,1,1,1,1,1,20080101E0555,HCPCS,Humidifier for use w/ regula,NU,,28 ,,NW,,,,,,$19.36,$0.00,1,1,1,1,1,1,20080101E0555,HCPCS,Humidifier for use w/ regula,RR,,28 ,,NW,,,,,,$13.50,$0.00,1,1,1,1,1,1,20080101E0555,HCPCS,Humidifier for use w/ regula,UE,,28 ,,NW,,,,,,$15.84,$0.00,1,1,1,1,1,1,20080101E0560,HCPCS,Humidifier supplemental w/ i,NU,,28 ,,NW,,,,,,$355.52,$0.00,1,1,1,1,1,1,20080101E0560,HCPCS,Humidifier supplemental w/ i,RR,,28 ,,NW,,,,,,$38.87,$0.00,1,1,1,1,1,1,20080101E0560,HCPCS,Humidifier supplemental w/ i,UE,,28 ,,NW,,,,,,$263.70,$0.00,1,1,1,1,1,1,20080101E0561,HCPCS,Humidifier nonheated w PAP,NU,,28 ,,NW,,,,,,$217.36,$0.00,1,1,1,1,1,1,20080101E0561,HCPCS,Humidifier nonheated w PAP,RR,,28 ,,NW,,,,,,$22.92,$0.00,1,1,1,1,1,1,20080101E0561,HCPCS,Humidifier nonheated w PAP,UE,,28 ,,NW,,,,,,$160.06,$0.00,1,1,1,1,1,1,20080101E0562,HCPCS,Humidifier heated used w PAP,NU,,28 ,,NW,,,,,,$633.26,$0.00,1,1,1,1,1,1,20080101E0562,HCPCS,Humidifier heated used w PAP,RR,,28 ,,NW,,,,,,$55.81,$0.00,1,1,1,1,1,1,20080101E0562,HCPCS,Humidifier heated used w PAP,UE,,28 ,,NW,,,,,,$471.98,$0.00,1,1,1,1,1,1,20080101E0565,HCPCS,Compressor air power source,NU,,28 ,,NW,,,,,,"$1,189.61",$0.00,1,1,1,1,1,1,20080101E0565,HCPCS,Compressor air power source,RR,,28 ,,NW,,,,,,$118.87,$0.00,1,1,1,1,1,1,20080101E0565,HCPCS,Compressor air power source,UE,,28 ,,NW,,,,,,$837.58,$0.00,1,1,1,1,1,1,20080101E0570,HCPCS,Nebulizer with compression,NU,,28 ,,NW,,,,,,$350.19,$0.00,1,1,1,1,1,1,20080101E0570,HCPCS,Nebulizer with compression,RR,,28 ,,NW,,,,,,$38.22,$0.00,1,1,1,1,1,1,20080101E0570,HCPCS,Nebulizer with compression,UE,,28 ,,NW,,,,,,$140.43,$0.00,1,1,1,1,1,1,20080101E0571,HCPCS,Aerosol compressor for svneb,RR,,28 ,,NW,,,,,,$55.57,$0.00,1,1,1,1,1,1,20080101E0572,HCPCS,Aerosol compressor adjust pr,RR,,28 ,,NW,,,,,,$110.16,$0.00,1,1,1,1,1,1,20080101E0574,HCPCS,Ultrasonic generator w svneb,RR,,28 ,,NW,,,,,,$116.14,$0.00,1,1,1,1,1,1,20080101E0575,HCPCS,Nebulizer ultrasonic,NU,,28 ,,NW,,,,,,"$2,075.18",$0.00,1,1,1,1,1,1,20080101E0575,HCPCS,Nebulizer ultrasonic,RR,,28 ,,NW,,,,,,$208.33,$0.00,1,1,1,1,1,1,20080101E0575,HCPCS,Nebulizer ultrasonic,UE,,28 ,,NW,,,,,,"$1,352.09",$0.00,1,1,1,1,1,1,20080101E0580,HCPCS,Nebulizer for use w/ regulat,NU,,28 ,,NW,,,,,,$275.25,$0.00,1,1,1,1,1,1,20080101E0580,HCPCS,Nebulizer for use w/ regulat,RR,,28 ,,NW,,,,,,$27.51,$0.00,1,1,1,1,1,1,20080101E0580,HCPCS,Nebulizer for use w/ regulat,UE,,28 ,,NW,,,,,,$203.47,$0.00,1,1,1,1,1,1,20080101E0585,HCPCS,Nebulizer w/ compressor & he,NU,,28 ,,NW,,,,,,$639.41,$0.00,1,1,1,1,1,1,20080101E0585,HCPCS,Nebulizer w/ compressor & he,RR,,28 ,,NW,,,,,,$64.21,$0.00,1,1,1,1,1,1,20080101E0585,HCPCS,Nebulizer w/ compressor & he,UE,,28 ,,NW,,,,,,$412.57,$0.00,1,1,1,1,1,1,20080101E0600,HCPCS,Suction pump portab hom modl,NU,,28 ,,NW,,,,,,$782.47,$0.00,1,1,1,1,1,1,20080101E0600,HCPCS,Suction pump portab hom modl,RR,,28 ,,NW,,,,,,$86.29,$0.00,1,1,1,1,1,1,20080101E0600,HCPCS,Suction pump portab hom modl,UE,,28 ,,NW,,,,,,$468.98,$0.00,1,1,1,1,1,1,20080101E0601,HCPCS,Cont airway pressure device,NU,,28 ,,NW,,,,,,"$2,095.89",$0.00,1,1,1,1,1,1,20080101E0601,HCPCS,Cont airway pressure device,RR,,28 ,,NW,,,,,,$227.45,$0.00,1,1,1,1,1,1,20080101E0601,HCPCS,Cont airway pressure device,UE,,28 ,,NW,,,,,,"$1,254.97",$0.00,1,1,1,1,1,1,20080101E0602,HCPCS,Manual breast pump,NU,,28 ,,NW,,,,,,$54.81,$0.00,1,1,1,1,1,1,20080101E0602,HCPCS,Manual breast pump,RR,,28 ,,NW,,,,,,$9.85,$0.00,1,1,1,1,1,1,20080101E0602,HCPCS,Manual breast pump,UE,,28 ,,NW,,,,,,$42.30,$0.00,1,1,1,1,1,1,20080101E0603,HCPCS,Electric breast pump,NU,,28 ,,NW,,,,,,$162.61,$0.00,1,1,1,1,1,1,20080101E0603,HCPCS,Electric breast pump,RR,,28 ,,NW,,,,,,$50.52,$0.00,1,1,1,1,1,1,20080101E0603,HCPCS,Electric breast pump,UE,,28 ,,NW,,,,,,$127.94,$0.00,1,1,1,1,1,1,20080101E0604,HCPCS,Hosp grade elec breast pump,NU,,28 ,,NW,,,,,,$490.17,$0.00,1,1,1,1,1,1,20080101E0604,HCPCS,Hosp grade elec breast pump,RR,,28 ,,NW,,,,,,$180.92,$0.00,1,1,1,1,1,1,20080101E0604,HCPCS,Hosp grade elec breast pump,UE,,28 ,,NW,,,,,,$363.96,$0.00,1,1,1,1,1,1,20080101E0605,HCPCS,Vaporizer room type,NU,,28 ,,NW,,,,,,$49.58,$0.00,1,1,1,1,1,1,20080101E0605,HCPCS,Vaporizer room type,RR,,28 ,,NW,,,,,,$10.03,$0.00,1,1,1,1,1,1,20080101E0605,HCPCS,Vaporizer room type,UE,,28 ,,NW,,,,,,$41.69,$0.00,1,1,1,1,1,1,20080101E0606,HCPCS,Drainage board postural,NU,,28 ,,NW,,,,,,$436.57,$0.00,1,1,1,1,1,1,20080101E0606,HCPCS,Drainage board postural,RR,,28 ,,NW,,,,,,$43.67,$0.00,1,1,1,1,1,1,20080101E0606,HCPCS,Drainage board postural,UE,,28 ,,NW,,,,,,$327.43,$0.00,1,1,1,1,1,1,20080101E0607,HCPCS,Blood glucose monitor home,NU,,28 ,,NW,,,,,,$99.98,$0.00,1,1,1,1,1,1,20080101E0607,HCPCS,Blood glucose monitor home,RR,,28 ,,NW,,,,,,$13.98,$0.00,1,1,1,1,1,1,20080101E0607,HCPCS,Blood glucose monitor home,UE,,28 ,,NW,,,,,,$88.43,$0.00,1,1,1,1,1,1,20080101E0610,HCPCS,Pacemaker monitr audible/vis,NU,,28 ,,NW,,,,,,$497.58,$0.00,1,1,1,1,1,1,20080101E0610,HCPCS,Pacemaker monitr audible/vis,RR,,28 ,,NW,,,,,,$47.31,$0.00,1,1,1,1,1,1,20080101E0610,HCPCS,Pacemaker monitr audible/vis,UE,,28 ,,NW,,,,,,$370.31,$0.00,1,1,1,1,1,1,20080101E0615,HCPCS,Pacemaker monitr digital/vis,NU,,28 ,,NW,,,,,,"$1,013.57",$0.00,1,1,1,1,1,1,20080101E0615,HCPCS,Pacemaker monitr digital/vis,RR,,28 ,,NW,,,,,,$113.51,$0.00,1,1,1,1,1,1,20080101E0615,HCPCS,Pacemaker monitr digital/vis,UE,,28 ,,NW,,,,,,$757.24,$0.00,1,1,1,1,1,1,20080101E0616,HCPCS,Cardiac event recorder,,,28 ,,NW,,,,,,$460.65,$0.00,1,1,1,0,1,1,20080101E0617,HCPCS,Automatic ext defibrillator,RR,,28 ,,NW,,,,,,$639.31,$0.00,1,1,1,1,1,1,20080101E0618,HCPCS,Apnea monitor,RR,,28 ,,NW,,,,,,$588.57,$0.00,1,1,1,1,1,1,20080101E0618,HCPCS,Apnea monitor,,,28 ,,NW,,,,,,$622.15,$0.00,1,1,1,1,1,1,20080101E0620,HCPCS,Cap bld skin piercing laser,NU,,28 ,,NW,,,,,,"$1,860.62",$0.00,1,1,1,1,1,1,20080101E0620,HCPCS,Cap bld skin piercing laser,RR,,28 ,,NW,,,,,,$175.46,$0.00,1,1,1,1,1,1,20080101E0620,HCPCS,Cap bld skin piercing laser,UE,,28 ,,NW,,,,,,"$1,392.52",$0.00,1,1,1,1,1,1,20080101E0621,HCPCS,Patient lift sling or seat,NU,,28 ,,NW,,,,,,$193.79,$0.00,1,1,1,1,1,1,20080101E0621,HCPCS,Patient lift sling or seat,RR,,28 ,,NW,,,,,,$20.48,$0.00,1,1,1,1,1,1,20080101E0621,HCPCS,Patient lift sling or seat,UE,,28 ,,NW,,,,,,$143.19,$0.00,1,1,1,1,1,1,20080101E0625,HCPCS,Patient lift bathroom or toi,NU,,28 ,,NW,,,,,,"$1,712.73",$0.00,1,1,1,1,1,1,20080101E0625,HCPCS,Patient lift bathroom or toi,RR,,28 ,,NW,,,,,,$176.60,$0.00,1,1,1,1,1,1,20080101E0625,HCPCS,Patient lift bathroom or toi,UE,,28 ,,NW,,,,,,"$1,284.91",$0.00,1,1,1,1,1,1,20080101E0627,HCPCS,Seat lift incorp lift-chair,NU,,28 ,,NW,,,,,,$710.54,$0.00,1,1,1,1,1,1,20080101E0627,HCPCS,Seat lift incorp lift-chair,RR,,28 ,,NW,,,,,,$61.94,$0.00,1,1,1,1,1,1,20080101E0627,HCPCS,Seat lift incorp lift-chair,UE,,28 ,,NW,,,,,,$529.99,$0.00,1,1,1,1,1,1,20080101E0628,HCPCS,Seat lift for pt furn-electr,NU,,28 ,,NW,,,,,,$710.54,$0.00,1,1,1,1,1,1,20080101E0628,HCPCS,Seat lift for pt furn-electr,RR,,28 ,,NW,,,,,,$61.94,$0.00,1,1,1,1,1,1,20080101E0628,HCPCS,Seat lift for pt furn-electr,UE,,28 ,,NW,,,,,,$529.99,$0.00,1,1,1,1,1,1,20080101E0629,HCPCS,Seat lift for pt furn-non-el,NU,,28 ,,NW,,,,,,$696.40,$0.00,1,1,1,1,1,1,20080101E0629,HCPCS,Seat lift for pt furn-non-el,RR,,28 ,,NW,,,,,,$60.82,$0.00,1,1,1,1,1,1,20080101E0629,HCPCS,Seat lift for pt furn-non-el,UE,,28 ,,NW,,,,,,$519.32,$0.00,1,1,1,1,1,1,20080101E0630,HCPCS,Patient lift hydraulic,NU,,28 ,,NW,,,,,,"$2,215.55",$0.00,1,1,1,1,1,1,20080101E0630,HCPCS,Patient lift hydraulic,RR,,28 ,,NW,,,,,,$206.41,$0.00,1,1,1,1,1,1,20080101E0630,HCPCS,Patient lift hydraulic,UE,,28 ,,NW,,,,,,"$1,574.69",$0.00,1,1,1,1,1,1,20080101E0635,HCPCS,Patient lift electric,NU,,28 ,,NW,,,,,,"$2,500.35",$0.00,1,1,1,1,1,1,20080101E0635,HCPCS,Patient lift electric,RR,,28 ,,NW,,,,,,$250.24,$0.00,1,1,1,1,1,1,20080101E0635,HCPCS,Patient lift electric,UE,,28 ,,NW,,,,,,"$1,706.16",$0.00,1,1,1,1,1,1,20080101E0636,HCPCS,PT support & positioning sys,RR,,28 ,,NW,,,,,,"$2,246.43",$0.00,1,1,1,1,1,1,20080101E0637,HCPCS,Combination sit to stand sys,,,28 ,,NW,,,,,,$94.95,$0.00,1,1,1,0,1,1,20080101E0638,HCPCS,Standing frame sys,,,28 ,,NW,,,,,,"$1,791.97",$0.00,1,1,1,0,1,1,20080101E0650,HCPCS,Pneuma compresor non-segment,NU,,28 ,,NW,,,,,,"$1,530.48",$0.00,1,1,1,1,1,1,20080101E0650,HCPCS,Pneuma compresor non-segment,RR,,28 ,,NW,,,,,,$178.55,$0.00,1,1,1,1,1,1,20080101E0650,HCPCS,Pneuma compresor non-segment,UE,,28 ,,NW,,,,,,"$1,144.92",$0.00,1,1,1,1,1,1,20080101E0651,HCPCS,Pneum compressor segmental,NU,,28 ,,NW,,,,,,"$1,954.90",$0.00,1,1,1,1,1,1,20080101E0651,HCPCS,Pneum compressor segmental,RR,,28 ,,NW,,,,,,$189.13,$0.00,1,1,1,1,1,1,20080101E0651,HCPCS,Pneum compressor segmental,UE,,28 ,,NW,,,,,,"$1,463.26",$0.00,1,1,1,1,1,1,20080101E0652,HCPCS,Pneum compres w/cal pressure,NU,,28 ,,NW,,,,,,"$11,340.57",$0.00,1,1,1,1,1,1,20080101E0652,HCPCS,Pneum compres w/cal pressure,RR,,28 ,,NW,,,,,,"$1,110.18",$0.00,1,1,1,1,1,1,20080101E0652,HCPCS,Pneum compres w/cal pressure,UE,,28 ,,NW,,,,,,"$8,494.88",$0.00,1,1,1,1,1,1,20080101E0655,HCPCS,Pneumatic appliance half arm,NU,,28 ,,NW,,,,,,$219.33,$0.00,1,1,1,1,1,1,20080101E0655,HCPCS,Pneumatic appliance half arm,RR,,28 ,,NW,,,,,,$26.31,$0.00,1,1,1,1,1,1,20080101E0655,HCPCS,Pneumatic appliance half arm,UE,,28 ,,NW,,,,,,$161.79,$0.00,1,1,1,1,1,1,20080101E0660,HCPCS,Pneumatic appliance full leg,NU,,28 ,,NW,,,,,,$330.30,$0.00,1,1,1,1,1,1,20080101E0660,HCPCS,Pneumatic appliance full leg,RR,,28 ,,NW,,,,,,$32.98,$0.00,1,1,1,1,1,1,20080101E0660,HCPCS,Pneumatic appliance full leg,UE,,28 ,,NW,,,,,,$244.78,$0.00,1,1,1,1,1,1,20080101E0665,HCPCS,Pneumatic appliance full arm,NU,,28 ,,NW,,,,,,$281.58,$0.00,1,1,1,1,1,1,20080101E0665,HCPCS,Pneumatic appliance full arm,RR,,28 ,,NW,,,,,,$28.65,$0.00,1,1,1,1,1,1,20080101E0665,HCPCS,Pneumatic appliance full arm,UE,,28 ,,NW,,,,,,$208.53,$0.00,1,1,1,1,1,1,20080101E0666,HCPCS,Pneumatic appliance half leg,NU,,28 ,,NW,,,,,,$283.92,$0.00,1,1,1,1,1,1,20080101E0666,HCPCS,Pneumatic appliance half leg,RR,,28 ,,NW,,,,,,$28.92,$0.00,1,1,1,1,1,1,20080101E0666,HCPCS,Pneumatic appliance half leg,UE,,28 ,,NW,,,,,,$210.07,$0.00,1,1,1,1,1,1,20080101E0667,HCPCS,Seg pneumatic appl full leg,NU,,28 ,,NW,,,,,,$681.55,$0.00,1,1,1,1,1,1,20080101E0667,HCPCS,Seg pneumatic appl full leg,RR,,28 ,,NW,,,,,,$66.72,$0.00,1,1,1,1,1,1,20080101E0667,HCPCS,Seg pneumatic appl full leg,UE,,28 ,,NW,,,,,,$508.22,$0.00,1,1,1,1,1,1,20080101E0668,HCPCS,Seg pneumatic appl full arm,NU,,28 ,,NW,,,,,,$934.47,$0.00,1,1,1,1,1,1,20080101E0668,HCPCS,Seg pneumatic appl full arm,RR,,28 ,,NW,,,,,,$81.62,$0.00,1,1,1,1,1,1,20080101E0668,HCPCS,Seg pneumatic appl full arm,UE,,28 ,,NW,,,,,,$697.93,$0.00,1,1,1,1,1,1,20080101E0669,HCPCS,Seg pneumatic appli half leg,NU,,28 ,,NW,,,,,,$380.77,$0.00,1,1,1,1,1,1,20080101E0669,HCPCS,Seg pneumatic appli half leg,RR,,28 ,,NW,,,,,,$35.88,$0.00,1,1,1,1,1,1,20080101E0669,HCPCS,Seg pneumatic appli half leg,UE,,28 ,,NW,,,,,,$282.69,$0.00,1,1,1,1,1,1,20080101E0671,HCPCS,Pressure pneum appl full leg,NU,,28 ,,NW,,,,,,$877.65,$0.00,1,1,1,1,1,1,20080101E0671,HCPCS,Pressure pneum appl full leg,RR,,28 ,,NW,,,,,,$77.17,$0.00,1,1,1,1,1,1,20080101E0671,HCPCS,Pressure pneum appl full leg,UE,,28 ,,NW,,,,,,$655.28,$0.00,1,1,1,1,1,1,20080101E0672,HCPCS,Pressure pneum appl full arm,NU,,28 ,,NW,,,,,,$679.32,$0.00,1,1,1,1,1,1,20080101E0672,HCPCS,Pressure pneum appl full arm,RR,,28 ,,NW,,,,,,$59.48,$0.00,1,1,1,1,1,1,20080101E0672,HCPCS,Pressure pneum appl full arm,UE,,28 ,,NW,,,,,,$506.56,$0.00,1,1,1,1,1,1,20080101E0673,HCPCS,Pressure pneum appl half leg,NU,,28 ,,NW,,,,,,$562.47,$0.00,1,1,1,1,1,1,20080101E0673,HCPCS,Pressure pneum appl half leg,RR,,28 ,,NW,,,,,,$50.23,$0.00,1,1,1,1,1,1,20080101E0673,HCPCS,Pressure pneum appl half leg,UE,,28 ,,NW,,,,,,$418.96,$0.00,1,1,1,1,1,1,20080101E0675,HCPCS,Pneumatic compression device,RR,,28 ,,NW,,,,,,$920.85,$0.00,1,1,1,0,1,1,20080101E0691,HCPCS,Uvl pnl 2 sq ft or less,NU,,28 ,,NW,,,,,,"$1,912.44",$0.00,1,1,1,1,1,1,20080101E0691,HCPCS,Uvl pnl 2 sq ft or less,RR,,28 ,,NW,,,,,,$180.65,$0.00,1,1,1,1,1,1,20080101E0691,HCPCS,Uvl pnl 2 sq ft or less,UE,,28 ,,NW,,,,,,"$1,431.39",$0.00,1,1,1,1,1,1,20080101E0692,HCPCS,Uvl sys panel 4 ft,NU,,28 ,,NW,,,,,,"$2,404.50",$0.00,1,1,1,1,1,1,20080101E0692,HCPCS,Uvl sys panel 4 ft,RR,,28 ,,NW,,,,,,$229.83,$0.00,1,1,1,1,1,1,20080101E0692,HCPCS,Uvl sys panel 4 ft,UE,,28 ,,NW,,,,,,"$1,800.45",$0.00,1,1,1,1,1,1,20080101E0693,HCPCS,Uvl sys panel 6 ft,NU,,28 ,,NW,,,,,,"$2,966.83",$0.00,1,1,1,1,1,1,20080101E0693,HCPCS,Uvl sys panel 6 ft,RR,,28 ,,NW,,,,,,$286.10,$0.00,1,1,1,1,1,1,20080101E0693,HCPCS,Uvl sys panel 6 ft,UE,,28 ,,NW,,,,,,"$2,222.20",$0.00,1,1,1,1,1,1,20080101E0694,HCPCS,Uvl md cabinet sys 6 ft,NU,,28 ,,NW,,,,,,"$9,468.77",$0.00,1,1,1,1,1,1,20080101E0694,HCPCS,Uvl md cabinet sys 6 ft,RR,,28 ,,NW,,,,,,$936.29,$0.00,1,1,1,1,1,1,20080101E0694,HCPCS,Uvl md cabinet sys 6 ft,UE,,28 ,,NW,,,,,,"$7,098.70",$0.00,1,1,1,1,1,1,20080101E0700,HCPCS,Safety equipment,,,28 ,,NW,,,,,,$55.36,$0.00,1,1,1,1,1,1,20080101E0705,HCPCS,Transfer device,NU,,28 ,,NW,,,,,,$82.68,$0.00,1,1,1,1,1,1,20080101E0705,HCPCS,Transfer device,RR,,28 ,,NW,,,,,,$8.42,$0.00,1,1,1,1,1,1,20080101E0705,HCPCS,Transfer device,UE,,28 ,,NW,,,,,,$60.54,$0.00,1,1,1,1,1,1,20080101E0710,HCPCS,Restraints any type,,,28 ,,NW,,,,,,$19.59,$0.00,1,1,1,1,1,1,20080101E0720,HCPCS,Tens two lead,NU,,28 ,,NW,,,,,,$775.36,$0.00,1,1,1,1,1,1,20080101E0720,HCPCS,Tens two lead,RR,,28 ,,NW,,,,,,$223.41,$0.00,1,1,1,1,1,1,20080101E0720,HCPCS,Tens two lead,UE,,28 ,,NW,,,,,,$426.39,$0.00,1,1,1,1,1,1,20080101E0730,HCPCS,Tens four lead,NU,,28 ,,NW,,,,,,$781.74,$0.00,1,1,1,1,1,1,20080101E0730,HCPCS,Tens four lead,RR,,28 ,,NW,,,,,,$265.82,$0.00,1,1,1,1,1,1,20080101E0730,HCPCS,Tens four lead,UE,,28 ,,NW,,,,,,$430.17,$0.00,1,1,1,1,1,1,20080101E0731,HCPCS,Conductive garment for tens/,NU,,28 ,,NW,,,,,,$752.04,$0.00,1,1,1,1,1,1,20080101E0731,HCPCS,Conductive garment for tens/,RR,,28 ,,NW,,,,,,$77.55,$0.00,1,1,1,1,1,1,20080101E0740,HCPCS,Incontinence treatment systm,NU,,28 ,,NW,,,,,,"$1,107.88",$0.00,1,1,1,1,1,1,20080101E0740,HCPCS,Incontinence treatment systm,RR,,28 ,,NW,,,,,,$100.21,$0.00,1,1,1,1,1,1,20080101E0744,HCPCS,Neuromuscular stim for scoli,NU,,28 ,,NW,,,,,,"$1,230.93",$0.00,1,1,1,1,1,1,20080101E0744,HCPCS,Neuromuscular stim for scoli,RR,,28 ,,NW,,,,,,$184.32,$0.00,1,1,1,1,1,1,20080101E0744,HCPCS,Neuromuscular stim for scoli,UE,,28 ,,NW,,,,,,"$1,116.33",$0.00,1,1,1,1,1,1,20080101E0745,HCPCS,Neuromuscular stim for shock,NU,,28 ,,NW,,,,,,"$1,744.73",$0.00,1,1,1,1,1,1,20080101E0745,HCPCS,Neuromuscular stim for shock,RR,,28 ,,NW,,,,,,$179.92,$0.00,1,1,1,1,1,1,20080101E0745,HCPCS,Neuromuscular stim for shock,UE,,28 ,,NW,,,,,,"$1,308.92",$0.00,1,1,1,1,1,1,20080101E0746,HCPCS,Electromyograph biofeedback,NU,,28 ,,NW,,,,,,$241.49,$0.00,1,1,1,1,1,1,20080101E0746,HCPCS,Electromyograph biofeedback,RR,,28 ,,NW,,,,,,$24.92,$0.00,1,1,1,1,1,1,20080101E0746,HCPCS,Electromyograph biofeedback,UE,,28 ,,NW,,,,,,$181.18,$0.00,1,1,1,1,1,1,20080101E0747,HCPCS,Elec osteogen stim not spine,NU,,28 ,,NW,,,,,,"$7,541.28",$0.00,1,1,1,1,1,1,20080101E0747,HCPCS,Elec osteogen stim not spine,RR,,28 ,,NW,,,,,,$738.81,$0.00,1,1,1,1,1,1,20080101E0747,HCPCS,Elec osteogen stim not spine,UE,,28 ,,NW,,,,,,"$5,599.99",$0.00,1,1,1,1,1,1,20080101E0748,HCPCS,Elec osteogen stim spinal,NU,,28 ,,NW,,,,,,"$7,492.32",$0.00,1,1,1,1,1,1,20080101E0748,HCPCS,Elec osteogen stim spinal,RR,,28 ,,NW,,,,,,$738.62,$0.00,1,1,1,1,1,1,20080101E0748,HCPCS,Elec osteogen stim spinal,UE,,28 ,,NW,,,,,,"$5,616.34",$0.00,1,1,1,1,1,1,20080101E0749,HCPCS,Elec osteogen stim implanted,,,28 ,,NW,,,,,,"$7,328.48",$0.00,1,1,1,1,1,1,20080101E0760,HCPCS,Osteogen ultrasound stimltor,NU,,28 ,,NW,,,,,,"$6,223.99",$0.00,1,1,1,1,1,1,20080101E0762,HCPCS,Trans elec jt stim dev sys,NU,,28 ,,NW,,,,,,"$1,649.34",$0.00,1,1,1,1,1,1,20080101E0762,HCPCS,Trans elec jt stim dev sys,RR,,28 ,,NW,,,,,,$164.94,$0.00,1,1,1,1,1,1,20080101E0762,HCPCS,Trans elec jt stim dev sys,UE,,28 ,,NW,,,,,,"$1,236.98",$0.00,1,1,1,1,1,1,20080101E0765,HCPCS,Nerve stimulator for tx n&v,NU,,28 ,,NW,,,,,,$168.38,$0.00,1,1,1,1,1,1,20080101E0776,HCPCS,Iv pole,NU,,28 ,,NW,,,,,,$294.80,$0.00,1,1,1,1,1,1,20080101E0776,HCPCS,Iv pole,RR,,28 ,,NW,,,,,,$36.40,$0.00,1,1,1,1,1,1,20080101E0776,HCPCS,Iv pole,UE,,28 ,,NW,,,,,,$213.79,$0.00,1,1,1,1,1,1,20080101E0779,HCPCS,Amb infusion pump mechanical,RR,,28 ,,NW,,,,,,$33.17,$0.00,1,1,1,1,1,1,20080101E0780,HCPCS,Mech amb infusion pump <8hrs,NU,,28 ,,NW,,,,,,$22.39,$0.00,1,1,1,1,1,1,20080101E0781,HCPCS,External ambulatory infus pu,RR,,28 ,,NW,,,,,,$555.42,$0.00,1,1,1,1,1,1,20080101E0782,HCPCS,Non-programble infusion pump,NU,,28 ,,NW,,,,,,"$8,269.07",$0.00,1,1,1,1,1,1,20080101E0783,HCPCS,Programmable infusion pump,NU,,28 ,,NW,,,,,,"$15,778.52",$0.00,1,1,1,1,1,1,20080101E0784,HCPCS,Ext amb infusn pump insulin,RR,,28 ,,NW,,,,,,$882.40,$0.00,1,1,1,1,1,1,20080101E0784,HCPCS,Ext amb infusn pump insulin,,,28 ,,NW,,,,,,"$6,489.36",$0.00,1,1,1,1,1,1,20080101E0785,HCPCS,Replacement impl pump cathet,,,28 ,,NW,,,,,,$899.55,$0.00,1,1,1,1,1,1,20080101E0786,HCPCS,Implantable pump replacement,,,28 ,,NW,,,,,,"$11,540.10",$0.00,1,1,1,1,1,1,20080101E0791,HCPCS,Parenteral infusion pump sta,RR,,28 ,,NW,,,,,,$734.12,$0.00,1,1,1,1,1,1,20080101E0791,HCPCS,Parenteral infusion pump sta,UE,,28 ,,NW,,,,,,"$5,341.27",$0.00,1,1,1,1,1,1,20080101E0791,HCPCS,Parenteral infusion pump sta,,,28 ,,NW,,,,,,"$7,119.69",$0.00,1,1,1,1,1,1,20080101E0830,HCPCS,Ambulatory traction device,,,28 ,,NW,,,,,,"$2,855.27",$0.00,1,1,1,1,1,1,20080101E0840,HCPCS,Tract frame attach headboard,,,28 ,,NW,,,,,,$104.47,$0.00,1,1,1,1,1,1,20080101E0849,HCPCS,Cervical pneum trac equip,NU,,28 ,,NW,,,,,,$772.96,$0.00,1,1,1,1,1,1,20080101E0849,HCPCS,Cervical pneum trac equip,RR,,28 ,,NW,,,,,,$77.29,$0.00,1,1,1,1,1,1,20080101E0849,HCPCS,Cervical pneum trac equip,UE,,28 ,,NW,,,,,,$579.69,$0.00,1,1,1,1,1,1,20080101E0849,HCPCS,Cervical pneum trac equip,,,28 ,,NW,,,,,,$61.92,$0.00,1,1,1,0,1,1,20080101E0850,HCPCS,Traction stand free standing,,,28 ,,NW,,,,,,$148.53,$0.00,1,1,1,1,1,1,20080101E0855,HCPCS,Cervical traction equipment,,,28 ,,NW,,,,,,$795.46,$0.00,1,1,1,1,1,1,20080101E0860,HCPCS,Tract equip cervical tract,,,28 ,,NW,,,,,,$57.56,$0.00,1,1,1,1,1,1,20080101E0870,HCPCS,Tract frame attach footboard,,,28 ,,NW,,,,,,$164.33,$0.00,1,1,1,1,1,1,20080101E0880,HCPCS,Trac stand free stand extrem,,,28 ,,NW,,,,,,$176.99,$0.00,1,1,1,1,1,1,20080101E0890,HCPCS,Traction frame attach pelvic,,,28 ,,NW,,,,,,$180.35,$0.00,1,1,1,1,1,1,20080101E0900,HCPCS,Trac stand free stand pelvic,,,28 ,,NW,,,,,,$178.85,$0.00,1,1,1,1,1,1,20080101E0910,HCPCS,Trapeze bar attached to bed,RR,,28 ,,NW,,,,,,$39.99,$0.00,1,1,1,1,1,1,20080101E0910,HCPCS,Trapeze bar attached to bed,UE,,28 ,,NW,,,,,,$299.27,$0.00,1,1,1,1,1,1,20080101E0910,HCPCS,Trapeze bar attached to bed,,,28 ,,NW,,,,,,$399.26,$0.00,1,1,1,1,1,1,20080101E0920,HCPCS,Fracture frame attached to b,RR,,28 ,,NW,,,,,,$88.26,$0.00,1,1,1,1,1,1,20080101E0920,HCPCS,Fracture frame attached to b,UE,,28 ,,NW,,,,,,$732.66,$0.00,1,1,1,1,1,1,20080101E0920,HCPCS,Fracture frame attached to b,,,28 ,,NW,,,,,,$882.51,$0.00,1,1,1,1,1,1,20080101E0930,HCPCS,Fracture frame free standing,RR,,28 ,,NW,,,,,,$87.43,$0.00,1,1,1,1,1,1,20080101E0930,HCPCS,Fracture frame free standing,UE,,28 ,,NW,,,,,,$644.83,$0.00,1,1,1,1,1,1,20080101E0930,HCPCS,Fracture frame free standing,,,28 ,,NW,,,,,,$875.92,$0.00,1,1,1,1,1,1,20080101E0935,HCPCS,Exercise device passive moti,RR,,28 ,,NW,,,,,,$43.31,$0.00,1,1,1,1,1,1,20080101E0940,HCPCS,Trapeze bar free standing,RR,,28 ,,NW,,,,,,$67.27,$0.00,1,1,1,1,1,1,20080101E0940,HCPCS,Trapeze bar free standing,UE,,28 ,,NW,,,,,,$447.61,$0.00,1,1,1,1,1,1,20080101E0940,HCPCS,Trapeze bar free standing,,,28 ,,NW,,,,,,$632.58,$0.00,1,1,1,1,1,1,20080101E0941,HCPCS,Gravity assisted traction de,NU,,28 ,,NW,,,,,,$830.38,$0.00,1,1,1,1,1,1,20080101E0941,HCPCS,Gravity assisted traction de,RR,,28 ,,NW,,,,,,$83.21,$0.00,1,1,1,1,1,1,20080101E0941,HCPCS,Gravity assisted traction de,UE,,28 ,,NW,,,,,,$627.84,$0.00,1,1,1,1,1,1,20080101E0942,HCPCS,Cervical head harness/halter,NU,,28 ,,NW,,,,,,$39.73,$0.00,1,1,1,1,1,1,20080101E0944,HCPCS,Pelvic belt/harness/boot,NU,,28 ,,NW,,,,,,$75.55,$0.00,1,1,1,1,1,1,20080101E0945,HCPCS,Belt/harness extremity,NU,,28 ,,NW,,,,,,$73.11,$0.00,1,1,1,1,1,1,20080101E0946,HCPCS,Fracture frame dual w cross,NU,,28 ,,NW,,,,,,"$1,126.55",$0.00,1,1,1,1,1,1,20080101E0946,HCPCS,Fracture frame dual w cross,RR,,28 ,,NW,,,,,,$112.28,$0.00,1,1,1,1,1,1,20080101E0946,HCPCS,Fracture frame dual w cross,UE,,28 ,,NW,,,,,,$845.47,$0.00,1,1,1,1,1,1,20080101E0947,HCPCS,Fracture frame attachmnts pe,NU,,28 ,,NW,,,,,,"$1,050.68",$0.00,1,1,1,1,1,1,20080101E0947,HCPCS,Fracture frame attachmnts pe,RR,,28 ,,NW,,,,,,$119.18,$0.00,1,1,1,1,1,1,20080101E0947,HCPCS,Fracture frame attachmnts pe,UE,,28 ,,NW,,,,,,$791.66,$0.00,1,1,1,1,1,1,20080101E0948,HCPCS,Fracture frame attachmnts ce,NU,,28 ,,NW,,,,,,"$1,016.72",$0.00,1,1,1,1,1,1,20080101E0948,HCPCS,Fracture frame attachmnts ce,RR,,28 ,,NW,,,,,,$111.33,$0.00,1,1,1,1,1,1,20080101E0948,HCPCS,Fracture frame attachmnts ce,UE,,28 ,,NW,,,,,,$721.39,$0.00,1,1,1,1,1,1,20080101E0950,HCPCS,Tray,NU,,28 ,,NW,,,,,,$169.75,$0.00,1,1,1,1,1,1,20080101E0950,HCPCS,Tray,RR,,28 ,,NW,,,,,,$20.39,$0.00,1,1,1,1,1,1,20080101E0950,HCPCS,Tray,UE,,28 ,,NW,,,,,,$127.49,$0.00,1,1,1,1,1,1,20080101E0951,HCPCS,Loop heel,NU,,28 ,,NW,,,,,,$33.73,$0.00,1,1,1,1,1,1,20080101E0951,HCPCS,Loop heel,RR,,28 ,,NW,,,,,,$4.72,$0.00,1,1,1,1,1,1,20080101E0951,HCPCS,Loop heel,UE,,28 ,,NW,,,,,,$26.31,$0.00,1,1,1,1,1,1,20080101E0952,HCPCS,"Toe loop/holder, each",NU,,28 ,,NW,,,,,,$33.48,$0.00,1,1,1,1,1,1,20080101E0952,HCPCS,"Toe loop/holder, each",RR,,28 ,,NW,,,,,,$4.72,$0.00,1,1,1,1,1,1,20080101E0952,HCPCS,"Toe loop/holder, each",UE,,28 ,,NW,,,,,,$26.18,$0.00,1,1,1,1,1,1,20080101E0955,HCPCS,Cushioned headrest,NU,,28 ,,NW,,,,,,$242.94,$0.00,1,1,1,0,1,1,20080101E0955,HCPCS,Cushioned headrest,RR,,28 ,,NW,,,,,,$24.30,$0.00,1,1,1,0,1,1,20080101E0955,HCPCS,Cushioned headrest,UE,,28 ,,NW,,,,,,$182.21,$0.00,1,1,1,0,1,1,20080101E0956,HCPCS,W/c lateral trunk/hip suppor,NU,,28 ,,NW,,,,,,$118.46,$0.00,1,1,1,0,1,1,20080101E0956,HCPCS,W/c lateral trunk/hip suppor,RR,,28 ,,NW,,,,,,$11.84,$0.00,1,1,1,0,1,1,20080101E0956,HCPCS,W/c lateral trunk/hip suppor,UE,,28 ,,NW,,,,,,$88.84,$0.00,1,1,1,0,1,1,20080101E0957,HCPCS,W/c medial thigh support,NU,,28 ,,NW,,,,,,$165.73,$0.00,1,1,1,0,1,1,20080101E0957,HCPCS,W/c medial thigh support,RR,,28 ,,NW,,,,,,$16.58,$0.00,1,1,1,0,1,1,20080101E0957,HCPCS,W/c medial thigh support,UE,,28 ,,NW,,,,,,$124.30,$0.00,1,1,1,0,1,1,20080101E0958,HCPCS,Whlchr att- conv 1 arm drive,NU,,28 ,,NW,,,,,,$719.40,$0.00,1,1,1,1,1,1,20080101E0958,HCPCS,Whlchr att- conv 1 arm drive,RR,,28 ,,NW,,,,,,$72.04,$0.00,1,1,1,1,1,1,20080101E0958,HCPCS,Whlchr att- conv 1 arm drive,UE,,28 ,,NW,,,,,,$539.83,$0.00,1,1,1,1,1,1,20080101E0959,HCPCS,Amputee adapter,NU,,28 ,,NW,,,,,,$72.95,$0.00,1,1,1,1,1,1,20080101E0959,HCPCS,Amputee adapter,RR,,28 ,,NW,,,,,,$10.71,$0.00,1,1,1,1,1,1,20080101E0959,HCPCS,Amputee adapter,UE,,28 ,,NW,,,,,,$56.23,$0.00,1,1,1,1,1,1,20080101E0960,HCPCS,W/c shoulder harness/straps,NU,,28 ,,NW,,,,,,$109.32,$0.00,1,1,1,0,1,1,20080101E0960,HCPCS,W/c shoulder harness/straps,RR,,28 ,,NW,,,,,,$10.94,$0.00,1,1,1,0,1,1,20080101E0960,HCPCS,W/c shoulder harness/straps,UE,,28 ,,NW,,,,,,$81.99,$0.00,1,1,1,0,1,1,20080101E0961,HCPCS,Wheelchair brake extension,NU,,28 ,,NW,,,,,,$50.44,$0.00,1,1,1,1,1,1,20080101E0961,HCPCS,Wheelchair brake extension,RR,,28 ,,NW,,,,,,$7.49,$0.00,1,1,1,1,1,1,20080101E0961,HCPCS,Wheelchair brake extension,UE,,28 ,,NW,,,,,,$27.31,$0.00,1,1,1,1,1,1,20080101E0966,HCPCS,Wheelchair head rest extensi,NU,,28 ,,NW,,,,,,$116.77,$0.00,1,1,1,1,1,1,20080101E0966,HCPCS,Wheelchair head rest extensi,RR,,28 ,,NW,,,,,,$15.15,$0.00,1,1,1,1,1,1,20080101E0966,HCPCS,Wheelchair head rest extensi,UE,,28 ,,NW,,,,,,$87.70,$0.00,1,1,1,1,1,1,20080101E0967,HCPCS,Wheelchair hand rims,NU,,28 ,,NW,,,,,,$107.52,$0.00,1,1,1,1,1,1,20080101E0967,HCPCS,Wheelchair hand rims,RR,,28 ,,NW,,,,,,$14.41,$0.00,1,1,1,1,1,1,20080101E0967,HCPCS,Wheelchair hand rims,UE,,28 ,,NW,,,,,,$80.78,$0.00,1,1,1,1,1,1,20080101E0968,HCPCS,Wheelchair commode seat,NU,,28 ,,NW,,,,,,$323.63,$0.00,1,1,1,1,1,1,20080101E0968,HCPCS,Wheelchair commode seat,RR,,28 ,,NW,,,,,,$32.09,$0.00,1,1,1,1,1,1,20080101E0968,HCPCS,Wheelchair commode seat,UE,,28 ,,NW,,,,,,$206.03,$0.00,1,1,1,1,1,1,20080101E0969,HCPCS,Wheelchair narrowing device,NU,,28 ,,NW,,,,,,$255.44,$0.00,1,1,1,1,1,1,20080101E0969,HCPCS,Wheelchair narrowing device,RR,,28 ,,NW,,,,,,$28.31,$0.00,1,1,1,1,1,1,20080101E0969,HCPCS,Wheelchair narrowing device,UE,,28 ,,NW,,,,,,$191.76,$0.00,1,1,1,1,1,1,20080101E0970,HCPCS,Wheelchair no. 2 footplates,NU,,28 ,,NW,,,,,,$84.23,$0.00,1,1,1,1,1,1,20080101E0970,HCPCS,Wheelchair no. 2 footplates,RR,,28 ,,NW,,,,,,$11.17,$0.00,1,1,1,1,1,1,20080101E0970,HCPCS,Wheelchair no. 2 footplates,UE,,28 ,,NW,,,,,,$64.45,$0.00,1,1,1,1,1,1,20080101E0971,HCPCS,Wheelchair anti-tipping devi,NU,,28 ,,NW,,,,,,$107.60,$0.00,1,1,1,1,1,1,20080101E0971,HCPCS,Wheelchair anti-tipping devi,RR,,28 ,,NW,,,,,,$15.79,$0.00,1,1,1,1,1,1,20080101E0971,HCPCS,Wheelchair anti-tipping devi,UE,,28 ,,NW,,,,,,$80.88,$0.00,1,1,1,1,1,1,20080101E0973,HCPCS,W/Ch access det adj armrest,NU,,28 ,,NW,,,,,,$187.67,$0.00,1,1,1,1,1,1,20080101E0973,HCPCS,W/Ch access det adj armrest,RR,,28 ,,NW,,,,,,$21.21,$0.00,1,1,1,1,1,1,20080101E0973,HCPCS,W/Ch access det adj armrest,UE,,28 ,,NW,,,,,,$140.92,$0.00,1,1,1,1,1,1,20080101E0974,HCPCS,W/Ch access anti-rollback,NU,,28 ,,NW,,,,,,$128.20,$0.00,1,1,1,1,1,1,20080101E0974,HCPCS,W/Ch access anti-rollback,RR,,28 ,,NW,,,,,,$17.11,$0.00,1,1,1,1,1,1,20080101E0974,HCPCS,W/Ch access anti-rollback,UE,,28 ,,NW,,,,,,$97.03,$0.00,1,1,1,1,1,1,20080101E0978,HCPCS,"W/C acc,saf belt pelv strap",NU,,28 ,,NW,,,,,,$70.61,$0.00,1,1,1,1,1,1,20080101E0978,HCPCS,"W/C acc,saf belt pelv strap",RR,,28 ,,NW,,,,,,$10.34,$0.00,1,1,1,1,1,1,20080101E0978,HCPCS,"W/C acc,saf belt pelv strap",UE,,28 ,,NW,,,,,,$53.43,$0.00,1,1,1,1,1,1,20080101E0980,HCPCS,Wheelchair safety vest,NU,,28 ,,NW,,,,,,$55.60,$0.00,1,1,1,1,1,1,20080101E0980,HCPCS,Wheelchair safety vest,RR,,28 ,,NW,,,,,,$7.96,$0.00,1,1,1,1,1,1,20080101E0980,HCPCS,Wheelchair safety vest,UE,,28 ,,NW,,,,,,$42.54,$0.00,1,1,1,1,1,1,20080101E0981,HCPCS,"Seat upholstery, replacement",NU,,28 ,,NW,,,,,,$77.53,$0.00,1,1,1,1,1,1,20080101E0981,HCPCS,"Seat upholstery, replacement",RR,,28 ,,NW,,,,,,$11.58,$0.00,1,1,1,1,1,1,20080101E0981,HCPCS,"Seat upholstery, replacement",UE,,28 ,,NW,,,,,,$59.70,$0.00,1,1,1,1,1,1,20080101E0982,HCPCS,"Back upholstery, replacement",NU,,28 ,,NW,,,,,,$84.49,$0.00,1,1,1,1,1,1,20080101E0982,HCPCS,"Back upholstery, replacement",RR,,28 ,,NW,,,,,,$12.21,$0.00,1,1,1,1,1,1,20080101E0982,HCPCS,"Back upholstery, replacement",UE,,28 ,,NW,,,,,,$64.28,$0.00,1,1,1,1,1,1,20080101E0983,HCPCS,Add pwr joystick,RR,,28 ,,NW,,,,,,$407.21,$0.00,1,1,1,1,1,1,20080101E0984,HCPCS,Add pwr tiller,NU,,28 ,,NW,,,,,,"$3,108.41",$0.00,1,1,1,1,1,1,20080101E0984,HCPCS,Add pwr tiller,RR,,28 ,,NW,,,,,,$289.54,$0.00,1,1,1,1,1,1,20080101E0984,HCPCS,Add pwr tiller,UE,,28 ,,NW,,,,,,"$2,398.71",$0.00,1,1,1,1,1,1,20080101E0985,HCPCS,W/c seat lift mechanism,NU,,28 ,,NW,,,,,,$243.73,$0.00,1,1,1,0,1,1,20080101E0985,HCPCS,W/c seat lift mechanism,RR,,28 ,,NW,,,,,,$24.38,$0.00,1,1,1,0,1,1,20080101E0985,HCPCS,W/c seat lift mechanism,UE,,28 ,,NW,,,,,,$182.80,$0.00,1,1,1,0,1,1,20080101E0986,HCPCS,Man w/c push-rim pow assist,NU,,28 ,,NW,,,,,,"$5,844.55",$0.00,1,1,1,0,1,1,20080101E0986,HCPCS,Man w/c push-rim pow assist,RR,,28 ,,NW,,,,,,$584.15,$0.00,1,1,1,0,1,1,20080101E0986,HCPCS,Man w/c push-rim pow assist,UE,,28 ,,NW,,,,,,"$4,381.12",$0.00,1,1,1,0,1,1,20080101E0990,HCPCS,Whellchair elevating leg res,NU,,28 ,,NW,,,,,,$191.67,$0.00,1,1,1,1,1,1,20080101E0990,HCPCS,Whellchair elevating leg res,RR,,28 ,,NW,,,,,,$24.76,$0.00,1,1,1,1,1,1,20080101E0990,HCPCS,Whellchair elevating leg res,UE,,28 ,,NW,,,,,,$149.91,$0.00,1,1,1,1,1,1,20080101E0992,HCPCS,Wheelchair solid seat insert,NU,,28 ,,NW,,,,,,$155.44,$0.00,1,1,1,1,1,1,20080101E0992,HCPCS,Wheelchair solid seat insert,RR,,28 ,,NW,,,,,,$18.57,$0.00,1,1,1,1,1,1,20080101E0992,HCPCS,Wheelchair solid seat insert,UE,,28 ,,NW,,,,,,$116.77,$0.00,1,1,1,1,1,1,20080101E0994,HCPCS,Wheelchair arm rest,NU,,28 ,,NW,,,,,,$31.61,$0.00,1,1,1,1,1,1,20080101E0994,HCPCS,Wheelchair arm rest,RR,,28 ,,NW,,,,,,$4.29,$0.00,1,1,1,1,1,1,20080101E0994,HCPCS,Wheelchair arm rest,UE,,28 ,,NW,,,,,,$24.77,$0.00,1,1,1,1,1,1,20080101E0995,HCPCS,Wheelchair calf rest,NU,,28 ,,NW,,,,,,$51.47,$0.00,1,1,1,1,1,1,20080101E0995,HCPCS,Wheelchair calf rest,RR,,28 ,,NW,,,,,,$7.34,$0.00,1,1,1,1,1,1,20080101E0995,HCPCS,Wheelchair calf rest,UE,,28 ,,NW,,,,,,$39.62,$0.00,1,1,1,1,1,1,20080101E1002,HCPCS,Pwr seat tilt,,,28 ,,NW,,,,,,$494.24,$0.00,1,1,1,0,1,1,20080101E1003,HCPCS,Pwr seat recline,,,28 ,,NW,,,,,,$527.64,$0.00,1,1,1,0,1,1,20080101E1004,HCPCS,Pwr seat recline mech,,,28 ,,NW,,,,,,$585.04,$0.00,1,1,1,0,1,1,20080101E1005,HCPCS,Pwr seat recline pwr,,,28 ,,NW,,,,,,$633.25,$0.00,1,1,1,0,1,1,20080101E1006,HCPCS,Pwr seat combo w/o shear,,,28 ,,NW,,,,,,$775.65,$0.00,1,1,1,0,1,1,20080101E1007,HCPCS,Pwr seat combo w/shear,,,28 ,,NW,,,,,,"$1,050.30",$0.00,1,1,1,0,1,1,20080101E1008,HCPCS,Pwr seat combo pwr shear,,,28 ,,NW,,,,,,"$1,050.39",$0.00,1,1,1,0,1,1,20080101E1009,HCPCS,Add mech leg elevation,,,28 ,,NW,,,,,,$125.03,$0.00,1,1,1,0,1,1,20080101E1010,HCPCS,Add pwr leg elevation,,,28 ,,NW,,,,,,"$1,853.69",$0.00,1,1,1,0,1,1,20080101E1014,HCPCS,Reclining back add ped w/c,NU,,28 ,,NW,,,,,,$594.61,$0.00,1,1,1,1,1,1,20080101E1015,HCPCS,Shock absorber for man w/c,NU,,28 ,,NW,,,,,,$187.24,$0.00,1,1,1,1,1,1,20080101E1016,HCPCS,Shock absorber for power w/c,NU,,28 ,,NW,,,,,,$214.26,$0.00,1,1,1,1,1,1,20080101E1020,HCPCS,Residual limb support system,NU,,28 ,,NW,,,,,,$396.60,$0.00,1,1,1,1,1,1,20080101E1020,HCPCS,Residual limb support system,UE,,28 ,,NW,,,,,,$297.59,$0.00,1,1,1,1,1,1,20080101E1028,HCPCS,W/c manual swingaway,,,28 ,,NW,,,,,,$24.82,$0.00,1,1,1,0,1,1,20080101E1029,HCPCS,W/c vent tray fixed,,,28 ,,NW,,,,,,$44.40,$0.00,1,1,1,0,1,1,20080101E1030,HCPCS,W/c vent tray gimbaled,,,28 ,,NW,,,,,,$140.02,$0.00,1,1,1,0,1,1,20080101E1031,HCPCS,Rollabout chair with casters,NU,,28 ,,NW,,,,,,$826.23,$0.00,1,1,1,1,1,1,20080101E1031,HCPCS,Rollabout chair with casters,RR,,28 ,,NW,,,,,,$82.83,$0.00,1,1,1,1,1,1,20080101E1031,HCPCS,Rollabout chair with casters,UE,,28 ,,NW,,,,,,$619.83,$0.00,1,1,1,1,1,1,20080101E1035,HCPCS,Patient transfer system,RR,,28 ,,NW,,,,,,$998.10,$0.00,1,1,1,1,1,1,20080101E1037,HCPCS,"Transport chair, ped size",,,28 ,,NW,,,,,,$177.13,$0.00,1,1,1,1,1,1,20080101E1038,HCPCS,"Transport chair, adult size",,,28 ,,NW,,,,,,$66.42,$0.00,1,1,1,1,1,1,20080101E1039,HCPCS,Transport chair pt wt >300lb,,,28 ,,NW,,,,,,$41.10,$0.00,1,1,1,0,1,1,20080101E1050,HCPCS,Whelchr fxd full length arms,NU,,28 ,,NW,,,,,,"$1,865.79",$0.00,1,1,1,1,1,1,20080101E1050,HCPCS,Whelchr fxd full length arms,RR,,28 ,,NW,,,,,,$166.31,$0.00,1,1,1,1,1,1,20080101E1050,HCPCS,Whelchr fxd full length arms,UE,,28 ,,NW,,,,,,"$1,399.50",$0.00,1,1,1,1,1,1,20080101E1060,HCPCS,Wheelchair detachable arms,NU,,28 ,,NW,,,,,,"$2,437.32",$0.00,1,1,1,1,1,1,20080101E1060,HCPCS,Wheelchair detachable arms,RR,,28 ,,NW,,,,,,$205.73,$0.00,1,1,1,1,1,1,20080101E1060,HCPCS,Wheelchair detachable arms,UE,,28 ,,NW,,,,,,"$1,827.63",$0.00,1,1,1,1,1,1,20080101E1070,HCPCS,Wheelchair detachable foot r,NU,,28 ,,NW,,,,,,"$2,198.46",$0.00,1,1,1,1,1,1,20080101E1070,HCPCS,Wheelchair detachable foot r,RR,,28 ,,NW,,,,,,$178.82,$0.00,1,1,1,1,1,1,20080101E1070,HCPCS,Wheelchair detachable foot r,UE,,28 ,,NW,,,,,,"$1,648.52",$0.00,1,1,1,1,1,1,20080101E1083,HCPCS,Hemi-wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,285.46",$0.00,1,1,1,1,1,1,20080101E1083,HCPCS,Hemi-wheelchair fixed arms,RR,,28 ,,NW,,,,,,$128.73,$0.00,1,1,1,1,1,1,20080101E1083,HCPCS,Hemi-wheelchair fixed arms,UE,,28 ,,NW,,,,,,$937.91,$0.00,1,1,1,1,1,1,20080101E1084,HCPCS,Hemi-wheelchair detachable a,NU,,28 ,,NW,,,,,,"$1,959.12",$0.00,1,1,1,1,1,1,20080101E1084,HCPCS,Hemi-wheelchair detachable a,RR,,28 ,,NW,,,,,,$160.24,$0.00,1,1,1,1,1,1,20080101E1084,HCPCS,Hemi-wheelchair detachable a,UE,,28 ,,NW,,,,,,"$1,399.48",$0.00,1,1,1,1,1,1,20080101E1085,HCPCS,Hemi-wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,288.55",$0.00,1,1,1,1,1,1,20080101E1085,HCPCS,Hemi-wheelchair fixed arms,RR,,28 ,,NW,,,,,,$129.46,$0.00,1,1,1,1,1,1,20080101E1085,HCPCS,Hemi-wheelchair fixed arms,UE,,28 ,,NW,,,,,,$925.48,$0.00,1,1,1,1,1,1,20080101E1086,HCPCS,Hemi-wheelchair detachable a,NU,,28 ,,NW,,,,,,"$1,569.42",$0.00,1,1,1,1,1,1,20080101E1086,HCPCS,Hemi-wheelchair detachable a,RR,,28 ,,NW,,,,,,$143.15,$0.00,1,1,1,1,1,1,20080101E1086,HCPCS,Hemi-wheelchair detachable a,UE,,28 ,,NW,,,,,,"$1,139.88",$0.00,1,1,1,1,1,1,20080101E1087,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$2,065.87",$0.00,1,1,1,1,1,1,20080101E1087,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$206.43,$0.00,1,1,1,1,1,1,20080101E1087,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$1,506.54",$0.00,1,1,1,1,1,1,20080101E1088,HCPCS,Wheelchair lightweight det a,NU,,28 ,,NW,,,,,,"$2,464.98",$0.00,1,1,1,1,1,1,20080101E1088,HCPCS,Wheelchair lightweight det a,RR,,28 ,,NW,,,,,,$245.91,$0.00,1,1,1,1,1,1,20080101E1088,HCPCS,Wheelchair lightweight det a,UE,,28 ,,NW,,,,,,"$1,691.09",$0.00,1,1,1,1,1,1,20080101E1089,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$2,082.52",$0.00,1,1,1,1,1,1,20080101E1089,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$208.92,$0.00,1,1,1,1,1,1,20080101E1089,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$1,561.88",$0.00,1,1,1,1,1,1,20080101E1090,HCPCS,Wheelchair lightweight det a,NU,,28 ,,NW,,,,,,"$2,146.91",$0.00,1,1,1,1,1,1,20080101E1090,HCPCS,Wheelchair lightweight det a,RR,,28 ,,NW,,,,,,$208.92,$0.00,1,1,1,1,1,1,20080101E1090,HCPCS,Wheelchair lightweight det a,UE,,28 ,,NW,,,,,,"$1,569.42",$0.00,1,1,1,1,1,1,20080101E1092,HCPCS,Wheelchair wide w/ leg rests,NU,,28 ,,NW,,,,,,"$2,313.29",$0.00,1,1,1,1,1,1,20080101E1092,HCPCS,Wheelchair wide w/ leg rests,RR,,28 ,,NW,,,,,,$209.69,$0.00,1,1,1,1,1,1,20080101E1092,HCPCS,Wheelchair wide w/ leg rests,UE,,28 ,,NW,,,,,,"$1,690.85",$0.00,1,1,1,1,1,1,20080101E1093,HCPCS,Wheelchair wide w/ foot rest,NU,,28 ,,NW,,,,,,"$1,764.12",$0.00,1,1,1,1,1,1,20080101E1093,HCPCS,Wheelchair wide w/ foot rest,RR,,28 ,,NW,,,,,,$180.45,$0.00,1,1,1,1,1,1,20080101E1093,HCPCS,Wheelchair wide w/ foot rest,UE,,28 ,,NW,,,,,,"$1,312.71",$0.00,1,1,1,1,1,1,20080101E1100,HCPCS,Whchr s-recl fxd arm leg res,NU,,28 ,,NW,,,,,,"$1,693.35",$0.00,1,1,1,1,1,1,20080101E1100,HCPCS,Whchr s-recl fxd arm leg res,RR,,28 ,,NW,,,,,,$169.52,$0.00,1,1,1,1,1,1,20080101E1100,HCPCS,Whchr s-recl fxd arm leg res,UE,,28 ,,NW,,,,,,"$1,270.46",$0.00,1,1,1,1,1,1,20080101E1110,HCPCS,Wheelchair semi-recl detach,NU,,28 ,,NW,,,,,,"$1,657.33",$0.00,1,1,1,1,1,1,20080101E1110,HCPCS,Wheelchair semi-recl detach,RR,,28 ,,NW,,,,,,$166.01,$0.00,1,1,1,1,1,1,20080101E1110,HCPCS,Wheelchair semi-recl detach,UE,,28 ,,NW,,,,,,"$1,205.14",$0.00,1,1,1,1,1,1,20080101E1130,HCPCS,Whlchr stand fxd arm ft rest,NU,,28 ,,NW,,,,,,$826.13,$0.00,1,1,1,1,1,1,20080101E1130,HCPCS,Whlchr stand fxd arm ft rest,RR,,28 ,,NW,,,,,,$83.55,$0.00,1,1,1,1,1,1,20080101E1130,HCPCS,Whlchr stand fxd arm ft rest,UE,,28 ,,NW,,,,,,$628.15,$0.00,1,1,1,1,1,1,20080101E1140,HCPCS,Wheelchair standard detach a,NU,,28 ,,NW,,,,,,"$1,189.23",$0.00,1,1,1,1,1,1,20080101E1140,HCPCS,Wheelchair standard detach a,RR,,28 ,,NW,,,,,,$119.86,$0.00,1,1,1,1,1,1,20080101E1140,HCPCS,Wheelchair standard detach a,UE,,28 ,,NW,,,,,,$842.58,$0.00,1,1,1,1,1,1,20080101E1150,HCPCS,Wheelchair standard w/ leg r,NU,,28 ,,NW,,,,,,"$1,378.98",$0.00,1,1,1,1,1,1,20080101E1150,HCPCS,Wheelchair standard w/ leg r,RR,,28 ,,NW,,,,,,$133.34,$0.00,1,1,1,1,1,1,20080101E1150,HCPCS,Wheelchair standard w/ leg r,UE,,28 ,,NW,,,,,,$913.00,$0.00,1,1,1,1,1,1,20080101E1160,HCPCS,Wheelchair fixed arms,NU,,28 ,,NW,,,,,,"$1,117.39",$0.00,1,1,1,1,1,1,20080101E1160,HCPCS,Wheelchair fixed arms,RR,,28 ,,NW,,,,,,$102.33,$0.00,1,1,1,1,1,1,20080101E1160,HCPCS,Wheelchair fixed arms,UE,,28 ,,NW,,,,,,$780.27,$0.00,1,1,1,1,1,1,20080101E1161,HCPCS,Manual adult wc w tiltinspac,NU,,28 ,,NW,,,,,,"$3,849.35",$0.00,1,1,1,1,1,1,20080101E1161,HCPCS,Manual adult wc w tiltinspac,UE,,28 ,,NW,,,,,,"$2,887.22",$0.00,1,1,1,1,1,1,20080101E1170,HCPCS,Whlchr ampu fxd arm leg rest,NU,,28 ,,NW,,,,,,"$1,458.07",$0.00,1,1,1,1,1,1,20080101E1170,HCPCS,Whlchr ampu fxd arm leg rest,RR,,28 ,,NW,,,,,,$145.95,$0.00,1,1,1,1,1,1,20080101E1170,HCPCS,Whlchr ampu fxd arm leg rest,UE,,28 ,,NW,,,,,,"$1,093.89",$0.00,1,1,1,1,1,1,20080101E1171,HCPCS,Wheelchair amputee w/o leg r,NU,,28 ,,NW,,,,,,"$1,306.96",$0.00,1,1,1,1,1,1,20080101E1171,HCPCS,Wheelchair amputee w/o leg r,RR,,28 ,,NW,,,,,,$131.03,$0.00,1,1,1,1,1,1,20080101E1171,HCPCS,Wheelchair amputee w/o leg r,UE,,28 ,,NW,,,,,,$980.23,$0.00,1,1,1,1,1,1,20080101E1172,HCPCS,Wheelchair amputee detach ar,NU,,28 ,,NW,,,,,,"$1,596.05",$0.00,1,1,1,1,1,1,20080101E1172,HCPCS,Wheelchair amputee detach ar,RR,,28 ,,NW,,,,,,$159.99,$0.00,1,1,1,1,1,1,20080101E1172,HCPCS,Wheelchair amputee detach ar,UE,,28 ,,NW,,,,,,"$1,197.17",$0.00,1,1,1,1,1,1,20080101E1180,HCPCS,Wheelchair amputee w/ foot r,NU,,28 ,,NW,,,,,,"$1,656.30",$0.00,1,1,1,1,1,1,20080101E1180,HCPCS,Wheelchair amputee w/ foot r,RR,,28 ,,NW,,,,,,$165.51,$0.00,1,1,1,1,1,1,20080101E1180,HCPCS,Wheelchair amputee w/ foot r,UE,,28 ,,NW,,,,,,"$1,241.92",$0.00,1,1,1,1,1,1,20080101E1190,HCPCS,Wheelchair amputee w/ leg re,NU,,28 ,,NW,,,,,,"$1,912.24",$0.00,1,1,1,1,1,1,20080101E1190,HCPCS,Wheelchair amputee w/ leg re,RR,,28 ,,NW,,,,,,$191.09,$0.00,1,1,1,1,1,1,20080101E1190,HCPCS,Wheelchair amputee w/ leg re,UE,,28 ,,NW,,,,,,"$1,396.25",$0.00,1,1,1,1,1,1,20080101E1195,HCPCS,Wheelchair amputee heavy dut,NU,,28 ,,NW,,,,,,"$2,050.11",$0.00,1,1,1,1,1,1,20080101E1195,HCPCS,Wheelchair amputee heavy dut,RR,,28 ,,NW,,,,,,$205.01,$0.00,1,1,1,1,1,1,20080101E1195,HCPCS,Wheelchair amputee heavy dut,UE,,28 ,,NW,,,,,,"$1,538.19",$0.00,1,1,1,1,1,1,20080101E1200,HCPCS,Wheelchair amputee fixed arm,NU,,28 ,,NW,,,,,,"$1,419.66",$0.00,1,1,1,1,1,1,20080101E1200,HCPCS,Wheelchair amputee fixed arm,RR,,28 ,,NW,,,,,,$142.19,$0.00,1,1,1,1,1,1,20080101E1200,HCPCS,Wheelchair amputee fixed arm,UE,,28 ,,NW,,,,,,"$1,064.46",$0.00,1,1,1,1,1,1,20080101E1220,HCPCS,Whlchr special size/constrc,,,28 ,,NW,,,,,,"$4,130.36",$0.00,1,1,1,1,1,1,20080101E1221,HCPCS,Wheelchair spec size w foot,NU,,28 ,,NW,,,,,,$781.48,$0.00,1,1,1,1,1,1,20080101E1221,HCPCS,Wheelchair spec size w foot,RR,,28 ,,NW,,,,,,$78.09,$0.00,1,1,1,1,1,1,20080101E1221,HCPCS,Wheelchair spec size w foot,UE,,28 ,,NW,,,,,,$586.28,$0.00,1,1,1,1,1,1,20080101E1222,HCPCS,Wheelchair spec size w/ leg,NU,,28 ,,NW,,,,,,"$1,112.66",$0.00,1,1,1,1,1,1,20080101E1222,HCPCS,Wheelchair spec size w/ leg,RR,,28 ,,NW,,,,,,$110.93,$0.00,1,1,1,1,1,1,20080101E1222,HCPCS,Wheelchair spec size w/ leg,UE,,28 ,,NW,,,,,,$800.55,$0.00,1,1,1,1,1,1,20080101E1223,HCPCS,Wheelchair spec size w foot,NU,,28 ,,NW,,,,,,"$1,207.05",$0.00,1,1,1,1,1,1,20080101E1223,HCPCS,Wheelchair spec size w foot,RR,,28 ,,NW,,,,,,$121.06,$0.00,1,1,1,1,1,1,20080101E1223,HCPCS,Wheelchair spec size w foot,UE,,28 ,,NW,,,,,,$863.36,$0.00,1,1,1,1,1,1,20080101E1224,HCPCS,Wheelchair spec size w/ leg,NU,,28 ,,NW,,,,,,"$1,394.24",$0.00,1,1,1,1,1,1,20080101E1224,HCPCS,Wheelchair spec size w/ leg,RR,,28 ,,NW,,,,,,$132.65,$0.00,1,1,1,1,1,1,20080101E1224,HCPCS,Wheelchair spec size w/ leg,UE,,28 ,,NW,,,,,,$935.61,$0.00,1,1,1,1,1,1,20080101E1225,HCPCS,Wheelchair spec sz semi-recl,NU,,28 ,,NW,,,,,,$744.89,$0.00,1,1,1,1,1,1,20080101E1225,HCPCS,Wheelchair spec sz semi-recl,RR,,28 ,,NW,,,,,,$74.50,$0.00,1,1,1,1,1,1,20080101E1225,HCPCS,Wheelchair spec sz semi-recl,UE,,28 ,,NW,,,,,,$558.97,$0.00,1,1,1,1,1,1,20080101E1226,HCPCS,W/C access fully reclineback,NU,,28 ,,NW,,,,,,$888.22,$0.00,1,1,1,1,1,1,20080101E1226,HCPCS,W/C access fully reclineback,RR,,28 ,,NW,,,,,,$92.02,$0.00,1,1,1,1,1,1,20080101E1226,HCPCS,W/C access fully reclineback,UE,,28 ,,NW,,,,,,$666.27,$0.00,1,1,1,1,1,1,20080101E1227,HCPCS,Wheelchair spec sz spec ht a,NU,,28 ,,NW,,,,,,$452.04,$0.00,1,1,1,1,1,1,20080101E1227,HCPCS,Wheelchair spec sz spec ht a,RR,,28 ,,NW,,,,,,$47.34,$0.00,1,1,1,1,1,1,20080101E1227,HCPCS,Wheelchair spec sz spec ht a,UE,,28 ,,NW,,,,,,$339.25,$0.00,1,1,1,1,1,1,20080101E1228,HCPCS,Wheelchair spec sz spec ht b,NU,,28 ,,NW,,,,,,$475.83,$0.00,1,1,1,1,1,1,20080101E1228,HCPCS,Wheelchair spec sz spec ht b,RR,,28 ,,NW,,,,,,$47.78,$0.00,1,1,1,1,1,1,20080101E1228,HCPCS,Wheelchair spec sz spec ht b,UE,,28 ,,NW,,,,,,$356.72,$0.00,1,1,1,1,1,1,20080101E1230,HCPCS,Power operated vehicle,NU,,28 ,,NW,,,,,,"$3,679.70",$0.00,1,1,1,1,1,1,20080101E1230,HCPCS,Power operated vehicle,RR,,28 ,,NW,,,,,,$362.51,$0.00,1,1,1,1,1,1,20080101E1230,HCPCS,Power operated vehicle,UE,,28 ,,NW,,,,,,"$2,910.36",$0.00,1,1,1,1,1,1,20080101E1232,HCPCS,Folding ped wc tilt-in-space,NU,,28 ,,NW,,,,,,"$3,479.01",$0.00,1,1,1,1,1,1,20080101E1232,HCPCS,Folding ped wc tilt-in-space,UE,,28 ,,NW,,,,,,"$2,609.44",$0.00,1,1,1,1,1,1,20080101E1233,HCPCS,Rig ped wc tltnspc w/o seat,NU,,28 ,,NW,,,,,,"$3,604.77",$0.00,1,1,1,1,1,1,20080101E1233,HCPCS,Rig ped wc tltnspc w/o seat,UE,,28 ,,NW,,,,,,"$2,703.73",$0.00,1,1,1,1,1,1,20080101E1234,HCPCS,Fld ped wc tltnspc w/o seat,NU,,28 ,,NW,,,,,,"$3,138.31",$0.00,1,1,1,1,1,1,20080101E1234,HCPCS,Fld ped wc tltnspc w/o seat,UE,,28 ,,NW,,,,,,"$2,353.86",$0.00,1,1,1,1,1,1,20080101E1235,HCPCS,Rigid ped wc adjustable,NU,,28 ,,NW,,,,,,"$3,021.97",$0.00,1,1,1,1,1,1,20080101E1235,HCPCS,Rigid ped wc adjustable,UE,,28 ,,NW,,,,,,"$2,266.63",$0.00,1,1,1,1,1,1,20080101E1236,HCPCS,Folding ped wc adjustable,NU,,28 ,,NW,,,,,,"$2,666.22",$0.00,1,1,1,1,1,1,20080101E1236,HCPCS,Folding ped wc adjustable,UE,,28 ,,NW,,,,,,"$1,999.84",$0.00,1,1,1,1,1,1,20080101E1237,HCPCS,Rgd ped wc adjstabl w/o seat,NU,,28 ,,NW,,,,,,"$2,689.50",$0.00,1,1,1,1,1,1,20080101E1237,HCPCS,Rgd ped wc adjstabl w/o seat,UE,,28 ,,NW,,,,,,"$2,017.33",$0.00,1,1,1,1,1,1,20080101E1238,HCPCS,Fld ped wc adjstabl w/o seat,NU,,28 ,,NW,,,,,,"$2,804.18",$0.00,1,1,1,1,1,1,20080101E1238,HCPCS,Fld ped wc adjstabl w/o seat,UE,,28 ,,NW,,,,,,"$2,103.28",$0.00,1,1,1,1,1,1,20080101E1240,HCPCS,Whchr litwt det arm leg rest,NU,,28 ,,NW,,,,,,"$1,682.26",$0.00,1,1,1,1,1,1,20080101E1240,HCPCS,Whchr litwt det arm leg rest,RR,,28 ,,NW,,,,,,$168.24,$0.00,1,1,1,1,1,1,20080101E1240,HCPCS,Whchr litwt det arm leg rest,UE,,28 ,,NW,,,,,,"$1,204.03",$0.00,1,1,1,1,1,1,20080101E1250,HCPCS,Wheelchair lightwt fixed arm,NU,,28 ,,NW,,,,,,"$1,272.12",$0.00,1,1,1,1,1,1,20080101E1250,HCPCS,Wheelchair lightwt fixed arm,RR,,28 ,,NW,,,,,,$116.44,$0.00,1,1,1,1,1,1,20080101E1250,HCPCS,Wheelchair lightwt fixed arm,UE,,28 ,,NW,,,,,,"$1,007.68",$0.00,1,1,1,1,1,1,20080101E1260,HCPCS,Wheelchair lightwt foot rest,NU,,28 ,,NW,,,,,,"$1,486.54",$0.00,1,1,1,1,1,1,20080101E1260,HCPCS,Wheelchair lightwt foot rest,RR,,28 ,,NW,,,,,,$149.32,$0.00,1,1,1,1,1,1,20080101E1260,HCPCS,Wheelchair lightwt foot rest,UE,,28 ,,NW,,,,,,"$1,172.78",$0.00,1,1,1,1,1,1,20080101E1270,HCPCS,Wheelchair lightweight leg r,NU,,28 ,,NW,,,,,,"$1,293.38",$0.00,1,1,1,1,1,1,20080101E1270,HCPCS,Wheelchair lightweight leg r,RR,,28 ,,NW,,,,,,$129.07,$0.00,1,1,1,1,1,1,20080101E1270,HCPCS,Wheelchair lightweight leg r,UE,,28 ,,NW,,,,,,$949.66,$0.00,1,1,1,1,1,1,20080101E1280,HCPCS,Whchr h-duty det arm leg res,NU,,28 ,,NW,,,,,,"$2,143.21",$0.00,1,1,1,1,1,1,20080101E1280,HCPCS,Whchr h-duty det arm leg res,RR,,28 ,,NW,,,,,,$214.17,$0.00,1,1,1,1,1,1,20080101E1280,HCPCS,Whchr h-duty det arm leg res,UE,,28 ,,NW,,,,,,"$1,536.27",$0.00,1,1,1,1,1,1,20080101E1285,HCPCS,Wheelchair heavy duty fixed,NU,,28 ,,NW,,,,,,"$1,916.05",$0.00,1,1,1,1,1,1,20080101E1285,HCPCS,Wheelchair heavy duty fixed,RR,,28 ,,NW,,,,,,$192.47,$0.00,1,1,1,1,1,1,20080101E1285,HCPCS,Wheelchair heavy duty fixed,UE,,28 ,,NW,,,,,,"$1,404.32",$0.00,1,1,1,1,1,1,20080101E1290,HCPCS,Wheelchair hvy duty detach a,NU,,28 ,,NW,,,,,,"$1,981.80",$0.00,1,1,1,1,1,1,20080101E1290,HCPCS,Wheelchair hvy duty detach a,RR,,28 ,,NW,,,,,,$198.64,$0.00,1,1,1,1,1,1,20080101E1290,HCPCS,Wheelchair hvy duty detach a,UE,,28 ,,NW,,,,,,"$1,445.41",$0.00,1,1,1,1,1,1,20080101E1295,HCPCS,Wheelchair heavy duty fixed,NU,,28 ,,NW,,,,,,"$1,982.39",$0.00,1,1,1,1,1,1,20080101E1295,HCPCS,Wheelchair heavy duty fixed,RR,,28 ,,NW,,,,,,$198.24,$0.00,1,1,1,1,1,1,20080101E1295,HCPCS,Wheelchair heavy duty fixed,UE,,28 ,,NW,,,,,,"$1,440.42",$0.00,1,1,1,1,1,1,20080101E1296,HCPCS,Wheelchair special seat heig,NU,,28 ,,NW,,,,,,$800.42,$0.00,1,1,1,1,1,1,20080101E1296,HCPCS,Wheelchair special seat heig,RR,,28 ,,NW,,,,,,$81.90,$0.00,1,1,1,1,1,1,20080101E1296,HCPCS,Wheelchair special seat heig,UE,,28 ,,NW,,,,,,$600.48,$0.00,1,1,1,1,1,1,20080101E1297,HCPCS,Wheelchair special seat dept,NU,,28 ,,NW,,,,,,$170.84,$0.00,1,1,1,1,1,1,20080101E1297,HCPCS,Wheelchair special seat dept,RR,,28 ,,NW,,,,,,$22.26,$0.00,1,1,1,1,1,1,20080101E1297,HCPCS,Wheelchair special seat dept,UE,,28 ,,NW,,,,,,$128.28,$0.00,1,1,1,1,1,1,20080101E1298,HCPCS,Wheelchair spec seat depth/w,NU,,28 ,,NW,,,,,,$689.78,$0.00,1,1,1,1,1,1,20080101E1298,HCPCS,Wheelchair spec seat depth/w,RR,,28 ,,NW,,,,,,$71.63,$0.00,1,1,1,1,1,1,20080101E1298,HCPCS,Wheelchair spec seat depth/w,UE,,28 ,,NW,,,,,,$517.48,$0.00,1,1,1,1,1,1,20080101E1300,HCPCS,Whirlpool portable,NU,,28 ,,NW,,,,,,$158.24,$0.00,1,1,1,1,1,1,20080101E1300,HCPCS,Whirlpool portable,RR,,28 ,,NW,,,,,,$16.32,$0.00,1,1,1,1,1,1,20080101E1300,HCPCS,Whirlpool portable,UE,,28 ,,NW,,,,,,$118.72,$0.00,1,1,1,1,1,1,20080101E1310,HCPCS,Whirlpool non-portable,NU,,28 ,,NW,,,,,,"$4,586.62",$0.00,1,1,1,1,1,1,20080101E1310,HCPCS,Whirlpool non-portable,RR,,28 ,,NW,,,,,,$381.54,$0.00,1,1,1,1,1,1,20080101E1310,HCPCS,Whirlpool non-portable,UE,,28 ,,NW,,,,,,"$3,437.02",$0.00,1,1,1,1,1,1,20080101E1340,HCPCS,"Repair for DME, per 15 min",,,28 ,,NW,,,,,,$21.85,$0.00,1,1,1,1,1,1,20080101E1353,HCPCS,Oxygen supplies regulator, ,,28 ,,NW,,,,,,$49.30,$0.00,1,1,1,1,1,1,20080101E1353,HCPCS,Oxygen supplies regulator,NU,,28 ,,NW,,,,,,$205.67,$0.00,1,1,1,1,1,1,20080101E1353,HCPCS,Oxygen supplies regulator,RR,,28 ,,NW,,,,,,$11.15,$0.00,1,1,1,1,1,1,20080101E1353,HCPCS,Oxygen supplies regulator,UE,,28 ,,NW,,,,,,$165.78,$0.00,1,1,1,1,1,1,20080101E1355,HCPCS,Oxygen supplies stand/rack, ,,28 ,,NW,,,,,,$37.13,$0.00,1,1,1,1,1,1,20080101E1355,HCPCS,Oxygen supplies stand/rack,NU,,28 ,,NW,,,,,,$141.42,$0.00,1,1,1,1,1,1,20080101E1355,HCPCS,Oxygen supplies stand/rack,RR,,28 ,,NW,,,,,,$15.84,$0.00,1,1,1,1,1,1,20080101E1355,HCPCS,Oxygen supplies stand/rack,UE,,28 ,,NW,,,,,,$114.83,$0.00,1,1,1,1,1,1,20080101E1372,HCPCS,Oxy suppl heater for nebuliz,NU,,28 ,,NW,,,,,,$337.32,$0.00,1,1,1,1,1,1,20080101E1372,HCPCS,Oxy suppl heater for nebuliz,RR,,28 ,,NW,,,,,,$44.94,$0.00,1,1,1,1,1,1,20080101E1372,HCPCS,Oxy suppl heater for nebuliz,UE,,28 ,,NW,,,,,,$246.64,$0.00,1,1,1,1,1,1,20080101E1390,HCPCS,Oxygen concentrator,NU,,28 ,,NW,,,,,,"$4,737.19",$0.00,1,1,1,1,1,1,20080101E1390,HCPCS,Oxygen concentrator,RR,,28 ,,NW,,,,,,$622.87,$0.00,1,1,1,1,1,1,20080101E1391,HCPCS,"Oxygen concentrator, dual",,,28 ,,NW,,,,,,$622.87,$0.00,1,1,1,1,1,1,20080101E1399,HCPCS,Durable medical equipment mi,,,28 ,,NW,,,,,,$3.69,$0.00,1,1,1,1,1,1,20080101E1405,HCPCS,O2/water vapor enrich w/heat,NU,,28 ,,NW,,,,,,"$6,260.04",$0.00,1,1,1,1,1,1,20080101E1405,HCPCS,O2/water vapor enrich w/heat,RR,,28 ,,NW,,,,,,$645.49,$0.00,1,1,1,1,1,1,20080101E1405,HCPCS,O2/water vapor enrich w/heat,UE,,28 ,,NW,,,,,,"$4,696.35",$0.00,1,1,1,1,1,1,20080101E1406,HCPCS,O2/water vapor enrich w/o he,NU,,28 ,,NW,,,,,,"$2,639.31",$0.00,1,1,1,1,1,1,20080101E1406,HCPCS,O2/water vapor enrich w/o he,RR,,28 ,,NW,,,,,,$272.15,$0.00,1,1,1,1,1,1,20080101E1406,HCPCS,O2/water vapor enrich w/o he,UE,,28 ,,NW,,,,,,"$1,980.03",$0.00,1,1,1,1,1,1,20080101E1510,HCPCS,Kidney dialysate delivry sys,NU,,28 ,,NW,,,,,,"$8,091.84",$0.00,1,1,1,1,1,1,20080101E1510,HCPCS,Kidney dialysate delivry sys,RR,,28 ,,NW,,,,,,$834.36,$0.00,1,1,1,1,1,1,20080101E1510,HCPCS,Kidney dialysate delivry sys,UE,,28 ,,NW,,,,,,"$6,070.59",$0.00,1,1,1,1,1,1,20080101E1520,HCPCS,Heparin infusion pump,NU,,28 ,,NW,,,,,,"$1,096.12",$0.00,1,1,1,1,1,1,20080101E1520,HCPCS,Heparin infusion pump,RR,,28 ,,NW,,,,,,$113.02,$0.00,1,1,1,1,1,1,20080101E1520,HCPCS,Heparin infusion pump,UE,,28 ,,NW,,,,,,$822.34,$0.00,1,1,1,1,1,1,20080101E1530,HCPCS,Replacement air bubble detec,NU,,28 ,,NW,,,,,,"$1,585.89",$0.00,1,1,1,1,1,1,20080101E1530,HCPCS,Replacement air bubble detec,RR,,28 ,,NW,,,,,,$163.53,$0.00,1,1,1,1,1,1,20080101E1530,HCPCS,Replacement air bubble detec,UE,,28 ,,NW,,,,,,"$1,189.75",$0.00,1,1,1,1,1,1,20080101E1540,HCPCS,Replacement pressure alarm,NU,,28 ,,NW,,,,,,$982.60,$0.00,1,1,1,1,1,1,20080101E1540,HCPCS,Replacement pressure alarm,RR,,28 ,,NW,,,,,,$101.32,$0.00,1,1,1,1,1,1,20080101E1540,HCPCS,Replacement pressure alarm,UE,,28 ,,NW,,,,,,$737.17,$0.00,1,1,1,1,1,1,20080101E1550,HCPCS,Bath conductivity meter,NU,,28 ,,NW,,,,,,$640.24,$0.00,1,1,1,1,1,1,20080101E1550,HCPCS,Bath conductivity meter,RR,,28 ,,NW,,,,,,$66.01,$0.00,1,1,1,1,1,1,20080101E1550,HCPCS,Bath conductivity meter,UE,,28 ,,NW,,,,,,$480.31,$0.00,1,1,1,1,1,1,20080101E1560,HCPCS,Replace blood leak detector,NU,,28 ,,NW,,,,,,"$1,803.93",$0.00,1,1,1,1,1,1,20080101E1560,HCPCS,Replace blood leak detector,RR,,28 ,,NW,,,,,,$186.00,$0.00,1,1,1,1,1,1,20080101E1560,HCPCS,Replace blood leak detector,UE,,28 ,,NW,,,,,,"$1,353.34",$0.00,1,1,1,1,1,1,20080101E1570,HCPCS,Adjustable chair for esrd pt,NU,,28 ,,NW,,,,,,$711.38,$0.00,1,1,1,1,1,1,20080101E1570,HCPCS,Adjustable chair for esrd pt,RR,,28 ,,NW,,,,,,$73.36,$0.00,1,1,1,1,1,1,20080101E1570,HCPCS,Adjustable chair for esrd pt,UE,,28 ,,NW,,,,,,$533.70,$0.00,1,1,1,1,1,1,20080101E1575,HCPCS,Transducer protect/fld bar,NU,,28 ,,NW,,,,,,$94.62,$0.00,1,1,1,1,1,1,20080101E1575,HCPCS,Transducer protect/fld bar,RR,,28 ,,NW,,,,,,$9.76,$0.00,1,1,1,1,1,1,20080101E1575,HCPCS,Transducer protect/fld bar,UE,,28 ,,NW,,,,,,$70.99,$0.00,1,1,1,1,1,1,20080101E1590,HCPCS,Hemodialysis machine,NU,,28 ,,NW,,,,,,"$1,773.88",$0.00,1,1,1,1,1,1,20080101E1590,HCPCS,Hemodialysis machine,RR,,28 ,,NW,,,,,,$182.91,$0.00,1,1,1,1,1,1,20080101E1590,HCPCS,Hemodialysis machine,UE,,28 ,,NW,,,,,,"$1,330.78",$0.00,1,1,1,1,1,1,20080101E1594,HCPCS,Cycler dialysis machine,NU,,28 ,,NW,,,,,,"$8,142.69",$0.00,1,1,1,1,1,1,20080101E1594,HCPCS,Cycler dialysis machine,RR,,28 ,,NW,,,,,,$839.61,$0.00,1,1,1,1,1,1,20080101E1594,HCPCS,Cycler dialysis machine,UE,,28 ,,NW,,,,,,"$6,108.73",$0.00,1,1,1,1,1,1,20080101E1600,HCPCS,Deli/install chrg hemo equip,,,28 ,,NW,,,,,,$261.67,$0.00,1,1,1,0,1,1,20080101E1610,HCPCS,Reverse osmosis h2o puri sys,NU,,28 ,,NW,,,,,,"$6,224.49",$0.00,1,1,1,1,1,1,20080101E1610,HCPCS,Reverse osmosis h2o puri sys,RR,,28 ,,NW,,,,,,$641.83,$0.00,1,1,1,1,1,1,20080101E1610,HCPCS,Reverse osmosis h2o puri sys,UE,,28 ,,NW,,,,,,"$4,669.69",$0.00,1,1,1,1,1,1,20080101E1635,HCPCS,Compact travel hemodialyzer,,,28 ,,NW,,,,,,$755.62,$0.00,1,1,1,0,1,1,20080101E1636,HCPCS,Sorbent cartridges per 10,,,28 ,,NW,,,,,,$279.26,$0.00,1,1,1,0,1,1,20080101E1637,HCPCS,"Hemostats for dialysis, each",,,28 ,,NW,,,,,,$9.57,$0.00,1,1,1,1,1,1,20080101E1639,HCPCS,Dialysis scale,,,28 ,,NW,,,,,,$180.42,$0.00,1,1,1,1,1,1,20080101E1699,HCPCS,Dialysis equipment noc,,,28 ,,NW,,,,,,$98.24,$0.00,1,1,1,1,1,1,20080101E1700,HCPCS,Jaw motion rehab system,NU,,28 ,,NW,,,,,,$726.66,$0.00,1,1,1,1,1,1,20080101E1701,HCPCS,Repl cushions for jaw motion,,,28 ,,NW,,,,,,$22.79,$0.00,1,1,1,1,1,1,20080101E1702,HCPCS,Repl measr scales jaw motion,,,28 ,,NW,,,,,,$43.03,$0.00,1,1,1,1,1,1,20080101E1800,HCPCS,Adjust elbow ext/flex device,RR,,28 ,,NW,,,,,,$250.55,$0.00,1,1,1,1,1,1,20080101E1801,HCPCS,SPS elbow device,RR,,28 ,,NW,,,,,,$264.48,$0.00,1,1,1,1,1,1,20080101E1802,HCPCS,Adjst forearm pro/sup device,,,28 ,,NW,,,,,,$688.03,$0.00,1,1,1,1,1,1,20080101E1805,HCPCS,Adjust wrist ext/flex device,RR,,28 ,,NW,,,,,,$258.76,$0.00,1,1,1,1,1,1,20080101E1806,HCPCS,SPS wrist device,RR,,28 ,,NW,,,,,,$215.02,$0.00,1,1,1,1,1,1,20080101E1810,HCPCS,Adjust knee ext/flex device,RR,,28 ,,NW,,,,,,$255.02,$0.00,1,1,1,1,1,1,20080101E1811,HCPCS,SPS knee device,RR,,28 ,,NW,,,,,,$275.43,$0.00,1,1,1,1,1,1,20080101E1815,HCPCS,Adjust ankle ext/flex device,RR,,28 ,,NW,,,,,,$258.76,$0.00,1,1,1,1,1,1,20080101E1816,HCPCS,SPS ankle device,RR,,28 ,,NW,,,,,,$279.95,$0.00,1,1,1,1,1,1,20080101E1818,HCPCS,SPS forearm device,RR,,28 ,,NW,,,,,,$286.07,$0.00,1,1,1,1,1,1,20080101E1820,HCPCS,Soft interface material,NU,,28 ,,NW,,,,,,$163.27,$0.00,1,1,1,1,1,1,20080101E1820,HCPCS,Soft interface material,RR,,28 ,,NW,,,,,,$18.66,$0.00,1,1,1,1,1,1,20080101E1820,HCPCS,Soft interface material,UE,,28 ,,NW,,,,,,$119.54,$0.00,1,1,1,1,1,1,20080101E1821,HCPCS,Replacement interface SPSD,NU,,28 ,,NW,,,,,,$213.61,$0.00,1,1,1,1,1,1,20080101E1821,HCPCS,Replacement interface SPSD,RR,,28 ,,NW,,,,,,$22.63,$0.00,1,1,1,1,1,1,20080101E1821,HCPCS,Replacement interface SPSD,UE,,28 ,,NW,,,,,,$157.30,$0.00,1,1,1,1,1,1,20080101E1825,HCPCS,Adjust finger ext/flex devc,RR,,28 ,,NW,,,,,,$258.76,$0.00,1,1,1,1,1,1,20080101E1830,HCPCS,Adjust toe ext/flex device,RR,,28 ,,NW,,,,,,$258.76,$0.00,1,1,1,1,1,1,20080101E1840,HCPCS,Adj shoulder ext/flex device,RR,,28 ,,NW,,,,,,$807.75,$0.00,1,1,1,1,1,1,20080101E1841,HCPCS,Static str shldr dev rom adj,RR,,28 ,,NW,,,,,,$679.50,$0.00,1,1,1,1,1,1,20080101E1841,HCPCS,Static str shldr dev rom adj,,,28 ,,NW,,,,,,$544.30,$0.00,1,1,1,0,1,1,20080101E1902,HCPCS,AAC non-electronic board,,,28 ,,NW,,,,,,$488.74,$0.00,1,1,1,0,1,1,20080101E2000,HCPCS,Gastric suction pump hme mdl,RR,,28 ,,NW,,,,,,$99.23,$0.00,1,1,1,1,1,1,20080101E2100,HCPCS,Bld glucose monitor w voice,,,28 ,,NW,,,,,,"$1,021.23",$0.00,1,1,1,1,1,1,20080101E2101,HCPCS,Bld glucose monitor w lance,,,28 ,,NW,,,,,,$291.06,$0.00,1,1,1,1,1,1,20080101E2120,HCPCS,Pulse gen sys tx endolymp fl,,,28 ,,NW,,,,,,$340.66,$0.00,1,1,1,0,1,1,20080101E2201,HCPCS,Man w/ch acc seat w>=20”<24”,,,28 ,,NW,,,,,,$44.83,$0.00,1,1,1,0,1,1,20080101E2202,HCPCS,Seat width 24-27 in,,,28 ,,NW,,,,,,$56.95,$0.00,1,1,1,0,1,1,20080101E2203,HCPCS,Frame depth less than 22 in,,,28 ,,NW,,,,,,$57.55,$0.00,1,1,1,0,1,1,20080101E2204,HCPCS,Frame depth 22 to 25 in,,,28 ,,NW,,,,,,$97.75,$0.00,1,1,1,0,1,1,20080101E2205,HCPCS,"Manual wc accessory, handrim",NU,,28 ,,NW,,,,,,$49.00,$0.00,1,1,1,1,1,1,20080101E2205,HCPCS,"Manual wc accessory, handrim",RR,,28 ,,NW,,,,,,$4.88,$0.00,1,1,1,1,1,1,20080101E2205,HCPCS,"Manual wc accessory, handrim",UE,,28 ,,NW,,,,,,$36.78,$0.00,1,1,1,1,1,1,20080101E2205,HCPCS,"Manual wc accessory, handrim",,,28 ,,NW,,,,,,$3.91,$0.00,1,1,1,0,1,1,20080101E2206,HCPCS,Complete wheel lock assembly,NU,,28 ,,NW,,,,,,$61.02,$0.00,1,1,1,1,1,1,20080101E2206,HCPCS,Complete wheel lock assembly,RR,,28 ,,NW,,,,,,$6.09,$0.00,1,1,1,1,1,1,20080101E2206,HCPCS,Complete wheel lock assembly,UE,,28 ,,NW,,,,,,$45.75,$0.00,1,1,1,1,1,1,20080101E2206,HCPCS,Complete wheel lock assembly,,,28 ,,NW,,,,,,$4.89,$0.00,1,1,1,0,1,1,20080101E2300,HCPCS,Pwr seat elevation sys,,,28 ,,NW,,,,,,"$12,860.23",$0.00,1,1,1,0,1,1,20080101E2310,HCPCS,Electro connect btw control,NU,,28 ,,NW,,,,,,"$1,879.79",$0.00,1,1,1,0,1,1,20080101E2310,HCPCS,Electro connect btw control,RR,,28 ,,NW,,,,,,$187.98,$0.00,1,1,1,0,1,1,20080101E2310,HCPCS,Electro connect btw control,UE,,28 ,,NW,,,,,,"$1,409.85",$0.00,1,1,1,0,1,1,20080101E2311,HCPCS,Electro connect btw 2 sys,NU,,28 ,,NW,,,,,,$98.62,$0.00,1,1,1,0,1,1,20080101E2311,HCPCS,Electro connect btw 2 sys,RR,,28 ,,NW,,,,,,$9.87,$0.00,1,1,1,0,1,1,20080101E2311,HCPCS,Electro connect btw 2 sys,UE,,28 ,,NW,,,,,,$73.97,$0.00,1,1,1,0,1,1,20080101E2321,HCPCS,Hand interface joystick,,,28 ,,NW,,,,,,$485.70,$0.00,1,1,1,0,1,1,20080101E2322,HCPCS,Mult mech switches,,,28 ,,NW,,,,,,$220.76,$0.00,1,1,1,0,1,1,20080101E2323,HCPCS,Special joystick handle,NU,,28 ,,NW,,,,,,$95.58,$0.00,1,1,1,0,1,1,20080101E2323,HCPCS,Special joystick handle,RR,,28 ,,NW,,,,,,$9.56,$0.00,1,1,1,0,1,1,20080101E2323,HCPCS,Special joystick handle,UE,,28 ,,NW,,,,,,$71.69,$0.00,1,1,1,0,1,1,20080101E2324,HCPCS,Chin cup interface,NU,,28 ,,NW,,,,,,$52.65,$0.00,1,1,1,0,1,1,20080101E2324,HCPCS,Chin cup interface,RR,,28 ,,NW,,,,,,$5.26,$0.00,1,1,1,0,1,1,20080101E2324,HCPCS,Chin cup interface,UE,,28 ,,NW,,,,,,$39.49,$0.00,1,1,1,0,1,1,20080101E2325,HCPCS,Sip and puff interface,NU,,28 ,,NW,,,,,,$482.13,$0.00,1,1,1,0,1,1,20080101E2325,HCPCS,Sip and puff interface,RR,,28 ,,NW,,,,,,$48.22,$0.00,1,1,1,0,1,1,20080101E2325,HCPCS,Sip and puff interface,UE,,28 ,,NW,,,,,,$361.60,$0.00,1,1,1,0,1,1,20080101E2326,HCPCS,Breath tube kit,NU,,28 ,,NW,,,,,,$417.10,$0.00,1,1,1,0,1,1,20080101E2326,HCPCS,Breath tube kit,RR,,28 ,,NW,,,,,,$41.71,$0.00,1,1,1,0,1,1,20080101E2326,HCPCS,Breath tube kit,UE,,28 ,,NW,,,,,,$312.83,$0.00,1,1,1,0,1,1,20080101E2327,HCPCS,Head control interface mech,,,28 ,,NW,,,,,,$313.89,$0.00,1,1,1,0,1,1,20080101E2328,HCPCS,Head/extremity control inter,NU,,28 ,,NW,,,,,,"$5,953.99",$0.00,1,1,1,0,1,1,20080101E2328,HCPCS,Head/extremity control inter,RR,,28 ,,NW,,,,,,$595.40,$0.00,1,1,1,0,1,1,20080101E2328,HCPCS,Head/extremity control inter,UE,,28 ,,NW,,,,,,"$4,465.49",$0.00,1,1,1,0,1,1,20080101E2329,HCPCS,Head control nonproportional,NU,,28 ,,NW,,,,,,"$2,122.07",$0.00,1,1,1,0,1,1,20080101E2329,HCPCS,Head control nonproportional,RR,,28 ,,NW,,,,,,$212.21,$0.00,1,1,1,0,1,1,20080101E2329,HCPCS,Head control nonproportional,UE,,28 ,,NW,,,,,,"$1,591.55",$0.00,1,1,1,0,1,1,20080101E2330,HCPCS,Head control proximity switc,NU,,28 ,,NW,,,,,,"$4,111.76",$0.00,1,1,1,0,1,1,20080101E2330,HCPCS,Head control proximity switc,RR,,28 ,,NW,,,,,,$411.18,$0.00,1,1,1,0,1,1,20080101E2330,HCPCS,Head control proximity switc,UE,,28 ,,NW,,,,,,"$3,083.83",$0.00,1,1,1,0,1,1,20080101E2331,HCPCS,Attendant control,,,28 ,,NW,,,,,,$16.10,$0.00,1,1,1,0,1,1,20080101E2340,HCPCS,W/c wdth 20-23 in seat frame,NU,,28 ,,NW,,,,,,$430.59,$0.00,1,1,1,0,1,1,20080101E2340,HCPCS,W/c wdth 20-23 in seat frame,RR,,28 ,,NW,,,,,,$43.06,$0.00,1,1,1,0,1,1,20080101E2340,HCPCS,W/c wdth 20-23 in seat frame,UE,,28 ,,NW,,,,,,$322.95,$0.00,1,1,1,0,1,1,20080101E2341,HCPCS,W/c wdth 24-27 in seat frame,NU,,28 ,,NW,,,,,,$645.93,$0.00,1,1,1,0,1,1,20080101E2341,HCPCS,W/c wdth 24-27 in seat frame,RR,,28 ,,NW,,,,,,$64.59,$0.00,1,1,1,0,1,1,20080101E2341,HCPCS,W/c wdth 24-27 in seat frame,UE,,28 ,,NW,,,,,,$484.45,$0.00,1,1,1,0,1,1,20080101E2342,HCPCS,W/c dpth 20-21 in seat frame,NU,,28 ,,NW,,,,,,$538.27,$0.00,1,1,1,0,1,1,20080101E2342,HCPCS,W/c dpth 20-21 in seat frame,RR,,28 ,,NW,,,,,,$53.83,$0.00,1,1,1,0,1,1,20080101E2342,HCPCS,W/c dpth 20-21 in seat frame,UE,,28 ,,NW,,,,,,$403.70,$0.00,1,1,1,0,1,1,20080101E2343,HCPCS,W/c dpth 22-25 in seat frame,NU,,28 ,,NW,,,,,,$861.24,$0.00,1,1,1,0,1,1,20080101E2343,HCPCS,W/c dpth 22-25 in seat frame,RR,,28 ,,NW,,,,,,$86.13,$0.00,1,1,1,0,1,1,20080101E2343,HCPCS,W/c dpth 22-25 in seat frame,UE,,28 ,,NW,,,,,,$645.93,$0.00,1,1,1,0,1,1,20080101E2351,HCPCS,Electronic SGD interface,NU,,28 ,,NW,,,,,,$212.42,$0.00,1,1,1,0,1,1,20080101E2351,HCPCS,Electronic SGD interface,RR,,28 ,,NW,,,,,,$21.24,$0.00,1,1,1,0,1,1,20080101E2351,HCPCS,Electronic SGD interface,UE,,28 ,,NW,,,,,,$159.32,$0.00,1,1,1,0,1,1,20080101E2360,HCPCS,22nf nonsealed leadacid,,,28 ,,NW,,,,,,$183.40,$0.00,1,1,1,1,1,1,20080101E2361,HCPCS,22nf sealed leadacid battery,,,28 ,,NW,,,,,,$227.51,$0.00,1,1,1,1,1,1,20080101E2362,HCPCS,Gr24 nonsealed leadacid,,,28 ,,NW,,,,,,$150.27,$0.00,1,1,1,1,1,1,20080101E2363,HCPCS,Gr24 sealed leadacid battery,,,28 ,,NW,,,,,,$303.21,$0.00,1,1,1,1,1,1,20080101E2364,HCPCS,U1nonsealed leadacid battery,,,28 ,,NW,,,,,,$183.40,$0.00,1,1,1,1,1,1,20080101E2365,HCPCS,U1 sealed leadacid battery,,,28 ,,NW,,,,,,$183.12,$0.00,1,1,1,1,1,1,20080101E2366,HCPCS,"Battery charger, single mode",,,28 ,,NW,,,,,,$429.48,$0.00,1,1,1,1,1,1,20080101E2367,HCPCS,"Battery charger, dual mode",,,28 ,,NW,,,,,,$682.33,$0.00,1,1,1,1,1,1,20080101E2368,HCPCS,Power wc motor replacement,NU,,28 ,,NW,,,,,,$774.86,$0.00,1,1,1,1,1,1,20080101E2368,HCPCS,Power wc motor replacement,RR,,28 ,,NW,,,,,,$77.50,$0.00,1,1,1,1,1,1,20080101E2368,HCPCS,Power wc motor replacement,UE,,28 ,,NW,,,,,,$581.16,$0.00,1,1,1,1,1,1,20080101E2368,HCPCS,Power wc motor replacement,,,28 ,,NW,,,,,,$62.08,$0.00,1,1,1,0,1,1,20080101E2369,HCPCS,Pwr wc gear box replacement,NU,,28 ,,NW,,,,,,$674.91,$0.00,1,1,1,1,1,1,20080101E2369,HCPCS,Pwr wc gear box replacement,RR,,28 ,,NW,,,,,,$67.50,$0.00,1,1,1,1,1,1,20080101E2369,HCPCS,Pwr wc gear box replacement,UE,,28 ,,NW,,,,,,$506.18,$0.00,1,1,1,1,1,1,20080101E2369,HCPCS,Pwr wc gear box replacement,,,28 ,,NW,,,,,,$54.07,$0.00,1,1,1,0,1,1,20080101E2370,HCPCS,Pwr wc motor/gear box combo,NU,,28 ,,NW,,,,,,"$1,204.26",$0.00,1,1,1,1,1,1,20080101E2370,HCPCS,Pwr wc motor/gear box combo,RR,,28 ,,NW,,,,,,$120.44,$0.00,1,1,1,1,1,1,20080101E2370,HCPCS,Pwr wc motor/gear box combo,UE,,28 ,,NW,,,,,,$903.18,$0.00,1,1,1,1,1,1,20080101E2370,HCPCS,Pwr wc motor/gear box combo,,,28 ,,NW,,,,,,$96.48,$0.00,1,1,1,0,1,1,20080101E2373,HCPCS,Hand/chin ctrl spec joystick,NU,,28 ,,NW,,,,,,"$1,887.52",$0.00,1,1,1,1,1,1,20080101E2373,HCPCS,Hand/chin ctrl spec joystick,RR,,28 ,,NW,,,,,,$188.75,$0.00,1,1,1,1,1,1,20080101E2373,HCPCS,Hand/chin ctrl spec joystick,UE,,28 ,,NW,,,,,,"$1,415.67",$0.00,1,1,1,1,1,1,20080101E2374,HCPCS,Hand/chin ctrl std joystick,NU,,28 ,,NW,,,,,,$801.03,$0.00,1,1,1,1,1,1,20080101E2374,HCPCS,Hand/chin ctrl std joystick,RR,,28 ,,NW,,,,,,$80.10,$0.00,1,1,1,1,1,1,20080101E2374,HCPCS,Hand/chin ctrl std joystick,UE,,28 ,,NW,,,,,,$600.79,$0.00,1,1,1,1,1,1,20080101E2375,HCPCS,Non-expandable controller,NU,,28 ,,NW,,,,,,"$1,284.84",$0.00,1,1,1,1,1,1,20080101E2375,HCPCS,Non-expandable controller,RR,,28 ,,NW,,,,,,$128.48,$0.00,1,1,1,1,1,1,20080101E2375,HCPCS,Non-expandable controller,UE,,28 ,,NW,,,,,,$963.60,$0.00,1,1,1,1,1,1,20080101E2376,HCPCS,"Expandable controller, repl",NU,,28 ,,NW,,,,,,"$2,013.41",$0.00,1,1,1,1,1,1,20080101E2376,HCPCS,"Expandable controller, repl",RR,,28 ,,NW,,,,,,$201.34,$0.00,1,1,1,1,1,1,20080101E2376,HCPCS,"Expandable controller, repl",UE,,28 ,,NW,,,,,,"$1,510.08",$0.00,1,1,1,1,1,1,20080101E2377,HCPCS,"Expandable controller, initl",NU,,28 ,,NW,,,,,,$728.56,$0.00,1,1,1,1,1,1,20080101E2377,HCPCS,"Expandable controller, initl",RR,,28 ,,NW,,,,,,$72.84,$0.00,1,1,1,1,1,1,20080101E2377,HCPCS,"Expandable controller, initl",UE,,28 ,,NW,,,,,,$546.45,$0.00,1,1,1,1,1,1,20080101E2381,HCPCS,Pneum drive wheel tire,NU,,28 ,,NW,,,,,,$114.27,$0.00,1,1,1,1,1,1,20080101E2381,HCPCS,Pneum drive wheel tire,RR,,28 ,,NW,,,,,,$11.45,$0.00,1,1,1,1,1,1,20080101E2381,HCPCS,Pneum drive wheel tire,UE,,28 ,,NW,,,,,,$85.71,$0.00,1,1,1,1,1,1,20080101E2382,HCPCS,"Tube, pneum wheel drive tire",NU,,28 ,,NW,,,,,,$31.16,$0.00,1,1,1,1,1,1,20080101E2382,HCPCS,"Tube, pneum wheel drive tire",RR,,28 ,,NW,,,,,,$3.10,$0.00,1,1,1,1,1,1,20080101E2382,HCPCS,"Tube, pneum wheel drive tire",UE,,28 ,,NW,,,,,,$23.35,$0.00,1,1,1,1,1,1,20080101E2383,HCPCS,"Insert, pneum wheel drive",NU,,28 ,,NW,,,,,,$227.82,$0.00,1,1,1,1,1,1,20080101E2383,HCPCS,"Insert, pneum wheel drive",RR,,28 ,,NW,,,,,,$22.78,$0.00,1,1,1,1,1,1,20080101E2383,HCPCS,"Insert, pneum wheel drive",UE,,28 ,,NW,,,,,,$170.87,$0.00,1,1,1,1,1,1,20080101E2384,HCPCS,Pneumatic caster tire,NU,,28 ,,NW,,,,,,$121.37,$0.00,1,1,1,1,1,1,20080101E2384,HCPCS,Pneumatic caster tire,RR,,28 ,,NW,,,,,,$12.16,$0.00,1,1,1,1,1,1,20080101E2384,HCPCS,Pneumatic caster tire,UE,,28 ,,NW,,,,,,$91.02,$0.00,1,1,1,1,1,1,20080101E2385,HCPCS,"Tube, pneumatic caster tire",NU,,28 ,,NW,,,,,,$74.25,$0.00,1,1,1,1,1,1,20080101E2385,HCPCS,"Tube, pneumatic caster tire",RR,,28 ,,NW,,,,,,$7.44,$0.00,1,1,1,1,1,1,20080101E2385,HCPCS,"Tube, pneumatic caster tire",UE,,28 ,,NW,,,,,,$55.67,$0.00,1,1,1,1,1,1,20080101E2386,HCPCS,Foam filled drive wheel tire,NU,,28 ,,NW,,,,,,$225.76,$0.00,1,1,1,1,1,1,20080101E2386,HCPCS,Foam filled drive wheel tire,RR,,28 ,,NW,,,,,,$22.58,$0.00,1,1,1,1,1,1,20080101E2386,HCPCS,Foam filled drive wheel tire,UE,,28 ,,NW,,,,,,$169.31,$0.00,1,1,1,1,1,1,20080101E2387,HCPCS,Foam filled caster tire,NU,,28 ,,NW,,,,,,$101.23,$0.00,1,1,1,1,1,1,20080101E2387,HCPCS,Foam filled caster tire,RR,,28 ,,NW,,,,,,$10.13,$0.00,1,1,1,1,1,1,20080101E2387,HCPCS,Foam filled caster tire,UE,,28 ,,NW,,,,,,$75.98,$0.00,1,1,1,1,1,1,20080101E2388,HCPCS,Foam drive wheel tire,NU,,28 ,,NW,,,,,,$75.58,$0.00,1,1,1,1,1,1,20080101E2388,HCPCS,Foam drive wheel tire,RR,,28 ,,NW,,,,,,$7.56,$0.00,1,1,1,1,1,1,20080101E2388,HCPCS,Foam drive wheel tire,UE,,28 ,,NW,,,,,,$56.70,$0.00,1,1,1,1,1,1,20080101E2389,HCPCS,Foam caster tire,NU,,28 ,,NW,,,,,,$41.04,$0.00,1,1,1,1,1,1,20080101E2389,HCPCS,Foam caster tire,RR,,28 ,,NW,,,,,,$4.11,$0.00,1,1,1,1,1,1,20080101E2389,HCPCS,Foam caster tire,UE,,28 ,,NW,,,,,,$30.77,$0.00,1,1,1,1,1,1,20080101E2390,HCPCS,Solid drive wheel tire,NU,,28 ,,NW,,,,,,$64.19,$0.00,1,1,1,1,1,1,20080101E2390,HCPCS,Solid drive wheel tire,RR,,28 ,,NW,,,,,,$6.42,$0.00,1,1,1,1,1,1,20080101E2390,HCPCS,Solid drive wheel tire,UE,,28 ,,NW,,,,,,$48.10,$0.00,1,1,1,1,1,1,20080101E2391,HCPCS,Solid caster tire,NU,,28 ,,NW,,,,,,$30.75,$0.00,1,1,1,1,1,1,20080101E2391,HCPCS,Solid caster tire,RR,,28 ,,NW,,,,,,$3.07,$0.00,1,1,1,1,1,1,20080101E2391,HCPCS,Solid caster tire,UE,,28 ,,NW,,,,,,$23.07,$0.00,1,1,1,1,1,1,20080101E2392,HCPCS,"Solid caster tire, integrate",NU,,28 ,,NW,,,,,,$80.82,$0.00,1,1,1,1,1,1,20080101E2392,HCPCS,"Solid caster tire, integrate",RR,,28 ,,NW,,,,,,$8.10,$0.00,1,1,1,1,1,1,20080101E2392,HCPCS,"Solid caster tire, integrate",UE,,28 ,,NW,,,,,,$60.61,$0.00,1,1,1,1,1,1,20080101E2394,HCPCS,Drive wheel excludes tire,NU,,28 ,,NW,,,,,,$115.13,$0.00,1,1,1,1,1,1,20080101E2394,HCPCS,Drive wheel excludes tire,RR,,28 ,,NW,,,,,,$11.54,$0.00,1,1,1,1,1,1,20080101E2394,HCPCS,Drive wheel excludes tire,UE,,28 ,,NW,,,,,,$86.35,$0.00,1,1,1,1,1,1,20080101E2395,HCPCS,Caster wheel excludes tire,NU,,28 ,,NW,,,,,,$81.82,$0.00,1,1,1,1,1,1,20080101E2395,HCPCS,Caster wheel excludes tire,RR,,28 ,,NW,,,,,,$8.19,$0.00,1,1,1,1,1,1,20080101E2395,HCPCS,Caster wheel excludes tire,UE,,28 ,,NW,,,,,,$61.40,$0.00,1,1,1,1,1,1,20080101E2396,HCPCS,Caster fork,NU,,28 ,,NW,,,,,,$99.77,$0.00,1,1,1,1,1,1,20080101E2396,HCPCS,Caster fork,RR,,28 ,,NW,,,,,,$10.70,$0.00,1,1,1,1,1,1,20080101E2396,HCPCS,Caster fork,UE,,28 ,,NW,,,,,,$74.83,$0.00,1,1,1,1,1,1,20080101E2402,HCPCS,Neg press wound therapy pump,,,28 ,,NW,,,,,,"$3,663.82",$0.00,1,1,1,1,1,1,20080101E2500,HCPCS,SGD digitized pre-rec <=8min,,,28 ,,NW,,,,,,$616.28,$0.00,1,1,1,1,1,1,20080101E2502,HCPCS,SGD prerec msg >8min <=20min,,,28 ,,NW,,,,,,"$1,908.72",$0.00,1,1,1,1,1,1,20080101E2504,HCPCS,SGD prerec msg>20min <=40min,,,28 ,,NW,,,,,,"$2,521.56",$0.00,1,1,1,1,1,1,20080101E2506,HCPCS,SGD prerec msg > 40 min,,,28 ,,NW,,,,,,"$3,702.85",$0.00,1,1,1,1,1,1,20080101E2508,HCPCS,SGD spelling phys contact,,,28 ,,NW,,,,,,"$5,732.39",$0.00,1,1,1,1,1,1,20080101E2510,HCPCS,SGD w multi methods msg/accs,,,28 ,,NW,,,,,,"$10,858.18",$0.00,1,1,1,1,1,1,20080101E2511,HCPCS,SGD sftwre prgrm for PC/PDA,NU,,28 ,,NW,,,,,,"$3,735.84",$0.00,1,1,1,0,1,1,20080101E2511,HCPCS,SGD sftwre prgrm for PC/PDA,RR,,28 ,,NW,,,,,,$373.58,$0.00,1,1,1,0,1,1,20080101E2511,HCPCS,SGD sftwre prgrm for PC/PDA,UE,,28 ,,NW,,,,,,"$2,801.88",$0.00,1,1,1,0,1,1,20080101E2512,HCPCS,"SGD accessory, mounting sys",NU,,28 ,,NW,,,,,,$432.09,$0.00,1,1,1,0,1,1,20080101E2512,HCPCS,"SGD accessory, mounting sys",RR,,28 ,,NW,,,,,,$43.21,$0.00,1,1,1,0,1,1,20080101E2512,HCPCS,"SGD accessory, mounting sys",UE,,28 ,,NW,,,,,,$324.08,$0.00,1,1,1,0,1,1,20080101E2599,HCPCS,SGD accessory noc,,,28 ,,NW,,,,,,$253.21,$0.00,1,1,1,0,1,1,20080101E2601,HCPCS,Gen w/c cushion wdth < 22 in,NU,,28 ,,NW,,,,,,$91.74,$0.00,1,1,1,1,1,1,20080101E2601,HCPCS,Gen w/c cushion wdth < 22 in,RR,,28 ,,NW,,,,,,$9.20,$0.00,1,1,1,1,1,1,20080101E2601,HCPCS,Gen w/c cushion wdth < 22 in,UE,,28 ,,NW,,,,,,$68.80,$0.00,1,1,1,1,1,1,20080101E2601,HCPCS,Gen w/c cushion wdth < 22 in,,,28 ,,NW,,,,,,$58.99,$0.00,1,1,1,0,1,1,20080101E2602,HCPCS,Gen w/c cushion wdth >=22 in,NU,,28 ,,NW,,,,,,$179.10,$0.00,1,1,1,1,1,1,20080101E2602,HCPCS,Gen w/c cushion wdth >=22 in,RR,,28 ,,NW,,,,,,$17.91,$0.00,1,1,1,1,1,1,20080101E2602,HCPCS,Gen w/c cushion wdth >=22 in,UE,,28 ,,NW,,,,,,$134.33,$0.00,1,1,1,1,1,1,20080101E2602,HCPCS,Gen w/c cushion wdth >=22 in,,,28 ,,NW,,,,,,$19.47,$0.00,1,1,1,0,1,1,20080101E2603,HCPCS,Skin protect wc cus wd <22in,NU,,28 ,,NW,,,,,,$227.38,$0.00,1,1,1,1,1,1,20080101E2603,HCPCS,Skin protect wc cus wd <22in,RR,,28 ,,NW,,,,,,$22.76,$0.00,1,1,1,1,1,1,20080101E2603,HCPCS,Skin protect wc cus wd <22in,UE,,28 ,,NW,,,,,,$170.54,$0.00,1,1,1,1,1,1,20080101E2603,HCPCS,Skin protect wc cus wd <22in,,,28 ,,NW,,,,,,$26.81,$0.00,1,1,1,0,1,1,20080101E2604,HCPCS,Skin protect wc cus wd>=22in,NU,,28 ,,NW,,,,,,$282.62,$0.00,1,1,1,1,1,1,20080101E2604,HCPCS,Skin protect wc cus wd>=22in,RR,,28 ,,NW,,,,,,$28.24,$0.00,1,1,1,1,1,1,20080101E2604,HCPCS,Skin protect wc cus wd>=22in,UE,,28 ,,NW,,,,,,$212.00,$0.00,1,1,1,1,1,1,20080101E2604,HCPCS,Skin protect wc cus wd>=22in,,,28 ,,NW,,,,,,$37.92,$0.00,1,1,1,0,1,1,20080101E2605,HCPCS,Position wc cush wdth <22 in,NU,,28 ,,NW,,,,,,$403.76,$0.00,1,1,1,1,1,1,20080101E2605,HCPCS,Position wc cush wdth <22 in,RR,,28 ,,NW,,,,,,$40.40,$0.00,1,1,1,1,1,1,20080101E2605,HCPCS,Position wc cush wdth <22 in,UE,,28 ,,NW,,,,,,$302.87,$0.00,1,1,1,1,1,1,20080101E2605,HCPCS,Position wc cush wdth <22 in,,,28 ,,NW,,,,,,$38.68,$0.00,1,1,1,0,1,1,20080101E2606,HCPCS,Position wc cush wdth>=22 in,NU,,28 ,,NW,,,,,,$629.89,$0.00,1,1,1,1,1,1,20080101E2606,HCPCS,Position wc cush wdth>=22 in,RR,,28 ,,NW,,,,,,$63.01,$0.00,1,1,1,1,1,1,20080101E2606,HCPCS,Position wc cush wdth>=22 in,UE,,28 ,,NW,,,,,,$472.41,$0.00,1,1,1,1,1,1,20080101E2606,HCPCS,Position wc cush wdth>=22 in,,,28 ,,NW,,,,,,$52.41,$0.00,1,1,1,0,1,1,20080101E2607,HCPCS,Skin pro/pos wc cus wd <22in,NU,,28 ,,NW,,,,,,$434.78,$0.00,1,1,1,1,1,1,20080101E2607,HCPCS,Skin pro/pos wc cus wd <22in,RR,,28 ,,NW,,,,,,$43.48,$0.00,1,1,1,1,1,1,20080101E2607,HCPCS,Skin pro/pos wc cus wd <22in,UE,,28 ,,NW,,,,,,$326.08,$0.00,1,1,1,1,1,1,20080101E2607,HCPCS,Skin pro/pos wc cus wd <22in,,,28 ,,NW,,,,,,$35.52,$0.00,1,1,1,0,1,1,20080101E2608,HCPCS,Skin pro/pos wc cus wd>=22in,NU,,28 ,,NW,,,,,,$522.13,$0.00,1,1,1,1,1,1,20080101E2608,HCPCS,Skin pro/pos wc cus wd>=22in,RR,,28 ,,NW,,,,,,$52.20,$0.00,1,1,1,1,1,1,20080101E2608,HCPCS,Skin pro/pos wc cus wd>=22in,UE,,28 ,,NW,,,,,,$391.61,$0.00,1,1,1,1,1,1,20080101E2608,HCPCS,Skin pro/pos wc cus wd>=22in,,,28 ,,NW,,,,,,$42.56,$0.00,1,1,1,0,1,1,20080101E2611,HCPCS,Gen use back cush wdth <22in,NU,,28 ,,NW,,,,,,$468.53,$0.00,1,1,1,1,1,1,20080101E2611,HCPCS,Gen use back cush wdth <22in,RR,,28 ,,NW,,,,,,$46.84,$0.00,1,1,1,1,1,1,20080101E2611,HCPCS,Gen use back cush wdth <22in,UE,,28 ,,NW,,,,,,$351.43,$0.00,1,1,1,1,1,1,20080101E2611,HCPCS,Gen use back cush wdth <22in,,,28 ,,NW,,,,,,$37.52,$0.00,1,1,1,0,1,1,20080101E2612,HCPCS,Gen use back cush wdth>=22in,NU,,28 ,,NW,,,,,,$633.81,$0.00,1,1,1,1,1,1,20080101E2612,HCPCS,Gen use back cush wdth>=22in,RR,,28 ,,NW,,,,,,$63.38,$0.00,1,1,1,1,1,1,20080101E2612,HCPCS,Gen use back cush wdth>=22in,UE,,28 ,,NW,,,,,,$475.34,$0.00,1,1,1,1,1,1,20080101E2612,HCPCS,Gen use back cush wdth>=22in,,,28 ,,NW,,,,,,$50.77,$0.00,1,1,1,0,1,1,20080101E2613,HCPCS,Position back cush wd <22in,NU,,28 ,,NW,,,,,,$589.56,$0.00,1,1,1,1,1,1,20080101E2613,HCPCS,Position back cush wd <22in,RR,,28 ,,NW,,,,,,$58.97,$0.00,1,1,1,1,1,1,20080101E2613,HCPCS,Position back cush wd <22in,UE,,28 ,,NW,,,,,,$442.17,$0.00,1,1,1,1,1,1,20080101E2613,HCPCS,Position back cush wd <22in,,,28 ,,NW,,,,,,$47.24,$0.00,1,1,1,0,1,1,20080101E2614,HCPCS,Position back cush wd>=22in,NU,,28 ,,NW,,,,,,$815.89,$0.00,1,1,1,1,1,1,20080101E2614,HCPCS,Position back cush wd>=22in,RR,,28 ,,NW,,,,,,$81.60,$0.00,1,1,1,1,1,1,20080101E2614,HCPCS,Position back cush wd>=22in,UE,,28 ,,NW,,,,,,$611.96,$0.00,1,1,1,1,1,1,20080101E2614,HCPCS,Position back cush wd>=22in,,,28 ,,NW,,,,,,$65.36,$0.00,1,1,1,0,1,1,20080101E2615,HCPCS,Pos back post/lat wdth <22in,NU,,28 ,,NW,,,,,,$678.48,$0.00,1,1,1,1,1,1,20080101E2615,HCPCS,Pos back post/lat wdth <22in,RR,,28 ,,NW,,,,,,$67.86,$0.00,1,1,1,1,1,1,20080101E2615,HCPCS,Pos back post/lat wdth <22in,UE,,28 ,,NW,,,,,,$508.85,$0.00,1,1,1,1,1,1,20080101E2615,HCPCS,Pos back post/lat wdth <22in,,,28 ,,NW,,,,,,$54.37,$0.00,1,1,1,0,1,1,20080101E2616,HCPCS,Pos back post/lat wdth>=22in,NU,,28 ,,NW,,,,,,$912.87,$0.00,1,1,1,1,1,1,20080101E2616,HCPCS,Pos back post/lat wdth>=22in,RR,,28 ,,NW,,,,,,$91.29,$0.00,1,1,1,1,1,1,20080101E2616,HCPCS,Pos back post/lat wdth>=22in,UE,,28 ,,NW,,,,,,$684.68,$0.00,1,1,1,1,1,1,20080101E2616,HCPCS,Pos back post/lat wdth>=22in,,,28 ,,NW,,,,,,$73.13,$0.00,1,1,1,0,1,1,20080101E2619,HCPCS,Replace cover w/c seat cush,NU,,28 ,,NW,,,,,,$76.98,$0.00,1,1,1,1,1,1,20080101E2619,HCPCS,Replace cover w/c seat cush,RR,,28 ,,NW,,,,,,$7.70,$0.00,1,1,1,1,1,1,20080101E2619,HCPCS,Replace cover w/c seat cush,UE,,28 ,,NW,,,,,,$57.76,$0.00,1,1,1,1,1,1,20080101E2619,HCPCS,Replace cover w/c seat cush,,,28 ,,NW,,,,,,$38.22,$0.00,1,1,1,0,1,1,20080101E2620,HCPCS,WC planar back cush wd <22in,NU,,28 ,,NW,,,,,,$821.55,$0.00,1,1,1,1,1,1,20080101E2620,HCPCS,WC planar back cush wd <22in,RR,,28 ,,NW,,,,,,$82.16,$0.00,1,1,1,1,1,1,20080101E2620,HCPCS,WC planar back cush wd <22in,UE,,28 ,,NW,,,,,,$616.19,$0.00,1,1,1,1,1,1,20080101E2620,HCPCS,WC planar back cush wd <22in,,,28 ,,NW,,,,,,$69.06,$0.00,1,1,1,0,1,1,20080101E2621,HCPCS,WC planar back cush wd>=22in,NU,,28 ,,NW,,,,,,$862.14,$0.00,1,1,1,1,1,1,20080101E2621,HCPCS,WC planar back cush wd>=22in,RR,,28 ,,NW,,,,,,$86.21,$0.00,1,1,1,1,1,1,20080101,,E2621,HCPCS,WC planar back cush wd>=22in,UE,,28 ,,NW,,,,,,$646.62,$0.00,1,1,1,1,1,1,20080101,,E2621,HCPCS,WC planar back cush wd>=22in,,,28 ,,NW,,,,,,$65.81,$0.00,1,1,1,0,1,1,20080101,,G0008,HCPCS,Admin influenza virus vac,,,9 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0009,HCPCS,Admin pneumococcal vaccine,,,9 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0010,HCPCS,Admin hepatitis b vaccine,,,9 ,,TotalUnits,,,,0.22 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0027,HCPCS,Semen analysis,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0101,HCPCS,CA screen;pelvic/breast exam,,,18 ,,RBRVS,0.45 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0102,HCPCS,Prostate ca screening; dre,,,18 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0103,HCPCS,"Psa, total screening",,,17 ,,TotalUnits,,,,0.86 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0104,HCPCS,CA screen;flexi sigmoidscope,,,21 ,,RBRVS,0.96 ,0.62 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0105,HCPCS,Colorectal scrn; hi risk ind,,,21 ,,RBRVS,3.69 ,1.82 ,6.39 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0106,HCPCS,Colon CA screen;barium enema,26,,21,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,G0106,HCPCS,Colon CA screen;barium enema,TC,,21,,RBRVS,0.00 ,4.60 ,4.60 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101,,G0106,HCPCS,Colon CA screen;barium enema,,,21 ,,RBRVS,0.99 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,G0108,HCPCS,Diab manage trn per indiv,,,14 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0109,HCPCS,Diab manage trn ind/group,,,14 ,,RBRVS,0.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0117,HCPCS,Glaucoma scrn hgh risk direc,,,23 ,,RBRVS,0.45 ,0.76 ,0.76 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0118,HCPCS,Glaucoma scrn hgh risk direc,,,23 ,,RBRVS,0.17 ,0.71 ,0.71 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0120,HCPCS,Colon ca scrn; barium enema,26,,21,,RBRVS,0.99 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,G0120,HCPCS,Colon ca scrn; barium enema,TC,,21,,RBRVS,0.00 ,4.60 ,4.60 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101,,G0120,HCPCS,Colon ca scrn; barium enema,,,21 ,,RBRVS,0.99 ,4.95 ,4.95 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,G0121,HCPCS,Colon ca scrn not hi rsk ind,,,21 ,,RBRVS,3.69 ,1.82 ,6.39 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0122,HCPCS,Colon ca scrn; barium enema,26,,20,,RBRVS,0.99 ,0.23 ,0.23 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0122,HCPCS,Colon ca scrn; barium enema,TC,,20,,RBRVS,0.00 ,5.42 ,5.42 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0122,HCPCS,Colon ca scrn; barium enema,,,20 ,,RBRVS,0.99 ,5.65 ,5.65 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,G0123,HCPCS,Screen cerv/vag thin layer,,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0124,HCPCS,Screen c/v thin layer by MD,,,17 ,,RBRVS,0.42 ,0.38 ,0.38 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0127,HCPCS,Trim nail(s),,,15 ,,RBRVS,0.17 ,0.04 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0128,HCPCS,CORF skilled nursing service,,,15 ,,RBRVS,0.08 ,0.02 ,0.02 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0130,HCPCS,Single energy x-ray study,26,,20,,RBRVS,0.22 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,G0130,HCPCS,Single energy x-ray study,TC,,20,,RBRVS,0.00 ,0.49 ,0.49 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101,,G0130,HCPCS,Single energy x-ray study,,,20 ,,RBRVS,0.22 ,0.55 ,0.55 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,G0141,HCPCS,"Scr c/v cyto,autosys and md",,,17 ,,RBRVS,0.42 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0143,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,0.95 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0144,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,1.00 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0145,HCPCS,"Scr c/v cyto,thinlayer,rescr",,,17 ,,TotalUnits,,,,1.24 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0147,HCPCS,"Scr c/v cyto, automated sys",,,17 ,,TotalUnits,,,,0.53 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0148,HCPCS,"Scr c/v cyto, autosys, rescr",,,17 ,,TotalUnits,,,,0.71 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0151,HCPCS,"HHCP-serv of pt,ea 15 min",,,19 ,,RBRVS,0.45 ,0.32 ,0.32 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0152,HCPCS,"HHCP-serv of ot,ea 15 min",,,19 ,,RBRVS,0.45 ,0.37 ,0.37 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0153,HCPCS,"HHCP-svs of s/l path,ea 15mn",,,8 ,,RBRVS,0.26 ,0.09 ,0.55 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0154,HCPCS,"HHCP-svs of rn,ea 15 min",,,15 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0155,HCPCS,"HHCP-svs of csw,ea 15 min",,,15 ,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0156,HCPCS,"HHCP-svs of aide,ea 15 min",,,15 ,,TotalUnits,,,,1.91 ,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0166,HCPCS,"Extrnl counterpulse, per tx",,,14 ,,RBRVS,0.07 ,4.50 ,4.50 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0168,HCPCS,Wound closure by adhesive,,,21 ,,RBRVS,0.45 ,0.21 ,1.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0179,HCPCS,MD recertification HHA PT,,,15 ,,RBRVS,0.45 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0180,HCPCS,MD certification HHA patient,,,15 ,,RBRVS,0.67 ,0.56 ,0.56 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0181,HCPCS,Home health care supervision,,,15 ,,RBRVS,1.73 ,0.80 ,0.80 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0182,HCPCS,Hospice care supervision,,,15 ,,RBRVS,1.73 ,0.82 ,0.82 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0186,HCPCS,"Dstry eye lesn,fdr vssl tech",,,14 ,,TotalUnits,,,,18.47 ,,$0.00,$0.00,1,1,1,1,0,1,20080101,,G0202,HCPCS,Screen mammography film digital,26,,20,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0202,HCPCS,Screen mammography film digital,TC,,20,,RBRVS,0.00 ,2.57 ,2.57 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0202,HCPCS,Screen mammography film digital,,,20 ,,RBRVS,0.70 ,2.81 ,2.81 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,G0204,HCPCS,Diagnostic mammography digital,26,,20,,RBRVS,0.87 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,G0204,HCPCS,Diagnostic mammography digital,TC,,20,,RBRVS,0.00 ,3.10 ,3.10 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101,,G0204,HCPCS,Diagnostic mammography digital,,,20 ,,RBRVS,0.87 ,3.40 ,3.40 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,G0206,HCPCS,Diagnostic mammography digital,26,,20,,RBRVS,0.70 ,0.24 ,0.24 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,G0206,HCPCS,Diagnostic mammography digital,TC,,20,,RBRVS,0.00 ,2.43 ,2.43 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101,,G0206,HCPCS,Diagnostic mammography digital,,,20 ,,RBRVS,0.70 ,2.67 ,2.67 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,G0219,HCPCS,PET img wholbod melano nonco,26,,20 ,,RBRVS,2.00 ,0.68 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0219,HCPCS,PET img wholbod melano nonco,TC,,20 ,,TotalUnits,,,,29.31 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0235,HCPCS,PET not otherwise specified,,,20 ,,RBRVS,0.22 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0237,HCPCS,Therapeutic procd strg endur,,,14 ,,RBRVS,0.00 ,0.21 ,0.21 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101G0238,HCPCS,"Oth resp proc, indiv",,,14 ,,RBRVS,0.00 ,0.23 ,0.23 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101G0239,HCPCS,"Oth resp proc, group",,,14 ,,RBRVS,0.00 ,0.31 ,0.31 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101G0245,HCPCS,Initial foot exam pt lops,,,15 ,,RBRVS,0.88 ,0.29 ,0.84 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0246,HCPCS,Followup eval of foot pt lop,,,15 ,,RBRVS,0.45 ,0.15 ,0.55 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0247,HCPCS,Routine footcare pt w lops,,,15 ,,RBRVS,0.50 ,0.16 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0248,HCPCS,Demonstrate use home inr mon,,TC,15 ,,RBRVS,0.00 ,3.41 ,3.41 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101G0249,HCPCS,"Provide test material,equipm",,TC,15 ,,RBRVS,0.00 ,3.40 ,3.40 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101G0250,HCPCS,MD review interpret of test,,PC,15 ,,RBRVS,0.18 ,0.08 ,0.08 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0259,HCPCS,Inject for sacroiliac joint,,,21 ,,RBRVS,1.40 ,0.33 ,2.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0268,HCPCS,Removal of impacted wax md,,,15 ,,RBRVS,0.61 ,0.20 ,0.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0270,HCPCS,MNT subs tx for change dx,,,14 ,,RBRVS,0.37 ,0.09 ,0.12 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101G0271,HCPCS,Group MNT 2 or more 30 mins,,,14 ,,RBRVS,0.25 ,0.07 ,0.08 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101G0275,HCPCS,"Renal angio, cardiac cath",,,20 ,,RBRVS,0.25 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0278,HCPCS,"Iliac art angio,cardiac cath",,,20 ,,RBRVS,0.25 ,0.13 ,0.13 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0281,HCPCS,Elec stim unattend for press,,,19 ,,RBRVS,0.18 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101G0282,HCPCS,Elect stim wound care not pd,,,19 ,,RBRVS,0.18 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0283,HCPCS,Elec stim other than wound,,,19 ,,RBRVS,0.18 ,0.14 ,0.14 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0288,HCPCS,"Recon, CTA for surg plan",,,20 ,,RBRVS,0.00 ,1.03 ,1.03 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0289,HCPCS,"Arthro, loose body + chondro",,,21 ,,RBRVS,1.48 ,0.58 ,0.58 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0295,HCPCS,Electromagnetic therapy onc,,,19 ,,RBRVS,0.06 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0306,HCPCS,CBC/diffwbc w/o platelet,,,17 ,,TotalUnits,,,,0.36 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0307,HCPCS,CBC without platelet,,,17 ,,TotalUnits,,,,0.30 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0308,HCPCS,ESRD related svc 4+mo<2yrs,,,14 ,,RBRVS,12.74 ,5.57 ,5.57 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0309,HCPCS,ESRD related svc 2-3mo<2yrs,,,14 ,,RBRVS,10.61 ,4.16 ,4.16 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0310,HCPCS,ESRD related svc 1 visit<2yr,,,14 ,,RBRVS,8.49 ,2.78 ,2.78 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0311,HCPCS,ESRD related svs 4+mo 2-11yr,,,14 ,,RBRVS,9.73 ,3.55 ,3.55 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0312,HCPCS,ESRD relate svs 2-3 mo 2-11y,,,14 ,,RBRVS,8.11 ,2.70 ,2.70 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0313,HCPCS,ESRD related svs 1 mon 2-11y,,,14 ,,RBRVS,6.49 ,1.84 ,1.84 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0314,HCPCS,ESRD related svs 4+ mo 12-19,,,14 ,,RBRVS,8.28 ,3.39 ,3.39 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0315,HCPCS,ESRD related svs 2-3mo 12-19,,,14 ,,RBRVS,6.90 ,2.56 ,2.56 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0316,HCPCS,ESRD relate svs 1 vist 12-19,,,14 ,,RBRVS,5.52 ,1.66 ,1.66 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0317,HCPCS,ESRD related svs 4+mo 20+yrs,,,14 ,,RBRVS,5.09 ,2.25 ,2.25 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0318,HCPCS,ESRD related svs 2-3 mo 20+y,,,14 ,,RBRVS,4.24 ,1.69 ,1.69 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0319,HCPCS,ESRD related svs 1 visit 20+,,,14 ,,RBRVS,3.39 ,1.13 ,1.13 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0320,HCPCS,ESRD related svs home under2,,,14 ,,RBRVS,10.61 ,2.69 ,2.69 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0321,HCPCS,ESRD related svs home mo<2ys,,,14 ,,RBRVS,8.11 ,1.99 ,1.99 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0322,HCPCS,ESRD relate svs home mo12-19,,,14 ,,RBRVS,6.90 ,1.71 ,1.71 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0323,HCPCS,ESRD related svs home mo 20+,,,14 ,,RBRVS,4.24 ,1.14 ,1.14 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0324,HCPCS,ESRD related svs home/dy<2y,,,14 ,,RBRVS,0.35 ,0.16 ,0.16 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0325,HCPCS,ESRD relate home/dy 2-11 yr,,,14 ,,RBRVS,0.23 ,0.09 ,0.09 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0326,HCPCS,ESRD relate home/dy 12-19y,,,14 ,,RBRVS,0.27 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0327,HCPCS,ESRD relate home/dy 20+yrs,,,14 ,,RBRVS,0.14 ,0.06 ,0.06 ,,,$0.00,$0.00,1,1,1,1,1,1,20080101,,G0328,HCPCS,Fecal blood scrn immunoassay,,,17 ,,TotalUnits,,,,0.60 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G0329,HCPCS,Electromagntic tx for ulcers,,,19 ,,RBRVS,0.06 ,0.15 ,0.15 ,,,$0.00,$0.00,1,1,1,0,0,1,20080101,,G0332,HCPCS,Preadmin IV immunoglobulin,,,28 ,,NW,,,,,,$90.12,$0.00,1,1,1,0,1,1,20080101,,G0337,HCPCS,Hospice evaluation preelecti,,,15 ,,RBRVS,1.34 ,0.31 ,0.31 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0341,HCPCS,Percutaneous islet celltrans,,,21 ,,RBRVS,6.98 ,2.36 ,2.36 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101,,G0342,HCPCS,Laparoscopy islet cell trans,,,21 ,,RBRVS,11.92 ,5.07 ,5.07 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101G0343,HCPCS,Laparotomy islet cell transp,,,21 ,,RBRVS,19.85 ,8.55 ,8.55 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101G0344,HCPCS,Initial preventive exam,,,15 ,,RBRVS,1.34 ,0.43 ,1.11 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0364,HCPCS,Bone marrow aspirate &biopsy,,,21 ,,RBRVS,0.16 ,0.07 ,0.16 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0365,HCPCS,Vessel mapping hemo access,26, ,14,,RBRVS,0.25 ,0.06 ,0.06 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101G0365,HCPCS,Vessel mapping hemo access,TC, ,14,,RBRVS,0.00 ,5.16 ,5.16 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101G0365,HCPCS,Vessel mapping hemo access,,,14 ,,RBRVS,0.25 ,5.22 ,5.22 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101G0366,HCPCS,EKG for initial prevent exam,,PC,15 ,,RBRVS,0.17 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101G0367,HCPCS,EKG tracing for initial prev,,,4 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101G0368,HCPCS,EKG interpret & report preve,,PC,15 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0372,HCPCS,MD service required for PMD,,,15 ,,RBRVS,0.17 ,0.04 ,0.04 ,,,$0.00,$0.00,1,0,1,1,0,1,20080101G0377,HCPCS,Administra Part D vaccine,,,9 ,,NW,,,,,,$24.25,$0.00,1,1,1,0,1,1,20080101G0389,HCPCS,Ultrasound exam AAA screen,26,,20,,RBRVS,0.58 ,0.20 ,0.20 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101G0389,HCPCS,Ultrasound exam AAA screen,TC,,20,,RBRVS,0.00 ,2.21 ,2.21 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101G0389,HCPCS,Ultrasound exam AAA screen,,,20 ,,RBRVS,0.58 ,2.41 ,2.41 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101G0392,HCPCS,AV fistula or graft arterial,,,20 ,,RBRVS,9.48 ,48.69 ,48.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101G0393,HCPCS,AV fistula or graft venous,,,20 ,,RBRVS,6.03 ,37.15 ,37.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G0394,HCPCS,"Blood occult test,colorectal",,,17 ,,NW,,,,,,$4.62,$0.00,1,1,1,0,1,1,20080101,,G0396,HCPCS,Alcohol/subs interv 15-30mn,,,15 ,,RBRVS,0.65 ,0.15 ,0.19 ,,,$0.00,$0.00,1,0,0,0,0,0,20080101,,G0397,HCPCS,Alcohol/subs interv >30 min,,,15 ,,RBRVS,1.30 ,0.29 ,0.34 ,,,$0.00,$0.00,1,0,1,1,0,1,20080101,,G9001,HCPCS,"MCCD, initial rate",,,15 ,,TotalUnits,,,,1.79 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9002,HCPCS,"MCCD,maintenance rate",,,15 ,,TotalUnits,,,,2.13 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9003,HCPCS,"MCCD, risk adj hi, initial",,,15 ,,TotalUnits,,,,2.69 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9004,HCPCS,"MCCD, risk adj lo, initial",,,15 ,,TotalUnits,,,,2.41 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9005,HCPCS,"MCCD, risk adj, maintenance",,,15 ,,TotalUnits,,,,3.19 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9006,HCPCS,"MCCD, Home monitoring",,,15 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9007,HCPCS,"MCCD, sch team conf",,,14 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9008,HCPCS,"Mccd,phys coor-care ovrsght",,,14 ,,TotalUnits,,,,0.32 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9009,HCPCS,"MCCD, risk adj, level 3",,,14 ,,TotalUnits,,,,4.67 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9010,HCPCS,"MCCD, risk adj, level 4",,,14 ,,TotalUnits,,,,4.67 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9011,HCPCS,"MCCD, risk adj, level 5",,,14 ,,TotalUnits,,,,4.67 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9012,HCPCS,Other Specified Case Mgmt,,,14 ,,TotalUnits,,,,4.67 ,,$0.00,$0.00,1,0,1,1,1,1,20080101,,G9018,HCPCS,"Zanamivir,inhalation pwd 10m",,,29 ,,NW,,,,,,$44.02,$0.00,1,1,1,0,1,1,20080101,,G9020,HCPCS,Rimantadine HCL 100mg oral,,,29 ,,NW,,,,,,$170.70,$0.00,1,1,1,0,1,1,20080101,,G9033,HCPCS,"Amantadine HCL, oral, brand",,,29 ,,NW,,,,,,$55.15,$0.00,1,1,1,0,1,1,20080101,,G9034,HCPCS,Zanamivir powder via inhaler,,,29 ,,NW,,,,,,$44.02,$0.00,1,1,1,0,1,1,20080101,,G9036,HCPCS,Rimantadine HCL 100mg,,,29 ,,NW,,,,,,$170.70,$0.00,1,1,1,0,1,1,20080101,,G9041,HCPCS,Low vision rehab occupationa,,,14 ,,RBRVS,0.44 ,0.10 ,0.10 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G9042,HCPCS,Low vision rehab orient/mobi,,,14 ,,RBRVS,0.10 ,0.02 ,0.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G9043,HCPCS,Low vision lowvision therapi,,,14 ,,RBRVS,0.10 ,0.02 ,0.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,G9044,HCPCS,Low vision rehabilate teache,,,14 ,,RBRVS,0.10 ,0.02 ,0.02 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,H0004,HCPCS,Alcohol and/or drug services,,,16 ,,TotalUnits,,,,0.51 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,H0020,HCPCS,Alcohol and/or drug services,,,16 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,J0120,HCPCS,Tetracyclin injection,,,29 ,,NW,,,,,,$163.22,$0.00,1,1,1,0,0,1,20080101,,J0129,HCPCS,Abatacept injection,,,29 ,,NW,,,,,,$18.98,$0.00,1,1,1,0,1,1,20080101,,J0130,HCPCS,Abciximab injection,,,29 ,,NW,,,,,,"$1,074.85",$0.00,1,1,1,0,0,1,20080101,,J0132,HCPCS,Acetylcysteine injection,,,29 ,,NW,,,,,,$34.43,$0.00,1,1,1,0,0,1,20080101,,J0133,HCPCS,Acyclovir injection,,,29 ,,NW,,,,,,$0.59,$0.00,1,1,1,0,0,1,20080101,,J0150,HCPCS,Injection adenosine 6 MG,,,29 ,,NW,,,,,,$95.03,$0.00,1,1,1,0,0,1,20080101J0170,HCPCS,Adrenalin epinephrin inject,,,29 ,,NW,,,,,,$6.50,$0.00,1,1,1,0,0,1,20080101J0200,HCPCS,Alatrofloxacin mesylate,,,29 ,,NW,,,,,,$53.25,$0.00,1,1,1,0,0,1,20080101J0205,HCPCS,Alglucerase injection,,,29 ,,NW,,,,,,$100.20,$0.00,1,1,1,0,0,1,20080101J0207,HCPCS,Amifostine,,,29 ,,NW,,,,,,"$1,051.80",$0.00,1,1,1,0,0,1,20080101J0210,HCPCS,Methyldopate hcl injection,,,29 ,,NW,,,,,,$32.21,$0.00,1,1,1,0,0,1,20080101J0215,HCPCS,Alefacept,,,29 ,,NW,,,,,,$33.74,$0.00,1,1,1,0,0,1,20080101J0256,HCPCS,Alpha 1 proteinase inhibitor,,,29 ,,NW,,,,,,$6.50,$0.00,1,1,1,0,0,1,20080101J0270,HCPCS,Alprostadil for injection,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J0275,HCPCS,Alprostadil urethral suppos,,,29 ,,NW,,,,,,$56.76,$0.00,1,1,1,0,0,1,20080101J0278,HCPCS,Amikacin sulfate injection,,,29 ,,NW,,,,,,$34.43,$0.00,1,1,1,0,0,1,20080101J0280,HCPCS,Aminophyllin 250 MG inj,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J0282,HCPCS,Amiodarone HCl,,,29 ,,NW,,,,,,$17.01,$0.00,1,1,1,0,0,1,20080101J0285,HCPCS,Amphotericin B,,,29 ,,NW,,,,,,$28.70,$0.00,1,1,1,0,0,1,20080101J0287,HCPCS,Amphotericin b lipid complex,,,29 ,,NW,,,,,,$59.65,$0.00,1,1,1,0,0,1,20080101J0288,HCPCS,Ampho b cholesteryl sulfate,,,29 ,,NW,,,,,,$41.56,$0.00,1,1,1,0,0,1,20080101J0289,HCPCS,Amphotericin b liposome inj,,,29 ,,NW,,,,,,$88.98,$0.00,1,1,1,0,0,1,20080101J0290,HCPCS,Ampicillin 500 MG inj,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J0295,HCPCS,Ampicillin sodium per 1.5 gm,,,29 ,,NW,,,,,,$20.51,$0.00,1,1,1,0,0,1,20080101J0300,HCPCS,Amobarbital 125 MG inj,,,29 ,,NW,,,,,,$6.50,$0.00,1,1,1,0,0,1,20080101J0330,HCPCS,Succinycholine chloride inj,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J0348,HCPCS,Anadulafungin injection,,,29 ,,NW,,,,,,$1.94,$0.00,1,1,1,0,1,1,20080101J0360,HCPCS,Hydralazine hcl injection,,,29 ,,NW,,,,,,$43.89,$0.00,1,1,1,0,0,1,20080101J0364,HCPCS,Apomorphine hydrochloride,,,29 ,,NW,,,,,,$2.96,$0.00,1,1,1,0,1,1,20080101J0365,HCPCS,"Aprotonin, 10,000 kiu",,,29 ,,NW,,,,,,$29.62,$0.00,1,1,1,0,0,1,20080101J0380,HCPCS,Inj metaraminol bitartrate,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J0390,HCPCS,Chloroquine injection,,,29 ,,NW,,,,,,$65.68,$0.00,1,1,1,0,0,1,20080101J0456,HCPCS,Azithromycin,,,29 ,,NW,,,,,,$67.42,$0.00,1,1,1,0,0,1,20080101J0460,HCPCS,Atropine sulfate injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J0470,HCPCS,Dimecaprol injection,,,29 ,,NW,,,,,,$63.97,$0.00,1,1,1,0,0,1,20080101J0475,HCPCS,Baclofen 10 MG injection,,,29 ,,NW,,,,,,$459.86,$0.00,1,1,1,0,0,1,20080101J0476,HCPCS,Baclofen intrathecal trial,,,29 ,,NW,,,,,,$179.55,$0.00,1,1,1,0,0,1,20080101J0480,HCPCS,Basiliximab,,,29 ,,NW,,,,,,$27.03,$0.00,1,1,1,0,0,1,20080101J0500,HCPCS,Dicyclomine injection,,,29 ,,NW,,,,,,$47.41,$0.00,1,1,1,0,0,1,20080101J0515,HCPCS,Inj benztropine mesylate,,,29 ,,NW,,,,,,$10.00,$0.00,1,1,1,0,0,1,20080101J0520,HCPCS,Bethanechol chloride inject,,,29 ,,NW,,,,,,$6.79,$0.00,1,1,1,0,0,1,20080101J0530,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$33.38,$0.00,1,1,1,0,0,1,20080101J0540,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$63.09,$0.00,1,1,1,0,0,1,20080101J0550,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$118.30,$0.00,1,1,1,0,0,1,20080101J0560,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$27.53,$0.00,1,1,1,0,0,1,20080101J0570,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$54.41,$0.00,1,1,1,0,0,1,20080101J0580,HCPCS,Penicillin g benzathine inj,,,29 ,,NW,,,,,,$96.75,$0.00,1,1,1,0,0,1,20080101J0585,HCPCS,Botulinum toxin a per unit,,,29 ,,NW,,,,,,$13.51,$0.00,1,1,1,0,0,1,20080101J0587,HCPCS,Botulinum toxin type B,,,29 ,,NW,,,,,,$24.03,$0.00,1,1,1,0,0,1,20080101J0592,HCPCS,Buprenorphine hydrochloride,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J0594,HCPCS,Busulfan injection,,,29 ,,NW,,,,,,$9.02,$0.00,1,1,1,0,1,1,20080101J0600,HCPCS,Edetate calcium disodium inj,,,29 ,,NW,,,,,,$106.23,$0.00,1,1,1,0,0,1,20080101J0610,HCPCS,Calcium gluconate injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J0620,HCPCS,Calcium glycer & lact/10 ML,,,29 ,,NW,,,,,,$17.01,$0.00,1,1,1,0,0,1,20080101J0630,HCPCS,Calcitonin salmon injection,,,29 ,,NW,,,,,,$94.14,$0.00,1,1,1,0,0,1,20080101J0636,HCPCS,Inj calcitriol per 0.1 mcg,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J0637,HCPCS,Caspofungin acetate,,,29 ,,NW,,,,,,$82.94,$0.00,1,1,1,0,0,1,20080101J0640,HCPCS,Leucovorin calcium injection,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J0670,HCPCS,Inj mepivacaine HCL/10 ml,,,29 ,,NW,,,,,,$5.33,$0.00,1,1,1,0,0,1,20080101J0690,HCPCS,Cefazolin sodium injection,,,29 ,,NW,,,,,,$5.33,$0.00,1,1,1,0,0,1,20080101J0692,HCPCS,Cefepime HCl for injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J0694,HCPCS,Cefoxitin sodium injection,,,29 ,,NW,,,,,,$29.87,$0.00,1,1,1,0,0,1,20080101J0696,HCPCS,Ceftriaxone sodium injection,,,29 ,,NW,,,,,,$41.56,$0.00,1,1,1,0,0,1,20080101J0697,HCPCS,Sterile cefuroxime injection,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J0698,HCPCS,Cefotaxime sodium injection,,,29 ,,NW,,,,,,$26.37,$0.00,1,1,1,0,0,1,20080101J0702,HCPCS,Betamethasone acet&sod phosp,,,29 ,,NW,,,,,,$13.51,$0.00,1,1,1,0,0,1,20080101J0704,HCPCS,Betamethasone sod phosp/4 MG,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J0706,HCPCS,Caffeine citrate injection,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J0710,HCPCS,Cephapirin sodium injection,,,29 ,,NW,,,,,,$20.46,$0.00,1,1,1,0,0,1,20080101J0713,HCPCS,Inj ceftazidime per 500 mg,,,29 ,,NW,,,,,,$18.18,$0.00,1,1,1,0,0,1,20080101J0715,HCPCS,Ceftizoxime sodium / 500 MG,,,29 ,,NW,,,,,,$13.51,$0.00,1,1,1,0,0,1,20080101J0720,HCPCS,Chloramphenicol sodium injec,,,29 ,,NW,,,,,,$19.34,$0.00,1,1,1,0,0,1,20080101J0725,HCPCS,Chorionic gonadotropin/1000u,,,29 ,,NW,,,,,,$6.50,$0.00,1,1,1,0,0,1,20080101J0735,HCPCS,Clonidine hydrochloride,,,29 ,,NW,,,,,,$128.65,$0.00,1,1,1,0,0,1,20080101J0740,HCPCS,Cidofovir injection,,,29 ,,NW,,,,,,"$1,758.84",$0.00,1,1,1,0,0,1,20080101J0743,HCPCS,Cilastatin sodium injection,,,29 ,,NW,,,,,,$43.89,$0.00,1,1,1,0,0,1,20080101J0744,HCPCS,Ciprofloxacin iv,,,29 ,,NW,,,,,,$38.06,$0.00,1,1,1,0,0,1,20080101J0745,HCPCS,Inj codeine phosphate /30 MG,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J0760,HCPCS,Colchicine injection,,,29 ,,NW,,,,,,$19.34,$0.00,1,1,1,0,0,1,20080101J0770,HCPCS,Colistimethate sodium inj,,,29 ,,NW,,,,,,$126.93,$0.00,1,1,1,0,0,1,20080101J0780,HCPCS,Prochlorperazine injection,,,29 ,,NW,,,,,,$11.16,$0.00,1,1,1,0,0,1,20080101J0795,HCPCS,Corticorelin ovine triflutal,,,29 ,,NW,,,,,,$25.82,$0.00,1,1,1,0,0,1,20080101J0800,HCPCS,Corticotropin injection,,,29 ,,NW,,,,,,$207.15,$0.00,1,1,1,0,0,1,20080101J0835,HCPCS,Inj cosyntropin per 0.25 MG,,,29 ,,NW,,,,,,$50.91,$0.00,1,1,1,0,0,1,20080101J0850,HCPCS,Cytomegalovirus imm IV /vial,,,29 ,,NW,,,,,,"$1,486.29",$0.00,1,1,1,0,0,1,20080101J0881,HCPCS,"Darbepoetin alfa, non-esrd",,,29 ,,NW,,,,,,$18.85,$0.00,1,1,1,0,0,1,20080101J0882,HCPCS,"Darbepoetin alfa, esrd use",,,29 ,,NW,,,,,,$30.10,$0.00,1,1,1,0,0,1,20080101J0885,HCPCS,"Epoetin alfa, non-esrd",,,29 ,,NW,,,,,,$18.85,$0.00,1,1,1,0,0,1,20080101J0886,HCPCS,"Epoetin alfa, esrd",,,29 ,,NW,,,,,,$6.02,$0.00,1,1,1,0,0,1,20080101J0894,HCPCS,Decitabine injection,,,29 ,,NW,,,,,,$26.90,$0.00,1,1,1,0,1,1,20080101J0895,HCPCS,Deferoxamine mesylate inj,,,29 ,,NW,,,,,,$42.74,$0.00,1,1,1,0,0,1,20080101J0900,HCPCS,Testosterone enanthate inj,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J0945,HCPCS,Brompheniramine maleate inj,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J0970,HCPCS,Estradiol valerate injection,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J1000,HCPCS,Depo-estradiol cypionate inj,,,29 ,,NW,,,,,,$5.33,$0.00,1,1,1,0,0,1,20080101J1020,HCPCS,Methylprednisolone 20 MG inj,,,29 ,,NW,,,,,,$6.50,$0.00,1,1,1,0,0,1,20080101J1030,HCPCS,Methylprednisolone 40 MG inj,,,29 ,,NW,,,,,,$11.16,$0.00,1,1,1,0,0,1,20080101J1040,HCPCS,Methylprednisolone 80 MG inj,,,29 ,,NW,,,,,,$22.86,$0.00,1,1,1,0,0,1,20080101J1051,HCPCS,Medroxyprogesterone inj,,,29 ,,NW,,,,,,$13.51,$0.00,1,1,1,0,0,1,20080101J1055,HCPCS,Medrxyprogester acetate inj,,,29 ,,NW,,,,,,$154.54,$0.00,1,1,1,0,0,1,20080101J1056,HCPCS,MA/EC contraceptiveinjection,,,29 ,,NW,,,,,,$65.68,$0.00,1,1,1,0,0,1,20080101J1060,HCPCS,Testosterone cypionate 1 ML,,,29 ,,NW,,,,,,$12.33,$0.00,1,1,1,0,0,1,20080101J1070,HCPCS,Testosterone cypionat 100 MG,,,29 ,,NW,,,,,,$13.51,$0.00,1,1,1,0,0,1,20080101J1080,HCPCS,Testosterone cypionat 200 MG,,,29 ,,NW,,,,,,$26.37,$0.00,1,1,1,0,0,1,20080101J1094,HCPCS,Inj dexamethasone acetate,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J1100,HCPCS,Dexamethasone sodium phos,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J1110,HCPCS,Inj dihydroergotamine mesylt,,,29 ,,NW,,,,,,$98.47,$0.00,1,1,1,0,0,1,20080101J1120,HCPCS,Acetazolamid sodium injectio,,,29 ,,NW,,,,,,$56.76,$0.00,1,1,1,0,0,1,20080101J1160,HCPCS,Digoxin injection,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J1162,HCPCS,Digoxin immune fab (ovine),,,29 ,,NW,,,,,,$16.40,$0.00,1,1,1,0,0,1,20080101J1165,HCPCS,Phenytoin sodium injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J1170,HCPCS,Hydromorphone injection,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J1180,HCPCS,Dyphylline injection,,,29 ,,NW,,,,,,$25.20,$0.00,1,1,1,0,0,1,20080101J1190,HCPCS,Dexrazoxane HCl injection,,,29 ,,NW,,,,,,$498.68,$0.00,1,1,1,0,0,1,20080101J1200,HCPCS,Diphenhydramine hcl injectio,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J1205,HCPCS,Chlorothiazide sodium inj,,,29 ,,NW,,,,,,$28.70,$0.00,1,1,1,0,0,1,20080101J1212,HCPCS,Dimethyl sulfoxide 50% 50 ML,,,29 ,,NW,,,,,,$107.10,$0.00,1,1,1,0,0,1,20080101J1230,HCPCS,Methadone injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J1240,HCPCS,Dimenhydrinate injection,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J1245,HCPCS,Dipyridamole injection,,,29 ,,NW,,,,,,$15.85,$0.00,1,1,1,0,0,1,20080101J1250,HCPCS,Inj dobutamine HCL/250 mg,,,29 ,,NW,,,,,,$12.33,$0.00,1,1,1,0,0,1,20080101J1260,HCPCS,Dolasetron mesylate,,,29 ,,NW,,,,,,$52.63,$0.00,1,1,1,0,0,1,20080101J1270,HCPCS,"Injection, doxercalciferol",,,29 ,,NW,,,,,,$14.68,$0.00,1,1,1,0,0,1,20080101J1320,HCPCS,Amitriptyline injection,,,29 ,,NW,,,,,,$7.65,$0.00,1,1,1,0,0,1,20080101J1324,HCPCS,Enfuvirtide injection,,,29 ,,NW,,,,,,$22.15,$0.00,1,1,1,0,1,1,20080101J1325,HCPCS,Epoprostenol injection,,,29 ,,NW,,,,,,$34.06,$0.00,1,1,1,0,0,1,20080101J1327,HCPCS,Eptifibatide injection,,,29 ,,NW,,,,,,$35.71,$0.00,1,1,1,0,0,1,20080101J1330,HCPCS,Ergonovine maleate injection,,,29 ,,NW,,,,,,$42.07,$0.00,1,1,1,0,0,1,20080101J1364,HCPCS,Erythro lactobionate /500 MG,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J1380,HCPCS,Estradiol valerate 10 MG inj,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J1390,HCPCS,Estradiol valerate 20 MG inj,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J1410,HCPCS,Inj estrogen conjugate 25 MG,,,29 ,,NW,,,,,,$141.59,$0.00,1,1,1,0,0,1,20080101J1430,HCPCS,Ethanolamine oleate 100 mg,,,29 ,,NW,,,,,,$16.40,$0.00,1,1,1,0,0,1,20080101J1435,HCPCS,Injection estrone per 1 MG,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J1436,HCPCS,Etidronate disodium inj,,,29 ,,NW,,,,,,$173.51,$0.00,1,1,1,0,0,1,20080101J1438,HCPCS,Etanercept injection,,,29 ,,NW,,,,,,$335.67,$0.00,1,1,1,0,0,1,20080101J1440,HCPCS,Filgrastim 300 mcg injection,,,29 ,,NW,,,,,,$381.38,$0.00,1,1,1,0,0,1,20080101J1441,HCPCS,Filgrastim 480 mcg injection,,,29 ,,NW,,,,,,$633.23,$0.00,1,1,1,0,0,1,20080101J1450,HCPCS,Fluconazole,,,29 ,,NW,,,,,,$213.18,$0.00,1,1,1,0,0,1,20080101J1451,HCPCS,"Fomepizole, 15 mg",,,29 ,,NW,,,,,,$16.17,$0.00,1,1,1,0,0,1,20080101J1452,HCPCS,Intraocular Fomivirsen na,,,29 ,,NW,,,,,,"$1,978.79",$0.00,1,1,1,0,0,1,20080101J1455,HCPCS,Foscarnet sodium injection,,,29 ,,NW,,,,,,$35.71,$0.00,1,1,1,0,0,1,20080101J1458,HCPCS,Galsulfase injection,,,29 ,,NW,,,,,,"$1,539.08",$0.00,1,1,1,0,1,1,20080101J1460,HCPCS,Gamma globulin 1 CC inj,,,29 ,,NW,,,,,,$31.05,$0.00,1,1,1,0,0,1,20080101J1470,HCPCS,Gamma globulin 2 CC inj,,,29 ,,NW,,,,,,$62.24,$0.00,1,1,1,0,0,1,20080101J1480,HCPCS,Gamma globulin 3 CC inj,,,29 ,,NW,,,,,,$85.53,$0.00,1,1,1,0,0,1,20080101J1490,HCPCS,Gamma globulin 4 CC inj,,,29 ,,NW,,,,,,$108.82,$0.00,1,1,1,0,0,1,20080101J1500,HCPCS,Gamma globulin 5 CC inj,,,29 ,,NW,,,,,,$132.96,$0.00,1,1,1,0,0,1,20080101J1510,HCPCS,Gamma globulin 6 CC inj,,,29 ,,NW,,,,,,$156.26,$0.00,1,1,1,0,0,1,20080101J1520,HCPCS,Gamma globulin 7 CC inj,,,29 ,,NW,,,,,,$179.55,$0.00,1,1,1,0,0,1,20080101J1530,HCPCS,Gamma globulin 8 CC inj,,,29 ,,NW,,,,,,$203.70,$0.00,1,1,1,0,0,1,20080101J1540,HCPCS,Gamma globulin 9 CC inj,,,29 ,,NW,,,,,,$226.98,$0.00,1,1,1,0,0,1,20080101J1550,HCPCS,Gamma globulin 10 CC inj,,,29 ,,NW,,,,,,$250.27,$0.00,1,1,1,0,0,1,20080101J1560,HCPCS,Gamma globulin > 10 CC inj,,,29 ,,NW,,,,,,$25.28,$0.00,1,1,1,0,0,1,20080101J1562,HCPCS,Immune globulin subcutaneous,,,29 ,,NW,,,,,,$7.19,$0.00,1,1,1,0,1,1,20080101J1565,HCPCS,RSV-ivig,,,29 ,,NW,,,,,,$46.24,$0.00,1,1,1,0,0,1,20080101J1566,HCPCS,"Immune globulin, powder",,,29 ,,NW,,,,,,$15.89,$0.00,1,1,1,0,0,1,20080101J1570,HCPCS,Ganciclovir sodium injection,,,29 ,,NW,,,,,,$87.25,$0.00,1,1,1,0,0,1,20080101J1580,HCPCS,Garamycin gentamicin inj,,,29 ,,NW,,,,,,$5.33,$0.00,1,1,1,0,0,1,20080101J1590,HCPCS,Gatifloxacin injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J1595,HCPCS,Injection glatiramer acetate,,,29 ,,NW,,,,,,$836.67,$0.00,1,1,1,0,0,1,20080101J1600,HCPCS,Gold sodium thiomaleate inj,,,29 ,,NW,,,,,,$36.89,$0.00,1,1,1,0,0,1,20080101J1610,HCPCS,Glucagon hydrochloride/1 MG,,,29 ,,NW,,,,,,$108.82,$0.00,1,1,1,0,0,1,20080101J1620,HCPCS,Gonadorelin hydroch/ 100 mcg,,,29 ,,NW,,,,,,$432.27,$0.00,1,1,1,0,0,1,20080101J1626,HCPCS,Granisetron HCl injection,,,29 ,,NW,,,,,,$48.57,$0.00,1,1,1,0,0,1,20080101J1630,HCPCS,Haloperidol injection,,,29 ,,NW,,,,,,$18.18,$0.00,1,1,1,0,0,1,20080101J1631,HCPCS,Haloperidol decanoate inj,,,29 ,,NW,,,,,,$25.20,$0.00,1,1,1,0,0,1,20080101J1640,HCPCS,"Hemin, 1 mg",,,29 ,,NW,,,,,,$14.99,$0.00,1,1,1,0,0,1,20080101J1642,HCPCS,Inj heparin sodium per 10 u,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J1644,HCPCS,Inj heparin sodium per 1000u,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J1645,HCPCS,Dalteparin sodium,,,29 ,,NW,,,,,,$43.89,$0.00,1,1,1,0,0,1,20080101J1650,HCPCS,Inj enoxaparin sodium,,,29 ,,NW,,,,,,$17.01,$0.00,1,1,1,0,0,1,20080101J1652,HCPCS,Fondaparinux sodium,,,29 ,,NW,,,,,,$22.86,$0.00,1,1,1,0,0,1,20080101J1655,HCPCS,Tinzaparin sodium injection,,,29 ,,NW,,,,,,$10.00,$0.00,1,1,1,0,0,1,20080101J1670,HCPCS,Tetanus immune globulin inj,,,29 ,,NW,,,,,,$260.63,$0.00,1,1,1,0,0,1,20080101J1700,HCPCS,Hydrocortisone acetate inj,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J1710,HCPCS,Hydrocortisone sodium ph inj,,,29 ,,NW,,,,,,$19.34,$0.00,1,1,1,0,0,1,20080101J1720,HCPCS,Hydrocortisone sodium succ i,,,29 ,,NW,,,,,,$5.33,$0.00,1,1,1,0,0,1,20080101J1730,HCPCS,Diazoxide injection,,,29 ,,NW,,,,,,$269.26,$0.00,1,1,1,0,0,1,20080101J1740,HCPCS,Ibandronate sodium injection,,,29 ,,NW,,,,,,$141.23,$0.00,1,1,1,0,1,1,20080101J1742,HCPCS,Ibutilide fumarate injection,,,29 ,,NW,,,,,,$534.05,$0.00,1,1,1,0,0,1,20080101J1745,HCPCS,Infliximab injection,,,29 ,,NW,,,,,,$150.21,$0.00,1,1,1,0,0,1,20080101J1751,HCPCS,Iron dextran 165 injection,,,29 ,,NW,,,,,,$13.98,$0.00,1,1,1,0,0,1,20080101J1752,HCPCS,Iron dextran 267 injection,,,29 ,,NW,,,,,,$12.96,$0.00,1,1,1,0,0,1,20080101J1756,HCPCS,Iron sucrose injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J1785,HCPCS,Injection imiglucerase /unit,,,29 ,,NW,,,,,,$11.16,$0.00,1,1,1,0,0,1,20080101J1790,HCPCS,Droperidol injection,,,29 ,,NW,,,,,,$7.65,$0.00,1,1,1,0,0,1,20080101J1800,HCPCS,Propranolol injection,,,29 ,,NW,,,,,,$32.21,$0.00,1,1,1,0,0,1,20080101J1810,HCPCS,Droperidol/fentanyl inj,,,29 ,,NW,,,,,,$16.91,$0.00,1,1,1,0,0,1,20080101J1815,HCPCS,Insulin injection,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J1817,HCPCS,Insulin for insulin pump use,,,29 ,,NW,,,,,,$7.65,$0.00,1,1,1,0,0,1,20080101J1825,HCPCS,Interferon beta-1a,,,29 ,,NW,,,,,,$708.29,$0.00,1,1,1,0,0,1,20080101J1830,HCPCS,Interferon beta-1b / .25 MG,,,29 ,,NW,,,,,,$153.67,$0.00,1,1,1,0,0,1,20080101J1835,HCPCS,Itraconazole injection,,,29 ,,NW,,,,,,$90.70,$0.00,1,1,1,0,0,1,20080101J1840,HCPCS,Kanamycin sulfate 500 MG inj,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J1850,HCPCS,Kanamycin sulfate 75 MG inj,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J1885,HCPCS,Ketorolac tromethamine inj,,,29 ,,NW,,,,,,$10.00,$0.00,1,1,1,0,0,1,20080101J1890,HCPCS,Cephalothin sodium injection,,,29 ,,NW,,,,,,$28.70,$0.00,1,1,1,0,0,1,20080101J1940,HCPCS,Furosemide injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J1945,HCPCS,Lepiridin,,,29 ,,NW,,,,,,$11.71,$0.00,1,1,1,0,0,1,20080101J1950,HCPCS,Leuprolide acetate /3.75 MG,,,29 ,,NW,,,,,,"$1,062.78",$0.00,1,1,1,0,0,1,20080101J1955,HCPCS,Inj levocarnitine per 1 gm,,,29 ,,NW,,,,,,$85.53,$0.00,1,1,1,0,0,1,20080101J1956,HCPCS,Levofloxacin injection,,,29 ,,NW,,,,,,$57.93,$0.00,1,1,1,0,0,1,20080101J1960,HCPCS,Levorphanol tartrate inj,,,29 ,,NW,,,,,,$10.00,$0.00,1,1,1,0,0,1,20080101J1980,HCPCS,Hyoscyamine sulfate inj,,,29 ,,NW,,,,,,$24.03,$0.00,1,1,1,0,0,1,20080101J1990,HCPCS,Chlordiazepoxide injection,,,29 ,,NW,,,,,,$66.55,$0.00,1,1,1,0,0,1,20080101J2001,HCPCS,INJECTION LIDO HCL IV INFUS 10 MG,,,29 ,,NW,,,,,,$1.25,$0.00,1,1,1,0,0,1,20080101J2010,HCPCS,Lincomycin injection,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J2020,HCPCS,Linezolid injection,,,29 ,,NW,,,,,,$90.70,$0.00,1,1,1,0,0,1,20080101J2060,HCPCS,Lorazepam injection,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J2150,HCPCS,Mannitol injection,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J2170,HCPCS,Mecasermin injection,,,29 ,,NW,,,,,,$12.11,$0.00,1,1,1,0,1,1,20080101J2175,HCPCS,Meperidine hydrochl /100 MG,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J2180,HCPCS,Meperidine/promethazine inj,,,29 ,,NW,,,,,,$12.33,$0.00,1,1,1,0,0,1,20080101J2210,HCPCS,Methylergonovin maleate inj,,,29 ,,NW,,,,,,$11.16,$0.00,1,1,1,0,0,1,20080101J2248,HCPCS,Micafungin sodium injection,,,29 ,,NW,,,,,,$1.90,$0.00,1,1,1,0,1,1,20080101J2250,HCPCS,Inj midazolam hydrochloride,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J2260,HCPCS,Inj milrinone lactate / 5 MG,,,29 ,,NW,,,,,,$121.76,$0.00,1,1,1,0,0,1,20080101J2270,HCPCS,Morphine sulfate injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J2271,HCPCS,Morphine so4 injection 100mg,,,29 ,,NW,,,,,,$12.33,$0.00,1,1,1,0,0,1,20080101J2275,HCPCS,Morphine sulfate injection,,,29 ,,NW,,,,,,$5.33,$0.00,1,1,1,0,0,1,20080101J2278,HCPCS,Ziconotide injection,,,29 ,,NW,,,,,,$10.58,$0.00,1,1,1,0,0,1,20080101J2300,HCPCS,Inj nalbuphine hydrochloride,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J2310,HCPCS,Inj naloxone hydrochloride,,,29 ,,NW,,,,,,$6.50,$0.00,1,1,1,0,0,1,20080101J2315,HCPCS,"Naltrexone, depot form",,,29 ,,NW,,,,,,$1.97,$0.00,1,1,1,0,1,1,20080101J2320,HCPCS,Nandrolone decanoate 50 MG,,,29 ,,NW,,,,,,$10.00,$0.00,1,1,1,0,0,1,20080101J2321,HCPCS,Nandrolone decanoate 100 MG,,,29 ,,NW,,,,,,$19.34,$0.00,1,1,1,0,0,1,20080101J2322,HCPCS,Nandrolone decanoate 200 MG,,,29 ,,NW,,,,,,$43.89,$0.00,1,1,1,0,0,1,20080101J2325,HCPCS,Nesiritide injection,,,29 ,,NW,,,,,,$10.34,$0.00,1,1,1,0,0,1,20080101J2355,HCPCS,Oprelvekin injection,,,29 ,,NW,,,,,,$568.54,$0.00,1,1,1,0,0,1,20080101J2360,HCPCS,Orphenadrine injection,,,29 ,,NW,,,,,,$14.68,$0.00,1,1,1,0,0,1,20080101J2370,HCPCS,Phenylephrine hcl injection,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J2400,HCPCS,Chloroprocaine hcl injection,,,29 ,,NW,,,,,,$17.01,$0.00,1,1,1,0,0,1,20080101J2405,HCPCS,Ondansetron hcl injection,,,29 ,,NW,,,,,,$17.01,$0.00,1,1,1,0,0,1,20080101J2410,HCPCS,Oxymorphone hcl injection,,,29 ,,NW,,,,,,$7.65,$0.00,1,1,1,0,0,1,20080101J2425,HCPCS,Palifermin injection,,,29 ,,NW,,,,,,$9.16,$0.00,1,1,1,0,0,1,20080101J2430,HCPCS,Pamidronate disodium /30 MG,,,29 ,,NW,,,,,,$564.24,$0.00,1,1,1,0,0,1,20080101J2440,HCPCS,Papaverin hcl injection,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J2460,HCPCS,Oxytetracycline injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J2501,HCPCS,Paricalcitol,,,29 ,,NW,,,,,,$13.51,$0.00,1,1,1,0,0,1,20080101J2503,HCPCS,Pegaptanib sodium injection,,,29 ,,NW,,,,,,$8.20,$0.00,1,1,1,0,0,1,20080101J2504,HCPCS,"Pegademase bovine, 25 iu",,,29 ,,NW,,,,,,$8.12,$0.00,1,1,1,0,0,1,20080101J2510,HCPCS,Penicillin g procaine inj,,,29 ,,NW,,,,,,$26.37,$0.00,1,1,1,0,0,1,20080101J2513,HCPCS,Pentastarch 10% solution,,,29 ,,NW,,,,,,$7.84,$0.00,1,1,1,0,0,1,20080101J2515,HCPCS,Pentobarbital sodium inj,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J2540,HCPCS,Penicillin g potassium inj,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J2543,HCPCS,Piperacillin/tazobactam,,,29 ,,NW,,,,,,$13.51,$0.00,1,1,1,0,0,1,20080101J2545,HCPCS,Pentamidine isethionte/300mg,,,29 ,,NW,,,,,,$107.10,$0.00,1,1,1,0,0,1,20080101J2550,HCPCS,Promethazine hcl injection,,,29 ,,NW,,,,,,$7.65,$0.00,1,1,1,0,0,1,20080101J2560,HCPCS,Phenobarbital sodium inj,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J2590,HCPCS,Oxytocin injection,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J2597,HCPCS,Inj desmopressin acetate,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J2650,HCPCS,Prednisolone acetate inj,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J2670,HCPCS,Totazoline hcl injection,,,29 ,,NW,,,,,,$10.00,$0.00,1,1,1,0,0,1,20080101J2675,HCPCS,Inj progesterone per 50 MG,,,29 ,,NW,,,,,,$10.00,$0.00,1,1,1,0,0,1,20080101J2680,HCPCS,Fluphenazine decanoate 25 MG,,,29 ,,NW,,,,,,$24.03,$0.00,1,1,1,0,0,1,20080101J2690,HCPCS,Procainamide hcl injection,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J2700,HCPCS,Oxacillin sodium injeciton,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J2710,HCPCS,Neostigmine methylslfte inj,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J2720,HCPCS,Inj protamine sulfate/10 MG,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J2725,HCPCS,Inj protirelin per 250 mcg,,,29 ,,NW,,,,,,$64.83,$0.00,1,1,1,0,0,1,20080101J2730,HCPCS,Pralidoxime chloride inj,,,29 ,,NW,,,,,,$227.86,$0.00,1,1,1,0,0,1,20080101J2760,HCPCS,Phentolaine mesylate inj,,,29 ,,NW,,,,,,$80.35,$0.00,1,1,1,0,0,1,20080101J2765,HCPCS,Metoclopramide hcl injection,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J2770,HCPCS,Quinupristin/dalfopristin,,,29 ,,NW,,,,,,$252.01,$0.00,1,1,1,0,0,1,20080101J2780,HCPCS,Ranitidine hydrochloride inj,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J2788,HCPCS,Rho d immune globulin 50 mcg,,,29 ,,NW,,,,,,$120.91,$0.00,1,1,1,0,0,1,20080101J2790,HCPCS,Rho d immune globulin inj,,,29 ,,NW,,,,,,$221.81,$0.00,1,1,1,0,0,1,20080101J2792,HCPCS,"Rho(D) immune globulin h, sd",,,29 ,,NW,,,,,,$56.76,$0.00,1,1,1,0,0,1,20080101J2795,HCPCS,Ropivacaine HCl injection,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J2800,HCPCS,Methocarbamol injection,,,29 ,,NW,,,,,,$10.00,$0.00,1,1,1,0,0,1,20080101J2805,HCPCS,Sincalide injection,,,29 ,,NW,,,,,,$7.84,$0.00,1,1,1,0,0,1,20080101J2810,HCPCS,Inj theophylline per 40 MG,,,29 ,,NW,,,,,,$1.76,$0.00,1,1,1,0,0,1,20080101J2820,HCPCS,Sargramostim injection,,,29 ,,NW,,,,,,$71.73,$0.00,1,1,1,0,0,1,20080101J2850,HCPCS,Inj secretin synthetic human,,,29 ,,NW,,,,,,$7.84,$0.00,1,1,1,0,0,1,20080101J2910,HCPCS,Aurothioglucose injeciton,,,29 ,,NW,,,,,,$47.41,$0.00,1,1,1,0,0,1,20080101J2916,HCPCS,Na ferric gluconate complex,,,29 ,,NW,,,,,,$22.86,$0.00,1,1,1,0,0,1,20080101J2920,HCPCS,Methylprednisolone injection,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J2930,HCPCS,Methylprednisolone injection,,,29 ,,NW,,,,,,$5.33,$0.00,1,1,1,0,0,1,20080101J2940,HCPCS,Somatrem injection,,,29 ,,NW,,,,,,$108.82,$0.00,1,1,1,0,0,1,20080101J2941,HCPCS,Somatropin injection,,,29 ,,NW,,,,,,$109.69,$0.00,1,1,1,0,0,1,20080101J2950,HCPCS,Promazine hcl injection,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J2993,HCPCS,Reteplase injection,,,29 ,,NW,,,,,,"$2,714.52",$0.00,1,1,1,0,0,1,20080101J2995,HCPCS,Inj streptokinase /250000 IU,,,29 ,,NW,,,,,,$198.51,$0.00,1,1,1,0,0,1,20080101J2997,HCPCS,Alteplase recombinant,,,29 ,,NW,,,,,,$90.70,$0.00,1,1,1,0,0,1,20080101J3000,HCPCS,Streptomycin injection,,,29 ,,NW,,,,,,$17.01,$0.00,1,1,1,0,0,1,20080101J3010,HCPCS,Fentanyl citrate injeciton,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J3030,HCPCS,Sumatriptan succinate / 6 MG,,,29 ,,NW,,,,,,$69.99,$0.00,1,1,1,0,0,1,20080101J3070,HCPCS,Pentazocine injection,,,29 ,,NW,,,,,,$14.68,$0.00,1,1,1,0,0,1,20080101J3100,HCPCS,Tenecteplase injection,,,29 ,,NW,,,,,,"$5,576.40",$0.00,1,1,1,0,0,1,20080101J3105,HCPCS,Terbutaline sulfate inj,,,29 ,,NW,,,,,,$75.18,$0.00,1,1,1,0,0,1,20080101J3110,HCPCS,Teriparatide injection,,,29 ,,NW,,,,,,$437.18,$0.00,1,1,1,0,0,1,20080101J3120,HCPCS,Testosterone enanthate inj,,,29 ,,NW,,,,,,$25.20,$0.00,1,1,1,0,0,1,20080101J3130,HCPCS,Testosterone enanthate inj,,,29 ,,NW,,,,,,$49.76,$0.00,1,1,1,0,0,1,20080101J3140,HCPCS,Testosterone suspension inj,,,29 ,,NW,,,,,,$17.13,$0.00,1,1,1,0,0,1,20080101J3150,HCPCS,Testosteron propionate inj,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J3230,HCPCS,Chlorpromazine hcl injection,,,29 ,,NW,,,,,,$12.33,$0.00,1,1,1,0,0,1,20080101J3240,HCPCS,Thyrotropin injection,,,29 ,,NW,,,,,,"$1,291.36",$0.00,1,1,1,0,0,1,20080101J3243,HCPCS,Tigecycline injection,,,29 ,,NW,,,,,,$0.92,$0.00,1,1,1,0,1,1,20080101J3250,HCPCS,Trimethobenzamide hcl inj,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J3260,HCPCS,Tobramycin sulfate injection,,,29 ,,NW,,,,,,$12.33,$0.00,1,1,1,0,0,1,20080101J3265,HCPCS,Injection torsemide 10 mg/ml,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J3280,HCPCS,Thiethylperazine maleate inj,,,29 ,,NW,,,,,,$15.85,$0.00,1,1,1,0,0,1,20080101J3285,HCPCS,Treprostinil injection,,,29 ,,NW,,,,,,$7.84,$0.00,1,1,1,0,0,1,20080101J3301,HCPCS,Triamcinolone acetonide inj,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J3302,HCPCS,Triamcinolone diacetate inj,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J3303,HCPCS,Triamcinolone hexacetonl inj,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J3305,HCPCS,Inj trimetrexate glucoronate,,,29 ,,NW,,,,,,$308.93,$0.00,1,1,1,0,0,1,20080101J3310,HCPCS,Perphenazine injeciton,,,29 ,,NW,,,,,,$25.20,$0.00,1,1,1,0,0,1,20080101J3315,HCPCS,Triptorelin pamoate,,,29 ,,NW,,,,,,$838.54,$0.00,1,1,1,0,0,1,20080101J3320,HCPCS,Spectinomycn di-hcl inj,,,29 ,,NW,,,,,,$73.45,$0.00,1,1,1,0,0,1,20080101J3350,HCPCS,Urea injection,,,29 ,,NW,,,,,,$240.78,$0.00,1,1,1,0,0,1,20080101J3355,HCPCS,"Urofollitropin, 75 iu",,,29 ,,NW,,,,,,$7.84,$0.00,1,1,1,0,0,1,20080101J3360,HCPCS,Diazepam injection,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J3364,HCPCS,Urokinase 5000 IU injection,,,29 ,,NW,,,,,,$28.70,$0.00,1,1,1,0,0,1,20080101J3365,HCPCS,"Urokinase 250,000 IU inj",,,29 ,,NW,,,,,,"$1,072.26",$0.00,1,1,1,0,0,1,20080101J3370,HCPCS,Vancomycin hcl injection,,,29 ,,NW,,,,,,$7.65,$0.00,1,1,1,0,0,1,20080101J3400,HCPCS,Triflupromazine hcl inj,,,29 ,,NW,,,,,,$97.48,$0.00,1,1,1,0,0,1,20080101J3410,HCPCS,Hydroxyzine hcl injection,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J3420,HCPCS,Vitamin b12 injection,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J3430,HCPCS,Vitamin k phytonadione inj,,,29 ,,NW,,,,,,$5.33,$0.00,1,1,1,0,0,1,20080101J3470,HCPCS,Hyaluronidase injection,,,29 ,,NW,,,,,,$70.88,$0.00,1,1,1,0,0,1,20080101J3471,HCPCS,"Ovine, up to 999 USP units",,,29 ,,NW,,,,,,$6.35,$0.00,1,1,1,0,0,1,20080101J3472,HCPCS,"Ovine, 1000 USP units",,,29 ,,NW,,,,,,$6.35,$0.00,1,1,1,0,0,1,20080101J3473,HCPCS,Hyaluronidase recombinant,,,29 ,,NW,,,,,,$0.41,$0.00,1,1,1,0,1,1,20080101J3475,HCPCS,Inj magnesium sulfate,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J3480,HCPCS,Inj potassium chloride,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J3485,HCPCS,Zidovudine,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J3487,HCPCS,Zoledronic acid,,,29 ,,NW,,,,,,$464.17,$0.00,1,1,1,0,0,1,20080101J3490,HCPCS,Drugs unclassified injection,,,29 ,,NW,,,,,,$19.04,$0.00,1,1,1,0,0,1,20080101J3520,HCPCS,Edetate disodium per 150 mg,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J3535,HCPCS,Metered dose inhaler drug,,,29 ,,NW,,,,,,$2.62,$0.00,1,1,1,0,0,1,20080101J3570,HCPCS,Laetrile amygdalin vit B17,,,29 ,,NW,,,,,,$46.94,$0.00,1,1,1,0,0,1,20080101J7030,HCPCS,Normal saline solution infus,,,29 ,,NW,,,,,,$22.86,$0.00,1,1,1,0,0,1,20080101J7040,HCPCS,Normal saline solution infus,,,29 ,,NW,,,,,,$12.33,$0.00,1,1,1,0,0,1,20080101J7042,HCPCS,5% dextrose/normal saline,,,29 ,,NW,,,,,,$26.37,$0.00,1,1,1,0,0,1,20080101J7050,HCPCS,Normal saline solution infus,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J7060,HCPCS,5% dextrose/water,,,29 ,,NW,,,,,,$24.03,$0.00,1,1,1,0,0,1,20080101J7070,HCPCS,D5w infusion,,,29 ,,NW,,,,,,$29.87,$0.00,1,1,1,0,0,1,20080101J7100,HCPCS,Dextran 40 infusion,,,29 ,,NW,,,,,,$66.55,$0.00,1,1,1,0,0,1,20080101J7110,HCPCS,Dextran 75 infusion,,,29 ,,NW,,,,,,$39.21,$0.00,1,1,1,0,0,1,20080101J7120,HCPCS,Ringers lactate infusion,,,29 ,,NW,,,,,,$32.21,$0.00,1,1,1,0,0,1,20080101J7130,HCPCS,Hypertonic saline solution,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7187,HCPCS,Inj Vonwillebrand factor IU,,,29 ,,NW,,,,,,$0.89,$0.00,1,1,1,0,1,1,20080101J7189,HCPCS,Factor viia,,,29 ,,NW,,,,,,$5.07,$0.00,1,1,1,0,0,1,20080101J7190,HCPCS,Factor viii,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J7191,HCPCS,Factor VIII (porcine),,,29 ,,NW,,,,,,$5.33,$0.00,1,1,1,0,0,1,20080101J7192,HCPCS,Factor viii recombinant,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J7193,HCPCS,Factor IX non-recombinant,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J7194,HCPCS,Factor ix complex,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7195,HCPCS,Factor IX recombinant,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J7197,HCPCS,Antithrombin iii injection,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J7198,HCPCS,Anti-inhibitor,,,29 ,,NW,,,,,,$4.15,$0.00,1,1,1,0,0,1,20080101J7300,HCPCS,Intraut copper contraceptive,,,29 ,,NW,,,,,,$606.40,$0.00,1,1,1,1,1,1,20080101J7302,HCPCS,Levonorgestrel iu contracept,,,29 ,,NW,,,,,,"$1,020.51",$0.00,1,1,1,1,1,1,20080101J7308,HCPCS,Aminolevulinic acid hcl top,,,29 ,,NW,,,,,,$223.53,$0.00,1,1,1,0,0,1,20080101J7310,HCPCS,Ganciclovir long act implant,,,29 ,,NW,,,,,,"$9,832.99",$0.00,1,1,1,0,0,1,20080101J7311,HCPCS,Fluocinolone acetonide implt,,,29 ,,NW,,,,,,"$18,526.36",$0.00,1,1,1,0,1,1,20080101J7330,HCPCS,Cultured chondrocytes implnt,,,29 ,,NW,,,,,,"$31,353.97",$0.00,1,1,1,0,0,1,20080101J7340,HCPCS,Metabolic active D/E tissue,,,29 ,,NW,,,,,,$75.18,$0.00,1,1,1,0,0,1,20080101J7341,HCPCS,"Non-human, metabolic tissue",,,29 ,,NW,,,,,,$3.88,$0.00,1,1,1,0,0,1,20080101J7342,HCPCS,Metabolically active tissue,,,28 ,,NW,,,,,,$29.84,$0.00,1,1,1,0,0,1,20080101J7343,HCPCS,Nonmetabolic act d/e tissue,,,29 ,,NW,,,,,,$13.58,$0.00,1,1,1,0,0,1,20080101J7344,HCPCS,Nonmetabolic active tissue,,,28 ,,NW,,,,,,$76.15,$0.00,1,1,1,0,0,1,20080101J7346,HCPCS,Injectable human tissue,,,29 ,,NW,,,,,,$755.23,$0.00,1,1,1,0,1,1,20080101J7500,HCPCS,Azathioprine oral 50mg,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J7501,HCPCS,Azathioprine parenteral,,,29 ,,NW,,,,,,$138.15,$0.00,1,1,1,0,0,1,20080101J7502,HCPCS,Cyclosporine oral 100 mg,,,29 ,,NW,,,,,,$14.68,$0.00,1,1,1,0,0,1,20080101J7504,HCPCS,Lymphocyte immune globulin,,,29 ,,NW,,,,,,$590.99,$0.00,1,1,1,0,0,1,20080101J7505,HCPCS,Monoclonal antibodies,,,29 ,,NW,,,,,,"$2,121.96",$0.00,1,1,1,0,0,1,20080101J7506,HCPCS,Prednisone oral,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7507,HCPCS,Tacrolimus oral per 1 MG,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J7509,HCPCS,Methylprednisolone oral,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7510,HCPCS,Prednisolone oral per 5 mg,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7511,HCPCS,Antithymocyte globuln rabbit,,,29 ,,NW,,,,,,$754.00,$0.00,1,1,1,0,0,1,20080101J7513,HCPCS,"Daclizumab, parenteral",,,29 ,,NW,,,,,,$893.72,$0.00,1,1,1,0,0,1,20080101J7515,HCPCS,Cyclosporine oral 25 mg,,,29 ,,NW,,,,,,$2.99,$0.00,1,1,1,0,0,1,20080101J7516,HCPCS,Cyclosporin parenteral 250mg,,,29 ,,NW,,,,,,$82.94,$0.00,1,1,1,0,0,1,20080101J7517,HCPCS,Mycophenolate mofetil oral,,,29 ,,NW,,,,,,$7.65,$0.00,1,1,1,0,0,1,20080101J7520,HCPCS,"Sirolimus, oral",,,29 ,,NW,,,,,,$19.34,$0.00,1,1,1,0,0,1,20080101J7525,HCPCS,Tacrolimus injection,,,29 ,,NW,,,,,,$260.63,$0.00,1,1,1,0,0,1,20080101J7599,HCPCS,Immunosuppressive drug noc,,,29 ,,NW,,,,,,$8.03,$0.00,1,1,1,0,0,1,20080101J7608,HCPCS,Acetylcysteine inh sol u d,,,29 ,,NW,,,,,,$74.32,$0.00,1,1,1,0,0,1,20080101J7620,HCPCS,Albuterol non-compounded,,,29 ,,NW,,,,,,$0.54,$0.00,1,1,1,0,0,1,20080101J7622,HCPCS,Beclomethasone inhalatn sol,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7624,HCPCS,Betamethasone inhalation sol,,,29 ,,NW,,,,,,$2.08,$0.00,1,1,1,0,0,1,20080101J7626,HCPCS,Budesonide inhalation sol,,,29 ,,NW,,,,,,$12.33,$0.00,1,1,1,0,0,1,20080101J7628,HCPCS,Bitolterol mes inhal sol con,,,29 ,,NW,,,,,,$0.72,$0.00,1,1,1,0,0,1,20080101J7629,HCPCS,Bitolterol mes inh sol u d,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J7631,HCPCS,Cromolyn sodium inh sol u d,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7633,HCPCS,Budesonide concentrated sol,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7635,HCPCS,Atropine inhal sol con,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7636,HCPCS,Atropine inhal sol unit dose,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7637,HCPCS,Dexamethasone inhal sol con,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7638,HCPCS,Dexamethasone inhal sol u d,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7639,HCPCS,Dornase alpha inhal sol u d,,,29 ,,NW,,,,,,$46.24,$0.00,1,1,1,0,0,1,20080101J7641,HCPCS,"Flunisolide, inhalation sol",,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7642,HCPCS,Glycopyrrolate inhal sol con,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7643,HCPCS,Glycopyrrolate inhal sol u d,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7644,HCPCS,Ipratropium brom inh sol u d,,,29 ,,NW,,,,,,$8.82,$0.00,1,1,1,0,0,1,20080101J7649,HCPCS,Isoetharine hcl inh sol u d,,,29 ,,NW,,,,,,$1.81,$0.00,1,1,1,0,0,1,20080101J7658,HCPCS,Isoproterenolhcl inh sol con,,,29 ,,NW,,,,,,$10.00,$0.00,1,1,1,0,0,1,20080101J7659,HCPCS,Isoproterenol hcl inh sol ud,,,29 ,,NW,,,,,,$10.00,$0.00,1,1,1,0,0,1,20080101J7668,HCPCS,Metaproterenol inh sol con,,,29 ,,NW,,,,,,$0.20,$0.00,1,1,1,0,0,1,20080101J7669,HCPCS,Metaproterenol inh sol u d,,,29 ,,NW,,,,,,$3.16,$0.00,1,1,1,0,0,1,20080101J7680,HCPCS,Terbutaline so4 inh sol con,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7681,HCPCS,Terbutaline so4 inh sol u d,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7682,HCPCS,Tobramycin inhalation sol,,,29 ,,NW,,,,,,$140.74,$0.00,1,1,1,0,0,1,20080101J7683,HCPCS,Triamcinolone inh sol con,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7684,HCPCS,Triamcinolone inh sol u d,,,29 ,,NW,,,,,,$0.64,$0.00,1,1,1,0,0,1,20080101J7699,HCPCS,Inhalation solution for DME,,,29 ,,NW,,,,,,$23.04,$0.00,1,1,1,0,0,1,20080101J7799,HCPCS,Non-inhalation drug for DME,,,29 ,,NW,,,,,,$81.62,$0.00,1,1,1,0,0,1,20080101J8499,HCPCS,Oral prescrip drug non chemo,,,29 ,,NW,,,,,,$2.93,$0.00,1,1,1,0,0,1,20080101J8501,HCPCS,Oral aprepitant,,,29 ,,NW,,,,,,$383.52,$0.00,1,1,1,0,0,1,20080101J8510,HCPCS,Oral busulfan,,,29 ,,NW,,,,,,$8.55,$0.00,1,1,1,0,0,1,20080101J8520,HCPCS,"Capecitabine, oral, 150 mg",,,29 ,,NW,,,,,,$11.38,$0.00,1,1,1,0,0,1,20080101J8521,HCPCS,"Capecitabine, oral, 500 mg",,,29 ,,NW,,,,,,$39.83,$0.00,1,1,1,0,0,1,20080101J8530,HCPCS,Cyclophosphamide oral 25 MG,,,29 ,,NW,,,,,,$9.96,$0.00,1,1,1,0,0,1,20080101J8540,HCPCS,Oral dexamethasone,,,29 ,,NW,,,,,,$3.84,$0.00,1,1,1,0,0,1,20080101J8560,HCPCS,Etoposide oral 50 MG,,,29 ,,NW,,,,,,$212.41,$0.00,1,1,1,0,0,1,20080101J8565,HCPCS,Gefitinib oral,,,29 ,,NW,,,,,,"$1,505.21",$0.00,1,1,1,0,0,1,20080101J8600,HCPCS,Melphalan oral 2 MG,,,29 ,,NW,,,,,,$9.96,$0.00,1,1,1,0,0,1,20080101J8610,HCPCS,Methotrexate oral 2.5 MG,,,29 ,,NW,,,,,,$14.23,$0.00,1,1,1,0,0,1,20080101J8650,HCPCS,Nabilone oral,,,29 ,,NW,,,,,,$17.22,$0.00,1,1,1,0,1,1,20080101J8700,HCPCS,Temozolomide,,,29 ,,NW,,,,,,$28.44,$0.00,1,1,1,0,0,1,20080101J8999,HCPCS,Oral prescription drug chemo,,,29 ,,NW,,,,,,$22.89,$0.00,1,1,1,0,0,1,20080101J9000,HCPCS,Doxorubic hcl 10 MG vl chemo,,,29 ,,NW,,,,,,$32.73,$0.00,1,1,1,0,0,1,20080101J9001,HCPCS,Doxorubicin hcl liposome inj,,,29 ,,NW,,,,,,$828.18,$0.00,1,1,1,0,0,1,20080101J9010,HCPCS,Alemtuzumab injection,,,29 ,,NW,,,,,,"$1,223.21",$0.00,1,1,1,0,0,1,20080101J9015,HCPCS,Aldesleukin/single use vial,,,29 ,,NW,,,,,,"$1,601.17",$0.00,1,1,1,0,0,1,20080101J9017,HCPCS,Arsenic trioxide,,,29 ,,NW,,,,,,$11.38,$0.00,1,1,1,0,0,1,20080101J9020,HCPCS,Asparaginase injection,,,29 ,,NW,,,,,,$183.24,$0.00,1,1,1,0,0,1,20080101J9025,HCPCS,Azacitidine injection,,,29 ,,NW,,,,,,$2.94,$0.00,1,1,1,0,0,1,20080101J9027,HCPCS,Clofarabine injection,,,29 ,,NW,,,,,,$1.31,$0.00,1,1,1,0,0,1,20080101J9031,HCPCS,Bcg live intravesical vac,,,29 ,,NW,,,,,,$445.59,$0.00,1,1,1,0,0,1,20080101J9040,HCPCS,Bleomycin sulfate injection,,,29 ,,NW,,,,,,$466.90,$0.00,1,1,1,0,0,1,20080101J9045,HCPCS,Carboplatin injection,,,29 ,,NW,,,,,,$396.27,$0.00,1,1,1,0,0,1,20080101J9050,HCPCS,Carmus bischl nitro inj,,,29 ,,NW,,,,,,$380.56,$0.00,1,1,1,0,0,1,20080101J9060,HCPCS,Cisplatin 10 MG injection,,,29 ,,NW,,,,,,$51.22,$0.00,1,1,1,0,0,1,20080101J9062,HCPCS,Cisplatin 50 MG injection,,,29 ,,NW,,,,,,$219.13,$0.00,1,1,1,0,0,1,20080101J9065,HCPCS,Inj cladribine per 1 MG,,,29 ,,NW,,,,,,$158.59,$0.00,1,1,1,0,0,1,20080101J9070,HCPCS,Cyclophosphamide 100 MG inj,,,29 ,,NW,,,,,,$19.91,$0.00,1,1,1,0,0,1,20080101J9080,HCPCS,Cyclophosphamide 200 MG inj,,,29 ,,NW,,,,,,$36.98,$0.00,1,1,1,0,0,1,20080101J9090,HCPCS,Cyclophosphamide 500 MG inj,,,29 ,,NW,,,,,,$76.72,$0.00,1,1,1,0,0,1,20080101J9091,HCPCS,Cyclophosphamide 1.0 grm inj,,,29 ,,NW,,,,,,$138.39,$0.00,1,1,1,0,0,1,20080101J9092,HCPCS,Cyclophosphamide 2.0 grm inj,,,29 ,,NW,,,,,,$260.60,$0.00,1,1,1,0,0,1,20080101J9093,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$19.91,$0.00,1,1,1,0,0,1,20080101J9094,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$39.83,$0.00,1,1,1,0,0,1,20080101J9095,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$76.72,$0.00,1,1,1,0,0,1,20080101J9096,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$138.39,$0.00,1,1,1,0,0,1,20080101J9097,HCPCS,Cyclophosphamide lyophilized,,,29 ,,NW,,,,,,$267.34,$0.00,1,1,1,0,0,1,20080101J9100,HCPCS,Cytarabine hcl 100 MG inj,,,29 ,,NW,,,,,,$28.44,$0.00,1,1,1,0,0,1,20080101J9110,HCPCS,Cytarabine hcl 500 MG inj,,,29 ,,NW,,,,,,$28.44,$0.00,1,1,1,0,0,1,20080101J9120,HCPCS,Dactinomycin actinomycin d,,,29 ,,NW,,,,,,$46.95,$0.00,1,1,1,0,0,1,20080101J9130,HCPCS,Dacarbazine 100 mg inj,,,29 ,,NW,,,,,,$38.41,$0.00,1,1,1,0,0,1,20080101J9140,HCPCS,Dacarbazine 200 MG inj,,,29 ,,NW,,,,,,$74.49,$0.00,1,1,1,0,0,1,20080101J9150,HCPCS,Daunorubicin,,,29 ,,NW,,,,,,$214.63,$0.00,1,1,1,0,0,1,20080101J9151,HCPCS,Daunorubicin citrate liposom,,,29 ,,NW,,,,,,$188.85,$0.00,1,1,1,0,0,1,20080101J9160,HCPCS,"Denileukin diftitox, 300 mcg",,,29 ,,NW,,,,,,"$2,765.41",$0.00,1,1,1,0,0,1,20080101J9165,HCPCS,Diethylstilbestrol injection,,,29 ,,NW,,,,,,$49.79,$0.00,1,1,1,0,0,1,20080101J9170,HCPCS,Docetaxel,,,29 ,,NW,,,,,,$825.51,$0.00,1,1,1,0,0,1,20080101J9181,HCPCS,Etoposide 10 MG inj,,,29 ,,NW,,,,,,$5.69,$0.00,1,1,1,0,0,1,20080101J9182,HCPCS,Etoposide 100 MG inj,,,29 ,,NW,,,,,,$58.32,$0.00,1,1,1,0,0,1,20080101J9185,HCPCS,Fludarabine phosphate inj,,,29 ,,NW,,,,,,$862.96,$0.00,1,1,1,0,0,1,20080101J9190,HCPCS,Fluorouracil injection,,,29 ,,NW,,,,,,$7.13,$0.00,1,1,1,0,0,1,20080101J9200,HCPCS,Floxuridine injection,,,29 ,,NW,,,,,,$388.42,$0.00,1,1,1,0,0,1,20080101J9201,HCPCS,Gemcitabine HCl,,,29 ,,NW,,,,,,$321.14,$0.00,1,1,1,0,0,1,20080101J9202,HCPCS,Goserelin acetate implant,,,29 ,,NW,,,,,,$988.31,$0.00,1,1,1,0,0,1,20080101J9206,HCPCS,Irinotecan injection,,,29 ,,NW,,,,,,$383.95,$0.00,1,1,1,0,0,1,20080101J9208,HCPCS,Ifosfomide injection,,,29 ,,NW,,,,,,$418.69,$0.00,1,1,1,0,0,1,20080101J9209,HCPCS,Mesna injection,,,29 ,,NW,,,,,,$109.25,$0.00,1,1,1,0,0,1,20080101J9211,HCPCS,Idarubicin hcl injection,,,29 ,,NW,,,,,,$987.49,$0.00,1,1,1,0,0,1,20080101J9212,HCPCS,Interferon alfacon-1,,,29 ,,NW,,,,,,$11.16,$0.00,1,1,1,0,0,1,20080101J9213,HCPCS,Interferon alfa-2a inj,,,29 ,,NW,,,,,,$109.25,$0.00,1,1,1,0,0,1,20080101J9214,HCPCS,Interferon alfa-2b inj,,,29 ,,NW,,,,,,$51.22,$0.00,1,1,1,0,0,1,20080101J9215,HCPCS,Interferon alfa-n3 inj,,,29 ,,NW,,,,,,$27.03,$0.00,1,1,1,0,0,1,20080101J9216,HCPCS,Interferon gamma 1-b inj,,,29 ,,NW,,,,,,$576.46,$0.00,1,1,1,0,0,1,20080101J9217,HCPCS,Leuprolide acetate suspnsion,,,29 ,,NW,,,,,,"$1,260.16",$0.00,1,1,1,0,0,1,20080101J9218,HCPCS,Leuprolide acetate injeciton,,,29 ,,NW,,,,,,$84.57,$0.00,1,1,1,0,0,1,20080101J9219,HCPCS,Leuprolide acetate implant,,,29 ,,NW,,,,,,"$10,700.65",$0.00,1,1,1,0,0,1,20080101J9225,HCPCS,Histrelin implant,,,29 ,,NW,,,,,,$1.29,$0.00,1,1,1,0,0,1,20080101J9230,HCPCS,Mechlorethamine hcl inj,,,29 ,,NW,,,,,,$41.27,$0.00,1,1,1,0,0,1,20080101J9245,HCPCS,Inj melphalan hydrochl 50 MG,,,29 ,,NW,,,,,,$988.31,$0.00,1,1,1,0,0,1,20080101J9250,HCPCS,Methotrexate sodium inj,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101J9260,HCPCS,Methotrexate sodium inj,,,29 ,,NW,,,,,,$15.65,$0.00,1,1,1,0,0,1,20080101J9261,HCPCS,Nelarabine injection,,,29 ,,NW,,,,,,$84.36,$0.00,1,1,1,0,1,1,20080101J9263,HCPCS,Oxaliplatin,,,29 ,,NW,,,,,,$756.25,$0.00,1,1,1,0,0,1,20080101J9264,HCPCS,Paclitaxel injection,,,29 ,,NW,,,,,,$1.12,$0.00,1,1,1,0,0,1,20080101J9265,HCPCS,Paclitaxel injection,,,29 ,,NW,,,,,,$435.50,$0.00,1,1,1,0,0,1,20080101J9266,HCPCS,Pegaspargase/singl dose vial,,,29 ,,NW,,,,,,"$2,952.26",$0.00,1,1,1,0,0,1,20080101J9268,HCPCS,Pentostatin injection,,,29 ,,NW,,,,,,"$3,753.14",$0.00,1,1,1,0,0,1,20080101J9270,HCPCS,Plicamycin (mithramycin) inj,,,29 ,,NW,,,,,,$267.34,$0.00,1,1,1,0,0,1,20080101J9280,HCPCS,Mitomycin 5 MG inj,,,29 ,,NW,,,,,,$186.61,$0.00,1,1,1,0,0,1,20080101J9290,HCPCS,Mitomycin 20 MG inj,,,29 ,,NW,,,,,,$572.29,$0.00,1,1,1,0,0,1,20080101J9291,HCPCS,Mitomycin 40 MG inj,,,29 ,,NW,,,,,,$724.60,$0.00,1,1,1,0,0,1,20080101J9293,HCPCS,Mitoxantrone hydrochl / 5 MG,,,29 ,,NW,,,,,,$869.48,$0.00,1,1,1,0,0,1,20080101J9300,HCPCS,Gemtuzumab ozogamicin,,,29 ,,NW,,,,,,"$4,427.87",$0.00,1,1,1,0,0,1,20080101J9310,HCPCS,Rituximab cancer treatment,,,29 ,,NW,,,,,,"$1,099.82",$0.00,1,1,1,0,0,1,20080101J9320,HCPCS,Streptozocin injection,,,29 ,,NW,,,,,,$395.15,$0.00,1,1,1,0,0,1,20080101J9340,HCPCS,Thiotepa injection,,,29 ,,NW,,,,,,$266.20,$0.00,1,1,1,0,0,1,20080101J9350,HCPCS,Topotecan,,,29 ,,NW,,,,,,"$1,707.81",$0.00,1,1,1,0,0,1,20080101J9355,HCPCS,Trastuzumab,,,29 ,,NW,,,,,,$134.69,$0.00,1,1,1,0,0,1,20080101J9357,HCPCS,"Valrubicin, 200 mg",,,29 ,,NW,,,,,,"$1,103.31",$0.00,1,1,1,0,0,1,20080101J9360,HCPCS,Vinblastine sulfate inj,,,29 ,,NW,,,,,,$11.38,$0.00,1,1,1,0,0,1,20080101J9370,HCPCS,Vincristine sulfate 1 MG inj,,,29 ,,NW,,,,,,$61.16,$0.00,1,1,1,0,0,1,20080101J9375,HCPCS,Vincristine sulfate 2 MG inj,,,29 ,,NW,,,,,,$154.08,$0.00,1,1,1,0,0,1,20080101J9380,HCPCS,Vincristine sulfate 5 MG inj,,,29 ,,NW,,,,,,$254.99,$0.00,1,1,1,0,0,1,20080101J9390,HCPCS,Vinorelbine tartrate/10 mg,,,29 ,,NW,,,,,,$243.80,$0.00,1,1,1,0,0,1,20080101J9600,HCPCS,Porfimer sodium,,,29 ,,NW,,,,,,"$5,246.66",$0.00,1,1,1,0,0,1,20080101J9999,HCPCS,Chemotherapy drug,,,29 ,,NW,,,,,,$39.48,$0.00,1,1,1,0,0,1,20080101K0001,HCPCS,Standard wheelchair,NU,,28 ,,NW,,,,,,$887.40,$0.00,1,1,1,1,1,1,20080101K0001,HCPCS,Standard wheelchair,RR,,28 ,,NW,,,,,,$89.51,$0.00,1,1,1,1,1,1,20080101K0001,HCPCS,Standard wheelchair,UE,,28 ,,NW,,,,,,$665.56,$0.00,1,1,1,1,1,1,20080101K0002,HCPCS,Stnd hemi (low seat) whlchr,NU,,28 ,,NW,,,,,,"$1,059.69",$0.00,1,1,1,1,1,1,20080101K0002,HCPCS,Stnd hemi (low seat) whlchr,RR,,28 ,,NW,,,,,,$133.77,$0.00,1,1,1,1,1,1,20080101K0002,HCPCS,Stnd hemi (low seat) whlchr,UE,,28 ,,NW,,,,,,$831.96,$0.00,1,1,1,1,1,1,20080101K0003,HCPCS,Lightweight wheelchair,NU,,28 ,,NW,,,,,,"$1,665.19",$0.00,1,1,1,1,1,1,20080101K0003,HCPCS,Lightweight wheelchair,RR,,28 ,,NW,,,,,,$146.39,$0.00,1,1,1,1,1,1,20080101K0003,HCPCS,Lightweight wheelchair,UE,,28 ,,NW,,,,,,"$1,249.69",$0.00,1,1,1,1,1,1,20080101K0004,HCPCS,High strength ltwt whlchr,NU,,28 ,,NW,,,,,,"$2,596.48",$0.00,1,1,1,1,1,1,20080101K0004,HCPCS,High strength ltwt whlchr,RR,,28 ,,NW,,,,,,$218.05,$0.00,1,1,1,1,1,1,20080101K0004,HCPCS,High strength ltwt whlchr,UE,,28 ,,NW,,,,,,"$1,947.15",$0.00,1,1,1,1,1,1,20080101K0005,HCPCS,Ultralightweight wheelchair,NU,,28 ,,NW,,,,,,"$3,007.86",$0.00,1,1,1,1,1,1,20080101K0005,HCPCS,Ultralightweight wheelchair,RR,,28 ,,NW,,,,,,$301.35,$0.00,1,1,1,1,1,1,20080101K0005,HCPCS,Ultralightweight wheelchair,UE,,28 ,,NW,,,,,,"$2,256.03",$0.00,1,1,1,1,1,1,20080101K0006,HCPCS,Heavy duty wheelchair,NU,,28 ,,NW,,,,,,"$1,863.74",$0.00,1,1,1,1,1,1,20080101K0006,HCPCS,Heavy duty wheelchair,RR,,28 ,,NW,,,,,,$204.65,$0.00,1,1,1,1,1,1,20080101K0006,HCPCS,Heavy duty wheelchair,UE,,28 ,,NW,,,,,,"$1,404.75",$0.00,1,1,1,1,1,1,20080101K0007,HCPCS,Extra heavy duty wheelchair,NU,,28 ,,NW,,,,,,"$2,907.71",$0.00,1,1,1,1,1,1,20080101K0007,HCPCS,Extra heavy duty wheelchair,RR,,28 ,,NW,,,,,,$291.02,$0.00,1,1,1,1,1,1,20080101K0007,HCPCS,Extra heavy duty wheelchair,UE,,28 ,,NW,,,,,,"$2,847.01",$0.00,1,1,1,1,1,1,20080101K0009,HCPCS,Other manual wheelchair/base,,,28 ,,NW,,,,,,$681.57,$0.00,1,1,1,1,1,1,20080101K0010,HCPCS,Stnd wt frame power whlchr,NU,,28 ,,NW,,,,,,"$6,933.81",$0.00,1,1,1,1,1,1,20080101K0010,HCPCS,Stnd wt frame power whlchr,RR,,28 ,,NW,,,,,,$693.58,$0.00,1,1,1,1,1,1,20080101K0010,HCPCS,Stnd wt frame power whlchr,UE,,28 ,,NW,,,,,,"$5,201.53",$0.00,1,1,1,1,1,1,20080101K0011,HCPCS,Stnd wt pwr whlchr w control,NU,,28 ,,NW,,,,,,"$11,683.97",$0.00,1,1,1,1,1,1,20080101K0011,HCPCS,Stnd wt pwr whlchr w control,RR,,28 ,,NW,,,,,,$862.18,$0.00,1,1,1,1,1,1,20080101K0012,HCPCS,Ltwt portbl power whlchr,RR,,28 ,,NW,,,,,,$529.17,$0.00,1,1,1,1,1,1,20080101K0012,HCPCS,Ltwt portbl power whlchr,,,28 ,,NW,,,,,,"$5,034.37",$0.00,1,1,1,1,1,1,20080101K0014,HCPCS,Other power whlchr base,,,28 ,,NW,,,,,,$6.07,$0.00,1,1,1,1,1,1,20080101K0015,HCPCS,Detach non-adjus hght armrst,NU,,28 ,,NW,,,,,,$296.22,$0.00,1,1,1,1,1,1,20080101K0015,HCPCS,Detach non-adjus hght armrst,RR,,28 ,,NW,,,,,,$32.47,$0.00,1,1,1,1,1,1,20080101K0015,HCPCS,Detach non-adjus hght armrst,UE,,28 ,,NW,,,,,,$222.33,$0.00,1,1,1,1,1,1,20080101K0017,HCPCS,Detach adjust armrest base,NU,,28 ,,NW,,,,,,$83.79,$0.00,1,1,1,1,1,1,20080101K0017,HCPCS,Detach adjust armrest base,RR,,28 ,,NW,,,,,,$12.14,$0.00,1,1,1,1,1,1,20080101K0017,HCPCS,Detach adjust armrest base,UE,,28 ,,NW,,,,,,$63.79,$0.00,1,1,1,1,1,1,20080101K0018,HCPCS,Detach adjust armrst upper,NU,,28 ,,NW,,,,,,$48.60,$0.00,1,1,1,1,1,1,20080101K0018,HCPCS,Detach adjust armrst upper,RR,,28 ,,NW,,,,,,$6.85,$0.00,1,1,1,1,1,1,20080101K0018,HCPCS,Detach adjust armrst upper,UE,,28 ,,NW,,,,,,$37.51,$0.00,1,1,1,1,1,1,20080101K0019,HCPCS,Arm pad each,NU,,28 ,,NW,,,,,,$31.01,$0.00,1,1,1,1,1,1,20080101K0019,HCPCS,Arm pad each,RR,,28 ,,NW,,,,,,$4.16,$0.00,1,1,1,1,1,1,20080101K0019,HCPCS,Arm pad each,UE,,28 ,,NW,,,,,,$24.30,$0.00,1,1,1,1,1,1,20080101K0020,HCPCS,Fixed adjust armrest pair,NU,,28 ,,NW,,,,,,$76.46,$0.00,1,1,1,1,1,1,20080101K0020,HCPCS,Fixed adjust armrest pair,RR,,28 ,,NW,,,,,,$11.22,$0.00,1,1,1,1,1,1,20080101K0020,HCPCS,Fixed adjust armrest pair,UE,,28 ,,NW,,,,,,$58.36,$0.00,1,1,1,1,1,1,20080101K0037,HCPCS,High mount flip-up footrest,NU,,28 ,,NW,,,,,,$79.09,$0.00,1,1,1,1,1,1,20080101K0037,HCPCS,High mount flip-up footrest,RR,,28 ,,NW,,,,,,$10.38,$0.00,1,1,1,1,1,1,20080101K0037,HCPCS,High mount flip-up footrest,UE,,28 ,,NW,,,,,,$60.38,$0.00,1,1,1,1,1,1,20080101K0038,HCPCS,Leg strap each,NU,,28 ,,NW,,,,,,$41.93,$0.00,1,1,1,1,1,1,20080101K0038,HCPCS,Leg strap each,RR,,28 ,,NW,,,,,,$5.87,$0.00,1,1,1,1,1,1,20080101K0038,HCPCS,Leg strap each,UE,,28 ,,NW,,,,,,$32.49,$0.00,1,1,1,1,1,1,20080101K0039,HCPCS,Leg strap h style each,NU,,28 ,,NW,,,,,,$88.30,$0.00,1,1,1,1,1,1,20080101K0039,HCPCS,Leg strap h style each,RR,,28 ,,NW,,,,,,$12.59,$0.00,1,1,1,1,1,1,20080101K0039,HCPCS,Leg strap h style each,UE,,28 ,,NW,,,,,,$67.05,$0.00,1,1,1,1,1,1,20080101K0040,HCPCS,Adjustable angle footplate,NU,,28 ,,NW,,,,,,$122.13,$0.00,1,1,1,1,1,1,20080101K0040,HCPCS,Adjustable angle footplate,RR,,28 ,,NW,,,,,,$15.77,$0.00,1,1,1,1,1,1,20080101K0040,HCPCS,Adjustable angle footplate,UE,,28 ,,NW,,,,,,$91.75,$0.00,1,1,1,1,1,1,20080101K0041,HCPCS,Large size footplate each,NU,,28 ,,NW,,,,,,$86.74,$0.00,1,1,1,1,1,1,20080101K0041,HCPCS,Large size footplate each,RR,,28 ,,NW,,,,,,$12.44,$0.00,1,1,1,1,1,1,20080101K0041,HCPCS,Large size footplate each,UE,,28 ,,NW,,,,,,$65.92,$0.00,1,1,1,1,1,1,20080101K0042,HCPCS,Standard size footplate each,NU,,28 ,,NW,,,,,,$60.85,$0.00,1,1,1,1,1,1,20080101K0042,HCPCS,Standard size footplate each,RR,,28 ,,NW,,,,,,$8.77,$0.00,1,1,1,1,1,1,20080101K0042,HCPCS,Standard size footplate each,UE,,28 ,,NW,,,,,,$46.67,$0.00,1,1,1,1,1,1,20080101K0043,HCPCS,Ftrst lower extension tube,NU,,28 ,,NW,,,,,,$34.56,$0.00,1,1,1,1,1,1,20080101K0043,HCPCS,Ftrst lower extension tube,RR,,28 ,,NW,,,,,,$4.70,$0.00,1,1,1,1,1,1,20080101K0043,HCPCS,Ftrst lower extension tube,UE,,28 ,,NW,,,,,,$26.99,$0.00,1,1,1,1,1,1,20080101K0044,HCPCS,Ftrst upper hanger bracket,NU,,28 ,,NW,,,,,,$30.07,$0.00,1,1,1,1,1,1,20080101K0044,HCPCS,Ftrst upper hanger bracket,RR,,28 ,,NW,,,,,,$4.04,$0.00,1,1,1,1,1,1,20080101K0044,HCPCS,Ftrst upper hanger bracket,UE,,28 ,,NW,,,,,,$23.59,$0.00,1,1,1,1,1,1,20080101K0045,HCPCS,Footrest complete assembly,NU,,28 ,,NW,,,,,,$92.76,$0.00,1,1,1,1,1,1,20080101K0045,HCPCS,Footrest complete assembly,RR,,28 ,,NW,,,,,,$13.27,$0.00,1,1,1,1,1,1,20080101K0045,HCPCS,Footrest complete assembly,UE,,28 ,,NW,,,,,,$70.24,$0.00,1,1,1,1,1,1,20080101K0046,HCPCS,Elevat legrst low extension,NU,,28 ,,NW,,,,,,$34.56,$0.00,1,1,1,1,1,1,20080101K0046,HCPCS,Elevat legrst low extension,RR,,28 ,,NW,,,,,,$4.70,$0.00,1,1,1,1,1,1,20080101K0046,HCPCS,Elevat legrst low extension,UE,,28 ,,NW,,,,,,$26.99,$0.00,1,1,1,1,1,1,20080101K0047,HCPCS,Elevat legrst up hangr brack,NU,,28 ,,NW,,,,,,$125.07,$0.00,1,1,1,1,1,1,20080101K0047,HCPCS,Elevat legrst up hangr brack,RR,,28 ,,NW,,,,,,$16.11,$0.00,1,1,1,1,1,1,20080101K0047,HCPCS,Elevat legrst up hangr brack,UE,,28 ,,NW,,,,,,$93.94,$0.00,1,1,1,1,1,1,20080101K0050,HCPCS,Ratchet assembly,NU,,28 ,,NW,,,,,,$54.73,$0.00,1,1,1,1,1,1,20080101K0050,HCPCS,Ratchet assembly,RR,,28 ,,NW,,,,,,$7.82,$0.00,1,1,1,1,1,1,20080101K0050,HCPCS,Ratchet assembly,UE,,28 ,,NW,,,,,,$42.13,$0.00,1,1,1,1,1,1,20080101K0051,HCPCS,Cam relese assem ftrst/lgrst,NU,,28 ,,NW,,,,,,$86.24,$0.00,1,1,1,1,1,1,20080101K0051,HCPCS,Cam relese assem ftrst/lgrst,RR,,28 ,,NW,,,,,,$12.42,$0.00,1,1,1,1,1,1,20080101K0051,HCPCS,Cam relese assem ftrst/lgrst,UE,,28 ,,NW,,,,,,$65.54,$0.00,1,1,1,1,1,1,20080101K0052,HCPCS,Swingaway detach footrest,NU,,28 ,,NW,,,,,,$151.02,$0.00,1,1,1,1,1,1,20080101K0052,HCPCS,Swingaway detach footrest,RR,,28 ,,NW,,,,,,$18.56,$0.00,1,1,1,1,1,1,20080101K0052,HCPCS,Swingaway detach footrest,UE,,28 ,,NW,,,,,,$113.43,$0.00,1,1,1,1,1,1,20080101K0053,HCPCS,Elevate footrest articulate,NU,,28 ,,NW,,,,,,$166.59,$0.00,1,1,1,1,1,1,20080101K0053,HCPCS,Elevate footrest articulate,RR,,28 ,,NW,,,,,,$20.03,$0.00,1,1,1,1,1,1,20080101K0053,HCPCS,Elevate footrest articulate,UE,,28 ,,NW,,,,,,$125.12,$0.00,1,1,1,1,1,1,20080101K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,NU,,28 ,,NW,,,,,,$155.37,$0.00,1,1,1,1,1,1,20080101K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,RR,,28 ,,NW,,,,,,$18.98,$0.00,1,1,1,1,1,1,20080101K0056,HCPCS,Seat ht <17 or >=21 ltwt wc,UE,,28 ,,NW,,,,,,$116.70,$0.00,1,1,1,1,1,1,20080101K0065,HCPCS,Spoke protectors,NU,,28 ,,NW,,,,,,$73.35,$0.00,1,1,1,1,1,1,20080101K0065,HCPCS,Spoke protectors,RR,,28 ,,NW,,,,,,$10.71,$0.00,1,1,1,1,1,1,20080101K0065,HCPCS,Spoke protectors,UE,,28 ,,NW,,,,,,$56.05,$0.00,1,1,1,1,1,1,20080101K0069,HCPCS,Rear whl complete solid tire,NU,,28 ,,NW,,,,,,$163.19,$0.00,1,1,1,1,1,1,20080101K0069,HCPCS,Rear whl complete solid tire,RR,,28 ,,NW,,,,,,$20.39,$0.00,1,1,1,1,1,1,20080101K0069,HCPCS,Rear whl complete solid tire,UE,,28 ,,NW,,,,,,$122.56,$0.00,1,1,1,1,1,1,20080101K0070,HCPCS,Rear whl compl pneum tire,NU,,28 ,,NW,,,,,,$298.60,$0.00,1,1,1,1,1,1,20080101K0070,HCPCS,Rear whl compl pneum tire,RR,,28 ,,NW,,,,,,$32.69,$0.00,1,1,1,1,1,1,20080101K0070,HCPCS,Rear whl compl pneum tire,UE,,28 ,,NW,,,,,,$224.10,$0.00,1,1,1,1,1,1,20080101K0071,HCPCS,Front castr compl pneum tire,NU,,28 ,,NW,,,,,,$178.37,$0.00,1,1,1,1,1,1,20080101K0071,HCPCS,Front castr compl pneum tire,RR,,28 ,,NW,,,,,,$21.19,$0.00,1,1,1,1,1,1,20080101K0071,HCPCS,Front castr compl pneum tire,UE,,28 ,,NW,,,,,,$133.92,$0.00,1,1,1,1,1,1,20080101K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,NU,,28 ,,NW,,,,,,$107.62,$0.00,1,1,1,1,1,1,20080101K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,RR,,28 ,,NW,,,,,,$14.41,$0.00,1,1,1,1,1,1,20080101K0072,HCPCS,Frnt cstr cmpl sem-pneum tir,UE,,28 ,,NW,,,,,,$80.91,$0.00,1,1,1,1,1,1,20080101K0073,HCPCS,Caster pin lock each,NU,,28 ,,NW,,,,,,$58.32,$0.00,1,1,1,1,1,1,20080101K0073,HCPCS,Caster pin lock each,RR,,28 ,,NW,,,,,,$8.38,$0.00,1,1,1,1,1,1,20080101K0073,HCPCS,Caster pin lock each,UE,,28 ,,NW,,,,,,$44.78,$0.00,1,1,1,1,1,1,20080101K0077,HCPCS,Front caster assem complete,NU,,28 ,,NW,,,,,,$96.39,$0.00,1,1,1,1,1,1,20080101K0077,HCPCS,Front caster assem complete,RR,,28 ,,NW,,,,,,$13.33,$0.00,1,1,1,1,1,1,20080101K0077,HCPCS,Front caster assem complete,UE,,28 ,,NW,,,,,,$72.85,$0.00,1,1,1,1,1,1,20080101K0098,HCPCS,Drive belt power wheelchair,NU,,28 ,,NW,,,,,,$40.81,$0.00,1,1,1,1,1,1,20080101K0098,HCPCS,Drive belt power wheelchair,RR,,28 ,,NW,,,,,,$4.08,$0.00,1,1,1,1,1,1,20080101K0098,HCPCS,Drive belt power wheelchair,UE,,28 ,,NW,,,,,,$30.58,$0.00,1,1,1,1,1,1,20080101K0099,HCPCS,Pwr wheelchair front caster,NU,,28 ,,NW,,,,,,$132.27,$0.00,1,1,1,1,1,1,20080101K0099,HCPCS,Pwr wheelchair front caster,RR,,28 ,,NW,,,,,,$16.80,$0.00,1,1,1,1,1,1,20080101K0099,HCPCS,Pwr wheelchair front caster,UE,,28 ,,NW,,,,,,$99.35,$0.00,1,1,1,1,1,1,20080101K0108,HCPCS,W/c component-accessory NOS,,,28 ,,NW,,,,,,$113.89,$0.00,1,1,1,1,1,1,20080101K0195,HCPCS,Elevating whlchair leg rests,RR,,28 ,,NW,,,,,,$36.95,$0.00,1,1,1,1,1,1,20080101K0195,HCPCS,Elevating whlchair leg rests,,,28 ,,NW,,,,,,$182.21,$0.00,1,1,1,1,1,1,20080101K0455,HCPCS,Pump uninterrupted infusion,RR,,28 ,,NW,,,,,,$555.42,$0.00,1,1,1,1,1,1,20080101K0552,HCPCS,Supply/ext inf pump syr type,,,28 ,,NW,,,,,,$9.33,$0.00,1,1,1,1,1,1,20080101K0601,HCPCS,Repl batt silver oxide 1.5 v,NU,,28 ,,NW,,,,,,$1.65,$0.00,1,1,1,1,1,1,20080101K0601,HCPCS,Repl batt silver oxide 1.5 v,,,28 ,,NW,,,,,,$5.46,$0.00,1,1,1,1,1,1,20080101K0602,HCPCS,Repl batt silver oxide 3 v,NU,,28 ,,NW,,,,,,$9.54,$0.00,1,1,1,1,1,1,20080101K0602,HCPCS,Repl batt silver oxide 3 v,,,28 ,,NW,,,,,,$15.60,$0.00,1,1,1,1,1,1,20080101K0603,HCPCS,Repl batt alkaline 1.5 v,NU,,28 ,,NW,,,,,,$0.85,$0.00,1,1,1,1,1,1,20080101K0603,HCPCS,Repl batt alkaline 1.5 v,,,28 ,,NW,,,,,,$2.84,$0.00,1,1,1,1,1,1,20080101K0604,HCPCS,Repl batt lithium 3.6 v,NU,,28 ,,NW,,,,,,$9.14,$0.00,1,1,1,1,1,1,20080101K0604,HCPCS,Repl batt lithium 3.6 v,,,28 ,,NW,,,,,,$15.15,$0.00,1,1,1,1,1,1,20080101K0605,HCPCS,Repl batt lithium 4.5 v,NU,,28 ,,NW,,,,,,$21.90,$0.00,1,1,1,1,1,1,20080101K0605,HCPCS,Repl batt lithium 4.5 v,,,28 ,,NW,,,,,,$29.57,$0.00,1,1,1,1,1,1,20080101K0607,HCPCS,Repl batt for AED,,,28 ,,NW,,,,,,$404.15,$0.00,1,1,1,1,1,1,20080101K0608,HCPCS,Repl garment for AED,,,28 ,,NW,,,,,,$247.80,$0.00,1,1,1,1,1,1,20080101K0609,HCPCS,Repl electrode for AED,,,28 ,,NW,,,,,,"$1,714.37",$0.00,1,1,1,1,1,1,20080101K0730,HCPCS,Ctrl dose inh drug deliv sys,RR,,28 ,,NW,,,,,,$258.60,$0.00,1,1,1,1,1,1,20080101K0733,HCPCS,12-24hr sealed lead acid,NU,,28 ,,NW,,,,,,$45.31,$0.00,1,1,1,1,1,1,20080101K0733,HCPCS,12-24hr sealed lead acid,RR,,28 ,,NW,,,,,,$4.56,$0.00,1,1,1,1,1,1,20080101K0733,HCPCS,12-24hr sealed lead acid,UE,,28 ,,NW,,,,,,$34.01,$0.00,1,1,1,1,1,1,20080101K0734,HCPCS,Adj skin pro w/c cus wd<22in,NU,,28 ,,NW,,,,,,$497.21,$0.00,1,1,1,1,1,1,20080101K0734,HCPCS,Adj skin pro w/c cus wd<22in,RR,,28 ,,NW,,,,,,$49.73,$0.00,1,1,1,1,1,1,20080101K0734,HCPCS,Adj skin pro w/c cus wd<22in,UE,,28 ,,NW,,,,,,$372.90,$0.00,1,1,1,1,1,1,20080101K0735,HCPCS,Adj skin pro wc cus wd>=22in,NU,,28 ,,NW,,,,,,$632.67,$0.00,1,1,1,1,1,1,20080101K0735,HCPCS,Adj skin pro wc cus wd>=22in,RR,,28 ,,NW,,,,,,$63.28,$0.00,1,1,1,1,1,1,20080101K0735,HCPCS,Adj skin pro wc cus wd>=22in,UE,,28 ,,NW,,,,,,$474.49,$0.00,1,1,1,1,1,1,20080101K0736,HCPCS,Adj skin pro/pos wc cus<22in,NU,,28 ,,NW,,,,,,$501.29,$0.00,1,1,1,1,1,1,20080101K0736,HCPCS,Adj skin pro/pos wc cus<22in,RR,,28 ,,NW,,,,,,$50.13,$0.00,1,1,1,1,1,1,20080101K0736,HCPCS,Adj skin pro/pos wc cus<22in,UE,,28 ,,NW,,,,,,$375.99,$0.00,1,1,1,1,1,1,20080101K0737,HCPCS,Adj skin pro/pos wc cus>=22ö,NU,,28 ,,NW,,,,,,$634.59,$0.00,1,1,1,1,1,1,20080101K0737,HCPCS,Adj skin pro/pos wc cus>=22ö,RR,,28 ,,NW,,,,,,$63.45,$0.00,1,1,1,1,1,1,20080101K0737,HCPCS,Adj skin pro/pos wc cus>=22ö,UE,,28 ,,NW,,,,,,$475.94,$0.00,1,1,1,1,1,1,20080101K0800,HCPCS,POV group 1 std up to 300lbs,NU,,28 ,,NW,,,,,,"$1,939.16",$0.00,1,1,1,1,1,1,20080101K0800,HCPCS,POV group 1 std up to 300lbs,RR,,28 ,,NW,,,,,,$193.92,$0.00,1,1,1,1,1,1,20080101K0800,HCPCS,POV group 1 std up to 300lbs,UE,,28 ,,NW,,,,,,"$1,454.37",$0.00,1,1,1,1,1,1,20080101K0801,HCPCS,POV group 1 hd 301-450 lbs,NU,,28 ,,NW,,,,,,"$3,126.33",$0.00,1,1,1,1,1,1,20080101K0801,HCPCS,POV group 1 hd 301-450 lbs,RR,,28 ,,NW,,,,,,$312.60,$0.00,1,1,1,1,1,1,20080101K0801,HCPCS,POV group 1 hd 301-450 lbs,UE,,28 ,,NW,,,,,,"$2,344.73",$0.00,1,1,1,1,1,1,20080101K0802,HCPCS,POV group 1 vhd 451-600 lbs,NU,,28 ,,NW,,,,,,"$3,537.99",$0.00,1,1,1,1,1,1,20080101K0802,HCPCS,POV group 1 vhd 451-600 lbs,RR,,28 ,,NW,,,,,,$353.79,$0.00,1,1,1,1,1,1,20080101K0802,HCPCS,POV group 1 vhd 451-600 lbs,UE,,28 ,,NW,,,,,,"$2,653.52",$0.00,1,1,1,1,1,1,20080101K0806,HCPCS,POV group 2 std up to 300lbs,NU,,28 ,,NW,,,,,,"$2,345.87",$0.00,1,1,1,1,1,1,20080101K0806,HCPCS,POV group 2 std up to 300lbs,RR,,28 ,,NW,,,,,,$234.58,$0.00,1,1,1,1,1,1,20080101K0806,HCPCS,POV group 2 std up to 300lbs,UE,,28 ,,NW,,,,,,"$1,759.40",$0.00,1,1,1,1,1,1,20080101K0807,HCPCS,POV group 2 hd 301-450 lbs,NU,,28 ,,NW,,,,,,"$3,559.58",$0.00,1,1,1,1,1,1,20080101K0807,HCPCS,POV group 2 hd 301-450 lbs,RR,,28 ,,NW,,,,,,$355.95,$0.00,1,1,1,1,1,1,20080101K0807,HCPCS,POV group 2 hd 301-450 lbs,UE,,28 ,,NW,,,,,,"$2,669.70",$0.00,1,1,1,1,1,1,20080101K0808,HCPCS,POV group 2 vhd 451-600 lbs,NU,,28 ,,NW,,,,,,"$5,507.40",$0.00,1,1,1,1,1,1,20080101K0808,HCPCS,POV group 2 vhd 451-600 lbs,RR,,28 ,,NW,,,,,,$550.72,$0.00,1,1,1,1,1,1,20080101K0808,HCPCS,POV group 2 vhd 451-600 lbs,UE,,28 ,,NW,,,,,,"$4,130.53",$0.00,1,1,1,1,1,1,20080101K0813,HCPCS,PWC gp 1 std port seat/back,RR,,28 ,,NW,,,,,,$361.86,$0.00,1,1,1,1,1,1,20080101K0814,HCPCS,PWC gp 1 std port cap chair,RR,,28 ,,NW,,,,,,$463.17,$0.00,1,1,1,1,1,1,20080101K0815,HCPCS,PWC gp 1 std seat/back,RR,,28 ,,NW,,,,,,$527.45,$0.00,1,1,1,1,1,1,20080101K0816,HCPCS,PWC gp 1 std cap chair,RR,,28 ,,NW,,,,,,$505.11,$0.00,1,1,1,1,1,1,20080101K0820,HCPCS,PWC gp 2 std port seat/back,RR,,28 ,,NW,,,,,,$386.49,$0.00,1,1,1,1,1,1,20080101K0821,HCPCS,PWC gp 2 std port cap chair,RR,,28 ,,NW,,,,,,$496.15,$0.00,1,1,1,1,1,1,20080101K0822,HCPCS,PWC gp 2 std seat/back,RR,,28 ,,NW,,,,,,$599.63,$0.00,1,1,1,1,1,1,20080101K0823,HCPCS,PWC gp 2 std cap chair,RR,,28 ,,NW,,,,,,$603.55,$0.00,1,1,1,1,1,1,20080101K0824,HCPCS,PWC gp 2 hd seat/back,RR,,28 ,,NW,,,,,,$726.40,$0.00,1,1,1,1,1,1,20080101K0825,HCPCS,PWC gp 2 hd cap chair,RR,,28 ,,NW,,,,,,$664.98,$0.00,1,1,1,1,1,1,20080101K0826,HCPCS,PWC gp 2 vhd seat/back,RR,,28 ,,NW,,,,,,$940.39,$0.00,1,1,1,1,1,1,20080101K0827,HCPCS,PWC gp vhd cap chair,RR,,28 ,,NW,,,,,,$799.64,$0.00,1,1,1,1,1,1,20080101K0828,HCPCS,PWC gp 2 xtra hd seat/back,RR,,28 ,,NW,,,,,,"$1,036.23",$0.00,1,1,1,1,1,1,20080101K0829,HCPCS,PWC gp 2 xtra hd cap chair,RR,,28 ,,NW,,,,,,$951.55,$0.00,1,1,1,1,1,1,20080101K0835,HCPCS,PWC gp2 std sing pow opt s/b,RR,,28 ,,NW,,,,,,$608.61,$0.00,1,1,1,1,1,1,20080101K0836,HCPCS,PWC gp2 std sing pow opt cap,RR,,28 ,,NW,,,,,,$631.13,$0.00,1,1,1,1,1,1,20080101K0837,HCPCS,PWC gp 2 hd sing pow opt s/b,RR,,28 ,,NW,,,,,,$726.40,$0.00,1,1,1,1,1,1,20080101K0838,HCPCS,PWC gp 2 hd sing pow opt cap,RR,,28 ,,NW,,,,,,$649.85,$0.00,1,1,1,1,1,1,20080101K0839,HCPCS,PWC gp2 vhd sing pow opt s/b,RR,,28 ,,NW,,,,,,$940.39,$0.00,1,1,1,1,1,1,20080101K0840,HCPCS,PWC gp2 xhd sing pow opt s/b,RR,,28 ,,NW,,,,,,"$1,424.75",$0.00,1,1,1,1,1,1,20080101K0841,HCPCS,PWC gp2 std mult pow opt s/b,RR,,28 ,,NW,,,,,,$647.79,$0.00,1,1,1,1,1,1,20080101K0842,HCPCS,PWC gp2 std mult pow opt cap,RR,,28 ,,NW,,,,,,$647.79,$0.00,1,1,1,1,1,1,20080101K0843,HCPCS,PWC gp2 hd mult pow opt s/b,RR,,28 ,,NW,,,,,,$779.94,$0.00,1,1,1,1,1,1,20080101K0848,HCPCS,PWC gp 3 std seat/back,RR,,28 ,,NW,,,,,,$792.66,$0.00,1,1,1,1,1,1,20080101K0849,HCPCS,PWC gp 3 std cap chair,RR,,28 ,,NW,,,,,,$762.11,$0.00,1,1,1,1,1,1,20080101K0850,HCPCS,PWC gp 3 hd seat/back,RR,,28 ,,NW,,,,,,$919.47,$0.00,1,1,1,1,1,1,20080101K0851,HCPCS,PWC gp 3 hd cap chair,RR,,28 ,,NW,,,,,,$884.05,$0.00,1,1,1,1,1,1,20080101K0852,HCPCS,PWC gp 3 vhd seat/back,RR,,28 ,,NW,,,,,,"$1,062.39",$0.00,1,1,1,1,1,1,20080101K0853,HCPCS,PWC gp 3 vhd cap chair,RR,,28 ,,NW,,,,,,"$1,091.34",$0.00,1,1,1,1,1,1,20080101K0854,HCPCS,PWC gp 3 xhd seat/back,RR,,28 ,,NW,,,,,,"$1,445.79",$0.00,1,1,1,1,1,1,20080101K0855,HCPCS,PWC gp 3 xhd cap chair,RR,,28 ,,NW,,,,,,"$1,365.77",$0.00,1,1,1,1,1,1,20080101K0856,HCPCS,PWC gp3 std sing pow opt s/b,RR,,28 ,,NW,,,,,,$850.84,$0.00,1,1,1,1,1,1,20080101K0857,HCPCS,PWC gp3 std sing pow opt cap,RR,,28 ,,NW,,,,,,$867.90,$0.00,1,1,1,1,1,1,20080101K0858,HCPCS,PWC gp3 hd sing pow opt s/b,RR,,28 ,,NW,,,,,,"$1,055.64",$0.00,1,1,1,1,1,1,20080101K0859,HCPCS,PWC gp3 hd sing pow opt cap,RR,,28 ,,NW,,,,,,"$1,006.75",$0.00,1,1,1,1,1,1,20080101K0860,HCPCS,PWC gp3 vhd sing pow opt s/b,RR,,28 ,,NW,,,,,,"$1,508.11",$0.00,1,1,1,1,1,1,20080101K0861,HCPCS,PWC gp3 std mult pow opt s/b,RR,,28 ,,NW,,,,,,$852.21,$0.00,1,1,1,1,1,1,20080101K0862,HCPCS,PWC gp3 hd mult pow opt s/b,RR,,28 ,,NW,,,,,,"$1,055.64",$0.00,1,1,1,1,1,1,20080101K0863,HCPCS,PWC gp3 vhd mult pow opt s/b,RR,,28 ,,NW,,,,,,"$1,508.11",$0.00,1,1,1,1,1,1,20080101K0864,HCPCS,PWC gp3 xhd mult pow opt s/b,RR,,28 ,,NW,,,,,,"$1,794.67",$0.00,1,1,1,1,1,1,20080101L0112,HCPCS,Cranial cervical orthosis,,,28 ,,NW,,,,,,"$1,612.58",$0.00,1,1,1,0,1,1,20080101L0120,HCPCS,Cerv flexible non-adjustable,,,28 ,,NW,,,,,,$39.05,$0.00,1,1,1,1,1,1,20080101L0130,HCPCS,Flex thermoplastic collar mo,,,28 ,,NW,,,,,,$225.24,$0.00,1,1,1,1,1,1,20080101L0140,HCPCS,Cervical semi-rigid adjustab,,,28 ,,NW,,,,,,$90.14,$0.00,1,1,1,1,1,1,20080101L0150,HCPCS,Cerv semi-rig adj molded chn,,,28 ,,NW,,,,,,$150.15,$0.00,1,1,1,1,1,1,20080101L0160,HCPCS,Cerv semi-rig wire occ/mand,,,28 ,,NW,,,,,,$216.34,$0.00,1,1,1,1,1,1,20080101L0170,HCPCS,Cervical collar molded to pt,,,28 ,,NW,,,,,,$950.69,$0.00,1,1,1,1,1,1,20080101L0172,HCPCS,Cerv col thermplas foam 2 pi,,,28 ,,NW,,,,,,$175.91,$0.00,1,1,1,1,1,1,20080101L0174,HCPCS,Cerv col foam 2 piece w thor,,,28 ,,NW,,,,,,$377.27,$0.00,1,1,1,1,1,1,20080101L0180,HCPCS,Cer post col occ/man sup adj,,,28 ,,NW,,,,,,$523.32,$0.00,1,1,1,1,1,1,20080101L0190,HCPCS,Cerv collar supp adj cerv ba,,,28 ,,NW,,,,,,$717.76,$0.00,1,1,1,1,1,1,20080101L0200,HCPCS,Cerv col supp adj bar & thor,,,28 ,,NW,,,,,,$750.53,$0.00,1,1,1,1,1,1,20080101L0210,HCPCS,Thoracic rib belt,,,28 ,,NW,,,,,,$63.24,$0.00,1,1,1,1,1,1,20080101L0220,HCPCS,Thor rib belt custom fabrica,,,28 ,,NW,,,,,,$169.81,$0.00,1,1,1,1,1,1,20080101L0430,HCPCS,Dewall posture protector,,,28 ,,NW,,,,,,"$1,615.91",$0.00,1,1,1,0,1,1,20080101L0450,HCPCS,TLSO flex prefab thoracic,,,28 ,,NW,,,,,,$239.75,$0.00,1,1,1,1,1,1,20080101L0452,HCPCS,tlso flex custom fab thoraci,,,28 ,,NW,,,,,,$16.00,$0.00,1,1,1,0,1,1,20080101L0454,HCPCS,TLSO flex prefab sacrococ-T9,,,28 ,,NW,,,,,,$462.30,$0.00,1,1,1,1,1,1,20080101L0456,HCPCS,TLSO flex prefab,,,28 ,,NW,,,,,,"$1,426.25",$0.00,1,1,1,1,1,1,20080101L0458,HCPCS,TLSO 2Mod symphis-xipho pre,,,28 ,,NW,,,,,,"$1,273.37",$0.00,1,1,1,1,1,1,20080101L0460,HCPCS,TLSO2Mod symphysis-stern pre,,,28 ,,NW,,,,,,"$1,440.00",$0.00,1,1,1,1,1,1,20080101L0462,HCPCS,TLSO 3Mod sacro-scap pre,,,28 ,,NW,,,,,,"$1,438.56",$0.00,1,1,1,0,1,1,20080101L0464,HCPCS,TLSO 4Mod sacro-scap pre,,,28 ,,NW,,,,,,"$2,158.19",$0.00,1,1,1,1,1,1,20080101L0466,HCPCS,TLSO rigid frame pre soft ap,,,28 ,,NW,,,,,,$528.13,$0.00,1,1,1,1,1,1,20080101L0468,HCPCS,TLSO rigid frame prefab pelv,,,28 ,,NW,,,,,,$660.17,$0.00,1,1,1,1,1,1,20080101L0470,HCPCS,TLSO rigid frame pre subclav,,,28 ,,NW,,,,,,$939.25,$0.00,1,1,1,1,1,1,20080101L0472,HCPCS,TLSO rigid frame hyperex pre,,,28 ,,NW,,,,,,$576.00,$0.00,1,1,1,1,1,1,20080101L0480,HCPCS,TLSO rigid plastic custom fa,,,28 ,,NW,,,,,,"$2,164.13",$0.00,1,1,1,1,1,1,20080101L0482,HCPCS,TLSO rigid lined custom fab,,,28 ,,NW,,,,,,"$2,361.59",$0.00,1,1,1,1,1,1,20080101L0484,HCPCS,TLSO rigid plastic cust fab,,,28 ,,NW,,,,,,"$2,714.26",$0.00,1,1,1,1,1,1,20080101L0486,HCPCS,TLSO rigidlined cust fab two,,,28 ,,NW,,,,,,"$2,882.94",$0.00,1,1,1,1,1,1,20080101L0488,HCPCS,TLSO rigid lined pre one pie,,,28 ,,NW,,,,,,"$1,440.00",$0.00,1,1,1,1,1,1,20080101L0490,HCPCS,TLSO rigid plastic pre one,,,28 ,,NW,,,,,,$371.19,$0.00,1,1,1,1,1,1,20080101L0700,HCPCS,Ctlso a-p-l control molded,,,28 ,,NW,,,,,,"$3,095.19",$0.00,1,1,1,1,1,1,20080101L0710,HCPCS,Ctlso a-p-l control w/ inter,,,28 ,,NW,,,,,,"$3,199.26",$0.00,1,1,1,1,1,1,20080101L0810,HCPCS,Halo cervical into jckt vest,,,28 ,,NW,,,,,,"$3,963.89",$0.00,1,1,1,1,1,1,20080101L0820,HCPCS,Halo cervical into body jack,,,28 ,,NW,,,,,,"$3,310.72",$0.00,1,1,1,1,1,1,20080101L0830,HCPCS,Halo cerv into milwaukee typ,,,28 ,,NW,,,,,,"$4,830.49",$0.00,1,1,1,1,1,1,20080101L0861,HCPCS,Halo repl liner/interface,,,28 ,,NW,,,,,,$248.34,$0.00,1,1,1,0,1,1,20080101L0970,HCPCS,Tlso corset front,,,28 ,,NW,,,,,,$158.66,$0.00,1,1,1,1,1,1,20080101L0972,HCPCS,Lso corset front,,,28 ,,NW,,,,,,$143.14,$0.00,1,1,1,1,1,1,20080101L0974,HCPCS,Tlso full corset,,,28 ,,NW,,,,,,$246.90,$0.00,1,1,1,1,1,1,20080101L0976,HCPCS,Lso full corset,,,28 ,,NW,,,,,,$220.80,$0.00,1,1,1,1,1,1,20080101L0978,HCPCS,Axillary crutch extension,,,28 ,,NW,,,,,,$265.24,$0.00,1,1,1,1,1,1,20080101L0980,HCPCS,Peroneal straps pair,,,28 ,,NW,,,,,,$26.69,$0.00,1,1,1,1,1,1,20080101L0982,HCPCS,Stocking supp grips set of f,,,28 ,,NW,,,,,,$25.09,$0.00,1,1,1,1,1,1,20080101L0984,HCPCS,Protective body sock each,,,28 ,,NW,,,,,,$84.48,$0.00,1,1,1,1,1,1,20080101L0999,HCPCS,Add to spinal orthosis NOS,,,28 ,,NW,,,,,,$345.35,$0.00,1,1,1,1,1,1,20080101L1000,HCPCS,Ctlso milwauke initial model,,,28 ,,NW,,,,,,"$3,108.49",$0.00,1,1,1,1,1,1,20080101L1005,HCPCS,Tension based scoliosis orth,,,28 ,,NW,,,,,,"$4,709.13",$0.00,1,1,1,1,1,1,20080101L1010,HCPCS,Ctlso axilla sling,,,28 ,,NW,,,,,,$94.36,$0.00,1,1,1,1,1,1,20080101L1020,HCPCS,Kyphosis pad,,,28 ,,NW,,,,,,$120.70,$0.00,1,1,1,1,1,1,20080101L1025,HCPCS,Kyphosis pad floating,,,28 ,,NW,,,,,,$172.84,$0.00,1,1,1,1,1,1,20080101L1030,HCPCS,Lumbar bolster pad,,,28 ,,NW,,,,,,$89.59,$0.00,1,1,1,1,1,1,20080101L1040,HCPCS,Lumbar or lumbar rib pad,,,28 ,,NW,,,,,,$109.23,$0.00,1,1,1,1,1,1,20080101L1050,HCPCS,Sternal pad,,,28 ,,NW,,,,,,$116.36,$0.00,1,1,1,1,1,1,20080101L1060,HCPCS,Thoracic pad,,,28 ,,NW,,,,,,$133.22,$0.00,1,1,1,1,1,1,20080101L1070,HCPCS,Trapezius sling,,,28 ,,NW,,,,,,$125.52,$0.00,1,1,1,1,1,1,20080101L1080,HCPCS,Outrigger,,,28 ,,NW,,,,,,$78.32,$0.00,1,1,1,1,1,1,20080101L1085,HCPCS,Outrigger bil w/ vert extens,,,28 ,,NW,,,,,,$212.66,$0.00,1,1,1,1,1,1,20080101L1090,HCPCS,Lumbar sling,,,28 ,,NW,,,,,,$127.81,$0.00,1,1,1,1,1,1,20080101L1100,HCPCS,Ring flange plastic/leather,,,28 ,,NW,,,,,,$219.61,$0.00,1,1,1,1,1,1,20080101L1110,HCPCS,Ring flange plas/leather mol,,,28 ,,NW,,,,,,$350.95,$0.00,1,1,1,1,1,1,20080101L1120,HCPCS,Covers for upright each,,,28 ,,NW,,,,,,$57.03,$0.00,1,1,1,1,1,1,20080101L1200,HCPCS,Furnsh initial orthosis only,,,28 ,,NW,,,,,,"$2,386.70",$0.00,1,1,1,1,1,1,20080101L1210,HCPCS,Lateral thoracic extension,,,28 ,,NW,,,,,,$359.48,$0.00,1,1,1,1,1,1,20080101L1220,HCPCS,Anterior thoracic extension,,,28 ,,NW,,,,,,$304.81,$0.00,1,1,1,1,1,1,20080101L1230,HCPCS,Milwaukee type superstructur,,,28 ,,NW,,,,,,$831.60,$0.00,1,1,1,1,1,1,20080101L1240,HCPCS,Lumbar derotation pad,,,28 ,,NW,,,,,,$108.72,$0.00,1,1,1,1,1,1,20080101L1250,HCPCS,Anterior asis pad,,,28 ,,NW,,,,,,$101.37,$0.00,1,1,1,1,1,1,20080101L1260,HCPCS,Anterior thoracic derotation,,,28 ,,NW,,,,,,$105.98,$0.00,1,1,1,1,1,1,20080101L1270,HCPCS,Abdominal pad,,,28 ,,NW,,,,,,$108.50,$0.00,1,1,1,1,1,1,20080101L1280,HCPCS,Rib gusset (elastic) each,,,28 ,,NW,,,,,,$120.46,$0.00,1,1,1,1,1,1,20080101L1290,HCPCS,Lateral trochanteric pad,,,28 ,,NW,,,,,,$110.00,$0.00,1,1,1,1,1,1,20080101L1300,HCPCS,Body jacket mold to patient,,,28 ,,NW,,,,,,"$2,548.06",$0.00,1,1,1,1,1,1,20080101L1310,HCPCS,Post-operative body jacket,,,28 ,,NW,,,,,,"$2,623.52",$0.00,1,1,1,1,1,1,20080101L1499,HCPCS,Spinal orthosis NOS,,,28 ,,NW,,,,,,$343.10,$0.00,1,1,1,1,1,1,20080101L1500,HCPCS,Thkao mobility frame,,,28 ,,NW,,,,,,"$2,904.80",$0.00,1,1,1,1,1,1,20080101L1510,HCPCS,Thkao standing frame,,,28 ,,NW,,,,,,"$1,817.94",$0.00,1,1,1,1,1,1,20080101L1520,HCPCS,Thkao swivel walker,,,28 ,,NW,,,,,,"$3,499.66",$0.00,1,1,1,1,1,1,20080101L1600,HCPCS,Abduct hip flex frejka w cvr,,,28 ,,NW,,,,,,$178.51,$0.00,1,1,1,1,1,1,20080101L1610,HCPCS,Abduct hip flex frejka covr,,,28 ,,NW,,,,,,$62.73,$0.00,1,1,1,1,1,1,20080101L1620,HCPCS,Abduct hip flex pavlik harne,,,28 ,,NW,,,,,,$185.50,$0.00,1,1,1,1,1,1,20080101L1630,HCPCS,Abduct control hip semi-flex,,,28 ,,NW,,,,,,$233.83,$0.00,1,1,1,1,1,1,20080101L1640,HCPCS,Pelv band/spread bar thigh c,,,28 ,,NW,,,,,,$664.91,$0.00,1,1,1,1,1,1,20080101L1650,HCPCS,HO abduction hip adjustable,,,28 ,,NW,,,,,,$318.42,$0.00,1,1,1,1,1,1,20080101L1652,HCPCS,HO bi thighcuffs w sprdr bar,,,28 ,,NW,,,,,,$476.66,$0.00,1,1,1,1,1,1,20080101L1660,HCPCS,HO abduction static plastic,,,28 ,,NW,,,,,,$236.12,$0.00,1,1,1,1,1,1,20080101L1680,HCPCS,Pelvic & hip control thigh c,,,28 ,,NW,,,,,,"$1,844.03",$0.00,1,1,1,1,1,1,20080101L1685,HCPCS,Post-op hip abduct custom fa,,,28 ,,NW,,,,,,"$1,798.92",$0.00,1,1,1,1,1,1,20080101L1686,HCPCS,HO post-op hip abduction,,,28 ,,NW,,,,,,"$1,367.03",$0.00,1,1,1,1,1,1,20080101L1690,HCPCS,Combination bilateral HO,,,28 ,,NW,,,,,,"$2,823.84",$0.00,1,1,1,1,1,1,20080101L1700,HCPCS,Leg perthes orth toronto typ,,,28 ,,NW,,,,,,"$2,324.83",$0.00,1,1,1,1,1,1,20080101L1710,HCPCS,Legg perthes orth newington,,,28 ,,NW,,,,,,"$2,730.64",$0.00,1,1,1,1,1,1,20080101L1720,HCPCS,Legg perthes orthosis trilat,,,28 ,,NW,,,,,,"$1,998.66",$0.00,1,1,1,1,1,1,20080101L1730,HCPCS,Legg perthes orth scottish r,,,28 ,,NW,,,,,,"$1,709.08",$0.00,1,1,1,1,1,1,20080101L1755,HCPCS,Legg perthes patten bottom t,,,28 ,,NW,,,,,,"$2,412.26",$0.00,1,1,1,1,1,1,20080101L1800,HCPCS,Knee orthoses elas w stays,,,28 ,,NW,,,,,,$93.56,$0.00,1,1,1,1,1,1,20080101L1810,HCPCS,Ko elastic with joints,,,28 ,,NW,,,,,,$137.11,$0.00,1,1,1,1,1,1,20080101L1815,HCPCS,Elastic with condylar pads,,,28 ,,NW,,,,,,$134.91,$0.00,1,1,1,1,1,1,20080101L1820,HCPCS,Ko elas w/ condyle pads & jo,,,28 ,,NW,,,,,,$179.59,$0.00,1,1,1,1,1,1,20080101L1825,HCPCS,Ko elastic knee cap,,,28 ,,NW,,,,,,$77.83,$0.00,1,1,1,1,1,1,20080101L1830,HCPCS,Ko immobilizer canvas longit,,,28 ,,NW,,,,,,$122.12,$0.00,1,1,1,1,1,1,20080101L1831,HCPCS,Knee orth pos locking joint,,,28 ,,NW,,,,,,$339.11,$0.00,1,1,1,0,1,1,20080101L1832,HCPCS,KO adj jnt pos rigid support,,,28 ,,NW,,,,,,$893.17,$0.00,1,1,1,1,1,1,20080101L1834,HCPCS,Ko w/0 joint rigid molded to,,,28 ,,NW,,,,,,"$1,155.29",$0.00,1,1,1,1,1,1,20080101L1836,HCPCS,Rigid KO wo joints,,,28 ,,NW,,,,,,$176.61,$0.00,1,1,1,1,1,1,20080101L1840,HCPCS,Ko derot ant cruciate custom,,,28 ,,NW,,,,,,"$1,378.38",$0.00,1,1,1,1,1,1,20080101L1843,HCPCS,KO single upright custom fit,,,28 ,,NW,,,,,,"$1,281.45",$0.00,1,1,1,1,1,1,20080101L1844,HCPCS,Ko w/adj jt rot cntrl molded,,,28 ,,NW,,,,,,"$2,422.90",$0.00,1,1,1,1,1,1,20080101L1845,HCPCS,Ko w/ adj flex/ext rotat cus,,,28 ,,NW,,,,,,"$1,219.30",$0.00,1,1,1,1,1,1,20080101L1846,HCPCS,Ko w adj flex/ext rotat mold,,,28 ,,NW,,,,,,"$1,599.89",$0.00,1,1,1,1,1,1,20080101L1847,HCPCS,KO adjustable w air chambers,,,28 ,,NW,,,,,,$802.09,$0.00,1,1,1,1,1,1,20080101L1850,HCPCS,Ko swedish type,,,28 ,,NW,,,,,,$395.17,$0.00,1,1,1,1,1,1,20080101L1860,HCPCS,Ko supracondylar socket mold,,,28 ,,NW,,,,,,"$1,617.57",$0.00,1,1,1,1,1,1,20080101L1900,HCPCS,Afo sprng wir drsflx calf bd,,,28 ,,NW,,,,,,$370.53,$0.00,1,1,1,1,1,1,20080101L1901,HCPCS,Prefab ankle orthosis,,,28 ,,NW,,,,,,$25.92,$0.00,1,1,1,1,1,1,20080101L1902,HCPCS,Afo ankle gauntlet,,,28 ,,NW,,,,,,$111.67,$0.00,1,1,1,1,1,1,20080101L1904,HCPCS,Afo molded ankle gauntlet,,,28 ,,NW,,,,,,$678.65,$0.00,1,1,1,1,1,1,20080101L1906,HCPCS,Afo multiligamentus ankle su,,,28 ,,NW,,,,,,$166.80,$0.00,1,1,1,1,1,1,20080101L1907,HCPCS,AFO supramalleolar custom,,,28 ,,NW,,,,,,$648.31,$0.00,1,1,1,0,1,1,20080101L1910,HCPCS,Afo sing bar clasp attach sh,,,28 ,,NW,,,,,,$367.34,$0.00,1,1,1,1,1,1,20080101L1920,HCPCS,Afo sing upright w/ adjust s,,,28 ,,NW,,,,,,$490.72,$0.00,1,1,1,1,1,1,20080101L1930,HCPCS,Afo plastic,,,28 ,,NW,,,,,,$325.29,$0.00,1,1,1,1,1,1,20080101L1932,HCPCS,Afo rig ant tib prefab TCF/=,,,28 ,,NW,,,,,,"$1,028.13",$0.00,1,1,1,0,1,1,20080101L1940,HCPCS,Afo molded to patient plasti,,,28 ,,NW,,,,,,$716.51,$0.00,1,1,1,1,1,1,20080101L1945,HCPCS,Afo molded plas rig ant tib,,,28 ,,NW,,,,,,"$1,388.05",$0.00,1,1,1,1,1,1,20080101L1950,HCPCS,Afo spiral molded to pt plas,,,28 ,,NW,,,,,,"$1,106.36",$0.00,1,1,1,1,1,1,20080101L1951,HCPCS,AFO spiral prefabricated,,,28 ,,NW,,,,,,$967.62,$0.00,1,1,1,0,1,1,20080101L1960,HCPCS,Afo pos solid ank plastic mo,,,28 ,,NW,,,,,,$809.56,$0.00,1,1,1,1,1,1,20080101L1970,HCPCS,Afo plastic molded w/ankle j,,,28 ,,NW,,,,,,"$1,054.53",$0.00,1,1,1,1,1,1,20080101L1971,HCPCS,"AFO w/ankle joint, prefab",,,28 ,,NW,,,,,,$540.05,$0.00,1,1,1,0,1,1,20080101L1980,HCPCS,Afo sing solid stirrup calf,,,28 ,,NW,,,,,,$517.83,$0.00,1,1,1,1,1,1,20080101L1990,HCPCS,Afo doub solid stirrup calf,,,28 ,,NW,,,,,,$640.48,$0.00,1,1,1,1,1,1,20080101L2000,HCPCS,Kafo sing fre stirr thi/calf,,,28 ,,NW,,,,,,"$1,526.03",$0.00,1,1,1,1,1,1,20080101L2005,HCPCS,KAFO sng/dbl mechanical act,,,28 ,,NW,,,,,,"$4,147.38",$0.00,1,1,1,0,1,1,20080101L2010,HCPCS,Kafo sng solid stirrup w/o j,,,28 ,,NW,,,,,,"$1,386.37",$0.00,1,1,1,1,1,1,20080101L2020,HCPCS,Kafo dbl solid stirrup band/,,,28 ,,NW,,,,,,"$1,764.94",$0.00,1,1,1,1,1,1,20080101L2030,HCPCS,Kafo dbl solid stirrup w/o j,,,28 ,,NW,,,,,,"$1,524.12",$0.00,1,1,1,1,1,1,20080101L2035,HCPCS,KAFO plastic pediatric size,,,28 ,,NW,,,,,,$229.86,$0.00,1,1,1,1,1,1,20080101L2036,HCPCS,Kafo plas doub free knee mol,,,28 ,,NW,,,,,,"$2,836.06",$0.00,1,1,1,1,1,1,20080101L2037,HCPCS,Kafo plas sing free knee mol,,,28 ,,NW,,,,,,"$2,540.53",$0.00,1,1,1,1,1,1,20080101L2038,HCPCS,Kafo w/o joint multi-axis an,,,28 ,,NW,,,,,,"$2,173.15",$0.00,1,1,1,1,1,1,20080101L2040,HCPCS,Hkafo torsion bil rot straps,,,28 ,,NW,,,,,,$244.85,$0.00,1,1,1,1,1,1,20080101L2050,HCPCS,Hkafo torsion cable hip pelv,,,28 ,,NW,,,,,,$688.18,$0.00,1,1,1,1,1,1,20080101L2060,HCPCS,Hkafo torsion ball bearing j,,,28 ,,NW,,,,,,$850.53,$0.00,1,1,1,1,1,1,20080101L2070,HCPCS,Hkafo torsion unilat rot str,,,28 ,,NW,,,,,,$186.17,$0.00,1,1,1,1,1,1,20080101L2080,HCPCS,Hkafo unilat torsion cable,,,28 ,,NW,,,,,,$506.43,$0.00,1,1,1,1,1,1,20080101L2090,HCPCS,Hkafo unilat torsion ball br,,,28 ,,NW,,,,,,$629.19,$0.00,1,1,1,1,1,1,20080101L2106,HCPCS,Afo tib fx cast plaster mold,,,28 ,,NW,,,,,,"$1,005.22",$0.00,1,1,1,1,1,1,20080101L2108,HCPCS,Afo tib fx cast molded to pt,,,28 ,,NW,,,,,,"$1,610.43",$0.00,1,1,1,1,1,1,20080101L2112,HCPCS,Afo tibial fracture soft,,,28 ,,NW,,,,,,$672.89,$0.00,1,1,1,1,1,1,20080101L2114,HCPCS,Afo tib fx semi-rigid,,,28 ,,NW,,,,,,$850.28,$0.00,1,1,1,1,1,1,20080101L2116,HCPCS,Afo tibial fracture rigid,,,28 ,,NW,,,,,,"$1,055.05",$0.00,1,1,1,1,1,1,20080101L2126,HCPCS,Kafo fem fx cast thermoplas,,,28 ,,NW,,,,,,"$1,811.36",$0.00,1,1,1,1,1,1,20080101L2128,HCPCS,Kafo fem fx cast molded to p,,,28 ,,NW,,,,,,"$2,617.05",$0.00,1,1,1,1,1,1,20080101L2132,HCPCS,Kafo femoral fx cast soft,,,28 ,,NW,,,,,,"$1,202.67",$0.00,1,1,1,1,1,1,20080101L2134,HCPCS,Kafo fem fx cast semi-rigid,,,28 ,,NW,,,,,,"$1,452.66",$0.00,1,1,1,1,1,1,20080101L2136,HCPCS,Kafo femoral fx cast rigid,,,28 ,,NW,,,,,,"$1,788.21",$0.00,1,1,1,1,1,1,20080101L2180,HCPCS,Plas shoe insert w ank joint,,,28 ,,NW,,,,,,$162.48,$0.00,1,1,1,1,1,1,20080101L2182,HCPCS,Drop lock knee,,,28 ,,NW,,,,,,$127.80,$0.00,1,1,1,1,1,1,20080101L2184,HCPCS,Limited motion knee joint,,,28 ,,NW,,,,,,$171.72,$0.00,1,1,1,1,1,1,20080101L2186,HCPCS,Adj motion knee jnt lerman t,,,28 ,,NW,,,,,,$208.05,$0.00,1,1,1,1,1,1,20080101L2188,HCPCS,Quadrilateral brim,,,28 ,,NW,,,,,,$412.69,$0.00,1,1,1,1,1,1,20080101L2190,HCPCS,Waist belt,,,28 ,,NW,,,,,,$121.92,$0.00,1,1,1,1,1,1,20080101L2192,HCPCS,Pelvic band & belt thigh fla,,,28 ,,NW,,,,,,$501.57,$0.00,1,1,1,1,1,1,20080101L2200,HCPCS,Limited ankle motion ea jnt,,,28 ,,NW,,,,,,$67.69,$0.00,1,1,1,1,1,1,20080101L2210,HCPCS,Dorsiflexion assist each joi,,,28 ,,NW,,,,,,$94.51,$0.00,1,1,1,1,1,1,20080101L2220,HCPCS,Dorsi & plantar flex ass/res,,,28 ,,NW,,,,,,$114.50,$0.00,1,1,1,1,1,1,20080101L2230,HCPCS,Split flat caliper stirr & p,,,28 ,,NW,,,,,,$107.48,$0.00,1,1,1,1,1,1,20080101L2240,HCPCS,Round caliper and plate atta,,,28 ,,NW,,,,,,$116.87,$0.00,1,1,1,1,1,1,20080101L2250,HCPCS,Foot plate molded stirrup at,,,28 ,,NW,,,,,,$499.65,$0.00,1,1,1,1,1,1,20080101L2260,HCPCS,Reinforced solid stirrup,,,28 ,,NW,,,,,,$276.08,$0.00,1,1,1,1,1,1,20080101L2265,HCPCS,Long tongue stirrup,,,28 ,,NW,,,,,,$163.38,$0.00,1,1,1,1,1,1,20080101L2270,HCPCS,Varus/valgus strap padded/li,,,28 ,,NW,,,,,,$76.08,$0.00,1,1,1,1,1,1,20080101L2275,HCPCS,Plastic mod low ext pad/line,,,28 ,,NW,,,,,,$173.82,$0.00,1,1,1,1,1,1,20080101L2280,HCPCS,Molded inner boot,,,28 ,,NW,,,,,,$651.50,$0.00,1,1,1,1,1,1,20080101L2300,HCPCS,Abduction bar jointed adjust,,,28 ,,NW,,,,,,$369.82,$0.00,1,1,1,1,1,1,20080101L2310,HCPCS,Abduction bar-straight,,,28 ,,NW,,,,,,$170.55,$0.00,1,1,1,1,1,1,20080101L2320,HCPCS,Non-molded lacer,,,28 ,,NW,,,,,,$283.29,$0.00,1,1,1,1,1,1,20080101L2330,HCPCS,Lacer molded to patient mode,,,28 ,,NW,,,,,,$557.80,$0.00,1,1,1,1,1,1,20080101L2335,HCPCS,Anterior swing band,,,28 ,,NW,,,,,,$312.49,$0.00,1,1,1,1,1,1,20080101L2340,HCPCS,Pre-tibial shell molded to p,,,28 ,,NW,,,,,,$642.35,$0.00,1,1,1,1,1,1,20080101L2350,HCPCS,Prosthetic type socket molde,,,28 ,,NW,,,,,,"$1,334.11",$0.00,1,1,1,1,1,1,20080101L2360,HCPCS,Extended steel shank,,,28 ,,NW,,,,,,$73.41,$0.00,1,1,1,1,1,1,20080101L2370,HCPCS,Patten bottom,,,28 ,,NW,,,,,,$352.73,$0.00,1,1,1,1,1,1,20080101L2375,HCPCS,Torsion ank & half solid sti,,,28 ,,NW,,,,,,$156.89,$0.00,1,1,1,1,1,1,20080101L2380,HCPCS,Torsion straight knee joint,,,28 ,,NW,,,,,,$170.67,$0.00,1,1,1,1,1,1,20080101L2385,HCPCS,Straight knee joint heavy du,,,28 ,,NW,,,,,,$185.43,$0.00,1,1,1,1,1,1,20080101L2390,HCPCS,Offset knee joint each,,,28 ,,NW,,,,,,$152.06,$0.00,1,1,1,1,1,1,20080101L2395,HCPCS,Offset knee joint heavy duty,,,28 ,,NW,,,,,,$216.12,$0.00,1,1,1,1,1,1,20080101L2397,HCPCS,Suspension sleeve lower ext,,,28 ,,NW,,,,,,$156.06,$0.00,1,1,1,1,1,1,20080101L2405,HCPCS,Knee joint drop lock ea jnt,,,28 ,,NW,,,,,,$116.42,$0.00,1,1,1,1,1,1,20080101L2415,HCPCS,Knee joint cam lock each joi,,,28 ,,NW,,,,,,$161.05,$0.00,1,1,1,1,1,1,20080101L2425,HCPCS,Knee disc/dial lock/adj flex,,,28 ,,NW,,,,,,$189.53,$0.00,1,1,1,1,1,1,20080101L2430,HCPCS,Knee jnt ratchet lock ea jnt,,,28 ,,NW,,,,,,$189.53,$0.00,1,1,1,1,1,1,20080101L2492,HCPCS,Knee lift loop drop lock rin,,,28 ,,NW,,,,,,$141.87,$0.00,1,1,1,1,1,1,20080101L2500,HCPCS,Thi/glut/ischia wgt bearing,,,28 ,,NW,,,,,,$437.57,$0.00,1,1,1,1,1,1,20080101L2510,HCPCS,Th/wght bear quad-lat brim m,,,28 ,,NW,,,,,,"$1,077.60",$0.00,1,1,1,1,1,1,20080101L2520,HCPCS,Th/wght bear quad-lat brim c,,,28 ,,NW,,,,,,$663.74,$0.00,1,1,1,1,1,1,20080101L2525,HCPCS,Th/wght bear nar m-l brim mo,,,28 ,,NW,,,,,,"$1,844.90",$0.00,1,1,1,1,1,1,20080101L2526,HCPCS,Th/wght bear nar m-l brim cu,,,28 ,,NW,,,,,,"$1,013.06",$0.00,1,1,1,1,1,1,20080101L2530,HCPCS,Thigh/wght bear lacer non-mo,,,28 ,,NW,,,,,,$323.09,$0.00,1,1,1,1,1,1,20080101L2540,HCPCS,Thigh/wght bear lacer molded,,,28 ,,NW,,,,,,$604.71,$0.00,1,1,1,1,1,1,20080101L2550,HCPCS,Thigh/wght bear high roll cu,,,28 ,,NW,,,,,,$394.30,$0.00,1,1,1,1,1,1,20080101L2570,HCPCS,Hip clevis type 2 posit jnt,,,28 ,,NW,,,,,,$688.09,$0.00,1,1,1,1,1,1,20080101L2580,HCPCS,Pelvic control pelvic sling,,,28 ,,NW,,,,,,$669.07,$0.00,1,1,1,1,1,1,20080101L2600,HCPCS,Hip clevis/thrust bearing fr,,,28 ,,NW,,,,,,$282.78,$0.00,1,1,1,1,1,1,20080101L2610,HCPCS,Hip clevis/thrust bearing lo,,,28 ,,NW,,,,,,$333.83,$0.00,1,1,1,1,1,1,20080101L2620,HCPCS,Pelvic control hip heavy dut,,,28 ,,NW,,,,,,$367.26,$0.00,1,1,1,1,1,1,20080101L2622,HCPCS,Hip joint adjustable flexion,,,28 ,,NW,,,,,,$423.85,$0.00,1,1,1,1,1,1,20080101L2624,HCPCS,Hip adj flex ext abduct cont,,,28 ,,NW,,,,,,$461.98,$0.00,1,1,1,1,1,1,20080101L2627,HCPCS,Plastic mold recipro hip & c,,,28 ,,NW,,,,,,"$2,616.37",$0.00,1,1,1,1,1,1,20080101L2628,HCPCS,Metal frame recipro hip & ca,,,28 ,,NW,,,,,,"$2,555.78",$0.00,1,1,1,1,1,1,20080101L2630,HCPCS,Pelvic control band & belt u,,,28 ,,NW,,,,,,$340.35,$0.00,1,1,1,1,1,1,20080101L2640,HCPCS,Pelvic control band & belt b,,,28 ,,NW,,,,,,$469.64,$0.00,1,1,1,1,1,1,20080101L2650,HCPCS,Pelv & thor control gluteal,,,28 ,,NW,,,,,,$166.44,$0.00,1,1,1,1,1,1,20080101L2660,HCPCS,Thoracic control thoracic ba,,,28 ,,NW,,,,,,$256.89,$0.00,1,1,1,1,1,1,20080101L2670,HCPCS,Thorac cont paraspinal uprig,,,28 ,,NW,,,,,,$235.36,$0.00,1,1,1,1,1,1,20080101L2680,HCPCS,Thorac cont lat support upri,,,28 ,,NW,,,,,,$216.15,$0.00,1,1,1,1,1,1,20080101L2750,HCPCS,Plating chrome/nickel pr bar,,,28 ,,NW,,,,,,$116.82,$0.00,1,1,1,1,1,1,20080101L2755,HCPCS,Carbon graphite lamination,,,28 ,,NW,,,,,,$173.01,$0.00,1,1,1,1,1,1,20080101L2760,HCPCS,Extension per extension per,,,28 ,,NW,,,,,,$85.70,$0.00,1,1,1,1,1,1,20080101L2768,HCPCS,Ortho sidebar disconnect,,,28 ,,NW,,,,,,$172.55,$0.00,1,1,1,1,1,1,20080101L2770,HCPCS,Low ext orthosis per bar/jnt,,,28 ,,NW,,,,,,$87.05,$0.00,1,1,1,1,1,1,20080101L2780,HCPCS,Non-corrosive finish,,,28 ,,NW,,,,,,$95.14,$0.00,1,1,1,1,1,1,20080101L2785,HCPCS,Drop lock retainer each,,,28 ,,NW,,,,,,$46.10,$0.00,1,1,1,1,1,1,20080101L2795,HCPCS,Knee control full kneecap,,,28 ,,NW,,,,,,$118.69,$0.00,1,1,1,1,1,1,20080101L2800,HCPCS,Knee cap medial or lateral p,,,28 ,,NW,,,,,,$148.25,$0.00,1,1,1,1,1,1,20080101L2810,HCPCS,Knee control condylar pad,,,28 ,,NW,,,,,,$109.33,$0.00,1,1,1,1,1,1,20080101L2820,HCPCS,Soft interface below knee se,,,28 ,,NW,,,,,,$121.26,$0.00,1,1,1,1,1,1,20080101L2830,HCPCS,Soft interface above knee se,,,28 ,,NW,,,,,,$130.93,$0.00,1,1,1,1,1,1,20080101L2840,HCPCS,Tibial length sock fx or equ,,,28 ,,NW,,,,,,$62.43,$0.00,1,1,1,1,1,1,20080101L2850,HCPCS,Femoral lgth sock fx or equa,,,28 ,,NW,,,,,,$87.28,$0.00,1,1,1,1,1,1,20080101L2860,HCPCS,Torsion mechanism knee/ankle,,,28 ,,NW,,,,,,$521.56,$0.00,1,1,1,1,1,1,20080101L2999,HCPCS,Lower extremity orthosis NOS,,,28 ,,NW,,,,,,$70.39,$0.00,1,1,1,1,1,1,20080101L3000,HCPCS,Ft insert ucb berkeley shell,,,28 ,,NW,,,,,,$327.56,$0.00,1,1,1,1,1,1,20080101L3001,HCPCS,Foot insert remov molded spe,,,28 ,,NW,,,,,,$194.28,$0.00,1,1,1,1,1,1,20080101L3002,HCPCS,Foot insert plastazote or eq,,,28 ,,NW,,,,,,$160.79,$0.00,1,1,1,1,1,1,20080101L3003,HCPCS,Foot insert silicone gel eac,,,28 ,,NW,,,,,,$197.01,$0.00,1,1,1,1,1,1,20080101L3010,HCPCS,Foot longitudinal arch suppo,,,28 ,,NW,,,,,,$255.11,$0.00,1,1,1,1,1,1,20080101L3020,HCPCS,Foot longitud/metatarsal sup,,,28 ,,NW,,,,,,$322.77,$0.00,1,1,1,1,1,1,20080101L3030,HCPCS,Foot arch support remov prem,,,28 ,,NW,,,,,,$322.77,$0.00,1,1,1,1,1,1,20080101L3031,HCPCS,Foot lamin/prepreg composite,,,28 ,,NW,,,,,,"$1,717.38",$0.00,1,1,1,0,1,1,20080101L3040,HCPCS,Ft arch suprt premold longit,,,28 ,,NW,,,,,,$59.63,$0.00,1,1,1,1,1,1,20080101L3050,HCPCS,Foot arch supp premold metat,,,28 ,,NW,,,,,,$55.53,$0.00,1,1,1,1,1,1,20080101L3060,HCPCS,Foot arch supp longitud/meta,,,28 ,,NW,,,,,,$104.74,$0.00,1,1,1,1,1,1,20080101L3070,HCPCS,Arch suprt att to sho longit,,,28 ,,NW,,,,,,$34.35,$0.00,1,1,1,1,1,1,20080101L3080,HCPCS,Arch supp att to shoe metata,,,28 ,,NW,,,,,,$15.82,$0.00,1,1,1,1,1,1,20080101L3090,HCPCS,Arch supp att to shoe long/m,,,28 ,,NW,,,,,,$22.73,$0.00,1,1,1,1,1,1,20080101L3100,HCPCS,Hallus-valgus nght dynamic s,,,28 ,,NW,,,,,,$35.70,$0.00,1,1,1,1,1,1,20080101L3140,HCPCS,Abduction rotation bar shoe,,,28 ,,NW,,,,,,$98.59,$0.00,1,1,1,1,1,1,20080101L3150,HCPCS,Abduct rotation bar w/o shoe,,,28 ,,NW,,,,,,$82.86,$0.00,1,1,1,1,1,1,20080101L3160,HCPCS,Shoe styled positioning dev,,,28 ,,NW,,,,,,$27.51,$0.00,1,1,1,1,1,1,20080101L3170,HCPCS,Foot plastic heel stabilizer,,,28 ,,NW,,,,,,$44.58,$0.00,1,1,1,1,1,1,20080101L3201,HCPCS,Oxford w supinat/pronat inf,,,28 ,,NW,,,,,,$97.91,$0.00,1,1,1,1,1,1,20080101L3202,HCPCS,Oxford w/ supinat/pronator c,,,28 ,,NW,,,,,,$95.85,$0.00,1,1,1,1,1,1,20080101L3203,HCPCS,Oxford w/ supinator/pronator,,,28 ,,NW,,,,,,$93.81,$0.00,1,1,1,1,1,1,20080101L3204,HCPCS,Hightop w/ supp/pronator inf,,,28 ,,NW,,,,,,$93.81,$0.00,1,1,1,1,1,1,20080101L3206,HCPCS,Hightop w/ supp/pronator chi,,,28 ,,NW,,,,,,$97.21,$0.00,1,1,1,1,1,1,20080101L3207,HCPCS,Hightop w/ supp/pronator jun,,,28 ,,NW,,,,,,$98.59,$0.00,1,1,1,1,1,1,20080101L3208,HCPCS,Surgical boot each infant,,,28 ,,NW,,,,,,$53.49,$0.00,1,1,1,1,1,1,20080101L3209,HCPCS,Surgical boot each child,,,28 ,,NW,,,,,,$73.98,$0.00,1,1,1,1,1,1,20080101L3211,HCPCS,Surgical boot each junior,,,28 ,,NW,,,,,,$78.76,$0.00,1,1,1,1,1,1,20080101L3212,HCPCS,Benesch boot pair infant,,,28 ,,NW,,,,,,$108.84,$0.00,1,1,1,1,1,1,20080101L3213,HCPCS,Benesch boot pair child,,,28 ,,NW,,,,,,$130.71,$0.00,1,1,1,1,1,1,20080101L3214,HCPCS,Benesch boot pair junior,,,28 ,,NW,,,,,,$138.91,$0.00,1,1,1,1,1,1,20080101L3215,HCPCS,Orthopedic ftwear ladies oxf,,,28 ,,NW,,,,, ,$87.92,$0.00,1,1,1,1,1,1,20080101L3216,HCPCS,Orthoped ladies shoes dpth i,,,28 ,,NW,,,,, ,$106.03,$0.00,1,1,1,1,1,1,20080101L3217,HCPCS,Ladies shoes hightop depth i,,,28 ,,NW,,,,, ,$114.90,$0.00,1,1,1,1,1,1,20080101L3219,HCPCS,Orthopedic mens shoes oxford,,,28 ,,NW,,,,, ,$98.51,$0.00,1,1,1,1,1,1,20080101L3221,HCPCS,Orthopedic mens shoes dpth i,,,28 ,,NW,,,,, ,$117.98,$0.00,1,1,1,1,1,1,20080101L3222,HCPCS,Mens shoes hightop depth inl,,,28 ,,NW,,,,, ,$130.29,$0.00,1,1,1,1,1,1,20080101L3224,HCPCS,Woman's shoe oxford brace,,,28 ,,NW,,,,,,$83.03,$0.00,1,1,1,1,1,1,20080101L3225,HCPCS,Man's shoe oxford brace,,,28 ,,NW,,,,,,$95.08,$0.00,1,1,1,1,1,1,20080101L3230,HCPCS,Custom shoes depth inlay,,,28 ,,NW,,,,,,$305.68,$0.00,1,1,1,1,1,1,20080101L3250,HCPCS,Custom mold shoe remov prost,,,28 ,,NW,,,,,,$620.37,$0.00,1,1,1,1,1,1,20080101L3251,HCPCS,Shoe molded to pt silicone s,,,28 ,,NW,,,,,,$84.23,$0.00,1,1,1,1,1,1,20080101L3252,HCPCS,Shoe molded plastazote cust,,,28 ,,NW,,,,,,$325.50,$0.00,1,1,1,1,1,1,20080101L3253,HCPCS,Shoe molded plastazote cust,,,28 ,,NW,,,,,,$83.55,$0.00,1,1,1,1,1,1,20080101L3254,HCPCS,Orth foot non-stndard size/w,,,28 ,,NW,,,,,,$28.45,$0.00,1,1,1,1,1,1,20080101L3255,HCPCS,Orth foot non-standard size/,,,28 ,,NW,,,,,,$31.62,$0.00,1,1,1,1,1,1,20080101L3257,HCPCS,Orth foot add charge split s,,,28 ,,NW,,,,,,$61.69,$0.00,1,1,1,1,1,1,20080101L3260,HCPCS,Ambulatory surgical boot eac,,,28 ,,NW,,,,,,$35.70,$0.00,1,1,1,1,1,1,20080101L3265,HCPCS,Plastazote sandal each,,,28 ,,NW,,,,,,$38.44,$0.00,1,1,1,1,1,1,20080101L3300,HCPCS,Sho lift taper to metatarsal,,,28 ,,NW,,,,,,$43.91,$0.00,1,1,1,1,1,1,20080101L3310,HCPCS,Shoe lift elev heel/sole neo,,,28 ,,NW,,,,,,$85.60,$0.00,1,1,1,1,1,1,20080101L3320,HCPCS,Shoe lift elev heel/sole cor,,,28 ,,NW,,,,,,$220.93,$0.00,1,1,1,1,1,1,20080101L3330,HCPCS,Lifts elevation metal extens,,,28 ,,NW,,,,,,$356.26,$0.00,1,1,1,1,1,1,20080101L3332,HCPCS,Shoe lifts tapered to one-ha,,,28 ,,NW,,,,,,$27.51,$0.00,1,1,1,1,1,1,20080101L3334,HCPCS,Shoe lifts elevation heel /i,,,28 ,,NW,,,,,,$27.51,$0.00,1,1,1,1,1,1,20080101L3340,HCPCS,Shoe wedge sach,,,28 ,,NW,,,,,,$62.37,$0.00,1,1,1,1,1,1,20080101L3350,HCPCS,Shoe heel wedge,,,28 ,,NW,,,,,,$40.49,$0.00,1,1,1,1,1,1,20080101L3360,HCPCS,Shoe sole wedge outside sole,,,28 ,,NW,,,,,,$30.92,$0.00,1,1,1,1,1,1,20080101L3370,HCPCS,Shoe sole wedge between sole,,,28 ,,NW,,,,,,$36.38,$0.00,1,1,1,1,1,1,20080101L3380,HCPCS,Shoe clubfoot wedge,,,28 ,,NW,,,,,,$60.99,$0.00,1,1,1,1,1,1,20080101L3390,HCPCS,Shoe outflare wedge,,,28 ,,NW,,,,,,$83.55,$0.00,1,1,1,1,1,1,20080101L3400,HCPCS,Shoe metatarsal bar wedge ro,,,28 ,,NW,,,,,,$80.13,$0.00,1,1,1,1,1,1,20080101L3410,HCPCS,Shoe metatarsal bar between,,,28 ,,NW,,,,,,$134.14,$0.00,1,1,1,1,1,1,20080101L3420,HCPCS,Full sole/heel wedge btween,,,28 ,,NW,,,,,,$44.58,$0.00,1,1,1,1,1,1,20080101L3430,HCPCS,Sho heel count plast reinfor,,,28 ,,NW,,,,,,$108.16,$0.00,1,1,1,1,1,1,20080101L3440,HCPCS,Heel leather reinforced,,,28 ,,NW,,,,,,$73.98,$0.00,1,1,1,1,1,1,20080101L3450,HCPCS,Shoe heel sach cushion type,,,28 ,,NW,,,,,,$60.31,$0.00,1,1,1,1,1,1,20080101L3455,HCPCS,Shoe heel new leather standa,,,28 ,,NW,,,,,,$26.83,$0.00,1,1,1,1,1,1,20080101L3460,HCPCS,Shoe heel new rubber standar,,,28 ,,NW,,,,,,$44.58,$0.00,1,1,1,1,1,1,20080101L3465,HCPCS,Shoe heel thomas with wedge,,,28 ,,NW,,,,,,$32.30,$0.00,1,1,1,1,1,1,20080101L3470,HCPCS,Shoe heel thomas extend to b,,,28 ,,NW,,,,,,$75.35,$0.00,1,1,1,1,1,1,20080101L3480,HCPCS,Shoe heel pad & depress for,,,28 ,,NW,,,,,,$52.11,$0.00,1,1,1,1,1,1,20080101L3485,HCPCS,Shoe heel pad removable for,,,28 ,,NW,,,,,,$35.70,$0.00,1,1,1,1,1,1,20080101L3500,HCPCS,Ortho shoe add leather insol,,,28 ,,NW,,,,,,$39.12,$0.00,1,1,1,1,1,1,20080101L3510,HCPCS,Orthopedic shoe add rub insl,,,28 ,,NW,,,,,,$36.38,$0.00,1,1,1,1,1,1,20080101L3520,HCPCS,O shoe add felt w leath insl,,,28 ,,NW,,,,,,$58.27,$0.00,1,1,1,1,1,1,20080101L3530,HCPCS,Ortho shoe add half sole,,,28 ,,NW,,,,,,$19.31,$0.00,1,1,1,1,1,1,20080101L3540,HCPCS,Ortho shoe add full sole,,,28 ,,NW,,,,,,$63.72,$0.00,1,1,1,1,1,1,20080101L3550,HCPCS,O shoe add standard toe tap,,,28 ,,NW,,,,,,$11.66,$0.00,1,1,1,1,1,1,20080101L3560,HCPCS,O shoe add horseshoe toe tap,,,28 ,,NW,,,,,,$15.82,$0.00,1,1,1,1,1,1,20080101L3570,HCPCS,O shoe add instep extension,,,28 ,,NW,,,,,,$57.58,$0.00,1,1,1,1,1,1,20080101L3580,HCPCS,O shoe add instep velcro clo,,,28 ,,NW,,,,,,$83.55,$0.00,1,1,1,1,1,1,20080101L3590,HCPCS,O shoe convert to sof counte,,,28 ,,NW,,,,,,$65.79,$0.00,1,1,1,1,1,1,20080101L3595,HCPCS,Ortho shoe add march bar,,,28 ,,NW,,,,,,$21.35,$0.00,1,1,1,1,1,1,20080101L3600,HCPCS,Trans shoe calip plate exist,,,28 ,,NW,,,,,,$104.74,$0.00,1,1,1,1,1,1,20080101L3610,HCPCS,Trans shoe caliper plate new,,,28 ,,NW,,,,,,$167.62,$0.00,1,1,1,1,1,1,20080101L3620,HCPCS,Trans shoe solid stirrup exi,,,28 ,,NW,,,,,,$104.74,$0.00,1,1,1,1,1,1,20080101L3630,HCPCS,Trans shoe solid stirrup new,,,28 ,,NW,,,,,,$127.98,$0.00,1,1,1,1,1,1,20080101L3640,HCPCS,Shoe dennis browne splint bo,,,28 ,,NW,,,,,,$43.91,$0.00,1,1,1,1,1,1,20080101L3649,HCPCS,Orthopedic shoe modifica NOS,,,28 ,,NW,,,,,,$28.49,$0.00,1,1,1,1,1,1,20080101L3650,HCPCS,Shlder fig 8 abduct restrain,,,28 ,,NW,,,,,,$81.98,$0.00,1,1,1,1,1,1,20080101L3651,HCPCS,Prefab shoulder orthosis,,,28 ,,NW,,,,,,$80.93,$0.00,1,1,1,1,1,1,20080101L3652,HCPCS,Prefab dbl shoulder orthosis,,,28 ,,NW,,,,,,$238.03,$0.00,1,1,1,1,1,1,20080101L3660,HCPCS,Abduct restrainer canvas&web,,,28 ,,NW,,,,,,$139.96,$0.00,1,1,1,1,1,1,20080101L3670,HCPCS,Acromio/clavicular canvas&we,,,28 ,,NW,,,,,,$153.71,$0.00,1,1,1,1,1,1,20080101L3675,HCPCS,Canvas vest SO,,,28 ,,NW,,,,,,$210.84,$0.00,1,1,1,1,1,1,20080101L3677,HCPCS,SO hard plastic stabilizer,,,28 ,,NW,,,,,,$241.43,$0.00,1,1,1,1,1,1,20080101L3700,HCPCS,Elbow orthoses elas w stays,,,28 ,,NW,,,,,,$95.97,$0.00,1,1,1,1,1,1,20080101L3701,HCPCS,Prefab elbow orthosis,,,28 ,,NW,,,,,,$27.02,$0.00,1,1,1,1,1,1,20080101L3710,HCPCS,Elbow elastic with metal joi,,,28 ,,NW,,,,,,$167.75,$0.00,1,1,1,1,1,1,20080101L3720,HCPCS,Forearm/arm cuffs free motio,,,28 ,,NW,,,,,,$943.12,$0.00,1,1,1,1,1,1,20080101L3730,HCPCS,Forearm/arm cuffs ext/flex a,,,28 ,,NW,,,,,,"$1,320.18",$0.00,1,1,1,1,1,1,20080101L3740,HCPCS,Cuffs adj lock w/ active con,,,28 ,,NW,,,,,,"$1,575.17",$0.00,1,1,1,1,1,1,20080101L3760,HCPCS,"EO withjoint, Prefabricated",,,28 ,,NW,,,,,,$623.47,$0.00,1,1,1,1,1,1,20080101L3762,HCPCS,Rigid EO wo joints,,,28 ,,NW,,,,,,$130.31,$0.00,1,1,1,1,1,1,20080101L3807,HCPCS,"WHFO,no joint, prefabricated",,,28 ,,NW,,,,,,$299.17,$0.00,1,1,1,1,1,1,20080101L3890,HCPCS,Torsion mechanism wrist/elbo,,,28 ,,NW,,,,,,$381.90,$0.00,1,1,1,1,1,1,20080101L3900,HCPCS,Hinge extension/flex wrist/f,,,28 ,,NW,,,,,,"$1,918.43",$0.00,1,1,1,1,1,1,20080101L3901,HCPCS,Hinge ext/flex wrist finger,,,28 ,,NW,,,,,,"$2,395.61",$0.00,1,1,1,1,1,1,20080101L3904,HCPCS,Whfo electric custom fitted,,,28 ,,NW,,,,,,"$4,409.71",$0.00,1,1,1,1,1,1,20080101L3906,HCPCS,Wrist gauntlet molded to pt,,,28 ,,NW,,,,,,$548.47,$0.00,1,1,1,1,1,1,20080101L3908,HCPCS,Wrist cock-up non-molded,,,28 ,,NW,,,,,,$82.81,$0.00,1,1,1,1,1,1,20080101L3909,HCPCS,Prefab wrist orthosis,,,28 ,,NW,,,,,,$19.65,$0.00,1,1,1,1,1,1,20080101L3911,HCPCS,Prefab hand finger orthosis,,,28 ,,NW,,,,,,$25.99,$0.00,1,1,1,0,1,1,20080101L3912,HCPCS,Flex glove w/elastic finger,,,28 ,,NW,,,,,,$129.36,$0.00,1,1,1,1,1,1,20080101L3917,HCPCS,Prefab metacarpl fx orthosis,,,28 ,,NW,,,,,,$110.77,$0.00,1,1,1,0,1,1,20080101L3923,HCPCS,"HFO, no joint, prefabricated",,,28 ,,NW,,,,,,$49.01,$0.00,1,1,1,1,1,1,20080101L3956,HCPCS,Add joint upper ext orthosis,,,28 ,,NW,,,,,,$56.90,$0.00,1,1,1,1,1,1,20080101L3960,HCPCS,Sewho airplan desig abdu pos,,,28 ,,NW,,,,,,"$1,066.36",$0.00,1,1,1,1,1,1,20080101L3962,HCPCS,Sewho erbs palsey design abd,,,28 ,,NW,,,,,,"$1,039.79",$0.00,1,1,1,1,1,1,20080101L3964,HCPCS,Seo mobile arm sup att to wc,,,28 ,,NW,,,,,,$669.06,$0.00,1,1,1,1,1,1,20080101L3965,HCPCS,Arm supp att to wc rancho ty,,,28 ,,NW,,,,,,"$1,099.78",$0.00,1,1,1,1,1,1,20080101L3966,HCPCS,Mobile arm supports reclinin,,,28 ,,NW,,,,,,$815.24,$0.00,1,1,1,1,1,1,20080101L3968,HCPCS,Friction dampening arm supp,,,28 ,,NW,,,,,,"$1,045.94",$0.00,1,1,1,1,1,1,20080101L3969,HCPCS,Monosuspension arm/hand supp,,,28 ,,NW,,,,,,$715.21,$0.00,1,1,1,1,1,1,20080101L3970,HCPCS,Elevat proximal arm support,,,28 ,,NW,,,,,,$272.05,$0.00,1,1,1,1,1,1,20080101L3972,HCPCS,Offset/lat rocker arm w/ ela,,,28 ,,NW,,,,,,$174.04,$0.00,1,1,1,1,1,1,20080101L3974,HCPCS,Mobile arm support supinator,,,28 ,,NW,,,,,,$148.06,$0.00,1,1,1,1,1,1,20080101L3980,HCPCS,Upp ext fx orthosis humeral,,,28 ,,NW,,,,,,$417.38,$0.00,1,1,1,1,1,1,20080101L3982,HCPCS,Upper ext fx orthosis rad/ul,,,28 ,,NW,,,,,,$515.20,$0.00,1,1,1,1,1,1,20080101L3984,HCPCS,Upper ext fx orthosis wrist,,,28 ,,NW,,,,,,$470.81,$0.00,1,1,1,1,1,1,20080101L3995,HCPCS,Sock fracture or equal each,,,28 ,,NW,,,,,,$46.51,$0.00,1,1,1,1,1,1,20080101L3999,HCPCS,Upper limb orthosis NOS,,,28 ,,NW,,,,,,$44.14,$0.00,1,1,1,1,1,1,20080101L4000,HCPCS,Repl girdle milwaukee orth,,,28 ,,NW,,,,,,"$1,932.21",$0.00,1,1,1,1,1,1,20080101L4010,HCPCS,Replace trilateral socket br,,,28 ,,NW,,,,,,$991.52,$0.00,1,1,1,1,1,1,20080101L4020,HCPCS,Replace quadlat socket brim,,,28 ,,NW,,,,,,"$1,287.80",$0.00,1,1,1,1,1,1,20080101L4030,HCPCS,Replace socket brim cust fit,,,28 ,,NW,,,,,,$732.59,$0.00,1,1,1,1,1,1,20080101L4040,HCPCS,Replace molded thigh lacer,,,28 ,,NW,,,,,,$581.99,$0.00,1,1,1,1,1,1,20080101L4045,HCPCS,Replace non-molded thigh lac,,,28 ,,NW,,,,,,$457.14,$0.00,1,1,1,1,1,1,20080101L4050,HCPCS,Replace molded calf lacer,,,28 ,,NW,,,,,,$589.23,$0.00,1,1,1,1,1,1,20080101L4055,HCPCS,Replace non-molded calf lace,,,28 ,,NW,,,,,,$367.22,$0.00,1,1,1,1,1,1,20080101L4060,HCPCS,Replace high roll cuff,,,28 ,,NW,,,,,,$441.20,$0.00,1,1,1,1,1,1,20080101L4070,HCPCS,Replace prox & dist upright,,,28 ,,NW,,,,,,$386.41,$0.00,1,1,1,1,1,1,20080101L4080,HCPCS,Repl met band kafo-afo prox,,,28 ,,NW,,,,,,$140.74,$0.00,1,1,1,1,1,1,20080101L4090,HCPCS,Repl met band kafo-afo calf/,,,28 ,,NW,,,,,,$125.97,$0.00,1,1,1,1,1,1,20080101L4100,HCPCS,Repl leath cuff kafo prox th,,,28 ,,NW,,,,,,$145.03,$0.00,1,1,1,1,1,1,20080101L4110,HCPCS,Repl leath cuff kafo-afo cal,,,28 ,,NW,,,,,,$118.47,$0.00,1,1,1,1,1,1,20080101L4130,HCPCS,Replace pretibial shell,,,28 ,,NW,,,,,,$718.96,$0.00,1,1,1,1,1,1,20080101L4205,HCPCS,Ortho dvc repair per 15 min,,,28 ,,NW,,,,,,$39.64,$0.00,1,1,1,1,1,1,20080101L4210,HCPCS,Orth dev repair/repl minor p,,,28 ,,NW,,,,,,$52.91,$0.00,1,1,1,1,1,1,20080101L4350,HCPCS,Ankle control orthosi prefab,,,28 ,,NW,,,,,,$124.71,$0.00,1,1,1,1,1,1,20080101L4360,HCPCS,Pneumati walking boot prefab,,,28 ,,NW,,,,,,$380.23,$0.00,1,1,1,1,1,1,20080101L4370,HCPCS,Pneumatic full leg splint,,,28 ,,NW,,,,,,$260.17,$0.00,1,1,1,1,1,1,20080101L4380,HCPCS,Pneumatic knee splint,,,28 ,,NW,,,,,,$149.28,$0.00,1,1,1,1,1,1,20080101L4386,HCPCS,Non-pneum walk boot prefab,,,28 ,,NW,,,,,,$209.33,$0.00,1,1,1,1,1,1,20080101L4392,HCPCS,Replace AFO soft interface,,,28 ,,NW,,,,,,$33.48,$0.00,1,1,1,1,1,1,20080101L4394,HCPCS,Replace foot drop spint,,,28 ,,NW,,,,,,$25.21,$0.00,1,1,1,1,1,1,20080101L4396,HCPCS,Static AFO,,,28 ,,NW,,,,,,$221.01,$0.00,1,1,1,1,1,1,20080101L4398,HCPCS,Foot drop splint recumbent,,,28 ,,NW,,,,,,$103.28,$0.00,1,1,1,1,1,1,20080101L5000,HCPCS,Sho insert w arch toe filler,,,28 ,,NW,,,,,,$784.62,$0.00,1,1,1,1,1,1,20080101L5010,HCPCS,Mold socket ank hgt w/ toe f,,,28 ,,NW,,,,,,"$1,966.44",$0.00,1,1,1,1,1,1,20080101L5020,HCPCS,Tibial tubercle hgt w/ toe f,,,28 ,,NW,,,,,,"$3,234.78",$0.00,1,1,1,1,1,1,20080101L5050,HCPCS,Ank symes mold sckt sach ft,,,28 ,,NW,,,,,,"$3,754.52",$0.00,1,1,1,1,1,1,20080101L5060,HCPCS,Symes met fr leath socket ar,,,28 ,,NW,,,,,,"$4,529.56",$0.00,1,1,1,1,1,1,20080101L5100,HCPCS,Molded socket shin sach foot,,,28 ,,NW,,,,,,"$3,802.97",$0.00,1,1,1,1,1,1,20080101L5105,HCPCS,Plast socket jts/thgh lacer,,,28 ,,NW,,,,,,"$5,710.98",$0.00,1,1,1,1,1,1,20080101L5150,HCPCS,Mold sckt ext knee shin sach,,,28 ,,NW,,,,,,"$5,773.60",$0.00,1,1,1,1,1,1,20080101L5160,HCPCS,Mold socket bent knee shin s,,,28 ,,NW,,,,,,"$6,284.56",$0.00,1,1,1,1,1,1,20080101L5200,HCPCS,Kne sing axis fric shin sach,,,28 ,,NW,,,,,,"$5,428.10",$0.00,1,1,1,1,1,1,20080101L5210,HCPCS,No knee/ankle joints w/ ft b,,,28 ,,NW,,,,,,"$3,972.93",$0.00,1,1,1,1,1,1,20080101L5220,HCPCS,No knee joint with artic ali,,,28 ,,NW,,,,,,"$4,523.31",$0.00,1,1,1,1,1,1,20080101L5230,HCPCS,Fem focal defic constant fri,,,28 ,,NW,,,,,,"$6,258.96",$0.00,1,1,1,1,1,1,20080101L5250,HCPCS,Hip canad sing axi cons fric,,,28 ,,NW,,,,,,"$8,556.25",$0.00,1,1,1,1,1,1,20080101L5270,HCPCS,Tilt table locking hip sing,,,28 ,,NW,,,,,,"$8,480.83",$0.00,1,1,1,1,1,1,20080101L5280,HCPCS,Hemipelvect canad sing axis,,,28 ,,NW,,,,,,"$8,395.48",$0.00,1,1,1,1,1,1,20080101L5301,HCPCS,BK mold socket SACH ft endo,,,28 ,,NW,,,,,,"$3,756.30",$0.00,1,1,1,1,1,1,20080101L5311,HCPCS,"Knee disart, SACH ft, endo",,,28 ,,NW,,,,,,"$5,419.83",$0.00,1,1,1,1,1,1,20080101L5321,HCPCS,AK open end SACH,,,28 ,,NW,,,,,,"$5,400.27",$0.00,1,1,1,1,1,1,20080101L5331,HCPCS,Hip disart canadian SACH ft,,,28 ,,NW,,,,,,"$7,663.89",$0.00,1,1,1,1,1,1,20080101L5341,HCPCS,Hemipelvectomy canadian SACH,,,28 ,,NW,,,,,,"$8,332.89",$0.00,1,1,1,1,1,1,20080101L5400,HCPCS,Postop dress & 1 cast chg bk,,,28 ,,NW,,,,,,"$1,943.38",$0.00,1,1,1,1,1,1,20080101L5410,HCPCS,Postop dsg bk ea add cast ch,,,28 ,,NW,,,,,,$639.53,$0.00,1,1,1,1,1,1,20080101L5420,HCPCS,Postop dsg & 1 cast chg ak/d,,,28 ,,NW,,,,,,"$2,468.57",$0.00,1,1,1,1,1,1,20080101L5430,HCPCS,Postop dsg ak ea add cast ch,,,28 ,,NW,,,,,,$781.23,$0.00,1,1,1,1,1,1,20080101L5450,HCPCS,Postop app non-wgt bear dsg,,,28 ,,NW,,,,,,$622.25,$0.00,1,1,1,1,1,1,20080101L5460,HCPCS,Postop app non-wgt bear dsg,,,28 ,,NW,,,,,,$851.05,$0.00,1,1,1,1,1,1,20080101L5500,HCPCS,Init bk ptb plaster direct,,,28 ,,NW,,,,,,"$2,077.44",$0.00,1,1,1,1,1,1,20080101L5505,HCPCS,Init ak ischal plstr direct,,,28 ,,NW,,,,,,"$2,832.49",$0.00,1,1,1,1,1,1,20080101L5510,HCPCS,Prep BK ptb plaster molded,,,28 ,,NW,,,,,,"$2,362.11",$0.00,1,1,1,1,1,1,20080101L5520,HCPCS,Perp BK ptb thermopls direct,,,28 ,,NW,,,,,,"$2,332.55",$0.00,1,1,1,1,1,1,20080101L5530,HCPCS,Prep BK ptb thermopls molded,,,28 ,,NW,,,,,,"$2,812.42",$0.00,1,1,1,1,1,1,20080101L5535,HCPCS,Prep BK ptb open end socket,,,28 ,,NW,,,,,,"$2,760.26",$0.00,1,1,1,1,1,1,20080101L5540,HCPCS,Prep BK ptb laminated socket,,,28 ,,NW,,,,,,"$2,949.70",$0.00,1,1,1,1,1,1,20080101L5560,HCPCS,Prep AK ischial plast molded,,,28 ,,NW,,,,,,"$3,171.44",$0.00,1,1,1,1,1,1,20080101L5570,HCPCS,Prep AK ischial direct form,,,28 ,,NW,,,,,,"$3,299.33",$0.00,1,1,1,1,1,1,20080101L5580,HCPCS,Prep AK ischial thermo mold,,,28 ,,NW,,,,,,"$3,860.73",$0.00,1,1,1,1,1,1,20080101L5585,HCPCS,Prep AK ischial open end,,,28 ,,NW,,,,,,"$4,191.95",$0.00,1,1,1,1,1,1,20080101L5590,HCPCS,Prep AK ischial laminated,,,28 ,,NW,,,,,,"$3,935.36",$0.00,1,1,1,1,1,1,20080101L5595,HCPCS,Hip disartic sach thermopls,,,28 ,,NW,,,,,,"$6,627.91",$0.00,1,1,1,1,1,1,20080101L5600,HCPCS,Hip disart sach laminat mold,,,28 ,,NW,,,,,,"$7,324.81",$0.00,1,1,1,1,1,1,20080101L5610,HCPCS,Above knee hydracadence,,,28 ,,NW,,,,,,"$3,381.87",$0.00,1,1,1,1,1,1,20080101L5611,HCPCS,Ak 4 bar link w/fric swing,,,28 ,,NW,,,,,,"$2,619.84",$0.00,1,1,1,1,1,1,20080101L5613,HCPCS,Ak 4 bar ling w/hydraul swig,,,28 ,,NW,,,,,,"$4,012.96",$0.00,1,1,1,1,1,1,20080101L5614,HCPCS,4-bar link above knee w/swng,,,28 ,,NW,,,,,,"$2,462.23",$0.00,1,1,1,1,1,1,20080101L5616,HCPCS,Ak univ multiplex sys frict,,,28 ,,NW,,,,,,"$2,199.95",$0.00,1,1,1,1,1,1,20080101L5617,HCPCS,AK/BK self-aligning unit ea,,,28 ,,NW,,,,,,$785.78,$0.00,1,1,1,1,1,1,20080101L5618,HCPCS,Test socket symes,,,28 ,,NW,,,,,,$412.88,$0.00,1,1,1,1,1,1,20080101L5620,HCPCS,Test socket below knee,,,28 ,,NW,,,,,,$407.54,$0.00,1,1,1,1,1,1,20080101L5622,HCPCS,Test socket knee disarticula,,,28 ,,NW,,,,,,$547.78,$0.00,1,1,1,1,1,1,20080101L5624,HCPCS,Test socket above knee,,,28 ,,NW,,,,,,$549.49,$0.00,1,1,1,1,1,1,20080101L5626,HCPCS,Test socket hip disarticulat,,,28 ,,NW,,,,,,$737.38,$0.00,1,1,1,1,1,1,20080101L5628,HCPCS,Test socket hemipelvectomy,,,28 ,,NW,,,,,,$747.40,$0.00,1,1,1,1,1,1,20080101L5629,HCPCS,Below knee acrylic socket,,,28 ,,NW,,,,,,$473.56,$0.00,1,1,1,1,1,1,20080101L5630,HCPCS,Syme typ expandabl wall sckt,,,28 ,,NW,,,,,,$690.94,$0.00,1,1,1,1,1,1,20080101L5631,HCPCS,Ak/knee disartic acrylic soc,,,28 ,,NW,,,,,,$675.31,$0.00,1,1,1,1,1,1,20080101L5632,HCPCS,Symes type ptb brim design s,,,28 ,,NW,,,,,,$325.27,$0.00,1,1,1,1,1,1,20080101L5634,HCPCS,Symes type poster opening so,,,28 ,,NW,,,,,,$450.97,$0.00,1,1,1,1,1,1,20080101L5636,HCPCS,Symes type medial opening so,,,28 ,,NW,,,,,,$372.85,$0.00,1,1,1,1,1,1,20080101L5637,HCPCS,Below knee total contact,,,28 ,,NW,,,,,,$425.57,$0.00,1,1,1,1,1,1,20080101L5638,HCPCS,Below knee leather socket,,,28 ,,NW,,,,,,$753.78,$0.00,1,1,1,1,1,1,20080101L5639,HCPCS,Below knee wood socket,,,28 ,,NW,,,,,,"$1,806.71",$0.00,1,1,1,1,1,1,20080101L5640,HCPCS,Knee disarticulat leather so,,,28 ,,NW,,,,,,"$1,007.29",$0.00,1,1,1,1,1,1,20080101L5642,HCPCS,Above knee leather socket,,,28 ,,NW,,,,,,$974.32,$0.00,1,1,1,1,1,1,20080101L5643,HCPCS,Hip flex inner socket ext fr,,,28 ,,NW,,,,,,"$2,529.00",$0.00,1,1,1,1,1,1,20080101L5644,HCPCS,Above knee wood socket,,,28 ,,NW,,,,,,$926.32,$0.00,1,1,1,1,1,1,20080101L5645,HCPCS,Bk flex inner socket ext fra,,,28 ,,NW,,,,,,"$1,270.22",$0.00,1,1,1,1,1,1,20080101L5646,HCPCS,Below knee cushion socket,,,28 ,,NW,,,,,,$855.41,$0.00,1,1,1,1,1,1,20080101L5647,HCPCS,Below knee suction socket,,,28 ,,NW,,,,,,"$1,266.19",$0.00,1,1,1,1,1,1,20080101L5648,HCPCS,Above knee cushion socket,,,28 ,,NW,,,,,,"$1,038.72",$0.00,1,1,1,1,1,1,20080101L5649,HCPCS,Isch containmt/narrow m-l so,,,28 ,,NW,,,,,,"$3,105.64",$0.00,1,1,1,1,1,1,20080101L5650,HCPCS,Tot contact ak/knee disart s,,,28 ,,NW,,,,,,$756.30,$0.00,1,1,1,1,1,1,20080101L5651,HCPCS,Ak flex inner socket ext fra,,,28 ,,NW,,,,,,"$1,939.03",$0.00,1,1,1,1,1,1,20080101L5652,HCPCS,Suction susp ak/knee disart,,,28 ,,NW,,,,,,$669.67,$0.00,1,1,1,1,1,1,20080101L5653,HCPCS,Knee disart expand wall sock,,,28 ,,NW,,,,,,$911.96,$0.00,1,1,1,1,1,1,20080101L5654,HCPCS,Socket insert symes,,,28 ,,NW,,,,,,$496.51,$0.00,1,1,1,1,1,1,20080101L5655,HCPCS,Socket insert below knee,,,28 ,,NW,,,,,,$387.99,$0.00,1,1,1,1,1,1,20080101L5656,HCPCS,Socket insert knee articulat,,,28 ,,NW,,,,,,$561.77,$0.00,1,1,1,1,1,1,20080101L5658,HCPCS,Socket insert above knee,,,28 ,,NW,,,,,,$549.56,$0.00,1,1,1,1,1,1,20080101L5661,HCPCS,Multi-durometer symes,,,28 ,,NW,,,,,,$956.03,$0.00,1,1,1,1,1,1,20080101L5665,HCPCS,Multi-durometer below knee,,,28 ,,NW,,,,,,$795.85,$0.00,1,1,1,1,1,1,20080101L5666,HCPCS,Below knee cuff suspension,,,28 ,,NW,,,,,,$104.53,$0.00,1,1,1,1,1,1,20080101L5668,HCPCS,Socket insert w/o lock lower,,,28 ,,NW,,,,,,$149.51,$0.00,1,1,1,1,1,1,20080101L5670,HCPCS,Bk molded supracondylar susp,,,28 ,,NW,,,,,,$396.84,$0.00,1,1,1,1,1,1,20080101L5671,HCPCS,BK/AK locking mechanism,,,28 ,,NW,,,,,,$771.61,$0.00,1,1,1,1,1,1,20080101L5672,HCPCS,Bk removable medial brim sus,,,28 ,,NW,,,,,,$441.00,$0.00,1,1,1,1,1,1,20080101L5673,HCPCS,Socket insert w lock mech,,,28 ,,NW,,,,,,"$1,055.05",$0.00,1,1,1,1,1,1,20080101L5676,HCPCS,Bk knee joints single axis p,,,28 ,,NW,,,,,,$547.52,$0.00,1,1,1,1,1,1,20080101L5677,HCPCS,Bk knee joints polycentric p,,,28 ,,NW,,,,,,$764.38,$0.00,1,1,1,1,1,1,20080101L5678,HCPCS,Bk joint covers pair,,,28 ,,NW,,,,,,$60.55,$0.00,1,1,1,1,1,1,20080101L5679,HCPCS,Socket insert w/o lock mech,,,28 ,,NW,,,,,,$870.21,$0.00,1,1,1,1,1,1,20080101L5680,HCPCS,Bk thigh lacer non-molded,,,28 ,,NW,,,,,,$451.30,$0.00,1,1,1,1,1,1,20080101L5681,HCPCS,Intl custm cong/latyp insert,,,28 ,,NW,,,,,,"$1,907.97",$0.00,1,1,1,1,1,1,20080101L5682,HCPCS,Bk thigh lacer glut/ischia m,,,28 ,,NW,,,,,,$983.98,$0.00,1,1,1,1,1,1,20080101L5683,HCPCS,Initial custom socket insert,,,28 ,,NW,,,,,,"$1,907.97",$0.00,1,1,1,1,1,1,20080101L5684,HCPCS,Bk fork strap,,,28 ,,NW,,,,,,$72.77,$0.00,1,1,1,1,1,1,20080101L5685,HCPCS,Below knee sus/seal sleeve,,,28 ,,NW,,,,,,$276.82,$0.00,1,1,1,0,1,1,20080101L5686,HCPCS,Bk back check,,,28 ,,NW,,,,,,$77.06,$0.00,1,1,1,1,1,1,20080101L5688,HCPCS,Bk waist belt webbing,,,28 ,,NW,,,,,,$91.57,$0.00,1,1,1,1,1,1,20080101L5690,HCPCS,Bk waist belt padded and lin,,,28 ,,NW,,,,,,$144.97,$0.00,1,1,1,1,1,1,20080101L5692,HCPCS,Ak pelvic control belt light,,,28 ,,NW,,,,,,$195.81,$0.00,1,1,1,1,1,1,20080101L5694,HCPCS,Ak pelvic control belt pad/l,,,28 ,,NW,,,,,,$266.29,$0.00,1,1,1,1,1,1,20080101L5695,HCPCS,Ak sleeve susp neoprene/equa,,,28 ,,NW,,,,,,$239.68,$0.00,1,1,1,1,1,1,20080101L5696,HCPCS,Ak/knee disartic pelvic join,,,28 ,,NW,,,,,,$271.52,$0.00,1,1,1,1,1,1,20080101L5697,HCPCS,Ak/knee disartic pelvic band,,,28 ,,NW,,,,,,$119.43,$0.00,1,1,1,1,1,1,20080101L5698,HCPCS,Ak/knee disartic silesian ba,,,28 ,,NW,,,,,,$154.35,$0.00,1,1,1,1,1,1,20080101L5699,HCPCS,Shoulder harness,,,28 ,,NW,,,,,,$273.60,$0.00,1,1,1,1,1,1,20080101L5700,HCPCS,Replace socket below knee,,,28 ,,NW,,,,,,"$4,490.62",$0.00,1,1,1,1,1,1,20080101L5701,HCPCS,Replace socket above knee,,,28 ,,NW,,,,,,"$5,588.45",$0.00,1,1,1,1,1,1,20080101L5702,HCPCS,Replace socket hip,,,28 ,,NW,,,,,,"$7,155.86",$0.00,1,1,1,1,1,1,20080101L5704,HCPCS,Custom shape cover BK,,,28 ,,NW,,,,,,$819.97,$0.00,1,1,1,1,1,1,20080101L5705,HCPCS,Custom shape cover AK,,,28 ,,NW,,,,,,"$1,487.67",$0.00,1,1,1,1,1,1,20080101L5706,HCPCS,Custom shape cvr knee disart,,,28 ,,NW,,,,,,"$1,458.51",$0.00,1,1,1,1,1,1,20080101L5707,HCPCS,Custom shape cvr hip disart,,,28 ,,NW,,,,,,"$1,998.98",$0.00,1,1,1,1,1,1,20080101L5710,HCPCS,Kne-shin exo sng axi mnl loc,,,28 ,,NW,,,,,,$543.02,$0.00,1,1,1,1,1,1,20080101L5711,HCPCS,Knee-shin exo mnl lock ultra,,,28 ,,NW,,,,,,$812.66,$0.00,1,1,1,1,1,1,20080101L5712,HCPCS,Knee-shin exo frict swg & st,,,28 ,,NW,,,,,,$661.24,$0.00,1,1,1,1,1,1,20080101L5714,HCPCS,Knee-shin exo variable frict,,,28 ,,NW,,,,,,$640.29,$0.00,1,1,1,1,1,1,20080101L5716,HCPCS,Knee-shin exo mech stance ph,,,28 ,,NW,,,,,,"$1,155.65",$0.00,1,1,1,1,1,1,20080101L5718,HCPCS,Knee-shin exo frct swg & sta,,,28 ,,NW,,,,,,"$1,457.89",$0.00,1,1,1,1,1,1,20080101L5722,HCPCS,Knee-shin pneum swg frct exo,,,28 ,,NW,,,,,,"$1,444.46",$0.00,1,1,1,1,1,1,20080101L5724,HCPCS,Knee-shin exo fluid swing ph,,,28 ,,NW,,,,,,"$2,450.97",$0.00,1,1,1,1,1,1,20080101L5726,HCPCS,Knee-shin ext jnts fld swg e,,,28 ,,NW,,,,,,"$2,832.90",$0.00,1,1,1,1,1,1,20080101L5728,HCPCS,Knee-shin fluid swg & stance,,,28 ,,NW,,,,,,"$3,894.79",$0.00,1,1,1,1,1,1,20080101L5780,HCPCS,Knee-shin pneum/hydra pneum,,,28 ,,NW,,,,,,"$1,846.10",$0.00,1,1,1,1,1,1,20080101L5781,HCPCS,Lower limb pros vacuum pump,,,28 ,,NW,,,,,,"$5,912.05",$0.00,1,1,1,1,1,1,20080101L5782,HCPCS,HD low limb pros vacuum pump,,,28 ,,NW,,,,,,"$4,869.44",$0.00,1,1,1,0,1,1,20080101L5785,HCPCS,Exoskeletal bk ultralt mater,,,28 ,,NW,,,,,,$808.37,$0.00,1,1,1,1,1,1,20080101L5790,HCPCS,Exoskeletal ak ultra-light m,,,28 ,,NW,,,,,,"$1,139.36",$0.00,1,1,1,1,1,1,20080101L5795,HCPCS,Exoskel hip ultra-light mate,,,28 ,,NW,,,,,,"$1,727.91",$0.00,1,1,1,1,1,1,20080101L5810,HCPCS,Endoskel knee-shin mnl lock,,,28 ,,NW,,,,,,$754.10,$0.00,1,1,1,1,1,1,20080101L5811,HCPCS,Endo knee-shin mnl lck ultra,,,28 ,,NW,,,,,,"$1,156.45",$0.00,1,1,1,1,1,1,20080101L5812,HCPCS,Endo knee-shin frct swg & st,,,28 ,,NW,,,,,,$884.26,$0.00,1,1,1,1,1,1,20080101L5814,HCPCS,Endo knee-shin hydral swg ph,,,28 ,,NW,,,,,,"$5,483.66",$0.00,1,1,1,1,1,1,20080101L5816,HCPCS,Endo knee-shin polyc mch sta,,,28 ,,NW,,,,,,"$1,357.45",$0.00,1,1,1,1,1,1,20080101L5818,HCPCS,Endo knee-shin frct swg & st,,,28 ,,NW,,,,,,"$1,539.78",$0.00,1,1,1,1,1,1,20080101L5822,HCPCS,Endo knee-shin pneum swg frc,,,28 ,,NW,,,,,,"$2,772.02",$0.00,1,1,1,1,1,1,20080101L5824,HCPCS,Endo knee-shin fluid swing p,,,28 ,,NW,,,,,,"$2,491.03",$0.00,1,1,1,1,1,1,20080101L5826,HCPCS,Miniature knee joint,,,28 ,,NW,,,,,,"$4,631.74",$0.00,1,1,1,1,1,1,20080101L5828,HCPCS,Endo knee-shin fluid swg/sta,,,28 ,,NW,,,,,,"$4,632.33",$0.00,1,1,1,1,1,1,20080101L5830,HCPCS,Endo knee-shin pneum/swg pha,,,28 ,,NW,,,,,,"$3,095.02",$0.00,1,1,1,1,1,1,20080101L5840,HCPCS,Multi-axial knee/shin system,,,28 ,,NW,,,,,,"$5,570.67",$0.00,1,1,1,1,1,1,20080101L5845,HCPCS,Knee-shin sys stance flexion,,,28 ,,NW,,,,,,"$2,618.65",$0.00,1,1,1,1,1,1,20080101L5848,HCPCS,Knee-shin sys hydraul stance,,,28 ,,NW,,,,,,"$1,549.52",$0.00,1,1,1,1,1,1,20080101L5850,HCPCS,Endo ak/hip knee extens assi,,,28 ,,NW,,,,,,$188.65,$0.00,1,1,1,1,1,1,20080101L5855,HCPCS,Mech hip extension assist,,,28 ,,NW,,,,,,$458.68,$0.00,1,1,1,1,1,1,20080101L5856,HCPCS,Elec knee-shin swing/stance,,,28 ,,NW,,,,,,"$27,752.57",$0.00,1,1,1,0,1,1,20080101L5857,HCPCS,Elec knee-shin swing only,,,28 ,,NW,,,,,,"$9,873.54",$0.00,1,1,1,0,1,1,20080101L5910,HCPCS,Endo below knee alignable sy,,,28 ,,NW,,,,,,$547.19,$0.00,1,1,1,1,1,1,20080101L5920,HCPCS,Endo ak/hip alignable system,,,28 ,,NW,,,,,,$826.64,$0.00,1,1,1,1,1,1,20080101L5925,HCPCS,Above knee manual lock,,,28 ,,NW,,,,,,$503.76,$0.00,1,1,1,1,1,1,20080101L5930,HCPCS,High activity knee frame,,,28 ,,NW,,,,,,"$4,997.02",$0.00,1,1,1,1,1,1,20080101L5940,HCPCS,Endo bk ultra-light material,,,28 ,,NW,,,,,,$778.57,$0.00,1,1,1,1,1,1,20080101L5950,HCPCS,Endo ak ultra-light material,,,28 ,,NW,,,,,,"$1,237.25",$0.00,1,1,1,1,1,1,20080101L5960,HCPCS,Endo hip ultra-light materia,,,28 ,,NW,,,,,,"$1,545.95",$0.00,1,1,1,1,1,1,20080101L5962,HCPCS,Below knee flex cover system,,,28 ,,NW,,,,,,$921.60,$0.00,1,1,1,1,1,1,20080101L5964,HCPCS,Above knee flex cover system,,,28 ,,NW,,,,,,"$1,500.29",$0.00,1,1,1,1,1,1,20080101L5966,HCPCS,Hip flexible cover system,,,28 ,,NW,,,,,,"$1,926.49",$0.00,1,1,1,1,1,1,20080101L5968,HCPCS,Multiaxial ankle w dorsiflex,,,28 ,,NW,,,,,,"$5,364.46",$0.00,1,1,1,1,1,1,20080101L5970,HCPCS,Foot external keel sach foot,,,28 ,,NW,,,,,,$297.76,$0.00,1,1,1,1,1,1,20080101L5972,HCPCS,Flexible keel foot,,,28 ,,NW,,,,,,$531.01,$0.00,1,1,1,1,1,1,20080101L5974,HCPCS,Foot single axis ankle/foot,,,28 ,,NW,,,,,,$341.22,$0.00,1,1,1,1,1,1,20080101L5975,HCPCS,Combo ankle/foot prosthesis,,,28 ,,NW,,,,,,$637.42,$0.00,1,1,1,1,1,1,20080101L5976,HCPCS,Energy storing foot,,,28 ,,NW,,,,,,$875.50,$0.00,1,1,1,1,1,1,20080101L5978,HCPCS,Ft prosth multiaxial ankl/ft,,,28 ,,NW,,,,,,$430.46,$0.00,1,1,1,1,1,1,20080101L5979,HCPCS,Multi-axial ankle/ft prosth,,,28 ,,NW,,,,,,"$3,732.61",$0.00,1,1,1,1,1,1,20080101L5980,HCPCS,Flex foot system,,,28 ,,NW,,,,,,"$6,098.89",$0.00,1,1,1,1,1,1,20080101L5981,HCPCS,Flex-walk sys low ext prosth,,,28 ,,NW,,,,,,"$4,725.65",$0.00,1,1,1,1,1,1,20080101L5982,HCPCS,Exoskeletal axial rotation u,,,28 ,,NW,,,,,,$905.53,$0.00,1,1,1,1,1,1,20080101L5984,HCPCS,Endoskeletal axial rotation,,,28 ,,NW,,,,,,$891.52,$0.00,1,1,1,1,1,1,20080101L5985,HCPCS,Lwr ext dynamic prosth pylon,,,28 ,,NW,,,,,,$373.63,$0.00,1,1,1,1,1,1,20080101L5986,HCPCS,Multi-axial rotation unit,,,28 ,,NW,,,,,,$997.74,$0.00,1,1,1,1,1,1,20080101L5987,HCPCS,Shank ft w vert load pylon,,,28 ,,NW,,,,,,"$10,672.26",$0.00,1,1,1,1,1,1,20080101L5988,HCPCS,Vertical shock reducing pylo,,,28 ,,NW,,,,,,"$2,924.80",$0.00,1,1,1,1,1,1,20080101L5990,HCPCS,User adjustable heel height,,,28 ,,NW,,,,,,"$2,651.21",$0.00,1,1,1,1,1,1,20080101L5995,HCPCS,Lower ext pros heavyduty fea,,,28 ,,NW,,,,,,$557.25,$0.00,1,1,1,0,1,1,20080101L5999,HCPCS,Lowr extremity prosthes NOS,,,28 ,,NW,,,,,,$278.50,$0.00,1,1,1,1,1,1,20080101L6000,HCPCS,Par hand robin-aids thum rem,,,28 ,,NW,,,,,,"$2,151.07",$0.00,1,1,1,1,1,1,20080101L6010,HCPCS,Hand robin-aids little/ring,,,28 ,,NW,,,,,,"$2,399.85",$0.00,1,1,1,1,1,1,20080101L6020,HCPCS,Part hand robin-aids no fing,,,28 ,,NW,,,,,,"$2,233.85",$0.00,1,1,1,1,1,1,20080101L6025,HCPCS,Part hand disart myoelectric,,,28 ,,NW,,,,,,"$11,877.96",$0.00,1,1,1,1,1,1,20080101L6050,HCPCS,Wrst MLd sck flx hng tri pad,,,28 ,,NW,,,,,,"$3,098.47",$0.00,1,1,1,1,1,1,20080101L6055,HCPCS,Wrst mold sock w/exp interfa,,,28 ,,NW,,,,,,"$4,339.68",$0.00,1,1,1,1,1,1,20080101L6100,HCPCS,Elb mold sock flex hinge pad,,,28 ,,NW,,,,,,"$3,139.94",$0.00,1,1,1,1,1,1,20080101L6110,HCPCS,Elbow mold sock suspension t,,,28 ,,NW,,,,,,"$3,333.70",$0.00,1,1,1,1,1,1,20080101L6120,HCPCS,Elbow mold doub splt soc ste,,,28 ,,NW,,,,,,"$3,893.86",$0.00,1,1,1,1,1,1,20080101L6130,HCPCS,Elbow stump activated lock h,,,28 ,,NW,,,,,,"$4,242.00",$0.00,1,1,1,1,1,1,20080101L6200,HCPCS,Elbow mold outsid lock hinge,,,28 ,,NW,,,,,,"$4,473.26",$0.00,1,1,1,1,1,1,20080101L6205,HCPCS,Elbow molded w/ expand inter,,,28 ,,NW,,,,,,"$5,989.13",$0.00,1,1,1,1,1,1,20080101L6250,HCPCS,Elbow inter loc elbow forarm,,,28 ,,NW,,,,,,"$4,402.35",$0.00,1,1,1,1,1,1,20080101L6300,HCPCS,Shlder disart int lock elbow,,,28 ,,NW,,,,,,"$6,128.62",$0.00,1,1,1,1,1,1,20080101L6310,HCPCS,Shoulder passive restor comp,,,28 ,,NW,,,,,,"$4,981.90",$0.00,1,1,1,1,1,1,20080101L6320,HCPCS,Shoulder passive restor cap,,,28 ,,NW,,,,,,"$2,782.05",$0.00,1,1,1,1,1,1,20080101L6350,HCPCS,Thoracic intern lock elbow,,,28 ,,NW,,,,,,"$6,446.07",$0.00,1,1,1,1,1,1,20080101L6360,HCPCS,Thoracic passive restor comp,,,28 ,,NW,,,,,,"$5,231.78",$0.00,1,1,1,1,1,1,20080101L6370,HCPCS,Thoracic passive restor cap,,,28 ,,NW,,,,,,"$3,316.63",$0.00,1,1,1,1,1,1,20080101L6380,HCPCS,Postop dsg cast chg wrst/elb,,,28 ,,NW,,,,,,"$1,854.98",$0.00,1,1,1,1,1,1,20080101L6382,HCPCS,Postop dsg cast chg elb dis/,,,28 ,,NW,,,,,,"$2,403.27",$0.00,1,1,1,1,1,1,20080101L6384,HCPCS,Postop dsg cast chg shlder/t,,,28 ,,NW,,,,,,"$3,110.08",$0.00,1,1,1,1,1,1,20080101L6386,HCPCS,Postop ea cast chg & realign,,,28 ,,NW,,,,,,$612.59,$0.00,1,1,1,1,1,1,20080101L6388,HCPCS,Postop applicat rigid dsg on,,,28 ,,NW,,,,,,$675.72,$0.00,1,1,1,1,1,1,20080101L6400,HCPCS,Below elbow prosth tiss shap,,,28 ,,NW,,,,,,"$3,796.72",$0.00,1,1,1,1,1,1,20080101L6450,HCPCS,Elb disart prosth tiss shap,,,28 ,,NW,,,,,,"$5,062.36",$0.00,1,1,1,1,1,1,20080101L6500,HCPCS,Above elbow prosth tiss shap,,,28 ,,NW,,,,,,"$5,066.56",$0.00,1,1,1,1,1,1,20080101L6550,HCPCS,Shldr disar prosth tiss shap,,,28 ,,NW,,,,,,"$6,274.03",$0.00,1,1,1,1,1,1,20080101L6570,HCPCS,Scap thorac prosth tiss shap,,,28 ,,NW,,,,,,"$7,209.33",$0.00,1,1,1,1,1,1,20080101L6580,HCPCS,Wrist/elbow bowden cable mol,,,28 ,,NW,,,,,,"$2,540.14",$0.00,1,1,1,1,1,1,20080101L6582,HCPCS,Wrist/elbow bowden cbl dir f,,,28 ,,NW,,,,,,"$2,230.08",$0.00,1,1,1,1,1,1,20080101L6584,HCPCS,Elbow fair lead cable molded,,,28 ,,NW,,,,,,"$3,342.72",$0.00,1,1,1,1,1,1,20080101L6586,HCPCS,Elbow fair lead cable dir fo,,,28 ,,NW,,,,,,"$3,071.60",$0.00,1,1,1,1,1,1,20080101L6588,HCPCS,Shdr fair lead cable molded,,,28 ,,NW,,,,,,"$4,636.60",$0.00,1,1,1,1,1,1,20080101L6590,HCPCS,Shdr fair lead cable direct,,,28 ,,NW,,,,,,"$4,312.01",$0.00,1,1,1,1,1,1,20080101L6600,HCPCS,Polycentric hinge pair,,,28 ,,NW,,,,,,$275.23,$0.00,1,1,1,1,1,1,20080101L6605,HCPCS,Single pivot hinge pair,,,28 ,,NW,,,,,,$271.80,$0.00,1,1,1,1,1,1,20080101L6610,HCPCS,Flexible metal hinge pair,,,28 ,,NW,,,,,,$244.62,$0.00,1,1,1,1,1,1,20080101L6615,HCPCS,Disconnect locking wrist uni,,,28 ,,NW,,,,,,$255.13,$0.00,1,1,1,1,1,1,20080101L6616,HCPCS,Disconnect insert locking wr,,,28 ,,NW,,,,,,$97.06,$0.00,1,1,1,1,1,1,20080101L6620,HCPCS,Flexion/extension wrist unit,,,28 ,,NW,,,,,,$449.34,$0.00,1,1,1,1,1,1,20080101L6623,HCPCS,Spring-ass rot wrst w/ latch,,,28 ,,NW,,,,,,"$1,010.66",$0.00,1,1,1,1,1,1,20080101L6625,HCPCS,Rotation wrst w/ cable lock,,,28 ,,NW,,,,,,$828.78,$0.00,1,1,1,1,1,1,20080101L6628,HCPCS,Quick disconn hook adapter o,,,28 ,,NW,,,,,,$741.14,$0.00,1,1,1,1,1,1,20080101L6629,HCPCS,Lamination collar w/ couplin,,,28 ,,NW,,,,,,$215.32,$0.00,1,1,1,1,1,1,20080101L6630,HCPCS,Stainless steel any wrist,,,28 ,,NW,,,,,,$315.80,$0.00,1,1,1,1,1,1,20080101L6632,HCPCS,Latex suspension sleeve each,,,28 ,,NW,,,,,,$97.22,$0.00,1,1,1,1,1,1,20080101L6635,HCPCS,Lift assist for elbow,,,28 ,,NW,,,,,,$258.62,$0.00,1,1,1,1,1,1,20080101L6637,HCPCS,Nudge control elbow lock,,,28 ,,NW,,,,,,$555.53,$0.00,1,1,1,1,1,1,20080101L6638,HCPCS,Elec lock on manual pw elbow,,,28 ,,NW,,,,,,"$3,674.86",$0.00,1,1,1,1,1,1,20080101L6640,HCPCS,Shoulder abduction joint pai,,,28 ,,NW,,,,,,$411.02,$0.00,1,1,1,1,1,1,20080101L6641,HCPCS,Excursion amplifier pulley t,,,28 ,,NW,,,,,,$235.81,$0.00,1,1,1,1,1,1,20080101L6642,HCPCS,Excursion amplifier lever ty,,,28 ,,NW,,,,,,$318.61,$0.00,1,1,1,1,1,1,20080101L6645,HCPCS,Shoulder flexion-abduction j,,,28 ,,NW,,,,,,$475.93,$0.00,1,1,1,1,1,1,20080101L6646,HCPCS,Multipo locking shoulder jnt,,,28 ,,NW,,,,,,"$4,648.87",$0.00,1,1,1,1,1,1,20080101L6647,HCPCS,Shoulder lock actuator,,,28 ,,NW,,,,,,$720.38,$0.00,1,1,1,1,1,1,20080101L6648,HCPCS,Ext pwrd shlder lock/unlock,,,28 ,,NW,,,,,,"$4,796.33",$0.00,1,1,1,1,1,1,20080101L6650,HCPCS,Shoulder universal joint,,,28 ,,NW,,,,,,$507.87,$0.00,1,1,1,1,1,1,20080101L6655,HCPCS,Standard control cable extra,,,28 ,,NW,,,,,,$111.97,$0.00,1,1,1,1,1,1,20080101L6660,HCPCS,Heavy duty control cable,,,28 ,,NW,,,,,,$136.16,$0.00,1,1,1,1,1,1,20080101L6665,HCPCS,Teflon or equal cable lining,,,28 ,,NW,,,,,,$69.75,$0.00,1,1,1,1,1,1,20080101L6670,HCPCS,Hook to hand cable adapter,,,28 ,,NW,,,,,,$72.52,$0.00,1,1,1,1,1,1,20080101L6672,HCPCS,Harness chest/shlder saddle,,,28 ,,NW,,,,,,$247.71,$0.00,1,1,1,1,1,1,20080101L6675,HCPCS,Harness figure of 8 sing con,,,28 ,,NW,,,,,,$177.25,$0.00,1,1,1,1,1,1,20080101L6676,HCPCS,Harness figure of 8 dual con,,,28 ,,NW,,,,,,$178.97,$0.00,1,1,1,1,1,1,20080101L6680,HCPCS,Test sock wrist disart/bel e,,,28 ,,NW,,,,,,$339.77,$0.00,1,1,1,1,1,1,20080101L6682,HCPCS,Test sock elbw disart/above,,,28 ,,NW,,,,,,$375.31,$0.00,1,1,1,1,1,1,20080101L6684,HCPCS,Test socket shldr disart/tho,,,28 ,,NW,,,,,,$524.62,$0.00,1,1,1,1,1,1,20080101L6686,HCPCS,Suction socket,,,28 ,,NW,,,,,,$925.85,$0.00,1,1,1,1,1,1,20080101L6687,HCPCS,Frame typ socket bel elbow/w,,,28 ,,NW,,,,,,$903.36,$0.00,1,1,1,1,1,1,20080101L6688,HCPCS,Frame typ sock above elb/dis,,,28 ,,NW,,,,,,$825.25,$0.00,1,1,1,1,1,1,20080101L6689,HCPCS,Frame typ socket shoulder di,,,28 ,,NW,,,,,,"$1,064.32",$0.00,1,1,1,1,1,1,20080101L6690,HCPCS,Frame typ sock interscap-tho,,,28 ,,NW,,,,,,"$1,087.24",$0.00,1,1,1,1,1,1,20080101L6691,HCPCS,Removable insert each,,,28 ,,NW,,,,,,$519.00,$0.00,1,1,1,1,1,1,20080101L6692,HCPCS,Silicone gel insert or equal,,,28 ,,NW,,,,,,$874.19,$0.00,1,1,1,1,1,1,20080101L6693,HCPCS,Lockingelbow forearm cntrbal,,,28 ,,NW,,,,,,"$4,179.23",$0.00,1,1,1,1,1,1,20080101L6805,HCPCS,Modifier wrist flexion unit,,,28 ,,NW,,,,,,$510.78,$0.00,1,1,1,1,1,1,20080101L6810,HCPCS,Pincher tool otto bock or eq,,,28 ,,NW,,,,,,$273.72,$0.00,1,1,1,1,1,1,20080101L6881,HCPCS,Autograsp feature ul term dv,,,28 ,,NW,,,,,,"$6,041.88",$0.00,1,1,1,1,1,1,20080101L6882,HCPCS,Microprocessor control uplmb,,,28 ,,NW,,,,,,"$4,570.06",$0.00,1,1,1,1,1,1,20080101L6890,HCPCS,Production glove,,,28 ,,NW,,,,,,$249.84,$0.00,1,1,1,1,1,1,20080101L6895,HCPCS,Custom glove,,,28 ,,NW,,,,,,$872.79,$0.00,1,1,1,1,1,1,20080101L6900,HCPCS,Hand restorat thumb/1 finger,,,28 ,,NW,,,,,,"$2,452.71",$0.00,1,1,1,1,1,1,20080101L6905,HCPCS,Hand restoration multiple fi,,,28 ,,NW,,,,,,"$2,382.58",$0.00,1,1,1,1,1,1,20080101L6910,HCPCS,Hand restoration no fingers,,,28 ,,NW,,,,,,"$2,319.74",$0.00,1,1,1,1,1,1,20080101L6915,HCPCS,Hand restoration replacmnt g,,,28 ,,NW,,,,,,$985.04,$0.00,1,1,1,1,1,1,20080101L6920,HCPCS,Wrist disarticul switch ctrl,,,28 ,,NW,,,,,,"$11,020.81",$0.00,1,1,1,1,1,1,20080101L6925,HCPCS,Wrist disart myoelectronic c,,,28 ,,NW,,,,,,"$12,731.67",$0.00,1,1,1,1,1,1,20080101L6930,HCPCS,Below elbow switch control,,,28 ,,NW,,,,,,"$11,089.48",$0.00,1,1,1,1,1,1,20080101L6935,HCPCS,Below elbow myoelectronic ct,,,28 ,,NW,,,,,,"$12,971.02",$0.00,1,1,1,1,1,1,20080101L6940,HCPCS,Elbow disarticulation switch,,,28 ,,NW,,,,,,"$14,505.62",$0.00,1,1,1,1,1,1,20080101L6945,HCPCS,Elbow disart myoelectronic c,,,28 ,,NW,,,,,,"$16,884.39",$0.00,1,1,1,1,1,1,20080101L6950,HCPCS,Above elbow switch control,,,28 ,,NW,,,,,,"$16,495.04",$0.00,1,1,1,1,1,1,20080101L6955,HCPCS,Above elbow myoelectronic ct,,,28 ,,NW,,,,,,"$19,765.68",$0.00,1,1,1,1,1,1,20080101L6960,HCPCS,Shldr disartic switch contro,,,28 ,,NW,,,,,,"$19,935.63",$0.00,1,1,1,1,1,1,20080101L6965,HCPCS,Shldr disartic myoelectronic,,,28 ,,NW,,,,,,"$23,464.71",$0.00,1,1,1,1,1,1,20080101L6970,HCPCS,Interscapular-thor switch ct,,,28 ,,NW,,,,,,"$24,148.92",$0.00,1,1,1,1,1,1,20080101L6975,HCPCS,Interscap-thor myoelectronic,,,28 ,,NW,,,,,,"$26,464.72",$0.00,1,1,1,1,1,1,20080101L7040,HCPCS,Prehensile actuator hosmer s,,,28 ,,NW,,,,,,"$4,624.43",$0.00,1,1,1,1,1,1,20080101L7045,HCPCS,Electron hook child michigan,,,28 ,,NW,,,,,,"$2,628.38",$0.00,1,1,1,1,1,1,20080101L7170,HCPCS,Electronic elbow hosmer swit,,,28 ,,NW,,,,,,"$9,676.29",$0.00,1,1,1,1,1,1,20080101L7180,HCPCS,Electronic elbow utah myoele,,,28 ,,NW,,,,,,"$54,155.11",$0.00,1,1,1,1,1,1,20080101L7185,HCPCS,Electron elbow adolescent sw,,,28 ,,NW,,,,,,"$9,799.22",$0.00,1,1,1,1,1,1,20080101L7186,HCPCS,Electron elbow child switch,,,28 ,,NW,,,,,,"$14,624.81",$0.00,1,1,1,1,1,1,20080101L7190,HCPCS,Elbow adolescent myoelectron,,,28 ,,NW,,,,,,"$12,482.31",$0.00,1,1,1,1,1,1,20080101L7191,HCPCS,Elbow child myoelectronic ct,,,28 ,,NW,,,,,,"$15,284.48",$0.00,1,1,1,1,1,1,20080101L7260,HCPCS,Electron wrist rotator otto,,,28 ,,NW,,,,,,"$3,211.98",$0.00,1,1,1,1,1,1,20080101L7261,HCPCS,Electron wrist rotator utah,,,28 ,,NW,,,,,,"$5,891.21",$0.00,1,1,1,1,1,1,20080101L7266,HCPCS,Servo control steeper or equ,,,28 ,,NW,,,,,,"$1,589.15",$0.00,1,1,1,1,1,1,20080101L7272,HCPCS,Analogue control unb or equa,,,28 ,,NW,,,,,,"$3,296.18",$0.00,1,1,1,1,1,1,20080101L7274,HCPCS,Proportional ctl 12 volt uta,,,28 ,,NW,,,,,,"$9,477.30",$0.00,1,1,1,1,1,1,20080101L7360,HCPCS,Six volt bat otto bock/eq ea,,,28 ,,NW,,,,,,$333.05,$0.00,1,1,1,1,1,1,20080101L7362,HCPCS,Battery chrgr six volt otto,,,28 ,,NW,,,,,,$366.67,$0.00,1,1,1,1,1,1,20080101L7364,HCPCS,Twelve volt battery utah/equ,,,28 ,,NW,,,,,,$607.43,$0.00,1,1,1,1,1,1,20080101L7366,HCPCS,Battery chrgr 12 volt utah/e,,,28 ,,NW,,,,,,$836.92,$0.00,1,1,1,1,1,1,20080101L7367,HCPCS,Replacemnt lithium ionbatter,,,28 ,,NW,,,,,,$526.69,$0.00,1,1,1,1,1,1,20080101L7368,HCPCS,Lithium ion battery charger,,,28 ,,NW,,,,,,$698.70,$0.00,1,1,1,1,1,1,20080101L7499,HCPCS,Upper extremity prosthes NOS,,,28 ,,NW,,,,,,$177.10,$0.00,1,1,1,1,1,1,20080101L7500,HCPCS,Prosthetic dvc repair hourly,,,28 ,,NW,,,,,,$126.43,$0.00,1,1,1,1,1,1,20080101L7510,HCPCS,Prosthetic device repair rep,,,28 ,,NW,,,,,,$37.63,$0.00,1,1,1,1,1,1,20080101L7520,HCPCS,Repair prosthesis per 15 min,,,28 ,,NW,,,,,,$40.42,$0.00,1,1,1,1,1,1,20080101L7900,HCPCS,Male vacuum erection system,,,28 ,,NW,,,,,,$745.82,$0.00,1,1,1,1,1,1,20080101L8000,HCPCS,Mastectomy bra,,,28 ,,NW,,,,,,$55.91,$0.00,1,1,1,1,1,1,20080101L8001,HCPCS,Breast prosthesis bra & form,,,28 ,,NW,,,,,,$166.52,$0.00,1,1,1,1,1,1,20080101L8002,HCPCS,Brst prsth bra & bilat form,,,28 ,,NW,,,,,,$218.11,$0.00,1,1,1,1,1,1,20080101L8010,HCPCS,Mastectomy sleeve,,,28 ,,NW,,,,,,$76.71,$0.00,1,1,1,1,1,1,20080101L8015,HCPCS,Ext breastprosthesis garment,,,28 ,,NW,,,,,,$81.27,$0.00,1,1,1,1,1,1,20080101L8020,HCPCS,Mastectomy form,,,28 ,,NW,,,,,,$294.16,$0.00,1,1,1,1,1,1,20080101L8030,HCPCS,Breast prosthesis silicone/e,,,28 ,,NW,,,,,,$469.71,$0.00,1,1,1,1,1,1,20080101L8035,HCPCS,Custom breast prosthesis,,,28 ,,NW,,,,,,"$5,408.74",$0.00,1,1,1,1,1,1,20080101L8039,HCPCS,Breast prosthesis NOS,,,28 ,,NW,,,,,,$304.09,$0.00,1,1,1,1,1,1,20080101L8040,HCPCS,Nasal prosthesis,KM,,28 ,,NW,,,,,,"$3,454.46",$0.00,1,1,1,1,1,1,20080101L8040,HCPCS,Nasal prosthesis,KN,,28 ,,NW,,,,,,"$1,423.36",$0.00,1,1,1,1,1,1,20080101L8041,HCPCS,Midfacial prosthesis,KM,,28 ,,NW,,,,,,"$4,174.84",$0.00,1,1,1,1,1,1,20080101L8041,HCPCS,Midfacial prosthesis,KN,,28 ,,NW,,,,,,"$1,726.68",$0.00,1,1,1,1,1,1,20080101L8042,HCPCS,Orbital prosthesis,KM,,28 ,,NW,,,,,,"$4,697.45",$0.00,1,1,1,1,1,1,20080101L8042,HCPCS,Orbital prosthesis,KN,,28 ,,NW,,,,,,"$1,946.72",$0.00,1,1,1,1,1,1,20080101L8043,HCPCS,Upper facial prosthesis,KM,,28 ,,NW,,,,,,"$5,267.63",$0.00,1,1,1,1,1,1,20080101L8043,HCPCS,Upper facial prosthesis,KN,,28 ,,NW,,,,,,"$2,186.78",$0.00,1,1,1,1,1,1,20080101L8044,HCPCS,Hemi-facial prosthesis,KM,,28 ,,NW,,,,,,"$5,837.79",$0.00,1,1,1,1,1,1,20080101L8044,HCPCS,Hemi-facial prosthesis,KN,,28 ,,NW,,,,,,"$2,426.85",$0.00,1,1,1,1,1,1,20080101L8045,HCPCS,Auricular prosthesis,KM,,28 ,,NW,,,,,,"$3,822.86",$0.00,1,1,1,1,1,1,20080101L8045,HCPCS,Auricular prosthesis,KN,,28 ,,NW,,,,,,"$1,578.49",$0.00,1,1,1,1,1,1,20080101L8046,HCPCS,Partial facial prosthesis,KM,,28 ,,NW,,,,,,"$3,747.22",$0.00,1,1,1,1,1,1,20080101L8046,HCPCS,Partial facial prosthesis,KN,,28 ,,NW,,,,,,"$1,546.63",$0.00,1,1,1,1,1,1,20080101L8047,HCPCS,Nasal septal prosthesis,KM,,28 ,,NW,,,,,,"$1,894.23",$0.00,1,1,1,1,1,1,20080101L8047,HCPCS,Nasal septal prosthesis,KN,,28 ,,NW,,,,,,$766.42,$0.00,1,1,1,1,1,1,20080101L8048,HCPCS,Unspec maxillofacial prosth,,,28 ,,NW,,,,,,$37.04,$0.00,1,1,1,0,1,1,20080101L8049,HCPCS,Repair maxillofacial prosth,,,28 ,,NW,,,,,,$47.68,$0.00,1,1,1,1,1,1,20080101L8300,HCPCS,Truss single w/ standard pad,,,28 ,,NW,,,,,,$125.38,$0.00,1,1,1,1,1,1,20080101L8310,HCPCS,Truss double w/ standard pad,,,28 ,,NW,,,,,,$196.26,$0.00,1,1,1,1,1,1,20080101L8320,HCPCS,Truss addition to std pad wa,,,28 ,,NW,,,,,,$80.50,$0.00,1,1,1,1,1,1,20080101L8330,HCPCS,Truss add to std pad scrotal,,,28 ,,NW,,,,,,$74.59,$0.00,1,1,1,1,1,1,20080101L8400,HCPCS,Sheath below knee,,,28 ,,NW,,,,,,$25.74,$0.00,1,1,1,1,1,1,20080101L8410,HCPCS,Sheath above knee,,,28 ,,NW,,,,,,$32.98,$0.00,1,1,1,1,1,1,20080101L8415,HCPCS,Sheath upper limb,,,28 ,,NW,,,,,,$34.01,$0.00,1,1,1,1,1,1,20080101L8417,HCPCS,Pros sheath/sock w gel cushn,,,28 ,,NW,,,,,,$100.97,$0.00,1,1,1,1,1,1,20080101L8420,HCPCS,Prosthetic sock multi ply BK,,,28 ,,NW,,,,,,$31.13,$0.00,1,1,1,1,1,1,20080101L8430,HCPCS,Prosthetic sock multi ply AK,,,28 ,,NW,,,,,,$35.04,$0.00,1,1,1,1,1,1,20080101L8435,HCPCS,Pros sock multi ply upper lm,,,28 ,,NW,,,,,,$33.43,$0.00,1,1,1,1,1,1,20080101L8440,HCPCS,Shrinker below knee,,,28 ,,NW,,,,,,$63.62,$0.00,1,1,1,1,1,1,20080101L8460,HCPCS,Shrinker above knee,,,28 ,,NW,,,,,,$99.66,$0.00,1,1,1,1,1,1,20080101L8465,HCPCS,Shrinker upper limb,,,28 ,,NW,,,,,,$73.71,$0.00,1,1,1,1,1,1,20080101L8470,HCPCS,Pros sock single ply BK,,,28 ,,NW,,,,,,$11.80,$0.00,1,1,1,1,1,1,20080101L8480,HCPCS,Pros sock single ply AK,,,28 ,,NW,,,,,,$16.26,$0.00,1,1,1,1,1,1,20080101L8485,HCPCS,Pros sock single ply upper l,,,28 ,,NW,,,,,,$19.04,$0.00,1,1,1,1,1,1,20080101L8499,HCPCS,Unlisted misc prosthetic ser,,,28 ,,NW,,,,,,$61.26,$0.00,1,1,1,1,1,1,20080101L8500,HCPCS,Artificial larynx,,,28 ,,NW,,,,,,"$1,041.35",$0.00,1,1,1,1,1,1,20080101L8501,HCPCS,Tracheostomy speaking valve,,,28 ,,NW,,,,,,$178.28,$0.00,1,1,1,1,1,1,20080101L8505,HCPCS,"Artificial larynx, accessory",,,28 ,,NW,,,,,,$35.43,$0.00,1,1,1,1,1,1,20080101L8507,HCPCS,Trach-esoph voice pros pt in,,,28 ,,NW,,,,,,$57.54,$0.00,1,1,1,1,1,1,20080101L8509,HCPCS,Trach-esoph voice pros md in,,,28 ,,NW,,,,,,$145.36,$0.00,1,1,1,1,1,1,20080101L8510,HCPCS,Voice amplifier,,,28 ,,NW,,,,,,$332.55,$0.00,1,1,1,1,1,1,20080101L8511,HCPCS,Indwelling trach insert,,,28 ,,NW,,,,,,$83.98,$0.00,1,1,1,0,1,1,20080101L8512,HCPCS,Gel cap for trach voice pros,,,28 ,,NW,,,,,,$2.52,$0.00,1,1,1,0,1,1,20080101L8513,HCPCS,Trach pros cleaning device,,,28 ,,NW,,,,,,$6.00,$0.00,1,1,1,0,1,1,20080101L8514,HCPCS,Repl trach puncture dilator,,,28 ,,NW,,,,,,$108.88,$0.00,1,1,1,0,1,1,20080101L8515,HCPCS,Gel cap app device for trach,,,28 ,,NW,,,,,,$72.88,$0.00,1,1,1,0,1,1,20080101L8600,HCPCS,Implant breast silicone/eq,,,28 ,,NW,,,,,,$982.43,$0.00,1,1,1,1,1,1,20080101L8603,HCPCS,Collagen imp urinary 2.5 ml,,,28 ,,NW,,,,,,$765.22,$0.00,1,1,1,1,1,1,20080101L8606,HCPCS,Synthetic implnt urinary 1ml,,,28 ,,NW,,,,,,$383.84,$0.00,1,1,1,1,1,1,20080101L8610,HCPCS,Ocular implant,,,28 ,,NW,,,,,,$917.47,$0.00,1,1,1,1,1,1,20080101L8612,HCPCS,Aqueous shunt prosthesis,,,28 ,,NW,,,,,,$955.17,$0.00,1,1,1,1,1,1,20080101L8613,HCPCS,Ossicular implant,,,28 ,,NW,,,,,,$376.22,$0.00,1,1,1,1,1,1,20080101L8614,HCPCS,Cochlear device/system,,,28 ,,NW,,,,,,"$28,786.15",$0.00,1,1,1,1,1,1,20080101L8615,HCPCS,Coch implant headset replace,,,28 ,,NW,,,,,,$520.80,$0.00,1,1,1,0,1,1,20080101L8616,HCPCS,Coch implant microphone repl,,,28 ,,NW,,,,,,$121.30,$0.00,1,1,1,0,1,1,20080101L8617,HCPCS,Coch implant trans coil repl,,,28 ,,NW,,,,,,$105.95,$0.00,1,1,1,0,1,1,20080101L8618,HCPCS,Coch implant tran cable repl,,,28 ,,NW,,,,,,$30.27,$0.00,1,1,1,0,1,1,20080101L8619,HCPCS,Replace cochlear processor,,,28 ,,NW,,,,,,"$12,325.44",$0.00,1,1,1,1,1,1,20080101L8621,HCPCS,Repl zinc air battery,,,28 ,,NW,,,,,,$0.73,$0.00,1,1,1,0,1,1,20080101L8622,HCPCS,Repl alkaline battery,,,28 ,,NW,,,,,,$0.40,$0.00,1,1,1,0,1,1,20080101L8623,HCPCS,"Lith ion batt CID,non-earlvl", ,,28 ,,NW,,,,,,$97.26,$0.00,1,1,1,1,1,1,20080101L8624,HCPCS,"Lith ion batt CID, ear level", ,,28 ,,NW,,,,,,$242.45,$0.00,1,1,1,1,1,1,20080101L8630,HCPCS,Metacarpophalangeal implant,,,28 ,,NW,,,,,,$505.25,$0.00,1,1,1,1,1,1,20080101L8631,HCPCS,MCP joint repl 2 pc or more,,,28 ,,NW,,,,,,"$3,227.40",$0.00,1,1,1,1,1,1,20080101L8641,HCPCS,Metatarsal joint implant,,,28 ,,NW,,,,,,$527.06,$0.00,1,1,1,1,1,1,20080101L8642,HCPCS,Hallux implant,,,28 ,,NW,,,,,,$417.34,$0.00,1,1,1,1,1,1,20080101L8658,HCPCS,Interphalangeal joint spacer,,,28 ,,NW,,,,,,$452.66,$0.00,1,1,1,1,1,1,20080101L8659,HCPCS,Interphalangeal joint repl,,,28 ,,NW,,,,,,"$2,824.11",$0.00,1,1,1,1,1,1,20080101,,L8670,HCPCS,"Vascular graft, synthetic",,,28 ,,NW,,,,,,$777.52,$0.00,1,1,1,1,1,1,20080101,,L8680,HCPCS,Implt neurostim elctr each, ,,28 ,,NW,,,,,,$698.46,$0.00,1,1,1,1,1,1,20080101,,L8690,HCPCS,"Aud osseo dev, int/ext comp", ,,28 ,,NW,,,,,,"$7,152.44",$0.00,1,1,1,1,1,1,20080101,,L8699,HCPCS,Prosthetic implant NOS,,,28 ,,NW,,,,,,$384.18,$0.00,1,1,1,1,1,1,20080101,,L9900,HCPCS,O&P supply/accessory/service,,,28 ,,NW,,,,,,$55.07,$0.00,1,1,1,1,1,1,20080101,,M0064,HCPCS,Visit for drug monitoring,,,16 ,,RBRVS,0.37 ,0.07 ,0.91 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,M0076,HCPCS,Prolotherapy,,,14 ,,TotalUnits,,,,2.08 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,M0300,HCPCS,IV chelationtherapy,,,4 ,,TotalUnits,,,,0.94 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P2038,HCPCS,Blood mucoprotein,,,17 ,,TotalUnits,,,,0.23 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P3000,HCPCS,Screen pap by tech w md supv,,,17 ,,TotalUnits,,,,0.49 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P3001,HCPCS,Screening pap smear by phys,,,17 ,,RBRVS,0.42 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101,,P7001,HCPCS,Culture bacterial urine,,,17 ,,TotalUnits,,,,0.48 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9010,HCPCS,Whole blood for transfusion,,,14 ,,TotalUnits,,,,1.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9011,HCPCS,Blood split unit,,,14 ,,TotalUnits,,,,2.02 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9016,HCPCS,RBC leukocytes reduced,,,14 ,,TotalUnits,,,,3.03 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9019,HCPCS,"Platelets, each unit",,,14 ,,TotalUnits,,,,0.93 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9020,HCPCS,Plaelet rich plasma unit,,,14 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9021,HCPCS,Red blood cells unit,,,14 ,,TotalUnits,,,,3.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9022,HCPCS,Washed red blood cells unit,,,14 ,,TotalUnits,,,,4.36 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9041,HCPCS,"Albumin (human),5%, 50ml",,,14 ,,TotalUnits,,,,0.77 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9043,HCPCS,"Plasma protein fract,5%,50ml",,,14 ,,TotalUnits,,,,0.58 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9045,HCPCS,"Albumin (human), 5%, 250 ml",,,14 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9046,HCPCS,"Albumin (human), 25%, 20 ml",,,14 ,,TotalUnits,,,,0.73 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9047,HCPCS,"Albumin (human), 25%, 50ml",,,14 ,,TotalUnits,,,,1.35 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9048,HCPCS,"Plasmaprotein fract,5%,250ml",,,14 ,,TotalUnits,,,,1.69 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9603,HCPCS,One-way allow prorated miles,,,14 ,,TotalUnits,,,,0.01 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9604,HCPCS,One-way allow prorated trip,,,14 ,,TotalUnits,,,,0.11 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9612,HCPCS,Catheterize for urine spec,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,P9615,HCPCS,Urine specimen collect mult,,,17 ,,TotalUnits,,,,0.10 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,Q0035,HCPCS,Cardiokymography,26,,20,,RBRVS,0.17 ,0.05 ,0.05 ,,,$0.00,$0.00,1,0,1,1,1,0,20080101,,Q0035,HCPCS,Cardiokymography,TC,,20,,RBRVS,0.00 ,0.25 ,0.25 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101,,Q0035,HCPCS,Cardiokymography,,,20 ,,RBRVS,0.17 ,0.30 ,0.30 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101,,Q0081,HCPCS,Infusion ther other than che,,,28 ,,NW,,,,,,$105.90,$0.00,1,1,1,0,1,1,20080101,,Q0083,HCPCS,Chemo by other than infusion,,,29 ,,NW,,,,,,$288.64,$0.00,1,1,1,0,1,1,20080101,,Q0084,HCPCS,Chemotherapy by infusion,,,29 ,,NW,,,,,,$481.46,$0.00,1,1,1,0,1,1,20080101,,Q0085,HCPCS,Chemo by both infusion and o,,,29 ,,NW,,,,,,$549.10,$0.00,1,1,1,0,1,1,20080101,,Q0091,HCPCS,Obtaining screen pap smear,,,17 ,,RBRVS,0.37 ,0.10 ,0.75 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,Q0092,HCPCS,Set up port xray equipment,,,20 ,,RBRVS,0.00 ,0.47 ,0.47 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101,,Q0111,HCPCS,Wet mounts/ w preparations,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,Q0112,HCPCS,Potassium hydroxide preps,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,Q0113,HCPCS,Pinworm examinations,,,17 ,,TotalUnits,,,,0.25 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,Q0114,HCPCS,Fern test,,,17 ,,TotalUnits,,,,0.33 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,Q0115,HCPCS,Post-coital mucous exam,,,17 ,,TotalUnits,,,,0.46 ,,$0.00,$0.00,1,1,1,0,1,1,20080101,,Q0144,HCPCS,"Azithromycin dihydrate, oral",,,29 ,,NW,,,,,,$40.39,$0.00,1,1,1,0,0,1,20080101,,Q0163,HCPCS,Diphenhydramine HCl 50mg,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101,,Q0164,HCPCS,Prochlorperazine maleate 5mg,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101,,Q0165,HCPCS,Prochlorperazine maleate10mg,,,29 ,,NW,,,,,,$2.85,$0.00,1,1,1,0,0,1,20080101,,Q0166,HCPCS,Granisetron HCl 1 mg oral,,,29 ,,NW,,,,,,$135.05,$0.00,1,1,1,0,0,1,20080101Q0167,HCPCS,Dronabinol 2.5mg oral,,,29 ,,NW,,,,,,$11.38,$0.00,1,1,1,0,0,1,20080101Q0168,HCPCS,Dronabinol 5mg oral,,,29 ,,NW,,,,,,$29.88,$0.00,1,1,1,0,0,1,20080101Q0169,HCPCS,Promethazine HCl 12.5mg oral,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101Q0170,HCPCS,Promethazine HCl 25 mg oral,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101Q0171,HCPCS,Chlorpromazine HCl 10mg oral,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101Q0172,HCPCS,Chlorpromazine HCl 25mg oral,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101Q0173,HCPCS,Trimethobenzamide HCl 250mg,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101Q0174,HCPCS,Thiethylperazine maleate10mg,,,29 ,,NW,,,,,,$2.85,$0.00,1,1,1,0,0,1,20080101Q0175,HCPCS,Perphenazine 4mg oral,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101Q0176,HCPCS,Perphenazine 8mg oral,,,29 ,,NW,,,,,,$2.85,$0.00,1,1,1,0,0,1,20080101Q0177,HCPCS,Hydroxyzine pamoate 25mg,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101Q0178,HCPCS,Hydroxyzine pamoate 50mg,,,29 ,,NW,,,,,,$1.42,$0.00,1,1,1,0,0,1,20080101Q0179,HCPCS,Ondansetron HCl 8mg oral,,,29 ,,NW,,,,,,$96.92,$0.00,1,1,1,0,0,1,20080101Q0180,HCPCS,Dolasetron mesylate oral,,,29 ,,NW,,,,,,$210.15,$0.00,1,1,1,0,0,1,20080101Q0181,HCPCS,Unspecified oral anti-emetic,,,29 ,,NW,,,,,,$1.07,$0.00,1,1,1,0,0,1,20080101Q0480,HCPCS,"Driver pneumatic vad, rep",,,28 ,,NW,,,,,,"$103,996.84",$0.00,1,1,1,0,1,1,20080101Q0481,HCPCS,"Microprcsr cu elec vad, rep",,,28 ,,NW,,,,,,"$16,778.69",$0.00,1,1,1,0,1,1,20080101Q0482,HCPCS,"Microprcsr cu combo vad, rep",,,28 ,,NW,,,,,,"$5,255.40",$0.00,1,1,1,0,1,1,20080101Q0483,HCPCS,"Monitor elec vad, rep",,,28 ,,NW,,,,,,"$21,649.87",$0.00,1,1,1,0,1,1,20080101Q0484,HCPCS,Monitor elec or comb vad rep,,,28 ,,NW,,,,,,"$4,204.34",$0.00,1,1,1,0,1,1,20080101Q0485,HCPCS,"Monitor cable elec vad, rep",,,28 ,,NW,,,,,,$405.92,$0.00,1,1,1,0,1,1,20080101Q0486,HCPCS,Mon cable elec/pneum vad rep,,,28 ,,NW,,,,,,$337.85,$0.00,1,1,1,0,1,1,20080101Q0487,HCPCS,"Leads any type vad, rep only",,,28 ,,NW,,,,,,$394.17,$0.00,1,1,1,0,1,1,20080101Q0488,HCPCS,"Pwr pack base elec vad, rep",,,28 ,,NW,,,,,,"$18,769.28",$0.00,1,1,1,0,1,1,20080101Q0489,HCPCS,"Pwr pck base combo vad, rep",,,28 ,,NW,,,,,,"$18,769.28",$0.00,1,1,1,0,1,1,20080101Q0490,HCPCS,"Emr pwr source elec vad, rep",,,28 ,,NW,,,,,,$811.88,$0.00,1,1,1,0,1,1,20080101Q0491,HCPCS,Emr pwr source combo vad rep,,,28 ,,NW,,,,,,"$1,276.35",$0.00,1,1,1,0,1,1,20080101Q0492,HCPCS,"Emr pwr cbl elec vad, rep",,,28 ,,NW,,,,,,$102.85,$0.00,1,1,1,0,1,1,20080101Q0493,HCPCS,"Emr pwr cbl combo vad, rep",,,28 ,,NW,,,,,,$292.79,$0.00,1,1,1,0,1,1,20080101Q0494,HCPCS,"Emr hd pmp elec/combo, rep",,,28 ,,NW,,,,,,$247.77,$0.00,1,1,1,0,1,1,20080101Q0495,HCPCS,"Charger elec/combo vad, rep",,,28 ,,NW,,,,,,"$4,823.24",$0.00,1,1,1,0,1,1,20080101Q0496,HCPCS,"Battery elec/combo vad, rep",,,28 ,,NW,,,,,,"$1,731.16",$0.00,1,1,1,0,1,1,20080101Q0497,HCPCS,"Bat clps elec/comb vad, rep",,,28 ,,NW,,,,,,$540.58,$0.00,1,1,1,0,1,1,20080101Q0498,HCPCS,"Holster elec/combo vad, rep",,,28 ,,NW,,,,,,$593.13,$0.00,1,1,1,0,1,1,20080101Q0499,HCPCS,Belt/vest elec/combo vad rep,,,28 ,,NW,,,,,,$192.72,$0.00,1,1,1,0,1,1,20080101Q0500,HCPCS,"Filters elec/combo vad, rep",,,28 ,,NW,,,,,,$35.27,$0.00,1,1,1,0,1,1,20080101Q0501,HCPCS,"Shwr cov elec/combo vad, rep",,,28 ,,NW,,,,,,$589.71,$0.00,1,1,1,0,1,1,20080101Q0502,HCPCS,"Mobility cart pneum vad, rep",,,28 ,,NW,,,,,,$750.77,$0.00,1,1,1,0,1,1,20080101Q0503,HCPCS,Battery pneum vad replacemnt,,,28 ,,NW,,,,,,"$1,501.54",$0.00,1,1,1,0,1,1,20080101Q0504,HCPCS,"Pwr adpt pneum vad, rep veh",,,28 ,,NW,,,,,,$792.34,$0.00,1,1,1,0,1,1,20080101Q0513,HCPCS,Disp fee inhal drugs/30 days,,,28 ,,NW,,,,,,$9.36,$0.00,1,1,1,0,0,1,20080101Q0514,HCPCS,Disp fee inhal drugs/90 days,,,28 ,,NW,,,,,,$9.36,$0.00,1,1,1,0,0,1,20080101Q2004,HCPCS,Bladder calculi irrig sol,,,29 ,,NW,,,,,,$69.14,$0.00,1,1,1,0,0,1,20080101Q2009,HCPCS,"Fosphenytoin, 50 mg",,,29 ,,NW,,,,,,$17.01,$0.00,1,1,1,0,0,1,20080101Q2017,HCPCS,"Teniposide, 50 mg",,,29 ,,NW,,,,,,$665.98,$0.00,1,1,1,0,0,1,20080101Q3001,HCPCS,Brachytherapy Radioelements,,,28 ,,NW,,,,,,$86.53,$0.00,1,1,1,0,0,1,20080101Q3014,HCPCS,Telehealth facility fee,,,28 ,,NW,,,,,,$44.75,$0.00,1,1,1,0,0,1,20080101Q3025,HCPCS,IM inj interferon beta 1-a,,,29 ,,NW,,,,,,$190.78,$0.00,1,1,1,0,0,1,20080101Q3026,HCPCS,Subc inj interferon beta-1a,,,29 ,,NW,,,,,,$108.25,$0.00,1,1,1,0,0,1,20080101Q3031,HCPCS,Collagen skin test,,,2 ,,RBRVS,0.01 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101Q4001,HCPCS,Cast sup body cast plaster,,,28 ,,NW,,,,,,$323.72,$0.00,1,1,1,0,0,1,20080101Q4002,HCPCS,Cast sup body cast fiberglas,,,28 ,,NW,,,,,,$688.87,$0.00,1,1,1,0,0,1,20080101Q4003,HCPCS,Cast sup shoulder cast plstr,,,28 ,,NW,,,,,,$175.58,$0.00,1,1,1,0,0,1,20080101Q4004,HCPCS,Cast sup shoulder cast fbrgl,,,28 ,,NW,,,,,,$373.37,$0.00,1,1,1,0,0,1,20080101Q4005,HCPCS,Cast sup long arm adult plst,,,28 ,,NW,,,,,,$97.10,$0.00,1,1,1,0,0,1,20080101Q4006,HCPCS,Cast sup long arm adult fbrg,,,28 ,,NW,,,,,,$206.03,$0.00,1,1,1,0,0,1,20080101Q4007,HCPCS,Cast sup long arm ped plster,,,28 ,,NW,,,,,,$48.28,$0.00,1,1,1,0,0,1,20080101Q4008,HCPCS,Cast sup long arm ped fbrgls,,,28 ,,NW,,,,,,$102.71,$0.00,1,1,1,0,0,1,20080101Q4009,HCPCS,Cast sup sht arm adult plstr,,,28 ,,NW,,,,,,$74.70,$0.00,1,1,1,0,0,1,20080101Q4010,HCPCS,Cast sup sht arm adult fbrgl,,,28 ,,NW,,,,,,$158.77,$0.00,1,1,1,0,0,1,20080101Q4011,HCPCS,Cast sup sht arm ped plaster,,,28 ,,NW,,,,,,$37.04,$0.00,1,1,1,0,0,1,20080101Q4012,HCPCS,Cast sup sht arm ped fbrglas,,,28 ,,NW,,,,,,$79.50,$0.00,1,1,1,0,0,1,20080101Q4013,HCPCS,Cast sup gauntlet plaster,,,28 ,,NW,,,,,,$69.89,$0.00,1,1,1,0,0,1,20080101Q4014,HCPCS,Cast sup gauntlet fiberglass,,,28 ,,NW,,,,,,$149.97,$0.00,1,1,1,0,0,1,20080101Q4015,HCPCS,Cast sup gauntlet ped plster,,,28 ,,NW,,,,,,$35.45,$0.00,1,1,1,0,0,1,20080101Q4016,HCPCS,Cast sup gauntlet ped fbrgls,,,28 ,,NW,,,,,,$74.70,$0.00,1,1,1,0,0,1,20080101Q4017,HCPCS,Cast sup lng arm splint plst,,,28 ,,NW,,,,,,$61.08,$0.00,1,1,1,0,0,1,20080101Q4018,HCPCS,Cast sup lng arm splint fbrg,,,28 ,,NW,,,,,,$130.75,$0.00,1,1,1,0,0,1,20080101Q4019,HCPCS,Cast sup lng arm splnt ped p,,,28 ,,NW,,,,,,$30.64,$0.00,1,1,1,0,0,1,20080101Q4020,HCPCS,Cast sup lng arm splnt ped f,,,28 ,,NW,,,,,,$65.88,$0.00,1,1,1,0,0,1,20080101Q4021,HCPCS,Cast sup sht arm splint plst,,,28 ,,NW,,,,,,$61.08,$0.00,1,1,1,0,0,1,20080101Q4022,HCPCS,Cast sup sht arm splint fbrg,,,28 ,,NW,,,,,,$130.75,$0.00,1,1,1,0,0,1,20080101Q4023,HCPCS,Cast sup sht arm splnt ped p,,,28 ,,NW,,,,,,$30.64,$0.00,1,1,1,0,0,1,20080101Q4024,HCPCS,Cast sup sht arm splnt ped f,,,28 ,,NW,,,,,,$65.88,$0.00,1,1,1,0,0,1,20080101Q4025,HCPCS,Cast sup hip spica plaster,,,28 ,,NW,,,,,,$272.48,$0.00,1,1,1,0,0,1,20080101Q4026,HCPCS,Cast sup hip spica fiberglas,,,28 ,,NW,,,,,,$579.17,$0.00,1,1,1,0,0,1,20080101Q4027,HCPCS,Cast sup hip spica ped plstr,,,28 ,,NW,,,,,,$136.35,$0.00,1,1,1,0,0,1,20080101Q4028,HCPCS,Cast sup hip spica ped fbrgl,,,28 ,,NW,,,,,,$290.11,$0.00,1,1,1,0,0,1,20080101Q4029,HCPCS,Cast sup long leg plaster,,,28 ,,NW,,,,,,$134.74,$0.00,1,1,1,0,0,1,20080101Q4030,HCPCS,Cast sup long leg fiberglass,,,28 ,,NW,,,,,,$285.29,$0.00,1,1,1,0,0,1,20080101Q4031,HCPCS,Cast sup lng leg ped plaster,,,28 ,,NW,,,,,,$67.49,$0.00,1,1,1,0,0,1,20080101Q4032,HCPCS,Cast sup lng leg ped fbrgls,,,28 ,,NW,,,,,,$142.75,$0.00,1,1,1,0,0,1,20080101Q4033,HCPCS,Cast sup lng leg cylinder pl,,,28 ,,NW,,,,,,$114.72,$0.00,1,1,1,0,0,1,20080101Q4034,HCPCS,Cast sup lng leg cylinder fb,,,28 ,,NW,,,,,,$242.85,$0.00,1,1,1,0,0,1,20080101Q4035,HCPCS,Cast sup lngleg cylndr ped p,,,28 ,,NW,,,,,,$57.07,$0.00,1,1,1,0,0,1,20080101Q4036,HCPCS,Cast sup lngleg cylndr ped f,,,28 ,,NW,,,,,,$121.13,$0.00,1,1,1,0,0,1,20080101Q4037,HCPCS,Cast sup shrt leg plaster,,,28 ,,NW,,,,,,$153.96,$0.00,1,1,1,0,0,1,20080101Q4038,HCPCS,Cast sup shrt leg fiberglass,,,28 ,,NW,,,,,,$326.93,$0.00,1,1,1,0,0,1,20080101Q4039,HCPCS,Cast sup shrt leg ped plster,,,28 ,,NW,,,,,,$77.09,$0.00,1,1,1,0,0,1,20080101Q4040,HCPCS,Cast sup shrt leg ped fbrgls,,,28 ,,NW,,,,,,$163.57,$0.00,1,1,1,0,0,1,20080101Q4041,HCPCS,Cast sup lng leg splnt plstr,,,28 ,,NW,,,,,,$88.29,$0.00,1,1,1,0,0,1,20080101Q4042,HCPCS,Cast sup lng leg splnt fbrgl,,,28 ,,NW,,,,,,$186.80,$0.00,1,1,1,0,0,1,20080101Q4043,HCPCS,Cast sup lng leg splnt ped p,,,28 ,,NW,,,,,,$44.25,$0.00,1,1,1,0,0,1,20080101Q4044,HCPCS,Cast sup lng leg splnt ped f,,,28 ,,NW,,,,,,$93.92,$0.00,1,1,1,0,0,1,20080101Q4045,HCPCS,Cast sup sht leg splnt plstr,,,28 ,,NW,,,,,,$57.07,$0.00,1,1,1,0,0,1,20080101Q4046,HCPCS,Cast sup sht leg splnt fbrgl,,,28 ,,NW,,,,,,$121.13,$0.00,1,1,1,0,0,1,20080101Q4047,HCPCS,Cast sup sht leg splnt ped p,,,28 ,,NW,,,,,,$28.24,$0.00,1,1,1,0,0,1,20080101Q4048,HCPCS,Cast sup sht leg splnt ped f,,,28 ,,NW,,,,,,$61.08,$0.00,1,1,1,0,0,1,20080101Q4049,HCPCS,"Finger splint, static",,,28 ,,NW,,,,,,$74.70,$0.00,1,1,1,0,0,1,20080101Q4050,HCPCS,Cast supplies unlisted,,,28 ,,NW,,,,,,$35.21,$0.00,1,1,1,0,0,1,20080101Q4051,HCPCS,Splint supplies misc,,,28 ,,NW,,,,,,$31.44,$0.00,1,1,1,0,0,1,20080101Q9951,HCPCS,"LOCM >= 400 mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.37,$0.00,1,0,0,0,0,1,20080101Q9953,HCPCS,"Inj Fe-based MR contrast,1ml",,,28 ,,NW,,,,,,$36.54,$0.00,1,0,0,0,0,1,20080101Q9954,HCPCS,"Oral MR contrast, 100 ml",,,28 ,,NW,,,,,,$10.77,$0.00,1,0,0,0,0,1,20080101Q9955,HCPCS,"Inj perflexane lip micros,ml",,,28 ,,NW,,,,,,$15.93,$0.00,1,0,0,0,0,1,20080101Q9956,HCPCS,"Inj octafluoropropane mic,ml",,,28 ,,NW,,,,,,$49.43,$0.00,1,0,0,0,0,1,20080101Q9957,HCPCS,"Inj perflutren lip micros,ml",,,28 ,,NW,,,,,,$421.45,$0.00,1,0,0,0,0,1,20080101Q9958,HCPCS,"HOCM <=149 mg/ml iodine, 1ml",,,28 ,,NW,,,,,,$0.08,$0.00,1,0,0,0,0,1,20080101Q9960,HCPCS,"HOCM 200-249mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.11,$0.00,1,0,0,0,0,1,20080101Q9961,HCPCS,"HOCM 250-299mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.22,$0.00,1,0,0,0,0,1,20080101Q9962,HCPCS,"HOCM 300-349mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.17,$0.00,1,0,0,0,0,1,20080101Q9963,HCPCS,"HOCM 350-399mg/ml iodine,1ml",,,28 ,,NW,,,,,,$0.47,$0.00,1,0,0,0,0,1,20080101Q9964,HCPCS,"HOCM>= 400mg/ml iodine, 1ml",,,28 ,,NW,,,,,,$0.23,$0.00,1,0,0,0,0,1,20080101R0070,HCPCS,Transport portable x-ray,,,28 ,,NW,,,,,,$175.53,$0.00,1,1,1,0,1,1,20080101R0075,HCPCS,Transport port x-ray multipl,,,28 ,,NW,,,,,,$91.68,$0.00,1,1,1,0,1,1,20080101R0076,HCPCS,Transport portable EKG,,,28 ,,NW,,,,,,$179.41,$0.00,1,1,1,0,1,1,20080101S0012,HCPCS,"Butorphanol tartrate, nasal",,,28 ,,NW,,,,,,$195.69,$0.00,1,1,1,0,0,1,20080101S0014,HCPCS,"Tacrine hydrochloride, 10 mg",,,28 ,,NW,,,,,,$2.77,$0.00,1,1,1,0,0,1,20080101S0020,HCPCS,"Injection, bupivicaine hydro",,,28 ,,NW,,,,,,$5.35,$0.00,1,1,1,0,0,1,20080101S0023,HCPCS,"Injection, cimetidine hydroc",,,28 ,,NW,,,,,,$11.05,$0.00,1,1,1,0,0,1,20080101S0028,HCPCS,"Injection, famotidine, 20 mg",,,28 ,,NW,,,,,,$12.01,$0.00,1,1,1,0,0,1,20080101S0030,HCPCS,"Injection, metronidazole",,,28 ,,NW,,,,,,$33.51,$0.00,1,1,1,0,0,1,20080101S0032,HCPCS,"Injection, nafcillin sodium",,,28 ,,NW,,,,,,$12.75,$0.00,1,1,1,0,0,1,20080101S0034,HCPCS,Injection Ofloxacin 400 mg,,,29 ,,NW,,,,,,$26.45,$0.00,1,1,1,0,0,1,20080101S0039,HCPCS,"Injection, sulfamethoxazole",,,28 ,,NW,,,,,,$24.07,$0.00,1,1,1,0,0,1,20080101S0040,HCPCS,"Injection, ticarcillin disod",,,28 ,,NW,,,,,,$35.72,$0.00,1,1,1,0,0,1,20080101S0073,HCPCS,"Injection, aztreonam, 500 mg",,,28 ,,NW,,,,,,$34.39,$0.00,1,1,1,0,0,1,20080101S0074,HCPCS,"Injection, cefotetan disodiu",,,28 ,,NW,,,,,,$16.17,$0.00,1,1,1,0,0,1,20080101S0077,HCPCS,"Injection, clindamycin phosp",,,28 ,,NW,,,,,,$23.89,$0.00,1,1,1,0,0,1,20080101S0078,HCPCS,Inj Fosphenytoin Sodium 750 mg,,,28 ,,NW,,,,,,$373.79,$0.00,1,1,1,0,0,1,20080101S0080,HCPCS,"Injection, pentamidine iseth",,,28 ,,NW,,,,,,$196.65,$0.00,1,1,1,0,0,1,20080101S0081,HCPCS,"Injection, piperacillin sodi",,,28 ,,NW,,,,,,$86.27,$0.00,1,1,1,0,0,1,20080101S0088,HCPCS,Imatinib 100 mg,,,28 ,,NW,,,,,,$28.58,$0.00,1,1,1,0,0,1,20080101S0090,HCPCS,"Sildenafil citrate, 25 mg",,,28 ,,NW,,,,,,$20.19,$0.00,1,1,1,0,0,1,20080101S0091,HCPCS,Granisetron 1mg,,,28 ,,NW,,,,,,$444.61,$0.00,1,1,1,0,0,1,20080101S0092,HCPCS,Hydromorphone 250 mg,,,28 ,,NW,,,,,,$202.23,$0.00,1,1,1,0,0,1,20080101S0093,HCPCS,Morphine 500 mg,,,28 ,,NW,,,,,,$24.08,$0.00,1,1,1,0,0,1,20080101S0104,HCPCS,"Zidovudine, oral, 100 mg",,,28 ,,NW,,,,,,$5.18,$0.00,1,1,1,0,0,1,20080101S0108,HCPCS,Mercaptopurine 50 mg,,,28 ,,NW,,,,,,$9.53,$0.00,1,1,1,0,0,1,20080101S0109,HCPCS,Methadone oral 5 mg,,,29 ,,NW,,,,,,$0.96,$0.00,1,1,1,0,0,1,20080101S0122,HCPCS,Inj menotropins 75 iu,,,28 ,,NW,,,,,,$174.11,$0.00,1,1,1,0,0,1,20080101S0126,HCPCS,Inj follitropin alfa 75 iu,,,28 ,,NW,,,,,,$229.88,$0.00,1,1,1,0,0,1,20080101S0128,HCPCS,Inj follitropin beta 75 iu,,,28 ,,NW,,,,,,$221.57,$0.00,1,1,1,0,0,1,20080101S0132,HCPCS,Injection Ganirelix Acetate 250 mcg,,,28 ,,NW,,,,,,$37.17,$0.00,1,1,1,0,0,1,20080101S0136,HCPCS,Clozapine 25 mg,,,28 ,,NW,,,,,,$35.32,$0.00,1,1,1,0,0,1,20080101S0137,HCPCS,Didanosine 25 mg,,,28 ,,NW,,,,,,$128.69,$0.00,1,1,1,0,0,1,20080101S0145,HCPCS,Inj Pegylated Interferon Alfa2A 180 mcg per ml,,,29 ,,NW,,,,,,$44.32,$0.00,1,1,1,0,0,1,20080101S0146,HCPCS,Inj Pegylated Interferon Alfa2B 10 mcg 0.5 ml,,,29 ,,NW,,,,,,$18.90,$0.00,1,1,1,0,0,1,20080101S0155,HCPCS,Epoprostenol dilutant,,,28 ,,NW,,,,,,$26.91,$0.00,1,1,1,0,0,1,20080101S0156,HCPCS,"Exemestane, 25 mg",,,28 ,,NW,,,,,,$16.29,$0.00,1,1,1,0,0,1,20080101S0157,HCPCS,Becaplermin Gel 0.01% 0.5 gm,,,28 ,,NW,,,,,,$384.90,$0.00,1,1,1,0,0,1,20080101S0161,HCPCS,Calcitrol 0.25 mg,,,28 ,,NW,,,,,,$87.63,$0.00,1,1,1,0,0,1,20080101S0164,HCPCS,Injection Pantoprazole Sodium 40 mg,,,28 ,,NW,,,,,,$72.46,$0.00,1,1,1,0,0,1,20080101S0170,HCPCS,Anastrozole 1 mg,,,28 ,,NW,,,,,,$14.74,$0.00,1,1,1,0,0,1,20080101S0171,HCPCS,Bumetanide 0.5 mg,,,28 ,,NW,,,,,,$3.29,$0.00,1,1,1,0,0,1,20080101S0172,HCPCS,Chlorambucil 2 mg,,,28 ,,NW,,,,,,$3.76,$0.00,1,1,1,0,0,1,20080101S0174,HCPCS,Dolasetron 50 mg,,,28 ,,NW,,,,,,$146.47,$0.00,1,1,1,0,0,1,20080101S0175,HCPCS,Flutamide 125 mg,,,28 ,,NW,,,,,,$4.50,$0.00,1,1,1,0,0,1,20080101S0176,HCPCS,Hydroxyurea 500 mg,,,28 ,,NW,,,,,,$2.91,$0.00,1,1,1,0,0,1,20080101S0177,HCPCS,Levamisole 50 mg,,,28 ,,NW,,,,,,$14.49,$0.00,1,1,1,0,0,1,20080101S0178,HCPCS,Lomustine 10 mg,,,28 ,,NW,,,,,,$14.56,$0.00,1,1,1,0,0,1,20080101S0179,HCPCS,Megestrol 20 mg,,,28 ,,NW,,,,,,$1.52,$0.00,1,1,1,0,0,1,20080101S0181,HCPCS,Ondansetron 4 mg,,,28 ,,NW,,,,,,$38.02,$0.00,1,1,1,0,0,1,20080101S0182,HCPCS,Procarbazine 5 mg,,,28 ,,NW,,,,,,$1.60,$0.00,1,1,1,0,0,1,20080101S0183,HCPCS,Prochlorperazine 5 mg,,,28 ,,NW,,,,,,$1.28,$0.00,1,1,1,0,0,1,20080101S0187,HCPCS,Tamoxifen 10 mg,,,28 ,,NW,,,,,,$5.04,$0.00,1,1,1,0,0,1,20080101S0195,HCPCS,Pneumcoccl Conjugat Vac Im 5-9 Yr Not Prev Recvd,,,28 ,,NW,,,,,,$273.86,$0.00,1,1,1,0,0,1,20080101S0209,HCPCS,WC van mileage per mi,,,28 ,,NW,,,,,,$1.74,$0.00,1,1,1,1,1,1,20080101S0215,HCPCS,Nonemerg transp mileage,,,28 ,,NW,,,,,,$1.74,$0.00,1,1,1,1,1,1,20080101S0220,HCPCS,Med Conf Md W/Team Hlth Prof;30 Min,,,15 ,,RBRVS,1.42 ,0.44 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0221,HCPCS,Med Conf Md W/Team Hlth Prof;60 Min,,,15 ,,RBRVS,1.42 ,0.44 ,1.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0255,HCPCS,By Nurse Social Worker Or Other Designated Staff,,,15 ,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0257,HCPCS,Cnsl&Discuss Ad/Eol Pt&/Surrogate ,,,15 ,,RBRVS,1.77 ,0.50 ,0.65 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0260,HCPCS,Hx & Phys Related To Surgical Proc,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0265,HCPCS,Genetic Counseling Phys Supervision Ea 15 Mins,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0302,HCPCS,Completed EPSDT,,,28 ,,NW,,,,,,$81.09,$0.00,1,0,1,1,1,1,20080101S0315,HCPCS,Dz Mgmt Progm; Init Assess&Init Pro,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0316,HCPCS,Disease Mgmt Progm; F/U/Reassess,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0345,HCPCS,Home ECG monitoring global 24 h,,,28 ,,RBRVS,0.17 ,0.35 ,0.35 ,,,$0.00,$0.00,1,0,0,0,0,1,20080101S0346,HCPCS,Home ECG monitoring tech 24 h,,,28 ,,RBRVS,0.00 ,0.28 ,0.28 ,,,$0.00,$0.00,1,1,1,0,1,1,20080101S0347,HCPCS,Home ECG monitoring prof 24 h,,,28 ,,RBRVS,0.17 ,0.07 ,0.07 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0390,HCPCS,Routine Foot Care; Per Visit,,,15 ,,RBRVS,0.50 ,0.16 ,0.68 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0395,HCPCS,Impression casting ft,,,28 ,,NW,,,,,,$86.27,$0.00,1,1,1,0,1,1,20080101S0400,HCPCS,Globl Fee Xtracorp Shock Wave Lith,,,21 ,,RBRVS,9.64 ,6.13 ,17.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0500,HCPCS,Dispos cont lens,,,28 ,,NW,,,,,,$155.27,$0.00,1,1,1,1,1,1,20080101S0504,HCPCS,Singl prscrp lens,,,28 ,,NW,,,,,,$21.78,$0.00,1,1,1,1,1,1,20080101S0506,HCPCS,Bifoc prscp lens,,,28 ,,NW,,,,,,$37.45,$0.00,1,1,1,1,1,1,20080101S0508,HCPCS,Trifoc prscrp lens,,,28 ,,NW,,,,,,$48.37,$0.00,1,1,1,1,1,1,20080101S0510,HCPCS,Non-prscrp lens,,,28 ,,NW,,,,,,$30.79,$0.00,1,1,1,1,1,1,20080101S0512,HCPCS,Daily cont lens,,,28 ,,NW,,,,,,$276.86,$0.00,1,1,1,1,1,1,20080101S0514,HCPCS,Color cont lens,,,28 ,,NW,,,,,,$317.35,$0.00,1,1,1,1,1,1,20080101S0515,HCPCS,Scleral Lens Lqd Bandge Device-Lens,,,28 ,,NW,,,,,,$334.02,$0.00,1,1,1,0,0,1,20080101S0516,HCPCS,Safety frames,,,28 ,,NW,,,,,,$90.08,$0.00,1,1,1,1,1,1,20080101S0518,HCPCS,Sunglass frames,,,28 ,,NW,,,,,,$52.09,$0.00,1,1,1,1,1,1,20080101S0580,HCPCS,Polycarb lens,,,28 ,,NW,,,,,,$43.14,$0.00,1,1,1,1,1,1,20080101S0581,HCPCS,Nonstandard Lens,,,28 ,,NW,,,,,,$334.02,$0.00,1,1,1,0,0,1,20080101S0592,HCPCS,Comp Contact Lens Evaluation,,,23 ,,RBRVS,1.08 ,0.31 ,1.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0601,HCPCS,Screening Proctoscopy,,,21 ,,RBRVS,0.55 ,0.38 ,1.37 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0605,HCPCS,"Digital rectal examination,",,,28 ,,NW,,,,,,$25.87,$0.00,1,0,1,1,1,1,20080101S0610,HCPCS,Annual gynecological examina,,,28 ,,NW,,,,,,$181.14,$0.00,1,0,1,1,1,1,20080101S0612,HCPCS,Annual gynecological examina,,,28 ,,NW,,,,,,$138.02,$0.00,1,0,1,1,1,1,20080101S0613,HCPCS,Annual Gyn Exam Clin Breast Exam W/O Pelv Exam,,,15 ,,RBRVS,0.45 ,0.48 ,0.48 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0618,HCPCS,Audiometry For Hearing Aid Eval,,,8 ,,TotalUnits,,,,0.39 ,,$0.00,$0.00,1,1,1,0,0,1,20080101S0620,HCPCS,Routine ophthalmological exa,,,28 ,,NW,,,,,,$94.87,$0.00,1,0,1,1,1,1,20080101S0621,HCPCS,Routine ophthalmological exa,,,28 ,,NW,,,,,,$105.24,$0.00,1,0,1,1,1,1,20080101S0622,HCPCS,Physical Exam College New/Est Pt,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0625,HCPCS,Retinal Telescr Digtl Imag Mx Diff Fundus Areas ,,,23 ,,RBRVS,0.44 ,0.14 ,0.14 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0630,HCPCS,Removal of sutures,,,28 ,,NW,,,,,,$65.56,$0.00,1,0,1,1,1,1,20080101S0800,HCPCS,Laser in situ keratomileusis,,,28 ,,NW,,,,,,"$1,975.24",$0.00,1,0,1,1,1,1,20080101S0810,HCPCS,Photorefractive Keratectomy,,,23 ,,RBRVS,0.92 ,0.64 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S0812,HCPCS,Phototherapeutic Keratectomy,,,23 ,,RBRVS,0.92 ,0.64 ,0.86 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S1015,HCPCS,IV tubing extension set,,,28 ,,NW,,,,,,$43.26,$0.00,1,1,1,0,0,1,20080101S1016,HCPCS,Non-pvc intravenous administ,,,28 ,,NW,,,,,,$27.61,$0.00,1,1,1,0,0,1,20080101S1040,HCPCS,Cranil Remold Orthos Rigd W/Sft Int,,,28 ,,NW,,,,,,$694.34,$0.00,1,1,1,0,0,1,20080101S2053,HCPCS,Tplnt Sm Intestine&Liver Allogfts,,,21 ,,RBRVS,83.29 ,27.76 ,27.76 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2054,HCPCS,Transplantation of Multivisceral Organs,,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2055,HCPCS,Harvest Donor Mx-Visceral Organ; Cadver Donor,,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2060,HCPCS,Lobar Lung Transplantation,,,21 ,,RBRVS,40.94 ,20.19 ,20.19 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2065,HCPCS,Simultaneous Pancreas Kidney Transplantation,,,21 ,,RBRVS,61.68 ,22.96 ,22.96 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2070,HCPCS,Cysto; Laser Tx Ureteral Calc+C13392,,,21 ,,RBRVS,6.87 ,3.46 ,3.46 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2080,HCPCS,Laser-Assisted Uvulopalatoplasty,,,21 ,,RBRVS,9.63 ,7.49 ,7.49 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2095,HCPCS,Trnscath Occl/Emboliz Tumr Destruc,,,21 ,,RBRVS,18.11 ,6.24 ,6.24 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2102,HCPCS,Islet Cell Tiss Tplnt Panc; Allogen,,,21 ,,TotalUnits,,,,56.97 ,,$0.00,$0.00,1,0,0,1,1,1,20080101S2115,HCPCS,Osteot Periacetabular W/Intrl Fix,,,21 ,,RBRVS,21.87 ,12.02 ,12.02 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2120,HCPCS,Ldl Apheres Heparn Xtrcrp Ldl Precp,,,21 ,,RBRVS,1.22 ,0.39 ,49.59 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2135,HCPCS,Neurolysis Inj Mt Neuroma/Interdigt,,,21 ,,RBRVS,1.27 ,0.49 ,1.28 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2140,HCPCS,Cord Bld Harvest Tplnt Allogeneic,,,21 ,,RBRVS,1.50 ,0.53 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2142,HCPCS,Cord Blood Stem-Cell Tplnt Allogen,,,21 ,,RBRVS,2.24 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2150,HCPCS,Bn Marrw/Stem Cell Harv Tplnt&Comp;,,,21 ,,RBRVS,2.24 ,0.94 ,0.94 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2202,HCPCS,Echosclerotherapy,,,21 ,,RBRVS,1.09 ,0.64 ,2.41 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2205,HCPCS,Min Invas Dir Cab; Art Gft 1 Cag,,,21 ,,RBRVS,33.64 ,12.57 ,12.57 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2206,HCPCS,Min Invas Dir Cab; Art Gft 2 Cag,,,21 ,,RBRVS,39.77 ,14.75 ,14.75 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2207,HCPCS,Min Invas Dir Cab; Ven Only 1 Cvg,,,21 ,,RBRVS,34.87 ,12.92 ,12.92 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2225,HCPCS,Myringotomy Laser-Assisted,,,21 ,,RBRVS,1.35 ,1.56 ,3.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2230,HCPCS,Impl Magnt Cmpnt Semi-Impl Hear Dvc,,,21 ,,TotalUnits,,,,18.06 ,,$0.00,$0.00,1,0,1,1,1,1,20080101S2235,HCPCS,Impl Auditry Brain Stem Implant,,,21 ,,RBRVS,9.73 ,8.52 ,8.52 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2260,HCPCS,Inducd Ab 17-24 Weeks Any Surg Meth,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2265,HCPCS,Ab Fetal Indication 25-28 Weeks,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2266,HCPCS,Ab Fetal Indication 29-31 Weeks,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2267,HCPCS,Ab Fetal Indication 32 Weeks/>,,,21 ,,RBRVS,5.90 ,2.46 ,2.46 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2300,HCPCS,Scope Shldr;W/Therml-Inducd Cpslorr,,,21 ,,TotalUnits,,,,14.57 ,,$0.00,$0.00,1,0,1,1,1,1,20080101S2340,HCPCS,Chemodnervat Abductr Musc Vocl Cord,,,21 ,,RBRVS,3.86 ,1.65 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2341,HCPCS,Chemodenervat Adduct Musc Vocal Crd,,,21 ,,RBRVS,3.86 ,1.65 ,4.26 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2342,HCPCS,Nasl Endo Postop Debrid Uni/Bil,,,21 ,,RBRVS,2.98 ,1.39 ,4.90 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2348,HCPCS,Decomp Perq Disc Rf 1/Mx Lumb,,,21 ,,RBRVS,8.88 ,4.30 ,4.30 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S2350,HCPCS,Diskect Ant-Osteophyt;Lumb 1 Intrsp,,,21 ,,RBRVS,22.75 ,11.08 ,11.08 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2351,HCPCS,Dskct Ant-Osteophyt;Lumb Add Intrsp,,,21 ,,RBRVS,3.28 ,1.21 ,1.21 ,,,$0.00,$0.00,1,0,0,1,1,1,20080101S2361,HCPCS,Each Add Cervical Vertebral Body,,,21 ,,RBRVS,4.30 ,1.51 ,1.51 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S3005,HCPCS,Performance Msr Eval Pt Self Assess Depression,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S3620,HCPCS,Newborn metabolic screening,,,28 ,,NW,,,,,,$51.77,$0.00,1,1,1,0,1,1,20080101S3625,HCPCS,Maternl Serum Triple Markr Scr W/Afp Estriol&Hcg,,,17 ,,TotalUnits,,,,0.78 ,,$0.00,$0.00,1,1,1,0,1,1,20080101S3630,HCPCS,Eosinophil Count Blood Direct,,,17 ,,TotalUnits,,,,0.20 ,,$0.00,$0.00,1,1,1,0,1,1,20080101S3645,HCPCS,Hiv-1 Antibody Testing Oral Mucosal Transudate,,,17 ,,TotalUnits,,,,0.41 ,,$0.00,$0.00,1,1,1,0,1,1,20080101S3650,HCPCS,Saliva Test Hormone Level; During Menopause,,,17 ,,TotalUnits,,,,3.01 ,,$0.00,$0.00,1,1,1,0,1,1,20080101S3652,HCPCS,Saliva Tst Hormone Levl; Assess Prterm Labr Risk,,,17 ,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,1,1,0,1,1,20080101S3655,HCPCS,Antisperm Antibodies Test,,,17 ,,TotalUnits,,,,0.50 ,,$0.00,$0.00,1,1,1,0,1,1,20080101S3708,HCPCS,Gastrointestinal Fat Absorption Study,,,20 ,,RBRVS,0.78 ,0.27 ,0.27 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S3900,HCPCS,Surface Electromyography,,,14 ,,RBRVS,0.41 ,0.10 ,0.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S4005,HCPCS,Interim Labor Facility Global,,,12 ,,RBRVS,0.53 ,0.15 ,0.15 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S4981,HCPCS,Insrt Levonorgestrel Intrautrn Sys,,,21 ,,RBRVS,1.01 ,0.23 ,0.63 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S4993,HCPCS,Contraceptive pills for bc,,,28 ,,NW,,,,,,$41.41,$0.00,1,1,1,0,0,1,20080101S5000,HCPCS,"Prescription drug, generic",,,28 ,,NW,,,,,,$18.98,$0.00,1,1,1,0,0,1,20080101S5001,HCPCS,"Prescription drug,brand name",,,28 ,,NW,,,,,,$81.09,$0.00,1,1,1,0,0,1,20080101S5010,HCPCS,5% dextrose and 0.45% saline,,,28 ,,NW,,,,,,$13.81,$0.00,1,1,1,0,0,1,20080101S5011,HCPCS,5% Dextrose in Lactated Ringers 1000 ml ,,,28 ,,NW,,,,,,$14.96,$0.00,1,1,1,0,0,1,20080101S5012,HCPCS,5% Dextrose with Potassium Chloride 1000 ml,,,28 ,,NW,,,,,,$11.35,$0.00,1,1,1,0,0,1,20080101S5013,HCPCS,5% Dxtrose/0.45% Normal Saline 1000 ml,,,28 ,,NW,,,,,,$11.35,$0.00,1,1,1,0,0,1,20080101S5014,HCPCS,5% Dextrose/0.45% NL Saline w/KCL&MGSO4 1500 ml,,,28 ,,NW,,,,,,$11.35,$0.00,1,1,1,0,0,1,20080101S5035,HCPCS,Home Infus Tx Routine Infus Devc,,,15 ,,RBRVS,0.18 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,0,0,1,20080101S5108,HCPCS,Hom Care Trn Hom Care Client 15 Min,,,19 ,,RBRVS,0.45 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,0,0,1,20080101S5109,HCPCS,Home Care Trn Home Care Client Sess,,,19 ,,RBRVS,0.45 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,0,0,1,20080101S5110,HCPCS,Home Care Training Fam; Per 15 Min,,,19 ,,RBRVS,0.45 ,0.37 ,0.37 ,,,$0.00,$0.00,1,0,1,0,0,1,20080101S5111,HCPCS,Home Care Training Fam; Per Session,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S5115,HCPCS,Home Care Trn Non-Fam; Per 15 Min,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S5116,HCPCS,Home Care Trn Non-Fam; Per Session,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S5180,HCPCS,Home Health Resp Tx Init Evaluation,,,15 ,,TotalUnits,,,,1.94 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S5181,HCPCS,Home Health Resp Tx Nos Per Diem,,,15 ,,TotalUnits,,,,1.94 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S5190,HCPCS,Wellness Assessment Performed By Non-Physician,,,18 ,,RBRVS,0.48 ,0.11 ,0.36 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S5497,HCPCS,HIT cath care noc,,,28 ,,NW,,,,,,$25.30,$0.00,1,1,1,1,1,1,20080101S5498,HCPCS,HIT simple cath care,,,28 ,,NW,,,,,,$25.87,$0.00,1,1,1,1,1,1,20080101S5501,HCPCS,HIT complex cath care,,,28 ,,NW,,,,,,$34.50,$0.00,1,1,1,1,1,1,20080101S5502,HCPCS,HIT interim cath care,,,28 ,,NW,,,,,,$15.54,$0.00,1,1,1,1,1,1,20080101S5522,HCPCS,Hom Infus Tx Insrtion Picc Nrs Srvc Only,,,15 ,,RBRVS,1.82 ,0.67 ,4.47 ,,,$0.00,$0.00,1,0,1,0,0,1,20080101S5523,HCPCS,Hit Insert Midline Cvc Nrs Srvc Only,,,21 ,,RBRVS,1.82 ,0.67 ,4.47 ,,,$0.00,$0.00,1,0,1,0,0,1,20080101S5550,HCPCS,Insulin Rapid Onset; 5 Units,,,29 ,,NW,,,,,,$0.13,$0.00,1,1,1,0,0,1,20080101S5551,HCPCS,Insulin Most Rapid Onset; 5 Units,,,29 ,,NW,,,,,,$0.13,$0.00,1,1,1,0,0,1,20080101S5552,HCPCS,Insulin Intermediate Acting; 5 Units,,,29 ,,NW,,,,,,$0.13,$0.00,1,1,1,0,0,1,20080101S5553,HCPCS,Insulin Long Acting; 5 Units,,,29 ,,NW,,,,,,$0.13,$0.00,1,1,1,0,0,1,20080101S8030,HCPCS,Scleral Application Tantalum Ring+C13457,,,21 ,,RBRVS,9.46 ,7.66 ,7.66 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S8037,HCPCS,Mr Cholangiopancreatography,,,20 ,,TotalUnits,,,,13.37 ,,$0.00,$0.00,1,0,1,1,1,1,20080101S8040,HCPCS,Topographic Brain Mapping,,,14 ,,RBRVS,2.97 ,3.05 ,3.05 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S8049,HCPCS,Intraoperative Radiation Therapy,,,20 ,,RBRVS,0.00 ,4.35 ,4.35 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S8080,HCPCS,Scintimammo Uni W/Spl Radiopharm,,,20 ,,TotalUnits,,,,1.81 ,,$0.00,$0.00,1,0,1,1,1,1,20080101S8085,HCPCS,Fluorine-18 fluorodeoxygluco,,,28 ,,NW,,,,,,$886.70,$0.00,1,1,1,0,1,1,20080101S8092,HCPCS,Electron beam computed tomog,,,28 ,,NW,,,,,,$681.41,$0.00,1,1,1,0,1,1,20080101S8096,HCPCS,Portable peak flow meter,,,28 ,,NW,,,,,,$34.50,$0.00,1,1,1,0,0,1,20080101S8100,HCPCS,Hold Chamb W/Inhal/Nebulizr;No Mask,,,28 ,,NW,,,,,,$205.08,$0.00,1,1,1,0,0,1,20080101S8101,HCPCS,Hold Chamb W/Inhal/Nebulizr; W/Mask,,,28 ,,NW,,,,,,$20.65,$0.00,1,1,1,0,0,1,20080101S8110,HCPCS,Peak expiratory flow rate (p,,,28 ,,NW,,,,,,$32.78,$0.00,1,1,1,0,0,1,20080101S8185,HCPCS,Flutter device,,,28 ,,NW,,,,,,$63.05,$0.00,1,1,1,0,0,1,20080101S8186,HCPCS,Swivel adaptor,,,28 ,,NW,,,,,,$58.65,$0.00,1,1,1,0,0,1,20080101S8189,HCPCS,Trach supply noc,,,28 ,,NW,,,,,,$31.05,$0.00,1,1,1,0,0,1,20080101S8190,HCPCS,Electronic spirometer,,,28 ,,NW,,,,,,$57.74,$0.00,1,1,1,0,0,1,20080101S8420,HCPCS,Custom gradient sleev/glov,,,28 ,,NW,,,,,,$213.85,$0.00,1,1,1,0,0,1,20080101S8421,HCPCS,Ready gradient sleev/glov,,,28 ,,NW,,,,,,$40.99,$0.00,1,1,1,0,0,1,20080101S8422,HCPCS,Custom grad sleeve med,,,28 ,,NW,,,,,,$142.40,$0.00,1,1,1,0,0,1,20080101S8423,HCPCS,Custom grad sleeve heavy,,,28 ,,NW,,,,,,$132.62,$0.00,1,1,1,0,0,1,20080101S8424,HCPCS,Ready gradient sleeve,,,28 ,,NW,,,,,,$72.57,$0.00,1,1,1,0,0,1,20080101S8425,HCPCS,Custom grad glove med,,,28 ,,NW,,,,,,$34.52,$0.00,1,1,1,0,0,1,20080101S8427,HCPCS,Ready gradient glove,,,28 ,,NW,,,,,,$18.56,$0.00,1,1,1,0,0,1,20080101S8428,HCPCS,Gradent Press Aid Gauntlet Rdy Made,,,28 ,,NW,,,,,,$55.40,$0.00,1,1,1,0,0,1,20080101S8429,HCPCS,Gradient pressure wrap,,,28 ,,NW,,,,,,$263.91,$0.00,1,1,1,0,0,1,20080101S8450,HCPCS,Splint digit,,,28 ,,NW,,,,,,$12.09,$0.00,1,1,1,0,0,1,20080101S8451,HCPCS,Splint wrist or ankle,,,28 ,,NW,,,,,,$48.31,$0.00,1,1,1,0,0,1,20080101S8452,HCPCS,Splint elbow,,,28 ,,NW,,,,,,$93.52,$0.00,1,1,1,0,0,1,20080101S8950,HCPCS,Complex Lymphedema Tx Ea 15 Min,,,19 ,,RBRVS,0.43 ,0.29 ,0.29 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101S9001,HCPCS,Home uterine monitor with or,,,28 ,,NW,,,,,,$127.66,$0.00,1,1,1,0,0,1,20080101S9015,HCPCS,Automated EEG monitoring,,,28 ,,NW,,,,,,$151.82,$0.00,1,1,1,0,0,1,20080101S9024,HCPCS,Paranasal Sinus Ultrasound,,,20 ,,TotalUnits,,,,2.44 ,,$0.00,$0.00,1,0,1,1,1,1,20080101S9034,HCPCS,Eswl For Gall Stones,,,21 ,,RBRVS,9.64 ,6.13 ,17.10 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S9061,HCPCS,Home Admin Aerosolized Drug Tx Diem,,,15 ,,RBRVS,0.00 ,0.38 ,0.38 ,,,$0.00,$0.00,1,0,1,0,0,1,20080101S9075,HCPCS,Smoking cessation treatment,,,28 ,,NW,,,,,,$301.90,$0.00,1,1,1,0,0,1,20080101S9083,HCPCS,Global Fee Urgent Care Centers,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S9088,HCPCS,Services provided in urgent,,,28 ,,NW,,,,,,$155.27,$0.00,1,1,1,0,0,1,20080101S9090,HCPCS,Vertebral axial decompressio,,,28 ,,NW,,,,,,$112.13,$0.00,1,1,1,0,0,1,20080101S9092,HCPCS,Canolith Repositioning Per Visit,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S9097,HCPCS,Home Visit For Wound Care,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S9117,HCPCS,Back School Per Visit,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S9122,HCPCS,Home health aide or certifie,,,28 ,,NW,,,,,,$74.30,$0.00,1,1,1,1,1,1,20080101S9123,HCPCS,Nursing care in home RN,,,28 ,,NW,,,,,,$126.71,$0.00,1,1,1,1,1,1,20080101S9124,HCPCS,"Nursing care, in the home; b",,,28 ,,NW,,,,,,$67.28,$0.00,1,1,1,1,1,1,20080101S9126,HCPCS,"Hospice care, in the home, p",,,28 ,,NW,,,,,,$345.03,$0.00,1,1,1,1,1,1,20080101S9127,HCPCS,"Social work visit, in the ho",,,28 ,,NW,,,,,,$266.36,$0.00,1,1,1,1,1,1,20080101S9128,HCPCS,Speech Therapy In The Home Per Diem,,,28 ,,NW,,,,,,$220.84,$0.00,1,0,1,0,0,1,20080101S9129,HCPCS,"Occupational therapy, in the",,,28 ,,NW,,,,,,$225.88,$0.00,1,1,1,1,1,1,20080101S9131,HCPCS,PT in the home per diem,,,28 ,,NW,,,,,,$220.81,$0.00,1,1,1,1,1,1,20080101S9140,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$109.06,$0.00,1,1,1,1,1,1,20080101S9141,HCPCS,Diab Mgmt Progm F/U Visit Md Prov,,,15 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101S9145,HCPCS,Insulin Pump Init Instruct Use Pump,,,15 ,,RBRVS,0.00 ,0.59 ,0.59 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101S9208,HCPCS,Home Mgmt Preterm Labor Per Diem,,,15 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S9209,HCPCS,Home Mangement Pprom Diem,,,15 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S9211,HCPCS,Home Mgmt Gestational Htn; Diem,,,15 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S9212,HCPCS,Home Management Postpartum Htn Diem,,,15 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S9213,HCPCS,Home Management Preeclampsia; Diem,,,15 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S9214,HCPCS,Home Mgmt Gestational Diabetes;Diem,,,15 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S9325,HCPCS,HIT pain mgmt per diem,,,28 ,,NW,,,,,,$405.39,$0.00,1,1,1,1,1,1,20080101S9326,HCPCS,HIT cont pain per diem,,,28 ,,NW,,,,,,$163.89,$0.00,1,1,1,1,1,1,20080101S9327,HCPCS,Hit Intermit Pain Mgmt Infus; Diem,,,28 ,,NW,,,,,,$431.27,$0.00,1,0,1,0,0,1,20080101S9328,HCPCS,Hit Implanted Pump Pain Mgmt; Diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,0,1,0,0,1,20080101S9329,HCPCS,Hit Chemotherapy Infusion; Per Diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,0,1,0,0,1,20080101S9330,HCPCS,HIT cont chem diem,,,28 ,,NW,,,,,,$155.27,$0.00,1,1,1,1,1,1,20080101S9331,HCPCS,HIT intermit chemo diem,,,28 ,,NW,,,,,,$431.27,$0.00,1,1,1,1,1,1,20080101S9335,HCPCS,Hom Tx Hd; Admin Spl & Eqp Per Diem,,,15 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S9336,HCPCS,Hit Cont Anticoagulnt Infus Tx Diem,,,28 ,,NW,,,,,,$163.89,$0.00,1,0,1,0,0,1,20080101S9338,HCPCS,HIT immunotherapy diem,,,28 ,,NW,,,,,,$207.00,$0.00,1,1,1,1,1,1,20080101S9339,HCPCS,Home Tx; Peritonl Dialysis Per Diem,,,15 ,,TotalUnits,,,,2.91 ,,$0.00,$0.00,1,0,1,0,0,1,20080101S9340,HCPCS,HIT enteral per diem,,,28 ,,NW,,,,,,$215.65,$0.00,1,1,1,1,1,1,20080101S9341,HCPCS,Ht; Enterl Nutrit Via Gravity; Diem,,,28 ,,NW,,,,,,$215.65,$0.00,1,0,1,0,0,1,20080101S9342,HCPCS,HIT enteral pump diem,,,28 ,,NW,,,,,,$79.36,$0.00,1,1,1,1,1,1,20080101S9343,HCPCS,Ht; Enteral Nutrit Via Bolus; Diem,,,28 ,,NW,,,,,,$215.65,$0.00,1,0,1,0,0,1,20080101S9345,HCPCS,Hit Anti-Hemophilic Agent; Per Diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,0,1,0,0,1,20080101S9346,HCPCS,Hit Alpha-1-Protenas Inhibitr; Diem,,,28 ,,NW,,,,,,$207.00,$0.00,1,0,1,0,0,1,20080101S9347,HCPCS,HIT longterm infusion diem,,,28 ,,NW,,,,,,$112.13,$0.00,1,1,1,1,1,1,20080101S9348,HCPCS,HIT sympathomim diem,,,28 ,,NW,,,,,,$15.54,$0.00,1,1,1,1,1,1,20080101S9349,HCPCS,HIT tocolysis diem,,,28 ,,NW,,,,,,$345.03,$0.00,1,1,1,1,1,1,20080101S9351,HCPCS,Hit Cont Anti-Emetic; Per Diem,,,28 ,,NW,,,,,,$163.89,$0.00,1,0,1,0,0,1,20080101S9353,HCPCS,Home Infus Tx Cont Insulin; Diem,,,28 ,,NW,,,,,,$163.89,$0.00,1,0,1,0,0,1,20080101S9355,HCPCS,Home Infus Tx Chelation; Per Diem,,,28 ,,NW,,,,,,$207.00,$0.00,1,0,1,0,0,1,20080101S9357,HCPCS,Hit Enzyme Repl Iv Tx; Per Diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,0,1,0,0,1,20080101S9359,HCPCS,Hit Anti-Tumr Necros Factor Iv Tx;,,,28 ,,NW,,,,,,$377.13,$0.00,1,0,1,0,0,1,20080101S9361,HCPCS,Hit Diuretic Iv Tx; Per Diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,0,1,0,0,1,20080101S9363,HCPCS,Hit Anti-Spasmotic Tx; Per Diem,,,28 ,,NW,,,,,,$207.00,$0.00,1,0,1,0,0,1,20080101S9364,HCPCS,HIT tpn total diem,,,28 ,,NW,,,,,,$742.65,$0.00,1,1,1,1,1,1,20080101S9365,HCPCS,HIT tpn 1 liter diem,,,28 ,,NW,,,,,,$742.65,$0.00,1,1,1,1,1,1,20080101S9366,HCPCS,HIT tpn 2 liter diem,,,28 ,,NW,,,,,,$742.65,$0.00,1,1,1,1,1,1,20080101S9367,HCPCS,HIT tpn 3 liter diem,,,28 ,,NW,,,,,,$742.65,$0.00,1,1,1,1,1,1,20080101S9368,HCPCS,HIT tpn over 3l diem,,,28 ,,NW,,,,,,$742.65,$0.00,1,1,1,1,1,1,20080101S9370,HCPCS,Ht Intermittent Anti-Emetic Inj Tx;,,,28 ,,NW,,,,,,$86.27,$0.00,1,0,1,0,0,1,20080101S9372,HCPCS,Ht; Intermit Anticoagulant Inj Tx;,,,28 ,,NW,,,,,,$86.27,$0.00,1,0,1,0,0,1,20080101S9373,HCPCS,HIT hydra total diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,1,1,1,1,1,20080101S9374,HCPCS,HIT hydra 1 liter diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,1,1,1,1,1,20080101S9375,HCPCS,HIT hydra 2 liter diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,1,1,1,1,1,20080101S9376,HCPCS,HIT hydra 3 liter diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,1,1,1,1,1,20080101S9377,HCPCS,HIT hydra over 3l diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,1,1,1,1,1,20080101S9379,HCPCS,HIT noc per diem,,,28 ,,NW,,,,,,$377.13,$0.00,1,1,1,1,1,1,20080101S9401,HCPCS,Anticoagulat Clin No Lab Per Sess,,,15 ,,RBRVS,0.17 ,0.06 ,0.32 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S9435,HCPCS,Medical foods for inborn err,,,28 ,,NW,,,,,,$17.26,$0.00,1,1,1,0,1,1,20080101S9452,HCPCS,Nutrition Classes Non-Physician Per Session,,,28 ,,NW,,,,,,$96.60,$0.00,1,0,1,1,1,1,20080101S9455,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$86.27,$0.00,1,1,1,1,1,1,20080101S9460,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$120.76,$0.00,1,1,1,1,1,1,20080101S9465,HCPCS,"Diabetic Management Program,",,,28 ,,NW,,,,,,$107.33,$0.00,1,1,1,1,1,1,20080101S9470,HCPCS,"Nutritional counseling, diet",,,28 ,,NW,,,,,,$96.56,$0.00,1,1,1,0,1,1,20080101S9474,HCPCS,Entrstml Tx Registered Nrs Cert Entrstml Tx-Diem,,,15 ,,TotalUnits,,,,1.99 ,,$0.00,$0.00,1,0,1,1,1,1,20080101S9475,HCPCS,Amb Set Sbstnc Abs Tx/Dtox Srvc Day,,,16 ,,RBRVS,2.79 ,0.49 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S9480,HCPCS,Intensive Op Psyc Services Per Diem,,,16 ,,RBRVS,2.79 ,0.49 ,0.69 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S9484,HCPCS,Crisis Interven Mentl Hlth Srvc-Hr,,,16 ,,RBRVS,1.86 ,0.33 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S9485,HCPCS,Crisis Intervent Mental Health Serv,,,16 ,,RBRVS,1.86 ,0.33 ,0.53 ,,,$0.00,$0.00,1,0,1,1,1,1,20080101S9490,HCPCS,Hit Corticosteroid Infus; Admn Srvc,,,28 ,,NW,,,,,,$377.13,$0.00,1,0,1,0,0,1,20080101S9494,HCPCS,HIT antibiotic total diem,,,28 ,,NW,,,,,,$5.18,$0.00,1,1,1,1,1,1,20080101S9497,HCPCS,HIT antibiotic q3h diem,,,28 ,,NW,,,,,,$353.65,$0.00,1,1,1,1,1,1,20080101S9500,HCPCS,HIT antibiotic q24h diem,,,28 ,,NW,,,,,,$181.14,$0.00,1,1,1,1,1,1,20080101S9501,HCPCS,HIT antibiotic q12h diem,,,28 ,,NW,,,,,,$279.48,$0.00,1,1,1,1,1,1,20080101S9502,HCPCS,HIT antibiotic q8h diem,,,28 ,,NW,,,,,,$301.90,$0.00,1,1,1,1,1,1,20080101S9503,HCPCS,HIT antibiotic q6h diem,,,28 ,,NW,,,,,,$327.77,$0.00,1,1,1,1,1,1,20080101S9504,HCPCS,HIT antibiotic q4h diem,,,28 ,,NW,,,,,,$353.65,$0.00,1,1,1,1,1,1,20080101S9529,HCPCS,Venipuncture home/snf,,,28 ,,NW,,,,,,$207.00,$0.00,1,1,1,0,1,1,20080101S9537,HCPCS,HT hem horm inj diem,,,28 ,,NW,,,,,,$86.27,$0.00,1,1,1,1,1,1,20080101S9542,HCPCS,Home Injectable Therapy Noc-Diem,,,28 ,,NW,,,,,,$6.90,$0.00,1,0,1,0,0,1,20080101S9558,HCPCS,HT inj growth horm diem,,,28 ,,NW,,,,,,$6.90,$0.00,1,1,1,1,1,1,20080101S9559,HCPCS,Home Infus Tx Interferon Per Diem,,,28 ,,NW,,,,,,$6.90,$0.00,1,0,1,0,0,1,20080101S9560,HCPCS,Home Inj Tx; Hormonal Therapy Diem,,,28 ,,NW,,,,,,$6.90,$0.00,1,0,1,0,0,1,20080101S9562,HCPCS,Hom Inj Tx Palivizumab-Per Diem,,,28 ,,NW,,,,,,$6.90,$0.00,1,0,1,0,0,1,20080101S9590,HCPCS,Hom Tx Irrig Tx; W/Admn-Per Diem,,,15 ,,TotalUnits,,,,2.21 ,,$0.00,$0.00,1,0,1,0,0,1,20080101V2020,HCPCS,Vision svcs frames purchases,,,28 ,,NW,,,,,,$103.06,$0.00,1,1,1,1,1,1,20080101V2025,HCPCS,Eyeglasses delux frames,,,28 ,,NW,,,,,,$142.05,$0.00,1,1,1,1,1,1,20080101V2100,HCPCS,Lens spher single plano 4.00,,,28 ,,NW,,,,,,$60.50,$0.00,1,1,1,1,1,1,20080101V2101,HCPCS,Single visn sphere 4.12-7.00,,,28 ,,NW,,,,,,$63.59,$0.00,1,1,1,1,1,1,20080101V2102,HCPCS,Singl visn sphere 7.12-20.00,,,28 ,,NW,,,,,,$88.26,$0.00,1,1,1,1,1,1,20080101V2103,HCPCS,Spherocylindr 4.00d/12-2.00d,,,28 ,,NW,,,,,,$52.92,$0.00,1,1,1,1,1,1,20080101V2104,HCPCS,Spherocylindr 4.00d/2.12-4d,,,28 ,,NW,,,,,,$58.28,$0.00,1,1,1,1,1,1,20080101V2105,HCPCS,Spherocylinder 4.00d/4.25-6d,,,28 ,,NW,,,,,,$63.19,$0.00,1,1,1,1,1,1,20080101V2106,HCPCS,Spherocylinder 4.00d/>6.00d,,,28 ,,NW,,,,,,$69.80,$0.00,1,1,1,1,1,1,20080101V2107,HCPCS,Spherocylinder 4.25d/12-2d,,,28 ,,NW,,,,,,$66.53,$0.00,1,1,1,1,1,1,20080101V2108,HCPCS,Spherocylinder 4.25d/2.12-4d,,,28 ,,NW,,,,,,$68.78,$0.00,1,1,1,1,1,1,20080101V2109,HCPCS,Spherocylinder 4.25d/4.25-6d,,,28 ,,NW,,,,,,$75.80,$0.00,1,1,1,1,1,1,20080101V2110,HCPCS,Spherocylinder 4.25d/over 6d,,,28 ,,NW,,,,,,$74.82,$0.00,1,1,1,1,1,1,20080101V2111,HCPCS,Spherocylindr 7.25d/.25-2.25,,,28 ,,NW,,,,,,$77.88,$0.00,1,1,1,1,1,1,20080101V2112,HCPCS,Spherocylindr 7.25d/2.25-4d,,,28 ,,NW,,,,,,$84.75,$0.00,1,1,1,1,1,1,20080101V2113,HCPCS,Spherocylindr 7.25d/4.25-6d,,,28 ,,NW,,,,,,$94.74,$0.00,1,1,1,1,1,1,20080101V2114,HCPCS,Spherocylinder over 12.00d,,,28 ,,NW,,,,,,$100.92,$0.00,1,1,1,1,1,1,20080101V2115,HCPCS,Lens lenticular bifocal,,,28 ,,NW,,,,,,$108.01,$0.00,1,1,1,1,1,1,20080101V2118,HCPCS,Lens aniseikonic single,,,28 ,,NW,,,,,,$107.24,$0.00,1,1,1,1,1,1,20080101V2121,HCPCS,"Lenticular lens, single",,,28 ,,NW,,,,,,$110.02,$0.00,1,1,1,1,1,1,20080101V2199,HCPCS,Lens single vision not oth c,,,28 ,,NW,,,,,,$116.28,$0.00,1,1,1,1,1,1,20080101V2200,HCPCS,Lens spher bifoc plano 4.00d,,,28 ,,NW,,,,,,$78.26,$0.00,1,1,1,1,1,1,20080101V2201,HCPCS,Lens sphere bifocal 4.12-7.0,,,28 ,,NW,,,,,,$85.05,$0.00,1,1,1,1,1,1,20080101V2202,HCPCS,Lens sphere bifocal 7.12-20.,,,28 ,,NW,,,,,,$98.30,$0.00,1,1,1,1,1,1,20080101V2203,HCPCS,Lens sphcyl bifocal 4.00d/.1,,,28 ,,NW,,,,,,$78.93,$0.00,1,1,1,1,1,1,20080101V2204,HCPCS,Lens sphcy bifocal 4.00d/2.1,,,28 ,,NW,,,,,,$82.39,$0.00,1,1,1,1,1,1,20080101V2205,HCPCS,Lens sphcy bifocal 4.00d/4.2,,,28 ,,NW,,,,,,$88.85,$0.00,1,1,1,1,1,1,20080101V2206,HCPCS,Lens sphcy bifocal 4.00d/ove,,,28 ,,NW,,,,,,$94.82,$0.00,1,1,1,1,1,1,20080101V2207,HCPCS,Lens sphcy bifocal 4.25-7d/.,,,28 ,,NW,,,,,,$86.90,$0.00,1,1,1,1,1,1,20080101V2208,HCPCS,Lens sphcy bifocal 4.25-7/2.,,,28 ,,NW,,,,,,$91.07,$0.00,1,1,1,1,1,1,20080101V2209,HCPCS,Lens sphcy bifocal 4.25-7/4.,,,28 ,,NW,,,,,,$96.90,$0.00,1,1,1,1,1,1,20080101V2210,HCPCS,Lens sphcy bifocal 4.25-7/ov,,,28 ,,NW,,,,,,$104.73,$0.00,1,1,1,1,1,1,20080101V2211,HCPCS,Lens sphcy bifo 7.25-12/.25-,,,28 ,,NW,,,,,,$107.86,$0.00,1,1,1,1,1,1,20080101V2212,HCPCS,Lens sphcyl bifo 7.25-12/2.2,,,28 ,,NW,,,,,,$110.67,$0.00,1,1,1,1,1,1,20080101V2213,HCPCS,Lens sphcyl bifo 7.25-12/4.2,,,28 ,,NW,,,,,,$111.59,$0.00,1,1,1,1,1,1,20080101V2214,HCPCS,Lens sphcyl bifocal over 12.,,,28 ,,NW,,,,,,$119.51,$0.00,1,1,1,1,1,1,20080101V2215,HCPCS,Lens lenticular bifocal,,,28 ,,NW,,,,,,$120.98,$0.00,1,1,1,1,1,1,20080101V2218,HCPCS,Lens aniseikonic bifocal,,,28 ,,NW,,,,,,$140.03,$0.00,1,1,1,1,1,1,20080101V2219,HCPCS,Lens bifocal seg width over,,,28 ,,NW,,,,,,$68.37,$0.00,1,1,1,1,1,1,20080101V2220,HCPCS,Lens bifocal add over 3.25d,,,28 ,,NW,,,,,,$56.00,$0.00,1,1,1,1,1,1,20080101V2221,HCPCS,"Lenticular lens, bifocal",,,28 ,,NW,,,,,,$124.91,$0.00,1,1,1,1,1,1,20080101V2299,HCPCS,Lens bifocal speciality,,,28 ,,NW,,,,,,$81.11,$0.00,1,1,1,1,1,1,20080101V2300,HCPCS,Lens sphere trifocal 4.00d,,,28 ,,NW,,,,,,$97.71,$0.00,1,1,1,1,1,1,20080101V2301,HCPCS,Lens sphere trifocal 4.12-7.,,,28 ,,NW,,,,,,$111.48,$0.00,1,1,1,1,1,1,20080101V2302,HCPCS,Lens sphere trifocal 7.12-20,,,28 ,,NW,,,,,,$117.46,$0.00,1,1,1,1,1,1,20080101V2303,HCPCS,Lens sphcy trifocal 4.0/.12-,,,28 ,,NW,,,,,,$96.49,$0.00,1,1,1,1,1,1,20080101V2304,HCPCS,Lens sphcy trifocal 4.0/2.25,,,28 ,,NW,,,,,,$99.99,$0.00,1,1,1,1,1,1,20080101V2305,HCPCS,Lens sphcy trifocal 4.0/4.25,,,28 ,,NW,,,,,,$112.56,$0.00,1,1,1,1,1,1,20080101V2306,HCPCS,Lens sphcyl trifocal 4.00/>6,,,28 ,,NW,,,,,,$115.28,$0.00,1,1,1,1,1,1,20080101V2307,HCPCS,Lens sphcy trifocal 4.25-7/.,,,28 ,,NW,,,,,,$110.27,$0.00,1,1,1,1,1,1,20080101V2308,HCPCS,Lens sphc trifocal 4.25-7/2.,,,28 ,,NW,,,,,,$114.55,$0.00,1,1,1,1,1,1,20080101V2309,HCPCS,Lens sphc trifocal 4.25-7/4.,,,28 ,,NW,,,,,,$122.94,$0.00,1,1,1,1,1,1,20080101V2310,HCPCS,Lens sphc trifocal 4.25-7/>6,,,28 ,,NW,,,,,,$121.72,$0.00,1,1,1,1,1,1,20080101V2311,HCPCS,Lens sphc trifo 7.25-12/.25-,,,28 ,,NW,,,,,,$125.82,$0.00,1,1,1,1,1,1,20080101V2312,HCPCS,Lens sphc trifo 7.25-12/2.25,,,28 ,,NW,,,,,,$126.42,$0.00,1,1,1,1,1,1,20080101V2313,HCPCS,Lens sphc trifo 7.25-12/4.25,,,28 ,,NW,,,,,,$138.77,$0.00,1,1,1,1,1,1,20080101V2314,HCPCS,Lens sphcyl trifocal over 12,,,28 ,,NW,,,,,,$147.49,$0.00,1,1,1,1,1,1,20080101V2315,HCPCS,Lens lenticular trifocal,,,28 ,,NW,,,,,,$161.45,$0.00,1,1,1,1,1,1,20080101V2318,HCPCS,Lens aniseikonic trifocal,,,28 ,,NW,,,,,,$193.73,$0.00,1,1,1,1,1,1,20080101V2319,HCPCS,Lens trifocal seg width > 28,,,28 ,,NW,,,,,,$75.91,$0.00,1,1,1,1,1,1,20080101V2320,HCPCS,Lens trifocal add over 3.25d,,,28 ,,NW,,,,,,$79.93,$0.00,1,1,1,1,1,1,20080101V2321,HCPCS,"Lenticular lens, trifocal",,,28 ,,NW,,,,,,$159.43,$0.00,1,1,1,1,1,1,20080101V2399,HCPCS,Lens trifocal speciality,,,28 ,,NW,,,,,,$81.11,$0.00,1,1,1,1,1,1,20080101V2410,HCPCS,Lens variab asphericity sing,,,28 ,,NW,,,,,,$126.49,$0.00,1,1,1,1,1,1,20080101V2430,HCPCS,Lens variable asphericity bi,,,28 ,,NW,,,,,,$148.19,$0.00,1,1,1,1,1,1,20080101V2499,HCPCS,Variable asphericity lens,,,28 ,,NW,,,,,,$50.01,$0.00,1,1,1,1,1,1,20080101V2500,HCPCS,Contact lens pmma spherical,,,28 ,,NW,,,,,,$116.61,$0.00,1,1,1,1,1,1,20080101V2501,HCPCS,Cntct lens pmma-toric/prism,,,28 ,,NW,,,,,,$166.74,$0.00,1,1,1,1,1,1,20080101V2502,HCPCS,Contact lens pmma bifocal,,,28 ,,NW,,,,,,$200.59,$0.00,1,1,1,1,1,1,20080101V2503,HCPCS,Cntct lens pmma color vision,,,28 ,,NW,,,,,,$186.38,$0.00,1,1,1,1,1,1,20080101V2510,HCPCS,Cntct gas permeable sphericl,,,28 ,,NW,,,,,,$151.60,$0.00,1,1,1,1,1,1,20080101V2511,HCPCS,Cntct toric prism ballast,,,28 ,,NW,,,,,,$208.72,$0.00,1,1,1,1,1,1,20080101V2512,HCPCS,Cntct lens gas permbl bifocl,,,28 ,,NW,,,,,,$242.88,$0.00,1,1,1,1,1,1,20080101V2513,HCPCS,Contact lens extended wear,,,28 ,,NW,,,,,,$207.25,$0.00,1,1,1,1,1,1,20080101V2520,HCPCS,Contact lens hydrophilic,,,28 ,,NW,,,,,,$143.75,$0.00,1,1,1,1,1,1,20080101V2521,HCPCS,Cntct lens hydrophilic toric,,,28 ,,NW,,,,,,$234.85,$0.00,1,1,1,1,1,1,20080101V2522,HCPCS,Cntct lens hydrophil bifocl,,,28 ,,NW,,,,,,$229.09,$0.00,1,1,1,1,1,1,20080101V2523,HCPCS,Cntct lens hydrophil extend,,,28 ,,NW,,,,,,$198.31,$0.00,1,1,1,1,1,1,20080101V2530,HCPCS,Contact lens gas impermeable,,,28 ,,NW,,,,,,$283.72,$0.00,1,1,1,1,1,1,20080101V2531,HCPCS,Contact lens gas permeable,,,28 ,,NW,,,,,,$598.04,$0.00,1,1,1,1,1,1,20080101V2599,HCPCS,Contact lens/es other type,,,28 ,,NW,,,,,,$82.39,$0.00,1,1,1,1,1,1,20080101V2600,HCPCS,Hand held low vision aids,,,28 ,,NW,,,,,,$75.06,$0.00,1,1,1,1,1,1,20080101V2610,HCPCS,Single lens spectacle mount,,,28 ,,NW,,,,,,$380.88,$0.00,1,1,1,1,1,1,20080101V2615,HCPCS,Telescop/othr compound lens,,,28 ,,NW,,,,,,"$1,617.02",$0.00,1,1,1,1,1,1,20080101V2623,HCPCS,Plastic eye prosth custom,,,28 ,,NW,,,,,,"$2,681.93",$0.00,1,1,1,1,1,1,20080101V2624,HCPCS,Polishing artifical eye,,,28 ,,NW,,,,,,$97.86,$0.00,1,1,1,1,1,1,20080101V2625,HCPCS,Enlargemnt of eye prosthesis,,,28 ,,NW,,,,,,"$1,003.47",$0.00,1,1,1,1,1,1,20080101V2626,HCPCS,Reduction of eye prosthesis,,,28 ,,NW,,,,,,$494.31,$0.00,1,1,1,1,1,1,20080101V2627,HCPCS,Scleral cover shell,,,28 ,,NW,,,,,,"$3,925.64",$0.00,1,1,1,1,1,1,20080101V2628,HCPCS,Fabrication & fitting,,,28 ,,NW,,,,,,$793.90,$0.00,1,1,1,1,1,1,20080101V2629,HCPCS,Prosthetic eye other type,,,28 ,,NW,,,,,,$865.65,$0.00,1,1,1,1,1,1,20080101V2630,HCPCS,Anter chamber intraocul lens,,,28 ,,NW,,,,,,$334.06,$0.00,1,1,1,0,1,1,20080101V2632,HCPCS,Post chmbr intraocular lens,,,28 ,,NW,,,,,,$452.63,$0.00,1,1,1,0,1,1,20080101V2700,HCPCS,Balance lens,,,28 ,,NW,,,,,,$67.32,$0.00,1,1,1,1,1,1,20080101V2702,HCPCS,Deluxe lens feature,,,28 ,,NW,,,,,,$67.32,$0.00,1,1,1,0,0,1,20080101V2710,HCPCS,Glass/plastic slab off prism,,,28 ,,NW,,,,,,$96.37,$0.00,1,1,1,1,1,1,20080101V2715,HCPCS,Prism lens/es,,,28 ,,NW,,,,,,$20.00,$0.00,1,1,1,1,1,1,20080101V2718,HCPCS,Fresnell prism press-on lens,,,28 ,,NW,,,,,,$44.89,$0.00,1,1,1,1,1,1,20080101V2730,HCPCS,Special base curve,,,28 ,,NW,,,,,,$33.91,$0.00,1,1,1,1,1,1,20080101V2744,HCPCS,Tint photochromatic lens/es,,,28 ,,NW,,,,,,$27.02,$0.00,1,1,1,1,1,1,20080101V2745,HCPCS,"Tint, any color/solid/grad",,,28 ,,NW,,,,,,$18.02,$0.00,1,1,1,1,1,1,20080101V2750,HCPCS,Anti-reflective coating,,,28 ,,NW,,,,,,$30.97,$0.00,1,1,1,1,1,1,20080101V2755,HCPCS,UV lens/es,,,28 ,,NW,,,,,,$27.34,$0.00,1,1,1,1,1,1,20080101V2760,HCPCS,Scratch resistant coating,,,28 ,,NW,,,,,,$26.46,$0.00,1,1,1,1,1,1,20080101V2761,HCPCS,Mirror coating,,,28 ,,NW,,,,,,$21.27,$0.00,1,1,1,0,0,1,20080101V2762,HCPCS,"Polarization, any lens",,,28 ,,NW,,,,,,$21.21,$0.00,1,1,1,1,1,1,20080101V2770,HCPCS,Occluder lens/es,,,28 ,,NW,,,,,,$31.61,$0.00,1,1,1,1,1,1,20080101V2780,HCPCS,Oversize lens/es,,,28 ,,NW,,,,,,$21.34,$0.00,1,1,1,1,1,1,20080101V2781,HCPCS,Progressive lens per lens,,,28 ,,NW,,,,,,$187.70,$0.00,1,1,1,1,1,1,20080101V2782,HCPCS,"Lens, 1.54-1.65 p/1.60-1.79g",,,28 ,,NW,,,,,,$74.30,$0.00,1,1,1,0,1,1,20080101V2783,HCPCS,"Lens, >= 1.66 p/>=1.80 g",,,28 ,,NW,,,,,,$83.80,$0.00,1,1,1,0,1,1,20080101V2784,HCPCS,Lens polycarb or equal,,,28 ,,NW,,,,,,$54.50,$0.00,1,1,1,0,1,1,20080101V2785,HCPCS,Corneal tissue processing,,,28 ,,NW,,,,,,"$3,374.17",$0.00,1,1,1,1,1,1,20080101V2790,HCPCS,Amniotic membrane,,,28 ,,NW,,,,,,$60.61,$0.00,1,1,1,0,1,1,20080101V2799,HCPCS,Miscellaneous vision service,,,28 ,,NW,,,,,,$70.48,$0.00,1,1,1,0,1,1,20080101V5008,HCPCS,Hearing screening,,,28 ,,NW,,,,,,$86.36,$0.00,1,1,1,0,0,1,20080101V5010,HCPCS,Assessment for hearing aid,,,28 ,,NW,,,,,,$112.56,$0.00,1,1,1,0,0,1,20080101V5011,HCPCS,Hearing aid fitting/checking,,,28 ,,NW,,,,,,$175.79,$0.00,1,1,1,1,1,1,20080101V5014,HCPCS,Hearing aid repair/modifying,,,28 ,,NW,,,,,,$212.02,$0.00,1,1,1,1,1,1,20080101V5020,HCPCS,Conformity evaluation,,,28 ,,NW,,,,,,$98.68,$0.00,1,1,1,1,1,1,20080101V5030,HCPCS,Body-worn hearing aid air,,,28 ,,NW,,,,,,"$2,218.02",$0.00,1,1,1,1,1,1,20080101V5040,HCPCS,Body-worn hearing aid bone,,,28 ,,NW,,,,,,"$1,640.91",$0.00,1,1,1,1,1,1,20080101V5050,HCPCS,Hearing aid monaural in ear,,,28 ,,NW,,,,,,"$1,927.10",$0.00,1,1,1,1,1,1,20080101V5060,HCPCS,Behind ear hearing aid,,,28 ,,NW,,,,,,"$1,579.15",$0.00,1,1,1,1,1,1,20080101V5070,HCPCS,Glasses air conduction,,,28 ,,NW,,,,,,$794.24,$0.00,1,1,1,1,1,1,20080101V5080,HCPCS,Glasses bone conduction,,,28 ,,NW,,,,,,"$2,279.77",$0.00,1,1,1,1,1,1,20080101V5090,HCPCS,Hearing aid dispensing fee,,,28 ,,NW,,,,,,$689.75,$0.00,1,1,1,1,1,1,20080101V5100,HCPCS,Body-worn bilat hearing aid,,,28 ,,NW,,,,,,"$3,771.24",$0.00,1,1,1,1,1,1,20080101V5110,HCPCS,Hearing aid dispensing fee,,,28 ,,NW,,,,,,$703.98,$0.00,1,1,1,1,1,1,20080101V5120,HCPCS,Body-worn binaur hearing aid,,,28 ,,NW,,,,,,"$3,272.50",$0.00,1,1,1,1,1,1,20080101V5130,HCPCS,In ear binaural hearing aid,,,28 ,,NW,,,,,,"$3,493.37",$0.00,1,1,1,1,1,1,20080101V5140,HCPCS,Behind ear binaur hearing ai,,,28 ,,NW,,,,,,"$3,640.61",$0.00,1,1,1,1,1,1,20080101V5150,HCPCS,Glasses binaural hearing aid,,,28 ,,NW,,,,,,"$3,899.49",$0.00,1,1,1,1,1,1,20080101V5160,HCPCS,Dispensing fee binaural,,,28 ,,NW,,,,,,$880.93,$0.00,1,1,1,1,1,1,20080101V5170,HCPCS,Within ear cros hearing aid,,,28 ,,NW,,,,,,"$2,655.00",$0.00,1,1,1,1,1,1,20080101V5180,HCPCS,Behind ear cros hearing aid,,,28 ,,NW,,,,,,"$2,218.02",$0.00,1,1,1,1,1,1,20080101V5190,HCPCS,Glasses cros hearing aid,,,28 ,,NW,,,,,,"$2,624.14",$0.00,1,1,1,1,1,1,20080101V5200,HCPCS,Cros hearing aid dispens fee,,,28 ,,NW,,,,,,$696.87,$0.00,1,1,1,1,1,1,20080101V5210,HCPCS,In ear bicros hearing aid,,,28 ,,NW,,,,,,"$2,902.01",$0.00,1,1,1,1,1,1,20080101V5220,HCPCS,Behind ear bicros hearing ai,,,28 ,,NW,,,,,,"$2,780.89",$0.00,1,1,1,1,1,1,20080101V5230,HCPCS,Glasses bicros hearing aid,,,28 ,,NW,,,,,,"$2,880.64",$0.00,1,1,1,1,1,1,20080101V5240,HCPCS,Dispensing fee bicros,,,28 ,,NW,,,,,,$727.74,$0.00,1,1,1,1,1,1,20080101V5241,HCPCS,"Dispensing fee, monaural",,,28 ,,NW,,,,,,$139.32,$0.00,1,1,1,1,1,1,20080101V5242,HCPCS,"Hearing aid, monaural, cic",,,28 ,,NW,,,,,,"$1,606.24",$0.00,1,1,1,1,1,1,20080101V5243,HCPCS,"Hearing aid, monaural, itc",,,28 ,,NW,,,,,,"$1,691.84",$0.00,1,1,1,1,1,1,20080101V5244,HCPCS,"Hearing aid, prog, mon, cic",,,28 ,,NW,,,,,,"$3,781.75",$0.00,1,1,1,1,1,1,20080101V5245,HCPCS,"Hearing aid, prog, mon, itc",,,28 ,,NW,,,,,,"$2,985.60",$0.00,1,1,1,1,1,1,20080101V5246,HCPCS,"Hearing aid, prog, mon, ite",,,28 ,,NW,,,,,,"$1,847.12",$0.00,1,1,1,1,1,1,20080101V5247,HCPCS,"Hearing aid, prog, mon, bte",,,28 ,,NW,,,,,,"$2,559.71",$0.00,1,1,1,1,1,1,20080101V5248,HCPCS,"Hearing aid, binaural, cic",,,28 ,,NW,,,,,,"$2,032.85",$0.00,1,1,1,1,1,1,20080101V5249,HCPCS,"Hearing aid, binaural, itc",,,28 ,,NW,,,,,,"$2,583.54",$0.00,1,1,1,1,1,1,20080101V5250,HCPCS,"Hearing aid, prog, bin, cic",,,28 ,,NW,,,,,,"$7,145.51",$0.00,1,1,1,1,1,1,20080101V5251,HCPCS,"Hearing aid, prog, bin, itc",,,28 ,,NW,,,,,,"$6,747.42",$0.00,1,1,1,1,1,1,20080101V5252,HCPCS,"Hearing aid, prog, bin, ite",,,28 ,,NW,,,,,,"$6,369.25",$0.00,1,1,1,1,1,1,20080101V5253,HCPCS,"Hearing aid, prog, bin, bte",,,28 ,,NW,,,,,,"$2,886.06",$0.00,1,1,1,1,1,1,20080101V5254,HCPCS,"Hearing id, digit, mon, cic",,,28 ,,NW,,,,,,"$4,478.38",$0.00,1,1,1,1,1,1,20080101V5255,HCPCS,"Hearing aid, digit, mon, itc",,,28 ,,NW,,,,,,"$3,542.91",$0.00,1,1,1,1,1,1,20080101V5256,HCPCS,"Hearing aid, digit, mon, ite",,,28 ,,NW,,,,,,"$4,229.59",$0.00,1,1,1,1,1,1,20080101V5257,HCPCS,"Hearing aid, digit, mon, bte",,,28 ,,NW,,,,,,"$3,105.01",$0.00,1,1,1,1,1,1,20080101V5258,HCPCS,"Hearing aid, digit, bin, cic",,,28 ,,NW,,,,,,"$6,765.35",$0.00,1,1,1,1,1,1,20080101V5259,HCPCS,"Hearing aid, digit, bin, itc",,,28 ,,NW,,,,,,"$7,961.58",$0.00,1,1,1,1,1,1,20080101V5260,HCPCS,"Hearing aid, digit, bin, ite",,,28 ,,NW,,,,,,"$9,155.80",$0.00,1,1,1,1,1,1,20080101V5261,HCPCS,"Hearing aid, digit, bin, bte",,,28 ,,NW,,,,,,"$7,563.49",$0.00,1,1,1,1,1,1,20080101V5262,HCPCS,"Hearing aid, disp, monaural",,,28 ,,NW,,,,,,$155.26,$0.00,1,1,1,1,1,1,20080101V5263,HCPCS,"Hearing aid, disp, binaural",,,28 ,,NW,,,,,,$77.64,$0.00,1,1,1,1,1,0,20080101V5264,HCPCS,Ear mold/insert,,,28 ,,NW,,,,,,$98.13,$0.00,1,1,1,1,1,1,20080101V5265,HCPCS,"Ear mold/insert, disp",,,28 ,,NW,,,,,,$13.95,$0.00,1,1,1,1,1,1,20080101V5266,HCPCS,Battery for hearing device,,,28 ,,NW,,,,,,$2.73,$0.00,1,1,1,1,1,1,20080101V5267,HCPCS,Hearing aid supply/accessory,,,28 ,,NW,,,,,,$29.86,$0.00,1,1,1,1,1,1,20080101V5268,HCPCS,ALD Telephone Amplifier,,,28 ,,NW,,,,,,$421.73,$0.00,1,1,1,1,1,1,20080101V5269,HCPCS,"Alerting device, any type",,,28 ,,NW,,,,,,$617.41,$0.00,1,1,1,1,1,1,20080101V5270,HCPCS,"ALD, TV amplifier, any type",,,28 ,,NW,,,,,,$753.52,$0.00,1,1,1,1,1,1,20080101V5271,HCPCS,"ALD, TV caption decoder",,,28 ,,NW,,,,,,"$3,914.80",$0.00,1,1,1,1,1,1,20080101V5272,HCPCS,Tdd,,,28 ,,NW,,,,,,$886.88,$0.00,1,1,1,1,1,1,20080101V5273,HCPCS,ALD for cochlear implant,,,28 ,,NW,,,,,,$585.09,$0.00,1,1,1,1,1,1,20080101V5274,HCPCS,ALD unspecified,,,28 ,,NW,,,,,,"$1,297.11",$0.00,1,1,1,1,1,1,20080101V5275,HCPCS,Ear impression,,,28 ,,NW,,,,,,$59.70,$0.00,1,1,1,1,1,1,20080101V5298,HCPCS,Hearing aid noc,,,28 ,,NW,,,,,,"$3,789.60",$0.00,1,1,1,1,1,1,20080101V5299,HCPCS,Hearing service,,,28 ,,NW,,,,,,$972.09,$0.00,1,1,1,0,0,1,20080101V5336,HCPCS,Repair communication device,,,28 ,,NW,,,,,,$346.23,$0.00,1,1,1,0,0,1,20080101V5362,HCPCS,Speech screening,,,8 ,,RBRVS,0.86 ,0.28 ,3.50 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101V5363,HCPCS,Language screening,,,8 ,,RBRVS,0.86 ,0.28 ,3.50 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101V5364,HCPCS,Dysphagia screening,,,14 ,,RBRVS,0.00 ,1.70 ,1.70 ,,,$0.00,$0.00,1,1,1,0,1,0,20080101 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,